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社评:医患都幸福,医改才算成功--亲稳舆论引导监测室
2013-03-16
3月5日,卫生部部长陈竺在接受两会记者采访时说,必须改掉以药补医的弊端,避免医院、医生从最弱势群体上赚钱,才能修复医患关系。同日,卫生部副部长黄洁夫也提到,如果不能充分发挥医务人员的作用、让医务人员感到幸福,医改是不会成功的。
On March 5,,Minister of health Chen zhu told two reporters in an interview,Must get rid of medicine and medical malpractice,Avoid hospital/The doctor make money on the most vulnerable groups,To repair the doctor-patient relationship.On the same day,Deputy health minister huang jiefu also noted,If you can't give full play to the role of the medical staff/Let staff feel happiness,Health reform will not succeed.
在同一个问题上,两位部长看似不大相关的两段话,其实是从医患双方的角度提出了医改获得成功的必要条件。作为医疗改革的主要利益相关者,不论医生还是患者,只要有一方不满意,天平就无法保持平衡,即便出现一时的相安无事,也终难长远。
In the same issue,Two ministers seem not related to the two words,Actually, from the perspectives of both doctors put forward reform necessary for success.As the main stakeholders of health care reform,Both the doctor and patient,As long as there is a party is not satisfied,Balance will not be able to keep balance,Even in a temporary accommodation,, it will hard to in the long run.
在社会学中,评判一个公共政策的成败与否有几个标准,其中很重要的一点就是公平和公正性。为了达到这个目标,在必要时,必须有人或机构通过利益再分配和补偿等方式,给那些利益受损者以补偿。
In sociology,To judge the success or failure of a public policy several standard or not,Is very important of which is fairness and impartiality.In order to achieve this goal,If necessary,,Must be someone or interests by redistribution and compensation, etc,To those interests damage to compensate.
如果套用这个原则,医改就不能只是解决老百姓看病难、看病贵的改革,它还要解决医生从正当渠道获得合理劳动报酬的问题。换句话说,就是让医生不靠开大处方、进行昂贵的检查就能拿到匹配他们身份、地位、学识、技术能力的工资。只有这样,才能解决医生的后顾之忧,让他们更好地、心无旁骛地将治病救人作为唯一目标;患者也才能在医生的尽心、尽力、尽职中,获得最好的诊疗效果。
If apply this principle,Health care can not only solve ordinary medical care/The reform of the cost,It will solve the doctor get reasonable remuneration issues from proper channels.In other words,Is to let the doctor without prescription/Expensive check can get the matching their identity/status/learning/Technical ability wage.Only in this way,Doctor can solve the trouble back at home,Let them better/No distractions to cure patents as the only goal;Patients can also at the doctor's care/Try our best to/In the due diligence,Get the best treatment effect.
无论什么人,工作积极性的培养都需要一定的激励机制,“劳有所得”便是有效的激励方式之一。对医院来说,当务之急是改变当前医疗行业中,把医生收入和科室或医院收入挂钩的分配方式,以医生诊治的病人数量、工作时间、患者满意度等作为标准进行利益分配。这将有助于将“多开药收入高”转变为“多劳动收入高”,既是对医生辛苦工作的肯定,又是对患者合理花费的一种保护。
No matter what people,Cultivating motivation requires a certain incentive mechanism,"Work pay"Is one of the effective incentives.For the hospital,The urgent task is to change the current in the health care industry,To link the doctor income and department or hospital income allocation,Number of patients with a doctor make a diagnosis and give treatment/Work time/Patient satisfaction as standard for profit distribution.This will help"More prescribing high income"Into a"More than labor income is high",Is a hard work to the doctor,Is a protection of patients with reasonable cost.
陈竺部长说,医生的收入不应从“大处方”中来,不应从最弱势群体的口袋里来,那么,钱从哪儿来?欧美国家的经验告诉我们,一是来自国家投入,二是来自其他各种保障机构的扶持。显然,在这方面,我们的医疗改革还有很长的路要走。▲
Minister Chen zhu said,The doctor's income should not"excessive"In the to,From the pocket to the most vulnerable groups,then,Where money comes from?Experience tells us that the European and American countries,One is from the national investment,The second is from the support of other institutions of all kinds of security.clearly,In this respect,Our health care reform is still a long way to go.Bring about
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