The Role and Research Progress of Communication in the Implementation of Hospice Care for Professional Health Caregivers / 中国医学伦理学

The communication between professional health caregivers, which mainly composed of medical staff, and patients and their families plays an important role in hospice care. The effective doctor-patient communication can guide terminal patients and their families to establish a correct medical view, reduce excessive medical treatment, and improve the quality of life for terminal patients. This paper briefly described the communication context of hospice care, the communication subject and the current situation of hospice care, analyzed the problems and challenges encountered by professional health caregivers, which mainly including medical staff, in the communication context of hospice care diagnosis and hospice care, and made the prospects of the development of effective communication measures.

Ethical Problems and Coping Strategies in the Application of Orthopedic Implants / 中国医学伦理学

The extensive use of orthopedic implants in clinical practice has improved the therapeutic effect of osteopathic patient, brought good news to the health of patients. The use of orthopedic implants can help osteopathic patients recover organ functions, However, orthopedic implants are high-risk medical devices and need to be implanted into the human body for a long time. In the process of diagnosis and treatment, it is found that there are ethical problems, such as the informed consent of patients, excessive medical treatment and improper postoperative care leads to adverse events. In view of the above problems, this paper proposed to protect the rights and interests of patients by strengthening the communication between doctors and patients, standardize the informed consent process, standardizing medical behavior, avoid excessive medical treatment, and strengthening the training of medical staff, do a good job in postoperative care.

Research on Theoretical Framework on Excessive Medical Treatment and Hierarchical Medical System Based on the Perspective of Supply Side / 中国卫生经济

Objective:It discussed the decision-making mechanism of medical market on supply side and how the hierarchical medical system help inhibiting the excessive medical behavior.Methods:Establishing medical behavior choice model based on the perspective of supply side and hierachy diagnosis Results and Conclusion:In the case of incomplete information and rigid demand hypothesis,the patient would accept all the supplies doctor offered and there was structural unbalance in both general medical market and advanced medical market which meant the excessive medical treatment existed.Under the hierarchical medical system,distinguishing by primary medical institution,both generalmedical market and advanced medical market reached equilibrium which improved the social resource allocation efficiency and the patients' welfare at the same time.

Discussion on Excessive Medical Treatment Countermeasures in the Perspective of Humanistic Medicine / 中国医学伦理学

Based on the analysis of definition and the causes of excessive medical treatment, this paper discus-ses the harm of excessive medical treatment concretely, including increased health care costs, the waste of medical resources, worsening doctor-patient conflicts that influence the development of holistic medicine. And in the per-spective of ethics, professional spirit and the humanistic quality, it puts forward the prevention and countermeasures to solve the problem of excessive medical treatment.

Economics analysis of excessive medical treatment / 中国医学伦理学

In recent years,excessive medical treatment draws common concern of medical ethics circles.Excessive medical treatment is not only an ethics problem,but also an economic phenomenton at the same time.The article thinks,economics displays of excessive medical treatment is a doctor leads the demand,the direct cause of formation is the medical demand lacking flexibility,the market environment is monopolizing competition.At last,articles proposed the ethics and economic countermeasure of checking excessive medical treatment.

Reflection on the Causes of Excessive Medical Treatment and Countermeasures / 中国医学伦理学

Excessive medical treatment goes against the human rights of patients and therefore must be stopped.Main reasons include the impulse of existing medical benefit mechanism,the morality decline of medical staff,and patients' eagerness to shake off physical pain and psychological advocating for high-cost medical expenditure.This paper also comes up with relevant countermeasures including reversing the current healthcare mechanism,establishing an evaluation system for medical ethics of medical staff,and building up a monitoring mechanism for the development of clinical guidelines of evidence-based medicine.