Secretary Sun Mingyue has repeatedly reminded everyone not to have any worries, to speak freely, to say something, everyone you look at me, I look at you, no one wants to take the lead and speak first.

Wu Xiaojun didn't know the fears and contradictions in everyone's hearts, let alone Gong Mingxuan, he felt that this was the best opportunity to express his opinions, why didn't he speak in a dead voice, he usually talked loudly, complained and complained, and his father's spirit of scolding his mother became a frosted eggplant all wilted, it was really a bunch of dog meat that couldn't be served on the table. Because he has just arrived at the hospital, or has just entered the department, he is purely a fledgling little hairy child, and he has no right to speak on this occasion at all. Although I looked down on the doctors in the department, I couldn't speak, I just lowered my head and thought about it.

In the conference room, it was like the warring sides confronting each other, and no one wanted to break the deadlock in front of them, and the atmosphere froze for more than ten minutes.

Guo Lianwen, the director of the department, is a person who sees the wind and steers, sees people and talks to hell, no one wants to offend anyone and dare not offend, and is good at harmony, which is not only his strength, but also the basic magic weapon to survive in the hospital. Today's occasion really made him difficult, the Italian department doctor who said that the hospital leader would definitely not agree, and the Italian hospital leader who said that the department doctor was definitely unhappy, so he didn't say anything, just didn't speak, listened to what others said, and then observed the reaction of the hospital leader.

The convener held a meeting to listen to opinions, but no one spoke, it was clear that he was dissatisfied with the hospital, and it was a silent protest, in the face of such an embarrassing scene, Dean Fu was angry and anxious, but no one could figure out what he was thinking at the moment with a calm and strict expression.

Guo Lianwen, who was full of sorrow, quietly raised his head, and met Dean Fu's cold and sharp bayonet-like eyes. It was at that moment that Dean Fu glared at him fiercely, and he was good at capturing the leader's heart, and he immediately understood the leader's intentions, and if he didn't open his mouth, he would be unlucky. After thinking about it, he looked at Dean Fu and said, "Dean, can I say a few words?" ”

Dean Fu said that this guy was quite interesting, and nodded slightly, "Say it!" ”

Guo Lianwen coughed lightly, cleared his throat, and said slowly, "The hospital held a special meeting of all doctors in the hemorrhoidal fistula department today to listen to everyone's opinions, which is a great thing to pay attention to the hemorrhoidal fistula department." At present, there are many problems and contradictions in the hemorrhoidal fistula department, as the director of the department, because my work is not in-depth and meticulous, I do not understand the ideas of everyone in the department, and I do not reflect to the hospital leaders in time, resulting in more and more problems, and the situation is becoming more and more strict, which affects the normal work of the department. ”

Finally, someone spoke, and everyone's nervous hearts could finally breathe a sigh of relief, looking forward to Guo Lianwen being able to say what everyone wanted to say, but I didn't expect him to be a big slippery head, and he said a lot, without any substance.

Fortunately, when Guo Lianwen fired the first shot, someone would follow up, Wu Qixin followed Guo Lianwen's words, "During this time, individual doctors have opinions about my admission of patients, and I think it is very undesirable." First of all, I have the responsibility of training personnel for the department and the hospital, if I don't have patients at hand, students will lack hands-on opportunities, skills will not improve, overcharge patients for natural things, no need to make a big fuss. Secondly, I don't want to take in so many patients, I'm half tired to death, I can't get a few commissions, and I can't get a few more dollars than doctors who don't have patients. Third, I feel that the doctor's income and contribution are extremely disproportionate, and I am worried that the commission of only 30 yuan for treating a patient for more than ten days is too low, and a patient will be idle if he does not accept it. ”

"Hmph, some people will get cheap and sell well, and they can't wait to put all the money in their pockets." Gong Yue couldn't help but interject and insinuate.

Shi Bianqiao, who had been silent, said, "If you want me to say, the net profit of the hemorrhoidal fistula department is the highest, accounting for 90 percent of all patients' expenses, but the net profit of the pediatric department is less than 45 percent of the total cost of patients, and the monthly income of the department is far more than twice that of the pediatric department, but the monthly bonus of the hemorrhoidal fistula department is less than 70 percent of the pediatric department, which is really unfair." The net profit earned by the department is extremely unreasonable according to the seventy-third division of the hospital and the department, and it should be increased, and only in this way can everyone's enthusiasm be mobilized. ”

Wu Qixin said, "Teacher Shi is right, not increasing the share ratio really dampens everyone's enthusiasm. The department is like this, and the commission for each patient admitted is too low, and it should have been increased a long time ago. ”

Gong Yue looked at Wu Qixin and Shi Bianqiao and said disdainfully, "At present, these are only a small aspect, the department is the department of the hospital, the department of everyone, not the department of a very small number of personnel, the key is how the patients are distributed." As a doctor in the department, everyone has the right to accept patients, not to become the patent of a few or even a few people just because they have a commission. If the majority of people are deprived of the right to admit patients, and only a few or even a few people are allowed to deal with patients, what is the use of doctors staying in the hospital without seeing a doctor, and simply go home en masse. ”

Guo Lianwen looked at Gong Yue and said, "You can't say that, everyone has the right to accept patients, and no one deprives anyone of their power." ”

"If you can't speak, shut your mouth, you only accept a few patients a month, and you still have a face talking nonsense here, I don't know how to blush." Gong Yue glared at Guo Lianwen angrily and said. Guo Lianwen came to a big nest of roast chicken, choking so much that his face was red and he didn't dare to squeak.

Liu Xiaoguang, chief of the medical administration section, said with a calm face, "There are regulations on what kind of patients are accepted by doctors with which kind of Cheng Dù technique and what kind of patients are admitted. For example, a well-skilled doctor will of course accept patients with complex conditions and difficult surgeries, and doctors with a general skill level can only accept patients with simple conditions, which is not controversial. ”

Gong Yue did not follow the Tao, "Who is the level of technical level, what is the judgment, whether it is academic background, age or professional title, although some people have a high education, the operation may not be good, and the treatment method may not be good." In terms of age, some people have worked all their lives, and the surgeries they have done are not as good as the students they have just come into contact with. In terms of professional title, except for Wang Yuhong, who is the attending physician, everyone is a physician, how to determine the level of technology. It is also nonsense to say that the condition is complicated, some patients seem to have a complex condition, but in fact it is very simple, and some seem simple but very complicated, and it is impossible to define it without specific operations. At present, some people concentrate the sick in the hands of a very small number of people, which is to selfish them to get more commissions and bonuses, and that is, to deprive others of the right to treat diseases. ”

Gong Yue's words, Liu Xiaoguang's face was red, and he was speechless.

Dean Fu lowered his head and took notes carefully, and asked, "Is there anyone else who wants to say?" Then he looked up and glanced around, and his eyes stayed on Wu Xiaojun, who was shocked and hurriedly lowered his head.

Dean Fu said lightly, "Although Xiaojun has just arrived, he has also been in the department for a while, so tell me your opinion." ”

Dean Fu nodded at the general, Wu Xiaojun couldn't escape, so he had to bite the bullet and said, "To be honest, I don't have the qualifications to speak at this meeting today, since the dean has to let me say it, I will talk about my own opinions, please don't mind if it's inappropriate." There was a slight pause.

"Today everyone is talking and arguing about nothing more than how to divide the profits, how to distribute the patients. I don't think these are the main things, the key is how we can improve the quality of service, attract more patients to come to us, only when there are more patients, the cake is bigger, and other problems can be solved. So, we don't talk about how to make a cake, but we talk about dividing the cake, which is a bit of putting the cart before the horse. ”

Dean Fu stared at Wu Xiaojun with his eyes and nodded, "Go on." ”

"I think that in terms of making the cake bigger, we must first strengthen medical ethics and medical style, do a good job in high-quality services, so that patients can have a sense of intimacy and trust from the moment they come to the hospital, and feel different from other hospitals in terms of inpatient environment, system services, medical technology, etc. Through guò patients to promote their good feelings about the hospital and doctors, introduce more patients around them to come to the clinic, and expand the source of the disease. Secondly, in the actual environment where hemorrhoidal fistula departments are being opened in various hospitals to treat patients with such diseases, presenting a hundred schools of thought contending and often being extremely intense, we must also keep up with the development and changes of the shape, change the concept that the aroma of wine is not afraid of deep alleys, strengthen external publicity, and release some advertisements to expand the popularity of the hospital. Third, we should make a change, let our medical staff go out to study in well-known hospitals across the country, broaden their horizons, introduce new technologies and new methods, and ensure that they are technically strong. And ......"

Wu Xiaojun talked eloquently, to the surprise of the people present, and one by one they focused their eyes on Wu Xiaojun and listened attentively.

Before he could finish speaking, Dean Fu took the lead in applauding.

After a round of applause, Dean Fu smiled and said, "Xiaojun, that's a good point, keep talking!" ”

"The primary problem is solved, which is the secondary problem, which is the problem of dividing the cake. For the time being, I would like to say that, in the absence of a national authoritative surgical classification, it is advisable to organize all medical staff to conduct a comprehensive analysis of the cases admitted in recent years, determine what kind of cases are complex, what kind of cases are average, and what kind of cases are simple, and formulate a standard that is closer to reality. Then, from the aspects of knowledge, medical ethics, technical level, the number and effect of handling difficult cases, etc., each doctor is comprehensively evaluated, ranked according to the score, divided into different grades, corresponding to the complexity of the case, and the initial diagnosis and screening of outpatient doctors to determine the allocation of patients. In addition, it is necessary to consider how to link the workload and labor intensity with the individual's income. At present, the current regulations and operation mode are one-size-fits-all, regardless of the amount of energy spent on treating patients and the amount of money taken from patients, a bonus of 30 yuan per operation will be given. If it were me, I would definitely choose to have more simple outpatient surgeries than complicated and difficult surgeries. Therefore, I believe that a flexible and flexible distribution method should be adopted, and each doctor should be given a basic income task, and on the premise of completing the task, a commission should be given in proportion to the amount of excess tasks. ”