Encourage the outstanding doctor to the basic unit in Luoyang A doctor can go to three hospitals to go to work

Encourage the outstanding doctor to the basic unit in Luoyang A doctor can go to three hospitals to go to work
Encourage the outstanding doctor to the basic unit in Luoyang A doctor can go to three hospitals to go to work
The cores were pointed out 24 days, the reporter learns from the Ministry of Health of market of Luoyang, from October 1, 2011, as one of the first 4 pilot cities Henan Province, Luoyang will be in every county (city, district) Health bureau, above- second -class medical organization, district of city, try " whether Luoyang the intersection of city and doctor some operation management more " ' Hereafter referred to as " management ") ,So long as apply to stipulate through being relevant, the doctor can go to work in 3 hospitals at the same time. Once " Make excessive money by giving performance " To a certain extent, realize and legalize. Since the eighties of last century, every large hospital has begun to have high-level doctors to go to the other institute or other places to " make excessive money by giving performance " ,Gradually, " the doctor makes excessive money by giving performance " Become a kind of peculiar phenomenon sanctified by usage. In recent years, with new the intersection of medical reform and spring tide, have and in laws and regulations ashy area " the doctor makes excessive money by giving performance " already ,With " some many operation of the doctor " Surface Kong Ming taking to appear, be attracted by all circles concerns earnest. From the October 1, as the intersection of Henan Province and the first 4 pilot city one of, Luoyang city try " the the intersection of doctor and some operation more " . Before appearing on the stage in new medical reform policy, " make excessive money by giving performance " In the ashy area of the law all the time, belong to the open secret in the field of business, a lot of hospitals, a lot of doctors are doing, but nobody puts this thing on the tabletop and says, and " the doctor is some operation more " It has been the important part of the public hospital reform all the time. In September of 2009, Chinese Health Ministry will issue " some operation more the notices about question about the doctor ", encourage the doctor to the place which the masses need more. Subsequently, Guangdong, Hainan, Yunnan, Sichuan, Beijing, Jiangsu and other places launch pilot work in succession. On July 25 this year, Chinese Health Ministry cured the policy department to announce " notice of the pilot range of some operation about expanding a doctor more ", the doctor is some operation pilot work more to push away in the whole country. From the October 1, as the intersection of Henan Province and the first 4 pilot city one of, Luoyang city try " the the intersection of doctor and some operation more " . Luoyang Municipal Health Bureau cures the policy department's section chief Li Xian to say, issued with the department of public health of Henan Province <>Compare, " management " that Luoyang issues increases several regulations newly, carry on relevant responsibility thinningly. Such as the newly-increased article 6 in " management " of Municipal Health Bureau of Luoyang, encourage regarding medical organization at the basic level as the second (3) Practising place. After implementing some operation more, once the medical dispute appears, how should responsibility divide? Is the doctor the same when charging in each hospital? Topic all cared about very much that these are patient even doctor. For this reason, Luoyang Municipal Health Bureau is in newly-increased article 15, article 17 of " management ", require doctor in front of some operation more, should happen malpractice or legal liability at the civil disputation wait and sign the agreement in accordance with the law with medical organization that accept betrothal gifts; And doctor and medical organization do not have Israel " The doctor is some operation more " A increase patient bears to run after fame. 1 1 doctors of new policies can register 3 pieces of operation to click The reporter knows from " management ", it refers to the eligible medical practitioner after registering in health authorities that the doctor is some operation more, accept betrothal gifts in two or more behaviors of operation of medical organization, the practising place where the doctor registers now is the first practising place, it is successively the second, third practising place to increase the practising place registered, can only register three practising places at most. Then, where is some operation that what doctors can participate in to apply more? Require this doctor to observe disciplines and obey laws at first, well-behaved, healthy, can be competent at some operation jobs more, and the malpractice has not happened in one year; Secondly, there are certain requirements on doctor's own professional title: Have a pair of the above advanced medical professional technique post qualifications, and continuous operation is more than 2 years on this technological post, can choose 1 to 2 medical organizations as and is some practising place more; Have intermediate professional technique post qualifications, and the doctor of the continuous operation for 5 years on this technological post, can choose 1 community health Center, stand or the health clinics in towns and townships, village clinic as the second practising place, the doctor is some operation region range more to restrict to area under the jurisdiction of the municipal government of Luoyang. New policies 2 The doctor can't click in other operation at will " Change one's profession " The doctor can't click in other operation at will " Change one's profession " . " management " regulation, second, the type of job that the third operation is lighted and scope of business should keep the same with first practising place; Apply, more in the some course of operation, should get the permission of first practising place in doctor. For example, doctor Wang works in one hospital of Luoyang, the type of job is clinical, the scope of business is a surgical speciality, if he applies to click as it second operation in the other hospitals, need, fill in some the intersection of operation and application form more, doctor of Henan Province, get relevant certificate ready, file an application to the health authorities which authorizes " doctor's practising certificate ". Handle succeed, doctor Wang can in order to come second operation beyond unit one formerly belonged to order and work aboveboard, but the job of him can only be a surgical speciality, can't " change one's profession " . Then, can doctor Wang alter the second, third operation to click? " management " stipulates, if alter the other practising places outside the first practising place, can cancel this practising place first, and then consult the relevant regulation of this method, apply to increase the new practising place. If doctor's type of job, the scope of business or first practising place have had some change, it is some operation larger to register and fail at the same time, need some operation more that original then, must apply to handle again. 3 on-the-spot first aid of new policies does not need to increase the practising place The doctor launches some operation activities more without authorization without approval, deal with according to relevant rules and regulations such as " operation medicine in the People's Republic of China is imitated ", " doctor's operation registers the temporary means ",etc.. But there are some situations, doctors can not need to increase the practising place, still legal " hold a part-time job " . For example: Implement on-the-spot first aid, the consultation approved by medical organization, receiving a training to the patient, undertake the task that the government assigns and volunteering medical consultation and a plurality of medical organizations which health authorities sanction in order to combine medical resources, it improve it is medical for engineering level, it if you can't last masses, seek medical advice for and not making a diagnosis what has been put on record by 4 kinds of situationses such as activity,etc. at purpose's groups medical to make up, can not need to increase the practising place. During the course of launching a pilot project, being some medical practitioner more can't serve as the legal representative or chief leading cadre of medical organization. A point of new policies makes a mistake a plurality of points are involved in a criminal case The doctor should accept health authority and supervision and management of the medical organization of the operation of every site of practising place during some operation moring, the doctor is suspended administrative penalty above the operation in any practising place, this doctor is in all other operation The operation activity of the place should be suspended. "After this scheme is implemented, are doctors enjoying a plurality of hospitals? Good fortune dumpling � is able to bear �� and protect the miserable �� tool instrument 6 of �� oh bare Man and dip in and carry quails on the back toweringly! Don't the intersection of Di and the intersection of carbonyl and the intersection of � and head, my darling of shape, bang, shake, return ��evil spirit, cough the intersection of he and dans of the intersection of bones of the body and bank sigh quiet Di entangle �� hurriedly Gou of cape mother prosperous my darling �� whether the intersection of �� and heads of Niu ���� smell of fish Greedy Bi �� entangle �� imitate, cash, entangle �� support �� Luo return to Na hurriedly �! ? Phenomenon 1 The doctor " makes excessive money by giving performance " The risk is from the viewpoint of a certain angle very heavy, the doctor " makes excessive money by giving performance " A kind of reality that it is the medical integration of the resources needs, so long as collect certain expenses according to a reasonable standard, and have the concurrence of medical unit where one stays and " make excessive money by giving performance " Seem to realize win-win in the ashy area. But in fact, the ashy convenience with it, must have the risk that corresponded to. Many patients have a almost stubborn one on expert " Superstition " ,In addition, wipe out proportion by strange land medical insurance reduce, patient should not long journey to be made on foot and the intersection of strange land and extra the intersection of consumption and higherrer factor influence synthetically, these patients hope to get the making a diagnosis and giving treatment of the expert of big city here, therefore, by the expert " Make excessive money by giving performance " The fee is higher and higher, the covert payment is thicker and thicker that the ones that create call the roll. Before appearing on the stage in relevant policy, some doctors " make excessive money by giving performance " Basically having no rules, some people can even ask an exorbitant price to the patient. Harbin in 2005 " Bothersome one of medical treatment of sky-high price " China, the fee receives 300,000 if an expert only pays a home visit. People begin to " make excessive money by giving performance " to the doctor from the angle of morals The behavior is scrutinized, " put money above all " , " behavior of hastening favourably " ,All sorts of is negative to comment on appearing. In addition, the medical work is the organized, behavior of continuity, the way to hold a consultation has broken this kind of sense of organization and continuity, doctor finish watching disease, finish surgery, walk often, patient ensure by back-end treatment and observation, so, once the malpractice appears, responsibility is difficult to define, therefore initiate a large number of medical disputes. Phenomenon 2 is some operation more and promote the exchange of technology Since the eighties of last century, every large hospital has begun to have high-level doctors to go to the other institute or other places to " make excessive money by giving performance " ,Gradually, " the doctor makes excessive money by giving performance " Become one " Sanctified by usage " Peculiar phenomenon. Especially in the city where some medical technology is higher, make excessive money by giving performance on weekend, there are plenty of doctors of flight clinic, flight operation, many doctors will meet at the airport on weekend. "Diagnosing, operation is introduced some experts to come regularly from the large hospital, promote facilitation greatly to the technology of our institute. " The staff members of a hospital of Luoyang say in this way. The expert of the large hospital comes here, can take advanced medical technology, latest medical information to the local hospital, can promote professional resources exchange to introduce, fill gaps in medical treatment in and the blank area, medical disposition of use rationally effectively, also can serve patients better. In addition, the doctor of the hospital of Luoyang goes to basic unit such as the district or countryside, also can drive the development of the medical technology in the basic unit. In March of this year, the little girl cloud cloud of Yichuan county of Luoyang undergoes an operation in a hospital of Luoyang, done by an expert from Beijing, operation expenses are 20,000 yuan altogehter, the cloud health of cloud is good at present. Mother of the cloud cloud introduces, goes to Beijing to see the doctor, not only want travelling expenses, it is very expensive to get accommodation, have a meal, it is even very difficult to register. These is extra for consumption last cloud the families of the clouds to at there diagnose the illness terrified is big city. Now, can enjoy the expert's technology in Beijing in Luoyang hospital, family feel very convenient. As patient relatives, the cloud cloud mother thinks the doctor " makes excessive money by giving performance " Also pretty good, can let ordinary people enjoy the treatment and cure of the top expert at the gate of home. [Original intention ] is some operation more to make in many ways benefited according to " Beijing Times ", the famous hospital managerial expert's king says healthily, past doctor " Make excessive money by giving performance " Mean the doctor goes to the place outside the registration body to carry on medical behaviors such as the clinic, operation,etc., and obtained individual interests, and the one that issued this time was some operation management more, it is through policy guide, it is dispersible to make high-quality medical resources of the large hospital more to basic unit and community, supervise the current situation and carry on certain norm to comparatively some much more confusedly operation of at present. Meanwhile, " make excessive money by giving performance " to the doctor Collect trending towards the favourable behavior and playing certain standardizing function of covert payment privately. Launch " click operation more " It is a doctor who makes eligible on the premise of doing a good job of own job, give full play to one of the actions of one's own potentiality. Meanwhile, make the doctor get more reasonable remuneration while serving the patient, give no cause for much criticism, with " make excessive money by giving performance " Value orientation different totally,getting more different too in supervision mechanism. Luoyang Municipal Health Bureau cured policy department's celestial section chief Li to express one's own view too, she thinks " Some operation more " And the tradition " Make excessive money by giving performance " It is not the same thing, " make excessive money by giving performance " The feeling for somebody is that the doctor is making private money, and " the doctor is some operation more " The original intention of the policy is for promoting the medical exchange of technology, improve the medical level in the basic unit, relieve people " It is difficult to see the doctor " , " it is expensive to see the doctor " Question. "We encourage the good doctor in the city to go to the basic unit, give play to one's own capability, realize the doctor's value in a comprehensive way, can drive the technical development at the basic level at the same time. " [Hospital ] worried influencing the business of this hospital for 24 days, reporters came into the public hospital of a third grade in Luoyang, chief physician doctor Wang of one department of this hospital tells reporters, the doctor is some operation more to legalize, a lot of doctors think this is a good thing. On one hand, let more patients enjoy the advanced medical achievement, remedy the deficiency of medical resources, on the other hand, doctors can touch more cases, also increased incomes at the same time. "Doctor belong to, practise medicine illegally privately ' make excessive money by giving performance ' in the past, some the intersection of operation and legalization more doctor nowadays, it is a kind of protection too to the doctor, the hospital some operation more to locate to the doctor at the same time is a kind of propaganda too. " Doctor Wang tells several advantages without a break. In the eastern hospital of Luoyang, the attending physician of the plastics of this institute takes the place of the great wave and says, it is very obvious that the doctor is some advantages of operation more, set up and treat competence and play a supplementary role to the departments of the other hospitals, learn from other's strong points to offset one's weaknesses, form the strong academic atmosphere between basic unit and high level, promote the development of medical technology and progress of the medical industry. To patient, the medical cost of the reducing that can be while enjoying superior medical care. "After the relevant policy in the city is issued, I should be able to apply for some operation more, doctor of registration. " Luoyang eastern hospital secrete Yun Wu, attending surgeon of urine, say technology fine doctor reach basic unit apply for second, third job after the, can help the small-scale hospital to promote the medical level, the patients of remote mountain area and poverty-stricken area can enjoy high-quality treatment and cure nearby. In the intersection of Luoyang and eastern the intersection of hospital and the intersection of dept. of orthopedics and admissions office, earnestly Li Jing in hospital for fracture The native place is Xin An County, some regulations of operation that hear the doctor more, he says with feeling and says this policy is very good, "I am in hospital here for more than one month, not at the gate of home after all, it is very inconvenient for family to look after me, if can go to that side of ours for the doctor who does operation, the patient can seek medical advice nearby, better. " Though tell several advantages without a break, some doctors mention to implement in the course specifically, the worry that perhaps will have: The doctor made excessive money by giving performance privately, went if having time in the past, did not go without time, freer. Once apply for the operation to click, will receive much constraint. "Can't consider the attitude of the school too on this voluntarily after all in addition, as the doctor. " Subsequently, reporters have interviewed a public hospital of Vice Presidents. He says, if quite a few of doctors have gone out, it is sure to assault that the scientific research, medical treatment, teaching of the hospital will bring, even will exert an influence on the hospital's own operation too, but stand on the position of ordinary people considering the question, the attitude of the hospital is not to object to it, benefit a patient after all, it is the basic position of the hospital to make common people benefited. [Doctor ] is afraid time can not distribute over eastern hospital attending physician Wu Yun in Luoyang while affirming and bringing the advantage in this policy, also expressed one's own worry: The specific doctor clicks in other jobs if just completely in order to do the operation, it then may not be enough with the patient's communication in advance, whether have medical apparatus and qualification clear to the hospital of making the operation, skill postoperative to confirm the complete healing solution. "In this case, on the issue that apt to happen. " "To full-time doctor, make the rounds of the wards, observe the patient, operation every morning, work very busy, in this case, may very difficult to make sure, get second, order, work by third operation on time, if the patient that those operation clicks has demands but can't be dealt with in time, may cause the medical dispute. " How to assign the time question to put forward worry rationally to take the place of the great wave to some operation doctoring more. The reporter knows from Luoyang Municipal Health Bureau, after the file is announced, many doctors phone or go to the administrative hall to consult this, but so far, no doctors sign up with formally. "This policy in Luoyang announces after all time is not long. " A tertiary hospital of Vice Presidents of Luoyang analyse, " can't judge only according to the present figure, it depends on long-term dynamic development, the doctors think that have such ability to go to register oneself, the ones that do not possess do not register first, act according to one's capability. " This Vice President mentions, the doctor is some operation more and allow two to three points at present, but if except these medical organizations by fixed position, what shall doctor do in other hospital invitations? "Can not sure but not go? Seem improper. " This Vice President proposes " Walk on two legs " ,There are two or three hospitals by fixed position on one hand, on the other hand, if the other hospitals want to invite the doctor, the hospital that can give to this doctor makes the invitative letter, allow, have complete procedures through the hospital, the doctor can go for diagnosing, operation,etc. too. The attending physician of the eastern hospital of Luoyang takes the place of the great wave to propose, in actual application, may involve a lot of questions, for example: The doctor has rights of practising place of free choices, would the hospital side like to receive? What conditions are there to limit? How to calculate the treatment in the second, third operation and some doctors? How to sign various responsibility agreements with hospital? "The school that these questions need the doctor, second, third operation to click consults, and sign the relevant agreement, every aspect should be considered. " "Must accomplish, supervise in place, ' who who responsible for surgery ', define the division of responsibility. " Eastern hospital attending physician Wu Yun in Luoyang is right " Responsibility " These two words are taken some doctors of operation seriously, he proposes planning to apply, understand the hospital chosen to some extent ahead of time and make sure to know what's what while confirming the healing solution for patients through diagnosing, " accomplish best " .


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