China's blue and green newspaper: Have patient's voices while encouraging doctor's self-employment practice

China's blue and green newspaper: Have patient's voices while encouraging doctor's self-employment practice
Beijing 2009 hygiene work can at propose clearly," encourage personnel with qualification not to be lasted cliniced or self-employment practice at community " . This policy means, the person qualified for medical practitioner, can be while giving consideration to own work of the hospital, manage the clinic by oneself or is listed and practised medicine independently (" The Beijing News " March 31) . To this new policies, many medias fall over each other to interview authorities from all walks of life, for example: One chief of Municipal Health Bureau, a famous hospital of surgical expert and one first-class professor of law school of prestigious university, hope to borrow them " The big mouth " , " well-known talker " ,To make suggestions and give advice, guide the will of the people for the new policies that will implemented soon. This seems to be a perfect one " The authoritative opinion camp " ,Manage authorities, there are professional authorities, intend to see the leader. According to a certain thinking inertia, if this " three mouths " Say and encourage unanimously " The self-employment practice " Can relieve " It is difficult to see the doctor " ,If this thing is not " Have not run " Also definite " Depend on something definite " . This is actually a very strange one " The opinion camp " . Because the health care reform letting the government tax one's ingenuity is not merely an administrative department, medical health care reform of expert and knowledge elites, health care reform of more general Luo Volkswagen, ordinary patient. Why can not that hear the ordinary patient's voice alone in this huge media roar? They are really ignorant not to publish any to these seemingly specialized reform policies " The unripe opinion " (used at the end of a question)? I do not have a lot of professional medical knowledge, but please permit me to say some are puzzled too. First of all, the authoritative opinion says and encourages " self-employment practice " Can help patient enjoy expert, serve, make patient avoid, go big city and stand in a long queue bitterness that register in hospital far. This words are probably wrong. It is not pinioned in the main reason of the large hospital of big city by the old policy that the expert stays, but of our country medical expert quantity originally too little, until " people move to the height " Law,it wants they by terms and treatment the getting finer ones economic certainly that it is technological go. Resource rare this is contradictory thoroughly not to solve experts, unlock " self-employment practice " Also only let the ordinary patient change a place and stand in a long queue. Secondly, the authoritative opinion says that can facilitate the good doctor to go to the other unit to pay a home visit to practise medicine legally in the strange land, avoid " covert payment " Phenomenon. This words are reasonable. It is said the doctor of U.S.A. does not know " The covert payment " What thing it is, this and they allow the registered doctor to flow and pay a home visit to concern certainly freely. However, Chinese send covert payment Mostly hope the doctor can treat oneself or the relative's condition more responsibly, it is a kind of general suspicion to medical ethics. Why trust not getting patient and their relative is this instead without accepting covert payment that a lot of doctors sigh with sadness. You correct and manage this question in way to increase range of paying a home visit, it is not typical " have a headache and cure the foot " (used at the end of a question)? Finally, the authoritative opinion also says that holding a part-time job can equilibrate medical resources, this kind of statement is more wonderful. Let the intersection of big city and large well-known doctor of hospital pay a home visit, look, offer more opportunities that medical science is exchanged everywhere, in fact four places of these stars" Go to the village fair " Time awkward already,where free not to and not encourage it business doctors? On the contrary, it was imposing that little doctors saw seniors made money everywhere, is not it firmer resolution that will enter the large hospital of big city desperately? Local medical talent resources are scarce " The key " It is a lagging question of training comprehensive mechanisms such as the mechanism, salary treatment,etc.. Do not solve this problem, encourage " self-employment practice " More perhaps only " It is white to wash " A kind of rhetorical devices which the well-known doctor raises an increase of. In fact, if surmise cherishing the dark psychology of grass roots such as I,etc. again, can be stained with " self-employment practice " Can not the patient of the policy advantage those pay the rich person of the great amount of expenses for experts yet? Ordinary common people do not go to community's hospital around to go to a doctor obediently on one side yet, pray oneself and family do not catch serious disease, rather ill, difficult disease. You no wonder the public surmise, because the leader, experts have not asked our opinion. You no wonder media, because the thinking of the media only refract the prism of the social conduct too. Whether should encourage " The self-employment practice " It is not in fact so important either. The more important thing is policymaker and knowledge elites should define a idea again: The reform that you preside over must be benefited as the reform of the goal with overwhelming majority of ordinary patients. How much no matter have " The big mouth " , " well-known talker " Applaud, a policy only gets countless ordinary patient's " small mouths " Approval,really hope of success to have just.

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