Just as the medical reform plan is in labor, hospital deans make suggestions with the help of multiple public platforms. On September 9th-10, the annual meeting of the president of China Hospital was held in the Great Hall of the People. 1 1, the 4th China Hospital Development Forum Zhongshan Summit was jointly sponsored by Southern Weekend, Lingnan College of Sun Yat-sen University, Zhongshan Municipal Health Bureau and National Health Science and Technology Industrial Base. Many elite deans appeared in two forums non-stop, and our reporter also took the opportunity to interview in person.
Recently, the topic center of the hospital director is medical reform, but no one has ever asked our opinion. Yang Yinxue, Dean of Affiliated Hospital of Ningxia Medical College, told Southern Weekend reporter? Quot We also want to participate in the medical reform, not only because of the interests, but also because we have such responsibilities and feelings.
We should change from the object of reform to the participant of reform. Shi Yingkang, president of Huaxi Hospital, said that this hospital is the largest single-point hospital with the largest number of beds in the world.
Under the current system, the funding sources of public hospitals are not public-on average, the government's financial input only accounts for 8% of the cost of public hospitals, and large tertiary hospitals may only account for 6%, while some large hospitals interviewed by this newspaper are even as low as 1%. In addition, the service value of doctors can not be fully reflected in the normal system, which leads to institutional profit-seeking behaviors such as hospitals and doctors supporting doctors with medicine and inducing patients' needs. At the same time, China's medical security system is lacking, and expensive medical treatment has become a major social problem.
Surprisingly, deans don't want the government to outsource public hospitals. On the contrary, they unanimously advocate that the government should guarantee the expenditure of primary hospitals, and develop primary hospitals into positions to provide basic medical care and public health, while large hospitals can go to the market without government support. However, hospitals must introduce a legal person management system, giving hospital managers rights similar to those of enterprise bosses, such as human rights, financial rights and decision-making rights.
In other words, for large public hospitals, mechanism is more important than ownership.
It is particularly noteworthy that the deans are aware of the extreme importance of information technology to medical treatment, government supervision and especially hospital management, and informatization may be the breakthrough for China to solve the world's medical problems.
The impact of digital hospital management on traditional medical model is a worldwide development trend. Geng Qingshan, vice president of Guangdong Provincial People's Hospital, said at the China Hospital Development Forum co-sponsored by this newspaper that this may be a breakthrough in helping the government solve the problems of difficult and expensive medical treatment.
Medical reform should have two purposes: first, the government should establish a security system to solve the problem of expensive medical treatment for ordinary people; The second is to ensure the development of medical and health undertakings and protect the enthusiasm of 6 million medical staff. Yin said that the two major interest groups must take into account and harm either side. This reform is unsuccessful.