Comment on: relax physician "more professional", is good is also tested 

 
The 2014-07-25 
 
 
Source: guangzhou daily 

        Beijing health and family planning commission issued concerning the management way of "Beijing practitioners more notice, from August this year, the physician to other medical institutions in Beijing" more professional "threshold further relax, physicians to apply for" more professional "no longer need to issue the" agreement ". On July 23 (xinhua news agency) 
 
        Cancel the "agreement" as physicians application "more professional" hard and fast rules, on the whole social reasonable allocation of medical resources, the solution of the common people to see a doctor difficult, will produce positive promoting effect. For a long time, excellent resources in the excessive concentration of public hospital doctors, leading to insufficient, streets, communities and civilian battalion hospital clinic physicians, even appear the situation of "a cure is hard to find, a lot of private hospitals procuring with high income, and good treatment to attract experts" imparting ", make "weekend outpatient service", to "flight operation", good doctor part-time everywhere, in the industry has been open secret. This big block, can cancel the "agreement" for outstanding physicians to further obstacles, the hospital's practice at a certain extent, private or basic-level hospital medical staff to fill the gap. Relax practitioners more, or will drive patients to community, civilian battalion hospital, promote the development of the community, the civilian battalion hospital management, can alleviate the serious of big hospital medical situation. 
 
        In fact at present, most countries in the world of physicians are free practice, in America, for example, their physician does not need to put on record, as long as it is in the state medical license, can be in the state any suitable medicine medical institutions. Allows physician "more professional", is essentially to physicians to market, more test doctor medical ethics and technology, no diamonds, finding China live, than blunt administrative intervention, the market this invisible hand only, more can activate resources for physicians, physician will also get a more reasonable allocation. 
 
        In principle, speak more open in the face of the new rules, the industry should be cheered. But others said, for more practice still need to continue to "wait and see", because "more professional" also brings many problems. 
 
        First of all, the doctor's work time is limited, "more professional" or fatigue caused by profit-driven physicians. In fact, even if the European and American countries allow practitioners free, also has a strict limit. British physician as "four plus one" mode, namely within a week, doctors in our hospital work four days, the rest of the day can go to other hospital practice, total working time is five days, the doctor won't have too big test. 
 
        Second, the physician in hiring a hospital medical accidents, which is to blame to draw. In terms of professional security, it is recommended to allow physicians "more professional" at the same time, establish a relatively perfect system of health care and insurance. Physicians in the event of medical accident, its responsibility undertakes by the hiring hospital and physician. The hospital should give doctors do jobs in liability insurance, medical accident, pay by insurance company. 
 
        Again, after "more professional" let go, family planning departments for public health shall clear responsibilities, decision-makingprocesses border, what, what not to tube, tube must accomplish know fairly well. At the same time, take the initiative to build public platform, strengthen supervision, to ensure the hospital medical quality and medical safety, ensure the doctor "more professional" loosening, could be more open, also tube, tube in place, to avoid "a put is random, a tube die". 
 
        "Doctors" no agreement "relaxed" multipoint ", have a great progress than before, but this is only a policy, then must guarantee the smooth. Specific to the physician's time arrangement, distribution of interests and responsibilities clear there are still a lot of work to do, we call for more targeted and clear and rich operational conditions, only in this way, to protect the interests of the hospital, physicians and patients. 
 
        Peng Liantao (media commentators)