PHRM 48500 Spring 2021 Intercultural and global health issues

Page 20

LACK OF UNDERSTANDING AND COMMUNICATION

Who does it effect? Usually in medical disputes doctors and patients’ family are affected and are in unequal positions. In many cases, doctors are facing violence and even death threats. For example, on January 20, 2020, three medical staff were stabbed and one patient was injured at Beijing Chao-yang Hospital by a patient named

Shengzhou Qiu (BSPS student)

Zhenguo Cui. Fortunately, no victim was killed. Cui was not satisfied with the effect of his eye treatment and decided

A Global Issue

to attack the medical team in retaliation. Cui was sentenced death penalty with a

In China, 66% of the medical doctors

two year reprieve.

who work in clinical settings claim that they have experienced medical disputes and over 30% of the cases include a

My opinion

certain level of violence, according to the “White paper of Chinese medical doctor profession 2018”. In 2015, approximately

Efforts in medical system reform and

115,000 cases of medical disputes were

doctor’s professional training are required

recorded. In the US, approximately

to help improve this situation. More

17,000 malpractice cases are filed each

medical staff are needed to reduce the

year. All of that is caused by lack of

stress doctors are facing and doctors

understanding and communication.

need to be trained to communicate with patients and their family effectively to

Understanding the Issue

avoid medical disputes. Also people are promoting the education of patients about how to process the information

Many factors including communication problems, organizational structure, role

In Shanghai, a primary doctor only

given by doctors online. This can also be

disputes, lack of resources,

spends 8 minute on a patient on

helpful for the patients to have more

misunderstandings, lack of professional

average. The lack of time spent to

access to knowledge about medical

commitment, can cause the conflict

communicate with patients and

procedures and prevent them from

between patient and doctor.

help them understand the

misunderstanding.

treatment they’re having is the main In particular, the population density in

reason for these medical disputes.

China’s big city is extremely high. The population density of Beijing is 1,312 people per square kilometer and for Shanghai’s most populated district Hongkou it’s 33,816 people per square kilometer.

References:

Wu, Y., Jiang, F., Ma, J., Tang, Y., Wang, M. and Liu, Y., 2021. Experience of Medical Disputes, Medical Disturbances, Verbal and Physical Violence, and Burnout Among Physicians in China. Frontiers in Psychology, 11. He, A. J., & Qian, J. (2016). Explaining medical disputes in Chinese public HOSPITALS: The doctor–patient relationship and its implications for health policy reforms. Health Economics, Policy and Law, 11(4), 359-378. doi:10.1017/s1744133116000128 2018(White paper of Chinese medical doctor profession 2018) 6 . https://health.huanqiu.com/article/9CaKrnK6irf. Accessed February 15, 2021. https://www.jhsph.edu/covid-19/articles/how-health-disparities-are-shaping-the-impact-of-covid-19.html

中国医师执业状况⽩⽪书 纠纷

:超 成医⽣发⽣过医疗


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Consequences with body image (Leeann Cecil

4min
pages 67-69

Poor sleep (Yuanrui [Gray] Zhao

2min
page 66

nakorn Social media’s effect on misinforming the public (Om Permsukku

3min
page 65

Social media

1min
page 64

Impact on human trafficking (Tianqi Zhao

5min
pages 61-63

adis Impact on health literacy and health care access (Frank Zahari

3min
page 60

Impact on mental health (Nicole Redden

4min
page 59

Social media

1min
page 58

Micronutrient deficiencies (Meg Tharp

4min
pages 56-57

Nutrition related to chronic disease (Brice Wuthrich

1min
page 55

Food insecurity/access to nutrition (Lexi Zavitsky

1min
page 54

Nutrition

1min
page 53

Cyber bullying (Saja Abbas

2min
page 46

Mental health in pediatrics

0
page 48

Immunization disparities (Yudong Sun

3min
page 35

Epidemics vs. pandemics (Joseph Kirchgassner

2min
page 37

COVID and other infectious diseases (Seohyun Park

1min
page 36

COVID (Zamir Latif

2min
page 33

Vaccine perceptions (Ronald Mahan

2min
page 32

Immunizations

0
page 30

Organ trafficking (Cheryl Chang

2min
page 28

Access to healthcare (Miranda Liu

2min
page 25

Sex trafficking (Bryan Yan

2min
page 27

Lack of education in healthcare (Kyle Dickey

2min
page 21

Lack of understanding and communication (Shengzhou Qiu

2min
page 20

Lack of resources in healthcare (Yuxian Xing

1min
page 19

Healthcare disparities

0
page 18

Nutrition (Christie Kang

2min
page 16

Misinformation (Lin Zhao

2min
page 15

Education (Taylor Osborn

2min
page 17

Body image and eating disorders (Evelyn Choe

3min
pages 8-9

Health literacy

1min
page 14

Mental health and body image (Chloe You

3min
page 7

Body image

0
page 5

Social media and its impact on body image (Gabby Campbell

3min
page 6
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