Why do many surgeons receive red envelopes?

The difficulty and high cost of seeing a doctor are still quite significant in reality, which is one of the prerequisites for discussing this matter. Due to the current regulations, grassroots hospitals are unable to give reasonable remuneration to the invited expert doctors, and reach an agreement with the patients to compensate in the form of red envelopes, which is "realistic wisdom" and a practical way for both doctors and patients to be willing to go out of the mechanism defects.

For grassroots hospitals and grassroots hospitals, this kind of pragmatism is welcomed. There are two major reasons, one is that first-class experts and famous doctors can be invited to sit for consultation and promote the construction of departments in grassroots hospitals. The second is to keep the primary medical insurance as much as possible in the local circulation, otherwise, the basic outflow of medical insurance to the central hospital of the big city, and the final damage is still the interests of the whole local people.

Compared with the management regulations on physicians going out for consultation, the hospital's exploration in the front line has gone far. The question now is a multiple-choice question: is it to accept punishment for explorations that have no turning back and have proven to be more pros and cons?

Or do you revise outdated regulations, break down the empty authority that no longer applies, and keep up with reality? Anyone with a modicum of sanity would choose the latter.

I'm afraid it's easier to understand by analogy. If you think about the fact that 40 years ago, if someone reported the reformers like the doctor of Tiantan Hospital who went to Hongdong County for medical treatment, I am afraid that those people in Xiaogang Village would also be punished, and maybe the whistleblower could get back a certificate or something. But history has shown how valuable it is for pioneers to bravely break stereotypes in the gray zone, and that it is not normal for bystanders to be happy to see them punished.

Therefore, even if the expert doctors of Tiantan Hospital went to Hongdong County Hospital to operate on patients with cerebral infarction and received the remuneration that had been negotiated in advance, even if it violated the existing regulations, it was also humane and reasonable. Labeling doctors as greedy with high moral standards that transcend reality will ultimately hurt the already few options of patients at the bottom. Of course, this incident also proves that cross-regional practice in the gray area does face unpredictable risks at multiple levels, and the most ideal direction for dealing with the aftermath is to let doctors go out to meet the actual needs of the system, so that doctors can get reasonable remuneration, so as to stimulate limited high-quality medical resources to play a greater role.

Many surgeons will receive red envelopes, out of respect for doctors, and the habit of accepting red envelopes is to respect the traditional customs of China, which is a medical ethics problem left over from the development of Western medicine. Surgeons receive red envelopes, which has been passed down by many medical school teachers, and even some medical school teachers will pass on this knowledge to their students.

Many surgeons you mentioned will collect red envelopes, which should have been a long time ago, and at that time it should have been a bad atmosphere, and the whole thing was to collect red envelopes in order to make extra money.

But now the atmosphere will be better, doctors basically don't accept red envelopes, it is a more civilized state.

Therefore, if we look at this problem, we have to look at the time period to analyze it.

Many surgeons will receive red envelopes. This is because they think they should receive red envelopes just because they see a patient. In fact, the patient has already paid for the doctor's treatment. So they should not take red envelopes, which is a corrupt, depraved, shameful act.

Because the pressure of surgeons is very high and the skills are very superb, many surgeons will receive red envelopes.

Many surgeons will receive red envelopes, this is because many surgeons need to operate on patients, surgery is risky, patients and their families are usually not at ease, so some of these patients and their families will take the initiative to give red envelopes to the doctors who perform the operation, so other family members of patients who need surgery also join the red envelope army. The quality of surgeons is uneven, some of them privately accept red envelopes from patients' families, so other surgeons follow suit, so it has become a common practice to receive red envelopes in some surgical departments.

Many surgeons receive red envelopes. The first is to reassure the family by accepting a good package before the surgery. I feel like the doctor will do his best. Some surgeons will return the red envelope as soon as possible after the operation, but most of the time they leave it.

Many surgeons like to collect red envelopes, the main reason is that everyone collects, if you don't collect it, it feels as if you are not the same kind of person, and secondly, if you receive their red envelopes, that is, after the patient's red envelope, not only the patient has comfort in his heart, but you also feel that you deserve it, so they like to receive red envelopes, which is also a reason.

It's not that many surgeons will receive red envelopes, but many doctors will receive red envelopes! This is not normal!

The situation of each hospital is different, the supervision is not the same, although the doctor has been required not to accept red envelopes, but there will still be doctors to collect, some will even ask, the main reason is a habit formed by patients, that send red envelopes, doctors will be more attentive to patients, over time, doctors will take red envelopes as a matter of course.

At present, it seems that the phenomenon of many surgeons receiving red envelopes has been greatly improved, and some experienced doctors in general hospitals are basically not likely to take the initiative to ask for red envelopes, but in fact, sometimes do empathy, from the perspective of patients, they feel that doctors receive red envelopes, and may do more hard to operate, and doctors sometimes work hard, do an operation, but also can experience some of the patient's psychology, so it is also a process of mutual peace of mind. But I once met a doctor with very high medical skills and medical ethics, in order not to worry the patient's family, first accepted the red envelope, and then returned it after the operation.

Doctors receive red envelopes, has long been included in the Physician Law, is a violation of the Physician Law, many capable and conscientious doctors will not receive red envelopes from the patient's family, but now there are many surgeons will receive red envelopes, why, first, some doctors may have a low personal income, living expenses are larger, unable to make ends meet, although it is their duty to the patient, but they do their best to the patient, the family sends red envelopes, can not shirk it, then accept it also feel at ease, second, Surgeons are sometimes forced to accept red envelopes, especially before surgery, family members send red envelopes, do not accept, family members have no bottom in their hearts, always afraid that the doctor will not do their best to treat, accept it, the patient's family has a bottom in their hearts, thinking that the doctor will do their best to treat the patient only after accepting the red envelope, some requirements can also be put forward to the doctor confidently, or hope that the doctor will listen to their opinions more and think more about the patient. Therefore, when the surgeon receives the red envelope, one is at ease, and the other is forced to be helpless.

There are many of the situations you are talking about today. I think there are several reasons for this: 1. Poor personal quality; 2. No one has implemented or pursued the relevant regulations of the state; 3. The investment in medical and health care is too low, and the hospital is a unit with all five organs, with many people (no is not good) and low income, so there are people who receive red envelopes.

If the surgeon often receives red envelopes, it is better for this kind of doctor not to give him money, because his surgery will not go very smoothly, and even if he collects red envelopes, he will not give them to many people. This is why many people receive red envelopes.

The reason why many surgeons will receive red envelopes is: The patient's family wants the doctor to do the patient's surgery well. Because there is a certain risk for patients to have surgery, it is hoped that the doctor can make the operation successful. You don't want the patient to be very painful or risky after the surgery.

Many surgeons will receive red envelopes. This phenomenon still exists, because they want to obtain certain benefits through this form.

These surgeons are very justified in receiving red envelopes from their family members when they are doing surgery, because they give their families red envelopes before surgery, as if they are the hard money given to them by their families, so that they can be careful when they do surgery again, which is what the patient's family members are used to giving to surgeons.

Because of the comfort of asking for help, I thought that if I gave a red envelope, the surgeon would try his best to operate on him. In fact, as a doctor, his vocation is to save lives and help the wounded, but they don't know that the red envelopes given by patients have been handed over to the hospital, as long as they accept to see patients, they will definitely use their greatest medical skills to relieve the pain of patients.

Therefore, the surgeon will receive red envelopes to give the patient a kind of comfort.

Because many surgeons are in the mood of the family when they are operating, they are afraid that the doctor will not give the doctor a good operation, so they should stuff the doctor with a red envelope, but in fact, if they don't give the doctor a red envelope, the doctor will also do a good job of operating on you

As far as I know, many surgeons receive red envelopes before the operating table. After the operation, the red envelope will be returned to the family members, because they are afraid that they will not accept the red envelope, and the family members are worried. It is a violation of discipline for a doctor to accept a red envelope.

Many surgeons will accept red envelopes because they want to reassure the patient's family, because the patient's family will think that the doctor will perform the operation wholeheartedly for the patient after receiving the red envelope. There are many doctors who return the red envelopes after the surgery.

The surgeon is a general family member who does surgery, and he likes to give red envelopes to the surgeon when his relatives do surgery. Over time, they have become accustomed to receiving red envelopes.

Many doctors are indeed blinded by profits, but I have heard that some doctors are forced to accept red envelopes in order to reassure patients, not for profit, but for the sake of patients.

But for whatever reason, this is not worthy of recognition, and it should be banned from the larger rules and regulations.

I don't think all doctors will be like this, it may be that some people have encountered such a situation, on the one hand, it may be that the doctor also has a problem, on the other hand, the patient's family is estimated to have a problem, and they probably also think that if they don't give a red envelope, maybe the doctor will not seriously go to the surgery, so I think this is a problem with the thinking of both sides.

Legal basis: Law of the People's Republic of China on Basic Medical Care and Health Promotion

Article 5: Citizens enjoy the right to receive basic medical and health services from the State and society in accordance with law.

The State shall establish a basic medical and health system, establish and improve a medical and health service system, and protect and realize citizens' right to basic medical and health services.

Article 6: The people at all levels shall put people's health in a strategic position of priority development, integrate the concept of health into all policies, adhere to prevention first, improve the health promotion work system, organize the implementation of health promotion plans and actions, promote national fitness, establish a health impact assessment system, and include the improvement of citizens' main health indicators in the assessment of the highest target responsibility.

The whole society should jointly care for and support the development of medical and health care.

There are still and will continue to be, but it's just a matter of quantity. However, the quality of the operation really has nothing to do with the red envelope.

Surgery (shǒu shù) refers to the excision, suturing, etc., of a patient's body by a doctor with a medical device**. Knives, scissors, needles and other instruments are used to maintain the health of patients. It is the main method of surgery, commonly known as "open surgery".

The purpose is to treat or diagnose diseases, such as removing diseased tissue, repairing damage, transplanting organs, and improving the function and morphology of the body.

Early surgery is limited to simple manual methods such as abscess drainage, mass excision, trauma suturing, etc. Therefore, surgery is a procedure that destroys the integrity of the tissue (incision) or restores (sutures) the tissue whose integrity has been damaged. With the development of surgery, the field of surgery has expanded and can be performed anywhere in the human body.

The application of equipment is also constantly updated, such as scalpels, such as electric knife, microwave knife, ultrasonic knife and laser knife. Therefore, surgery also has a broader meaning.

Early surgery is limited to simple manual methods such as abscess drainage, mass excision, trauma suturing, etc. Therefore, surgery is a procedure that destroys the integrity of the tissue (incision) or restores (sutures) the tissue whose integrity has been damaged. With the development of surgery, the field of surgery has been continuously expanded, and it has been possible to perform any part of the human body.

The application of equipment is also constantly updated, such as scalpels, such as electric knife, microwave knife, ultrasonic knife and laser knife.

** In the case of pre-excitation syndrome, it can be located with the help of a high-performance computer. Some surgical procedures do not necessarily require cutting to destroy tissue, such as removing stones or foreign bodies in the biliary tract, urinary tract or gastrointestinal tract through various endoscopes; Coronary arteries are dilated with a balloon through a puncture catheter, or an occluded blood vessel is recanalized with a laser. Therefore, surgery also has a broader meaning.

However, the vast majority of surgeries are still performed manually by physicians.

According to the classification of disciplines, it can be divided into general surgery or rent, orthopedic surgery, urological surgery, thoracic surgery, cardiovascular surgery, cranial nerve surgery, obstetrics and gynecology surgery, ophthalmic surgery, otolaryngology surgery and plastic surgery. Due to the continuous development of surgical system science, the division of labor is more refined, and the types of surgeries are more and specialized.

For example, in general surgery, it is divided into head and neck, abdomen, tumor, burn and organ transplant surgery; Plastic surgery is also divided into function-oriented plastic surgery, cosmetic surgery, and even surgery that focuses on the nose, eyes, breasts, and other organs. It can be divided into: Elective surgery.

Sooner or later, the outcome of the surgery will not be affected.

For example, duodenal ulcer is ineffective by internal medicine**, and a large part of the stomach needs to be resected. Limited time surgery. Although the duration of surgery is still optional, it is not advisable to delay the operation for too long.

Emergency surgery. Surgery that needs to be performed quickly in the shortest possible time. Such as hemorrhage of liver or spleen rupture, strangulated intestinal obstruction, epidural hematoma, open fracture, etc.

The time to prepare for surgery should be kept to a minimum.