Thursday, October 4, 2012

Health newspaper: " the complete doctor becomes the low end position " May not read by mistake

Health newspaper: " the complete doctor becomes the low end position " May not read by mistake
Wu Shuai ( Doctor) Publish articles report according to " the the intersection of Chinese and Newsweek ", it sets up complete doctors to be one the intersection of people's livelihood and trouble that country confirm already in system. Can be at present, the complete doctor has already become a rare resource, the treatment is low, runs off seriously, the complete doctor is read for the low end job by mistake by the public frequently. If on a thing, are read by mistake by a person, that is normal. Read by mistake by some people, that is accidental. If read by mistake by most people for a long time, that is probably a kind of fact. In a society, income level is often one of the standards of judging a kind of job social status level. It gets to be low the intersection of end and professional the intersection of salary and treatment as complete doctor, is at all unable to prevent people from identified as low end job it too. Say, it may not read by mistake from this meaning. In March of this year, Beijing Municipal Health Bureau says, will improve the treatment of doctor of hospital of community within this year, the annual income will rise from 42,000 yuan at present to 58,000 yuan, so as to relieve incomes and pass the low current situation. How does community's complete doctor have too low income to cause? Can cite very realistic example. Instantly, residents seek medical advice, the hygiene service organization of the community often only collects the fee of very cheap making a diagnosis, many local even registration fee are avoided directly. If in the large hospital, it can also be " moist " to raise medicine with medicine Doctors, let them avoid the low-income one embarrassedly. Then in the medical organization of the community, because it was the low income distribution that the government makes it rigidly uniform that implemented, the complete doctor can only get the low salary naturally, become a kind of low end position. The key to this question appears to lie in, doctors' labour value is ignored artificially for a long time. On one hand, the fee level determines the salary level of the doctors directly to make a diagnosis. This first class doctor, the registration fee is usually 4~7 yuan, doctors see a patient, can only obtain very few incomes of several mao by oneself. On the other hand, a lot of people may think, the doctor gets the low salary, be meaning seeing the doctor the cost is cut down, contribute to reducing and seek medical advice the expenses. Over these years, even a lot of doctors stand out and appeal for to want the honourable lawful earned income, but there are very few persons who have been answering all the time. What is the greatest injury that it leads to the fact? First of all, will be meaning it is impossible for those really outstanding medical talents to join this professional colony, can not bring the real competition to eliminate either. The low salary lets outstanding talents shy away to this job, can't form the real competition atmosphere, can only let this job be kept at very mediocre level finally. Doctors of a lot of communities, will be considered to be a part and live on the salary paid by the state Work,to do and be more is same without being lacked, getting easier very to be satisfied with the existing state of affairs in doctors, because there is be risk that is be eliminated. Have seen the doctors of some communities, even not opened medical books after graduating, but still sit very smoothly at the location on the job. Recently, are referring to " why open the markets to the Hong Kong doctor in Guangdong, still few of doctors come to the hinterland openly so far " At the time of the question, Vice Chief of Guangdong department of public health Liao XinBo proposes, besides some objective factors, the main one is still the value of mainland doctor and Hong Kong doctor is not only different, and it is too much to differ by. The proportion that the continent doctor's income really charges and takes partly through the technology is very small, it is mainly through raising medicine, excessive medical treatment and excessively checking to reflect " value " with medicine . Such a system, as to the doctor outside China Mainland it is certainly inglorious, how does this attract the Hong Kong doctor to come to hinterland? 300 one clinic, one make the rounds of the wards, can the masses in the hinterland afford? I say doctor of us must reach the intersection of Hong Kong and doctor and external the intersection of value and competence of doctor ' Very difficult) ,But there must be such an idea all right! In view of this, as to the public, " the complete doctor becomes the low end position " It is not a good news. Mean attracting the best medical talent and joining in this job at all, also it is difficult to mean the service level of seeking medical advice and get real improvement. This is not that a government assaults and trains the realistic problem that the complete doctor living on the regular pay by the government in large batches can solve within short time. You know, on the medical care of community, not the question of the quantity, is a question of the quality. The government reveals all the details big, offer the salary not possessing the competitiveness, changing this kind of current situation essentially? The answer may be denied. On the contrary, I think, let the intersection of doctor and labour value reflect, make a diagnosis expense through raise doctor only, the government bears and the method of the expenses of submitting an expense account and making a diagnosis, it could be enough to make the doctor possible to obtain the high income. Under effect of this kind of encouragement, could attract more medical talents and join in this job too, form keen competition, bring more high-quality medical care, achieve the goal of attracting the public to examine the basic unit for the first time finally.

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