得了癌症,要怎么选取可靠的专家?这儿简单和公众说说
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">经常收到这类问题:某某专科<span style="color: black;">举荐</span>哪个<span style="color: black;">大夫</span>?某某医院怎么样?有<span style="color: black;">大夫</span>排名吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">很抱歉,这些问题<span style="color: black;">无</span>答案。下面<span style="color: black;">大夫</span>就和<span style="color: black;">大众</span>聊聊看病时<span style="color: black;">通常</span><span style="color: black;">怎么样</span>选<span style="color: black;">大夫</span>会比较<span style="color: black;">可靠</span>?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一,<span style="color: black;">咱们</span>对基因、生理、病理、环境等<span style="color: black;">功效</span>,对人体的健康和<span style="color: black;">疾患</span>的形成认识,在<span style="color: black;">持续</span>发展中,但还很不完善。更<span style="color: black;">要紧</span>的是,看病过程中,所遇到<span style="color: black;">大夫</span>的认知和水平,会有所不同。这种差别,虽然<span style="color: black;">经过</span>严格的医学培训和统一考核,可有所减少,但在<span style="color: black;">实质</span>中,差别还是很大,庸医误人的事情<span style="color: black;">亦</span>不少见。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-f15900d84b269d32c6bbe75882c700f8_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.专科<span style="color: black;">大夫</span>有排名吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>,专科<span style="color: black;">大夫</span>有排名吗?到<span style="color: black;">日前</span>为止,我从来<span style="color: black;">无</span>见过,即使<span style="color: black;">有些</span>杂志上有<span style="color: black;">所说</span>的“最佳<span style="color: black;">大夫</span>”排名之类的,这种排名<span style="color: black;">亦</span>不太<span style="color: black;">可靠</span>, <span style="color: black;">由于</span><span style="color: black;">非常多</span>带有<span style="color: black;">宣传</span>性质。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身为<span style="color: black;">大夫</span>,我深知要建<span style="color: black;">这般</span>一个专科<span style="color: black;">大夫</span>的排名,<span style="color: black;">前提</span>非常难选。<span style="color: black;">例如</span>说一个外科<span style="color: black;">大夫</span>。可能比较<span style="color: black;">恰当</span>的<span style="color: black;">选取</span><span style="color: black;">前提</span>是:ta他手术的成功率和并发症的概率是多少?但即便如此<span style="color: black;">亦</span><span style="color: black;">不可</span>一概而论,有些外科<span style="color: black;">大夫</span>可能收的病人年迈体弱加病情严重,手术<span style="color: black;">危害</span>高,<span style="color: black;">那样</span>他的手术并发症的概率会<span style="color: black;">升高</span>。而有的外科<span style="color: black;">大夫</span>,<span style="color: black;">亦</span>许他只收<span style="color: black;">青年</span>健壮的病人,那他的手术成功概率可能就会高。对这两个外科<span style="color: black;">大夫</span>的手术成功率做比较,显然是不公平的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">内科<span style="color: black;">大夫</span>的比较,就更加困难了。<span style="color: black;">非常多</span>时候,诊断正确与否或用药<span style="color: black;">是不是</span>有效,不是一时半会儿能看出来的。病人本身<span style="color: black;">亦</span>有<span style="color: black;">非常多</span><span style="color: black;">原因</span>会影响疗效,除了个体的基因差别,<span style="color: black;">是不是</span>按医嘱用药,<span style="color: black;">是不是</span>有其他<span style="color: black;">疾患</span>或环境<span style="color: black;">原因</span>影响等,<span style="color: black;">因此</span>两个<span style="color: black;">大夫</span>之间,很难比较。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">相比之下,医院的排名稍有些参考价值,但这跟大学排名<span style="color: black;">同样</span>:前五和前一百,肯定有差距; 但前五和前十,<span style="color: black;">乃至</span>前二十的区别就很难说了。医院排名的参考<span style="color: black;">前提</span>很<span style="color: black;">繁杂</span>,不仅<span style="color: black;">包含</span>医院的各项安全指标,<span style="color: black;">例如</span>,病人在住院时院内感染的<span style="color: black;">状况</span>,医院的<span style="color: black;">有些</span>硬件指标,更<span style="color: black;">包含</span><span style="color: black;">有些</span>在我看来不太科学的软指标,<span style="color: black;">例如</span>,病人的满意度。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic2.zhimg.com/80/v2-43fc296983a7e744de2f52d50ef1c469_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.病人满意的<span style="color: black;">便是</span>好<span style="color: black;">大夫</span>吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">说到病人的满意度,我觉得,是一个很<span style="color: black;">繁杂</span>的指标。我非常同意行医的方式和宗旨,是要以病人为中心,为病人<span style="color: black;">思虑</span>。<span style="color: black;">然则</span><span style="color: black;">倘若</span>把“让病人高兴,让病人满意”<span style="color: black;">做为</span>考核指标,有时可能会起反<span style="color: black;">功效</span>。事实上,有<span style="color: black;">科研</span><span style="color: black;">显示</span>,病人的满意度越高,不仅医疗支出越大,<span style="color: black;">乃至</span>病人的死亡率<span style="color: black;">亦</span>越高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">细想一下,这<span style="color: black;">亦</span><span style="color: black;">能够</span>理解:<span style="color: black;">非常多</span>时候,病人想要的并不<span style="color: black;">必定</span>是<span style="color: black;">大夫</span>觉得最好的<span style="color: black;">方法</span>,在<span style="color: black;">没</span>法说服的<span style="color: black;">状况</span>下,或为了“让病人满意”,妥协<span style="color: black;">根据</span>病人的意愿去做,效果可能并不最好 。但<span style="color: black;">倘若</span>被<span style="color: black;">大夫</span>被“病人满意度”<span style="color: black;">这般</span>的指标所<span style="color: black;">捆绑</span>,<span style="color: black;">那样</span><span style="color: black;">大夫</span><span style="color: black;">非常多</span>时候可能会做出不明智的决定。(<span style="color: black;">例如</span>在<span style="color: black;">没</span>指征<span style="color: black;">状况</span>下病人<span style="color: black;">需求</span>破腹产。当然,<span style="color: black;">倘若</span>病人有暴力倾向,<span style="color: black;">大夫</span>还是要以自保为上)。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.年纪越大的医生越好吗?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>人<span style="color: black;">这般</span>认为。但我要说,<span style="color: black;">大夫</span>水平和年龄</p>
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