Comment on: physicians more practice will loosen "bundling" 
 
 
The 2014-09-28 
 
 
Source: Beijing youth daily 

        "Doctors" Beijing more measures for the administration of August 1, multi-point practicing no longer need the first medical institutions approved, more practice locations and quantity limits, etc., and no longer popular. According to the report, in the actual process, some health administrative departments at the grass-roots level still require physicians to provide the first professional medical institutions of the agreement, to make more practice the New Deal. On September 27, (" China business signs up for ") 
 
        From three years ago the "pilot" way to revise "management method" for now, the biggest bright spot is cancelled "trial" to set up some of the constraints, as physicians more practicing doctors and medical institutions to accept more. Medical authorities changed the past to the practice of medical institutions tube too much death, the way will no longer medical institutions to physicians, internal management level problem such as labor remuneration as the administrative licensing content, reflects the speed change of government function and the reform of the administrative examination and approval system, perfect the access management mode and strengthen supervision effectiveness. Some health administrative departments at the grass-roots level, however, is still my former unit's consent requires practitioners multi-point, and insist that this request is reasonable, it shows that multi-point practicing New Deal involving condition is complex, sometimes need to seriously and treat. 
 
        Practicing doctors is at the core of human resource in medical and health system, is of typical significance in the modern society "freelancer", physician practice if are strictly restricted in a medical institution, is not conducive to the rational flow of trained personnel of medical and health system and optimal allocation of resources. Multi-point practicing physicians from the first "liberate" in medical institutions, in the direction of the "freelancer" exceed a step, however, the quality of medical services is directly related to people's health and life, the more practice, physicians practicing way "decoupling", there can be no relaxation to the requirement of medical service quality, practitioners about their behavior and professional moral responsibility, medical institutions for practitioners more management responsibility, also cannot have no let up. 
 
        For practitioners multipoint, ordinary people including patients is the most prone to doubt: more practitioners place of the first practice is given priority to with public tertiary and secondary hospitals, but it is precisely in these public tertiary and secondary hospitals, medical resources is most shortage, the doctor's work is the most busy and hard, "three minutes to see a patient" phenomenon common, where they have extra time and energy to other hospital more practice? 
 
        To this, the new Beijing "management method" clear requirements, multi-point practicing physician "shall report to the first practice place where medical institutions more practice about it, according to the agreement signed with related medical institutions, the reasonable work task, reasonable arrangement work time, complete tasks with good quality", "abide by professional ethics and shall not be unreasonable to seek improper interests on patients, disturb the order of medical treatment, and damage the interest of patients". Some of the health administrative departments at the grass-roots level requirements practitioners more need the consent of the first practice of medical institutions, the first practice of medical institutions in fact should be asked the doctor to "report on multi-point practice", but this requirement may perform the some "hard", seems to be a doctor must be approved by the first practice of medical institutions. 
 
        Practitioners more to "decoupling", the medical service liability is more "bundling". Regulations about practice more, need to try to refine, specific, operational, and to straighten out the first practice in medical institutions, standardization of physicians, and more practice in medical institutions tripartite rights, responsibilities and obligations, prevent practitioners under the profit-driven blindly expand more locations and quantities, avoiding harm patients health physician practicing, overload fatigue, prevent excessive "mining" physician medical institutions to reduce cost resources, avoid the tripartite responsibility and medical order, outside of the "difficult" and increase patients' "rights".
 
Jiang Zhaoyin editor (Beijing)