1.The Medical Ethics in Chinese Traditional Medical Culture
Chinese Medical Ethics 2016;29(2):193-194,195
This paper analyzed the thoughts of Chinese traditional medical ethics through discussing the four aspects: philanthropy and salvation, incorruptibility and uphold justice, proficient in medicine, scholarly and re-fined. It proposed that moral cultivation is very important, which is the basic premise of medical profession.
2.The role of service-learning model on ethics education---Investigate the effective model of deepening the medical and educational reform toward medical students’ ethics
Qian LIANG ; Maohuai CHEN ; Peilin SHEN ; Yanhong FU ; Lina YU ; Liping LI
Chinese Medical Ethics 2016;29(2):205-207,208
Objective:To investigate the role of service-learning model in medical ethics education. Meth-ods:A qualitative and quantitative research was conducted within 831 undergraduates and 302 graduates in Shan-tou University Medical College. Results: Service-learning model was well accepted by most medical students. Higher medical ethics awareness and more positive tendency of behavior choices were found on the group who par-ticipated in serving-learning model activities, which also revealed a positive correlation relationship to participated frequency. Conclusions:Serving-learning model plays an important role in medical ethics education, which is an effective way to deeply practice Opinions on Deepening the Medical and Educational Reform toward Personnel Training in Clinical Medicine.
3.Practice and Discussion on Ethical Review of Clinical Scientific Research-as the First Affiliated Hospital of Xi′an Jiaotong University an example
Mingying LU ; Caixia ZHANG ; Tianxiang ZHANG ; Zuyi YUAN
Chinese Medical Ethics 2016;29(2):291-292,293
Combined with work experience, this paper described the project process of clinical research pro-jects and ethical review points, and pointed out that clinical research projects should be submitted to peer reviewers prior to ethical review. The ethics committee would review the projects in accordance with legality, scientificity, feasibility, ethics, and other points in detail. Accurately grasp of the balance between innovations and ethics ensure the standardized development of clinical research.
4.Perspective of Narrative Medicine on Studying Ethical challenges inhospice for Community terminal cancer patients
Chinese Medical Ethics 2016;29(2):271-273,274
Objective:To investigate the ethical challenges inhospice for community terminal cancer patients. Method:8 members of terminal Cancer Patients in palliative care wards were observed and interviewed. Datas were collected by narrative, communication,field note,work diary. Results:Get to know the ethical challenges in-hospice for community terminal cancer patients,and find the measures. Conclusions:The development of commu-nity hospice career need caring, life and death education,ethicaleducation,ethical environment improving,a harmo-nious ethical relationship and society,and life quality improving.
5.Thoughts on Application of Evaluation Index System on Human Research Ethics Management in Beijing Medical Institutions
Zhengjuan HU ; Yiting LI ; Fang LIU ; Xiaoxia PENG ; Yingwei SUN ; Xiaolong MA ; Mingjie ZI ; Zhuoran ZHANG ; Meixia WANG ; Shuang MU
Chinese Medical Ethics 2017;30(6):737-741
Objective:This thesis aims to construct the evaluation index system ethics management in Beijing medical institutions for application research.Method:The author applied the evaluation system which was agreed and adjusted by expert groups in four medical and health institutions.Result:After three rounds of expert groups have reached the agreement,the Evaluation Index System on Human Research Ethics Management in Beijing Medi-cal Institutions is established,which contains 6 first-class indicators,16 second-class indicators and 39 third-class indicators.The application on four medical and health institutions show that the evaluation index system is practical,operable and is of high degree of distinction.Conclusion:The evaluation index system is scientific,rea-sonable,practical and is of high degree of validity,credibility and distinction.
6.Analysis of Status and Equity of Health Resources Allocation in Village-level Medical Institution in China
Xiangxiang ZHANG ; Wengui ZHENG ; Jiangfei LI ; Zhiqiang ZHU ; Zhenjie YU
Chinese Medical Ethics 2017;30(6):729-732
Objective:To analyze the equity of health resource allocation in village-level medical institution in China,thus to provide the basis for formulating relevant health resources allocation policy.Methods:Using Lorenz curve and Gini coefficient,the rationality and equity of allocation of village health resources in China were evalua-ted by the equity of population distribution and the equity of geographical distribution.Results:The Gini coefficient of village health workers and health institutions was 0.19 and 0.20 respectively according to population distribu-tion,and was 0.65 and 0.63 respectively according to geographical distribution.The Gini coefficient's difference of village-level health resources in the eastern,central and western regions was small according to population distri-bution,but the difference was larger according to geographical distribution among different areas.Conclusion:The equity of village-level health resource allocation in China was preferable according to population distribution,but the equity according to geographic distribution was poorer.The formulation of health policy should pay more atten-tion to the equity of geographic distribution and allocate rationally.
7.Study on the Problems of Medical Informationization in the View of Ethics
Chinese Medical Ethics 2017;30(6):723-728
This paper summarized the problems of medical informationization from the perspective of ethics.While medical informationization brings about the benefits of the enhancement of information mobility and interac-tion,its negative impacts also cause the indifference of doctor-patient relationship and the leakage of privacy infor-mation.At the same time,to ensure real and effective information data is the basis for the development of informa-tionization.Finally,this paper put forward to save time using informationization,to improve the doctor-patient re-lationship with the advantages of convenient communication,to protect patients' privacy through information super-vision and encryption,and to establish data quality standards.
8.Ethics Discussion on Responding to Public Health Emergencies
Guoqing YAO ; Lin WANG ; Qin DING ; Zhaofei DING ; Xianjian TAN
Chinese Medical Ethics 2017;30(6):720-722
In the process of responding to public health emergencies,the conflicts between the principles of management and ethics are constantly revealed.Combining with a unit's practical experiences of participating in several major public health emergencies,this paper put forward that it should take into account both the rescue and notification to achieve the unity of effective rescue and informed consent;take into account both the enforcement and obedience to achieve the unity of the interest of groups and individuals;take into account both the equality and priority to achieve the unity of urgency priority and equal opportunity;take into account both the rescuing and suf-fering to achieve the unity of interest between the rescuers and the victims,and thus to provide references for the reasonable solution of the ethical conflicts in the process of responding to public health emergencies.
9.Study on the Public Cognition, Attitude and Coping Style of Medical Disputes——Empirical Analysis Based on a Sample of 2910 Citizens in Zhejiang Province
Jun PAN ; Shunying HUANG ; Wenshi LIN
Chinese Medical Ethics 2017;30(6):711-714
Objective:To investigate the public cognition,attitude and coping style of medical disputes among 2910 citizens from Hangzhou,Ningbo and Wenzhou and other cities in Zhejiang Province.Methods:Totally 11 cit-ies in Zhejiang Province were selected using the method of random sampling and a questionnaire survey was conduc-ted based on the principle of voluntary.Results:The public legal awareness was not strong,of which the primary influencing factors were the excessive prescription and medical professionals'unsatisfying attitude.Conclusion:In view of the existing problems,this paper put forward the optimization countermeasures including popularizing legal knowledge,enhancing citizens' sense of security,strengthening media management,correctly guiding public opin-ion,strengthening psychological intervention,and avoiding emotional stress.
10.Effect of Quality Control Circle on Improving Patient Satisfaction among Insured Patients
Xiaofang AN ; Yingyi XI ; Xiaoli WANG ; Xiaoying LI ; Jun LYU
Chinese Medical Ethics 2017;30(6):707-710
Objective:To explore the effects of quality control circle(QCC) on the complaint management and patient satisfaction in the medical insurance center.Methods:We set up QCC,defined the subject,identified the problems and made the cause analysis,made the countermeasures and implemented them.Results:Mter QCC ac-tivities,patients'major unsatisfactory factors such as long waiting time and poor staff coordination ability were signif-icantly improved.In addition,patient complaints decreased significantly (P < 0.01).Conclusion:The application of QCC management on patient complaints can not only increase patient satisfaction,but also provide an importantway for the hospital to build up the brand.