Health newspaper: The method of salary distribution does not make the doctor depressed even more low-income in common more ratio
Wu Shuai ( Doctor) China cures the investigation that the SCTE released yesterday to reveal, investigating a doctor was thought one's own devotion was not in conformity with income of 95.66%, this has been improved by nearly four percentage points compared with investigation of last time that will be carried on in 2009. (" The Beijing News " of August 9) As a doctor of two first public hospitals, whenever others ask me an income. I tell them accurately, all add up it on more than 2000 yuan every month. Certainly, a lot of people do not believe. Likewise, though the doctors complain the income is too low, it is actually few to like to choose person that believes all the year round. Because a lot of doctors' true income may not be reflected on the salary of book, but on gray incomes such as other respects such as achievement deducting a percentage, medicines and checking commission, covert payment,etc.. Last year, a surgeon who took up a job as a doctor more than 20 years in Guangzhou once exploded the material to the media: A lot of hospitals deal in performance examination now, it was not but the patient but how to finish the achievement that the doctor wrote a prescription to think at first. Frequently, because the income is always in " underground " ,You should judge the true income state of many doctors, it is really a very difficult thing. And according to the author's personal experience, the method of salary distribution unjust than low-income and depressing perhaps. Tell us in medical education and training that the medical president accept every year, the medicine is a double-edged sword, use of it should strict a prudent one, can needn't try hard, use, can oral the intersection of skin and note try not intravenous injection. Write a prescription for patients, should use those good and cheap medicines as much as possible. But cruel reality that as to a lot of doctors, want, realize this step to be really too difficult now. We are in the face of that kind of most terrible compensation. A lot of hospitals depend on selling medicines, sell medicine and inspection as many as possible, could maintain and run well. The result that this kind of pressure transfers to doctors is, except they want to consider how to heal the wounded, rescue the dying, must consider how to create income and make money for the hospital. Putting economic benefits of the hospital first in order to make the doctors die-hard, the best method of administrator is, it is in charge of coming to regard doctors as a business personnel, only issue them very low basic wage, and hang doctor's income and portfolio directly the hook to examine. Must try every possible means one's own if the doctor wants to obtain the high income. On the contrary, if draw the high wage for the doctors directly, does not care about portfolio, probably right away a lot of doctor no " Enthusiastic " Manage this thing writing a prescription, the economy of the hospital may come down big. It is that a thing that disasters pile up on one another is even more, in today's China, the doctors' labour value is ignored for a long time. Doctor think a net income which patients win ' Make a diagnosis and take) Really pitifully low, 4 yuan for ordinary doctor, 7 yuan for vice archiater. Hang the intersection of expert and symbol it takes No. to be only about 100 yuan specially, far lower than the actual cost. If doctors do not compensate back from drug test, the hospital can not not only make the money, may instead know, lose, meet and examine the more patients, it is the more greatly to suffer the loss. The economy of the Chinese Academy of Social Sciences cures and changes the expert Zhu HengPeng to propose, " chief instigator " that the medical commerce bribes It is a current medical system, train a doctor's high investment and lower lawful earned income of the doctor to produce a doctor and " get commissions " Main reason of the phenomenon. If the government is serious checks severely, may involve the doctor in 60% of China. Otherwise willing on cheap salary as blue-collar worker of taking, choose to die and overdraw quietly. Drift with the tide, rely on excessive medical treatment come on, obtain dangerous and high income of shame. This is a incomparably depressed thing, make a lot of professionals choose to change one's profession too, a lot of outstanding young people are unwilling to join in medical science. How to turn back this kind " Discontented " ? Will move the knife on the method of salary distribution soon at first, will make sure to acknowledge doctor's labour value, design the expenses standard according to condition complexity. In the developed country, complicated condition and simple case collect the charges according to different standards. As the doctor can obtain the high income, no longer need depending on " trade under the desk " by one's own knowledge and working (sell medicines) Come to carry on economically to remedy, this kind of current situation can get the fundamental change, the doctor will really become a kind of respectable and job yearned for.
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