"Focus on China" For the system to block the arrow

Yu Li/Illustratedat 12 noon, a well-known Beijing Sanjia hospital outpatient hall waiting for registration queue is still very longSome people because of long queues began to physically, simply sit on the ground, mentally exhausted and nervous, but no one left the teamevery few minutes, the whole team moves forwardThe empty position will soon be filled, even longer than just now, day after night"Actually, there aren't so many effective patientsWang Wei, a doctor who works at the hospital, saidShe has worked in this hospital for more than ten yearswhat she considers effective patients, refers to those who can only be treated in this hospital or at this level"If all are effective patients, not only can the doctor's treatment pressure be greatly relieved, the hospital can also provide better care services to patients." "
a patient who had come from Jinan to visit the orthopaedics and waited for several hours to find that the results and treatment were no different from those he had examined at the hospital in his hometown"
Chinanot enough doctors, but the chaotic system of visits made some doctors unable to cope, while others did not even do the basic protectionWang Wei said"
China'sshould implement a referral system to truly optimize the allocation of medical resources"
this expectation is gradually being recognized, but full realization seems to be far away."30 people, can be used also 20 peoplea small town hospital on the outskirts of Jinan, doctor Xiao Guizhi opened WeChat, looked at the group of various news with interest, from time to time in the inside a few words of emotion"There are very few patientsMost people once sick, regardless of the weight, will go directly to the county or listed, provincial hospitals"
Xiao Guizhi believes that people's living standards have improved and higher demands are being made for health"This requirement conflicts with the level of treatment in township hospitals that cannot meet their psychological expectations"
most hospitals in China are run by the governmentIn the last century, public hospitals were fully subsidized by the governmentAfter the market-oriented reform, public hospitals received very limited financial support from the governmentIt has been claimed that more than 90 per cent of hospital revenues have to be obtained from the "market"they also lose the trust of their patients when over-examination and treatment and drug-based medicine become the hospital's biggest source of income Meng Yi (pseudonym), a former medical representative at , said that medical representatives are doing everything they can to get medicine into the hospital "Hospitals and pharmaceutical representatives form a chain of interests, doctors "prescribing prescription drugs" to take the commission is no secret, but some doctors have the courage to fatten, some doctors more take into account dignity "
such events have flourished for a while Later, the government issued "on the public hospital reform pilot guidance" and other relevant policies to prevent "drug-based medicine" become the focus These measures have curbed this momentum to some extent, but the reality that Chinese doctors are underpaid is fundamentally hard to change the distorted status quo between hospitals and between positions, the distribution of income among doctors is also creating a conflict of interests "More than a decade ago, some hospitals were able to make corresponding commissions to doctors who admitted new patients The doctor wrote a big medical record, a 50 yuan commission, 30 copies a month, already higher than our full month's salary at that time Wang Wei said in this reality, many doctors struggle to make choices between work ethic and support for their families And when the pressure of survival and self-worth are seriously underestimated by the government and society, some doctors choose to leave their posts "Now, according to state regulations, the income of our hospital doctors, in addition to wages, has a very small portion of performance, which the Department of Health has limited The salary is not very high Xiao Guizhi said for that wage, she traveled more than a dozen kilometers a day, from the county to this town to work Patients are mostly nearby farmers, look at her eyes, but more envy In Xiao Guizhi's view, the health care reform policy is more patient-like, while patients do not trust the hospital "Health insurance policies such as new agricultural care and basic drug price limits cost patients less money But in the current situation, patients still believe that the hospital is killing them In addition, the patient's medical requirements are also increasing Many patients check online for treatment and question their doctor They always feel that doctors are unprofessional, or that for no reason increase the number of examinations, and charge more "
many township hospitals are no longer "open" to the problems caused by mistrust "Now the doctor-patient relationship is so tense, moving patients to find hospital trouble to claim money, so we are also safe, serious lying, bad temper also do not receive." Xiao Guizhi said in the suburbs of Beijing, this is not uncommon "Last time I went to a township hospital in Beijing's Mentougou district, where doctors were paid only a fixed salary They have electrocardiogram equipment, but few doctors are willing to give patients to do examination, generally directly to introduce patients to large hospitals, should be afraid of responsibility Wang Wei said in fact, many primary hospitals have recruited a large number of untrained "medical" students in order to maintain their biological strength and meet basic medical security but they are clearly not enough to gain full trust from patients Wang Wei's husband is another doctor at Beijing's Sanjia Hospital, where he has trained a group of township doctors "30 people can be used also 20 people, Chinese doctors should be removed 1/3, this said will not wrong who." "
but there is no doubt that, for some time, township doctors have contributed to primary health care Xiao Guizhi entered the township hospital after graduating from a medical college In the 1990s, the hospital was once very popular, with doctors having a lot of fans, some of whom were also known as "famous doctors" But after 2000, with the transfer of some doctors, the ease of transportation and the improvement of living conditions, many patients directly chose better hospitals The nearest one is a second-tier hospital 15 kilometers away from the town the profession of doctors was virtually exaggerated
in ancient times, the ideal of Chinese intellectuals was "not good, but good medicine" Famous doctors, like The Qing officials, are highly admired This has a long history and is deeply rooted in folk discourse in Wang Wei's cognition, this is the holy artificial phase "In fact, a doctor is a kind of healing and saving the profession But this holy artificial phase, has gone beyond the scope of the profession, more is a kind of virtual exaggeration "
Wang Wei has heard more extreme statements, "The doctor's perfect ending is to fail, like a high jumper, always challenge height, challenge the unknown." This is the home of a famous doctor Wang Wei disagrees "Everyone's way of life is different To engage in the profession of doctor, do not want to have big ups and downs, but the best ordinary Save the dead and wounded, ask the heart is worthy of "
she joked with her colleagues, "Since ancient times, the doctor has been a dangerous profession Even if the medical skills are higher, do not also meet Cao Cao? "
Now, the danger to doctors is not diminishing media have disclosed an investigation into the causes of violent injuries, concluding that, in addition to doctors receiving "red envelopes", more patients believe that doctors and hospitals are in a single- and increase the burden on patients Many patients even blame the worsening disease directly on doctors, accusing them of having neither medical skills nor medical skills in the medical security is not perfect, patients and did not vent anger and anxiety of the export of the reality of the environment, violent medical incidents have occurred repeatedly this worries many hospitals Some hospitals even employ police officers as vice-presidents to take charge of hospital security.