Friday, October 19, 2012

People's editorial: Can the hospital reform at county level make well-known doctor at the basic level more and more

People's editorial: Can the hospital reform at county level make well-known doctor at the basic level more and more
The reporter corrected the pilot working conference of the public hospital reform of 2011 years held in Beijing a few days ago to learn from medicine of Ministry of Public Health and the State Council: At county level hospital reform pilot project since this year, Ministry of Public Health choose 300 at county level hospital launch comprehensive the intersection of reform and pilot work together with related departments from the whole country. Pursue the tertiary hospital in the city in the whole country and take turns accrediting doctor's system to the hospital at county level, each county is no less than a hospital, each hospital is no less than 5 doctors. The difficulty and high cost of getting medical treatment is a word that people often chat about. Should say, so long as set up the medical insurance system of covering the whole people gradually, realize the sharing rationally of medical expenses, ordinary people see the doctor and relieve expensively greatly. And so-called difficult to see the doctor, should in fact divide two respects to treat, one is very difficult, namely medical resources are insufficient seriously, cause ordinary people to have no place to see the doctor; What another kind is made artificially is difficult, the patient is sick, even the small disease that can totally have an optimistic view of the hospital at the basic level, also get to the big city, to the large hospital to look, the large hospital of the result is overstaffed, the patient does not get number for several days in succession, difficult to see the doctor naturally. The reason why many patients are fond of to the large hospital to see the doctoring, often out of the trust and yearning for to high-quality medical resources, they think large well-known doctor of hospital many, fine craftsmanship, can these should do the trick. This shows, some patients store the hospital at the basic level biasedly, the ones that do not need to avoid are either, some basic unit really lacks the well-known doctor, even lack the hospital, when medical resources are deficient seriously, the patient swarms forward the big city, large hospital naturally. Nowadays, the comprehensive reform of hospital at county level will launch a pilot project soon, this is undoubtedly a good news inspired and making the person gratified. As refered as Chen Zhu, minister of Ministry of Public Health, the hospital at county level the network bottom of the public hospital system of our country, land health care of the county serves the tap of the network, connects the pivot of service system of health care in urban and rural areas, serve over 9 hundred million of population. Optimistic expectancy, once the pilot project succeeds and popularizes progressively, the service ability of the hospital at county level is improved greatly, the leading function of land of tie function of linkage in urban and rural areas and county of the hospital at county level, has been given full play to, then, ordinary people are difficult to see the doctor to relieve greatly. Propose one grade of service ability of hospital in Gao County, generally speaking comply with two respects, first, increase input, dispose all kinds of advanced apparatuses, second, allocate talents, absorb the high-level doctor. One that is with medical reform is deepened constantly, it should not be too great problem that the government invests. The more important thing is how to attract to the high-level doctor, and make these doctors willing to stay. A few days ago, shut at the working conference while being agricultural while being new in national at the basic level hygiene, Chen Zhu, minister of Ministry of Public Health, said: "The sense that I feel apologetic very much, the work load of hygiene at the basic level is increased severely these two years, but the situation that the income drop exists yet in some places, I think too unfair to the comrade of the basic unit a bit. " Doctor at the basic level who said herein, should already include hygiene standing, the doctors of the health clinics in towns and townships, village clinic of the community, also include some doctors of hospitals at county level. The doctor at the basic level if the salary is low, their natural energy is insufficient. Reporter's investigation finds, just because the salary is low, compensation mechanism is uncomplete, the loss of doctor standing in community's hygiene is serious, but the predicament without doctor is built up community's hygiene to stand in even some localities. Certainly, not only the doctor at the basic level needs to solve the income problem, they also need job training and promotion of personal space,etc.. The unfair distribution of medical resource, cause people to go to the large hospital to see the doctor wholeheartedly. Balanced and high-quality medical resources, guarantee a patient has an optimistic view of the disease in the hospital at the basic level too, this should become a great goal of the comprehensive reform of hospital at county level.

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