Break the shackles the doctor's "yoke"

Bai Jianfeng

August 30, 2013

Source: People's Daily

        Doctors more practising is a profound revolution, it will let the doctor from "unit person" to "industry", maximum limit free medical productivity

        Recently, the guangdong shenzhen doctors proposed more new policy: one is requested multi-point practicing physicians registered in shenzhen, just record it in the designated website, without the approval of the medical institutions is not only the health administrative department for examination and approval; 2 it is within the scope of shenzhen, physicians more practicing from site quantity limit. News, cause the social from all walks of life.

        In our country, the doctor is tightly restricted flow. According to the practice YiShiFa "regulation, the doctor must have both" physician qualification certificate "and" physicians practicing certificate ", before legal practice. That is to say, every doctor belonging to a medical institution, not "both". In a strict sense, as long as leave the registration place, even if is the gate to rescue patients in the hospital, also belong to illegal medical practice, let alone on the train and save people on the road. The doctor will be binding on the practice of a medical institution, rare in the world.

        Although strictly limit the doctor more practice in our country, but the doctor never stopped "imparting" activities. Over the years, Beijing and other cities with a group of "flying doctors" active. Every weekend, they are in the name of consultation, fly around to do surgery, in order to earn "extra money", its revenue more than wages. In fact, it belongs to the equivalent of "more professional", and the early reform and opening up "engineer" at the weekend part-time are very similar.

        In recent years, in many places the doctor more practice policies a bit, but there is still a "glass door" phenomenon. Doctors, for example, the application to another more practice of medical institutions, medical institutions must go through the first practice site for approval. This means that if the medical institutions is not approved, the doctor can't achieve more practice. In fact, doctors in China belong to the institution, carrying his own hospital to jobs, to do things for other hospitals, obviously very embarrassed. If a doctor practise in many medical institutions at the same time, to assume its wages material benefits which medical institutions, there is no law. Therefore, as long as a doctor is still a business entity, more practice, it is hard to implement it.

        In fact, the identity of the person is not only a kind of guarantee, is also a "yoke". When doctors in public hospitals, can enjoy the treatment of the institution, food. However, as a business entity, the doctor's pay is impossible of marketization. Now, doctors generally complain about low pay, feeling "when a doctor than when veterinary", and the institution is closely related to people's identity. As long as the identity does not change, it is impossible to like foreign doctors to get an enviable salaries. So, the doctor want to reflect its market value, it is necessary to take the threshold of the institution, be truly free. As a result, the doctor's compensation can be determined by the market, work more, quality, without restriction. When doctors get rid of the "chain" of institution, can the freedom to choose between public hospital and private hospital more practice. But, the doctor must rely on his dinner, but can't hear along, because the market will not lazy, also won't have a quack. Under the market mechanism of reversed transmission, more and more doctors will be competing medical skill, in order to obtain higher market pricing. At the same time, the doctor in order to maintain their good reputation, is afraid to take "grey income", otherwise it will be possible for moral stain lose their jobs.

        Of course, any reform will have resistance, more practice is no exception. First of all, is not willing to reduce the administrative department of public health to delegate. Doctor if are free to choose more practice, administrative department, there is no "power", nor "rent-seeking", vested interests is damaged. Second, the doctor place unit is not willing to brain drain. When doctors become "unit person", naturally become the hospital "private property", rather than the public resources of the whole society. As owners and trainer of talents, which hospital is willing to "drain"? In addition, some doctors don't want to give up the "iron rice bowl". A lot of large public hospitals have a strange phenomenon, die busy busy, idle time to die. A good doctor may not much, will not be able to doctor absolute returns. Once in the market, "NaGuoXianSheng" is difficult to get on.

        Who is the most active factor in productivity. If there is no human liberation, there would be no productivity released in full. In this sense, the doctor practicing more is a profound revolution, it will break the bondage of "yoke" doctors, medical productivity maximally liberation. At present, pushing the doctor more practice has become the trend of The Times. If the reform only stay in the local, can produce "island effect", hard going. Only fully promote the reform of personnel system of the medical industry, let all the doctor changed from "unit person" to "industry", to fully release the reform dividends.

The People's Daily (August 30, 2013 (19)