"But now that we've achieved our original intention? What are the results? Yes, the reimbursement ratio has increased, but has the overall cost of medical treatment decreased? Isn't universal health insurance about minimizing hospitals' dependence on drug price increases? Isn't it just to relieve the worries of the hospital so that it can better provide diagnosis and treatment services for patients? Qi Tianxiang's words gradually became sharper, and his expression became more and more serious, "There is no excessively high drug price increase, it is not that the hospital has high consciousness, or it is in response to the call of the provincial government, but the hospital does not look down on these at all, and it does not value this at all." www.biquge.info How much does a spiral CT scan cost? How much does a full Doppler ultrasound cost? How much does it cost to do a full blood test? There is only two hours between normal and expedited, and how much is the difference? And for doctors who want to see the results of their tests, do these two hours really exist? It's just a little trick for patients and their families, but how many more are there like that? Or is it hidden somewhere? ”

Qi Tianxiang had anger in his eyes, and said in a somewhat hurried tone excitedly: "These can be put aside for now, just talk about the first day of hospitalization, how much does a comprehensive examination of the patient cost?" Is 2,000 enough? Or is three or five thousand dollars enough? How much do other follow-up treatments cost? How much is a pound of wheat? How much is a pound of corn? How much grain can be harvested from an acre of land, and how much can it be exchanged for? With three acres of land per capita in a rural family, how many days can a year's food income be able to live in a courtyard? It sounds reasonable to pay first and report later, but where does the money come from? Is this to help the needy, or to rob the poor and help the rich? Where did all the money go? Can anyone tell me where to go? ”

Qi Tianxiang's series of questions were loud and serious, and no one thought that Qi Tianxiang would have such a question. This is also a rare change in the usually gentle and elegant Qi Tianxiang, which made the atmosphere in the office solidify for a while, not only Sun Pingfang and Lu Shanzun were surprised, Han Fei and Li Shijun and others were even more shocked, and they didn't know how to answer Qi Tianxiang's question.

"Where is the reality? We can't blame the hospital's business ideas, after all, we have given medical care an industrialized development direction and given the presidents a goal to constantly surpass. Qi Tianxiang realized his emotional excitement, so he tried his best to control his tone and said as slowly as possible: "The hospital has become a giant, not only has it become the most influential enterprise in the surrounding area, but it has really started business like a business. The hospital, where no one can be separated from life to death, is filled with a strong commercial atmosphere. Now look at the achievements and advertisements of a hospital, not how many patients are cured every year and how many medical achievements are created, but how many beds in the hospital, how many advanced medical equipment, how many professor-level experts there are, and how many outstanding economic benefits are created every year. It seems that if you don't express it in this way, it will be difficult to reflect the value of a certain hospital, and it will be difficult to show the great achievements of the president. Is this still a hospital? Is this still what a government-led health care system should look like? ”

"Governor Qi said a very serious and serious problem, and as the director of the hospital, I also want to talk about my feelings and thoughts." Seeing the embarrassment that everyone was silent, Jing Zhenlin had no choice but to take the lead in responding, pushing the gold-wire glasses that had slipped to the tip of his nose with his hand, and looked at Qi Tianxiang calmly and said: "There are indicators above, there is pressure on me, and there is impulse below, as the director of the hospital, the only thing I can do is to go with the flow, or reluctantly." ”

Jing Zhenlin reluctantly squeezed out a smile, looked at Qi Tianxiang, who was a little unhappy, and said: "Maybe at this time, it is a bit inappropriate to say such things, but it is difficult to reflect our own problems if we don't say this, so I still ask you and all the leaders to listen patiently to what I say. ”

"Our provincial hospital has been established for nearly 100 years, whether it is a church hospital before liberation or a provincial people's hospital now, it can be said that it has a long history and a prominent reputation in the province, and it is difficult to compare. There are more than 100 professor-level experts and scholars in the hospital, including more than 40 discipline leaders who are well-known in the field of medicine in the country and the world. Every year, countless scientific research results and academic papers are published in the world's top medical journals. In addition to the General Hospital of the Provincial Military Region and the Affiliated Hospital of Hohai University, there are really not many hospitals that really pose a threat to our hospitals. Jing Zhenlin introduced the family background of the hospital in a few precious ways, but there was no joy on his face, and even a little heavy, "There are great difficulties, good and good hardships, as a well-known hospital in the country and the province, we not only undertake heavy medical and scientific research tasks, but also to meet all aspects of medical needs, as well as political, social, and moral responsibilities, which is too much responsibility and mission for our medical unit, and we often feel overwhelmed." ”

Jing Zhenlin seemed to feel the angry element in his words, so he adjusted his sitting posture, and also adjusted his emotions and thoughts by the way, and looked at everyone seriously and explained: "The predecessor of our hospital was a church hospital, I have just said it. After the founding of the People's Republic of China, because of the foreign experts and external image issues in the hospital, it was initially directly led by the provincial government and jointly managed and operated by the United Front Work Department of the Provincial Party Committee, the Provincial Political Consultative Conference, and the Jiusan Society. With the stability of the country's political life, especially the gradual completion of the three major transformations, the hospital has also completed the reform of the state-owned system, and has become a people's hospital in the true sense, under the management of the provincial health department, and has straightened out the relationship between the system and mechanism. ”

Jing Zhenlin spoke, looked at Qi Tianxiang apologetically and smiled, and said sincerely: "When it comes to the origin, I can't stop talking, and it is inevitable that I will be long-winded, delaying everyone's precious time." ”

"It doesn't matter, as long as you think it's helpful to illustrate the problem, just say it, don't think about time and how we feel." Qi Tianxiang had completely calmed down, looked at Jing Zhenlin with warm eyes, comforted him, and said to everyone: "Today is a brainstorming meeting, that is, to talk about problems and lay out facts, anyone can express their opinions. ”

Seeing that Qi Tianxiang finished speaking and nodded at him with a smile, Jing Zhenlin continued what he had just said: "The situation in our hospital is more complicated, and it is more troublesome to say, I will try to save time." ”

"Since the hospital was originally established by the church, in addition to providing medical services, it has also become important to promote and popularize Western medicine. Later, in order to solve the problem of localization of medical staff, schools for training medical staff were opened, namely the School of Medical Sciences and the School of Nursing, which are the predecessors of Hohai Medical University and Hezhou Medical College, as well as medical research institutes and pathology centers, and gradually formed a college system with hospitals as the theme and integrating medical treatment, teaching, scientific research and training. "It is this kind of system, the hospital has undergone many adjustments and changes over the years, first the separation of colleges and universities, the hospital is only responsible for medical services, the university is responsible for teaching and personnel training, and the scientific research institute is only responsible for theoretical research, which belongs to the Provincial Department of Health, the Provincial Department of Education, and the Provincial Academy of Social Sciences. This also produced a lot of contradictions and problems, and then merged into the management of the Provincial Department of Health, and once belonged to the management of the Ministry of Health, but after the reform of the medical and education system, the government complied with the requirements of the reform, reduced the management and intervention of public institutions, and implemented market-oriented operation, and we became the agency managed by the provincial government, and we were in a situation where we were not embarrassed or embarrassed. ”

Jing Zhenlin quickened the speed of his speech, looked at Qi Tianxiang and said: "Now our hospital is not only a medical unit, but also a teaching and scientific research and practice base, and also undertakes the task of further education and training of grassroots medical staff in the province, and every year it will flow from us to hundreds of doctors and senior medical staff in the province. We are now not only a hospital, but also an institution with too many social responsibilities, especially the trust of all levels and departments in our hospital, which makes our hospital and medical staff bear great pressure and heavy work. ”

"To give a simple outpatient volume, we are a comprehensive medical unit, dealing with major or critical diseases is our specialty, general ordinary diseases, frankly speaking, we are not necessarily more professional, or more attentive than primary hospitals. But underneath the fame, it is these simple illnesses that waste a lot of our manpower and energy. Jing Zhenlin felt that there was an element of shirk in his words, so he hurriedly explained: "It's not that we are arrogant or shirk our responsibility. I will take my own experience as an example, as the dean, I can not sit in the outpatient clinic, but in order to reduce the pressure on the front-line doctors, I have insisted on sitting in the clinic for one or two mornings a week for so many years. ”

Jing Zhenlin did not boast at all, but said with a serious expression: "I am a well-known oncologist in the country, and my outpatient clinic volume is very large, as long as I am on the clinic, I can line up to more than 100 in the morning." Although I had a chief doctor, two deputy chief doctors, and four to six doctoral and master's students to assist in the follow-up, I didn't drink water or go to the toilet in the morning, and I could only see the 70s. But looking at so many patients who have hung up my expert number, and even some of them are patients who have made appointments a month or more in advance, how can I bear to stop, but after reading these registrations, it is often four or five o'clock in the afternoon, and the patients leave satisfied, but who would have thought that our medical skills are that we have not eaten for a day, and we don't even dare to drink a sip of water. ”