医生"含泪十问" 黄洁夫：新医改需要每个医生的帮助 The doctor"A tearful ten q" Huang Jiefu:New reform needs the help of every doctor

　　据中国之声《新闻纵横》报道，"我们行业是服务行业吗？如果是，为什么不能追求利益最大化？""医院先救人后收钱，您知道不知道每年有多少恶意逃费和欠费发生？""医患关系紧张，是由医生负主要责任吗"……这是网上热传的一位年轻医生"含泪十问卫生部部长"的帖子。

According to the voice of China[News vertical and horizontal]reports,"Our industry is a service industry?If it is,Why can't pursue benefit maximization?""Hospital to save money,You know I don't know how many malicious escape every year to expend and overdue bills?""The doctor-patient relationship nervous,Is mainly responsible for the doctor"......This is online on heat transfer of a young doctor"A tearful ten asked the minister of health"The post of.

　　昨天(6日)上午，位于北京铁道大厦的政协医卫界别45号会议室被记者围得水泄不通，因为全国政协委员、卫生部副部长黄洁夫正在回应年轻医生的这十问。

yesterday(6,)In the morning,Chinese people's political consultative conference (CPPCC) located in Beijing railway building YiWeiJie don't 45 # meeting room surrounded by reporters packed,Because of the CPPCC national committee/Deputy health minister huang jiefu is respond to the young doctor asked this decade.

　　近期，这十大问题也被人编成了短信，在政协医卫界别的委员中广泛流传。黄洁夫和委员们认为，如果医务人员存在消极情绪，那么医改将难以成功。医患关系、医生考核、灰色收入这些敏感问题，黄洁夫如何回应？

The recent,The ten big problem has been people into the text,Widespread in YiWeiJie other member of the Chinese people's political consultative conference.Think Huang Jiefu and committee members,If medical personnel exists negative emotions,So reform is unlikely to succeed.The doctor-patient relationship/Assessment of the doctor/Grey income these sensitive issues,Huang Jiefu how to respond?

　　67岁的黄洁夫被很多人了解，可能是因为他的另一个身份，肝胆外科专家，而不是卫生部副部长。而黄洁夫一落座也表示，自己在两会开始前刚刚从副部长的位置上退休，但是作为一名老医生的身份没有变，因此，回应十大问题要先从医生梦开始。因为父亲得肝病去世，黄洁夫遵父遗愿开始学医，也在治病救人的职业中实现人生的价值，要想实现医生梦，就要明确医生的社会定位。但十大问题，首当其冲是定位不准。

67 - year - old Huang Jiefu was a lot of people know,May be because another of his identity,Liver and gallbladder surgery expert,Instead of vice minister of health.And also said Huang Jiefu a takes a seat,Himself before the two sessions has just retired from the position of deputy minister,But as a old doctor's identity has not changed,so,Respond to ten questions to doctor dream comes first.Because my father had liver disease, died,Huang Jiefu father wishes began to study medicine,Also in treating patients of realization of the value of life,Doctor to realize dream,To define the social orientation of the doctor.But the ten big problem,Is the location is not allowed.

　　问题一：我们的行业是服务行业吗？如果是，那我们为什么不能追求利益最大化？

Problem a:Our industry is a service industry?If it is,That why we can't pursue benefit maximization?

　　黄洁夫回应，医疗卫生是服务业，却不能争取利益最大化，这是行业的特殊之处。

Huang Jiefu response,Medical and health services,Was not able to maximize interests,This is a special industry.

　　黄洁夫：我国现在的经济体制是市场经济体制，医院服务的外部环境是市场，我们国家现在医院没有一家是政府财政全额拨款，采购耗材、药品、设备和器械，维持医院的运转均需购买，是典型的市场行为。但是，医疗服务行业与其他服务行业也有很大的不同，由于医疗行业的崇高的职业道德所限，它不能去争取"利益最大化"。

Huang Jiefu:Economic system is the market economy system in our country now,Hospital service of the external environment is the market,Now our country hospital is not a government fiscal full funding,Purchasing consumables/drug/Equipment and instruments,Running the hospital all needs to buy,Is a typical market behavior.but,Medical service industry also is very different with other service industries,Due to lofty professional ethics of the health care industry,It can't go to fight for"Benefit maximization".

　　一个不能"争取利益最大化"的行业，却因为历史和现实因素，不得不实施"以药补医"，这也是目前公立医院最为人诟病之处。对"以药补医"不满的，除了看病百姓，其实医生也有怨气。

One can't"Interests to maximize"The industry,But because the historical and realistic factors,Have to implement"With medicine cure",This is the most worst in public hospitals.for"With medicine cure"disgruntled,In addition to see the people,Actually the doctor also have complains.

　　问题二：部长你的工资从哪里拿的？你又知道我们临床一线的工资从何而来？如今的医院没有不搞科室核算的，你给我们发工资了吗！

Question 2:Minister salary where you take?You know we are come from clinical first-line wages?Today's hospital no accounting department,You pay to us!

　　黄洁夫回应，政府给医院的财政投入只占一成左右，绝大部分收入都靠医院服务收费获得。为了医院的正常运转，医院自然得想办法。

Huang Jiefu response,The government financial input to the hospital only accounts for ten percent,The vast majority of income depends on the hospital service fee.In order to the normal operation of the hospital,Naturally have to think of some way to hospital.

　　黄洁夫：医院院长要保证医院的正常运转，在医院科室的经济核算中都有一个"科室核算"，按照每个科室任务完成的情况给员工发奖金。为了办好医院，院长们都会主动或者被动地以各种方法去极力创收，这样就导致了一些老百姓很有意见的过度治疗、大处方，大检查。

Huang Jiefu:Hospital to ensure the normal operation of the hospital,Department in the hospital has a economic accounting"Department of accounting",According to each department task situation for staff bonus.In order to do a good job in the hospital,Deans will actively or passively in a variety of methods to generate revenues,Thus lead to the opinions of some of the common people have a lot of excessive treatment/excessive,Big check.

　　黄洁夫说，自己基本上每周都会去医院做手术，现在大多数医护人员每周的工作时间都在70个小时以上。工作超负荷，患者却不理解，不满意。在十问当中，医患关系紧张就占据了两条。

Huang Jiefu said,They basically every week to go to hospital for surgery,Most health care workers weekly working hours are now over 70 hours.Work overload,But I do not understand,Not satisfied with.Among the ten q,The doctor-patient relationship nervous accounted for two.

　　问题三：医患关系紧张是由医生负主要责任吗？与医疗事故处理条例没有关系吗？

Question 3:Mainly responsible for the tense doctor-patient relationship is a doctor?Has nothing to do with medical accident treatment act?

　　黄洁夫回应，医生和病人都是医疗冲突的受害者。

Huang Jiefu response,Doctors and patients are the victims of medical conflicts.

　　黄洁夫：医患关系紧张的主要原因是人民群众日益增长的医疗卫生服务要求与我国医疗卫生资源，尤其是优质资源不足及我们改革比较滞后的医疗卫生体制和运行机制所造成的。法制的建设也是解决医患关系很重要的部分，但是目前为止还没有一部指导卫生的卫生法。

Huang Jiefu:The doctor-patient relationship nervous is the main reason of the people's growing health service demands and medical and health resources in our country,Especially the high quality resources and our reform lags behind of the medical and health system and operational mechanism.The construction of legal system is to solve the doctor-patient relationship is very important part,But so far has not been a guide to health and health law.

　　在十问中同样被重复问到的是医生超负荷工作问题，医改不断推进，不少医院开始从便民利民的角度改革，开放号源、实施无假日门诊。随着门诊量增多，医生的身体和心理都有些承受不住。

In ten has also been repeatedly asked is a doctor asked overload problem,Health reform to push,Many hospitals began to reform from the perspective of the convenience and benefit,Open source number/No holiday outpatient service.With MenZhenLiang rise,The doctor's physical and mental are overwhelming.

　　问题四：你如果在常年的超时、超负荷、低工资工作情况下，能保持好心情、好态度吗？

Question 4:If you are in the many years of timeout/overload/Low wages work situations,To maintain a good mood/A good attitude??

　　黄洁夫回应，超时、超负荷、报酬低、休息时间被占用，这是大医院医务人员普遍面对的问题，也呼吁医疗服务支付体系尽快改革。

Huang Jiefu response,timeout/overload/Low pay/Rest time is occupied,This is big hospital medical personnel generally face the problem,Are called upon to pay medical services system reform as soon as possible.

　　黄洁夫：这跟医生的辛勤付出不相匹配的是医生的收入和社会地位的相对下滑。我是外科医生，外科医生手术不值钱，右半边切除，很大的手术，七八个人忙个大半天，医生劳务费总共是2000元，像劳动服务费长期被低估，是不合理的，所以我们要进行医疗服务支付体系的改革，已经是当务之急。一些医生反映，医生对医改持消极、不理解的情绪。

Huang Jiefu:Didn't match it with the doctor's hard work is the relative decline of the doctor's income and social status.I am a surgeon,Surgeons not valuable,The right half to remove,A lot of surgery,Eight busy most,The doctor the total fee is 2000 yuan,As labor service has long been underestimated,It is not reasonable,So we have to pay for medical services system reform,Is is the top priority.Some doctors to reflect,The doctor holds negative on health care reform/Don't understand the mood.

　　新医改接近四年，"人人享有全民医保"的目标在不断实现。但黄洁夫也说，作为目前医改重点、难点的公立医院改革，前景并不明朗，医务人员身处其中，最了解医院的运营，应该积极建言献策。十问部长的问题虽然尖锐，但是也在一定程度上反映了现实，不过医生情绪过于消极和无奈，而新医改目标的成功需要每个医生的帮助。

New health care reform nearly four years,"Everyone will have access to universal health care"Goals are achieved.But Huang Jiefu also said,As the focus current health care reform/The difficulty of the reform of public hospitals,That is not clear,Medical personnel in it,The understanding of hospital operations,Should actively make recommendations.Ten questions minister although acute,But also to a certain extent, reflect the reality,But the doctor too passive and helpless mood,And the success of the new reform objectives requires every doctor's help.

　　黄洁夫：我们医学生誓言，遵循"健康所系，生命相托"，做一个好医生，在治病救人的职业中去实现人生的价值。(记者 李欣)

Huang Jiefu:We vowed to medical students,To follow"Department of health,Trust with life",To be a good doctor,In treating patients of career to realize the value of life.(The reporter li xin)