Health: community hospital development must go his own way

LiangJianFang (doctor)

Source: health

        Guangzhou liwan district investment funds is 70 million yuan/year, to the community hospital implementation of "balance of payments two lines", medical personnel salary not and drug sales hook, basic salary and the doctor's title, education and length of service are concerned, and performance to integrated its cure patients salary amount, hospital evaluation, the masses to the public. Every source street in the center of community health service last year's average number has only thousands more every month this year, the number has climbed to more than 4000 people every month. Now the title four doctors, nurses months income basic can nearly 9000 yuan RMB, the primary title on income also after the 4000 yuan. (May 16 "southern metropolis daily")

        Medical resources distribution imbalance, a serious illness ailment to the hospital crowded, is causing "difficulties in getting high cost," one of the important factors, and the development of community hospital, be regarded as to solve this problem, the important way. However, community hospitals for low wages and cannot keep talents, low level and do not leave because patients, a problem community hospital development of difficult problems. Liwan district guangzhou city community hospital change, no doubt, is encouraging, also let a person thinking. Community hospital to live and grow, and we must resolve the following two questions:

        First, the government financial must increase investment. Community hospital drugs zero price difference, to fill medicine painting of the medical here ends. And the medical technology service prices can't be greatly enhanced, and otherwise, spend the same money, why don't you go to large hospital enjoy the higher technical service? So, to maintain the normal operation and community hospital medical personnel as income funds come from? Only from government financial input. Only government investment community hospital basic hardware facilities, patients will be willing to community hospital; As long as there is government investment guarantee of medical personnel reasonable income, talent can gradually gathered and not continue to erosion. News headlines the li wan community where the doctor 9000 yuan ", is actually four titles doctor, nurse to get, primary title of only 4000 yuan. Under the current title assess system, community hospital of subtropical high above title medical personnel absolutely is rare, the majority is in the primary. In the center of guangzhou city, income of 4000 yuan have much appeal, still have to consider the question.

        Secondly, the community hospital must dislocation development, out of the features. Make scale, spelling technology, community hospital is not comprehensive hospital opponent, is neither necessary, not viable. For community hospital, it is to be a common disease prevention health care, the other is a chronic disease in the community. A cold fever, headache and fever, if community hospital can timely intervention, why go to large hospital patients suffer in line? High blood pressure, diabetes and chronic disease, except illness have change, drug use are relatively stable, the daily maintenance treatment and condition monitoring, should be community hospital competent range. Locate the correct and accurate, and community hospital to find the space that belongs to oneself, long survival and development.

        Community hospital development and expansion and assume corresponding medical liability, the whole society will become the "pressure reducing valve"-reduce big hospital overwhelmed pressure, alleviate the pressure of the difficulties in getting people, then solve the doctor-patient conflicts increasingly sharp, promote the whole society's stability.