Big hospitals into "pumps" the patient at the grass-roots level "smoke away.

Jian-feng bai

08:16 July 29, 2016

Source: People's Daily - the People's Daily

The original title: big hospitals into "water pump" (don't spit unpleasant)

Large hospital like running a huge "pump", all the patients at the grass-roots level "smoke" is gone, whether appendicitis or intestinal polyps, as long as there is a bed and hospital at all. It's like a river, with the dam upstream stopped, the water downstream of the river will dry up

Recently, a rural relatives on colon polyps, need to do a small operation. Find out, can't do in towns and townships, and county hospital doctor is too young. So he just went straight to the provincial capital of 3 armour hospital. Spend all his money, but left a heart steadfast.

In recent years, many large hospitals in pursuit of economic efficiency, one-size-fits-all, meager profit but high turnover. Regardless of appendicitis or intestinal polyps, as long as there is a bed and hospital at all. With the powerful technology and talent advantage, the number of big hospital outpatient and hospitalization has soared. National health development planning commission, according to the statistical bulletin 2015 grassroots health institutions MenZhenLiang decreases, the hospital MenZhenLiang increases, the hospital MenZhenLiang growth is faster than grassroots MenZhenLiang, patients still focus to the high level hospital, people do not have obviously improved private hospitals. Some say big hospitals, like running a huge "pump", all the patients at the grass-roots level "smoke away." County hospital patients the provincial hospital, county hospital to rob the patient of towns and townships, towns and townships is an embarrassment. It's like a river, with the dam upstream stopped, the water downstream river dry naturally.

Big hospitals become "pump", in towns and townships is hardest hit. Patients with less and less, in towns and townships of diagnosis and treatment ability degenerated. Many doctors worried about technology of waste, to "high". Then, in towns and townships became a talent "springboard", can fly fly, can run run. College students for compiling, the preparation of go at once. Because of the good doctor less and less, the residents of towns and townships are losing my trust, a vicious cycle.

The decline of towns and townships, in addition to the affected by the big hospital "siphon effect", also related to the rigid management system. At present, the government's assessment of lay particular stress on public health of towns and townships, neglect of basic medical, leading to the doctor is busy all day long to the document, the public health as a "business", the primary medical treatment as the "side". At the same time, in towns and townships all receive salaries, government income and expenses two line management, all the income is paid, the doctor gross salary caps, doing much less. As a result, the doctor's enthusiasm, in addition to a cold have a fever, the patients condition is slightly a little bit heavy immediately transferred to the county hospital.

In towns and townships of basic medical contraction function, is rooted in the lack of effective incentive mechanism. Only arouse the enthusiasm of people, the liberation of productive forces. In towns and townships to keep patient, we must strengthen basic medical function, encourage doctors to work more. Abolition of balance of payments, for example, two lines, let the towns and townships have more autonomy and initiative; No longer limited to use of basic drugs, according to the needs of patients with drugs; Ease restrictions on operation level, allowing the towns and townships to adjust measures to local conditions to carry out more surgery, etc. If the same disease, grassroots doctors and hospitals the doctor's diagnosis and treatment of roughly similar, the patient naturally prefer to see a doctor at home, without all the way to a big hospital.

"Asks the wood, the elder will solid the fundamental, to flow away, will be deepened its fountain." Keep ninety percent of patients in the county, is one of the important goals of health reform in our country. Big hospital to see common diseases, would be tantamount to "kill on the wheel", waste the precious resources, also contributed to the medical treatment cost. The county health to do strongly does, weave of the rural three-level familiarizing "population", especially the "potential cells" activation in towns and townships, to let more rural patients from "race" to "to mean".

The People's Daily (July 29, 2016 (19)