Mobile medical , known as the last big treasure of the mobile Internet, connects two important hot issues of medical reform and entrepreneurship. Today, the voices of subversion, government officials, entrepreneurs, and the public who care about the industry, what are their views and judgments? Recently, in the Guangdong Science and Technology Library Report Hall, the Nandu Public Forum invited the Guangdong Provincial Health Planning Commission inspectors. Liao Xinbo, former deputy director of the Guangdong Provincial Health Department, Wang Shirui, founder and CEO of Chengdu Medical Union Technology Co., Ltd., and Liang Liang, founder and CEO of Shenzhen Medical Technology Co., Ltd., shared and discussed their judgments and opinions.
Liao Xinbo: Resistance and breakthrough of doctors' mobility
Mobile medical innovation brings new opportunities for medical reform. This is not only an opportunity for the medical industry , but also an opportunity for everyone here. After many years of medical reform, we have done a lot of work, but in fact we have a lot of things that have not reached the ideal side, such as how to make medical treatment sink, how to make doctors' enthusiasm improve, how to make public welfare return, and so on. The organizers asked me to do some analysis on the resistance of medical resources sinking, especially the reasons why the community medical system is difficult to establish. My views are as follows.
How to break through community health care
I have three thoughts on how to break through community health care. First, since we want to develop the community, since we ask the government to invest in the community, we must do a good job in the basic medical institutions of the community, and build a unified scale, unified environment, and unified inspection equipment. From the perspective of management, we use McDonald’s theory. It is said that the service provided by each McDonald's is consistent, but unfortunately, even in Guangzhou, it is far from doing so.
Second, to improve the service capacity of the community, the focus is on what is missing, and do not use the old concepts within the basic drug system to guide community health care. The basic drug system has pushed patients to large hospitals. In many communities, there is no medicine. Doctors have not prescribed medicines. Because they are communities, they cannot take medicines other than essential medicines, so patients are gone. In this regard, I have proposed two qualifications, so that surgery can be carried out, one is the qualification of the doctor, is legal, and the qualification of the medical institution, if allowed, can provide services in the community.
Third, let doctors become social people. This is my recent claim. After the grading diagnosis and treatment was carried out in Guangzhou for a period of time, we found that the number of outpatient clinics in the community has increased, because everyone thinks that I may be more reimbursed in the community, and the reimbursement rate will be more. If this time does not strengthen the community's service ability, it will definitely make The people are disappointed, so be sure to strengthen at this time.
Practice more: the benefits are more than the disadvantages
I just mentioned that grading medical care, custodial system, two-way referral, control scale, appointment service, network medical care, multi-point practice, cancellation of preparation and welfare socialization, and payment system are all quietly changing the people’s medical habits. The doctor’s practice environment has changed. The payment system is very important. Now doctors have become the basic unit of hospital income generation. Without doctors, there is no income generation, and hospital services cannot be valued. When the doctor's bonus or salary is not linked to the drug, is the doctor more noble, can you provide more services? I once had a metaphor, now we have a cold, 150-200 dollars. If it is 150 yuan, 50 yuan for the diagnosis, 100 dollars for the other, 100 yuan for the other, including medicine, if the savings are for the patient, or for the medical insurance, then is it us? You can save a lot of money? The patient has reduced a lot of unnecessary checks and reduced many unnecessary drugs.
After doctors become social people, the employment channels can be said to be diverse. For example, in the United States, which emphasizes a high degree of freedom, from the current point of view, most doctors are willing to choose to be in a hospital rather than open a clinic. Why? First of all, because the doctor's value and service price are not much different, although the salary of the clinic will be more, the cost and risk of facing the administration is very large. What are the benefits of doctors working in hospitals? There are many benefits, at least there are paid holidays, life is more regular, I can go after reading the patients, there is a good research platform, and so on, the most important thing is that you don’t need to follow Insurance and finance have a relationship. This is the institutional status of American doctors and social workers.
In addition to hiring in the hospital, becoming a unit, or becoming a legal person and signing a contract with the hospital, becoming a contract unit, in fact, some hospitals in the United States are very willing to sign a contract with a doctor, and even give some construction money to the doctor to build a clinic, and your patients will come to me in the future. Here. A doctor can sign up with several hospitals, and can choose a hospital for the patient based on the patient's resident and hospital bed conditions, as well as the degree of surgery. Is this a change in the medical treatment model? Of course it is. There is also a PH P relationship in the United States, that is, doctors and hospitals to establish partnerships, rather than employment relationships, which is now a more prevalent system in the United States. What are the benefits of this relationship? Because it can improve the quality of care, improve efficiency, and reduce medical costs. Don't think that it is cool for doctors to open their own clinics. You must have equipment, equipment needs to be updated, or patients are not willing to come to you. Equipment safety and maintenance, all of which require cost. Also hire people, even if you do not hire people, you must also ask a third party to maintain, so the cost is very large. If you sign up with the hospital, you can at least get these benefits. From the perspective of the hospital, the hospital can have a stable source of income. I just said that the hospital has established a service platform for doctors. Who is serving the patient? It must be a doctor. Without a good doctor, how can there be good service? This is a dialectical relationship. Everyone present here must correct a point of view. The hospital provides a service platform for doctors.
I have always insisted on this view. The hospital has closed down, and it is not a problem for patients to see a doctor. There are doctors, doctors can go to any hospital, or they can have their own platform. Doctors can get more operating rooms, equipment, nurses, doctors and patients. Call me, my team has a lot of patients, you can do it. If you don't give me the operating room, don't provide good equipment and services, I won't renew your contract, so the doctor will have more initiative. . For the hospital, it can also increase the loyalty of the doctor because it provides a good service and can attract more doctors. In terms of multi-point practice, I think the benefits are much more than the disadvantages. This is the fulcrum for inciting medical reform. You can incite the reform of the personnel system. The doctor is liberalized. When the doctor becomes socialized, he can provide more reliable resources. for everyone.
Doctor's studio is worth pushing
Everyone here may think that doctors will not be able to serve patients with more practice. Please be assured that the team of doctors is definitely a team that loves face and will work hard for their reputation without damaging their feathers. The more free he is, the higher his consciousness will be. For the hospital, is it unstable if the doctors move to the hospital? If there is mobility, there will be vitality before they can take the unqualified doctors. Now some doctors in public hospitals have not played a very good role. In fact, he You may get a bigger platform in the community. Practicing more points can make your clinic sink and more doctors can be established. Although multi-point practice is not a climate now, with the continuous improvement of policies, such as the disappearance of preparation, the socialization of welfare, and the shrinking of hospitals, these are instigating changes in this industry. The same is true for organizational culture. How to ensure that your doctor does not lose, you have to treat the doctor. Moreover, it will be more legally conscious, and the surgery that cannot be done will not come hard, and the doctor's legal consciousness will become stronger and stronger.
How to find a breakthrough? In fact, the doctor's studio is what I want to introduce to you. It is a studio opened by doctors who have the ability and have their own unique treatment methods. They can be established in other medical institutions. For example, as I said, medical institutions are qualified to perform surgery on third-party platforms. It is also possible to carry out consulting services for those in need, or for the rich, but I think that more people are in need, they don’t know doctors, they have to solve problems, and they even have mistrust of doctors and hospitals. Therefore, the birth of the doctor's studio can provide them with more reliable services. At the same time, the establishment of an independent third-party inspection and inspection agency will not become a hospital's money-making tool, but a public service platform. The price will be lowered and the quality will be improved. The primary medical institutions will have more quality guarantees, because now the doctors cannot Shen, there is no platform, especially the auxiliary platform for inspection and inspection.
Doctors need to solve four problems
Southern Metropolis Daily (hereinafter referred to as Nandu): The starting point of our discussion, and finally returning to the point where doctors can freely flow, the multi-point practice policy is worth discussing. What are the three opinions?
Liao Xinbo: Doctors do not flow is a pool of stagnant water. Whether in Europe or in the United States, doctors are mobile. The key is that doctors are willing to flow. Chinese doctors don't want to flow, they can't flow because they are unit people. In fact, the flow of doctors is good for everyone. When I arrived at the hospital, I saw who had the big name and whose name was in front, and I was looking for someone. In the future, the patient will follow the doctor, and the doctor can move. Can it provide more convenience for the patient?
Now many hospitals have suggested that patients do not leave the doctor. I feel that this concept is not good, at least not in line with the economic point of view. If there is a person in a certain country now, tell me to go, who will pay for my cost? If I am here to wait for the rabbit, if there is a need to come to me, is the patient I serve more? To health economics, so the more you say. In short, the flow of doctors means that the whole society is alive and everyone benefits.
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