See the dawn of the medical reform on the doctor's body from liberating

See the dawn of the medical reform on the doctor's body from liberating
Open in the the intersection of Beijing and medical reform of curtain formally soon, mention the past three years " light disease enters the community, serious disease (change the place of examination) Go to the hospital " The concept, because lack the reform of the large hospital and form a complete set, it is difficult to give play to " dredge a patient and go to a doctor rationally " Actual effect, " make a diagnosis in the community " in large hospital and community China must use " Correct " . Perhaps we can do a popularized understanding too: " small disease enters the community " Such a bright original intention, because very difficult to be true in the community enjoy the high-quality service of the Specialist Clinic of large hospital, it is too original to " examined to cause in the community for the first time from January 1 this year, the medical fee will refuse to submit an expense account " The system, is resisted and had to " annotate again " by patient . The new reform is no longer forced " The expert supports the community " ,Also no longer force " Patient's young disease enters the community " . This is a practical decision. But is not equal to not exploring the way of the community to save the medical cost again, but should explore again that realize the equilibrium between the community and medical resource of large hospital with the market-based road, reach and does not realize through forcing " The community examines for the first time " Purpose. In fact, original" small disease enters the community " ,What is a small disease, what is serious disease, concept is fuzzy, may hide serious disease behind a small cold, it is made that the standard is difficult, the patient is worried naturally. The chief of Beijing Municipal Health Bureau says, the reform key is to establish community's hygiene and stand with the same disease diagnostic standard of large hospital of the first, second and third, " according to doctor and suitable medical resource of the patient's corresponding rank of demand ration of condition " ,The ones that construct between large hospital and community hygiene service organization " The community " One that is with noncongestion " Change the place of examination in the passway " ,Patients no longer line up, can accept that make a diagnosis in norm of seeking unity of standard with the large hospital at the community health station. Such a goal is very captivating, but how to set up the norm of seeking unity of standard makes a diagnosis, the concrete route is still fuzzy. The completion of the apparatus stands through community's hygiene? Diagnose " The procedure " Completion,or through tele-medicine connect form and hospital experts large directly? If has left people, has left " expert " of the decisive factor in the course of making a diagnosis ,Two " Integrate " It's not at all that easy? Beijing " It is difficult to see the doctor " ," the success or failure of the affair is all due to the very same person " Realistic deduction: The high-quality medical resources overly concentrated are inevitable " Tall tree catches the wind " ,The and then rich medical resources of advantage collected awkward too, the Beijing patient can only be with one national people, enter " line up to wait " Long formation. If does not liberate the resource and the medical apparatus of outstanding expert from disposition way to overly concentrate on, realize larger range, more balanced rational distribution, setting up the service station of hygiene may become the fantasy as norm of making a diagnosis that the large hospital seeks unity of standard. So, no matter central space, Beijing Municipal Government and large hospital, are obligated to bear the responsibility for balanced medical resources to the deficient area of medical resource positively. The investment of hardware is mainly undertaken by the government, and cultivation and construction of medical talent of the software, need to pass " Liberate a doctor " Come to realize. As to the latter, the information that the scheme of medical reform of Beijing reveals lets people see dawn. It is reported, will encourage experts' free time after finishing basic medical care in scheme, hold the hospital totally following law on the market concurrently voluntarily " Specially need to serve " ,Or apply for the community and sit in the hall and practise medicine, or attract the social capital to run the clinic and run the hospital, meet more patients, to seeing a doctor of the expert's needs. This policy means, the person qualified for medical practitioner, can be while giving consideration to own work of the hospital, practise medicine everywhere nationwide, thus make the doctor get rid of existingly and depend on the relation to the unit of the hospital, become the social people of freedom operation. Direct effect to equilibrate medical resource, become " the Beijing at the a large number of patient " In order that " a few doctors go to a grassroots level " ,Not only hang the pot to cross a river generation train talents for the basic unit for the common people at the basic level but also, reduce the social medical cost greatly, " it is difficult to see the doctor " The question is expected to relieve; The indirect effect is the promotion of doctor's labour value, " great prescription " The impact on doctor's income is reduced, " it is expensive to see the doctor " The question is very slow gradually.

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