Health newspaper: Why is the Chinese doctor cheap

Health newspaper: Why is the Chinese doctor cheap
Wu Shuai ( Doctor) Recently, Vice Chief of Guangdong Province department of public health Liao XinBo discusses community's doctor: "In Guangzhou, if complete doctor has done for 67 years, 100,000 yuan has not still passed in the annual pay, can't keep people. In general hospital, have doctor of the experience for less than 78 years not only these number. (community's doctor's annual pay) Want, keep 100,000 could let people settle down, stay while being about at least, everybody want, support the family. " This says that causes discussing warmly. (" Yangcheng Evening News " of August 11) Does the superficial dispute lie in, is the complete doctor worth the annual pay of 100,000 yuan? But in fact, does the real problem lie in even more, how much should doctors be worth on earth? The social background of this question is: The Chinese doctor's income and serious mismatch of the labour value now. Folk scholars have surveyed and studied finding, it is the worst in the world on Chinese doctor's income. The income of the doctor of developed country is about 40 times of the Chinese counterpart's. Even compare with undeveloped countries such as India, Brazil, Pakistan,etc., we are still far backward. See the one closest to us finally, the income of doctor of Hong Kong is 22 times that of hinterland, Taiwan is 14 times that of mainland. The problem that this investigation reveals exists truly. Many people propose, the doctor's annual pay should be 2 time to 4 time of annual income civil servants, it is social 4 time to 6 time of the salary on average, could embody the person's value and the doctor's value in this way. But no doubt, we have about equal distances from competence this. China cured Yin Dakui, president of SCTE, to once say, investigations revealed, in China, the doctor's average salary is 1.19 times that of social average salary. Already careful existence that has known this problem obviously of the government too. The beginning of the year, about propose clearly in the " the 2011 year public the intersection of hospital and the intersection of reform and pilot job placement " share that official side print and distribute, improve level of clinician's salary and conditions, fully arouse medical worker's enthusiasm, the main method implements the post performance wage system, hooks such as the medical worker salary income and quantity, quality, technological difficulty, cost control, masses' satisfaction of the medical care,etc., accomplish the more pay for more work, excellent good performance reward. Doctor should costly, but now, what it is on earth factor make Chinese cheap doctor have? In other words, here, why did not law on the market work suddenly? The probably reason lies in, monopolize and do mischief excessively behind their back. On one hand, the public hospital outshines others, it is difficult for private hospital and clinic to develop and link, it is difficult to form the real competition situation. The public hospital has accounted for 70% of the number of all hospitals in our country at present, its number of sick bed accounts for nearly 90% of the total number of national hospital sick beds higher. On the other hand, as the most important medical resource - -The doctor is locked in the large public hospital firmly, yearn for the system, can not flow at all. This kind of very obscure administration monopolizes bringing up " Large hospital disease " . Though the medical organization is numerous, doctors with good technology are basically monopolized in the large public hospital, the choice surface seeing the doctor is narrow and single that the public seeks medical advice. In order to maintain the current situation of this kind of monopoly, much restriction on the thing that it is carried on strictly that the doctor do medicine of local government and halting. In many city, even accord with, turn on terms of clinic, doctor want, examine and approve, open operation licence by one, all a very difficult thing. Because the Ministry of Health will refuse to apply with all sorts of reasons, such as private clinic being too much, in fact not beyond the scope of in order to keep monopolizing the situation. In the environment that is excessively monopolized, how much is the doctor value? Not because the market has the final say, but is decided by government. Do and cure the cost in order to reduce, the government implements the low salary and does and cures the tactics, the labour value that people serve for forcing down medical treatment, this's a source that doctors are badly paid. How well does the public hospital run? Regarded as face by the local government. The public hospital is often one's own subordinate's organization the acquiescence of Ministry of Health, they will certainly encourage and offer all factors and environments which are favorable to development of public hospital. In the developed country, the reason why the doctors obtain the high income, the key has lain in breaking the administrative monopoly, the market factor is released actively. It is run alive that private hospital and clinic set free, the doctors become a freelancer, flowability is very great, can be some operation more. It is the market that lets the doctor obtain the high income, but not because of the government. Since the low salary is what the government brings, the low salary policy was brought up by the government too. Then, whoever started the trouble should end it. Only run and separate the tube, the government becomes taken as the just referee, but not participate in the match as athletes. Only abolishing the administration to monopolize, activate the key element of the market, unlock the medical market completely, respect of restraining from etc. have an effect more to reduce a doctor and practise medicine in the threshold and reduce a doctor to do medicine, it could be expected to turn back the current situation.

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