Crack down on scalpers "can't solve," cost of medical care"

08:28:49 January 26, 2016

Source: southern daily

west-wing

Many media regarded "scalpers" Fried, as "expensive, difficult," the fundamental cause of, but they didn't see the value of the doctor didn't get the embodiment of the fair and objective, but the blow "scalpers" as the focus on size.

Why China can appear "scalpers" Fried visit phenomenon? First of all, to think from a physician's pricing. "Cattle" Fried, and various places have different prices, is basically according to the local economic level "offer", the lowest 120 yuan, generally 23000 yuan, the highest WuLiuQian yuan, and experts "legal" registered price between 7 to 15 yuan. Today, public hospitals have some "day price" special clinic, general in the bumps up and down. Some people think that doctors now are not low income, perhaps! But their main income comes from where? On the expenses for medicine, such as inspection fee "revenue". From a certain perspective, low qualification doctor income-generating capacity is not lower than that of the high qualification, even higher than that of high qualification. While "scalpers" visit price, crowded to the evil fry after water, is the expert gain social acceptance in the real value.

We will see famous doctor "imparting fly knife" phenomenon. Hospital administrators say, doctor "imparting fly knife" the reward is in the hospital income obtained more than half of the time account for only 1/5 of the work time. It is important to note that on the one hand is to pay the proportion of time, on the other hand is the reward and the doctor prescribed examination, drug income didn't have anything to do, also can saying is the technical value, social value better.

"Speculation" has become China's a professional, and as the "Internet +" boom, "Fried" working mode have been shifting from street to "Internet +" model, mixed APP arises at the historic moment... Understand China merchants also saw of medical care system, as long as they control the hospital cash flow flows, medicine, health materials, inspection, even they can the doctor keep up completely. Therefore, the Internet to subvert the traditional medical model is not impossible!

Many media regarded "scalpers" Fried, as "expensive, difficult," the fundamental cause of, but they didn't see the value of the doctor didn't get the embodiment of the fair and objective, but the blow "scalpers" as the focus on size. In fact, the value of the experts even know hospital cleaners, security, and we turn a blind eye, not sad? As a doctor of suckers, received ten yuan is poor, became the "scalpers" cash cow, not more sad?

Has a great potential for visible, no one know the value of the doctor, "but" profit space is very large. But our payment system, has been without the doctor's real value through service price adjustment. Through the market's invisible hand doctor configuration resources and promote the grading diagnosis and treatment, can let the doctor return value.

First of all, a pediatrician shortage is actually a miniature Chinese doctors. Pediatrician shortage phenomenon around the world, but China's pediatrician shortage has distinct Chinese characteristics. Our pediatrician in addition to his professional responsibility, social responsibility, because of mistrust between doctors and patients' families by irrational requirements under more pressure than other specialists. In addition, under the payment system of non-market non-governmental, pediatricians and other powerful departments (profitable opportunity big department), compared to their "struggle" (are exactly the same with other professional in the business). Pediatrician shortage of prism is at present our country the doctor's distress situation, the doctor can not get reasonable pricing and value. So, a pediatrician is a microcosm of our country's doctor group.

Secondly, hierarchical diagnosis and treatment is a good policy, but also is a false proposition. Abroad have hierarchical diagnosis, but foreign classification of diagnosis and treatment is a kind of market behavior rather than policy actions. Even if the public have the freedom to see a doctor, but also have to follow the arrangement of a system - the first option in the community. China introduced the triage medical though an "institutional arrangement", but is very weak, the root cause is not really reflect the value of the doctor, and doctor's value varies with the place of service, often in large hospital is better. As a result, the doctor's service platform can only be in hospital, and is a big hospital! Doctor formed from a "dam" walking "dam", "dam" resources continuous accumulation, but even if "dam" is full of water, also will not easily let it diffuse out flow to the downstream, so will continue to "enlarge dam flow storage", combined with the policy of inverse push, "dam" under the "migrant workers" are useless...

"As a result, people who sick to the big hospital" with the natural habits and ideas, big hospitals have experts, a doctor must be looking for experts. But, in fact, many common diseases, chronic diseases diagnosis and treatment and rehabilitation is don't need to go to large hospital. The director of the China's biggest and best hospital complained: 80% of patients don't need to run to Beijing to see the doctor.

At present, the government has taken various measures to strengthen the construction of medical institutions, improve the service ability of grass-roots medical institutions, such as establishing the medical couplet, even the anodyne to reform pay system, encourage social forces to run medical and so on, in order to form a hierarchical diagnosis and treatment of order. Unfortunately, always can't work. Why grading diagnosis and treatment in a foreign country is not a problem, in our country is a problem? Why don't grading medical has been pushing down? Root is that the doctor did not flow - doctors in captivity or willing to captivity. The main reason this is all the triage medical policies.

We are now find a way of market mechanism, how to implement the "government guide, market driven"? We can discuss to doctors in the United States way of past, present and future trends, health reform to provide some enlightenment for us.

Liao new wave (guangdong health development planning commission inspectors net: doctor wave son)