Reflective Journal

Recently, a doctor-patient dispute covers most of the newspapers in China. When medicine is advanced, a mother dies on the operating table at a not that remote place. That’s a pity to many people. Maybe people seldom recognize the existing of birth danger, or they lack certain knowledge of that. However, this case has been identified by the authorities. When waiting for the identification result, we should also ponder how to avoid the happening of this. First of all, medicine is an applied science instead of witchcraft. We cannot just pass the buck to the hospital of the doctor. We ourselves need to equip certain common senses and the knowledge of common diseases. For example, the family should discuss with the attending doctor to take natural delivery or surgical delivery. Thus, once emergencies happen, families would know how to deal with it and would not miss the best treatment time.

In this case, when the mother was bleeding heavily, the hospital did not communicate and comfort well, but only urged them to pay the medicine fee. Apparently, the hospital failed to arrange the last meeting between the delivery woman and her family, shuffled the responsibilities when the family recognized something wrong. Even though the hospital does not have problems in the medical measures taking, in terms of humanitarian spirits and professional ethics, the hospital is indefensible, especially their way of dealing with the dead body, lacking of humanity and respect.

 This reminds me the quality management of this hospital and the significance of quality improvement. As part of people’s welfare, health care is also on the government agenda. In China, though the medical care is widespread, the high quality medical service is concentrated in quality hospitals. And residents can encounter financial disadvantage at these places. In the less developed areas, the medical personals are not that experienced and can only cure some common diseases. And their contingency plan is not complete and mature. Because of these, it’s really necessary to make continual medical quality improvement in those less advanced hospitals. Continuous quality improvement is defined as a strategic method to satisfy target consumers (McLaughlin & McLaughlin, 2004). That means that customers’ demands should always be at the first place. According to Levasseur (2001), factual Approach to Decision Making is one of the eight principles of quality management. Effective decisions are based on the analysis of data and information. This can ensure that data and information are sufficiently accurate and reliable, make data accessible to those who need it, and make decisions and take actions based on factual analysis. If the hospital could develop effective and timely communication with the patient’s family, or tell them the real situation to them in a proper way, arrange their last meeting, and treat the dead body nice, and offer full and accurate medical records and patient and detailed explanation, the situation might be different.

We should be clear that the medical condition in current China is not bad, especially the reproductive health condition. But the uneven medical resources distribution leads to a lack of customized medical service. Customer focus is the first one of the eight quality management principles. Organizations rely on their customers to survive and develop, therefore they need to understand current and future customer needs, meet customer demands and strive to exceed customer expectation (Levasseur, 2001). Because of this, the high-end private clinics become more and more popular. People who have financial advantages even go abroad to seek for medical service, such as dental fillings in Swiss, cosmetic surgeries in South Korea, cancer treatment in America, and cancer prevention in Japan. A Shanghai lady says hopelessly that it is unacceptable that doctors give the treatment plan after a five-minute diagnosis on a serious disease.

The new medical reform focuses on resolving these conflicts. However, this is a project, not a one-step action. It’s necessary for us to push ourselves to learn more medical knowledge. For the health care and medical authorities, they should strengthen the supervision and monitoring of this field to help improve the quality of service. The medical personals should also take regular workshops and professional inspection to guarantee the quality of the medical team from the every local level. Besides, both authorities and medical staff should attach great importance to the humanitarian spirit and professional ethics. The general social medical condition and quality improvement needs everyone’s participation. We also need to respect science and enhance the study to make if more comprehensive and beneficial.




McLaughlin, C. P., & McLaughlin, C. (2004). Continuous quality improvement in health care: theoy, implementation, and applications. Jones & Bartlett Learning.

Levasseur, R. E. (2001). People skills: Change management tools -- Lewin's change model. Interfaces, 31(4), 71-73.