More practice of traditional Chinese medicine: troubles to break

Time: 2016-12-01

Source: China's traditional Chinese medicine

Author: Zhou Manyi willow trees

"Provincial hospital experts to home visits, the trip was not so heavy burden." Who lives in kunming in yunnan province suburban county of the old man found Lin stomach disease, after application, county hospital specialists from provincial hospital, the old man better recovery.

Old man can accept provincial hospital expert's consultation, Lin benefited from January 2015, the national health and family planning commission, the state administration of traditional Chinese medicine and other five ministries issued "about promoting and regulating the several opinions of physicians more practice, which is clear, clinical, oral and category of traditional Chinese medicine doctor allowed more practice. If the doctor to go out to see a doctor before, often referred to as "imparting", "the past 'imparting secretly violations, illegal, now have a policy, in laws and regulations, safety practice has the safeguard, our hearts are also more steadfast." In the treatment of old man Lin zhang says, is its policy of beneficiaries.

Bring more benefit, policy "sweetener"

More practice of traditional Chinese medicine refers to the traditional Chinese medicine in the valid registration period, in two or more than two medical institutions engaged in the behavior of the practising activities regularly, to achieve high-quality natural resources, and steadily promote physician resources policy objectives of the rational flow of vertical and horizontal. Engaged in more of practicing doctors shall have intermediate or above professional technical position qualifications, work in the same profession full 5 years, and recently two consecutive cycles of physicians regular check all qualified record.

Different, the New Deal will past required by "obtain written approval first practice site," instead of "the consent of the first practice site medical institutions", namely to first know intelligence for formalities practice site medical institutions, no longer need approval to carry out more practice at the hospital, at the same time cancel practitioners multipoint limit the number of medical institutions.

Compared to national policy, the reform strength of zhejiang, yunnan and other places more.

More practice of traditional Chinese medicine on the implementation of the New Deal in zhejiang province is clear, reduce the access of TCM practitioners multipoint, also put forward to explore TCM practitioners free. To the title of doctor of vice director of above, key or shortage of professional technician, allowing them to practice in any medical institutions in zhejiang province, without the physician more practice registration formalities. Free from more practice to "practice", in fact, the span is not small.

In yunnan province "kunming physicians more practice management method", for example, allows the doctor of traditional Chinese medicine as the core, medical technology team more professional. In order to ensure the medical quality and medical safety and encourage qualified doctor of traditional Chinese medicine as the core, and nursing, medical and health medical team of professional and technical personnel to carry out the team more professional.

Although have many parts of the country to the practice of TCM more exploration, but some people in remote areas still cannot enjoy the policy of welfare. SuSong county in anhui province town of fu jade river village clinic of TCM at the grass-roots level Liu Ligong admitted, now almost no more practice at the county level, but do need to senior doctor of traditional Chinese medicine at the grass-roots level to guide, "t DaiTu" inheritance of traditional Chinese medicine, make more practice to produce more benefits of traditional Chinese medicine, "the training base of TCM talents is very favorable, benefits not only people, we can also talk to the teacher learning. If the doctor at the grass-roots level, raise the level of the future can better service for patients, folks don't have to run to the big cities to seek treatment."

Across the region more practice can also activate the medical resources and accelerate the different philosophy and flow between the diagnosis and treatment technology in the area. Recently, the national famous old Chinese medicine expert academic experience inheritance guidance teacher, Chinese academy of sciences doctoral tutor Wu Zhongchao in traditional Chinese medicine, Peking University international hospital obstetrics and gynecology, deputy director of li zhi, the armed police forces, director of the institute of spine bao-gan peng "group" in yancheng city in jiangsu province hospital set up a studio. Introducing Beijing famous high quality resources of yancheng, service of the local people at the same time, the booster yancheng health career development.

Interest gaming, the road of reform difficult

The benefit policy, is now a wide range of ground hard. Hebei cangzhou combine traditional Chinese and western medicine hospital of traditional Chinese medicine health care center of acupuncturists Hou Xian soldier said, although now policy allows more practice of traditional Chinese medicine, but the side is nothing to really practice of traditional Chinese medicine, "the main pressure comes from the unit management, although there is no ban, but we are not willing to take the risk." In his opinion, or should be encouraged to support a lot more practice, let people better circulation, give full play to the value of traditional Chinese medicine.

Hou Xian soldier's idea is a microcosm of numerous Chinese medicine, want more practice of traditional Chinese medicine to the real ground, really difficult. Due to reasons, mainly is the public hospital lack of enthusiasm, in personnel management, assessment, imperfect social security pension and other supporting measures; Which involves the establishment and administrative level, more practice of traditional Chinese medicine is the largest barrier.

"Chinese medicine is a traditional Chinese to responsible doctor retirement pension, medical liability, if run somewhere else more practice, to the hospital in a sense is also a kind of loss." A head of 3 armour hospital said.

Different from public hospital managers, most of TCM doctor for more practice. "As long as it is good for both doctor and patient, no matter how much resistance, we must adhere to." Hou Xian soldier said.

"As long as the hospital did not cancel problem, more practice is likely to become the mainstream of traditional Chinese medicine. Only to break the administrative levels and the establishment, let the doctor can flow freely, the doctor identity from" unit person "to" social person "status transition, sign a contract with the hospital, establish the power and responsibility, to ensure the smooth operation of the multi-point practice." Beijing university of Chinese medicine professor LuoBin said. More practice for how to regulate reasonably, he points out that rely on personal skills for diagnosis and treatment of traditional Chinese medicine, especially to launch a more professional, should be on the premise of legal and reasonable to encourage support. So can not only promote the talent flow, it is convenient masses go to a doctor at the local level. More practice requires extensive specification and reasonable system to protect, should avoid to be "one size fits all", it is very important to grasp the "degree", maintain a balance between local interests and long-term interests is the key. "Hospital of traditional Chinese medicine should be comprehensive consideration, formulate relevant policies as soon as possible, let more practice of traditional Chinese medicine systematic, the most fundamental is to let more people enjoy the high quality medical services of traditional Chinese medicine." LuoBin appeal.

To explore and promote benefit maximization

As to the practice of TCM more away, team arises at the historic moment, the doctor practicing way by separate into groups, formed the doctor of traditional Chinese medicine group. Two or three Chinese medicine can group practice, sharing lost revenue, share each other, sharing facilities, formed into the back of the traditional Chinese medicine with professional team.

In 2016, the doctor group have sprung up. On March 16, zhang qiang, as China's first group founder of specialized subject doctor, the domestic first zhang group business license in shenzhen.

At present, the domestic doctor group - most of the doctors - hospital of hospital cooperation with partners, in this mode, the doctor group does not belong to any hospital, it as a platform independent contracts with hospitals, and have their own customer service and review team.

As a new thing, the doctor group development prospect is also mixed. Although some doctors group development, but the hospital leaders in many areas, especially in the rural areas of the capital, the problem such as recognition, remain skeptical about the new things.

"Sometimes we go to talk to the hospital's cooperation will be rejected, even thought we don't have a purpose, so now we signed an agreement and hospital, pay great attention to clear will fulfill duty and profit distribution, hope to be able to get more support." A has just set up his doctor tells a reporter, head of the group.

Some doctors of traditional Chinese medicine group, some has not completely left the system of traditional Chinese medicine hospital, just in the unit work, to participate in "doctor group" practice; Others are all out of the system, rely on their ability to generate income.

"After the doctor group is the national related policy, we conducted an exploration of the success, also look at the grass-roots hospitals and public acceptance." The director told reporters, "maybe we can explore reversed transmission policy mechanism of perfect, ultimately benefit the parties, hopes to become more practitioners of traditional Chinese medicine doctors group warm harbor."