Du Chong, Zhu Hengpeng the hospital can not be used to mislead doctors a specific indicator of one-s carmex润唇膏

Du Chong, Zhu Hengpeng: the hospital cannot use specific indicators for misleading doctors one-sided pursuit of performance – Sohu health home today to continue to send all of the "road" through the Chinese health system the second part (Part 1). Just say, arrangement, effective health care system is connected, complementary. The reason why the old system is running, the reason for the conflict in the reform period, the reasons are in the internal elements are complementary. What is complementary? For example, the old age city medical workers almost free, with the patient’s medical treatment options are limited; and health care units with hooks, low overall level, equal to one unit of a pot, also can inhibit all abuse of medical resources. Although this one is contrary to the law of large numbers of insurance, but we are not afraid of the last fiscal transparency. At the end of the last push, we said that fiscal transparency will lead to excessive use of medical resources, doctors and patients? How to control the doctor, how to motivate? And listen to this decomposition. Two, complementary elements of the planning system (two) supply: the government and the medical and health industry organizations in China during the planning system is mainly government run hospital. As mentioned earlier, when the health care system is a horizontal split, each unit into a system, medical and health institutions as well. All levels of government hospitals, provincial, municipal, ministerial, the formation of county hospitals; governments at all levels in different departments in hospital, health, education, civil, judicial, military government; state-owned enterprises affiliated hospital, the formation of enterprise hospital. Not only compartmentalization, each unit self system. Within the same system, the supply and demand sides of medical and health services are integrated, with the same competent department. As mentioned earlier, in a small range (within the enterprise, or government organs at all levels shall provide medical services) and medical security integration, reduce the "mess", helps to control medical expenses. Government run hospitals, including direct financial investment at all levels of government or state owned enterprises self built, coupled with the transformation of socialism, health care service system will naturally become public ownership as the main body. In the early 1980s, the county level and above the county level medical and health institutions are the ownership of the whole people, urban street grassroots health institutions in the collective ownership of 80%, the ownership of the whole people accounted for 20%. Individual practitioners in urban areas are few and negligible. Although there are changes in the financial compensation policy of medical institutions, but there are two gradually fixed: financial payment of medical staff salaries, business income balance can not be used for staff salaries. Due to financial difficulties, drug income becomes the second channel of compensation. Since the beginning of 1954, China’s implementation of the 15% plus deduction rate of public medical institutions drug pricing policy. Compensation mechanism to supplement the drug revenue, but also solidified the system of pharmaceutical distribution. Administrative hierarchy of health care system. Medical and health institutions not only have administrative level, but also gradually formed the city’s three tier health care network. It is characterized by a two-way referral, the two is top-down business guidance, improve the technical level. In 1980s, a government publication described the city’s three tier health care network during the planned economy: (1) the streets of hospitals and相关的主题文章:

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