Health: why there will be "shell hospital"

Source: health

        Wu handsome (citizen)

        Have citizens reflect, nanjing longtan qixia district hospital, originally is a large-scale and complete equipment, covers an area of thousands of square meters of the district hospital, now it has become a shell of a hospital, a lot of empty house sits idle, and many times only to see a doctor for patients in a doctor, is a pity. To this, longtan hospital rear service director Mr. Wang said, at the hospital staff normal only 2 ~ 3, they are responsible for the physicians and surgeons. (7 December the nanjing morning paper ")

        No secret that, in basic-level hospitals, there are a number of such "shell hospital". Medical personnel in big cities, the total to big hospitals, the treatment of good places to flow, many hospital so be quietly "time". These hospitals are often regarded as the springboard, once the doctor has the qualifications, accumulated the work experience, they will not hesitate to resign to leave.

        This is actually market law in action, it makes the best doctor to city and big hospital concentrated, the doctor in less developed areas from the developed areas are flowing "blood transfusions. For a long time, poverty and the weak start to show that "is evacuated" of pain, "shell hospital".

        High quality resources is too centralized, is not necessarily a good thing. "Vulnerable" area of people will be the biggest victims. In the cost of high cost, they had to add more heavy indirect costs. Once suffer from a little tough disease, need to stay away from home, to big cities seek medical attention. And those in the home can look good doctor of the city's residents, compared to their costs have more traffic, accommodation, and time cost. And even if the big hospital again how to expansion, can meet the practical needs of this abnormal.

        Has this kind of situation, the hearts, and then the doctor's labor value evaluation system of the defects. The doctor's mainly income by their other hospital and at what level city, whether in management position? And the number of patients and drug count these practical factors. The attending physician is internal medicine, in low-level hospital may only be 23000 yuan to the salary, but high levels in the hospital, but you may income ten thousand yuan. Doctors don't go upward, that is strange things.

        Two, benign medical division have not yet truly form. For a long time, we have been used to the pattern of did. In developed countries, large public hospital is not set of outpatient service, the primary medical treatment service guaranteed to grassroots medical institutions do, and the main resources and focus on the solution difficulty critical illness. But in here, no matter how advanced the hospital, all want to become the medical treatment tall aircraft carriers, do not be willing to give up general outpatient service, do not be willing to sacrifice this piece of income, but based on the resource predominance, the competition in this service. Expanding, natural need constantly hoarding medical talents. Objectively, unfortunately, in the low-level hospital to quietly take time.

        However, the lack of medical care in the basic unit, should not also not allow such a "shell hospital", this should be a consensus. To really do live to the hospital, retain the doctor, let the good doctor willing to sink, the government must labor compensation evaluation system in the doctor on an operation, make more scientific standards, as well as in medical resources configuration and the division of labor regulation to force more, through gradual implementation of "three partition", reduce malignant competition, let medical pattern to the fair, high quality, many choose, high efficiency, cost control and direction.