Connect with us

China Health & Science

New Law Combats the ‘Yinao’ Phenomenon

China has launched a new law to cope with the increasing ‘Yinao’ Phenomenon. The growing violence of patients against medical staff has made being a doctor a dangerous job in China.

Avatar

Published

on

China has launched a new law to cope with the increasing social problem of patient-doctor violence, also called the ‘Yinao’ Phenomenon. The growing violence of patients against medical staff has made being a doctor a dangerous job in China. The new law makes it possible to sentence hospital troublemakers to up to seven years in prison.

The yinao (医闹, ‘medical disturbance’) phenomenon has become a growing problem in China’s medical sector over the past several years. Yinao is the organized disturbance and violence in hospitals against medical workers, mostly meant to get compensation for medical malpractices. It is often done by criminal groups that are hired by patients or their family when they are dissatisfied with the provided medical care.

The disturbance includes protests and violent attacks on staff. Some even involve the murder on health professionals.

Chinese media have covered roughly thirty medical related disputes from October 2013 to June 2015. These were only the terribly violent disputes (including fatal stabbings) that had a large societal impact; the thousands of small disputes happening in hospitals across China every day were not taken in account.

 

“The Ministry of Public Security has advised hospitals with 2000 beds to have at least 100 security guards.”

 

In October of 2013, the Ministry of Public Security has advised hospitals with over 2000 beds to have at least 100 security guards. The growing numbers of security staff, however, have not helped to combat hospital violence.

In November 2013, hundreds of medical workers protested at the No. 1 People’s Hospital in Wenling, after a dissatisfied patient overpowered security guards and stabbed three doctors, leading to the death of one of them.

The new law, that will be implemented on November 11th of this year, is to punish those who threaten and assault medical staff, damage hospital facilities or equipment, or in any way hinder the hospital staff and doctors from doing their work.

 

“Medical workers are constantly bullied, humiliated or physically hurt by ignorant people.”

 

On Sina Weibo, the topic “medical disturbance crimination” (#医闹入罪#) was posted immediately after the news was released. Over a million users participated in a discussion about the new law.

Among all the users commenting, there were are also many medical professionals and students. “Us as poor medical students can finally relax a little bit. Medical violence should have been incriminated years ago!” says user Sunshine Without Tears: “There have been so many hospital disputes, and medical workers are constantly bullied, humiliated or physically hurt by ignorant people. We need a law to combat hospital disputes so that the relationship between doctors and patients will improve.”

Doctor CSY summarizes the major factors contributing to the increase of violence in China’s health care: a rising consciousness of patient rights, deepening misunderstandings between patients and doctors, and provocative media reporting. He then adds: “I’ve witnessed a lot of disputes in the hospital over the past few years. All doctors want their patients to get better and healthy. We work so hard with not much income, and yet have to worry about our own safety. If any medical worker neglects his duty, he should be punished by the law instead of being hit by the patient’s family.”

 

“Patients sometimes spend their entire life savings when suffering from serious illnesses. When treatment fails, despairing patients and their families are quick to blame doctors.”

 

The market-oriented reforms of the Chinese health sector is also a major cause of the yinao phenomenon. With China’s economic liberalization, the state is no longer responsible for providing health care. Because public hospitals have started chasing profits to survive, people have to take more responsibility for their own care.

Patients sometimes spend their entire life savings when suffering from serious illnesses. When treatment fails, despairing patients and their families are quick to blame doctors and the hospital.

Most patients and their families are unwilling to solve medical problems through legal channels; not only is the process time-consuming, it also might end with no financial compensation. They believe a quicker way to get some money back is to cause trouble at the hospital.

Weibo user Huohuo is worried about the feasibility of the new law: “I don’t think ordinary people will go to court to deal with medical issues. In China, there is a long tradition of the law failing us, while the violators win. I just hope that China will be a developed country soon so that all Chinese people can enjoy free healthcare. It might be the best solution to decrease hospital disputes.”

 

“Doctors are the perfect target of revenge.”

 

There are also Weibo users who understand negative sentiments towards medical staff. Chinese doctors and other medical professionals are generally underpaid. The low income causes some of them to make extra money in “grey areas” such as drug kickbacks, over-prescription, and bribery. For many patients, this has ruined the image of doctors, and they find it hard to trust them. This partly explains why, when medical misfortune happens, doctors often are the perfect targets of revenge.

User East South West North comments: “Medical disputes happen for a reason. The truth is, that some doctors require patients to do unnecessary inspections so they can make profits. Patients have even died from counterfeit drugs prescribed by doctors.”

 

“I’m afraid no one wants to pursue a career in medicine if this vicious cycle keeps on growing.”

 

China’s violence against doctors has been cited as an important reason for a decrease in the popularity of healthcare career. User J_tomorrow points out that the government should heighten the punishment of ‘medical disturbance’ to ensure the safety of medical workers at hospitals: “Doctor is a high-risk and low-paid occupation in China. I’m afraid no one wants to pursue a career in medicine if this vicious cycle keeps on growing.”

Weibo user called Bottle of Chili admits that she has lost her passion of being a medical worker: “I used to be full of passion for my work, and I treated my patients with kindness. But after being misunderstood and humiliated by patients and their families years after years, I’m now doing my job like a robot. The whole society expects us to show selfless devotion, but we are humans after all!”

‘Medical disturbance crimination’ is the first step in improving the doctor-patient relationship. Many more measurements need to be taken in order to cope with this social problem. User Liyun expresses his support of the legal protection of medical worker. At the same time, he says: “We need to understand the underlying reasons of medical disturbance – the distrust between doctors and patients. Hospitals should not hide or cover up medical negligence. And patients should give medical workers the respect they deserve.”

By Yiying Fan

Image used: http://focus.cnhubei.com/consensus/200912/t883804.shtml

©2015 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

About the author: Yiying Fan is a world traveler and Chinese freelance writer from Shanghai.

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

China Health & Science

Applying China’s New Civil Code, Shanghai Court Annuls Marriage after Husband Hides HIV-positive Status from Wife

The court case triggered discussions on the need for premarital health checks.

Manya Koetse

Published

on

Jiang is HIV-positive but did not mention his status to his partner before getting married. Under China’s new civil code, the marriage is now annulled.

On January 4, a Shanghai court applied the new rules of China’s Civil Code for the first time to annul a marriage.

The Civil Code of the People’s Republic of China was adopted by the third session of the 13th National People’s Congress in May of last year and is effective since January 1st 2021. Some experts within China call the law a “milestone legislation” that will better protect people’s civil rights.

On Monday, January 4, a landmark court case in which the new civil code was applied for the first time in Shanghai went trending on Chinese social media.

The case involves a married couple of which the husband had failed to inform his wife that he was HIV positive before getting married.

In June of 2020, Mr. Jiang and Ms. Li got married after Li became pregnant. Afterward, Jiang confessed that he had been HIV-positive for multiple years, and was taking medication to control his disease.

Jiang alleged that, due to his medication, there was effectively no risk of transmitting HIV to his partner. But Li, who did not contract HIV, could not accept the situation and decided to terminate her pregnancy and applied for a marriage annulment.

Under the new civil code, annulment of marriage is possible when a partner who is “seriously ill” – which now includes HIV/AIDS – fails to inform their fiance of their condition before getting married.

Since Jiang had not informed his wife of his condition before tying the knot, the Shanghai Minhang Court ruled in Li’s favor and annulled the marriage.

On Weibo, the case has attracted a lot of attention, with one hashtag about the case (#男方婚前患艾滋未告知婚姻关系被撤销#) attracting 690 million views on Monday.

The news item also led to another hashtag gaining many views: “The Need for Premarital Medical Examination” (#婚前体检的必要性#) had 200 million views on its hashtag page on Monday.

One popular relationship blogger (@感情感分析异地恋) argues that the Shanghai court case shows the importance of couples getting a medical examination before getting married: “It’s not to discriminate against those who are HIV positive or who are suffering from other illnesses, but it’s about informing your partner about these things before getting married.”

Premarital health checks were previously compulsory in China, but these examinations are no longer required since 2003. Many couples do still go for premarital health checkups. According to Xinhua, over 61% of Chinese couples had a medical examination before getting married in 2018.

Although the application of China’s new civil code is generally praised by Weibo users in this case, it has previously also received a lot of negative attention. The new law also introduced a mandatory 30-day “cooling off” period for couples seeking divorce.

This “cooling off” period is seen as harmful to those who are suffering abuse within marriage and already have difficulties in leaving their abusive partner. The case of Lamu, a Tibetan vlogger who died after her husband set her on fire, also led to more online discussions of the “cooling off” period and how it makes women more vulnerable within their marriage.

By Manya Koetse

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2021 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Continue Reading

China Health & Science

Annual List of China’s Best Hospitals: Ranking the Top 10 Hospitals of the Year

These are China’s best hospitals according to the Fudan University annual ranking list.

Manya Koetse

Published

on

A new list with the 50 highest rated hospitals in China of the year 2019 has been released earlier this month.

A hospital list, ranking the best hospitals in China, was released earlier this month. The list is independently issued annually since 2010 by the Hospital Management Institute of Shanghai’s Fudan University. It ranks the top 100 hospitals in China and the top 10 hospitals over various clinical specialties. In doing so, it has become one of the most important hospital rankings in China.

The topic became trending on Weibo with over 110 million views (#复旦版中国医院排行榜#). Although there is a major interest in this topic, there are also those questioning what makes a hospital the ‘best’ hospital. This list, among other things, is based on the hospital’s reputation and its capacity to conduct scientific research.

“What is fame and reputation? What I care about when seeing a doctor is their success rate in curing patients,” one social media user wrote – a sentiment shared by many. Others also say it is best to look for the right hospital depending on the patient’s personal needs.

Although it is true that these rankings do not include any rates on treatment results, they are relevant to patients for their reputation and size nonetheless.

China currently has a significant shortage of doctors, and the most qualified doctors are more prone to go to the hospitals with the best reputation. It is an ongoing cycle that has left many of the more rural and smaller hospitals lacking qualified staff. (For more about the problems facing China’s healthcare system, also see this article.)

We will list the top 10 of China’s best hospitals according to the report here, including some basic info.

 

#1 Peking Union Medical College Hospital
中国医学科学院北京协和医院

Peking Union Medical College Hospital (PUMCH) has topped these rankings consecutively for 11 years. The hospital was founded in 1921 by Rockefeller Foundation and is affiliated to both Peking Union Medical College (PUMC) and the Chinese Academy of Medical Sciences (CAMS).

PUMCH offers 2000 beds, has more than 4000 employees, and 57 clinical and medical departments. The hospital recently also launched its online services, including consultation, prescribing medicine, and electronic medical recording, which reportedly will expand to all clinical sections of the hospital.

Weibo: @北京协和医院 (960906 followers)
Website: link
Address: #9 Dongdan 3rd Alley, Dongcheng, Beijing, China

 

#2 West China Hospital Sichuan University
四川大学华西医院

Founded in 1872, the West China Medical Center is China’s biggest hospital in terms of size, and also ranks number two in the list of the world’s largest hospitals (no 1 being the Chang Gung Memorial Hospital in Taiwan). The hospital has a capacity of 4300 beds and there are 46 clinical departments.

West China Hospital has recently been in the news a lot due to the development of its own experimental COVID19 vaccine.

Weibo: @四川大学华西医院 (483829 followers)
Website: link
Address: #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province

 

#3 People’s Liberation Army General Hospital / 301 Hospital
中国人民解放军总医院

The General Hospital of the People’s Liberation Army (PLAGH), also known as 301 Hospital or PLA General Hospital, is the largest general hospital under the auspices of the People’s Liberation Army. The military hospital, used by the top leadership, was founded in 1953 and has a capacity of 4000 beds.

Earlier this year, the hospital made headlines for being the first center in Asia to provide newly advanced (ZAP) non-invasive technologies to treat brain tumors.

Website: link
Address: No. 28 Fuxing Road, Haidian District, Beijing

 

#4 Ruijin Hospital
上海交通大学医学院附属瑞金医院

Ruijin Hospital, formally known as Guangci Hospital, was founded in 1907. The hospital has 34 clinical departments, with a capacity of 1774 beds and a staff of over 3300.

The hospital is known for the rescue of burn victim Qiu Caikang, an iron worker of Shanghai Steel Factory who was burnt by molten steel in 1958. Although he suffered extensive burns to 89% of his body – and was thought unlikely to survive -, the staff at the hospital were able to successfully treat him. The hospital’s technologies in treatment of deep burns has since been renowned throughout the country.

Website: link
Address: 197, Rui Jin Er Road,Shanghai 

 

#5 Zhongshan Hospital Fudan University
复旦大学附属中山医院

This Shanghai hospital, which opened in 1937, is a major teaching hospital affiliated with the Shanghai Medical College of Fudan University. It was the first large-scale general hospital managed by Chinese people at its time of opening.

Zhongshan Hospital is leading in China when it comes to the treatment of heart, kidney, and diseases, and liver cancer. The hospital has over 1900 beds and more than 4000 hospital staff.

Website: link
Address: 180 Fenglin Road, Shanghai

 

#6 The First Affiliated Hospital, Sun Yat-sen University
中山大学附属第一医院

The First Affiliated Hospital of Sun Yat-Sen University is celebrating its 110th anniversary this year. Founded in 1910, the hospital was initially called the Affiliated Hospital of Guangdong Public Institution of Medicine. It is one of the largest hospitals in China.

The hospital is renowned for various medical specialties, including liver and kidney transplantion. The hospital has 72 clinical departments, 3523 beds, and over 6000 staff.

Website: link
Address: 58 Zhongshan 2nd Rd, Yuexiu District, Guangzhou, Guangdong Province

 

#7 Tongji Hospital, Huazhong University of Science and Technology
华中科技大学同济医学院附属同济医院

Tongji Hospital was officially founded by German doctor Erich Paulun in 1900, located in Shanghai, and did not move the Medical College to Wuhan until 1950. The hospital, which now has some 4000 beds and 7000 staff members, has 52 clinical and paramedical departments.

During the new coronavirus outbreak in Wuhan, the hospital provided 800 beds for severe cases.

Website: link
Address: No.1095 Jie Fang Avenue, Hankou, Wuhan

 

#8 Xijing Hospital
空军军医大学西京医院

Xijing Hospital was founded in 1939 and has since been a hospital of several ‘world’s firsts’, including being world’s first hospital to recreate a ‘4D’-printed breast for a cancer patient who underwent a mastectomy. The hospital also saw China’s first baby born from a transplanted womb.

Xijing Hospital houses 3218 beds.

Website: link
Adress: No. 127 Changle West Road, Xincheng District, Xi’an

 

#9 Huashan Hospital
复旦大学附属华山医院

Huashan Hospital’s main branch is located in the city center of Shanghai, in the former French Concession. The hospital was founded in 1907 as the Chinese Red Cross General Hospital by Governor Shen Dunhe, the founder of the Red Cross Society of China. The hospital opened for business in 1909.

Besides being a general hospital with around 3000 staff members and over 1215 beds at the main branch, it is also Fudan University’s major and renowned teaching hospital. Huashan is one of the best-known hospitals in China.

Website: link
Address: 12 Wulumuqi Middle Rd, Jing’an District, Shanghai

 

#10 Wuhan Union Hospital
华中科技大学同济医学院附属协和医院

Wuhan Union Hospital has a long history; it was founded in 1866 by Griffith John, a Welsh Christian missionary and translator in China. The hospital is an active general hospital, as well as focusing on teaching and scientific research.

The hospital has a total of 5000 beds and more than 8000 staff members. In 2020, the hospital became one of the designated hospitals to treat patients from the COVID-19 pandemic.

Website: link
Address: 1277 Jiefang Avenue, Wuhan, Hubei Province

 

By Manya Koetse

Original photo used in featured image by Adhy Savala

Spotted a mistake or want to add something? Please let us know in comments below or email us. First-time commenters, please be patient – we will have to manually approve your comment before it appears.

©2020 Whatsonweibo. All rights reserved. Do not reproduce our content without permission – you can contact us at info@whatsonweibo.com.

Continue Reading
Advertisement
Advertisement

Support What’s on Weibo

If you enjoy What’s on Weibo and support the way we report the latest trends in China, you could consider becoming a What's on Weibo patron:
Donate

Facebook

Advertisement

Contribute

Got any tips? Or want to become a contributor or intern at What's on Weibo? Email us as at info@whatsonweibo.com.

Popular Reads