CPPCC member: leading cadres take up too many medical resources


Release time:

2015-03-03


"Now the economic development is changing with each passing day, the speed of urban construction is very fast, and high-rise buildings are lined up. But behind the glamorous appearance, the most basic living needs of the people cannot be ignored."
On the eve of the two sessions, Huang Zemin, a member of the National Committee of the Chinese People's Political Consultative Conference and director of the Institute of International Finance of East China Normal University, was interviewed by Xinhua News Agency reporters on economic issues. It is difficult to see a doctor, so I carry the less serious illness on my own. I usually read more books on Chinese medicine and health preservation and learn to see myself."
"Do leading cadres occupy too many medical resources"
"Every time I went to the hospital, I was forced back by the crowd of people in the hospital several times." Member Huang Zemin, who is in his twenties, told reporters that Shanghai's major hospitals are often crowded with patients from all over the country who come to see the doctor, and the dialects of various regions can be heard in the hospitals.
This situation is not unique to Shanghai. At present, large hospitals in big cities such as Beijing, Tianjin and Guangzhou are overcrowded, while grass-roots hospitals in some areas have few patients. Take Beijing Children's Hospital as an example. Since the beginning of winter, the number of visits per day has exceeded 10,000, and more than half of them are children from other places.
In order to see a doctor without asking for help, books on Chinese medicine, health preservation, and diagnosis of common diseases have become Huang Zemin's daily reading materials. "In terms of total amount, there is still a gap in medical resources, but more importantly, the problem of medical structural disorders is prominent." Member Huang Zemin told reporters, "We cannot allow outsiders to see a doctor just because we need diagnosis and treatment. The fundamental problem lies in the lack of an effective hierarchical diagnosis and treatment system. Large hospitals have borne too much pressure on diagnosis and treatment, which has also exacerbated the contradiction of difficulty in seeing a doctor."
It is an important goal of public hospital reform to enable patients to enjoy high-quality medical services at home. At present, the number of pilot counties (cities) for the comprehensive reform of county-level public hospitals in China has increased to more than 1000. Beijing, Heilongjiang, Zhejiang and other places have explored the use of "medical consortia" to drive community health service centers to improve the level of diagnosis and treatment.
"However, these measures are far from solving the needs of the people to see a doctor." Member Huang Zemin said that it is imperative to build a hierarchical diagnosis and treatment system, but the promotion speed is still too slow. "There should be a principle of rational distribution of limited medical resources. On one side are quiet, senior cadres medical clinics and wards, and on the other side are general clinics and overcrowded wards, which are buzzing like bazaar trade. Are there too many medical resources occupied by leading cadres?"
The elderly have coronary heart disease, diabetes and other chronic diseases, need long-term medication. Member Huang Zemin said that there are often insufficient medicines in 1. secondary hospitals. "It is killing to force us elderly people with inconvenient legs and feet to run to the tertiary hospitals and prescribe medicine for up to two weeks at a time. Why can't we think of something to solve it?"
"Doctors have no enthusiasm, how can health care reform move forward smoothly?"
"On the one hand, we lament the shortage of medical resources and go to hospital for treatment; on the other hand, many medical students can't find jobs and go to work as medical representatives." Member Huang Zemin said that a small number of large hospitals have many experts, while the majority of community and township hospitals lack medical and nursing personnel with a higher level of technology.
In recent years, China has continuously strengthened the construction of grass-roots medical and health service system and explored to solve the problem of shortage of grass-roots medical and health personnel. According to the latest "National Medical and Health Service System Planning Outline (2015-2020)", it is recommended that by 2020, the number of practicing (assistant) physicians per 1,000 population in my country will reach 2.5, the number of registered nurses will reach 3.14, and the medical-care ratio will reach 1: 1.25, Basically meet the requirements of the people for "medical care. However, there are still many gaps from this goal.
"At present, the treatment of primary hospitals is relatively low, which has become an important reason why many outstanding medical talents are unwilling to go." Member Huang Zemin told reporters, "The monthly salary of a director-level doctor in a large hospital I know is only 3000 yuan stipulated by the state, not to mention the salary of grassroots doctors."
On the one hand, labor is not reasonably reflected, on the other hand, the hospital requires doctors to generate income. This makes many doctors accept "gray income", and to some extent "refuse to accept red envelopes" has become a slogan in some places.
"If doctors are not motivated, how can medical reform move forward smoothly?" Member Huang Zemin suggested that a reasonable salary system for medical staff should be improved as soon as possible, so that medical staff, including grassroots doctors, have a sunny and decent income.
"There is no similar special vocabulary abroad"
In the past two years, what made Huang Zemin feel helpless was not only the difficulty of seeing a doctor. Last year, he went to Toronto, Canada to inspect the local medical system. When he exchanged "doctor-patient contradiction" with foreign medical staff, Huang Zemin could not find a suitable translation method.
"There is no similar special vocabulary in foreign countries, and their medical staff are also greatly surprised. They don't understand how there can be conflicts between doctors and patients. Aren't everyone's starting point is to cure patients and save people? This makes me wonder how to talk about it." Huang Zemin was deeply touched.
The problem of medical resource allocation directly leads to the excessive number of doctors in tertiary hospitals and the short time for doctors to see a doctor, which makes many doctors do things hastily.
"Of course, many patients themselves for the relief of the disease expectations are too high, but also to exacerbate the conflict." Member Huang Zemin suggested that while the medical profession should establish good medical ethics and medical style, patients should also strengthen life education and understand that doctors are saving lives but not curing all diseases.
"When people no longer worry about the difficulty of seeing a doctor and do not need to self-study medical treatment, it is when a country and a city develop and mature. There are still many things to be done in this regard." Member Huang Zemin's tone was full of expectation.