Wang Yinchu
Correspondence to Dr Yinchu Wang, Barts and the London, London, E1 2AD, UK;
J Med Ethics. 2016 Jan;42(1):7-9. doi: 10.1136/medethics-2015-102835. Epub 2015 Nov 3.
The discourse on the failings of the National Health System often cites lack of compassion as an important factor. This has resulted in proposals to enact rules which aimed at enforcing compassion in healthcare workers so as to improve the quality of healthcare and avoid future scandals. This paper argues that compassion cannot be enforced by any rule. Moreover, the contractual nature of the current doctor-patient relationship does not foster it. Experience from other service industries shows that attempts to enforce compassion in workers are futile. Rather than improving service, these attempts result in a culture of perfunctoriness and cynicism.
关于国家医疗体系缺陷的讨论经常将缺乏同情心视为一个重要因素。这导致了一些制定规则的提议，这些规则旨在强制医护人员表现出同情心，以提高医疗质量并避免未来的丑闻。本文认为，同情心不能通过任何规则来强制实现。此外，当前医患关系的契约性质不利于同情心的培养。其他服务行业的经验表明，试图强制员工表现出同情心是徒劳的。这些尝试非但不能改善服务，反而会导致一种敷衍和愤世嫉俗的文化。
