医患双方签字拒红包效果会怎样？ Both doctors out red packets signed effect will be how？

请看记者调查：仅靠一纸协议，很难药到病除 Please see the reporter survey：Only on a paper agreement，Hard to work like a charm

　　卫生部近日就《加强公立医院廉洁风险防控》征求意见，规定“患者入院时进行医生不收‘红包’、患者不送‘红包’双向签字，协议书纳入病案管理”。此举引发社会热议。

The health ministry has just《Strengthening public hospital clean risk prevention and control》For advice，provisions“When admission with doctors don't‘Red envelopes’、Patients do not send‘Red envelopes’Two-way signature，Agreement into the medical records management”。The move triggered social hot debate。

　　“双向签字拒红包，我认为有比没有强。至于效果如果，完全在于医生个人。”南京市卫生局纪委副书记张利民说，防红包协议书，至少能给患者提个醒，医生变相索要红包是违法的；而对于医生来说也起警醒、提示作用——签了字就要对自己行为负责任。

“Two-way sign out red packets，I think there is better than no strong。As for the effect if，The doctor is all about individuals。”Nanjing health bureau deputy secretary of the discipline inspection commission zhang lm said，The red envelope agreement，At least give people a caution，The doctor ask for a red envelope in disguised form is illegal；But for the doctor is on alert、Tip role, signed will be responsible for their behavior。

　　医生不得收取红包卫生部门早有规定，甚至许多医院在门诊、病房等醒目位置都贴上“拒收红包”等字样，许多医院也把收红包作为违反医风医德的“高压线”，但事实上，很少有医生因为收受“红包”被追究法律责任的，即便被查处，也至多是做违纪处理。因为能收到“红包”的，基本都是业务骨干，医院多数家丑不外扬“捂下去”了。所以很多“禁令”如拒收红包、拒医药代表上门等最终沦为一纸空文。

The doctor may not receive red envelopes health department early has a regulation，Even many hospitals in the outpatient service、Ward with pride of place“Rejected a red envelope”And other words，Many hospitals also the recipient as a violation of the medical ethics morals red envelopes“High tension line”，But in fact，There are few doctors for accepting“Red envelopes”Be shall be investigated for legal responsibility，And even if it is，Also at most do deal with discipline。Because to receive“Red envelopes”of，Basic it is business backbone，Most hospital a skeleton in the cupboard“Wu down”the。So many“ban”Such as rejected a red envelope、Out on a medical representative finally, a dead letter。

　　张利民说，卫生主管部门一直对抓医生红包现象没放松过，但病人送红包都是暗箱操作，很难查证查实，因此近五年无医生因红包问题被查处。

Zhang lm said，The competent department of health has been to catch the doctor didn't relax red envelope phenomenon，But the patient a red envelope is rigged，It is difficult to verify a thorough check，So nearly five years without a doctor for red envelope issues are the investigation。

　　无人被查处并不代表红包现象没有。据业内人士介绍，医院病人送红包现象比较普遍，但医生敢收的并不多。今年以来，南京市卫生系统医生、护士拒收(包括上交、退回)的红包金额高达60多万元，但到底还有多少医生收了红包而未上交的，则很难评估。

No one was investigated doesn't mean no red envelope phenomenon。Introduce according to the personage inside course，Hospital patient a red envelope common，But doctors can accept is not much。Since this year，Nanjing health system the doctor、The nurse rejected(Including hand in、returned)The red envelopes amount as high as 60 more than ten thousand yuan，But exactly how many doctors took the red envelope and did not hand in，It is hard to assess。

　　“红包问题非常复杂，既有医疗资源稀缺问题，又有医患矛盾对立问题，因此医患双方签这样协议，是非常形式化、非常天真的做法，助长了伪善。”东南大学教授、江苏医学伦理学与卫生法学会会长孙慕义认为，这样的协议既无法制保障又无体制保证，解决不了任何问题。

“Red envelope problem is very complex，Both medical resources are scarce，And the doctor-patient contradictions，So both doctors sign this agreement，Is very formal、Very naive way，Encourages the hypocrisy。”Southeast university professor、Jiangsu medical ethics and health law will ChangSunMuYi think，This agreement without legal safeguard system and have no system guarantee，Not solve any problem。

　　有人表示，“红包”是劳动价值的扭曲体现。医疗行业高风险、高门槛、高强度，而收入并不高，一台七八人合作完成的心脏插管全麻大手术，耗费七八个小时，费用是1000至3000元不等，付出跟所得完全不成比例，“红包”起到了补偿医生收入的作用。

Someone said，“Red envelopes”Is the distortion of the labor value embodiment。The medical industry high risk、High threshold、High strength，And income is not high，A collaboration of seven people heart intubation major surgery general anesthesia，Take seven or eight hours，Fee is 1000 to 3000 yuan，Pay all proportion with income，“Red envelopes”Play the role of the compensation of the doctor income。

　　孙慕义认为，解决医生劳务价值不能得到体现的问题，必须靠政策解决，而不是靠病人自己掏腰包。比如现在医药分开，增设医事服务费，提高专家的诊疗费等，让医生靠自己的知识、技术、劳动合法、公正、体面地取得应有的报酬和地位。

SunMuYi think，Solve the doctor labor value cannot be reflected problem，Must rely on the policy solution，Not by the patient himself in his pocket。Such as now medicine apart，Add the medical service charge，Improve the experts fee, etc，Let the doctor by his knowledge、technology、Labor legal、justice、Decent in reward for and position。

　　也有专家表示，卫生部出台防红包协议是无可奈何之举，即使不能完全解决问题，也会起到一定威慑作用，值得一试。只是要彻底整治医疗腐败问题，需要司法的介入，需要扩大医疗优质资源，需要提高全体医务人员的觉悟和职业操守。除了医疗系统内部的改革外，还需要社会大环境的改善，而这个过程任重道远。(记者 仲崇山)

Experts said，The health ministry issued the red envelope agreement is have no alternative lift，Even if not completely solve the problem，May also play a deterrent，Worth a try。Just want to complete the medical corruption，Need to judicial intervention，Need to expand medical quality resources，Need to improve all the medical staff of consciousness and professional ethics。In addition to medical system of internal reform outside，Still need social environment improvement，And the process to implement。(Reporter ZhongChongShan)