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《柳叶刀》刊登丁香园调查报告：中国医生 ，
第一部分作者：余党会a（上海第二军医大学学报 中国） 李天天b（丁香园 中国）
We would like to offer our thanks to The Lancet for the Editorial depicting the threatened life of Chinese doctors. 1 It has become an immediate topic of discussion here. To gain further insight into the attitudes of Chinese doctors, we did a survey on Ding Xiang Yuan (For the Ding Xiang Yuan website, see http://www.dxy.com) , the most popular biomedical website in China with a registered user base of over 2 million. By Oct 2, 2010, 14 577 doctors had participated in the survey, including 5710 residents, 5132 attending physicians, 2256 associate chief physicians, and 609 chief physicians.
When asked whether they were concerned about the health-system reforms in China and what their primary concerns were, 67% of doctors said that they were strongly concerned about the reforms, with 65% choosing safe medical treatments and 53% choosing cure of the patients as their primary concern.
When asked about the main reasons for the increased tension between doctors and patients, 66% said that their hospitals encountered one to three medical disputes per month; 78% blamed it on a lack of government funding to hospitals and 70% accused the public media for negative reports, with 86% of doctors believing that negative reports were used to increase audience ratings. In terms of false media reports, 49% of doctors took them as deliberate, and 37% thought that the media needed qualified scientific gatekeepers for their medical news.
Finally, 91% of doctors strongly agreed that China's health-system reforms could not be successful without reforming the social and economic status of doctors.
We declare that we have no conflicts of interest.
References
1 The Lancet. Chinese doctors are under threat. Lancet 2010; 376: 657. Full Text | PDF(70K | CrossRef | PubMed
a Academic Journal of Second Military Medical University, Shanghai 200433, China
b Ding Xiang Yuan Biomedical Forum, Hangzhou, Zhejiang, China
来源：
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62161-7/fulltext 第二部分作者;Yi Yang a , Ji-Chun Zhao a , Yu-Pei Zou b , Lu-Nan Yan a
As young doctors in China, we feel strongly about the grim situation in our country, which was mentioned in the Editorial entitled “Chinese doctors are under threat”. 1 Improper health-care system reforms did not acquire Chinese doctors a deserved improvement in social and economic status. Owing to misleading media reports and public misunderstanding of the medical profession, Chinese doctors have become progressively demonised.
We are particularly excited by the Editorial's call for Chinese doctors to be involved more in shaping health policy, by giving voice to their own experiences and constructive ideas about the health system. Fortunately, the new health-care system reforms include more financial input from government and abrogating reversal of the burden of proof in medical disputes, which had been long requested by medical personnel. We can expect a promising future.
On the other hand, young trainee doctors such as ourselves should be quite clear what a good doctor is, and how we can become one, especially in the eyes of patients. Patients' priorities for general practice care include humaneness, competence and accuracy, involvement in decisions, and time for care. 2 Effective communication and correct assumptions about patients' preferences are important for dealing with doctor—patient relationships in China. To face up to the threat in China, we should fulfil the Hippocratic oath, learn how to put ourselves at patients' disposal, and earn their trust.
We declare that we have no conflicts of interest.
来源：
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62160-5/fulltext?rss%3Dyes 3，
作者：Jiwei Huang a , Lvnan Yan a , Yong Zeng a
As doctors, reading the Editorial “Chinese doctors are under threat” (Aug 28, p 657) 1 was such a consolation. The Chinese media certainly has an important role in the demonisation of doctors and nurses. However, there is a saying in China: “you can never make applause with one palm”. The reasons are not always from the outside; some originate from the doctors and nurses themselves.
The low quality of medical service in China is universal. The access qualification for a physician is not as strict as in western countries. One can apply for a physician's licence even without formal college education, and this is granted if that person can pass the qualification examination, which is not actually difficult. For a nurse, the education period is shorter and the qualification examination easier. In previous years, a nurse, even one without a medical education background, could work as a doctor without the need for any qualification examination. Many of these “doctors” are still working in their positions today.
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作者:admin@医学,生命科学 2010-12-25 07:23
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