Many large hospital outpatient clinics across the country ushered in adjustment!

The author, Ziye, opened night clinic, double-holiday clinic, holiday clinic... It is understood that Beijing, Nanjing, Shenzhen and other large hospitals have issued announcements, before the stage has faded out of a variety of outpatient forms, in the outbreak prevention and control of the normal situation, and gradually returned to the public's vision.
According to the Chongqing News Channel, since March this year, 19 departments in Chongqing Central Hospital have opened night clinics, 65 experts sitting, according to the Wuhan Evening News, since April this year, Wuhan hospitals have launched a number of "night stalls", or the addition of evening outpatient clinics, or extended the outpatient time to 8 p.m.
And from December 1st, the outpatient department of Southern University of Science and Technology Hospital opened a night clinic, orthopaedics, neurology, digestive medicine, cardiovascular medicine, general medicine, urology, respiratory medicine, gynecology, endocrinology and other specialists to sit in turn;
this year, Jiangsu Province, the hospital weekly meeting of a "big dry 100 days, 2 million outpatients, more than 90% of the beds" initiative caused concern in the industry.
it is learned that the hospital's official website issued the "2020 Mid-Autumn Festival and National Day holiday notice" shows that during the National Day holiday, the hospital outpatient clinic and medical and technical departments open normally, the National Day holiday.
although a doctor at the hospital said the hospital's move was intended to make it easier for patients to seek medical treatment, while meeting the backlog of medical needs during the outbreak, it was also convenient for patients to visit during the holidays.
, but in fact, there is no precedent for national day not to have a holiday, this is the first time the hospital.
can be said that in the outbreak prevention and control of the normal situation, public hospitals are also facing greater operational pressure.
Wuhan Evening News analysis, Wuhan many major hospitals to restart the "night clinic" is no longer an administrative directive, more from the market-driven.
hospitals focus on paediatrics and specialty, rather than simply extending the overall operating hours of hospitals.
, where does the current pressure on public hospitals come from? In this regard, "look at the medical profession" columnist, Shanyang County, Shaanxi Province, deputy director of the Health Bureau Xu Weicai analysis, there are three main reasons.
first of all, it comes from the outbreak.
the outbreak, the number of patient visits has decreased sharply, especially many non-emergency patients, can already be slowed down, for various reasons, but also greatly reduced the number of hospital visits.
directly led to the hospital's outpatient, inpatients are showing a cliff-like decline.
has been accompanied by a decline in hospital revenues.
while incomes have declined, spending has not decreased, especially on epidemic prevention, medical staff salaries, water and electricity in hospitals, etc.
, although the State also subsidizes epidemic prevention, the State subsidies are not sufficient to make up for them, resulting in huge losses.
comes from medicare charges and medicare flight checks.
In many places until 2019, urban and rural residents' health insurance is still managed by the social and health sectors, policies are not uniform, and both sides know that health insurance is about to be handed over, so the health poverty alleviation and health care policy-making do not take the fund losses into account On, therefore, many local health insurance funds have a large loss, when the health insurance bureau took over, in order to quickly stop losses, health insurance policy adjustment is relatively large, coupled with the national anti-fraud insurance flight inspection, the medical institutions irregular behavior caused intangible pressure, but also caused a decline in income.
Again, due to the impact of the epidemic, the country's economic plate tightening, the implementation of the protection of residents employment, protection of basic people's livelihood, protection of market subjects, food and energy security, protection of the industrial chain supply chain stability, protection of grass-roots operation of the "six insurance", although the protection of basic people's livelihood is still one of the key tasks at the time, but it is clear that the financial input to public hospitals significantly reduced, especially the local government financial tight, budget tightening, in addition to the outbreak prevention and control of necessary expenditure, it is difficult to have additional subsidies to hospitals.
And the current income of China's public hospitals almost entirely on their own, the state's financial assistance only accounted for about 7 percent of income, some even less, the economic pressure of hospital operation is relatively large, heavy burden, which is the country's public hospitals generally face the problem.
, almost all public hospitals have reduced the cost of medical staff wages, it is really no way.
The dilemma facing public hospitals, as Sun Hongtao, associate professor and deputy director of cardiac surgery at the Chinese Academy of Medical Sciences, said on his microblog: "People may not know that most public hospital employees may not be paid in full if they rely on government funding alone."
public hospitals are now embarrassed, neither a fully planned economy, without adequate government funding, nor a full market economy, with all income coming from the market.
can only give, while being scolded.
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