打破“铁饭碗”，切断“大处方”利益链，高薪养廉…… break"Iron rice bowl",Cut off"DaChuFang"Interests chain,High salary YangLian...

　　

港大深圳医院能否根除医改“顽疾”？ Hong Kong shenzhen hospital can cure eradication"Persistent ailment"?

　　2012年7月1日，由深圳市政府投资35亿元兴建、深港双方共同组建团队管理的港大深圳医院正式“试业”。

On July 1, 2012,By the shenzhen municipal government investment of 3.5 billion yuan to build/Deep port both sides to set up a management team of Hong Kong shenzhen hospital official"Try industry".

　　打破“铁饭碗”，切断“大处方”、“大检查单”利益链，高薪养廉……这一系列全新的医疗服务理念，一出台便成为各方关注的焦点。

break"Iron rice bowl",Cut off"DaChuFang"/"Big inspection list"Interests chain,High salary YangLian...This a series of new medical service concept,A on the parties will become the focus of attention.

　　与此同时，港大深圳医院还收获了“不建一座崭新的旧医院”、“把大病患者留在深圳”、“不要建一所贵族医院”等诸多期许。

meanwhile,Hong Kong shenzhen hospital also harvest"Don't build a brand new old hospital"/"The serious illness patients stay in shenzhen"/"Don't build a noble hospital"And so on many expect.

　　如今，越来越多的市民接受了不一样的港式医疗服务，而其三个月的“试业”期也已结束，目前港大深圳医院运行效果如何？医生、病人、医院等与此事密切相关的各方又作何感想？深港合作真的能根除长期以来屡遭诟病的医改“顽疾”吗？带着种种疑问，记者近日进行了采访。

now,More and more people to accept the different medical service the hong kong-style dim sum,And the three months"Try industry"Period has ended,At present Hong Kong shenzhen hospital running effect how?The doctor/The patient/Hospitals and it closely related parties and mark baard?Deep port cooperation really can eradicate for a long time in the medical reform for repeatedly"Persistent ailment"??With a variety of doubt,Reporter recently interviewed.

　　

“为公立医院改革提供了一条崭新思路” "For public hospital reform provides a new train of thought"

　　内地公立医院改革的“样本”——从一建成，位于深圳市滨海大道与侨城东路交汇处的港大深圳医院就被罩上了这样的光环。

The mainland public hospital reform"sample"- from a built,Located in shenzhen binhai avenue and qiaocheng interchange of Hong Kong shenzhen hospital is quilt cover on the aura.

　　记者了解到，为对抗医改“顽疾”，深港双方在医院管理体制、财政投入机制、人事分配制度、保障公益性、企业化运行、成本管理、服务模式以及提高服务质量和工作效率等领域进行了大胆改革，以此来推动“政事分开、管办分开、医药分开、营利与非营利分开”。

The reporter understands,Cure to fight"Persistent ailment",Deep port both sides in the hospital management system/Financial input mechanism/Personnel distribution system/Safeguard public welfare/Corporatization operation/Cost management/Service mode and improve the service quality and work efficiency, etc have made the bold reform,So as to promote"Government affairs separate/Pipe run separate/Medicine separate/Profit and non-profit separate".

　　值得一提的是，在这次改革中，医务人员只进不出的“铁饭碗”被彻底打破。港大深圳医院实行全员聘用合同制，入职员工全部要与医院签署3年的聘用合同，期满后，医院将依据考评情况决定是否续约。

Be worth what carry is,In this reform,Medical staff only into not out"Iron rice bowl"Was broken.Hong Kong shenzhen hospital implement overall employment contract,All staff appointment with hospital sign three years of employment contract,After the expiration of the,The hospital will be based on appraisal situation to decide whether to contract.

　　“对病不对人”的就诊制度改革也是此次港大深圳医院改革中备受瞩目的一笔。以往去许多大医院，但凡看重一点的病，都要找熟人。而在如今的港大深圳医院，“预约就诊”、“先全科，后专科”的就医模式让“关系户”没了渠道。

"To disease not people"The medical system reform is also the port big shenzhen hospital reform in high-profile a pen.In the past to many large hospitals,In every case of a disease,Will find acquaintances.And in today's Hong Kong shenzhen hospital,"Make an appointment to see a doctor"/"The first general,College after"The accessibility of medical care pattern let"connections"Didn't the channel.

　　同时，医院还在内地首创为全部医生购买了“职业责任险”，设置了“病人关系科”，将医疗事故责任交予第三方处理，让医生在治疗环节更加专心，同时也有助于更好地改善医患关系。

At the same time,The hospital is still in the mainland for all doctors bought"Professional liability insurance",Set up"The patient relations division",Medical accident liability to the third party processing,Let the doctor in the treatment of link to concentrate more,At the same time also helps to better improve the doctor-patient relationship.

　　据了解，该院“试业”三个月来， 市民接受程度颇高，每天的门诊量爆满。现任深圳市第二人民医院院长的蔡志明对此颇为看好。他告诉记者，早在2001年他担任北大深圳医院首任院长时，就进行过同样的探索，包括全员聘用制、以岗定薪等，但最终由于阻力太大，未能推行。“现在，港大深圳医院所处的环境不一样了，政府支持力度很大，它的改革应该会成功。”

It is understood,hospital"Try industry"Three months, People accept degree is quite high,The MenZhenLiang full every day.The shenzhen second people's hospital of the President of the CaiZhiMing positive on this.He told reporters,As early as in 2001 he served as Peking University shenzhen hospital when first dean,Has made the same exploration,Including the system of employment under contract/With the fixed income, etc,But in the end because of resistance is too big,Failed to implement."now,Hong Kong shenzhen hospital surroundings is not the same,A government support,Its reform should be successful."

　　

“在这里找回了病人对医生职业的尊重” "Here the patient back to the doctor professional respect"

　　“在这里做医生，心里踏实。”提起自己的这次“跳槽”，年近半百，稳攥“铁饭碗”十多年的李医生坦言道，在这里，找到了病人对医生这个职业的尊重。

"Doing here doctor,Heart steadfast."She spoke of her this time"job-hopping",Nearly fifty years,Holding stability"Iron rice bowl"Ten years of doctor li admitted,here,Find the patient to the doctor this professional respect.

　　李医生告诉记者，港大深圳医院从制度上杜绝了医院、医生为了赚钱而乱开药、多做检查的现象，“打包收费”的方式让患者也对自己的支出一目了然，增加了医患间的互信。“在这里，你只需考虑如何为病人更好地治疗，潜心研究医术就行了，其他的一概不用劳心”。

Doctor li told reporters,Hong Kong shenzhen hospital from system put an end to the hospital/The doctor in order to make money and disorderly prescribe/Do more check phenomenon,"Packing charges"The way to let the patient also to own expenditure be clear at a glance,Increase the mutual trust between patient and physician."here,You only need to consider how to better treatment for the patient,Concentrated on the study of medical skill will do,Other entirely without knowledge".

　　记者了解到，在港大深圳医院，医生的工资由基本工资和绩效工资两部分构成。绩效工资的高低主要看医生的医疗质量，与开多少药、做多少检查完全无关。每个专业都有一套专门的薪酬评估体系，标准包括医生看病时的服务质量，手术有多少并发症，有没有投诉，患者满不满意，合作团队的医护人员满不满意等。

The reporter understands,It is large in Hong Kong shenzhen hospital,The doctor's salary from the basic wages and merit pay two components.Performance the wage basically see the doctor's medical quality,And open many medicine/How much do check completely irrelevant.Each specialty has a set of special compensation evaluation system,The doctor standards include the service quality,Operation how many complications,Any complaint,Patients are not satisfied with,Cooperation team's medical staff are not satisfied with, etc.

　　“这样做是想让每一位医务人员明白，要保饭碗，必须努力提高医术，必须有良好的医德。”港大深圳医院院长邓惠琼这样告诉记者。

"To do so is to let each medical personnel understand,To keep their jobs,Must try to improve medical skill,Must have good medical ethics."Hong Kong shenzhen hospital dean DengHuiQiong told reporters.

　　

“改革很难，但我们一定要做下去” "Reform is difficult to,But we must do it"

　　作为医改“样本”，港大深圳医院的现状和未来的确让人充满期待。然而，很多人在期待之余也有担心。

As the reform"sample",Hong Kong shenzhen hospital present and future really make people full of expectation.however,A lot of people are looking forward to more than the also have worry.

　　按照协议规定，深圳市政府对于香港大学深圳医院的补贴期限只有5年，第一年的补贴占90%，以后将逐年递减。很多人担心，港大深圳医院一旦失去了现有的政府财政支持，还能否自负盈亏？

According to the agreement,Shenzhen government for the university of Hong Kong shenzhen hospital subsidy term only 5 years,The first years of subsidies accounted for 90%,Will decrease.Many people worry that the,Hong Kong shenzhen hospital once lost existing government financial support,Also can be responsible for their own profits and losses?

　　对此，邓惠琼表示，一年后，港大深圳医院现行的130元打包费会有所调整。另外，还会在保持公立医院医疗服务的同时，加入自己的“特需医疗服务”。这部分服务将占到医疗资源四成左右，其收入用来“补贴”、“平衡”公益医疗。

this,DengHuiQiong said,A year later,Hong Kong shenzhen hospital the current 130 yuan packing fee will be adjusted.In addition,Also keep in public hospital medical service at the same time,To join their"Special medical services".This part of the service will account for about forty percent of medical resources,Its income used to"subsidies"/"balance"Public medical.

　　对此，网络上也给出了不同声音。一些人认为，港大医院此举立意是好的，也得到很多拥护，但医改毕竟是一个系统工程，若仅凭借一家医院的“木秀于林”，而其他的地方甚至国家层面的配套措施没有跟上，也难成气候。也正因此，很多人认为港大深圳医院不具备对内地公立医院改革的“样本”效应。

this,The network also gives different voice.Some people think that,Hong Kong hospital this conception is good,Also get a lot of support,But cure after all is a system engineering,If only with a hospital"Wood show the woods,",And other places and even national level has not kept up with the supporting measures,Also difficult to ChengQiHou.Are so,A lot of people think of Hong Kong to the mainland shenzhen hospital does not have public hospital reform"sample"effect.

　　“改革很难，但我们一定要做下去！改革的意义不在于‘复制’，而在于对现有体制的‘改良’，港大深圳医院的最终目的就是想将高水平的医疗服务提供给更多的患者，向内地其他公立医院提供一些经验借鉴。”邓惠琼对记者说。

"Reform is difficult to,But we must do it!The significance of the reform of the is not‘copy’,But in the existing system‘improved’,Hong Kong shenzhen hospital final purpose is to want to a high level of medical services to more patients,Inland other public hospital to provide some experience for reference."DengHuiQiong told reporters.

　　目前，港大深圳医院已经结束“试业”期，步入正轨。面对不断增加的门诊量，记者了解到，港大深圳医院已准备了多套预案予以应对，其中医疗人员的招聘、培训也在紧锣密鼓地进行。(记者 易运文 通讯员 杜 艳)

At present,Hong Kong shenzhen hospital has ended"Try industry"period,On track.Facing the increasing MenZhenLiang,The reporter understands,Hong Kong shenzhen hospital has prepared many sets of plans to deal with,The medical personnel recruitment/Training is also in the middle for.(Reporter easy to transport the correspondent du brilliant)