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誤診
新聞で気になるニュースを見つけました。

横暴患者に大学病院苦悩、昨年は暴力430件暴言990件

 全国の大学病院で、昨年1年間に医師、看護師が患者や家族から暴力を受けたケースは、少なくとも約430件あることが、読売新聞の調査で明らかになった。

 理不尽なクレームや暴言も約990件確認された。病気によるストレスや不安が引き金となったケースも含まれているが、待ち時間に不満を募らせて暴力に及ぶなど、患者側のモラルが問われる事例が多い。

 回答した病院の約7割が警察OBの配置などの対策に乗り出しており、「院内暴力」の深刻さが浮かび上がった。

【読売新聞の記事より抜粋】

今や、大学病院と患者の信頼関係が崩壊しているのでしょうか?

患者は医者を信頼して最良の医療を期待し、医者は患者を助ける
ため研究を重ね診断と治療を提供している。

普通に考えと患者は医者に感謝こそあれ、暴言ましてや暴力を振
るうなんてとんでもない。

何かがおかしい。

ここには3つの問題点があると個人的に思う。


1つ目は、患者の誤解からくる傲慢

そもそも病気になったのは本人の不摂生から来るものがほとんど
で、病気を治すのは患者本人の治癒能力。病院は治してくれると
ころではなく、治す手伝いをしてくれるところです。


2つ目は、医者への過剰期待

医者は神様? 魔法使い? 患者は医者が人だと気付いたときに
がっかりするのかもしれません。

医療が日進月歩しているということは現代医療はまだまだ不完全
だという証拠。日々患者ために研究してくれている医者には感謝
すべきでしょう。誤解を恐れずに言えば人間がおこなう以上、誤
診や誤治療などはあって当然なんです。


3つ目は、日本の社会の問題

本来あるべき倫理が軽薄になっているのでは? 資本主義の世の
中では利潤追求をよしとするので、他者への思いやりより自分の
利益を優先せざるを得ない。

そんな世の中になってしまっている気がします。


さて、2つ目でふれた誤診ですが、大学病院の誤診率ってどの程
度だと思います??

東京帝国大学医学部の冲中重雄教授(1963年退官)にして14.2%
の誤診率なのです。


引用データが古いので、医療機器の発達した現状では異なるとは
思いますが。

冲中重雄教授が1963年の退官時の最終講義に真っ向から取り組ん
だ臨床の集大成として誤診率を取り上げ、医学の難しさを学生へ
伝えました。

「われわれ患者はその率の高いのに驚き、一般の医師はその低い
のに感動した」とある記事で伝えたそうです。

※この文章は財団法人沖中記念成人病研究所のページを参照しています。



患者をお客様として扱えない、100%の診察・治療が叶わない。
そんな現状のなかでも僕は現代の医師たちにただただ感謝してい
ます。

そして、近い将来には西洋医学と代替医療が融合し的確に患者の
一助となる。そんな世の中になることを信じています。

合掌
| 東洋医学 | 12:53 | comments(31) | trackbacks(0) |
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| John Schmutzer | 2017/05/20 4:27 PM |
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