What kind of doctor there is, what kind of hospital there is. In addition to reiterating once again that Longjiang Air Force Hospital does not aim to build buildings, purchase instruments and equipment, and engage in research, but to be a non-profit hospital in a down-to-earth manner, President Tian University does not have much prospect for the development direction of the hospital.

The health team showed enough respect for the party group of the hospital, considering that they had just arrived and did not know much about many situations, so Political Commissar Cheng asked Captain Jiang to arrange the next work.

According to the work plan formulated by the party branch of the team long ago, starting at 6 o'clock tomorrow morning, two 12-member medical teams, including two members of the expert group, led by Vice President Shi and Director Gu of the recuperation center, went to Hulin and Panshan counties in the old revolutionary base area to conduct a two-week free inspection of the families of martyrs and military dependents with the cooperation of the local Civil Affairs Bureau and the Ministry of People's Armed Forces.

Lin Yong, who had just succeeded Vice President Shi as the director of the epidemic prevention institute, led a 12-member medical team, including an old expert, to Longkou Town, where the management committee of the development zone is located, to carry out free clinics. Except for the flight support and infield duty personnel, all other personnel come to work in the outpatient clinic.

The advertising campaign of Longjiang Television, Longjiang Evening News, Longjiang People's Radio, and Longjiang Traffic Radio, which have been negotiated long ago, will be launched in an all-round way starting tonight. Longjiang Bus Company's body advertisement, outdoor publicity in front of the railway station and bus station, will also be in place within three days.

The renovation of the military recruitment barracks, the installation and commissioning of new instruments and equipment, the procurement of medicines and agents, the disinfection and sterilization, and the management of poisonous and narcotic drugs were handed over to the party committee of the hospital.

It's huge, it's amazingly big!

To the surprise of Political Commissar Cheng and Vice President Cao, the first batch of more than 30 officers and soldiers who went to the countryside for medical inspection not only did not have any resistance, but were also a little eager to try. After all, according to Captain Jiang's requirements, the conditions of the medical team will be extremely difficult during the inspection in the countryside, not only will they have to use tents to camp in the wilderness, but they will even have to be responsible for their own food.

Without any mobilization, the plenary session was declared clean and ended. Captain Jiang and others were busy sending the members of the expert group to the special recruitment to rest, while the officers and men returned to the infield to prepare separately as planned. The outpatient hall, which was crowded just now, suddenly became empty.

Vice President Shi and Vice President Zhong both returned to the infield, and the party group meeting naturally couldn't be held. The big war is imminent, and Cheng Qiufang doesn't feel that necessary. After all, the health team had planned so thoroughly, the morale of the officers and men was so high, and even the dozen or so non-staff workers and the members of the expert group who had just arrived in the morning were so cooperative. If there are complications at this time, it will undoubtedly dampen their enthusiasm for work.

Looking at Dean Tian who answered the phone outside the hall, Cheng Qiufang suddenly found that the hospital was busy, but he, the dean, had become an idler. After thinking about it, Political Commissar Cheng turned around and called Zhu Ping, asking her to inform the drivers Xiao Lei and Xiao Zhang to come over and take this opportunity to introduce them.

As the old squad leader of the snack bar said, Dean Tian didn't have a shelf at all, and after learning that Xiao Lei and Xiao Zhang turned out to be from J Province, he generously promised to give them a few days off to go home and have a look after they were busy for a while.

The ugly daughter-in-law always had to see her in-laws, and looking at the smiling political commissar Cheng, Dean Tian realized that it was time to talk openly and honestly. took the initiative to invite her and Vice President Cao to sit in the dormitory on the third floor.

Naturally, the two of them would not refuse such an invitation, and they came to the dormitory of the dean of Tianda with some laughter.

"Dean Tian, are you about to open a bookstore here?" As soon as Vice Dean Cao walked into the door, he pointed to the stack of books on the desk and in the corner.

Tian Wenjian pulled over the two chairs, warmly beckoned the two to sit down, and said with a wry smile: "If you have a choice, I won't read these messy books if you kill me." Alas......! I'm a graduate student, just chasing ducks to the shelves. ”

Vice President Cao pointed to the "Introduction to Psychology" on the desk, and sighed with Cheng Qiufang, who was observing the door: "Political commissar, Dean Tian said at the meeting that studying medicine is very bitter and boring, but in my opinion, studying philosophy is even more bitter and boring than studying medicine. ”

"Don't talk about that."

Without waiting for Political Commissar Cheng to speak, Tian Wenjian waved his hand and said helplessly: "Political Commissar Cheng and Vice President Cao, I can guess a little bit about the intentions of the two of you." Seriously, the reason why we have come to this point today is completely by accident. I'm just an ordinary person, not as good as they say. ”

"In my opinion, it's the opposite."

Political Commissar Cheng raised his head, stared into his eyes, with a sincere expression, and said seriously: "Xiao Tian, your argument about what kind of doctor you want to be is not something that ordinary people can say. Presenting facts and reasoning has boosted morale, strengthened determination, and even aroused the resonance of veteran experts. Let me, the political commissar, be ashamed of it. ”

"Commissar, you've won the prize."

After Tian Wenjian sighed, he shook his head and said with a wry smile: "Can the hospital and the health team get started?" In fact, it still depends on everyone. So far, everything I can do has been done, and as for how far I can go, it depends on luck. ”

Political Commissar Cheng was stunned for a moment, and blurted out: "Xiao Tian, what do you mean by this?" ”

Tian Wenjian clasped his hands together, massaged his face vigorously, and sighed with a little silence and a little depression: "Political commissar, I'm tired, so tired." ”

An ordinary soldier gathered a scattered health team, organized a large-scale physical examination, took the risk of exposing his grievances to the leaders of the headquarters, and went to the provincial capital to invite experts and professors.

What people are most afraid of is being tired!

Cheng Qiufang nodded heavily, and said empathetically: "If you are tired, rest for a few days, if you really can't do it, go out for a walk, adjust your mood, and combine work and rest." ”

"I want to go, but I can't!" Dean Tian raised his head and said with a wry smile: "No matter how hard and tired it is, that is, eighteen months, the hard work will pass." ”

"Everything is difficult at the beginning, the most difficult things have been done, what is next?" Without waiting for the political commissar to speak, Vice President Cao couldn't help but ask.

"Actually, it's just getting started."

Tian Wenjian took out a cigarette and handed one to Vice President Cao, and when he saw that he didn't smoke, he lit it himself, and after taking a deep breath, he spit out light blue circles under his eyes, and said in shock: "You two are leaders who have seen the world, and your vision is much wider than that of Captain Jiang." Even if I don't talk about it today, in a few days you will find out that there is a huge crisis lurking in the hospital. If we don't take any precautions and don't do anything, we will be in a situation from which we will never recover. ”

Political Commissar Cheng was taken aback, and hurriedly asked, "Xiao Tian, can you make it clear?" ”

"I didn't say much about what kind of hospital to build at the meeting, and I didn't dare to say more."

Tian Wenjian took a deep breath, stared at the two of them, and continued: "The situation of the health team is very bad, it can be said that it is extremely bad! If you want to make this mess, there are only two ways: one is to change the blood, and replace all of them with doctors like Vice President Cao. But we all know that it's impossible.

The second way is to hire experts and professors with excellent medical skills to be teachers, as we are doing now, and improve the level of business by providing medical services to the local people. But in this way, it is impossible to avoid competing with local hospitals. What do we want, what do we want to compete with others? Come to think of it, it is only through genuine non-profit medical services that you can attract enough patients. ”

"Oda, are you saying that local medical institutions will interfere?" Political Commissar Cheng reacted and asked eagerly.

"Yes."

Tian Wenjian nodded heavily, pinched his temples, and said with a wry smile: "Since the beginning of the 'independent reform' of medical institutions in 89, the growth momentum of outpatient and inpatient expenses in local hospitals has far exceeded the growth of per capita income in urban and rural areas. From the 90s to the present, the cost of outpatient visits and hospitalizations in general hospitals nationwide have increased by about 11 times, and the cost of hospitalization has increased by about 9 times.

Without the support of the medical security system, low-income families in many cases cope by not receiving medical treatment when they are sick, and as a result, minor illnesses become major illnesses, which lead to further poverty and eventually fall into a cycle of bad surnames. The percentage of people who quit outpatient clinics is climbing faster and faster, from 35.0% in 90 years to 62.5% now!

The total number of hospital beds in rural areas was the same as in urban areas in the 80s, but with the collapse of the rural cooperative medical system, the coverage area of rural medical insurance has rapidly shrunk, from 80% in 80 years to 6.6% now.

These changes mean that the political axe has retreated from its role as fundraisers in the medical sector, and hospitals, whether for-profit or not-for-profit, are seeking to maximize revenue. The difference is that only one makes money and cannot be divided, and another makes money and can be divided. ”

The Air Force Hospital of the Military Region is also a non-profit hospital, but it is not cheap for ordinary people to go to the doctor. After thinking about it, Vice President Cao couldn't help but ask, "Dean Tian, are you saying that our fees will be very low?" ”

"Yes, Captain Jiang and they have guessed, the fee for minor operations such as appendicitis will be one-fifth of that of the local hospital, and the comprehensive fee can basically be controlled to one-sixth of the local hospital."

As soon as this head is opened, can the local medical administrative departments and local medical institutions sit still? Political Commissar Cheng frowned, and after thinking for a while, he said to himself: "Is this considered unfair competition?" ”

Tian Wenjian snorted coldly, gritted his teeth and said: "The state pays salaries, water and electricity bills are completely exempted, and taxes and fees are not paid, we are indeed unfair competition." But what about them? To say that it sounds good is to make money illegally, and to say that it is bad is to take advantage of it.

The ex-factory price of ofloxacin injection is more than 2 yuan, but the First People's Hospital of Longjiang sells 98 bottles. The hospital earns 30, the doctor rebates 10 yuan, and the doctors in those departments are all crazy, 2 bottles of bid (twice a day, two bottles at a time), more than twice the dose specified in the pharmacopoeia, and it is used for every bed!

There are more than 3,000 yuan of carbon needles, and the doctor will take away 800 to 1,002 with one needle, so you don't believe it. The more expensive and urgent the medicine, the more doctors will mention, especially cancer drugs, and the profits in it are even more amazing. ”

After a pause, Dean Tian continued: "The old experts just couldn't get used to these and refused to be rehired by the hospital, and the reason why they came to us was because of the words 'real non-profit surname'. If we can't do that, then they won't hesitate to leave. ”

Cheng Qiufang suddenly found that she was on a broken boat that would capsize at any time! There is no turning back when you open the bow, and you can't give up if you want to. However, if this continues, it will not only offend the local medical institutions, but will even cause dissatisfaction among the military hospitals.

Can the Propaganda Department of the General Political Department withstand this pressure? Cheng Qiufang asked herself in her heart over and over again.

Seeing the two stunned looks, Dean Tian thought for a while, and suddenly said: "I have read the history of the Red Army Hospital in a memoir, the hospital was originally located on the lawn, and later moved to Xiaojing, and has always insisted on treating the people for free, which can be described as a family of soldiers and civilians.

At that time, there was really a shortage of medical treatment, but as long as the people needed it, they would first see a doctor for the people; The second are the fighters, the party members, and finally the leading cadres of the party. In war, sometimes both the soldier and the commander were wounded, and the commander gave the soldier a better medicine, but the soldier did not agree and insisted on giving it to the commander. When life is threatened, both parties want to give up the hope of life to each other first, and that kind of scene is tear-jerking when you think about it. ”

The implication of Dean Tian's words is very clear, that is, it can be free when fighting the country, why can't it be charged at a low price now, is the party really degenerate? At the same time, it also pointed out a direction for the political commissar Cheng, a direction to resist pressure from the perspective of fine tradition.

"Tell me what you think." Cheng Qiufang pondered for a moment and said lightly.

"The share of health sector expenditure in the public budget in Longjiang has dropped from 2.6% in '91 to less than 0.6% now. Moreover, this investment lacks fairness, and the urban area is much higher than the rural area, and the urban area is much higher than the suburban county. Even so, in urban areas with more public health resources, only a small number of families have benefited. To put it more bluntly, Longjiang's medical subsidies are disproportionately subsidized to leading cadres and other public officials, rather than ordinary people. ”

After a pause, Tian Wenjian continued: "For us, this is the market, a very big market. As long as we can make a hit, then there will be a steady stream of patients. With the help of experts and professors, we only need to withstand the pressure of two years, and the overall medical level of the health team can be improved by leaps and bounds. ”

Cheng Qiufang, who has studied medicine, is still convinced of this, after all, the way of training doctors in China is very problematic. Since 1981, the Bachelor of Medicine has taken five years, and the Master of Medicine and Ph.D. have taken seven and eight years, respectively.

In addition, there are many three- and six-year trained physicians. However, the teaching content of medical schools is outdated, and the teaching methods and methods have remained unchanged for decades. A careful look at the medical school curriculum and a comparison with 20 years ago reveals that the content is much the same.

Two years of practice behind the professors is much better than eight years of medical school. Due to their academic qualifications, their professional titles may not be able to go up, but they can definitely get their medical skills. After all, medicine is a practical discipline, and practice makes perfect.

After weighing it, Cheng Qiufang finally made up her mind, looked up at Dean Tian's expressionless face, and asked lightly, "Xiao Tian, do you know what you are doing?" ”

"Serve the people." Tian Wenjian smiled brightly, and then added: "Grandpa Mao said." ”

"Actually, if I don't come, you will do the same." After sighing lightly, Political Commissar Cheng pointed to Dean Tian and said with a smile: "I came to throw myself into the net, and I inexplicably became the first shield. ”

Dean Tian looked at his mobile phone, as if he was nothing, and said with a smile: "Political Commissar, Vice President Cao, former captain of the health team Wen Qiming has a treat tonight, and he entrusted me to invite you two to enjoy the light." ”

Cheng Qiufang couldn't understand what he meant, pointed at his nose and scolded with a smile: "Haven't you heard the phrase 'I don't go to hell, who goes to hell'?" You're a good kid, pushing others into hell with all your might. Are you thinking about when to push us in? ”

"I want to get in, but I don't have that qualification!"

Dean Tian stood up and laughed: "Two leaders, let's divide the work, and leave the work to Captain Jiang and Instructor Yang, and I am responsible for dealing with the local medical authorities and local medical institutions, how about you two in charge of the army?" ”

As soon as Dean Tian finished speaking, he shook his head again and again: "Dean Tian, I am a doctor, I am not good at these things, I still join the medical team to go on patrol." ”

At this moment, Cheng Qiufang knew what kind of hospital Dean Tian wanted to make Longjiang Air Force Hospital.

Non-profit medical services are not profitable, and without money, they cannot purchase advanced equipment such as nuclear magnetic resonance, spiral CT, DSA, DR, color ultrasound, automatic biochemical analyzer, medical electronic linear accelerator, after-loading treatment machine, photon knife, hemodialysis machine, electronic endoscope, various endoscopes, hyperbaric oxygen chambers, etc.

It is precisely because there is no advanced equipment that you can only see common diseases and frequent diseases, and avoid medical risks as much as possible while avoiding high fees.

Of course, this non-profit surname is not absolute, and it should be operated with a small profit in the strict sense. After all, more than a dozen non-staff workers need to be raised, and equipment and instruments also need to be maintained. In addition, a part of the income must be set aside to provide free medical services to families who are really in difficulty, and the cost of sending doctors and medicines to the countryside must also be prepared in advance.

It may seem like a thankless task, but for the health team, the improvement of medical care is a victory. While training the team, it can also gain a reputation that no hospital can match through non-profit medical services. This is a political achievement at the local level, and an honor and achievement in the army.

Although it is a bit risky, what they do coincides with the leadership of the headquarters. Cheng Qiufang hesitated for a moment, then waved her arm and said with a feminine smile: "Xiao Tian, then let's make a decision." Other than that...... Tell Captain Wen that I will go to the banquet on time, and by the way, I will learn from him the advanced experience of Dinglei. ”

(To be continued)