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The Emerging Crisis:

Tense Patient Doctor


Relationships in China
Luke Cheng

Violence in Hospitals:
Sadly a commonplace occurrence

Wang Hao, 28, was


stabbed and killed by a
patient (Li Mengnan) in
No. 1 Peoples Hospital
in Wenling, China
(March 23rd, 2012) 1

Medical Professionals Under


Attack

Chinas own Ministry of Health reported


5519 medical staff injured and
property damage of over 200 million
RMB in 2006 .2
Assaults on medical professionals has
risen to an all-time high, increasing to
27.3 per hospital in 20121

Protests and Rising Tensions

A protesting doctor
after the attack shows
his lab coat saying,
Dont study Medicine.
If you are afraid to
die, dont enter this
door.

Patients point of view


Patients forced to wait hours before a visit of a
few mere minutes
Little communication: I can diagnose a patient
after their first sentence
Over-investigation and 0ver-treatment is
rampant to cover hospital costs
Doctors receive kickbacks from pharmaceutical
companies
I cannot afford to become sick A grim reality

Results of Tense
Relationship

Refusing Admission
Treating without thorough explanation
Distrust on patients end
Overcrowding of city hospitals, exacerbates
issue
Doctors unsatisfied with salaries 95%
(Only 19% above average Chinese worker)
78% of doctors would push their children to
choose a different profession
Why public health? Population basis.

Causes
Failure of Chinese Healthcare System
Funding deficiency of hospital leading to
a marketization of healthcare
Poor distribution of care
Ineffective medical dispute laws, no
laws protecting doctors until recently.
Media

Solution
Doctors: Explain treatments fully,
Patients: Education Campaign
Systemic Level:
Increase funding or change the system
(other types that are proven to be more
effective)
Change the structure to seeing a local
hospital first
Incentives to work in local/rural hospitals
More effective medical dispute laws

Sources
1. Burkitt L. Bloody Attack on Doctors Triggers Protest in China. The Wall Street
Journal. http://blogs.wsj.com/chinarealtime/2013/10/28/bloody-attack-on-doctorstriggers-protest-in-china/. Published 2013.
2. Liebman BL. Malpractice Mobs: Medical Dispute Resolution In China. Columbia
Law Rev. 2013;113(181):181-254. Available at: http://columbialawreview.org/wpcontent/uploads/2013/01/Liebman-181-264.pdf.
3. Xu Z. The Distortion of the Doctor-Patient Relationship in China. Sign Times.
2013.
4. Jiang J. In Some Chinese Hospitals, Violence Is Out of Control and Its Doctors
Who Are at Risk. 2011. Available at:
http://content.time.com/time/world/article/0,8599,2096630,00.html.
5. Yan. Xinhua Insight: Doctor-patient tension may push forward Chinas medical
reform. xinhuanet.com. 2014.
6. Jin W. Tense doctor-patient relationships intensify. 2013.

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