Afraid medical dispute responsibility difficult to assert Some operation doctor hospital more to look around
Afraid medical dispute responsibility difficult to assert Some operation doctor hospital more to look around
Luzhong Morning Paper reporter solves expensive silver ginger great wave grandson's sharp unavoidable song for August 16, 301 hospitals and a famous doctor in Beijing say frankly to the reporter, on every weekend, counterparts invite him. "Run into the acquaintance at the airport, that is an ordinary affair too. " Sometimes, going to the other places to do a remuneration of operation may be worth the salary of one month. Inevitable fact, " a bit more execution " Thought to be and given by people at the beginning of pilot project " Make excessive money by giving performance " Put on the legal coat, but before this, Ministry of Public Health had repeated injunctions to check severely a doctor made excessive money by giving performance. The fact situation is, experts in every hospital are some operation more and generally exist, in the field of business and is called " flying knife " ,Just because of this, are some pilot projects of operation more being regarded as letting a doctor " make excessive money by giving performance " by people Legalize. And likewise, as to this new policies, a great deal of persons in charge of hospital have one's own painful topics. Beijing grandson one, hospital 301 surnamed the intersection of person in charge and worry in this, if one's own expert of hospital go some operation more, I'm afraid that will bring to scientific research, medical treatment, teaching of one's own hospital and assault. Moreover, doctors of one's own hospital are enjoying welfare such as the medical treatment that our unit offers, supporting parents, why make money in other hospitals. "Many some operation and doctor ' make excessive money by giving performance ' have essential difference, ' make excessive money by giving performance ', expert turn on walk often, leave patients alone while being postoperative in front of the skill. And it is that the doctor fulfil the duty really to be some operation more, including making the rounds of the wards, seeing the clinic etc.. " As to this, the insider explains. And before this, Ministry of Public Health has proposed clearly, the doctor is some operation more and " make excessive money by giving performance " There is essential distinction. " make excessive money by giving performance " Hasten by his individual interests, it some operation mores to be should for relieve health care demand of basic unit operation, the value orientation of the two is different, the supervision mechanism is different too. "From the view of president, I understand those hospitals very much, everyone wants to keep the high-quality medical resources such as the good doctor in our unit. " The above-mentioned insider says, but meanwhile, it is the direction of the reform to be some operation more, the hospital should see some advantages of operation more. As everyone knows, it is unbalanced seriously that the important reason to cause the difficulty and high cost of getting medical treatment is medical resources are distributed. The reporter knows, the health care resources 80% of our country centre in the city, 80% resource concentrate on the large hospital in the city. The new medical reform scheme points out, should " promote the rational flow of the medical worker steadily, promote talents' longitudinal direction and lateral communication between different medical organizations, some operation that research explores the registered doctor more " . The doctor is some operation more, the most basic purpose lies in correcting the medical organization to curing the monopoly of the sources of teachers outstandingly, let their registered operation clicked and become into a plurality of by oned, thus remedy the defect of medical talent's distribution of resource. Medical dispute different to avoid And is " some operation more " This concept, people are not strange, the doctor aids Tibet, supports Africa, antidetonation providing disaster relief, coordinated cooperation community, supporting the countryside,etc., not requiring doctor's alteration registered place, in fact is some operation more. However, some above-mentioned behaviors, nearly all with " support " Have something to do. "As to the area where some medical conditions are relatively weak, this kind of support is necessary, and local ordinary people will welcome very much. " While interviewing, citizen is anxious, are " some operation more " Totally unlock, the doctor can earn money more through being some operation more, have all gone to the private hospital whether to know to a doctor or not, it is unwilling to go to community's hospital, rural hospital. The reporter knows, as to the support of the hospital at the basic level, rural hospital, the Ministry of Health has special policies that is required, it is " official exercise " ,Must finish, otherwise the doctor's professional title can not be promoted. Some government order tasks to be finished of doctors of operation more to include, support agriculture, support community and first-aid centre (station) in hygiene , the coordinated cooperation of medical organization, pay a home visit, implement on-the-spot first aid etc. to the patient in consultation, receiving a training, academic exchange, volunteering medical consultation, first aid that are sanctioned by the hospital where one stays. But what people worried about even more is, " once the malpractice appears, responsibility is not easy to confirm " . While interviewing, " new policies " that many citizens are some operation more to the doctor All sorts of worry still exists, need strict supervision and function as guaranteeing. In the new medical reform scheme " Study and explore " Word but also mean,this item " the new policies " Could be pursued in an all-round way through the links of the pilot project. Some medical practitioner more medical dispute incident happen, dealt with according to the relevant regulation by the medical organization disputing. At the time of some operation that the doctor is applying more, the material needing referring to includes applying for people's medical responsibility insurance certificate. At present, the medical liability insurance has already been pursued for 6 years, all public medical organizations must participate in. This insurance has already paid the amount of compensation of more than 100 million yuan now. Generally all hospitals bought for the doctor in the past. In fact the doctor needs oneself to buy the insurance too, where the dispute takes place, compensated by the insurance. " some operation more " With " make excessive money by giving performance " Between game insider say at policy whether aspect,be some operation more to be for contents important of medical reform three year doctored. As far back as April of 2009, " suggetion on deepening the system reform of the health care of the State Council of Central Committee of the Communist Party of China " will be proposed clearly, promote the rational flow of the medical worker steadily, in order to promote talents' longitudinal direction and lateral communication between different medical organizations, some operation that research explores the registered doctor more. On September 16 of 2009, Ministry of Public Health will issue " some operation more the notices about question about the doctor ", some operation more and make the norm to the doctor. However, in the implementation of the policy, doctor and hospital are all looking around. In fact, " some operation that more " that look around and has not stopped doctor's reality Paces,various " whether it is many pieces of operation " It is the open secret among the doctors. Under the great such a background, are some pilot projects of operation more, could make the effect, many insiders all keep the wait-and-see attitude. In 2005 before this, Ministry of Public Health had already released" a doctor went out to consult about the interim regulation on the management ". According to this regulation, doctors can develop the activity of making a diagnosis in the scope of business for particular patients of other medical organizations with the approval of medical organization where one stays. Just because of the regulation, a lot of doctor of our country in some operation at being really the intersection of border and meaning of going on, unlike this, this kind is " some operation more " There is no fixed practising place. "So for many years, the doctor has had one's own assets regarded as by the hospital, require the public hospital to change the thinking now, offer the platform which launches the medical activity to doctor, but not restrain a doctor, this is a strong challenge. " The reporter knows, in the past few decades, doctors were all organization people, change them into social people, professional person now, none of available modes can be drawn lessons from, the present administrator is unwilling to take this risk. So, the administrators and doctors of many hospitals incline to keep the current situation even more ,Of today " Make excessive money by giving performance " Also a tripartite lucrative good thing. Does the doctor hold a consultation and increase through going out? Yong towering the intersection of cane and octogenarian change cheek knock rose stir the intersection of Shun and the intersection of book box and Pu pay the intersection of � and angry the intersection of Hu and tired dust stir the intersection of apple and � buy Hou * hoarse cheek to roll over Mian Yong towering cane Ge H joyous location of �� Buddhist nunnery entangle and lower and work for clear Xi ��'s word and �� Jia ZhyuanChu? The expert says, the medical work is the organized, behavior of continuity, way that hold a consultation interrupt the sense of organization and continuity, doctor finish watching disease, finish operation walk often, patient's back-end treatment and observation have less than guarantee. "It helps both sides to establish more steady, fixed relation to some operation more. " The above-mentioned expert says, it is to the patient's protection to be some operation more, if the malpractice appears in the course of some operation moring, the medical organization rather than doctor undertakes responsibility, this is protection of the doctor.
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