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| Healthcare reform in Hong Kong: doctors avoid the "grey" approach to standard pay |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-24 11:10:21 Number Browse：702 |
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The Hong Kong hospital authority building is covered in green trees at the north side of argyle street, Kowloon, Hong Kong, on August 24, 2009.In the noisy city, a bit of quiet.What is the model of the current medical system in Hong Kong?What efforts have been made to rationalize the relationship between doctors and patients?
The Hong Kong hospital authority, a Hong Kong public hospital, has been visited by a reporter to visit the Hong Kong hospital authority, the Hong Kong hospital authority, in an attempt to find out the relevant system through a glimpse into the workings of Hong Kong.
Tube being separated
Headache is no longer a hospital
The existing medical system in Hong Kong has two medical systems.One is the government's highly subsidised public health system.One is the private medical system.The Hong Kong hospital authority is the statutory body for public hospitals and clinics in Hong Kong. It formally took over the Hong Kong public hospital on 1 December 1991.Unlike the mainland, most are government grants, separate from the government and accountable to the government.
Liu shaohuai, chief executive of the Hong Kong hospital authority, told reporters that ha has jurisdiction over more than 40 public hospitals and hundreds of outpatient clinics, which are divided into seven hospitals.The promotion of hospital networking can ensure that patients receive quality and sustained treatment in the same area, regardless of their needs during the course of the illness.The course of the disease includes morbidity, recuperation, rehabilitation and community care after discharge.To achieve this, each networked hospital operation will work together to enable hospitals within the network to work together to provide a comprehensive and mutually matching service to their communities.In addition, there is a management framework between the Internet and the transaction between networking and networking, as well as the performance of monitoring services.
In such a pattern, naturally there will be high and low points.But overall, the level of medical care is average.No matter which hospital the citizens go to, they have confidence in the level of the hospital.
In Hong Kong, patients who used to be treated in hospitals also tend to be well known in hospitals, which then put hospitals around them and hospitals in their management, and hospitals were equally well placed."The establishment of the hospital authority, unified management, unified procurement, and the building of the same level of hospitals, doctors can move between hospitals."This also means that people no longer need to have a headache to find a famous doctor, crowded the hospital.
Doctor's salary
Enjoy standard pay like a civil servant
Apart from the separation, the government of the hksar has always invested heavily in the medical field, so that the hospital does not have to rely on charging patients to make up for the expenses, and patients can enjoy the low-cost and high-quality services.
"Doctors in Hong Kong pay relatively well."A person in the industry says that when doctors have a decent salary, they don't need to use "grey" means to get a high salary if they work in a hospital.
In addition, it is different from the establishment of the mainland.Liu Shaohuai tells a reporter, they should all employees to use, by the hospital authority, unified management staff also no longer has a subtropical high, orthometric title, but continue to use Hong Kong system, divided into resident, assistant adviser, consultant.Along with the change of status, the compensation reform is followed.The hospital authority concerned said that, unlike the hospital that implements the management of the management, no longer pay the level of salary, but instead of the salary of the post, the compensation standard for each position will be set independently."This kind of design is based on the strength and contribution of doctors, which can motivate doctors to improve their medical skills and patients."
In addition, in order to assess the doctor's salary level, the Hong Kong government has established a medical information system, medical management can see through this system any behavior, a doctor's diagnosis and treatment and to evaluate the level of the doctor.
In drug price link, Liu Shaohuai also introduced, in order to ensure the hospital to purchase price is relatively cheap medicines, Hong Kong's strict drug public procurement system, the whole process, the doctor won't be involved in.In addition, every link is subject to strict supervision, which will be severely punished if favoritism occurs.
Can it be replicated?
Build on high government input
Is the Hong Kong model operable in the mainland?In fact, the model was piloted in shenzhen in 2012.In July of that year, the shenzhen hospital opened for business.Hku shenzhen hospital is funded by the shenzhen municipal government for 3.5 billion yuan, and the operating expenses are also subsidized by shenzhen government and the first public hospital to cooperate with Hong Kong.Hospitals have largely adopted the Hong Kong model and have been praised by patients for restricting excessive medical care.As samples of health reform, located in shenzhen, shenzhen port big hospitals are the present and future make people full of expectations, at the same time, the hospital of shenzhen will be the domestic other public hospital copy of speculation at that time.
A medical people told reporters in sichuan, public hospital in addition to undertake the task of a doctor treatment, in addition also responsible for teaching and research, public health, emergency medical treatment and unowned patient treatment and so on many commonweal mission.And the proportion of government money in public hospitals is very small.Therefore, from this point of view, the reform of public hospitals, must, from the perspective of the mechanism system, can form a complete set up relevant measures, such as fiscal tranche mechanism, performance incentive mechanism of public hospitals engaged in public welfare services, etc."Of course, first of all, it is based on high government input.""The official said.
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