Release date: 2015-11-24 In November last year, the National Health and Family Planning Commission issued the "Notice on Advancing and Regulating the Opinions of Doctors on Multi-Point Practice", clearly promoting the smooth and orderly flow and scientific allocation of quality medical resources, and the labor relations and medical responsibilities of doctors practicing more. Management gives a more detailed explanation. After the issuance of the "Notice", all localities quickly acted, and Zhejiang, Guangdong and other places have successively introduced implementation measures. Multi-point practice has become an important way to solve the imbalance of medical resources. However, the reporter of "Daily Economic News" recently interviewed a number of doctors working in the front line of the top three hospitals. It is still difficult to carry out multi-point practice: young doctors worry that more practice will affect promotion, and director-level doctors will be subject to rules and working hours. Wait. As Qiao Jie, dean of Peking University Third Hospital, said, it will take a long time for many practitioners to actually implement it. "And now, doctors who try to practice more, should say that they are very courageous." Pilot mines and small raindrops In 2009, the Ministry of Health issued the "Notice on Issues Related to Physician's Multi-Point Practice" (hereinafter referred to as the "Notice"), clarifying the definition of "multi-point practice" for physicians, and dividing the doctor's multi-point practice into government directives, medical cooperation, Actively employed in three categories for management. According to the survey of doctors, 77% of doctors hope to abandon the state of working in only one hospital, and try other practice methods such as practicing more and starting their own business. The reporter saw in a medical forum that many real-name certified physicians welcomed the practice of multi-point practice, arguing that “the flow of physician resources and convenient policy procedures will strongly stimulate the development of non-public medical institutions. The development of public hospitals is forced to form." A number of policies have been introduced in various places to loosen the practice of doctors. In 2010, Guangdong Province began piloting multiple points of practice. But over the years, only 3,800 of the 160,000 doctors in Guangdong Province have applied for more practice. The same problem occurred in Hainan Province, the first batch of pilots. The trial methods of each version are consistent with the national requirements. The professional title requirements and working years are frequently appearing in the trial method. Although Beijing and other places have revised the clauses that are not conducive to policy promotion, they have not changed the multi-point practice. The status quo of big rain and small rain. In January 2014, the Consultation Draft issued by the Health Planning Commission clearly stated that “a physician applying for a multi-point practice should obtain written consent from his first practice locationâ€. In that year, the official notice issued in November canceled the “approval system†for doctors to practice more. Zhuang Yiqiang, deputy secretary-general of the China Hospital Association, said that the doctors have practiced the examination and approval system before the practice of multiple points, and the registration management only needs registration. Exploring the performance of the filing procedures means that the doctors only need to “greet the hospital†in the future, and the degree of freedom is higher. But this is not the case in the eyes of ordinary doctors. Dr. Zhang is in his early 30s and currently works in a top three hospital in Beijing. In his view, "even if it is a filing system, you need to tell the unit that it is basically equal to giving up the head of the department." Dr. Wei is the surgical director of a top-three hospital in Hunan Province. When he received an interview with the reporter, he had just finished a 7-hour operation. According to the regulations, doctors such as “the directors in public hospitals†can only support the support of urban and rural hospitals, support the grassroots, or sign medical institutions to help or escrow agreements, establish medical groups or medical complexes. When you are an institution, you can engage in more practice. "Which I have that energy." Dr. Wei told reporters that there was another operation after an hour. The rest time was only enough to eat fast food. "Most doctors in our hospital are very busy, they are working at full capacity, and then go to other hospitals." Part-time is too tired." The "Notice" also mentioned that "the doctor's working hours and workload in the first practice location do not meet the requirements of full-time physicians, and cannot receive full-time salary." Dr. Wei believes that "this basically breaks down thinking." It is common for doctors working in public top three hospitals to work overtime. If you can't reduce the working time and intensity of doctors in the first practice location, doctors who can practice more are not. many. The hospital is worried about affecting doctors' work On November 6th, the “Opinions on Controlling Unreasonable Growth of Medical Expenses in Public Hospitals†jointly issued by the National Health and Family Planning Commission and other five departments, specifically pointed out that support for the construction of a graded diagnosis and treatment system. Multi-point practice is considered to be a “trick†for establishing a graded diagnosis and treatment system. A series of medical reform policies since this year are also focused on promoting doctors to practice more. Liao Xinbo, inspector of the Guangdong Provincial Health and Family Planning Commission, believes that in order to alleviate the difficulty of seeing a doctor and seeing a doctor, the state will divert more quality medical resources and patients to the grassroots level, strictly control the unreasonable expansion of public hospitals, and accelerate the slimming of large hospitals. Doctors are free to practise, and doctors’ free practice will make the hospital’s class name alive. Qiao Jie also admitted that before the completion of the grading diagnosis and treatment, the number of patients in large hospitals will not have a good result when talking about "multi-point practice". "No public hospital dean will allow his full-time employees to do more. Point practice." In fact, Qiao Jie’s remarks point to the status quo of practicing more. On the one hand, as Dr. Wei said, many doctors in public hospitals are currently facing a high workload. More practice may affect the work that doctors should undertake in the hospital. Therefore, the managers of public hospitals will basically not agree. Practice more. On the other hand, public hospitals themselves have a public good. On November 16, the Shenzhen Municipal Health and Family Planning Commission issued a notice to propose a platform for doctors to practice and start a business through the “one high and one low†policy. “One high†means encouraging social forces to hold high-level tertiary hospitals and building famous doctors' medical centers; “one low†means developing family doctor service industry, integrating public health, medical care and old-age care, and improving family doctor service rewards. Since Shenzhen has completely liberalized the restrictions on the registration of medical practitioners since July 1 this year, the city has more than 500 practicing doctors registered in the doctor registration system. Li Chuang, director of the Shenzhen Municipal Health and Family Planning Commission, said that there are three preconditions for doctors to achieve multi-point practice, that is, hospitals must be managed separately, doctors must be free, and there must be a diversified medical system. . In order to become a normal state, it is necessary to standardize the multi-point practice management system, establish a self-discipline system for doctors' practice and a doctor's professional technology evaluation system, and use the industry's mechanism, qualifications and restraint system to ensure the smooth operation of multi-point practice. Source: Daily Economic News Led Surgical Light,Operating Theatre Lights,Operation Theatre Lights,Led9 Operating Theatre Lights NINGBO TECHART MEDICAL EQUIPMENT CO.,LTD , https://www.techartmed.com