Sunday, February 24, 2008

It is the improvement of management art that doctor alters subsidy to turn to patient

Yesterday( 11th) in Zhongshan convene in " 4th Chinese hospital development forum ", the well-known expert and sanitary management official that participates in doctor to alter scheme establishment and discussion name, the future doctor alters scheme may change former subsidy " let " the medical practice of organization, turn subsidize " need " patient, drive forward resource reasonable disposition. ( " the Chinese bond of November 12 newspaper " reportHttp: / /news.sina.com.cn/c/2007-11-12/112914287888.shtml)

Management expert thinks that management is a art. Same resource has different way and theory because of management, the social benefit of arising has great difference. It is example to take this doctor to alter subsidy , the doctor of equal quantity alters subsidy subsidize " let " medical organization, subsidize still " need " patient, a small system change will produce huge discrepancy.

At the moment system design is doctor alters subsidy to transfer " let " medical organization control, again from medical care organization lets sharp patient, between which many a transitional link. In fact, it is difficult to see a doctor , see a doctor is so your that do not go to alleviation, except medical care serving price besides high, will blame greatly in the existence of this transitional link. Reason lies in: As a ring in public management chain, medical organization exists to profit from fat impulse, is under the national fund condition of public hygiene of puting in deficiency especially , medical organization may alter very much the doctor that applies in patient to subsidize to move make is personal, patient is so basic that can't help not go to benefit.

Doctor alters subsidy to skirt medical organization , directly subsidizes patient , has stoped this system leak , makes limited fund have used on knife edge, for alleviation people see a doctor difficult problem the role that will play the part of upright rod to see shadow. This had better to one of place. Alter doctor again to subsidize to give patient , is directly controled by patient , still have a far-reaching influence: Promote to develop competition between hospital , is helpful to improve overall medical level and service attitude. This has realized this doctor to alter the guideline with total scheme: Insist to be fair and the unification of efficiency, government dominant and performance market machine made role effective combination.

, doctor alters subsidy to skirt medical organization , directly subsidizes patient , does not have what difficult problem on execution, conducted cost is very little , and has great profit , has helped difficult group , again clear have shown society is fair, have implemented the goal of assuming power for the people. The change of a little management way may produce huge and beneficial propulsion for entire society very much. This is a rule that our public manager must remember.

For example, traffic crowded problem, this is a international difficult problem. Many places are put in effort blindly on increasing road and vehicle , still have the method of more effective other actually. As Melbourne city the recently a improvement of little management way, have alleviated the traffic of this city efficiently to rush in to block up pressure: This city enacts stipulation, so long as citizen is willing to get up early , before, at six o'clock take the tool of public transportation, it is same and free. As a result, many citizens are willing to get up early. See superficially that this has increased government financial pressure, however, this kind of way has used some traffic resource efficiently , and may avoid to increase road and vehicle , have economized financial expense , is to have increased social total benefit actually.

Certainly, there are still many other examples. This should give our management department a valuable enlighten: Advanced social management will produce huge productivity, can economize social resource , realize the optimization disposition of resource , can still promote social civilization to make progress fast. And to accomplish the promotion of level of management, the public manager that asks us moves the brain, study frequently , dare to break through on management tactic , have the courage to create , can not ink guards outmoded conventions.

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