Pour cold water on "reward TCM consultation": it's like coaxing your mouth with sugar and guarding against people with a stick

Abstract: the main purpose of patient consultation is to treat their own diseases; the main purpose of hospital consultation is to save people's lives, and promoting traditional Chinese medicine should be something with feet, not as a political mission On the evening of the 28th, I saw a micro blog posted by an official A top three hospital in Zhejiang issued a notice today: Leaders: after the decision of the hospital, the construction of TCM in all departments of the hospital will be included in the performance appraisal Requirements: 1 Each department requests TCM consultation more than 6 times a month on average, and 10% of discharged patients must have TCM services (including Chinese herbal pieces, Chinese patent medicine, acupuncture, massage, etc.) 2、 For inviting TCM departments to participate in the consultation of the Department (including consultation of the whole hospital, discussion of medical records, etc.), the inviting department does not need to pay the consultation fee, and will be rewarded with 10 yuan / person time Please consult the economic management department for details of the penalty It's strange, just like a mother who has not been around for a long time All of a sudden, when she comes back to her hometown one day, she wants to give all her love to her left behind children as soon as possible She coaxes her children with candy When they go out to play, she also needs to take a stick with her She's afraid that the child will be wronged outside In case someone sends a cream cake and whether the child's pancreas can stand it or not, she first takes out the stick and forces it His child, "go! No matter who gets the cake, let our children eat one tenth first! " In total disregard, my child is now an 18-year-old adult This seems to be called over compensation in psychology In this case, 10% of the discharged patients from a top three hospital in Zhejiang must have TCM service, which is very similar to the story I just compiled There are several issues to be discussed: first of all, it's a bit hard to say that the performance appraisal of the number of consultation with traditional Chinese medicine reached more than 6 times this month I don't know the level of traditional Chinese medicine in this hospital, or the average number of consultation times in each department every month But this order is to enforce the performance of consultation with traditional Chinese medicine Is there any suspicion that we should pay attention to baldness? Who will pay for the consultation? Second, "10% of discharged patients must have TCM services", who pays? As a patient, why should I accept the consultation of traditional Chinese medicine that may not be matched with each other? Why should I accept the following herbal pieces, proprietary Chinese medicine, acupuncture and massage? If all this money is from patients, why should we seize this sheep to collect wool? Third, patients come to the hospital to see a doctor, recovery is the purpose, why are they passively involved in the political task of promoting traditional Chinese medicine? Don't talk about those tall words, simple doctor-patient relationship, why should we mix with cooperative pimps? Fourth, can the existing conditions of traditional Chinese medicine correctly implement the above performance appraisal? Is qualified traditional Chinese medicine enough? Can the normal supply of Chinese herbal pieces and Chinese patent medicines keep up with each other? The cream cake in the medical market is delicious, but have you checked your pancreas? Fifth, Chinese medicine must be cheap and easy to use? Not really? Can the disease that can cure with western medicine, can because of performance appraisal be forced to use expensive traditional Chinese medicine? You can't see that there are frequent defects in the flight inspection of traditional Chinese medicine enterprises recently, and the counterfeiting technology has been renovated again and again It's not a piece work or an assembly line to cure the disease and save people How can we think of using performance appraisal to enforce it? To put in a word, am I black Chinese medicine? No, if you read the article I wrote before, you will know that I really read the book of traditional Chinese medicine In addition, there are four generations of practitioners of traditional Chinese medicine in my family, including my elder brother who is an old military doctor guarding the border So don't think that my purpose of splashing cold water is to fight against traditional Chinese medicine The development of traditional Chinese medicine to now, a lack of good medicine, two lack of good medicine, three lack of good powder (willing to see patients with traditional Chinese Medicine) One less for the old Chinese medicine, one less for the old medicine workers and one less for the old patients How to develop? Stipulate that patients must see Chinese medicine to eat Chinese medicine and carry forward the national essence? Come on, what's the difference between forcing Beijing opera fans to listen to rock and roll? The development of things can't leave their own laws, and they can't grow into a climate What we should do now is to work steadily, promote the education of traditional Chinese medicine, excavate the existing experience of old Chinese medicine workers and old Chinese medicine, sort them into books, and improve the adulteration of traditional Chinese medicine Without a few years of transition, we can't see much effect It's not a assembly line, it can't be done quickly, let alone take this as a political direction If we save people and treat diseases, we should practice medicine well, manage other traditional Chinese medicine and Western medicine, and be able to cure diseases It's a good doctor The main purpose of patient consultation is to treat their own diseases; the main purpose of hospital consultation is to save lives, and promoting traditional Chinese medicine should be a matter of taking feet, rather than as a political mission.