Sunday, September 8, 2013

The doctor is some operation more: How to hit to go together every abacus

The doctor is some operation more: How to hit to go together every abacus
The doctor " makes excessive money by giving performance " Exist in a large amount It is not positive in registration to be some operation more
This year, " the doctor is some operation more " Written into " government work report " for the first time. Though some areas have already launched a pilot project the doctor is some operation more, but the dispute of this topic has never been stopped: The presidents of the public hospital say " Agree to " ,Afraid doctor kinds of the intersection of someone else and house, neglect the own field; The presidents of the private hospital say, have left a seat vacant for for a long time, but know very well too the glass door is still here; Most doctors are looking around; In the public being but anxious in party that, much " click " Result,big let's follow by silver expert run,there are convenient on the rich, get patients ordinary by advantage.
How far can the doctor go on earth while some operation moring?
Director of Chinese Academy of Medical Sciences tumour Ping Zhao say to reporter, some operation more, benefit to civilian, since the hospital will support. Now, no matter serious disease and small disease, the patient runs going straight in the large hospital of the big city, say, go to a doctor expenses are patient and food, accomodation, and transportation of relative only first, it is a sum of high expenses. If the experts can go to the locality, even if go to a doctor the expenses increase a little, but the total expenditure is certain to drop the patient diagnoses the illness. However, he points out, some operation mored to increase the difficulty of the management and coordination, do not do a good job, will probably open Pan Dora's magic box.
Zhao Ping says, though " medicine imitates " the fixed doctor can only practise medicine in our unit, in reality ", doctor situation of operation exist outside courtyard, precede by " the weekend clinic " only , " the expert guides " Wait for the famous head. Some doctors are often the busiest on weekend, fly to all parts of the country once having a holiday, some presidents are forced, go to search records of flying of doctors. Zhao Ping thinks, the policy is allowed, even encouraged some operation more, in fact think of turning to the tabletop the thing under the desk, but supporting policy must keep up with, for example how guarantee former the intersection of job and interests of hospital, how turn on salary of doctor and how make work load, even should consider attending the meeting to buy and sell the patient's thing.
This is not worry and puzzled of a person of Zhao Ping definitely. The presidents of the large many hospital all say, the doctors of the large public hospital all work overloadingly now, it can be regarded as and finish own work that how it is very difficult to weigh a doctor. What if if operation that the hospital sanctions expert's going out, once there are critical patients of difficulties to need him to treat and cure in our institute? What if public health event that if happen suddenly, the hospital need to send him to support? How should the doctor assigned one's own time and energy?
The stomatological hospital former president Yu GuangYan of Peking University says, the doctor often needs many kinds of conditions to support to practise medicine, such as surgery, one of light can not finish the operation with high quality to operates a doctor, not only need good apparatus, but also a group trusted each other. In this case, how can guarantee the patient's interests are a question too - -Operator and doctor can't bring the whole department over yet after all, once the operation fails, the medical dispute has taken place, how to assert responsibility? It is the hospital that takes the main responsibility, or does the doctor take the main responsibility? Especially the present relationship between doctors and patients is so tense, have to especially consider this kind of possibility.

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