Health: medical couplet body is fluctuation equal cooperation

Wu Shuai (doctor)

Source: health

        Two-way referral, laboratory test results mutual recognition, expert visit, remote consultation... Join medical couplet body, not only let people at home can enjoy high quality, low price and convenience of tertiary hospital medical service, make the already difficult of grassroots medical institutions regain vitality. At present, there are 11 jining city of shandong province, at or above the county level hospital and 13 towns and townships hosting support type relationship is established. (March 19 public daily)

        Hang up in front of the cold and cheerless institutes, tertiary hospitals managed plaque, immediately "coming back to life", it is easy to win a one-sided praise, as local health reform achievements. Why in front of the cold and cheerless grass-roots hospital? Common, you are too weak! Medical service level not, also doesn't have the talent. But think about seriously, grassroots hospitals really don't have to provide common disease diagnosis and treatment service level? Of course not. Despite the level and ability do have bigger difference, grassroots doctors and tertiary hospital doctors, have been unified assessment to practice mount guard, this should be a basic understanding.

        Is a bad model, basic-level hospitals without cause, treatment and welfare development prospect is bad, can't attract talent, so a vicious circle, as the development of the fast knot. No patients, of course, will not attract the top doctors in practice. Either from the perspective of the development of realistic treatment or in the future, doctors wouldn't have to go where a lack of patient's practice. Another kind of ideal pattern is: enough cause, treatment and welfare development prospect is good, excellent medical talents willing to enter a virtuous circle. Unfortunately, most places just now in the first pattern, the most important medical resources, talents, by artificial monopoly in tertiary hospitals.

        The emergence of "big hospital disease", a convenient account blind patients. On the other hand, it illustrates the big hospital to the net. When a lot of big hospital experts complain that too much time and effort spent on look at common ailments, specialist rather than the complex disease, you know, medical occurred under the nose of the big fish eat small fish are, the bigger the better, as weak.

        Originally, the medical service system in the main purpose of level 3 is the division of labor cooperation: big hospital's main function is to provide specialized medical services, the solution of serious illness, accept secondary referral, undertake teaching and scientific research tasks. Grassroots hospitals's main function is to provide prevention, medical treatment, health care and rehabilitation services. This is just the different division of labor, both should have equal chance to be the "best" of the hospital. But now, tertiary hospitals always provide all type of medical services, the function of basic-level hospitals are all covered up.

        Medical couplet body should be introduced, but internal parties should get equal development environment, the development, avoid the monopoly, to outshine others. Tertiary hospitals regression functions of their duty, to abandon the function, the full expansion of the main energy to solve serious disease and for teaching and scientific research, the common market to the grassroots health institutions. So, whether it is "big hospital disease", or grass-roots hospital development will effectively solve the problem. Development of medicine is the premise of couplet of desalination competition, emphasize the cooperation.

The original links: http://www.jkb.com.cn/htmlpage/35/359198.htm?docid=359198&cat=0K&sKeyWord=null