Healthday: China why doctors worth

healthday

    Recently, the guangdong provincial health bureau deputy commissioner of new wave talk about community liao the doctor: "in guangzhou, the general practitioner if done in 67, the annual salary still 100000 yuan, it cannot keep people in general hospital. In 78, have experienced doctors are more than the number now. (community doctors) at least want to maintain annual salary of 100000 yuan to be able to let the person at ease to stay, everyone has to earn well." Caused by the king of hot debate. (August 11 "yangcheng evening news")

     The surface is the general practitioner dispute, what is it all worth $100000 a year? But in fact, the real problem is that doctors should be more exactly how much value? This problem of social background is: now the income of the Chinese doctors to labor value serious don't match. A folk scholars research found that the Chinese doctors income of the world's worst. The developed countries of the income is Chinese counterparts about 40 times. Even with India, Brazil, Pakistan and other not developed countries in is still lags behind. Finally see our closest, Hong Kong's doctor income is the mainland, Taiwan is 22 times of the continent of 14 times. The survey revealed the problem is real.

     Many people have suggested that the doctor's salary should be 2 times the annual income of civil servants to four times, as the society of average wage 4 times to six times, like this can reflect the value of man and the doctor's value. But there is no doubt that the level and we from a distance. The Chinese medical doctor association YanDaKui has said, investigation shows, in China, the doctor's average wage is 1.19 times of the average wage of society. The government also apparently have realized that a problem exists. The beginning of the year, issued by the official a about the 2011 public hospital reform pilot work arrangement of clearly put forward, to improve the clinicians salary level, fully mobilize medical personnel enthusiasm, the main way is to implement post performance pay system, will the wage earnings of the medical personnel and medical service the quantity, quality, technical difficulties, cost control, such as the degree of satisfaction, do work, excellent link for optimal performance.

     The doctor is supposed to be a valuable, but now, what exactly is what factors make China the doctor worthless? In other words, in here, why the market rules suddenly failure? It could be the reason is that the monopoly in ours. Excessive behind On the one hand, public hospital monolith, civilian battalion hospital and clinic is difficult, difficult to form development in the true sense of competition situation. Public hospitals in China now accounts for 70% of all hospital number, the number of beds is high accounts for the hospital beds nearly 90% of the total. On the other hand, as the most important medical resources-a doctor is firmly locked in public hospitals and dwelling in the system, the basic flow in do not get up. This is a concealed administrative monopoly created a "big hospital disease". Although medical institutions, but many good technical doctor basic were in public large hospital, monopoly public medical doctor range of choices is narrow single. In order to maintain the status quo, a lot of monopoly local government to the doctor do strict restrictions and medical combat. In many cities, even meet the conditions of the open clinic, doctors want to examination and approval a business practice license, is a very difficult thing. Because health department will with a variety of reason refused to apply for, such as private clinics in fact and all too much to be but to maintain a monopoly situation. In the environment of the monopoly over, the doctor value? Not the market, but by the government decided to. In order to reduce medical costs, the government do and low wages do medical strategy, artificially low labor value of medical service, this is the source of low income doctors in.

     Public hospital do how? By local government as a face. Public hospitals are often default for health department is his own subsidiary body, they of course will encourage and provide all is helpful for the development of public hospital factors and the environment.

    In developed countries, the doctors are obtained high income, the key is to break the monopoly market factors, administrative are actively release. Private hospitals and clinics let go do live, doctors become self-employed, liquidity is very big, can more practice. Is the market let the doctor won the high income, and not because of the government.

    Now that low wages is the government to bring, low wage policy is also the government made. So, on the need to department. Only by pipe separation, the government do change as just the referee, not as athletes participate in the competition. Only in the break administrative monopoly, activate the market factors, completely let go of medical market, reduce the doctor practicing medicine and reduce the doctor do medical threshold limit, etc, is expected to turn to multiple force situation.

    Wu handsome (doctors)