Promote director's professionalism

Promote director's professionalism
Promote director's professionalism
Staff reporter Liu Ping'an Li new Wei Xin Yan is just dawn peak of the clothing "The director plays a important role in the fact that construction, managing and developing of the hospital. In the past, we thought, an outstanding president only had a professional skill really up to the mark, can lead the hospital to work by authoritativeness of technology. But the intersection of development and the intersection of requirement for president and specialization of health care industry. It is the thing that the government should do a good job of to promote the public director's management level conscientiously. " Will it be July this year, at the intersection of Heilongjiang Province and the first the intersection of director and summit forum, should save Bin Li, chief of department of public health, explain, promote the intersection of president and professional reason. Recently, some presidents of public hospital in Heilongjiang Province meet again, president's professionalism is their talk focus. Can be found out in the speech from having an informal discussion, in the real work, that occupy a large amount of energy of theirs is still old difficult problems such as compensation, medical dispute, income distribution of the public hospital,etc.. " the president can not manage to put into normal management with all strength " The subsidiary tumour director Xu XiuYu of medical university in Harbin admits frankly: "The imperfect result that brings of the compensation mechanism of public hospital is, the hospital compensates the activity of going by the president. The capable president can run and want some money, the discipline construction, personnel training, scientific research of the hospital are counted on with the income of non-agricultural workers when being put into. President ' run ' to have skill come on money, pressure very large. " Xu XiuYu says, as the president, she always feels that owes worker too much. They work from dawn to dusk and go to work, work extra shifts or extra hours on festivals or holidays, but 3 times of overtime wage that the hospital can not give them labour law to stipulate. For survival and development, hospital have a limited fund input construction. The experts have not got the reasonable remuneration. Rational compensation mechanism is not set up, presidents can not manage to put into with all strength normally and managerially. Chinese Medicine University of Heilongjiang attaches to the loyal person of second director's grandson to think, it is too difficult to become a president now. The salary that the government only gave for 3 months of personnel, the salary that has 9 months left earns by oneself. President's tired contest of price war, cause of disease in tackling keen competition of every day, have no time to charge, for energy that is finely managed being limited, the professional road is OK and difficult to walk. Talk about the question of involving president's energy most at present, Heilongjiang Province directors of people Li BaoChun, Tian GuoHua, infectious disease director of province, subsidiary fourth hospital Vice President Meng QingGang of medical university of Kazakhstan have all mentioned doctors and patients' dispute: "At a disturbance of hospital, become atmosphere, the intersection of corpse and hospital Chen, burn joss sticks, support Buddha, stop up the door and splash the excrement, even unite social forces and extort the hospital. This is the thing that we scratch one's head most. " "We try medical responsibility dangerously, but it is easy to be difficult to compensate to pay the money. The legal procedure of requiring the patient and leaving in the insurance company, appraises and tries, compensates, and does not acknowledge doctors and patients coordinate the result. The legal route that ordinary people do not leave, more willing to balance through the abnormal route, there is no energy to accompany and toss about in the hospital, there are the medical dispute of the results 90% - 95% Have to solve privately. The hospital has reached up to a million yuan paying the dangerous expenses of medical responsibility for 3 years in succession, there is very few but compensation that is got. " Specialized department director Zhong DeTai of psychosis in Heilongjiang Province says, it is difficult for most mental hospitals to operate, the long-term salaries to workers can't be released in full amount. In that the government puts into insufficiently on one hand, on the other hand psychosis is disease all one's life, after several conditions of mental patient are repeated, the family enters the poor condition, it is unable to pay the hospitalization cost again. The infectious disease director Tian GuoHuas of this province have the same feeling: "The hospital is more than 15 million yuan of business income last year, financial allocations are more than 17 million yuan, disposable income was 32 million yuan, and the normal expenses of hospital is more than 40 million yuan. The hospital worker's heating fee did not submit an expense account in 20. " They think, spirit disease, infective disease treatment are the social public health question, similar to the medical organization that bore the public health function, the government should allocate funds fully. President professional direction can't become difficulties to talk directors, Li Bin feels indebted as if it were received in person. Bin Li point out 2007, while times of the intersection of expense and negative growth, the intersection of clinic and quantity increase 43% 2007 such as provincial hospital, measure and increase by 25% in hospital. The hospital, especially large hospital is at a very good developing stage. Operate in the difficult hospital now, are mostly the country, hospital where the trade chartered more in the past. Relevant experts think, medical treatment was that an effective demand was insufficient in the past, have shut and already newly and agriculturally covered completely now, the medical insurance of urban residents covers 8 cities this year, will cover completely next year, the effective demand is released greatly. With the further completion of the system of medical insurance, the growth of this kind of explosion type will also last some time, and increasing degree may be bigger. Under this kind of situation, the government should do a good job of management and developing direction of the public hospital even more. " baton " First, advance president's professional process, second, do a good job of the hospital grade to evaluate. Li Bin says, the director overwhelming majority at all levels of Heilongjiang Province is chosen from the medical expert. Because of the deficiency in respects such as the thought and knowledge, policy environment,etc., some presidents of hospital will fond of the skill of going out and examining, having the operation, writing the thesis, starting a new term, brought to a graduate student, held director Ke concurrently, there is very little energy used for management of the hospital. At present, most presidents are at managing stage empirically, lack the overall thinking as to the cost accounting, developing direction of the hospital. Meanwhile, the high-speed development of the hospital concealed the problem existing in management. So, the resolution of Heilongjiang Province advances director's professional system. Last year, should save the department of public health and require the president not to hold director Ke concurrently; Start director's professionalism to train this year, place on the hospital management and administration that a president needs badly especially, respects such as the strategical planning of the hospital, institutional framework and cultural construction of manpower resources management, financial administration of the hospital, hospital,etc., propose " the the intersection of president and expert, but not the expert president " . Li Bin says, in the future, should save the department of public health and strengthen president's professional training management through administrative interference, demand to be taking the post as the management vocational training that the president must accepting certain class hour every year, get requested and stipulate the credit, and the achievement, as the examination basis of the promotion on duty by training. The next step, should save department of public health, implement the intersection of president and entry make progressively also, the intersection of entry and condition including work experience, education, accord with state policies,etc., the goal is realized " no matter appoint, is in charge of the standard; Stress president, stress tap just, public the intersection of director and the intersection of people and his duty to the limit, the medical service quality will have old changes " .


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