Health: "control medical cost bulletin" window in where

health

        The ministry of health announced on October 31, of the 2012 strengthen medical cost control of the report "requirements: first, the use of basic drugs, equipped with appropriate technology is widely used, the medical institutions at the same level inspection, the inspection result recognition, reduce the cost of patients go to a doctor. Strengthen financial management, the establishment of incentive and restraint mechanisms, and will cost and cost control into the medical staff performance evaluation. (on November 1, the Beijing news)

        In the excessive medical peremptory become street rat social context, the ministry of health announced to control medical cost, reduce the cost of medical treatment of patients with measures will no doubt have to the general public of the affirmation and support. However, such measures actually has introduced many, the majority of patients do not seem to feel the medical burden significantly reduced, see a doctor to see a doctor, it is difficult for your phenomenon also has always been a difficult to alleviate social position. Media will be the highlight of this report is due to: to establish incentive and restraint mechanisms, and will cost and cost control into the medical staff performance evaluation. So, the cost and cost control into the performance evaluation method can effectively control the doctor prescribe hand?

        As a practicing physician, the author of this kind of evaluation results is rather suspicious. For a long time, the public hospital doctors have used to cope with various aims to control the cost of medical examination and inspection. The assessment project not is not careful, not is not severe punishment. Such as, medicine in medical treatment cost and the proportion of overweight, whether all times prescription whether excess, medical history writing is qualified, etc., once the violation penalties nature is little not. However, the policy, XiaYouDuiCe. Medicine to overweight than for it develop inspection and treatment, all times prescription excess is decomposed into several small prescription, medical record defective is assault modification... Thus, evaluation and the results of the inspection is often smoothly. However, the limelight and relapse, make all kinds of hospitals and medical personnel inspection and evaluation is usually become a mere formality.

        The reason for causing excessive medical treatment is difficult to effect a radical cure situation, the main reason is not the domestic medical staff are mostly greedy, very cunning, but define "excessive medical treatment" and "moderate medical" itself is difficult to solve the technical difficulties.

        Engaged in clinical work for such a statement will have a deep impression - patients not according to medical textbooks to be sick. This statement is popular because it revealed the essence of medicine and difficulties. On the one hand, human beings have medical knowledge and understanding of the disease is very limited. According to conventional treatment and can't cure-all, in clinical also need to properly exploration and innovation. On the other hand, even with a kind of disease patients, due to physical and pathogeny of difference, the disease process both common also have individual character. Therefore, the simple use of medical cost, cost to judge medical staff medical skill and medical ethics does not see the scientific and objective, the corresponding inspection and appraisal suffer from medical staff and it is not surprising that opposition boycott.

        In fact, radical excessive medical major resistance lies in the domestic medical staff legitimate income is too low. Medical malpractice market it is full, the government at various levels will public hospitals to jilt to market, seriously insufficient investment, just to give up such as to medicine such as medical policy. And public hospital medical staff a line of the basic wage and be set quite low, if not through the earned income won prize, and from drugs and check for rebate, the red envelopes with gray income, the vast majority of public medical institutions to support the medical staff will have difficulties. As long as this will be the doctor personal income and medical income hook medical system has not been fundamental changes, to control the cost of medical assessment and regulations will be very difficult to obtain the result.

        The author thought, this is the highlight of reporting is not "will cost and cost control into the medical staff performance evaluation", but to make "sound hospital internal income distribution mechanism, improve staff funds spending accounts for the proportion of business expenses, mobilize the enthusiasm of the medical staff into people's health benefits, reduce the burden of the doctor". Of course, is only control medical institutions in the hardware investment, perfect the internal income distribution mechanism is far from enough. The relevant departments should also introduced the developed countries as soon as possible in the public medical advanced management experience, fundamentally change to medicine for medical and health care system is not reasonable, fully follow the particularity of medical industry itself. So, excessive medical effect a radical cure, medical team ethics reconstruction, doctors to regain lost professional dignity to won't be water without a source.

        ZhangHaiTong (doctor)