33. Royal Hospital (I)

Two days later, the Datang Royal Hospital was ready to open. And the Imperial Physician Department also sent the Imperial Physician to sit in the court. However, this hospital is still dominated by ordinary students, who are still rich in theoretical knowledge, but have no practical experience at all, and now it is open to the public, which is actually to benefit everyone. And as soon as this royal hospital began, it immediately made many people feel fresh, because they found that the imperial doctor in the palace would come out to treat them, which was simply unprecedented.

"Did you hear that? The imperial doctors in the palace have also taken the initiative to come out to see us, as long as you have money, you can ask for a doctor! "Yes! This is really good, I really didn't expect that the doctor could come out to see a doctor. And the imperial doctor in the palace, how high the medical skills are! "Yes, yes, if it's not for high medical skills, then how can you become a doctor?"

I have to say that China is also the situation of the official standard, and many people subconsciously think that the official and royal ones are the best things, and doctors are even more so. The doctors who treated the emperor were the best doctors, and they didn't know that many of these imperial doctors had actually been out of the actual clinical front line for a long time, and they had already given birth to a lot, and their medical skills were not very high. However, they came here this time to sit for a consultation, in fact, they wanted to get back the experience of the year, and they theorized that at least they did not lose it, but they had to contact more patients, so that their medical skills could gradually recover.

The news that the imperial doctor came out for consultation immediately caused a sensation among many people in Chang'an, so many people came over to ask for medical treatment. Soon there was a queue for registration, and then a queue all the way to a few streets away. After all, the level of medical care in this ancient period was very poor, the resources of doctors were very scarce, and the average life expectancy of people in the Tang Dynasty was only more than 20 years old. Of course, this average life expectancy is taken into account by everyone, including war, hunger, disease, and infant death, and this is the real method of calculating life expectancy. The scarcity of medical resources is also definitely a very important factor, resulting in a serious reduction in life expectancy.

And at this time, the patient will either suffer a minor illness, or if it is a major illness, it will be resigned to fate. As for inviting a doctor to see a doctor, only a wealthy family will have a chance, and if the economic conditions are not good, then seeing a doctor is also a matter of luck.

"Imperial Doctor, can you save my mother, my mother is very sick!" A young man pleaded.

"No, I'm the highest-level imperial doctor here, and a consultation fee costs half a dollar, and if you have to take out half a dollar, then I will treat you." The Imperial Doctor said.

"Doctor, save my mother! I really can't come up with half the money! The man knelt down.

Half of the money, in this era, is already able to buy 62 liters of rice, is already a family's living needs for two months, so this is a very huge cost for the average family to come up with such a large amount of money, and it is inevitable that the people will not be able to come up with so much money when the world has just been pacified.

And Du Yulu in the distance was very unbearable, and then took the initiative to ask Zhang Chao next to him, saying, "Zhang Chao, why don't you let that imperial doctor come to heal?" I see that his mother is not lightly ill, are you so ruthless? ”

Zhang Chao shook his head and said: "It's not that I'm ruthless, but I have already explained, doctors of different levels are responsible for different levels of diseases, and they can't skip the level of treatment." In the eyes of that imperial doctor, maybe this minor illness was not enough to make him go to the doctor. However, he won't be so ruthless, and I think he'll have his own way in the future. ”

"You see, there are apprentices from our Tai Hospital, and they treat patients cheaply. You only need eight copper plates at a time, and you go there for treatment! The Imperial Doctor said.

"Apprentice?" The young man clearly didn't trust the apprentices.

"Imperial Doctor, save my mother!" The young man shouted anyway.

In the end, the imperial physician still let the apprentices treat them, and did not diagnose and treat them himself. And those in the back of the queue also felt a little scared, because this too healing treatment is really a fairy fart - extraordinary, a consultation fee also requires half a dollar, this is simply scared to death. A consultation fee can cost an ordinary family two months' living expenses, which is simply a money grab. But people still have a basis for grabbing money, so everyone is hesitant to accept such an expense.

"There's nothing wrong with your mother's disease, just need acupuncture!" The apprentice physician said.

"Really? Just need an acupuncture session? Just eight bucks? The patient's son said.

"Of course, it's only eight dollars!"

And the patient's son was suddenly excited, because he thought it would cost two months' living expenses, but now the living expenses can be cured in one day, which obviously made him feel unexpected. He didn't expect that the apprentices of ordinary doctors could also cure diseases and save a lot of money for everyone, which was simply great.

"It's great that apprentice physicians can heal even diseases."

Many patients who felt financially strapped saw this situation and went to the apprentices for treatment, and as a result, the apprentices were cured of many minor ailments. And the people who continue to stay in front of those senior imperial doctors are also some rich people, or people who are really sick. And they all have to be a senior imperial doctor to be responsible for diagnosis and treatment, and those apprentices are also contracted to treat most minor diseases.

"Miss Du Yulu, you know my intentions, right?" Zhang Chao asked.

Du Yulu was still a little puzzled: "You mean to let those patients go to those ordinary doctors first, and then go to those imperial doctors to see, so that they come up layer by layer, right?" ”

"Yes, I also hope that those people will not trouble the senior imperial doctor from the beginning, so as to save medical resources!" Zhang Chao said.

And Du Yulu immediately said unhappily: "Then these are the medical officers of the Aether Medical Department, why are they saving resources?" You actually compare people to objects? ”

However, Zhang Chao said: "Why can't people be compared to resources? Human resources are a very important resource, and if you use people well, that is the means that can really be effectively managed. You might as well take manpower and talent as a resource, if you can learn human resource management, you can learn well, then you are definitely a great man. First of all, we must use talents where they are most needed, and be able to deploy limited talents to different positions, which is our most effective management method. You might as well treat the ability of those talents as a resource, and then allocate it effectively, so that the effect is the best. ”

"Human Resources?" Du Yulu still can't quite understand these contents.

As a later generation, Zhang Chao is still a middle-level official of the government, of course, he has seen things related to human resources. Human resources are actually the means of managing human resources, you may wish to use human resources and talents as a kind of resources to deploy, so that you can effectively manage human resources, and then let the limited human resources and talents play a greater role.

Because Zhang Chao had already noticed a situation when he was about to open this royal hospital, that is, those senior imperial doctors definitely had to have a lot of diseases to treat, and those apprentice-level doctors probably didn't have too many patients to treat. And this doctor is actually a pyramid, senior doctors are the top of the pyramid, and most of them are still those physician apprentices. But those patients can't trust ordinary physician apprentices, they would rather trust those senior doctors or even imperial doctors, rather than let those new doctors come to see them.

This is also the idea of many patients, who want to find an experienced doctor to see them, so that they can have more confidence. So those senior doctors are also very busy, and those low-level doctors don't have many patients to see themselves. It is certainly not appropriate for senior doctors, who account for less than 1 percent of the physicians, to undertake more than 50 percent of the medical tasks.

"Miss Du, if you regard manpower as a resource, then you will naturally be able to understand why I am doing this. Senior physicians have the smallest number of physicians, but they take on more medical needs. The people trust the old doctors, and this is understandable. But if you don't expose young people to patients, how can they have the opportunity to gain experience and then gain experience? In fact, many ordinary diseases can be cured by young doctors, and there is no need to go to experienced old doctors. This not only allows young doctors to accumulate experience and give them a better future in the future, but also allows people to spend the least amount of money to cure their own diseases. Zhang Chao said.

"Is this the case where you set the fees for those old ladies' consultations very high? Then why don't you tell the people? Du Yulu asked.

Zhang Chao smiled bitterly: "I want to tell the people, but is this effective?" There are so many people, you see that there are almost thousands of people queuing up here, how can I say it alone? Therefore, I can only use the method of resource allocation and use economic levers to make allocation. ”

"Resource allocation? Using economic leverage? Du Yulu still doesn't understand these later terms.

And Zhang Chao immediately said: "You just need to treat these Taiyi doctors as a resource, and the experienced old Tai Tai doctors are also high-level high-quality resources, which are rich mines." And those new physician apprentices are ordinary poor mines, do you think they are rich mines with high value or poor ore value? This is obvious, and it must be that the poor ore is of high value. However, in many cases, poor mines can meet the demand, and do not necessarily need rich mines. Therefore, I deliberately set the consultation fee of senior imperial physicians high, and then set the consultation fee of those ordinary physician apprentices relatively low, so as to use economic factors to force the vast majority of people to go to those small doctors for treatment without serious illness. ”

Zhang Chao actually thought of this method, but in fact, he was very helpless in his heart. Zhang Chao read a report sent by the grassroots in later generations, that is, about the low utilization rate of township health institutions. When people see a doctor, they all want to go to a big hospital, and when they are sick, they always want to go to a big hospital instead of going to ordinary township and township grassroots health institutions. In everyone's eyes, the ordinary health institutions in townships and towns do not have much ability and cannot see a doctor. In fact, many ordinary primary health institutions are also sufficient to meet the treatment of most minor diseases, and do not need to go to major diseases. Therefore, later governments also advocated that the so-called minor diseases should be in the community, and there was no need to go to those big hospitals.

And the same is true of this old doctor and ordinary physician apprentices, just find those ordinary physician apprentices for minor diseases, and there is no need to spend so much money to invite those physicians to see a doctor. Zhang Chao deliberately raised the price of those imperial doctors' consultations, and then asked those who were not seriously ill to go to those general physician apprentices for treatment, so that the general physician apprentices could accumulate enough experience, and also reduced the workload of those senior imperial physicians. In fact, this is also a method of resource allocation, using economic factors to allocate the human resources of physicians, so that they can all make effective and reasonable allocation. Otherwise, some minor illnesses will also go to those senior experts, so how many expert numbers are not enough, and those ordinary doctors will not get training and clinical experience, so they will all fall into a strange circle in the end. Now Zhang Chao naturally can't make the mistakes of later generations, and directly uses the method of economic leverage to allocate the resources of those doctors from the beginning, so that those patients can find physician apprentices for minor diseases, and then find those medium-grade regular doctors for serious illnesses, and finally go to those imperial doctors for serious illnesses. Everyone has their own responsibilities, and finally the effective allocation of these medical resources can enable them to make the most effective use of various medical resources.

"Human resources, in fact, are the biggest resources in the world. The ancients said that a thousand armies are easy to get, and a general is hard to find, which means that talents are rare. However, although talent is rare, it requires you to give full play to the ability to deploy human resources. The use of effective human resources to maximize the effect is the most fundamental core. Human resource management is a comprehensive discipline. If you directly use the command method to manage, this is simple and crude, but the effect is very poor. Therefore, when necessary, it is still necessary to use economic means to manage, and like me, I can use the factor of market prices to interfere with the allocation of these resources, which is the most clever means. If you think that the method of using commands seems simple and crude, it can actually cause backlash. The best way is to use economic methods to regulate, after all, talent is also a kind of resource, and it is the most important thing to manage him as a resource. Zhang Chao said to Du Yulu.