医疗困局，局部调整难起效果 Medical this,Local adjustment difficult up effect

政协委员感叹：若“非典”再来，还有医生愿意冲锋陷阵吗？ Members of CPPCC exclamation:if"SARS"Come again,And the doctor would like to remember the titans?

　　高州医院医生回扣事件曝光，再次把整个医疗行业推上风口浪尖。“个别医生的药品回扣行为，损害的是所有医护人员的形象，大家感觉好受伤！”1月24日，省政协会议上，众多来自医卫届的委员集体反思高州事件。对于医疗行业目前的公众形象，他们表现出了深深的忧虑！“如果非典再来，还有医生愿冲锋陷阵吗？”

Gaozhou hospital doctors rebate event exposure,Once again the whole medical industry into in the teeth of the storm."Individual doctors drug rebate behavior,Damage to the image of all staff,You feel good injury!"January 24,,'s meeting,Many medical health from the collective reflection of gaozhou event.For the medical industry current public image,They showed a deep worry!"If the SARS again,And the doctor may remember the titans?"

机制不改腐败难除 Mechanism do not change difficult in addition to corruption

　　委员们对高州事件中曝光的氨曲南粉针印象深刻，医院采购价是19.2元，而出厂价只要2.5元，中间环节就暴涨16.7元，这便给了医生回扣的空间。“高州事件折射出很多值得思考的问题，药品流通环节是源头祸水，招投标制度有问题，定价机制有问题！”普宁市人民医院院长陈阳生委员说。

Members of the committee events in gaozhou exposure ammonia plenty QuNa deep impression,Hospital purchase price is 19.2 yuan,And ex-factory price as long as 2.5 yuan,The intermediate links shoot up 16.7 yuan,This gave the doctor rebate of space."Gaozhou event reflects many question,Medicine circulation link is the source of evil,The bidding system has a problem,Pricing mechanism has a problem!"PuNingShi people's hospital dean ChenYangSheng committee said.

　　“医疗行风建设定位不准，只抓住了尾巴，没抓住牛鼻子。”陈阳生委员说，由于机制问题导致的腐败现象，最后都算到了医生头上，卫生系统被一次次扣上了大帽子。陈阳生委员建议，应该正本清源，药品定价时就要尽最大可能压缩空间，药商无钱行贿，医生就无贿可收，医院把压缩药价所得利润投入改善医疗环境和提高医生收入，同时要取消药品加成。

"The enhancement of medical construction positioning is not allowed,Just caught the tail,Didn't get the key."ChenYangSheng committee said,Due to the mechanism of lead to corruption,Finally calculate the head doctor,Health system is again on the big buckle.ChenYangSheng committee suggested,Should radically reform,Drug pricing is the best possible compression space,Druggist no money bribery,The doctor has no bribe can accept,The compression profit hospital drug prices in improving medical environment and improve the income of doctors,At the same time to cancel the drug addition.

　　“机制问题不解决，腐败就不可能根除。”中山大学研究生培训处处长汪华侨委员说，由于利益驱使，腐蚀卫生系统健康的行为无孔不入，“投标前两小时专家名单才公布，但药企仍能公关到位”！

"Mechanism problem is solved,Corruption is impossible to eradicate."Sun yat-sen university graduate training marshal wong overseas Chinese committee said,Due to the incentive,Corrosion health system healthy behavior seize any opportunity,"Two hours before bid list of experts revealed,But medicine enterprises can still public relations in place"!

　　很多时候，效果差不多的药，差价在十倍以上。按理说，有招投标、阳光采购等制度，医院应该可以降低药品采购成本，但高价药还是堂而皇之进了医院，因为最后买哪家的药，是医院一把手说了算。

Most of the time,Results the same drug,Spread in more than ten times.By rights,A bidding/Sunshine purchase system,The hospital should be able to reduce the drug purchasing cost,But high medicine or imposing into hospital,Because the last buy a medicine,Is the hospital a have the final say.

　　“在医疗腐败问题上，医院责任不小，就是权力过于集中！”秦鉴委员建议，应该建立董事、监事制度，请德高望重的专家监管药品采购环节，限制医院一把手的权力。

"In the medical corruption,Hospital a responsibility,Power is too concentrated!"QinJian committee suggested,Should establish director/Supervisors system,Please respectable specialist supervision drug procurement procedures,Limit the power of a hospital.

何妨学习民营医院 Might as well learn private hospital

　　医疗采购挤掉药价水分，目前民营医院普遍采用中标后“二次议价”措施，在之前被称为医改“高州模式”的高州市人民医院曾尝试过，但因涉嫌违反公立医院不准议价的规定而备受争议，最终没能坚持下来。

Medical procurement prices squeeze out water,Currently widely used private hospital after winning the bid"Secondary bargaining"measures,Before the reform, is called"Gaozhou mode"Gaozhou county people's hospital of had tried,But because of suspected of violating the provisions of the public hospital no bargaining and controversial,Finally can't insist on down.

　　而民营医院则可以按照自己的药品心理价位找中标药企谈价格，“老板的钱不会乱花的”，挤干了药价水分，降低了医院成本，提高了医院效益，也并没有出现许多公立医院担心的很多药品买不到的问题。

And civilian battalion hospital, may be according to own drug psychological price to find the medicine to talk about the price,"The boss's money doesn't disorderly spend",Squeeze dry water prices,To reduce the cost of the hospital,Improve the benefit of hospital,Did not appear many public hospitals to worry about a lot of drugs can't buy problem.

　　“民营医院的成功做法，为何不能在公立医院推行？”中山大学一附院中医科教授秦鉴委员说，现状是，制度管得到的地方往往出问题，不管的地方却不出问题！“好的做法就应该推广，不合适的制度就要修订！”

"The successful practice of civilian battalion hospital,Why not in the public hospital implementation?"Sun yat-sen university professor of traditional Chinese medicine department YiFuYuan QinJian committee said,Status is,System pipe get place often out of the question,Whatever place is not a problem!"Good practice should be promotion,Not the right system should be revised!"

屡被调侃医生心凉 Often be poking fun at the doctor heart is cool

　　目前医院屡屡暴露出来的腐败案件，一次次丑化了医疗行业的形象。有医生直言，在公众场合，自己都不好意思说自己在医院工作。

At present the hospital repeatedly exposed corruption case,Time to smear the image of the medical industry.A doctor to,In public,Are embarrassed to say their work in a hospital.

　　“在社会场合发言时，我常会谈医患关系问题，但总有很多人反对。”深圳市第二人民医院创伤骨科教授王大平委员说，对此他很郁闷。湛江市副市长梁志鹏委员接过话题调侃道：“因为医生形象不好！”

"In the social occasions when speaking,I often talks the doctor-patient relationship,But there is always a lot of people object to."Shenzhen second people's hospital professor of orthopaedic trauma WangDaPing said,But he was very depressed.Zhanjiang vice mayor LiangZhiPeng members took the topic fun way:"Because the doctor image is bad!"

　　珠海市人民医院副院长蔡越秀委员认为，目前的医生是很可悲的，承担起了由于机制、体制错误带来的所有负面影响，医生成了随时被抨击的对象。

Zhuhai municipal people's hospital deputy director tsai yuexiu members think,The doctor is very sad,Assume the mechanism/System error bring any negative effect,The doctor was always be the attack of the object.

　　“我是中医科医生，但患者没有特殊要求的话，我从来不开中成药，只开中药，因为中成药有回扣。”秦鉴委员说，“多么悲催，制度设计没能避免回扣，我们只能自己逃避！”

"I am the traditional Chinese medicine department,But if there were no special requirements,I never open proprietary Chinese medicine,Only open Chinese traditional medicine,Because the traditional Chinese medicine have rebate."QinJian committee said,"How sad reminder,System design can't avoid rebate,We can only his escape!"

　　“近十年来，医生好受伤！”秦鉴委员说，这些年医患关系紧张，尤其是2012年，发生的极端砍杀医护人员事件最集中，医生恨不得穿着防弹背心上班。“现在大家有事没事都拿医生来调侃，医疗行业和医生很受伤，心都伤透了。”

"Nearly ten years,The doctor good injury!"QinJian committee said,During these years the doctor-patient relationship nervous,Especially in 2012,Happen extreme stabbed, health care workers the most events,The doctor can't wait to go to work wearing a bullet-proof vest."Now you have nothing with the doctor to ridicule,The medical profession and the doctor was injured,Heart break."

　　秦鉴委员说，希望医疗制度的大改革尽快提上议事日程，否则，医护人员感觉很心凉、很悲哀，“如果非典再来，还有多少医生像十年前那样冲锋陷阵？如果医生都能躲就躲，或消极应付，政府将如何面对民众？”(记者 夏杨)

QinJian committee said,Hope that the medical system reform of put on the agenda as soon as possible,otherwise,Medical staff feel the heart is cool/A sad,"If the SARS again,How many doctors like ten years ago that remember the titans?If the doctor can hide hide,Or negative cope with,The government will how to face the public?"(Reporter XiaYang)