【The Lancet 】Jan.11 2020

Protecting Chinese doctors

保護中國醫(yī)生

The doctor–patient relationship in China seemed to hit rock bottom when Wen Yang—an emergency physician in Beijing Civil Aviation General Hospital—was fatally stabbed by a patient's son on Dec 24. The killing was condemned by the Chinese Medical Doctor Association and triggered an outpouring of anger among the public. On Dec 28, China's top legislator approved the first fundamental and comprehensive law for protecting health workers, which will take effect on June 1 this year. The law bans any organisation or individual from threatening or harming the personal safety or dignity of health workers. Although laudable, a legal approach alone is unlikely to address adequately this complex problem.

12月24日，在北京民航總醫(yī)院急診醫(yī)生楊文被一名患者的兒子刺傷身亡后，中國的醫(yī)患關系好像跌入谷底。這起殺人案受到中國醫(yī)師協(xié)會的譴責，并引發(fā)了公眾的憤怒。12月28日，中國最高立法機關批準了第一部基本的、全面的衛(wèi)生工作者保護法，該法將于今年6月1日生效。法律禁止任何組織或個人威脅或損害衛(wèi)生工作者的人身安全或尊嚴。盡管值得稱贊，但單靠法律手段不太可能充分解決這一復雜問題。

Violence against health professionals is a global concern and affects health workers in nearly all health-care settings. However, the scale, frequency, and viciousness of attacks on medical workers in China are particularly severe. Reasons for violence against health workers in China are many, including an inadequate primary health-care system and poor doctor–patient communication. Attemps to fix a deteriorating situation, such as increased security measures, have had little impact.

對衛(wèi)生專業(yè)人員的暴力行為是一個全球性問題，幾乎影響到所有醫(yī)療機構的衛(wèi)生工作者。不過，在中國，醫(yī)務工作者受到的襲擊的規(guī)模、頻率和兇殘尤為嚴重。在中國，暴力傷害衛(wèi)生工作者的原因是多方面的，包括初級衛(wèi)生保健體系不健全，以及醫(yī)患溝通不暢。試圖解決日益惡化的局勢，比如加強安全措施，幾乎沒有什么效果。

The Lancet has long supported Chinese health workers and health-care system reform, and we plan to work with Chinese partners further in 2020. Highlights will include a review on improving the quality of primary health-care in China, the second Wakley-Wu Lien Teh prize, which will give a voice to Chinese physicians to share their stories, and a China-themed issue to showcase high quality research to improve clinical practice and health polices in the country. Violence against health workers in China will not be halted through law enforcement and punitive measures alone; a cultural shift is required, and this will take time. Health-care professionals need to be trusted and respected. The best way to enchance trust is to create an effective health system that is credible and respected also.

《柳葉刀》長期以來一直支持中國衛(wèi)生工作者和醫(yī)療體制改革，我們計劃在2020年與中國合作伙伴進一步合作。重點將包括關于提高中國初級衛(wèi)生保健質量的報告、第二屆瓦克利伍連德獎（該獎讓中國醫(yī)生講述他們的故事），以及一個以中國為主題的議題，來展示提高中國臨床實踐和衛(wèi)生政策的高質量研究。在中國，對衛(wèi)生工作者的暴力行為不會僅僅通過執(zhí)法和懲罰性措施得到制止；需要進行文化轉變，這需要時間。醫(yī)療保健專業(yè)人員需要得到信任和尊重。增強信任的最好辦法是建立一個有效的、可信和受尊重的衛(wèi)生系統(tǒng)。