Health newspaper: The employing mechanism is not liberated Clear up debts or difficult and accept the whole work

Health newspaper: The employing mechanism is not liberated Clear up debts or difficult and accept the whole work
Wu Shuai ( Doctor) Up to the end of 2010, health clinics in towns and townships and long-term debt of service organization of hygiene of community are 5,500 million yuan and 350 million yuan respectively. Recently, three departments such as the development and reform committee, Ministry of Finance, Ministry of Public Health send out " suggetion on clearing up and dissolving the medical debt of health organ of the basic unit ", office and every province (district, city) of medical reform of the State Council The leading group of the medical reform signs the liability statement, each save promising within about 2 years, all finish the medical debt of health organ of basic unit and dissolve the task. (" health newspaper " of July 13) The government clears up and dissolves debts for the public medical organization, this itself is a good thing, help to lighten the economic pressure of the medical organization, it is commercial and excited to avoid. One very clear thing, heavy economic debt at the medical organization bears, they will shift this kind of debt to the person who seek medical advice without the least hesitation, that kind of excessive medical treatment raising medicine with the medicine will propagate its belief on a large scale, it is bitter deeply the public. Moreover, it is the place where in the shortage of medical services and medicines, the medical organization can form such some monopoly, and depend on monopolizing to keep benefiting one's own development. In the medical health organ in the basic unit, this kind of rule is giving play to the effect equally. However, the debt is cleared up, after realizing a difference rate of basic medicine to sell, can it been really solved that the so-called medical treatment is public beneficial? This still has doubt. As news says, these debts are mainly because of investing many kinds of reasons such as the construction of insufficient, ultra scale, the medical health organ in the basic unit borrows money and builds or purchases the medical apparatus, history formed is in debt. On one hand, if the local government puts into and has not filled in time, and become the long-efficiency mechanism, mend and mend and lack playing pendulum with the tough intensity of central medical reform policy more, this may be known and become a certain origin that the medical organization shoulders the new debt again in the future. On the other hand, if the cost does not check clearly, lack corresponding restraint supervision mechanism, a lot of medical organizations will probably continue taking the route of development of ultra scale, through making more loss and debt, to force the government to carry on more hygiene input and operate to create income upside down. This is nearly a bottomless pit, it was not the government finance that revealed all the details and can be filled and led up. The more key one is, public service is no doubt important, but medical care efficiency can't be despised as quality. Why not keep patients in a lot of basic unit medical health organs instantly? The real reason lies in lacking enough medical talents of high qualifications, service ability is insufficient. The insufficient result is to make the persons who seek medical advice unsatisfied, worried. As soon as the condition is complicated, doctors of the medical health organ in the basic unit can not deal with, can only push away to the high-level hospital. Patient to give birth to serious disease, until large hospital enter, recover issue in hospital, very difficult to change the place of examination, answer hospital at the basic level, lack the doctor with qualifications to check on too. The patient must run to the hospital finally. Now, even reveal all the details to reduce the expenses for medicine through government's financial subsidy, but the problem of seeing the doctor has not still got fundamental settlement. Will you please attract it back to the patient by tactics of the low price? Still remain to further observe. The medical health organ in the basic unit received too much policies of revealing all the details, will cause inertia, result in serving efficiency to reduce? It is likewise a question. How in author's view, vitalize the basic unit medically and have under chess of this step of health organ, more key key element lies in the doctor. Whether the government could attract the medical talents of more high qualifications to join in the medical organization at the basic level, improve service ability and quality of seeing the doctor of the medical organization? This is the most important thing. And reduce the expenses for medicine and raise the medical insurance to submit an expense account the proportion is nothing but a less important supplement. Instantly, this slightly seems insufficient. Though set up complete doctor's system, it is a people's livelihood major issue that the government has already confirm been to develop medical treatment at the basic level. But at present, the medical health organ in the basic unit still faces the medical talent's insufficient situation, because the treatment is low, run off seriously, the complete doctor of the basic unit is even read for the low end job by mistake frequently. Why talent not attracting the high qualifications? This still relates to liberating incompletely in the present mechanism. In medical reform of place, rights and interests of doctor, still in ignore, low to make a diagnosis fee, the mode of the fee is still having an effect to even avoid making a diagnosis, the doctor's labour value can not be admitted, it is cheap to embody in the remuneration of treatment naturally, can not attract senior medical talents. Secondly, the employing mechanism is still a long-standing problem. The blog of Vice Chief of Guangdong Province department of public health Liao XinBo revealed such an typical case a few days ago. A job has been for many years, and the doctor who obtains the intermediate professional title looks for a position in the commune hospital in the west of Guangdong. Normally, the west of Guangdong is the poverty-stricken area, lacks talents, have such a person who require voluntarily it should be very easy to work in the commune hospital. But that doctor says, the hospital should charge the service charge of 20,000 yuan. Why is so cruel? This officer thinks, this makes oneself shake. Because he goes to the countryside manily, the commune hospital at the basic level, especially the leadership of the poverty-stricken area is always complained about, remote, backward place nobody come, stay people too, send out " the the intersection of spring breeze and degrees of Yumenguan " Sad sigh! He proposes: Medical reform, when can solve the cultivation of the personnel at the basic level and stay behind to take care of things? When just a person of employment at the basic level like getting have a relaxed and harmonious environment?

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