Health: medical personnel to mobilize the enthusiasm with the power

Health reporter HanLu

        Medical personnel active cure

        "Don't win the national with millions of doctors and support of the cure to succeed!" In 2008, Beijing union medical college hospital medical director of the YinJia ZhenBeiYiHu, quickly won numerous users to support your kind effort. "Improve the medical service price, let the doctor from their own labor gain reasonable income." YinJia said, before had said, and would still continue to say, but now their thinking more is how to find the way out to change the status quo. With the deep water gradually entered the cure, more and more of the medical personnel to the current reform no longer indifference or negative waiting, but choose like YinJia, positive for BSFLP cure.

        "The medical staff actively participate in and cooperate with the enthusiasm of cure of further play in. They are worthy of the main medical." Association of party committee secretary, cure of the state council experts consultative committee RaoKeQin said, compared with 2005, our medical service LiYongLiang rapid growth, the medical establishment outpatient service or the increased almost 50%, the national medical institutions or the discharge increased almost twice as many. Over the same period, the national health technicians only increased by 29%, the full house hospital patients, medical staff work load obvious increase. The 2011 China health human development report "disclosure, the medical staff a week on the average time was 53.4 hours, far more than 40 hours per week legal work time; Average monthly to value seven night shift.

        Meanwhile, in the process of promoting medical, various medical institutions for medical services generally make an appointment, improved medical environment and the diagnosis and treatment process, extend the outpatient service time, opening weekends and holidays outpatient service, the promotion of quality care services, level 3 hospital would encourage, support the medical staff to a primary medical and health institutions and practice. "These convenience huimin measures, the implementation of the medical personnel are inseparable from the active participation in and go to pay." RaoKeQin said.

        "Hundreds of millions of people, the basic-level medical benefit the medical staff also benefit from it." The national development and reform commission vice director, office of cure of the state council SunZhiGang recently in interviews, said that the effect had medical appeared, personnel distribution system reform, financial compensation for performance, and medical personnel structure optimization, energy enhancement, treatment improved. The average monthly wage increase the medical staff of 600 yuan, have 15 provinces basic medical staff income level more than local civil servants income. Village clinic is included in the basic drugs and new farming system and implement category, thus increasing the subsidies village doctor, and safeguards the village doctor treatment. These moves are greatly aroused the grassroots health personnel in the enthusiasm of the cure.

        Experts perspective

        "To mobilize the medical staff enthusiasm" is yet to be "presentation

        Guests: RaoKeQin association of secretary of the party committee and the state council

        Medical experts advisory committee

        Li luming way people's university of China social and demographic

        , vice President of the court

        LiuXiaoCheng tianjin teda international cardiovascular disease hospital

        dean

        Yin Beijing union medical college hospital good allergy clinic director

        S "firing enthusiasm" lack of top design

        Reporter: the purpose of the cure of is both to make people have to affordable, also want to let the medical staff encouraging. Implementation of the cure of the past three years, the medical staff's enthusiasm is effectively arouse?

        RaoKeQin: "how to mobilize the medical staff enthusiasm" has not yet "presentation. Along with the advancement of cure, medical staff pay more and more, but have not obtained corresponding returns. If not to improve medical and mobilize the enthusiasm of the medical staff, then brought will not succeed. How to establish a good incentive and restraint mechanisms, make the medical staff gain reasonable treatment, let them secure provide the patients with medical services, and at the same time constraints in diagnosis and treatment of the process is not reasonable behavior, deepening the order to further research and timely solve the problem.

        LiuXiaoCheng: in the hospital is not set up a benign before compensation mechanism, doctors can't get reasonable treatment. In a foreign country, the hospital personnel expenditure accounted for more than 60% of the total average, while in our country, the proportion is less than 30%. Promote medicine separate undoubtedly is a good thing, but if you just ask medical centre, but not a clear commitment to the hospital which reduce the how and the formation of income loss of make compensation, so not only can not inspire the enthusiasm of the medical staff, but will significantly reduce hospital self compensation mechanism, this kind of practice is FuDeChouXin. (next turn version 2) (up to the first edition)

        YinJia: in the current medical scheme, and didn't see how to mobilize about public hospital medical personnel the enthusiasm of the specific design. In June this year, the young doctor makes XiaoQing said to me, she has been Singapore national hospital appointed hospital medical, brought the family to go to Singapore development. XiaoQing is my internal rivals from more carefully chosen doctor, to me, many times after send her to study abroad, also did for her long-term career development plan, should say her chance to better than her medical students, but eventually made this have no choice! Her resignation to I touches so huge that sad tears. XiaoQing have left our college to Singapore is the development of a young doctor 30, we should be worked out as soon as possible, and the more "XiaoQing" to stay.

        S "doctor worthless" the end of the age

        Reporter: "about public hospital reform pilot instruction opinion" proposes to reasonably determine the medical personnel salary standard, reflect the characteristics of the medical staff, fully mobilize the enthusiasm of the medical staff. For "the doctor income exactly is high or low" this question, the answer is all. Medical staff "reasonable treatment level" how to define what the?

        Li luming road: why medical personnel for the income distribution situation, there exist many complaints? This is because in the course of social change, income inequality in income comes from not only the gap between the high and low, also comes from lack of fairness and rationality of the income distribution. People in income distribution on the "relative unfair", may be compared with other professional group about the "relative deprivation feeling", may also is compared and their own pay, think take-home income gap between income and deserves. Although for the doctor's income level and no absolute standard, but the above two points should be a "reasonable" reference line.

        The doctor's social status belong to the upper middle class, the income should be higher than the civil service groups and institutions of the average. Meanwhile, doctors are doing is a high labor strength, high risk of occupation, their income and welfare benefits must reflect the value of their due, and they the responsibility of the match. If the doctor's long-term low income, will definitely affect the stability of the medical team. A few medical staff "grey income", can't be maintain low income level medical staff of reason, but should through the reform, the unreasonable "grey income" into a reasonable "sunshine income".

        YinJia: "to fill medicine medical" itself is a bad logic, because the doctor is not to need to "fill"! "To the drug for medical" practice let the doctor's labor value should not to reflect, also let providers do not feel the dignity of the doctor. Medical personnel is high, high technology with knowledge of the social elite, they have the ability to support himself. Face up to the medical staff labor and service value, and at the right price to buy medical service is the core of the cure. If "to fill the medical medical" can be successful open, doctors through the diagnosis and treatment of patients get sunshine income can maintain the dignity of life, believe that more young doctor will choose to stay, more outstanding person talented person will choose to study medicine.

        Affirmed the doctor in the medical services to provide the value created after, needs to solve the problem of who is to pay. I think should establish multi-level medical insurance, the insurance to pay for the cost of diagnosis and treatment. The state, the collective and individual shall be the medical treatment to be sure to pay fees, personal on medical service requirements, the higher the proportion of pay should also increase.

        S doctor in the system of the "scapegoat"

        Reporter: image by repeatedly blackened, social status, drop, patient, and the doctor still doing the "scapegoat" system...... In addition to economic benefits do not ideal, practice the deterioration of the environment is also in troubling medical staff. Who the responsible for that? And how to change the status quo?

        RaoKeQin: government duty unknown, seriously insufficient investment, cause public hospitals have to generate income for guidance. To fill in medicine doctor the mechanism, public hospital lost control of the fee power, hospital net earnings, the higher medical costs and the high, target and social goals hospital conflict. And medical personnel and the income of drug, how many check how much a hook, the distortions of the incentive mechanism will inevitably lead to medical behavior change and aggravate interests goal conflict, which led to the doctor-patient relationship deterioration, patients on the medical industry satisfaction levels drop.

        Li luming road: the doctor career was outside "demonised", there are two major reasons. One is a small part of the doctors do exist in the lack of medical ethics, XunXin unite, this also and social transition period the whole social morals declines closely related. The speed of change in contemporary China too fast, the market economy promotes the economic growth, improve the living standard, but also make the part of the people in the process of chasing money lost faith. Another important reason is the government seriously insufficient investment, medical system reform has not been forming, hospitals and doctors must be in the market mechanism of the inertial function continues to pursue benefit maximization.

        The public welfare requirements for public hospital, decided to medical services relatively cheap prices provide to people. But at the same time, provide services to the value and status must also should be reflected, this requires countries must undertake the responsibility of purchase medical services, that is, through to the national income redistribution will be part of income to the healthcare industry, to meet the needs of the development of the industry to pay reasonable laborer labor compensation. And redistribution tilt rate, depends on the livelihood of the people in the national financial investment in the business of what on earth to weight.

        S let doctors by "unit person" change "social"

        Reporter: in "about public hospital reform pilot instruction opinion", "to explore and the standard is a registered doctors more practice mode, to guide the place the rational flow of medical personnel," was included in the "public hospital reform internal operation mechanism" content. In our country, the doctors more practice how to really into practice?

        LiuXiaoCheng: the more practice means that the hospital is fixed, the doctor is moving. The hospital is like an airport, to do is fix the runway, built the terminal, the doctor is free to choose the docking point for the plane. As long as the hospital has good care environment and equipment, high quality nursing team, the use of reasonable diagnosis and treatment process, can attract a lot of good doctor.

But, allow doctors more practice, if not accompanied by large hospital management system and personnel system supporting reform and whole breakthrough, only an empty talk. Only by changing the system, make the doctor by "units" into independent "social", more practice could become a reality.

        YinJia: big hospital doctors have in the seams, talk about more practice are afraid to do the job. To where I am department, for example, nine on-the-job doctor, three retirement FanPin doctor, three on-the-job nurse, six retired FanPin nurse, getting in the past 2011 years, the common completed more than 84000 people of outpatient service, more than 2010 years and a 20% increase. Doctors in our hospital has taken on this big job, it is hard to have the energy to more practice. At the same time, if the doctor's labor value not reasonable to reflect, more practice for a good doctor's appeal is to sell at a discount greatly.