Not launching a pilot project the hospital explores the public hospital reform - how public service and market is given consideration to

Not launching a pilot project, the hospital explores the public hospital reform - how public service and market is given consideration to
Not launching a pilot project, the hospital explores the public hospital reform - how public service and market is given consideration to
[Read, brief public the intersection of hospital and reform on ], new focal point and difficult point of medical reform. Whether could gnaw this " The unyielding person " ,It is new medicine that is made into the key frustrated. Since the public hospital reform pilot project will be started in February of 2010, 16 countries have contacted the pilot city and 31 provincial pilot cities to all " wade across the stream by feeling the way " successively . For now, " the little step leaves, not stop " in the pilot reform ,But demand to have certain distances with common people. Meanwhile, some pilot area, launch a pilot project hospital exert all one's effort secretly, explore actively. Then, which good experiences these do not launch a pilot project in the hospital and explore, are there places for the pilot hospital to draw lessons from? "The public hospital reform still needs to further investigate. " A few days ago, national development and reform committee director Zhang Ping said while reporting the overall situation that our country deepened the medical reform to the 18th meeting of the 11th Standing Committee of the National People's Congress. The expert points out, for now, it is still in " the little step leaves, not stopping " advancing the reform of public hospital At stage, there are certain distances to demand with common people. So, should relax some while reforming the visual field, should not merely focus on practice of the pilot hospital, also throw the exploration of the hospital not to launch a pilot project, will succeed in accumulating more ripe experiences for the reform. A few days ago, it was not the pilot hospital of a reform that Li Ling, national Development Research Institute Professor of Peking University,et al. attended - -The institute of traditional Chinese medicine of Guangdong Province surveys and studies, and form the research report. Li Ling has been engaged in the area research of the health care, participate in the national new medical reform scheme to make for a long time. Hospital: Public service and market, how to give consideration to Public beneficial and marketization, incompatible as fire and water seemingly, is often mentioned during the public hospital reform. In some director eyes, insist public beneficially that must replenish to the government more, otherwise unable to support the hospital. Li Ling says, " this is reformed in the course by the public hospital, a ubiquitous doubt. " However, this pair of contradictions seem not to set in the institute of traditional Chinese medicine of Guangdong Province against. A very good experience is, cut off the direct relation between salary and business income completely through the distribution system reform, method of weighing the performance comes with the business income to abandon. Survey and study and find, this institute sets up fair and just encouragement to assign the mechanism, let key elements such as department and personal performance and engineering level, scientific research level, service quality and patient's satisfaction,etc. got in touch, will assign to key post and key talent to slope. Ling Li say " under the incentive mechanism, though this institute doctor no very much high in the trades in wage level, but the doctor's psychology is very gentle, steady and sure. " Surveying and studying personnel also reveals a very interesting detail, the medical personnel that they found here young is studying while waiting for the lift racing against time. Li Ling says, this is because this institute transfers pass where talents choose forward, choose talents in the high threshold, guarantee what stays in the hospital would like to regard traditional Chinese medicine as the lifetime undertaking, really have interest, enterprising and doctors and workers of the sense of duty. Make great efforts to create conditions for the staff's growth Cheng Cai at the same time, put up the stage in order to display one's talent. The relevant persons in charge of institute of traditional Chinese medicine of Guangdong Province point out too, this kind of atmosphere benefits from the hospital to break " lifetime tenure of office " ,Let people can lay, want, do if there is an opportunity, a competent one give post, do well high-profile. The expert analyzes, these measures have well gained the patient's trust, has attracted more patients, have promoted the development of hospital. It is introduced, under the leadership of these measures, the annual clinic amount of institute of traditional Chinese medicine of Guangdong Province is more than 5,400,000 persons, it is the whole country that has served patient's institute of traditional Chinese medicine largest in number for 14 years in succession, per person's clinic and the expenses are in lower level in the similar hospital in hospital. Doctor: Income and covert payment, how to break off relations Then, how this institute realizes medicine to break up the family, keep away from covert payment commission? First of all, manage " high-voltage line " in a decent practice Lie across in front of all medical workers of this institute: Every medicines which are suspected of being involved in commission, can't enter the hospital permanently; To the doctor taking the covert payment and taking commission, dismiss directly. Guangdong Province the intersection of institute of traditional Chinese medicine and one doctor say " whom we bring whom hospital that country give give, with one's heart at peace. One has taken and shouldn't take, involve the department in a criminal case, there is large quantities of influence. " In fact, the forming of such decent practice and idea does not accomplish in one move. Li Ling thinks, this relates to all cultural construction of regarding patient as the centre insisting of doctor of traditional Chinese medicine, president of Guangdong Province, too, it is Chinese medicine traditional art of healing, China's traditional culture, socialist morals, achievement that the tissue advantage of the party combines with the modern management idea. The medical worker of institute of traditional Chinese medicine of Guangdong Province considers in practice the patient gives the delicate psychology of the covert payment, summarize " Charge covers and return the meat, charge going backwards, deposit, equivalence of returning to return first " When refusing the method of the covert payment politely. Secondly, it is open that this institute implements internal fraction checking and balancing and information. The personnel, financial management are totally disclosed in inside, purchasing, calling for bid etc. is carried out according to the standard rules by the business segments, every department restrains each other, the institute leads individuals not to intervene. Realize all these, lie in there is a " helmsman " who also knows medical science good at management in this institute . Li Ling points out, at present, the director of our country chooses according to the administrative leader's method, most tenures are not long, energy is not absorbed in managing. Bring up a specialization, professionalism, president with ability and political integrity team, it is the public hospital that reforms the successful the most important thing. She proposes, can explore that implement the admitting by examination publicly of the director, breaks the demarcation lines of the region, identity and rank. Meanwhile, ensure the relative stability of president's position, outstanding president for generally acknowledging, can break off relations progressively and cancel the spirit of administrative rank of public institution progressively according to position and post and rank, break through the leading cadre appropriately and work as age limit. Creating the condition makes the president put main energy in the management of the hospital, avoid consuming energy to pursue and is transferred and promoted and develop the personal business. Patient: Rest assured with Shu Xin, how to and concurrently have A lot of patients go to the hospital, worried about the doctor on one hand, it is examined, misdiagnosed by mistake that afraid, on the other hand not comfortable to the hospital, does not see the doctor and experience well, it is unreconciled to foot a bill. We can say, the relationship between doctors and patients is tense, interfere with the health care order seriously, it is a big problem of the present medical system of our country. The research report is pointed out, this is because the information asymmetry between doctors and patients is serious, a lot of contradictions are cause by communicating in time and insufficiently. How improve relationship between doctors and patients, let patient to be willing to foot a bill, see the doctor, return praise, have, add? The institute of traditional Chinese medicine of Guangdong Province has done very good exploration. This courtyard of main methods are, insist patient's demand is a direction, maintain close ties with a patient, complain and will dissect through the patient, medical dispute hearing, medical defect will inquire, serve the case and share the meeting etc., the hospital listens to patient's opinion, main fact directly from head to foot Work up and improve the procedure, optimize the service, improve the clinical level constantly. ? �� Ge play �� fan dry up and annotate distracted ��>>Does Song's rice Feng in �� Chi location of the Yue 's of won ton of morality ��'s error alkyne of good fortune of ��'s fold make magpie Pian unreal � of ��'s error? According to investigating, Li Ling proposes, it is a unit that the public hospital reforms the all right cities and counties, build to socialized doctors and patients and link up the platform, through holding doctors and patients' presentation meeting, representing the forum, forum, knowledge lecture or TV programme,etc., operation law and the doctor's life's joys and sorrows of creating the condition and letting the masses understand the hospital, let the doctor find out about the patient's demand and voice. (ginger �S)


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