医疗卫生工作者需要得到信任和尊重，而增强信任最好的方式就是建立一个同样有效、可靠且值得尊重的医疗卫生体系。
新年伊始，Lancet（柳叶刀）杂志发文——《Protecting Chinese doctors》，报道了杨文医生被患者家属杀害的事件，并表明中国的医疗体系仍需要改革，杂志也计划在2020年与中国合作伙伴进一步合作，促进中国医生与广大患者的理解，改善两者关系。
2019年12月24日，北京民航总医院急诊医生杨文被一名患者的儿子刺伤身亡；因为这一事件的发生，中国的医患关系似乎跌入谷底。这起暴力事件受到中国医师协会的谴责，引发了公众的极大愤怒。12月28日，中国最高立法机关审议通过中国第一部基本医疗卫生与健康促进法来保护医疗卫生人员，其将于2020年6月1日起施行。该法律“禁止任何组织或者个人威胁、危害医疗卫生人员人身安全，侵犯医疗卫生人员人格尊严”。此举的确值得称赞，但仅靠法律手段却难以充分解决医患冲突这一复杂问题。
暴力伤医是一个全球性问题，几乎影响到所有医疗保健机构中的医务工作者。然而，相较之下，中国医务人员遭受暴力伤害的规模、频率和危害性尤为严重。在中国，暴力伤医行为有诸多原因，如基层医疗卫生保健体系不健全、医患沟通不畅等。因此，通过加强安保措施等方式来修复日益恶化的医患关系收效甚微。
长期以来，柳叶刀一直支持中国的医疗卫生工作者和医药卫生体制改革，我们计划在2020年与中国合作伙伴进一步展开合作。合作重点包括：筹备关于提高中国基层医疗卫生保健质量的综述；开展第二届“威克利-伍连德奖”（Wakley-Wu Lien Teh Prize），让中国医生分享自己的故事；出版中国主题专刊，展示高质量研究论文，以期改善中国的临床实践和卫生政策。若想终止中国的暴力伤医事件，仅通过执法和惩罚性措施是远远不够的，必须要进行就医文化转变，而文化改变需要时间。医疗卫生工作者需要得到信任和尊重，而增强信任最好的方式就是建立一个同样有效、可靠且值得尊重的医疗卫生体系。
附：柳叶刀原文
EDITORIAL| VOLUME 395, ISSUE 10218, P90, JANUARY 11, 2020
Protecting Chinese doctors
Published:January 11, 2020DOI:https://doi.org/10.1016/S0140-6736(20)30003-9
The doctor–patient relationship in China seemed to hit rock bottom when Wen Yang—an emergency physician in Beijing Civil Aviation General Hospital—was fatally stabbed by a patient's son on Dec 24. The killing was condemned by the Chinese Medical Doctor Association and triggered an outpouring of anger among the public. On Dec 28, China's top legislator approved the first fundamental and comprehensive law for protecting health workers, which will take effect on June 1 this year. The law bans any organisation or individual from threatening or harming the personal safety or dignity of health workers. Although laudable, a legal approach alone is unlikely to address adequately this complex problem.
Violence against health professionals is a global concern and affects health workers in nearly all health-care settings. However, the scale, frequency, and viciousness of attacks on medical workers in China are particularly severe. Reasons for violence against health workers in China are many, including an inadequate primary health-care system and poor doctor–patient communication. Attemps to fix a deteriorating situation, such as increased security measures, have had little impact.
The Lancet has long supported Chinese health workers and health-care system reform, and we plan to work with Chinese partners further in 2020. Highlights will include a review on improving the quality of primary health-care in China, the second Wakley-Wu Lien Teh prize, which will give a voice to Chinese physicians to share their stories, and a China-themed issue to showcase high quality research to improve clinical practice and health polices in the country. Violence against health workers in China will not be halted through law enforcement and punitive measures alone; a cultural shift is required, and this will take time. Health-care professionals need to be trusted and respected. The best way to enchance trust is to create an effective health system that is credible and respected also.
源于《Lancet》EDITORIAL：Protecting Chinese doctors, JANUARY 11, 2020