Crack urban public hospital medical treatment

is difficult to be "major operation" 
 

Legal Daily 
  
  

  
     Whether urban or migrant workers, "see" has become their unbearable pain.

     To Beijing in terms of large hospitals "see" is actually to look at the performance of experts is difficult, experts optimistic about the difficult patient difficult. As imperfect construction of primary health care institutions, medical services prior to the absence of post-doctors, the patient's medical care expectations too high, resulting in overcrowding in major hospitals, the role of dislocation.

    To the treatment of "difficult" this urban disease? Reform of public hospitals is recognized as a breakthrough, and optimize the allocation of medical resources and is considered to be where the most critical

    Zhuhai City, Guangdong Province, all public hospital pharmacy director was "side pot" - the results of this major anti-corruption was exposed, more than 150 competing media reserved.

   Behind such widespread attention, in fact, urban people, "doctor" all the ills long lasting anxiety.

   The never-ending controversy and debate, new medical reform has entered its second year. Since 1984, the Ministry of Health's first medical reform draft document, the "see your doctor" has been the root cause of the old. 

   And the relative concentration of the fine cities of public health care resources is contradictory, countless people are suffering from a doctor in town is difficult and expensive torture, almost pathological.

    The larger the city the more difficult to see a doctor

    "Midnight queuing to register, hospital to wait for two or three weeks";

    "Wait long queues, the hospital like a maze, a doctor Marathon" ... ...

    Brought to the hospital, one of Beijing residents a bunch of children read to reporters jingle. The above situation is a true portrayal of many urban hospitals.

    Recently, the "Legal Daily" reporters to Beijing from the field to follow the doctor's Ma for his son to a well-known hospital in Beijing.

    Around 4 pm, registered outside the hall had waited four or five teams, each team has a dozen people. Has been to Beijing several times in the Ma seeking well experienced in rafts number, sit down and spread out a stack of newspapers, also greeted reporters sat down. This reporter saw people lining up here there are mostly prepared, in addition to the newspaper, there are benches, blankets ... ...

    Ma told reporters that the number of experts in order to hang up, you have to do a good job "staying up" waiting for preparation. Do not want to eat the bitterness, you can only spend more money from the "cattle" on hand to buy number.

    In addition to medical treatment outside is difficult and expensive for the majority of patients are scared.

    "In the hospital, patients are most afraid of is the common prescription of major surgery, which is often the most keen to some doctors do." Accompany Ma line, the reporter heard a patient says.

    In Beijing, Mr. Wang's children of migrant workers caught a cold recently, Qu Letang back after the hospital, Wang heart in, told reporters: "In the big cities, the children see a doctor really high prices. Common cold have a spent 200 yuan, 30 yuan registration fee will, and often a family to stay with antibiotics, check this check that, money was often not checked out the results. I am based in a small county, some common diseases in children are often a few dollars to buy money, drugs, eating good, how can there be such a trouble in the big city to see a doctor. "

    "To drugs to support medical" evolved to "keep rot"

    For the city, "a doctor is difficult and expensive," the causes behind, "Legal Daily" reporters made a further visit.

    A district of Beijing Health Bureau of the person in charge told reporters: "to Beijing in terms of large hospitals 'medical treatment is difficult' performance is actually difficult to see specialists, experts optimistic about the difficult patient difficult. As imperfect construction of primary health care institutions, Medical doctors after the service before the absence of the patient's medical care expectations too high, resulting in overcrowding in major hospitals, the role of dislocation. " 

     "There are many reasons for this phenomenon, including the weak government regulation and control policy, in case of failure of market mechanism, on the 'big hospital for minor illnesses' unreasonable lack of effective regulation of the flow. In recent years, large hospitals, clinics work increasing the amount of bear's unexpected events, teaching, research and other tasks more and more important, human resources clearly insufficient. "This person in charge said," At present, the preparation of a large hospital or under the bed set, belonging to the last 80s standards. and large hospitals generally have a long history of precipitation, in the year's underserved, and did not fully consider how to embody in the layout and process human spirit, to conduct process transformation and is currently subject to various conditions restrictions, it is difficult. "

     The criticism is more affected by long-entrenched in the health care system "to drugs to support medical" of the disease, and recent evolution of this chronic illness as the "drug dependent decay" of the situation.

     Insiders pointed out that the doctor behind the high price of medicine, is a haunted by the "hidden rules" the interests of the long concatenation of the chain.

     A medical representative to reporters calculations. He said the drugs into the hospital, group of experts from the tender to the hospital superintendent, the deputy president, from director of pharmacy (or pharmacy long) to the prescribing doctor, and even statisticians, accountants, "everywhere have to spend money." These costs are ultimately foot the bill by the patient.

     Medical experts, who asked not be named, told reporters in similar drugs, the hospital leaders who tend to move into new varieties of expensive drugs, because the "drugs" with the high commission, "the centralized procurement of medicine before bidding , the hospital will be among the leading pharmaceutical chain, the most high-end consumer interests; after the implementation of the tender, so the pattern did not change much. " 

     "If the leadership of individual hospital pharmaceutical tender, he will show up in the drugs trade shows, and the drug manufacturers to produce all invited over. At this time, the hospital often will lead representatives of the pharmaceutical factory 'physiognomy', he to observe and experience some of which are more Mianshan, more reliable number. The price is not an issue, quality is not a problem. If he feels that medical representatives are unreliable, even if more money will be sent to him or her away. And once he received the business aspects of drug money, immediately became a community of interests. "The expert said.

     "Even a high quality of doctors, to ward off 'drug' kickbacks temptation to open low-cost drugs to strangers, is also a very easy thing to do." Practitioners for many years, a doctor told reporters.

     "To prescription, fundamentally speaking, is 'to drugs to support medical' caused. It should be said, 'to drugs to support medical' phenomenon exists has its inevitable side. This is because the current policy to allow Western 15% Addition of 30% of Chinese medicine. and unreasonable is that this policy in practice has been abused. can be said that hospitals and doctors take the sale of drugs plus a ride, and reap the personal interests of hospitals and doctors . "Renmin University of China Reform and Development of Health and Medical Research Center of Road Wanghu Feng told reporters.

    Reform of public hospitals is a breakthrough

     Crack, "a doctor is difficult and expensive" disease is imperative in this city, but go?

     The current round of health care reform, the reform of public hospitals to be recognized as the focus and farmers.

     It is reported that this round of health reform objectives of the reform of public hospitals made 4 words - "conduct of public affairs separate, separate management from operation, earnings and profit separately, medicine separately."

From the person in charge of the health system, the Government should actively promote the reform of public hospitals.

     "The most important thing is to achieve optimal allocation of medical resources. According to regional health planning and medical institutions to set plans, rationally determine the number of public medical institutions, structure and layout, the central and provincial governments to retain only a small amount of national and provincial medical research centers, undertake research, teaching and clinical studies of severe difficult task, and other medical institutions, the implementation of territorial management of the entire industry. "the official said.

      Professor of Peking University's China Center for Economic Research, the new health reform program, one of the drafters of the view that Li Ling to the hospital and non-profit public welfare issues, there is a certain difference between the two.

     "The real public sector is not only unprofitable, but also to pursue the maximization of social benefits. Should unswervingly adhere to public hospitals, public welfare. Public hospitals, the pilot does not have any pattern to the present, that is not substantially started . In my opinion, the real public hospitals is an agency of the Government is entirely public nature. public hospital is in fact not be all-inclusive government investment of money, but from the external management mechanism, to the internal operation mechanism, by the Government responsible for the supervision. "Li Ling said.

     But Li Ling pointed out that the return of the hospital can not rely on public welfare hospital itself, "as the main micro-economic activities, the hospital will certainly consider their income and maximize returns. Protect public welfare requires a series of safeguards need to locate and tasks that in the end is the national-level policies. "

     "Overall, public hospital reform does have a lot of difficulties. There has been a lot of policy principles, should be integrated together to form a mechanism conducive to a rational science to provide medical services, medical model in favor of sustainable development, Under the socialist market economy to provide better health care public services, reform of public hospitals out of the dilemma. "Wanghu Feng said.