What is the real situation of Chinese and American medical care?

The punishment for doctors' misdiagnosis is a curse to American doctors.

The training standards of doctors in the United States are very strict, and it is a great honor to obtain the qualification of doctors, and the income is quite rich.

According to a survey conducted by Medscape in May, 20 17, the income of American doctors is increasing year by year, with an average income of $279,000 in 20 16 and $294,000 in 20 17. The three departments with the highest income in 20 17 are orthopedics ($489,000), plastic surgery ($440,000) and cardiology ($4 1 10,000).

Elite doctors also know that their social status and economic income are hard-won, cherish their professional reputation, be conscientious and cautious. Otherwise, once an accident happens, their social status, economic income and future will be lost.

There are occasional medical accidents in the United States, mostly technical accidents, and there are few accidents of responsibility and misdiagnosis.

The definition of misdiagnosis is that the following two conditions must exist at the same time:

First, doctors use methods other than textbooks or unusual methods;

Secondly, this unusual method has caused bad consequences.

Because judging the process of misdiagnosis and mistreatment is a lawsuit, American doctors dare not avoid it, so everyone strictly abides by the provisions of textbooks and does not cross the line. On the other hand, if everyone follows one or two textbooks to see a doctor and treat diseases, the process will be very similar.

For American patients, if you ask a doctor in western California or a doctor in eastern new york, a doctor in a city or a doctor in a village, the answer to the same medical question is exactly the same.

In the United States, patients are not encouraged to see a second doctor for the same disease, and the health care industry that pays for it will think it is a waste.

There is no "expert clinic" in the United States, because the level of attending doctors is the same, and the level of young people and the elderly is the same (the knowledge of young doctors will be updated a little). There is no reason to pay more for seeing an old doctor.

In this way, people will not be superstitious about big hospitals, and 99% of medical needs are solved nearby.

Hospitals generally only set up emergency departments to deal with patients who need immediate treatment. After the emergency doctors stabilized their condition, most patients went home to see their family doctors within one week, and a few critically ill patients were admitted to the hospital.

After the patient returns home, the family doctor will be responsible for it. If there are other problems, the family doctor will make suggestions and refer them.

Because there is no outpatient service, American hospitals are always quiet. Americans generally go to the doctor's office to see a doctor, using the appointment system, and there are also a few temporary places without an appointment.

Of course, this system has also created another form of "difficulty in seeing a doctor"-you need to see a doctor, but it is possible to make an appointment, but you have to wait for a month.

New patients often worry about what to do if they are really uncomfortable after waiting for so long.

For example, we tell patients that they can call at any time if they have any questions, and the doctor will answer them by phone. When the medicine is finished, the nurse will supplement the medicine for the patient.