Break profit-seeking mechanism must be part of the hard stuff

The 2015-07-17

Source: health

- kang yu -

In April this year, xi jinping, the general secretary in the middle of the chaired a comprehensively deepen reform leading group, points out that when the 11th meeting to adhere to the basic orientation of public hospital public welfare, break public hospital profit mechanism, establish maintenance public welfare, to mobilize enthusiasm, ensuring the sustainable operation mechanism. Then the request was clear written city public hospital comprehensive reform in the top of the design.

Indeed, break profit mechanism, is difficult to bypass the public hospital comprehensive reform and must be crossed the snag. Face the hard questions, sanming city, fujian province, reform and city hospital reform of county-level hospitals, "two steps forward and one step" has created a sample multi-win-win situation of reform, its essence is: the government power, 3 d linkage, using a combination of interlocking, blocked the flow field of high waste, dean tighten the REINS of power, make the interests of the government, the dean and medical personnel alliance, eventually the orbits of back on to the public welfare of public hospitals.

For a long time, due to a serious shortage of fiscal expenditure on to public hospitals, make public hospitals to survive and development, we must rely on business income. As a result, public hospitals to do bigger and stronger, the equipment the hilt, one-size-fits-all to agents, drugs also become more profitable tool. Rapid advances over the years, many hospitals have a type development, today, after solve the conflict between absolute shortage of medical supplies, public hospitals on the road of profit still can't brake. Over the years, the institutional ills and public interest conflicts have become increasingly sharp, not only results in pharmaceutical cost growth out of control, difficulty and high cost of structural treatment problem increasingly prominent, and even has been gradually disintegrated, the basis of doctor-patient trust have reached the point where they must change.

How to change in order to cure the ills of public hospitals for profit? Around in this area has to explore more, but to solve such a complicated problem, if not in "operation mechanism on the system as a whole, which can float gourd ladle" "hold the gourd, so everyone will reform of public hospitals as a deep reform. Sanming looking to establish new mechanism, first will squeeze out the moisture in pharmaceutical sales, to address the public hospital profit-seeking impulse behind hidden trouble back at home; With a package of salary system reform, increase, dean of the sunshine and the medical staff income, reform the dean and the medical staff identity, support the reform. From the results a few years, the reform of sanming public hospitals to take the initiative to return to the public welfare. These practices show that had stopped profit-seeking impulse and inertia, revenue can not only count on enlightenment and revolution, also can't count on single reform of "zen", all reform measures to make comprehensive fermentation, let the reform of hospitals at all levels in the area of propulsive synchronous, can we truly achieve actual effect.

Now, some areas and departments to the reform of public hospitals are still wait-and-see, hesitation. Some worry that abolishing the finance can't afford to fill after drug addition, health care back without moving; Some worry about the adjustment of medical service prices will lead to social instability; Some think that has achieved basic, basic health care reform of public hospitals can slowly again. However, blindly let run public hospitals under the old system, big hospital to remove pressure not to drop, the medical insurance fund in resources at the base of siphonage will aggravate the destruction of medical order and fiscal money spent to ease the difficulty and high cost of the doctor's role is also hard to avoid can be diluted, over time, the early reform results may also be erosion.

The hard stuff will face a public hospital comprehensive reform, to meet the interference of vested interests, there will be a department cooperate with difficulty, even an, reform effect is not likely to appear overnight. Operation mechanism, therefore, put the brakes on public hospital of profit-seeking inertia, need more government determined to bomb a foot pedal to reform. Sanming reform path, at least from the profit-driven mechanism to the public welfare mechanism of displacement, the road can be walked through. The movement of the deep water area area does not need to copy the practice of sanming, but need to set up the determination to cross the rubicon, draw lessons from the thinking of the overall planning, and aggressive determination and ideas into execution.