减少医师自卫医学行为的对策研究

根据自卫医学行为产生的原因,减少自卫医学行为有两个思路,一个是减轻医师的法律责任,另一个是化解医师在法律责任下所面临的风险.根据第二个思路,应该采取下面的措施:建立医师责任保险制度;建立医疗责任保险制度;实施医疗风险管理;提高医师个人的执业素养.

The Philosophy-thinkings about Total Knee Prosthesis replacement of Development

Artificial joint is a kind of prosthesis similar to the bone-joint of human body, which is made of metallic materials with good biocompatibility and mechanical function. Joint-surgery has been developing quickly nowadays. Total knee prosthesis replacement upgrades year by year and the therapeutic effects have already made conspicuous improvements. All kinds of prostheses appear endlessly. Along with the biomedical model transforming to the biont-psych-social medical model,the patients are increasingly requesting artificial joints with high-quality, low-cost and getting fine postop quality of life simultaneously. Looking back to the developmental history of knee joints prosthesis,analyzing its grave reforming in each stage, medical workers majoring in orthopedics should think a lot philosophically as following:(1)The recognition of mankind in total knee prosthesis is limited to subjective and objective conditions,we need reciprocating cognition to reach the existing level.(2)We must know not only the common principles but also the individual principals in the choices of total knee prosthesis replacements in order to reach the harmony between people and nature.(3)Optimizing is the extreme target in the development of the total knee prosthesis.