Chen Tianqiao CPPCC proposal: Improving doctors ' treatment and promoting medical reform

Sina Science and technology news on the afternoon of March 6, the National Political Consultative Committee members, Grand founder Chen in the two sessions issued during the proposal that the most central issue of medical reform is to improve the treatment of doctors. Chen suggested that the investment in improving the welfare of doctors should be increased every year, speeding up the construction of medical infrastructure in small towns and encouraging young people to study medicine. The following is the full text of the proposal of Chen Tianqiao: to improve the treatment of doctors to promote medical service reform sponsors: Chen Flyover content: The party's "18" and the Government's work report clearly put forward the key to promote the medical service reform requirements, it shows that it is to promote economic and social scientific development, safeguard and improve people's livelihood important content. Obviously, the medical resources of our country are still tight, especially the high quality medical resources are scarce and tend to concentrate on the level three hospital of the first-tier city. From a certain point of view, "difficult to see a doctor" due to the hospital less, the hospital is less due to fewer doctors, doctors are due to the doctor less treatment, less welfare. So I think that one of the key to promoting medical reform is to improve the treatment of doctors and encourage young people to be medically. Is the doctor's treatment high or low? Compared with the average wage, 2011 Shanghai staff average annual salary of 51968 yuan, average 4331 yuan, but a lot of work for more than 10 years of community doctors, monthly wages in the average line up and down, and in some underdeveloped cities, the doctor's annual income is only 230,000 yuan or even lower. Compared with other industries, the annual average wage of workers in urban private sector in 2011 was issued by the National Bureau of Statistics, and the overall average wage was 42452 yuan. and the financial industry annual average wage is 91364 yuan, information transmission, computer services and software industry is 70619 yuan, scientific research, technical services and geological exploration industry is 65238 yuan, the breakdown of 第一、二、三位, and medical and health industry only 47258 Yuan ranked 8th in the list, Is the overall average income of 1.1 times times, backward transport and other industries. Compared with other countries and regions, the data for nearly 4 years show that the average income of doctors in the United States, Canada and Japan is about 40 times times that of Chinese peers, and the average doctor in Hong Kong is 22 times times that of the mainland, Taiwan is 14 times times that of the mainland, and we are still far behind even compared to developing countries such as India and Pakistan. In the face of such a situation, we have to rethink: doctor low wages will give patients and the entire industry and society to bring what? First, doctors work with passion and efficiency. Some people left the doctor's team to make medicine sales, and some grassroots and village doctors switched careers. According to the Ministry of Health Information, in the last 6 years in China, a total of more than 1 million people passed the clinical practicing Physician qualification examination, but 400,000 people did not register. In other words, these 400,000 people did not choose to engage in the medical profession. Now in many rural areas, there is a "no hospital" situation, about 66.7% of the village health room only 1 village, more than 3 people in the village health room only 12.5%. Second, individual doctors rely on "grey income" and the doctor-patient conflict increases. Because doctors cannot get what they deserve from the technical work they pay for, and can maintain their dignified livesLive legitimate income, so that individual doctors can only through the birth of "super prescription" to pursue drugs and medical equipment kickbacks, receiving sick family of red envelopes and other improper income, seriously affecting and damaging the reputation of doctors, aggravated the doctor expensive. And the behavior of a small number of doctors so that the whole group of doctors "demonized", patients often to doctors with vigilance, worried about doctors prescribe and check whether the doctor's income-related. This kind of general worry and disgust aggravate the doctor-patient contradiction and the antagonism, causes the doctor-patient relations to be extremely tense. Third, the reserve strength of doctors is weak. I also went to college and read more than 3-4 years more than other subjects. After graduation also need to undergo 3 years of internship to be able to officially post, and their wages and other occupations are middle, but also face daily average more than 9.5 hours of work intensity and great psychological pressure, resulting Young people today are no longer attracted to the glorious profession of doctors. Finally, the distribution of resources into a vicious circle, making the gap between urban and rural widening. Because health is the fundamental guarantee of each person's life, if the farmers can see without medical treatment, they can only embrace the city. The disorderly migration of the population (in some areas of the Midwest, the general transfer rate of the rural labor force is as high as 60%, the rural hollow phenomenon is very prominent, many villages even become unmanned village), resulting in the large cities in China, especially the mega-cities are facing a disorderly expansion of the passive situation. In Shanghai, for example, the permanent population at the end of 2011 was close to 26 million, approaching the Shanghai population limit of 28 million to 30 million "cordon"! And this "cordon" division, precisely depends on medical, transportation, education, housing and other public services. We must acknowledge that: the limited space resources of big cities can never meet the demand of the unlimited expanding population, the problems brought about are endless: the house prices are getting higher, the traffic is getting more and more crowded, the environment is getting worse, the doctor is getting more and more difficult. What about the countryside? If no one, then the country has spent a huge amount of human resources to rural and poor areas of health care, education and other public services resources and economic development of the fundamental guarantee will lose the existence of value, urbanization will not go back. To sum up, I think the medical reform is really important, far-reaching, but to improve the treatment of doctors is a move and benefit the whole body, the lowest cost, the fastest effect. From ancient to ancient, doctors anywhere in the world are rewarded with technical services, and what we need to do now is to respect the objective laws of things--the great job of respecting the lives of the wounded, respecting their technical skills (and not letting them rely on selling drugs, selling equipment, and collecting red envelopes to make money). So I suggest: first, to increase the medical input, in the input to determine the proportion of medical benefits to improve the proportion and the increasing ratio. Doctors should confirm wages on the basis of labour intensity, educational background and professional responsibility, and the average income proposal reaches 1.5 times to 3.5 times times the social Average income level (experts study that: the average income of medical staff in the world is about 1.5 times times to 3 times times that of social average wages.) If the salaries of medical personnel are recommended to be raised to 1 of the average line.5-3 times, this income can at least reach the country's second highest income level, or even beyond the financial sector, to become the highest income industry. This is the breakthrough for China's health reform to spend a small sum of money, only to allow doctors to effectively benefit, health reform will change the foundation. Second, to accelerate the small and medium-sized towns and rural areas of medical infrastructure and team building. To increase the financial support to small and medium-sized towns and rural hospitals, to create qualified medical conditions, but also in the protection of medical benefits under the premise of the delivery of excellent doctors from the level three hospital to level two, a level of hospital, from the city hospital to county and Township hospital. We must understand clearly: only small hospitals and health clinics, the credibility of the remodeling, will have "serious illness in the city to see, the small minor disease near to see" the rational allocation of medical resources. Suppose one day, the rural people said, "My hometown doctor is not worse than your city", with this "health guardian" the bottom line of protection, they will stay in the hometown of Settle to seek life, wholeheartedly seek development, for the construction of urbanization to promote escort. Third, to fully cultivate and exert the Forces nouvelles, in order to encourage young people to learn medical medicine to create good conditions. Have a good income and adequate business training opportunities, I believe that young people will be able to actively participate in the health of this noble industry. To this I propose: to the young doctor regular visits to the countryside, may grant a certain allowance; for the long-term stationed in the frontline of primary medical care, can be given a certain subsidy, personal income tax relief and professional title assessment of priority care. Although the promotion of medical service reform is a complex subject, but I firmly believe that to improve the treatment of doctors, to encourage young people's medicine is an effective breakthrough, but also in the contemporary, work in the great good. Imagine the Chinese land, every town has a well-equipped hospital, have a high level of doctors, will certainly attract people to live, enjoy, the big city of all kinds of "rigid demand" will be relieved: big city housing prices down, small town's economy is up-"granary real and know etiquette" of the Chinese prosperity will also be able to get a great revival!