Under, Chinese medicine flavin

Chapter 367 Advanced is not necessarily suitable

Whoa, whoa, whoa!
Huang Su felt a little weird to be stared at with such naked eyes by a person who was in contact with him for the first time.Cough slightly to ease the embarrassment.

Li Weiying didn't feel strange, this plan had been conceived in his mind for a long time.

Now is the time when he will become the director of the city hospital, and the health bureau is dissatisfied with the current city hospital, and it is time to officially realize his ambition.

Seeing that Li Weiying was still staring at her, Huang Su moved her body slightly.

"Dean, there is no problem if you want our Chinese medicine department to do a pilot."

Huang Su paused for a while and said, "However, this matter cannot be rushed."

Hearing the twist in Huang Su's words, Li Weiying frowned in a flash.

Li Weiying has already formed a feasible plan for this plan of paying for the curative effect.

Hearing that we should not act too hastily, Li Weiying thought that Huang Su would resist and not cooperate like other department directors.

"Director Huang, why don't you tell me your opinion."

Huang Su was thinking in his heart how to implement Li Weiying's plan in the Department of Traditional Chinese Medicine, but he didn't listen to the strangeness in his tone.

Li Weiying's plan is very similar to the curative effect payment plan of later generations, but they still use different places.

Combining Huang Su's understanding of payment for curative effects in her previous life, she sorted out a general idea in her heart.

"Dean, the workload of your plan is too large for our hospital to implement. Even if the entire health system of Grassland City is used, it will be very difficult to implement, let alone see the effect in a short time."

"The establishment of scores for each condition, the division of scores for each diagnostic group, and the ratio of scores to consultation fees all require a lot of statistical calculations."

Twenty years after the development of computers and big data, in Jiangsu, Zhejiang and Shanghai, the most affluent places in China, the first batch only selected 20 major categories of diseases in traditional Chinese medicine as pilots.

Li Weiying thought that Huang Su was perfunctory, but he didn't expect that what he said really had something to say.

"Director Huang, continue talking."

The unhappiness in my heart just now disappeared quickly. Li Weiying felt that he met a confidant today, and many views coincided with his own, so he urged Huang Su to continue talking.

Huang Su continued to say based on the understanding of later generations: "If you want to fully implement your plan, in addition to solving information storage and huge statistical calculations, you must also cooperate with a complete medical insurance system. Now that the national medical insurance system has just been established, it is impossible carry your proposal."

"Director Huang, your thinking coincides with mine. I have thought about all these problems."

As he spoke, Li Weiying sighed and said, "I didn't even think about pushing it away. I chose one of the most common diseases from each department as a pilot, but all the departments in the hospital opposed it."

"In recent years, the trend of commercialization of hospitals has become more and more obvious, and the burden of treatment for patients has become heavier and heavier. The plan I envisioned can completely balance the interests of patients, doctors, and hospitals. As long as the effect is seen, I will I believe that this set of plans of mine will definitely be promoted, but I didn’t expect that the first step would be very difficult.”

Huang Su is very aware of Western medicine's attitude towards payment for curative effects.

It is because Western medicine strongly opposes it from top to bottom. During the pilot demonstration period of curative effect payment, it was originally planned to conduct pilot projects in hospitals with both Chinese and Western medical systems, but it was changed to only conduct pilot projects in Chinese hospitals and integrated Chinese and Western medicine hospitals.

"Dean, I fully support you in choosing the Department of Traditional Chinese Medicine as a pilot."

"Traditional Chinese medicine is a medicine with theoretical support. During the treatment process, Chinese medicine can clearly know how the patient's symptoms have improved during the course of taking the medicine. This is the advantage of Chinese medicine in implementing your plan. The diagnostic nodes are easy to divide and the treatment effect is clear."

"However, there are also disadvantages! Chinese medicine is a general practice. If you want to fully implement your plan in the Chinese medicine department, the workload and difficulty of the work are no less than the implementation of the complete Western medicine system. With all due respect, only the current manpower of the Chinese medicine department Material resources are simply a fantasy."

This is also the main reason why Western medicine strongly opposes payment for curative effects, because Western medicine has no own theory, and there is a certain degree of uncertainty in the process of treating diseases.

Especially in the internal medicine of Western medicine, it is very common for minor lesions to become serious, and how serious illnesses recur. It is impossible to clearly divide the treatment nodes, let alone implement curative effect fees.

"It turned out to be like this. I really didn't think about it so much."

After listening to Huang Su's analysis, Li Weiying fell into deep thought.

Li Weiying is also a Western medicine doctor, and he doesn't know much about Chinese medicine. After listening to Huang Su's popular science, he knew that he had simplified his thinking and Chinese medicine.

"Director Huang, you are an expert in Chinese medicine. Since I can't fully implement my plan in the Chinese medicine department, can you choose three to five common diseases of Chinese medicine? Let's do a trial first."

Flavin is still very interested in curative effect charges.

Before the rebirth in the previous life, I only knew about the curative effect fee, because it was implemented in Jiangsu, Zhejiang and Shanghai, and I didn't personally participate in it.

In this life, if we explore on our own, the model of charging for the curative effect of traditional Chinese medicine can be released in advance.

Facing the siege of foreign western medicine and western medicine capital, Chinese medicine also has a sharp weapon to fight back.

If you want to slander traditional Chinese medicine as a placebo, you can use curative effect charges as the most effective counterattack.

Li Weiying looked at Huang Su and expressed his new ideas.

Huang Su pondered for a while and said: "It is very satisfactory to choose common diseases, as long as you choose the common ones in the Northeast region. The patient base of these diseases is large, which can better highlight the experimental results."

Before Huang Su could finish speaking, Li Weiying happily interjected, "This proposal is good, it will better highlight the effect of the implementation of the plan."

Seeing Li Weiying's excited look, although Huang Su couldn't bear to break his good mood, she still told the truth: "Dean, if you only choose three to five, you want to implement your charging model in the city hospital, but It is very difficult, and three or five cases are not convincing at all."

Now Li Weiying waved his hands indifferently and said: "I really want to promote my charging model in an all-round way. You also said that it is immature in all aspects. Now I just want to cause the health department to accept this charging model through the pilot effect." It is also my little contribution to tens of millions of patients that I will be able to fully push it away one day.”

Li Weiying's sincere words also touched Huang Su.

Huang Su couldn't help asking: "Dean, how do you plan to clean up the phenomenon of the hospital's excessive pursuit of commercial benefits?"

Li Weiying began to plan to use curative effect charges to change the current bad atmosphere in the hospital.The charging model of curative effect fee cannot be implemented, so it is impossible to correct the bad atmosphere of the city hospital.

Li Weiying's face also became heavy, sighed the doctor and said, "I'm thinking of other ways with the leaders of the hospital."

As the director of the city hospital, Li Weiying was also under great pressure.

Even before Li Weiying took office, the leaders of the Health Bureau repeatedly emphasized the need to change the bad atmosphere in the city hospital.

This is also what Li Weiying, as the director of the city hospital, wants to produce results as soon as possible.

But after talking with so many department directors, I felt their inner resistance.

Li Weiying knew that this matter was not as easy as he thought, so he charged for his not-so-mature curative effect.

It is hoped that through this charging model, the style of the city hospital will be completely changed.

The new charging model could not be implemented, and Li Weiying had no other options for a while.

Seeing Li Weiying sigh helplessly, Huang Su could understand Li Weiying's difficulty.

After people's desires are opened, it is simply impossible to close them and correct them.

After a short contact, Huang Su can somewhat understand what kind of person Li Weiying is.

In the current medical industry, where one is focused on commercial development, there are very few people who can consider problems from the patient's point of view.

Huang Su couldn't help but said: "I have experienced the whole process of the city hospital's ideological changes, and I also have some thoughts in my heart. I don't know if the director wants to hear my opinion on the current situation of the city hospital."

Li Weiying's eyes brightened instantly, she sat up straight and said, "Director Huang, please tell me, I can't ask for more."

If we say that all the doctors in the city hospital have been immersed in the pursuit of money and cannot extricate themselves.

Then, Chinese medicine is the white lotus in the mud, and Li Weiying will naturally attach importance to Huang Su's idea.

Seeing Li Weiying's eagerness to listen, Huang Su sorted out her thoughts a little in her heart, and began to talk about her own opinions and thoughts.

"Whether the hospital is to be marketed has been debated for many years. The original Dean Liu was just a staunch supporter of the hospital market, but he did it more thoroughly, operating the hospital as a company, pursuing all interests, and completely forgot The fundamental attributes and functions of the hospital."

Listening to Huang Su's narration, Li Weiying nodded in agreement.

With Li Weiying's consent, Huang Su said boldly: "When all medical staff benefit from commercialization, people's selfish desires will be completely let go."

"Additionally, hospital executives, hospital purchasers, persons in charge of pharmacies, and outpatient doctors personally accept prescription commissions from pharmaceutical companies and drug dealers or accept rebates from pharmaceutical companies and drug dealers, and these drugs with higher commissions and rebates are often new drugs. Special medicines, expensive medicines."

"In order to meet their personal interests, they purchase and use these new specialty drugs and expensive drugs in a relatively concentrated manner when purchasing and prescribing them. For example, for a patient who could have been treated with ordinary penicillin, they prescribed penicillin for the patient. You can go and see that all the medicines in the city hospitals have been replaced with expensive new medicines, and there are no old medicines that have been used for many years without good quality and low price."

"Under this general environment, the emergence of the Cao Zhengchun case is only inevitable."

Li Weiying sighed and said: "Director Huang, I have investigated what you said after I took office, and it is indeed what you said. The current chaos in the hospital is all due to the word profit."

"The word interest is easy to say, but it is not easy to change it. Throughout the ages, the collapse of many dynasties and the failure of reforms all stem from interests."

Huang Su said: "I have a few immature ideas to change the current chaos in the city hospital."

Li Weiying hurriedly asked: "Director Huang, why don't you speak boldly, let's discuss it together."

Huang Subian said: "The leaders of the Health Bureau and the director are determined to change the hospital. We have a basis for victory and can ensure the implementation of the new policy."

"My first thought was that the hospital should set up a drug procurement committee and implement centralized bidding for drug procurement. After the bidding is transparent, it will prevent units and individuals from getting kickbacks for privately contacting vendors to purchase drugs; seriously investigate and deal with falsely high drug prices, and fundamentally Clear the commission and rebate space for drug sales.”

Li Weiying pondered for a while, seeing that Huang Su really came up with a feasible plan.

Li Weiying stood up happily and said, "Director Huang, please wait a while. I'll call Secretary Zhang over and let's discuss it together."

With that said, Li Weiying quickly walked to the desk and called Zhang Qinian's office.

Not long after, Zhang Qinian knocked on the door and came in.

Li Weiying enthusiastically took Zhang Qinian's hand and said, "I was chatting with Huang Su. Director Huang's many ideas inspired me a lot. I don't ask you to come here and refer to it together."

Li Weiying talked about Huang Su's idea of ​​bidding for unified procurement of drugs.

Zhang Qinian looked at Huang Su in surprise and said: "We all know that Director Huang is a famous doctor in our Grassland City, but I didn't expect that Director Huang also has such a high ability in hospital management. It's a bit of a shame for Director Huang to be the director of the department."

Zhang Qinian expressed that he was kindly sitting on the other side of Huang Su, and sandwiched Huang Su in the middle with Li Weiying.

It can be seen that Li Weiying and Zhang Qinian stand together in changing the bad atmosphere in the city hospital.

Huang Su said modestly: "Secretary Zhang, I know how many catties I have. I can see patients and it's okay. If the management of the hospital is not in a mess, I will be thankful."

Huang Su said that this policy has become very common in later generations. The bulk purchases of many urban hospitals have been managed by the health bureau. For this reason, many health bureaus have drug bidding management departments.

It even implements two-line management of drug revenue and expenditure in hospitals, and the balance of drug revenue and expenditure is turned over.

Require hospitals above the county level to turn over part of their drug revenue and expenditure balance to the health administrative department, and gradually promote it to township health centers.

By putting pressure on the hospital, the hospital is forced to make up its mind to strengthen the construction of medical technology, strengthen management and supervision, and reduce drug revenue.

It is to try to prevent hospital doctors from using power for personal gain.

Li Weiying interjected immediately: "Stop flattering each other here, Director Huang, if you have any other ideas, just say it."

Huang Su said: "The most serious problem in the city hospital now is that apart from medicines, it is common for doctors to prescribe large prescriptions and to conduct extensive examinations."

"For large-scale prescriptions and large-scale inspections, I think our city hospitals must first quantify the boundaries of large-scale prescriptions and large-scale inspections, and then set up an inspection department in the hospital to check doctors' prescriptions."

Why so far, doctors have repeatedly banned large prescriptions and large inspections, except for benefits.

The state has no clear quantitative boundaries for prescribing large prescriptions and indiscriminate inspections, and lacks an effective restraint and supervision mechanism. Some units either acquiesce, or turn a blind eye.

Just as Huang Su said this, suddenly there was a hungry bowel sound from her stomach.

Li Weiying looked up at the time, and patted his forehead with his hand: "It's all my fault, I forgot the time. Director Huang, let's go out to have a light meal together, let's talk while eating."

Before Huang Su agreed, Li Weiying and Zhang Qinian pulled Huang Su out of the office together.

(End of this chapter)