System supply "right" to curb a "reckless"

The 2016-07-27

Source: health

- kang yu -

Not long ago, the first people's hospital of Shanghai a patients before surgery, left a note, write "operation, abnormal case family may not be with any irrational behavior" in the hospital and the doctor, the doctor, touched by the parties also moved more to the medical staff. It is in the malignant wound medical incidents in context, this little note so appealing. But when the trust between doctor and patient become a kind of scarce resources, after moving is more of a worry.

For medical disputes, malignant medical problems such as injury, already can't simply summed up in a moral issue or mismanagement, and find the reason from system level. European and American countries, for example, patients with slight illness to clinic, go to a hospital, normal. And domestic public knowing that big hospitals are overwhelmed, but still flock to big hospital. This is because people's "reckless"? Obviously, the system mechanism is out of the question, is the system supply wrong direction. To some extent, health reform is to adjust the direction of system supply.

As the supply side reform involves many departments, system supply also involves many aspects, its complexity is self-evident. In many system constraints, is probably the biggest factor that hinder the doctor flow. Bound to the doctor's income, welfare, all sorts of conditions such as scientific research, promotion, not only objectively "kidnap" the public hospital doctors, too many "Chinese characteristics" health behavior of institutional reasons. To change the status quo, so doctors by practising more free flow, you need to, from the perspective of the establishment, reform of evaluation system, the personnel salary system, etc., it is difficult. If lack of system coordination, a lot of investment and pay is likely to be treading water.

As people health demand increasingly diverse, stumbles backward system function gradually revealed. One thousand - bed is equipped with several research medical and health service system resource allocation level, the most important indicators of one thousand people in the United States is equipped with several 3.1 beds, while China has been as high as 4.8. Beautiful figure behind the simple and crude expansion has exposed a lot of big hospital, the interests of the "one-size-fits-all" orientation. While developed countries on the number of one thousand beds with low, to some extent is also an effective promotion to the daytime to save medical resources. This can reduce the medical cost and reduce the length of hospital stay, new things, why a cold reception in our country is? Isn't the hospital management system and reimbursement system, etc.

At present, our country needs by relaxing the system supply constraints, let the talents, capital, technology, management and so on can be ordered into the health service, solve the supply of high quality medical resources and imbalance problem. On the other hand, establish and improve the market rules and regulation system, selection of positive selection mechanism, promote new supply and supply high quality formation, eliminate inferior medical supplies, to solve the problem of the supply structure. Reform of the system also needs to be synchronized. The grading system, for example, needs to be synchronized to improve the way of hospital collaboration, referral mechanism, perfect the insurance reimbursement, establish two-way talent flow and a series of institutional arrangements. If the parties involved are holding "a step ahead of the others, I'll go," small state of mind, it also talk about collaborative?

System supply source, can't only depend on the government, the introduction of social capital cooperation medical, can effectively make up the lack of government supply. But, regardless of the public medical institutions or social capital, for in the medical cause of the altruistic spirit to carry forward are not obvious. Medical treatment was born in humanitarian pursuits, once give up altruism spirit pursuit, become a money-making machine, has violated the original intention of medicine, the medical service is not the effective supply of social needs. Guide the social capital into public welfare medical enterprise, and to sustainable development, also need to encourage, support and supervision has perfect system innovation.

Make effective system of patients, doctors, hospitals and medical and health service system of protective clothing, to make medical and health services to return to nature, eventually resulting in the full guarantee health rights and interests of the people.