People's Daily: Only lean against " clinical route " Manage the excessive medical treatment well

People's Daily: Only lean against " clinical route " Manage the excessive medical treatment well
Next year, the national tertiary hospital will popularize " electronic management of clinical route " ,Conditional second hospital should pursue too. Doctor write out a prescription and laboratory test report can't any more follow one's bent, treat standardization of the step prevent excessive medical treatment from effectively. This was held last month " The professional clinical route training class of surgery of Ministry of Public Health " Go, the news that the relevant person in charge of Ministry of Public Health reveals. For try to gain private interests, give patient turn on great prescription, turn on various check even induce patient accept copies of the intersection of unnecessary surgery,etc. and invading treatment while being excessive easily doctor These multifarious excessively medical behaviors not merely let the patient suffer enough from and diagnose the illness the expensive suffering, also make the medical insurance fund can't bear the heavy load, will threaten the patient's health and life and damage more seriously. Can want to see, any will be thought to prevent excessive medical treatment system, measure from issuing effectively to make the public expectant, " clinical route " Formulation sum popularization no exception. According to the introduction of expert, " clinical route " It is a set of standardization that treats the mode, is similar to the standard to produce. Standardizing, standardizations such as course, time, expenses,etc. of making a diagnosis after it will admitted to hospital the patient, thus reduce different doctors to the medical difference of the same number, the patient can understand the whole course that oneself is in hospital ahead of time, know what's what. If the doctor needs to go on " The clinical route " Beyond make a diagnosis,reason if you can't want, list,and last " the routes clinical " The administrator's supervision. Can standardize the doctor's medical behavior, prevent excessive medical treatment by such a method, utilize medical resources effectively. However, as a medical practitioner, I manage and prevent the result of excessive medical treatment from being so optimistic to the clinical route. First of all, it is the same as a patient with a kind of disease, because of differences such as the physique and cause of disease,etc., the condition has both generality and distinctions. As to the situation, our country ancient to cure house, put forward some instruct clinical Chinese medicine manage still so far, for example different disease, with curing, because should make etc. with disease different curing, three. The most outstanding characteristic of modern medical science is that standardization, standardization make a diagnosis, but excessively emphasize the standardization, standardization may be dissimilated as encouraging sluggards, fettering innovating, hindering the developing terrible chains of medical science. If " clinical route " Executions concrete specification getting more tedious too,increase by resistance that doctor work probably, inhibit enthusiasm, initiative, initiative spirit that a doctor makes a diagnosis, the ones that damaged are still patient's interests finally. Secondly, although new medical reform has already been pursued in some local pilot projects, the domestic most hospitals still run under the state of assuming sole responsibility for its profits or losses. Large-scale all operating cost of hospital about 10% come from government's financial allocations only generally, this sum of money is even not enough to pay the basic wage of the worker on the permanent staff. And the first line medical personnel's basic wage is fixed quite low again. If can't create income through offering medical treatment service for patient, it is being hard to carry on that most medical personnel will be only living on basic wage. It is obvious, so long as the state that the hospital assumes sole responsibility for its profits or losses has not got changing fundamentally, no matter " The clinical route " Might as well, charge number,will use degrees of medical treatment,etc. way make hospital and doctor by " create income " in patient . Recently, many large-scale public hospitals of all parts expand the movement one after another, from build luxurious new building, buy various expensive medical apparatus get, let, introduce leading soldiers so-called with much money with hundreds of thousands - a million competitively Usually can regard own most loud achievements as because of the the intersection of expansion and contest the intersection of hospital and leader, so always there is overwhelming motive force. However, this kind of blind expansion which ignores oneself economic ability of large-scale hospital and dazzling the rich behavior to often realize through sacrificing interests of the staff of ground floor. The method of forcing down the first line worker's bonus, cutting down the welfare for building the building etc. may well be customary. Under the reality, doctor unavoidable to cut out-of-balancely while being knowing, thus make excessive medical treatment, aslant decision which make commission more.

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