It is far from including Cheng in curing another day attending to the field question

It is far from including Cheng in curing another day attending to the field question
It is far from including Cheng in curing another day attending to the field question
Author: The willow builds a cloud king and flies Declare at the Customs deep the intersection of reason and report initiate, pay close attention to the fact national copywriter of medical reform scheme tinkling of pieces of jade Li think the nurse put domain into on outflow by nurse originally " Bad money drives out good money " Circulate and is interviewed the expert: Professor Li Ling is the Professor of China Center for Economic Research of Peking University, Deputy Director. An fort department of economics, the department of economics of American Towson university institute of economics, Hong Kong polytechnical university of the university of Sri Lankan manage the department and teach in U.S.A.. Came back home to teach in China Center for Economic Research in 2003. Still serve as advisor, policy of Ministry of Public Health and management of Beijing Municipal Government and study societies such as the committee member of Committee of Experts,etc. and hold a part-time job at present. It showed, Guangzhou Daily can find the domain that the medical reform was neglected that Li Ling was interviewed by staff reporter yesterday, very rare, significant too, prove the media has a deep knowledge of medical reform and helps at the same time. News from Beijing ( Reporter Liu JianYun, Wang Fei, Chen Xiang, Zhao LinLin) The intersection of Guangzhou Daily and March 2 the intersection of city and the intersection of edition and until " whether nurse outflow where it will be deep reason " top news, investigate and interview the form that has paid close attention to Chinese nurse's awkward current situation question by going down to the grass-roots units. Yesterday, one of the expert, national medical reform scheme copywriter of the famous medical reform, Peking University national Development Research Institute Professor Li Ling expressed while accepting the special visit of this newspaper, China attends to the field issue, is far from entering the medical reform agenda. The medical reform relatively pays close attention to the doctor now, in fact the nurse is a subject of the medical work too. China attends to workers as the colony that is neglected for a long time, should be included in the category considered in China's health care reform, Li Ling says, Guangzhou Daily can find the domain that the medical reform is neglected, it is very rare, also significant, prove the media has a deep knowledge of medical reform and helps at the same time. The internal cause of outflowing: Do not pay attention to the current situation that outflow to the health care in the face of the Chinese nurse for a long time, Li Ling analyzes and claims, the nurse outflows without paying attention to the health care and having important relations with China over a long period of time. For a long time, because the country is scarce to pay attention to, a large number of hospitals rely on the market to survive oneself, comparing a doctor, the nurse is weak in the strength of the hospital, so nurse's status is received to a certain degree crowded. Li Ling finds, the hospital reforms system in national typical Suqian medical reform is surveyed and studied, doctor it is very quick for salary to rise, but nurse it drops to monthly incomes to be only yuan of awkward conditions. "Our country does not have strict nurse's entry threshold for a long time, but work but the substitutability is too strong, the nurse is very easy to be assigned to and run to other trades, cause nurse's quality non- high finally, lack the sense of responsibility, the treatment is bad, the state with high working pressure, take shape so " Bad money drives out good money " Vicious circle. " "An important reason why the malpractice occurs frequently is a nurse on one hand factor quality does not fail to share a doctor to work high in the course of attending to at present, the sense of responsibility is not enough to fail to treat the job with the correct psychology, then cause the doctor to be overtired, the malpractice risk is thereupon increasing too. " Li Ling says. The external cause of outflowing: The nurse of developed country is " The fragrant bun " " by contrast, the nurse is in the developed country is " The fragrant bun " . " Li Ling tells reporters, " mainly because the developed country which enters senilization attends to the post very in short supply. " According to the introduction of Li Ling, U.S.A. has offered a series of special treatment such as immigrant's favour, high wage to nursing staff, in the developed country, doctor, nurse are the first-class job, doctors are in the high income stratum in the medical trade, nurse a high income colony in graduating the intersection of university student and crowd. But more and more people are unwilling to be engaged in this job, because under the circumstances that the skill on an equal basis is required, the nurse, relatively other jobs are more arduous, its result is to attend to worker's gap bigger and bigger, in developing countries, the nurse requires with income mismatch. Meanwhile, the respect on the job is an important factor that the status of nurse of developed country reflects too, the developed country has high input because of community service, the relationship between doctors and patients is comparatively relaxed too. Outlet: Have and promote the system and make the nurse dignified and high-profile and send present contradictions of doctors and patients frequently independently, the senilization society comes gradually, should consider including to attend to the field in the subject for research of the medical reform. Li Ling has cited a realistic example to the reporter, Peking University has already newlied open the nursing speciality, but undergraduate course nursing speciality none engaged in the work of nurse, basic reason society think waste the graduate of Peking University, and nurse's work is unable to let the graduate of Peking University get the repayment that expects. Attend to reform take two steps tinkling of pieces of jade Li point out, attend to problem of field lie in whole cultivation that attend to get use with the intersection of high quality and medical the intersection of system and mismatch, need improve the nursing state of the public hospital. Analysing and explaining this difficult problem should take two steps, first, make the question of the nursing system in order, include, adjust doctor, the intersection of personnel training and structural proportion of nurse, including nurse's operation plan the regularization too. Second, survey and study and define senilization train objectives of the nursing staff of times in future on the foundation strictly. Nurse salary want the intersection of reform and tinkling of pieces of jade Li to analyze, claim the intersection of developed country and general doctor little and nurse many greatly, the proportion, roughly in 1:2, the nurse undertakes the work that more Chinese doctors have already undertake been in fact, including being check basically and condition inquire and doctor to do final decision mostly, China work, undertake by doctor more, make mistakes in the easy and busy doctor. Plan the respect in the operation, China lacks the developed country -like nurse's independent grade and promotes the system, domestic regard the nurse as to attend to briefly, regard as the waiter of the Chinese restaurant, should pay attention to a nurse on the postoperative not replacable important function of link of attending to etc.. Meanwhile, want the reform greatly in social honor and salary system. Otherwise the situation that the good nurse of China can not stay will still continue appearing. Meanwhile, China will face people's bonus and disappear too, the difficult problem of developed country of aging population, "the nursing question of old medical treatment needs to provide for a rainy day. " Li Ling says, she proposes, the related departments should set about studying the future planning problem of medical problem of old age, including predicting the usable cycle of medical demand and existing resource of senilization. The doctor trains and the nursing staff should make planning and adjust according to the long-term demand. Representatives: Our hospital withdraws the salary and keeps the good nurse here " our hospital have many nurses to go to the other places to take an advanced study too, but came back to work. " Deputy to the National People's Congress, the people, director of Gaozhou county city Zhong HuanQing introduce to this newspaper, the annual pay of the the People's Hospital, Gaozhou county nurse can reach ten thousand yuan of Forth Five-Year Plan Period, the very outstanding one can be up to 80,000 yuan. Zhong HuanQing says, the nurse existing in some places has low salary at present, questions such as medical personnel's high pressure,etc., it is still a issue of the reform of the hospital after all. "The hospitalization cost has not not only reduced, have the tendency to raise instead. " Five must that he thinks, only insist on " " ,Possible ۏCross the public hospital to reform " The deep water " . The clock shines clearly and lists and counts, first, must abandon the thinking of the local interest, must carry on limited medical resources the rational disposition from the national aspect, accomplish " three accord with " (Namely accord with the present national ability to cope with the exigency, reach the same medical reform result with less money; Accord with the masses' vital interests, solve and see the doctor the expensive problem of ugly disease; Accord with the demand for the sustainable development of the hospital, arouse the enthusiasm of medical worker effectively) . If simple interests of interests, medical enterprise, interests of health care system between interests, department from the province and city carry on the medical reform, will inevitablely fall into playing chess with the interests of power. Second, must produce the leading role to the medical reform of the government, the masses think that the expensive reason is mainly to see the doctor, the medicines, apparatus, consumptive material one expenses are timid high and use medicine doctor excessively,and in the middle for pharmaceutical factory repeated constructions low-levels national in one of the origins. Should solve the empty and high problem of prices of medicine, will cut off the medical interests chain soon, the country will plan the pharmaceutical factory of the appropriate quantity soon, make the suitable price, indicate the producer price, wholesale price, retail price of medicines in packing unifying in the whole country, and cancel the intermediate link sold and let the hospital purchase with the pharmaceutical factory from network directly. In addition, must stimulate the enthusiasm of the hospital, the administration mode of implementing the legal person and managing the institute, going. The government must set up the scientific hospital and check and rate the system, implement system of president's management by objectives, great environment that must be that incorporated into market economy. Yao ZhiBin: " does the nurse outflow Guangdong does not exist and flow outside the nurse? " After after listening to reporter's introduction regarding the nurse go abroad, member of the CPPCC National Committee, chief of Guangdong Province department of public health Yao ZhiBin say, do not exist " The nurse outflows " Phenomenon,having something to do with export of labour services going abroad thinking nurse of he, is it a normal phenomenon. Yao ZhiBin says, the girl goes to study abroad, consider from the factor of employment, it is very normal to read the nursing speciality, but Yao ZhiBin does not deny domestic nurse and foreign nurse are in treatment and disparity of working hard on the intensity, " but this is not a main reason " ,Do not " need exaggerating excessively " . The key of opening ice of the medical reform: Manage the hospital well " The money bag " The medical reform is from paying attention to in the past, had paid attention to up till now, would also need greater concern in the future. Li Ling points out, the medical field involves the question of every aspect, for example ensure, attend to, supervise the construction of system of management,etc., need one intact top floor design, coordinate issue that medical treatment involves in order. As to the current situation of the medical reform, Li Ling says, medicine of public hospital is corrected in the pilot course, but one of the greatest resistance has been that " the government foots a bill, the hospital increases income, ordinary people can not experience obviously " at present . The medical reform policy of China still also needs a comprehensive operation during the course of stimulating the expenses at present. She say the intersection of government and medical treatment put into, increase, exceed 20% last year, it is very much fast for expenses to rise for example, especially the hospital has medical insurance that is paid, the final advantage is to let the hospital increase the ability to earn money. Li Ling emphasizes, focal point of the reform and difficult point of public hospital, should be from " money bag " of the hospital at first Set about, should change the mechanism that the hospital make profits and create income of the past, let the public hospital really come back public beneficially, the government should be calculated and put into the corresponding relation with the performance, should not just disperse and throw the money. A important one to must in charge of standing up public financial affairs of hospital most.


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