Sunday, April 1, 2012

Continue after stopping for 6 years " The hospital deposits "

Continue after stopping for 6 years " The hospital deposits "
After stopping for 6 years, the group of the first hospital of Shanghai - -The group of Rui Jin hospital, resumes " deposits " of second hospital . The group of this hospital took the lead in the reform that is tried 10 years ago, originally began with " deposited " ,But in practice, " deposit " The way stops because of dispute. The new medical reform scheme puts out and solicits the opinion until recently, they have enhanced confidence, and finished to the hospitals of 2 enterprises quickly " Deposit " Negotiation. Group's president of Rui Jin hospital, Rui Jin director Li Hong reviewed for the professor in 10 the reform is explored, sigh with deep feeling very much: "The health care reform of China, always objects to the excessively market-based one, just some deviations have happened midway. " He clearly remembers, that year when Rui Jin hospital took the lead in establishing the medical group, the leader exhorts him repeatedly: "First, the public hospital must not walk market-based distance, because this is the place where common people see the doctor; Second, the operation of the public hospital should use the market-based mechanism, raise the efficiency, improve the service, promote the patient's satisfaction. " " deposit " ,Vitalize the resource reform of the hygiene and wade across the stream by feeling the way, the medical reform is also like this. "Comment the medical reform, must not break away from the great background of reform and opening-up. " The first step which the group of Rui Jin hospital took, it is exactly a reform which is because of the state-owned enterprise - -It is not the core business, including its affiliated municipal hospital that municipal Engineering Bureau of Shanghai at that time must strip. Second hospital lost 2 million yuan in 1998, efficiency was low, overstaffing. The originally unused scene of municipal hospital, make group's general secretary of Rui Jin hospital Zhao LieBin surprised endlessly: The staff members who drove lift sat making sweaters, the doctors enclose together and discuss " the Classic of Mountains and Rivers " The beginning in reform and opening-up, hospital call people " the the intersection of face and ugly, the intersection of door and difficult enter, the intersection of and unpleasant yamen " . The national relevant department determines to break " Mess " ,It is bad, with messy order and serving difference, the difficult, difficult to change the medical environment in hospital, difficult contradiction of operation that common people see the doctor, therefore in the public hospital, have implemented the rectification taking economic management as focal point and reformed. "After finishing one's own reform, the further reform at the end of the eighties of the 20th century, need the large public hospital like ours to move towards the society, vitalize the resource stock of the regional hygiene. " Li Hong, in order to say. Not only one municipal hospital of ones that need vitalizing, central hospital of Luwan district adjacent to Rui Jin hospital, with the apart very far Minhang district central hospital, need badly large hospital's stretching out the assistance too. "The difficulty of the Lu 's is, the population in Luwan district leads out, persons who seek medical advice reduce greatly; But the issue of the Min 's lies in population channels into, increasingly many regional residents complain there is not a good hospital nearby. " "Social responsibility, we deposit or annex the motive force of the hospital. " Comply with and reform " The trend " ,The hospital to Second Grade of first attempt of Rui Jin hospital " Deposit " --In 1998, the group of the first hospital of Shanghai was established, after 2 years, the group had 3 second hospital under command. Medical reform, most afraid that it is difficult to read and reform the original intention reform by mistake, the most difficult one is to avoid reading the original intention of the reform by mistake. Li Hong, in order to think, the large hospital " deposits " Second hospital, not because in order to seize medical resources, but in order to help them to develop. In the Lu 's, Rui Jin hospital has input one's own most surging discipline - -The hematology and department of nerve internal medicine. Professor Wang ZhenYi, academician of Chinese Academy of Engineering, comparable to the beautiful professor oldly, and the incumbent health minister Professor Chen Zhu all often go to the Lu 's to make the rounds of the wards, guide and treat. "Say, let now, do, want, solve, in hospital difficult so that year. " Zhao LieBin introduces, the hematology wards of the general headquarters of Rui Jin hospital and ward of the Lu 's at that time, it is very clear to divide the work in function: Recover in the Lu 's in the general headquarters in critical, difficult patient's treatment. Rui Jin hospital digested head of the department of internal medicine Professor Wu YunLin to inject one's own brand effect into the Min 's. Through the efforts for many years, it has nowadays already been characteristic discipline of the Min 's to digest the department, and promoted the research of subject of the early gastric carcinoma. In 2000, the health care circle understood to the difference of market-based operation and the dispute - -Various hospitals are managing the academic meeting and talking about the property right question of the hospital group. Quite a few public hospital administrators think, have property right problem of solving the hospital only, may finish the reforming at all of the medical group. That period of time, one city of other places finished property relations to 134 public hospitals to reform, " sell to the hospital " The shareholding system known as hospital is reformed. Such new mode was once praised highly by some people at that time. In Rui Jin hospital, two kinds of different sounds appear too: The reform group of the property right, with managing the group. Li Hong is in order to admit: "At that time, I think of, try property right reform of hospital too, but because dispute the great talent did not have substantive start too. But the step of the group ' deposits ', has stopped. " The public key hospital, must try the person who is ambitious or tenacious of purpose of community responsibility best to find, by 2004, but stop about dispute sound Ga of the property right of the hospital. More persons begin to query the excessive marketization of medical treatment. Li Hong is in order to tell reporters: "In fact, the large hospital, small hospital, all belong to the public hospital. Since it is so, we should clear, country give what is public duty of hospital on earth. " He thought, no matter in 1979, 1997, or the medical reform scheme in 2008, a guideline not changed was to improve the medical service quality, it is difficult to see the doctor to solve the masses. The problem is, because the supporting policy is uncomplete in the past 10 years, the hospital has neglected community responsibility consciously or unconsciously, with reforming the most basic original intention. Nowadays, are known as " hospital aircraft carrier " Rui Jin hospital group depart again, be included Shanghai in group of ocean hospital, hospital, sailor of Shanghai, successively. It seems to be to go back from origin to the origin. In the new medical reform scheme draft, the key position in medical service system of large public hospital is emphasized again: "The large conditional hospital plans the requirement according to the regional hygiene, can promote medical resources to flow rationally through depositing, recombinating etc.. " Therefore, Rui Jin is to " deposits " The hospital no longer hesitates, and find the new breach - -The community, is " depositing " Continue new pilot project at the foundation of centre Lu, connect, link the intersection of 123 and hospital in the area. Rui Jin hospital laid the optical cable between general headquarters and two community health Centers recently, have built the digitized information platform between the hospitals of force 123. Ideal future is, in the community health Center, can see CT scene, nuclear magnetic resonance image that the patient pats in Rui Jin hospital, can transfer and read all visit records of patient. At present, Luwan district has already begun to try to set up the tertiary special disease taking hypertension, diabetes, heart brain vascular disease and mammary gland,etc. as pilot project and prevent and cure the network in the area.

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