Deqing County, Guangdong Province
First of all, analyze the real reason of "expensive medical treatment"
I am a staff member in the hospital. I once held a position related to "bonus distribution" in a hospital, and I know the situation of "bonus distribution" best. In my opinion, the reasons for the high medical expenses in hospitals are: 1. Post salary: Post salary was originally paid according to the assessment of employees' morality, diligence, ability and position, but it became an assessment of employees' income when they arrived at the hospital. For example, an employee has a university degree, doctor qualification and 65,438+00 years of service. His basic salary is around 900 yuan, and his post-related salary is calculated according to his prescription income. Towns and towns are controlled at 3 million to 654.38+10,000 yuan, and there is little difference among hospitals; 2. Drug commission and other income: drugs with commission include: ceftazidime injection, Yanhuning injection, Shenmai injection, Proan (compound amino acid 18AA250ml), furoxime axetil, etc. Take a town as an example, one bottle of ceftazidime 1 Yuan and one bottle of Proan (compound amino acid 18aa 250ml) 10 yuan. The items with commission are more complicated, and each hospital is different, which probably includes: consultation fee, infusion, admission, home visit, B-ultrasound, X-ray, examination, etc. And the commission is different. The commission of doctors in ordinary township hospitals is controlled at about 500 to 1500 yuan, and the monthly commission of doctors with special income can be as high as more than 3,000 yuan. Do you still want to see a doctor for such a commission? Difficult! Difficult! Difficult!
Talking about the effective methods to solve the problem of "expensive medical treatment"
All the above are the most fundamental reasons that I know cause "expensive medical treatment". To completely solve the problem of "expensive medical treatment", we must strictly put an end to all "bonuses" linked to doctors' income. To solve these problems, we must first start with hospital leaders. In my opinion, the biggest beneficiaries of "expensive medical treatment" are hospital leaders, such as a bottle of Proan (compound amino acid 18AA250ml). Since 2007, doctors who open cans have received financial allocation of 1 000 yuan per person per month for township hospitals. However, I think that this was originally intended to support township hospitals and solve the problem of "expensive medical treatment", but it added fuel to the fire, because the money was only allocated to hospitals, not individuals, and hospitals used the money to pay "professional wages". The policy of higher authorities should be said to be correct, but it deteriorated in the hands of executives. I think every time I go to a meeting to discuss the problem of "expensive medical treatment", it is the leaders of the hospital, that is, the biggest beneficiary of "expensive medical treatment". Will that solve the problem?
I am engaged in the work related to hospital wages, and another problem is that the rumors in society are really wrong. Many people in society will think that although the hospital salary is not high, the "other" income is high, which is not correct! According to my rough statistics, compared with local civil servants and teachers, about one-fifth of hospital employees with the same education, the same length of service and the same qualifications have higher salaries than civil servants and teachers, and about one-half of them have similar salaries. The salaries of the remaining employees are much lower than those of civil servants and teachers, and there are not a few people whose salaries are less than half that of others. Most of these low-paid people are low-income departments. Bottom line: "Your salary depends entirely on how much money you can save for the hospital." Everyone said, is it not expensive to see a doctor like this?
Another social worker doesn't know that the salary of retirees is about half that of others (compared with local civil servants and teachers). Retirement can help others secretly see a doctor, and there are only a few figures. Others who "honestly" stay at home and receive pensions have only one word "miserable"! ! !