卫生部副部长黄洁夫委员真情表白 Deputy health minister huang jiefu members do the truth

　　年轻医生过得幸福 医改就能更进一步 Young doctors to be happy can further reform

　　“我今天不是部长，我从一个从医几十年的老医生的角度谈点感触。”今天上午9时，全国政协委员、卫生部副部长黄洁夫用这样的开场白，开始了一段85分钟的真情表露。

"I today is not a secretary,I become a decades old doctor from a point of view to talk about feelings."Today at 9 am,The CPPCC national committee/Deputy health minister huang jiefu in this opening,Began a period of 85 minutes of true feelings show.

　　在此之前，全国政协十二届一次会议开幕的第一天，被记者问起有没有在网上看到一篇《年轻医生含泪十问》时，黄洁夫表示自己已经看过了这篇帖子，“内心百感交集”。

Before this,The Chinese people's political consultative conference opening on the first day of the first session of the 12th,Asked by reporters ever see an article on the Internet[Young doctor ten asked, tears in eyes]when,Huang Jiefu said he had seen it this post,"Inner feelings".

　　这篇网帖以一个年轻医生的亲身经历，列出十条语气强烈的问题，直接拷问医院利益、医生收入分配、医患关系、超时超负荷工作等现象，在国内最著名的医疗卫生交流平台丁香园网站上，这篇网帖激起了许多医护人员的共鸣。

This article posts to a young doctor's experience,List ten strong problem,Torture hospital benefits directly/The doctor of the income distribution/The doctor-patient relationship/The phenomenon such as overtime work overtime,In China's most famous medical and health exchange platform clove garden website,This article posts aroused the resonance of many staff.

　　黄洁夫说，医生和病人是医改中的两个重要方面，没有医生的满意，也就没有病人的满意。否则医改效果就会大打折扣。

Huang Jiefu said,Doctors and patients are two important aspects in health care,No doctor is satisfied,Also, there is no patient satisfaction.Otherwise the health care effect will sell at a discount greatly.

　　十问网帖的第一问，是“医院是服务行业，为什么不能追求利益最大化？”

The first question asked ten posts,is"Hospital is a service industry,Why can't pursue benefit maximization?"

　　黄洁夫说，我国没有一所政府全额拨款的公立医院，医疗服务在市场中要计算成本、追求经济利益，取得合理的经济报酬，但医生的职业精神要超出社会的道德底线，“医院的公益性不是不要钱，应该是医院不把牟利当成主要目的。”

Huang Jiefu said,In our country is not a government in full funding of public hospitals,To calculate the cost of medical services in the market/Pursuit of economic interests,Achieve reasonable economic returns,But the doctor's professional spirit to go beyond social moral bottom line,"Hospital of public welfare is not don't money,Should be the hospital doesn't take profit as main purpose."

　　他说，医生应该是一个努力让自己失业的职业群体，大家健康不找我们了，我们的目的就达到了。

He said,The doctor should be a professional group trying to unemployment,You don't find our health,Our purpose is reached.

　　但他警告，如果争取利益的最大化，医疗行业就会走上邪路，就会动摇医护人员的道德和信仰，就会失去民众的信任。

But he warned,If the interests to maximize,The health care industry will go astray,Would rock medical staff's moral and faith,Lose the trust of the people.

　　“医务人员劳有所得，在社会上有应有的地位和尊严，是我们应该做到的。”黄洁夫由此引出医院科室追求高业绩问题。作为一名医生，黄洁夫知道奖金是医生收入最重要的组成部分，而这部分收入，90%以上是由医院自己挣得的。

"Medical personnel work pay,Have a rightful place in society and dignity,Is that we should do."Huang Jiefu raises hospital departments to pursue high performance problems.As a doctor,Huang Jiefu know prize is the most important part of the income of doctors,And this part of income,More than 90% is earned by the hospital.

　　“按照每个科室的盈利情况发奖金，院长就会主动或者被动地用各种方法极力创收。”黄洁夫坦言，就是这个问题导致老百姓有意见，过度治疗、大处方、大检查使得医疗费用的增长明显快于GDP的增长。

"Bonus according to each department's profit situation,Dean will actively or passively in various ways to generate revenues."Huang Jiefu admitted,Is this problem has led to the views of ordinary people,Excessive treatment/excessive/Examination makes the medical expense growth is significantly faster than GDP growth.

　　政府公共投入的弥补作用也并不明显，虽然现在医疗保险的报销比例比以前提高，个人负担的比例减少，但因为使用新型医疗手段导致医疗总花费增加，让黄洁夫感觉老百姓负担还是很重。

The government public investment make up effect is not obvious,Although medical insurance reimbursement ratio is increase than before now,The proportion of individual burden reduction,But because of the use of the new treatment led to the increase in total health spending,Make Huang Jiefu feel or very heavy burden on common people.

　　“这是人民日益增长的医疗卫生需求，与医疗卫生资源特别是优质资源不足的矛盾造成的。”黄洁夫说，卫生方面并没有一部完整的法律，也没明确卫生投入要占GDP的比例是多少，当前的问题要解决还不能一蹴而就，法制环境需要改善。

"This is people's increasing health care needs,With medical and health resources, especially high quality due to insufficient resources."Huang Jiefu said,Health is not a complete law,Didn't clear health inputs to how much is a share of GDP,The current problem to be solve can't happen overnight,Legal environment needs to be improved.

　　黄洁夫由此把话题引向了十问帖子中最尖锐的医患矛盾问题，“医生和病人在医患冲突中都是受害者。”

Huang Jiefu thus put the topic into the ten posts the sharpest in the doctor-patient contradiction question,"Doctors and patients in the doctor-patient conflicts are victims."

　　黄洁夫提醒年轻的医生要实事求是、坦荡地和患者交流，还要有医患沟通的艺术，要让病人了解医学不是一个完美的科学，我们对人体的认识是最不够的，“我们连自己从哪里进化来的都远远没搞清楚，SARS到底怎么来、怎么去的，也不完全清楚。”

Huang Jiefu reminds young doctor to seek truth from facts/Magnanimous to communicate with patients,Have the art of doctor-patient communication,To allow patients to understand medicine is not a perfect science,We haven't enough understanding of the human body is the most,"Where we connect oneself evolved from far don't understand,SARS, how come/How to get to the,Is not entirely clear."

　　他想送给发帖的年轻医生一行字，这行字刻在一位美国医生的墓碑上：医生需要做的是有时治愈疾病，经常帮助病人，总是安慰病人。

He wants to young doctor words for Posting,This line of word engraved on the tombstone of a doctors in the United States:Doctors sometimes need to do is to cure the disease,Often to help the patient,Always to comfort the patient.

　　黄洁夫觉得，医学是最具有人文精神的学科，是最有人情味的职业，敬畏生命是医生的第一品格。

Huang Jiefu think,Medicine is one of the most humane spirit of the subject,Is the most human of profession,The fear of life is the first character of the doctor.

　　黄洁夫同时认为，十问帖子中年轻医生的情绪是有道理的，医护人员超负荷工作已经成了普遍现象，“北京很多医院每周工作70个小时以上的医护人员占大多数。”

Huang Jiefu think at the same time,Asked ten posts young doctor mood is justified,Paramedics overload has become a common phenomenon,"Many hospitals in Beijing work 70 hours a week most of medical staff."

　　黄洁夫说，在超负荷工作、医疗服务报酬很低的情况下，社会舆论如果承认医生的工作，医生心里还舒服一些，但是负面评价多，医生就会很消极，受害的是病人。

Huang Jiefu said,The overworked/Medical service under the condition of low paying,Public opinion if admitted to the doctor's work,Doctors in the mind also comfortable,But the negative evaluation,The doctor will be negative,Is the patient suffer.

　　他同时认为，和医生辛勤劳动不相匹配的，是医生的收入和社会地位的相对下滑。他举例说，现在做一台肝脏切除的大手术，七八个人忙活大半天，劳动成果是一起分2000元；一张病床一天收费40元，护士一天护理费9元，而市场上一个护工一天最少收120元。

He also thinks,Hard work does not match and the doctor,Is the relative decline of the doctor's income and social status.For example, he said,Now do a liver resection surgery,Eight busy most,Work achievement is 2000 points together;A piece of bed is 40 yuan a day,The nurse nurse cost $9 a day,On the market a care worker at least 120 yuan a day.

　　“这样的劳动服务费用太低，不能体现医生超时劳动的价值。”黄洁夫不得不承认，阳光收入太低就有了灰色收入滋生的空间。他认为，医疗服务支付体系改革是当务之急，取消以药养医是个好的突破口。

"Such a labor service fee is too low,Can't reflect the doctor timeout value of labor."Huang Jiefu had to admit,The sun low income have grey income growth space.He thinks that,Pay medical services system reform is imperative,Cancel the drug for medical is a good breakthrough.

　　黄洁夫看见有网上有消息说80%的医生不愿意让子女去学医，心里很难受。他认为文明的社会一定是尊敬医生的社会，让守护生命的医生有相应的社会地位，又有体面的收入，也是一个社会进步的标志。

Huang Jiefu saw online it is said that 80% of the doctors don't want to let their children to study medicine,The in the mind very afflictive.He thinks that civil society must be the social respect the doctor,Let the guard life doctors have corresponding social status,Income of the functioning again,Is also a mark of social progress.

　　“医改就在做这个事情，总理说要医院医护人员受鼓舞，就是这个目标。”黄洁夫点了点头。

"Health care in doing this,The prime minister said to the hospital medical staff,This is the goal."Huang Jiefu nodded his head.

　　黄洁夫说，没有医生想做一个小医生，都想做一个大医生，但首先要明确社区也有大医生，农村也有大医生，不在于他的技术，更在于他的道德。

Huang Jiefu said,No doctor wants to be a small doctor,All want to be a great doctor,But first of all be clear community also has a great doctor,Also has large rural doctors,Is not his technique,More lies in his moral.

　　现实的问题是，行政上的评价体系不能满足基层医生的需要，为了获得更高的职务、职称只能往大医院跑，许多建好的乡镇卫生院没有好医生。

Real problem is,Administrative evaluation system can not meet the needs of the grassroots doctors,In order to gain a higher position/Title can only go to big hospital run,Many built in towns and townships are no good doctors.

　　“应该有一个更符合医生梦的评价体系，为什么没有呢？”黄洁夫说，大医院迅速扩张，超过2000张病床，每天1万多人的门诊量，不能成为医改成功的标志。强基层、保基本、建机制才是医改的方向，要让年轻医生、基层医生不论在城市还是乡村都能找到幸福感、满足感。

"There should be more in line with a doctor dream of evaluation system,Why not??"Huang Jiefu said,Big hospital rapid expansion,More than 2000 beds,MenZhenLiang of more than 10000 people every day,Not as the symbol of the health reform success.Strong base/Cover the basic/Build mechanism is the direction of reform,Let young doctor/Doctors at the grass-roots level in both urban and rural can find happiness/Sense of satisfaction.

　　黄洁夫注意到，这次政府工作报告中用了“建立基层医疗卫生机构运行新机制”的新提法，他认为就是在释放新的信号，“新机制不能叫总理来建，需要我们来建，医护人员不能沉默，卫生部要多听一些不同的意见。”(记者 白皓 王烨捷)

Huang Jiefu notice,The government work report in this time"Grassroots medical institutions operation mechanism is established"A new idea,He thinks is the release of a new signal,"New mechanisms cannot build is called the prime minister,We need to build,Medical personnel can't silence,The ministry of health to listen some different opinions."(Reporter Bai Hao Wang Ye)