Doctors more practice: how the various sides of the abacus how to play together

Doctor "Moonlighting" a large number of practice registration is not active this newspaper reporter Dong this year, "Doctors more Practice" was first written into the "Government work report". Although some areas have experimented with doctors practising more, the controversy has never stopped: The deans of public hospitals say "yes", but worry that doctors have planted the land of others ' homes and their own fields; The deans of private hospitals have long been vacant, but know that glass doors are still there; most doctors are watching.　　The public side is worried that the "point" of the result is that the big experts to run with the money, the rich convenient, ordinary patients do not benefit.　　How far can doctors go in practising more? Zhao, director of the Cancer Hospital of Chinese Academy of Medical Sciences, told reporters that more practice is good for the common people and the hospital should support itself. Now, regardless of the disease, the patients are running to the big city hospital run, not to mention the medical expenses, only the patients and their families to eat, live, do, is a huge expenditure. If the experts can go to the local, even if the medical expenses are increased, but the total expenditure of patients will certainly decline.　　However, he also pointed out that more practice increased the difficulty of management and coordination, not well, it is likely to open Pandora's Magic box. Zhao said that although the Physicians Act stipulates that doctors can only practise medicine in their own units, in reality, the doctor's practice in the hospital has always existed, but with "weekend outpatient", "expert guidance" and other names. Some doctors are often the busiest weekend, a holiday to fly to all parts of the country, some of the Dean had to go to search doctors flight records.　　Zhao that policy allows, and even encourages, more practice, actually just want to turn the things under the table to the desktop, but the matching policy must keep up, for example, how to ensure the interests of the original work hospital, the doctor's wages how to open, the workload how to set, even to consider whether the sale of patients will be again. This is by no means Zhao a person's worry and perplexity. The deans of many major hospitals say that doctors in public hospitals are now overworked and it is difficult to measure how a doctor has completed his or her job. If the hospital approved experts to go out to practise, once the hospital has difficult critically ill patients need his treatment how to do? If there is a public health emergency, the hospital needs to send him to support what to do?　　How do doctors allocate their time and energy? Eugong, former dean of the oral Hospital of Peking University, said doctors often need a variety of conditions to support medicine, such as surgery, light a surgeon is not able to complete the operation of high-quality, not only need good equipment, but also a mutual trust team. In this case, how to ensure that the interests of patients is also a problem-after all, the surgeon is not able to take the entire section of the past, once the operation failed, there has been medical disputes, how to determine the responsibility? Is it the primary responsibility of the hospital or is the doctor responsible?　　In particular, the current physician-patient relationship is so tense that it cannot be considered in particular. As for the treatment of medical disputes, Beijing's practice is to allow more practising doctors to go out with a medical liability insurance. But there are comments right away that a medical liability insurance guaranteeNothing, otherwise, many medical disputes will not make it difficult to clean up the situation. Private hospitals to the more practice of holding hands in favor of, lest implementation. In China, some large public hospitals occupy a large number of high-quality medical resources, especially the famous doctors, experts are concentrated in the big city hospital. Now, the policy has opened the gap, private hospitals are naturally willing to. According to the Beijing Sanpo Brain Hospital, the hospital has planned to hire a group of neurosurgery, neurology experts regularly to take a diagnosis.　　External experts will not allow them to fight alone, and a team, including anesthesia, nursing, testing and so on. In Shenyang he eye Hospital Dean Wei opinion, in the final analysis, the hospital is still the doctor and doctors in the hands of the job. When patients are still "tang", how can public hospitals be willing to transfer doctors and technical resources? Moreover, the patient resources are mainly concentrated in public hospitals, to private hospitals are still a small number of doctors have what power to private hospitals to practise medicine?　　Occasionally moonlighting is OK, really want to Zuotang is not so. He also pointed out that the so-called more practice in the case of cold, is actually more practice registration of the cold, not registered "Moonlighting" is still a large number of existence. Doctors know that many things are not good for public, but harmful.　　For example, if a doctor registers for more practice, does the income of many practising business be divided into the original unit? In some countries, doctors are defined as freelancers. Our country is different, the doctor mostly attaches to the hospital. Some people think that more practice is to liberate doctors, but many doctors do not think so. One doctor said it was impractical to practise more. His reason is that doctors, especially young doctors, are very busy, basically "white and Black", "5 plus 2", a "point" of the work can not finish, which has more time "point." Moreover, in the past few years the medical school desperately expands, each hospital is overcrowded, besides the remote hospital, estimated also does not have many "point" the good position.　　The benefits from more practice are experienced doctors who have free time and low incomes. A doctor said that his hospital has been noted that the doctor to go out, must be approved by the hospital leadership level.　　If the hospital leaders think, go out more practice doctor if not at ease work, in the future in some scientific research projects do not consider, then go out to earn some money is a bit more than the gain.　　To practise more, people still have a lot of worry: there is no compulsion, guidance and encouragement measures, I am afraid that not many doctors are willing to go to grass-roots health institutions; More practice will not be able to let the people at home to see famous doctors, but only to the doctors "Moonlighting" put on the legal cloak. Huang, vice Minister of health, said to reporters that the doctor more practice is only to find the right direction, not all aspects of the meticulous carding, is far from enough, the corresponding supporting policies should be promulgated as soon as possible.