To crack down on medical, need a cure

January 28, 2016

Century business herald

This newspaper commentator ZhuNaiJuan

Recently, the CCTV \"news 1 + 1\" reported that the Beijing some hospitals rampant ticket scalpers. Some scarce visit ticket scalpers from hundred price to 4500 yuan, a general number 7 yuan was increase to 200 yuan. Scalper even disguise the doctor handwriting to patients to a plus sign.

Scalping a occur (whether hospital visit or travel ticket), what people thinks of above all is the existence of the internal agent, refers to the internal staff or security agencies with the cattle because interest form. The hospital at the first time the initiative position, there is no security in hospital. For hospital, it is also very upset, because whether it is stepping up his efforts, or internal logistics personnel, education effects seem unlikely. Frankly, as long as the visit is scarce, cattle scalper is impossible to become extinct, because the profits is really attractive. Therefore, the only cure can make ticket scalpers rampant phenomenon change.

Scalper is one of the most big cities and provincial capital cities, such as the CCTV coverage is Beijing. These cities gathered a large number of high-quality medical resources, for the diagnosis and treatment of some diseases now only hope that these well-known hospitals. Local general hospitals and community hospitals did not play a proper role. And, of course, a lot of people would say, a serious illness may not expect community hospital and local hospital cure, indeed, the function orientation of community hospitals, local small hospital should be some common diseases. But the present question is that China's medical system, the three levels of diagnosis and treatment mechanism is not yet perfect, and these different referral mechanism between the position and function of the hospital is not clear. Also for this reason, under the state council general office on the printing of the national medical and health service system planning (2015-2020) notice of the opening is pointed out that to \"promote the medical and health resources to optimize configuration, improve the service availability, capacity and resources use efficiency\", should insist on classified management, put forward different areas as a whole, type, quantity and arrangement of the level of medical and health resources.

The programme has been clear about the function of different scale of hospital and positioning, pu hospital undertakes the common disease, frequently-occurring disease diagnosis and treatment, of residents in the area of the county level to rescue critical patients and the referral of knotty, training and coaching grassroots health institutions; Municipal hospitals in this area of the principal to the municipal area residents to provide a high level of comprehensive or specialized medical services, to accept the lower hospitals; Several provinces do mainly to the provincial hospital area cities provide the critical and difficult diseases diagnosis and treatment and specialist medical services, to accept the lower hospitals; Do hospital main and branch to offer across provinces area difficult critically ill disease diagnosis and treatment and specialist medical services, to accept the lower hospital referral, and bear the personnel training, medical research and the corresponding emergency public health and emergency medical rescue missions and technical support, etc.

If referral mechanism can not effectively established, the patient once encountered a serious illness, the incurable diseases, had to rely on their own for diagnostic power threatened or seek medical advice to the provincial capital, which not only increased their economic burden, also increased the burden of mental and spiritual. Furthermore, some blind referral also increased load big hospital in the larger cities. No matter from which Angle is not reasonable. Therefore, reform in 2016, at all levels should accelerate hospital referral mechanism to establish and perfect, to community hospital basic-level hospitals reform and investment, etc. That, of course, have to depend on the overall health care reform, because medicine for cure ills such as not, no matter which level of the hospital alone.

In addition, also need to constantly promote the reform of the doctor's more practice. Overall direction should be constantly open up, have the ability to doctor certified practising more. This can be convenient to the masses, but also can reduce the burden of large public hospital.

After all, this is a reasonable distribution of medical resources. At present the extensive development of public hospital and the present situation of the scale needs to change. They absorbed the quality of health care resources, and communities, at the grass-roots level and the resources of the local hospital (highly qualified medical personnel, beds, etc.) are not. And, the situation there is a \"Matthew effect\", the characteristics of a country should through reform continuously, promote medical resources into equivalence hospital development in strict accordance with the different function, and improve the referral mechanism between the hospitals at all levels as soon as possible.