Employing mechanism debts or

difficult liberation receive complete work

healthday

Wu handsome (doctors)

By the end of 2010, rural hospitals and community health service agencies long-term liabilities respectively for 5.5 billion yuan and 350 million yuan. Recently, the development and reform commission, the ministry of finance, ministry of health and other three department issued an dissolve the clear of medical and health institutions of the opinions on debt, cure of the state council office and the provinces (autonomous regions and municipalities) signed a letter of responsibility, the cure of leading group provinces commitment in 2 years of time, to complete all the tasks of medical and health institutions debt dissolve. (July 13, the healthday ")

The government for public medical institution, this debt clean dissolve itself is a good thing, helped to lighten the medical institutions economic pressure, and avoid profit-seeking impulse. One thing very understand, once the medical institutions that on the heavy economic debt, they will not hesitate to place the debt on to go to a doctor, to raise the kind of medicine medical excessive medical treatment will be popular, let the public suffering bitterly. And, the more in the lack of medical care, medical institutions where the more we can form the local monopoly, and relies on monopoly to maintain the beneficial to its own development. In basic medical and health institutions, such as rules in effect.

But, debt is cleared, realize basic drugs zero rate differential sales, the so-called medical public welfare can really solve? It is still a question. As news said, these debt is mainly due to inadequate investment, scale DuoZhong reasons such as the construction of grass-roots, medical and health institutions in construction or debt purchase medical equipment, of the historical liabilities. On the one hand, if local governments have no in time's up, and become the long-effect mechanism, fill up with less than the central cure changes how tough policies, and there is the swing may be a medical institution to new debt in the future for a source. If, on the other hand, cost audit is not clear, also lack of corresponding restriction supervision mechanism, and a lot of medical institutions are likely to continue to walk the route through scale development, produce more losses and debts, to DaoBi government for more investment in health and operating procedures. This is an almost bottomless pit, and not the government out of the financial can fill and level up.

More critically, the public is important, but the medical service efficiency and quality also can not be despised. Why then many basic medical and health institutions can't keep a patient? The real reason is lack of enough high qualification personnel, medical service ability is insufficient. The result of inadequate to the doctor is not satisfied, not trust. A little bit a complex condition, the basic-level medical and health institutions doctor was dealing with no, only to high level hospital push. Born a serious illness of patients in the big hospital into recovery period, and it is hard to referral back after the hospital, also because of the lack of qualified doctor checks. The patient had to go to the hospital run. Now, even through the government financial subsidies to reduce expenses for medicine out, but the doctor still have not been fundamentally solved. If I can pass the low price strategy to attract back to the patient? Still needs further observation. Basic medical and health institutions get much out of the policy, would this cause, lead to low efficiency inert service? Also is a problem.

In my opinion, revitalize the basic medical and health institutions under this move is how more key elements, is a doctor. The ability of the government to attract more people to high qualified medical treatment to a primary medical institutions, improve the medical service ability and the quality of the doctor? This is the top priority. And reduce expenses for medicine and improve medicare reimbursement ratio is just a minor added. Then, it is insufficient or rare. Despite the general practitioner, establish the system development basic-level medical is government has designated a great people's livelihood. But in the current medical and health institutions, the basic unit is still facing the medical talent shortage situation, because low salary, erosion, and many times the all-around doctor even basic misreading for low-end career.

Why not to attract high qualifications and records of service talented person? This still and the current mechanism is not relevant. Liberation In place of the order, the rights and interests of the doctors still are ignored, low fee, even from the fee are happening role model, the doctor's labor value not admit, natural reflected in treatment, low pay didn't attract to senior medical personnel stationed in. Second, the employing mechanism still is a long-standing problem. Guangdong provincial health bureau deputy commissioner of new wave blog has liao revealed that a typical example. A work DuoNian, and obtain the intermediate title doctor in the west to find a position in the hospital. By rights, is poor areas of guangdong province, lack of talent, is there such people in hospital to work should be easy is. But the doctor said, hospital to receive 20000 yuan. Why so cruel? The officials think, this matter to shock. For many, the countryside basic health hospital, especially the poor region leader is always complain, rural communities to no one, can't stop people, send out "spring breeze not degrees YuMenGuan" laments!!!!! He proposed cure: when can solve, the personnel cultivation and staying? When will they have one like to grassroots employment people have a relaxed and harmonious environment?