(The third chapter of the VIP is on the shelves, and it is still 1,000 short of the target value of the first order.) There is no manuscript saved, before nine o'clock in the evening, the number of subscriptions will increase by another five hundred, I will continue with today's fourth chapter, now take a break. Brothers, if you plan to support genuine reading, don't be afraid of the trouble of recharging!)

Since Pan Shihua kicked out Jiang Lijun, the director of the district health bureau, to deal with this matter, there is no need to continue to stare at the hospital, the town and Meigang still have a thing to deal with, Shen Huai stood up and prepared to go back.

Seeing that Chen Dan's mother closed her eyes and didn't look at him at this time, and she didn't know what to say to this stubborn little old lady, Shen Huai could only nod to Chen Dan and Chen Tong, and said, "I'll go back first, what's the matter, you call me......"

Since he was just a "driver for the patient's family", there was naturally no need to say hello to Jiang Lijun and the director of the District People's Hospital, so he took Shao Zheng with his briefcase and squeezed past Jiang Lijun and the medical staff such as the hospital.

Jiang Lijun's eyelids jumped, and he wanted to say hello, but seeing Shen Huai leaning over from him, without even lifting his eyelids, his throat seemed to be blocked by a big stone, but it was meaningless, and he felt a little bitter in his mouth.

Jiang Lijun was silent, and the president of the District People's Hospital, Fang and other hospital leaders who brought Jiang Lijun out, could only watch Shen Huai rub the tip of their noses, and couldn't help but take a step back and let the aisle out.

Li Tiezhen's face was as dead as ashes, and he knew that silence was often more terrible than an outburst, because he didn't know how to satisfy people at all; if he really let this righteous master go like this, Jiang Lijun would not set a lower limit for handling this matter, which he did not dare to imagine.

"I'm really sorry, I have to be responsible for this matter," Li Tiezhen suddenly had some strength at these times, walked up step by arrow, grabbed Shen Huai's arm to prevent him from leaving, and pleaded, "The doctors and nurses have made serious mistakes, and our hospital will definitely treat them severely; If you have any resentment, you can come at me, I ......"

As he spoke, seeing that Shen Huai's face did not mean to slow down, Li Tiezhen's knees were soft and he was about to kneel down and plead.

"You are the face of the People's Hospital of the Lost District!"

Shen Huai's eyes stared at Li Tiezhen's face sternly, stopping him from rolling on the ground like a scoundrel, and said sharply,

"You say that the medical staff of the hospital have made mistakes, and you have to bear the responsibility of leadership - you have to review, you have to review with your leaders, and with the higher authorities; you have to respond to the problem, and you have to respond to the problem with the discipline inspection department, and I believe that the discipline inspection department will deal with it impartially; you have to apologize, the patient's family is at the door, what are you doing with me, an unrelated person?"

Seeing that Li Tiezhen was frozen there and didn't dare to kneel down, Shen Huai continued to question sharply:

"You said that the medical staff took the initiative to hand in the red envelope with you in the morning, and there is no other evidence for this, I don't doubt it. However, one of the nurses who received the red envelope, Li Chengping, has a father-daughter relationship with you, so why don't you avoid suspicion when dealing with this matter? Are there any other strange things in this matter? You said that you are responsible for the emergency department of the hospital. Then let me ask you, as the person in charge of the hospital, what basis do you have to force the medical staff below to insist that the family members pay the full fee before they can be rescued when faced with a patient who is seriously injured in a car accident......?

After saying these words, Shen Huai's eyes swept over Jiang Lijun and the others, and without saying anything, he walked out of the aisle and went downstairs with Shao Zheng.

Jiang Lijun wiped his sweat, fortunately, Shen Huai had no intention of expanding, and he had no intention of dragging all the medical staff involved in this matter yesterday into the water, but he also had no intention of circumventing Li Tiezhen and Li Chengping's father and daughter.

Seeing that the other onlookers were standing silent, knowing that such a disposition should not cause a big backlash within the District People's Hospital, and they didn't care about resentment Shen Huai for treating him like a passerby, and scolded Li Tiezhen: "Vice President Li, don't embarrass the District People's Hospital, you have to honestly explain your problems!"

Li Tiezhen saw that Jiang Lijun really followed closely and fell into the ground, while Dean Fang and the others watched coldly from the sidelines, and their eyes turned black for a while, and their bodies were weak and they had to support the wall to stand.

*************

Sitting in the car, Shen Huai touched his trouser pocket, but he didn't feel the cigarette, and he didn't know where he lost it yesterday. Shao Zheng saw the opportunity quickly, took out the cigarette and lighter from his pocket and threw them to him.

Shen Huai lit a cigarette, took two puffs hard, and asked, "Am I too unkind to some people?"

"Manager Chen came over in time yesterday, so there is nothing," Shao Zheng said, "but in the townships below, there are many people who have made up less than 3,000 yuan at night." Shen Ji If you don't give them such a tidy up, something may happen in the future, and it will be even more difficult to clean it up at that time. When I was in the army, I had an old boss who often talked to us, saying that if we train new recruits, we can't be soft if we are kind-hearted. ”

Shen Huai smiled and said to Shao Zheng: "After I go back, you notify the person in charge of the town health center to come and report to me." I can't take care of too many things, and now I can only do a good job in Meixi Town......"

After Meixi Town was divided into Tangzha District, as a primary medical institution, the town health center was under the management of the District Health Bureau.

However, Meixi Town's finances are self-reliant, and the salaries of the town's health center's staff, administrative office expenses, and the gap between income and expenditure are still paid by the town's finance, so the Meixi Town Health Center is still responsible to the town party committee and the town government at this time.

Shen Huai didn't have the energy to take care of too many things before, and He Qingshe was responsible for specific administrative affairs, and he only paid a little attention to the work of the town health center when he looked at the budget and final accounts and annual report.

Judging from the situation of the District People's Hospital, the problems in the entire medical system are not small, and Shen Huai has no way to manage too much, so he wants to make up for the loopholes in the primary medical system that may exist in Meixi Town.

Rushed to the town government, it was already noon, and Shen Huai went directly to the canteen with Shao Zheng to eat.

Shen Huai slipped away in the middle of the wine yesterday, and he didn't show up in Meigang and the town government in the morning, but he didn't ask where he went.

Lao Tang, the person in charge of the town health center, received the notice, and didn't know what happened to make the boss dissatisfied, so he suddenly called him to report to work, and after eating half of the meal in the health center, he put down the dishes and chopsticks and ran over sweating, and asked Shen Huai, who was smoking in the corridor outside the canteen with a large group of people: "Shen Ji, do you have something to do with me?"

"I want to care about the work of the health center for the time being," Shen Huai extinguished the cigarette and threw it into the ashtray on the windowsill, and said to He Qingshe, "Old He, you listen to President Tang's report on the work of the health center with me." ”

When he arrived at the office, Shen Huai asked straight to the point: "Dean Tang, is there any difficulty in the town health center now? Is there a mandatory provision that requires the doctors below to pay the fee before treating patients with acute diseases?"

As soon as Shen Huai asked, Dean Tang knew that there was not a leak in the health center to catch it, so he immediately poured jelly beans and spit out bitter water.

In the allocation of medical resources in districts and counties, central hospitals such as people's hospitals and traditional Chinese medicine hospitals often occupy a core position.

Not only are local financial resources inclined to these central hospitals, but also because ordinary people have the psychological habit of relying on big hospitals to see a doctor, market resources, including the source of pharmaceutical profits for medical care with medicine, are inclined to these central hospitals. Therefore, there is no serious shortage of resources in the central hospitals, and the most serious problem is precisely the most basic medical and health institutions such as township health centers and health centers, which lack financial support, medical personnel, and patients.

Speaking of paying the fee before treating the patient, Dean Tang was also full of bitterness:

"When you encounter a patient who is suddenly ill, there is no way to ask the doctor to treat the patient after the patient has paid the fee. Most hospitals in Donghua now have such unspoken rules. In these days, which hospital can't meet a few patients who evade fees in any year? They all have to be posted by the hospital, and no matter how big the hospital is, they can't afford it!"

"Nonsense!" Shen Huai interrupted Dean Tang's words and said, "Banks are allowed to lend money, and there is also a certain rate of bad debts. If a bank has a high bad debt rate, it is the incompetence of the manager, and if there is no bad debt rate at all, there is only one possibility, and that is to do nothing. If you don't release the money, you won't have a bad debt rate. Just like what you are doing now, no matter how urgent or fatal the illness is, if you don't see money, you won't be saved. However, it's not that you can't do it, it's that your managers are shirking their responsibilities. Do you have any idea in mind about the proportion of patients who may evade fees in the total number of patients? It is true that this is the operational risk of the hospital, and it will also cause a certain gap in revenue and expenditure, but as a responsible and capable manager, first, we must control the unlimited expansion of this gap, but at the same time, you must allow the existence of this gap, and consider this gap as the operating cost that must be borne by the hospital operation, rather than being completely irresponsible, and passing it on to the doctors below, let alone to those patients with acute illnesses and their families who cannot raise money for a while. If there is a bad debt, the lender is entirely responsible for the loan from his own pocket, do you think the lending work can continue? If the units and individuals who lend money are not due to breaking the law, but only because they cannot repay their debts due to accidental factors, can the banks force them to sell their blood, and can they follow the example of the criminal syndicate to tie up people and sink them into the river? Like some well-managed banks in foreign countries, they still allow the non-performing loan ratio to reach 4 to 5 percent Are they fools that they have to take out a part of their profits every year to write off a lot of bad debts?"

Shen Huai scolded sharply, and called Dean Tang also worried, knowing that his words did not have an appetite for Shen Huai, but he really didn't know that Shen Huai was angry there, sitting on the side and holding his breath, not daring to say anything, for fear of scolding him again for no reason.

Shen Huai said to Dean Tang: "Now it seems that the town health center has not taken into account this gap in income and expenditure, and I will not push this pressure on the health center." You go back and make a serious estimate, and ask Mayor He to assess how big this gap is, and the town will replenish it from the budget plan every year in the future. As the saying goes, 'emergency relief does not help the poor', and we do not need to use indiscriminate kindness to help the poor, but this 'urgency' is the responsibility that our government agencies and institutions must bear. Don't talk nonsense with me about this difficulty or that difficulty in the future......"

"Really give money?" Dean Tang saw that he still had money to take after being scolded, and immediately smiled again, and asked unconfirmed.

Shen Huai also knows that the problems of the medical system in reality, first of all, are the overall lack of resources, and at the same time of the overall lack of resources, the local resource allocation has some light or serious imbalances due to various factors, which aggravates the contradictions.

Shen Huai waved his hand and said, "One of your peers offended me today, and now I feel upset when I see you in a white coat, let's go......"