"You kid, come up and play so big?"

Huang Fusheng couldn't help laughing out loud when he saw this disease cure evaluation system, he couldn't see that the rule of returning money seemed simple, but once it was implemented, there would be all kinds of troubles.

"There must be a standard for this cure." Shen Congwei said.

Lu Jiudao, "Of course, it is written below, there are six criteria for cure, first, whether the patient can sleep until dawn and will not wake up halfway; 2. The patient has a normal appetite; 3. The hands and feet are warm, and the head, face and body are cold; 4. Stool once a day, light yellow in color into strips, not sticking to the urinal; 5. Urinate five to seven times a day, light yellow and transparent in color, no nocturnal urination, constant urination; Sixth, the spirit is good during the day, and you will not be sleepy for no reason. ”

"Within three days, if the patient is getting better towards these six standards after treatment, it means that there is curative effect, and then according to the doctor's diagnosis, the disease can be divided into sun, yang, yang, yang, yin, yin, and yin, which disease takes how many days to be cured, and beyond it is regarded as uncured."

"Of course, if you do encounter some rare or unsure diseases, you can transfer them to other doctors, and all the doctors in the hospital can not achieve the effect, so you can persuade the patient to go to other hospitals for treatment."

Huang Fusheng asked, "So what if the patient does not cooperate with the medication?" ”

Lu Jiu said with a smile, "This is the second system I want to build, substitute decoction, this model is now available in many hospitals, but it is too simple, I think it should not be just a simple service." ”

"On the one hand, there are many Chinese herbal medicines that are not allowed to be used more than one in the pharmacopoeia, and if they are prescribed to patients at will, the hospital will be responsible for eating accidents, on the other hand, many patients do not know how to decoct medicine, and it is troublesome, and sometimes they forget to take medicine."

"The decoction can solve these three problems, first, to ensure that the medicinal materials will not harm the patient, the hospital can also compare the doctor's diagnosis according to the drug record, and supervise whether the doctor prescribes the medicine reasonably; Second, to solve the problem of patients' difficulty in taking drugs, but also to supervise patients to drink medicine, play a role in recording the patient's medication rules, if patients take drugs every three or five times, resulting in their own disease can not be cured, the hospital also has a rhetoric; 3. The efficacy of medication can be monitored in real time to ensure the transparency of information between doctors and patients. ”

Well, this one is good.

Huang Fusheng turned a few pages back, and also saw the decoction system written by Lu Jiu, charging five yuan for one medicine, which is not much, and most patients should be able to accept it.

"Huh? Medical cost system, how do you set the cost of diagnosis so high? Huang Fusheng said.

"I'll see, fifty, not high, huh? The more patients who are cured, the higher the cost of diagnosis? Shen Congwei's eyes lit up.

"This explanation explains." Huang Fusheng was interested.

Lu Jiu bowed his head, and then said, "Emphasizing diagnosis is not heavy means, this is the greatest respect for a Chinese medicine, the core of Chinese medicine is syndrome differentiation, syndrome differentiation is right, medication and needle application are a matter of course, syndrome differentiation is wrong, no matter how high the means are, it is useless." ”

"Traditional Chinese medicine diagnosis is like the examination of Western medicine, and the biggest profit of the hospital is in the examination, which is also because they must rely on expensive equipment and instruments to carry out medical treatment, but Chinese medicine does not need it, it only requires a person to spend a lot of effort to study medicine, so re-diagnosis is to let doctors with a level get more paid, and at the same time avoid the disadvantages of using medicine to maintain medicine."

"How much money you want to take, you have to take care of as many patients as you want, it's as simple as that."

Many people, even patients, have fallen into a misunderstanding, that is, they think that when they go to the hospital, they have to give money if they don't see the disease, after all, doctors have no credit and hard work, right.

But what is the hospital?

It's just a place to treat diseases, and you can't treat diseases in the hospital, and you still have to charge money, is that reasonable?

It's like I bought a refrigerator and it doesn't refrigerate, but the parts on it are very good, and there is nothing wrong, so should I not return them because these parts are fine?

In his position, seek his position, this is the most basic truth.

Of course, this is also related to the fact that many diseases have been publicized by relevant media and hospitals for a long time because they cannot be cured, so the diseases that cannot be treated by hospitals have also been rationalized.

There are also many diseases that cannot be cured well in traditional Chinese medicine, but you have to say that you can't cure them, you can't know that they can't be cured, and you still charge money, right?

The disease cure assessment system conceived by Lu Jiu is to explain a truth, I will collect money if it is cured, and I will return the money if it is not cured, so you can rest assured that you can come and leave, we will not slaughter patients.

"Well, more work, more rewards, yes, this is a very breakthrough, the cost of diagnosis is not based on the professional title, but against the patient, so that the interests of the doctor are linked to the health of the patient, rather than linked to the hospital's income, this is really good!" Huang Fusheng was greatly appreciative.

"In this way, the hospital is more like a platform to provide services, and doctors have become the de facto main body of the hospital, so how to arrange salaries?" Shen Congwei could see at a glance the intention of Lu Jiu's rules.

Huang Fusheng also flipped back, and immediately saw the entry of the doctor's salary system, "Hey, it's quite a lot, huh?" There's also a medical ethics award, what is it? ”

Lu Jiu said with a smile, "I have divided the salary into a total of six yuan, first, the basic salary, everyone has a unified standard; 2. Performance-based salary, which is linked to the diagnosis fee and disease cure assessment; 3. Incentive salary, patients give pennants, the hospital must issue rewards, and the whole hospital informs, a pennant is rewarded with a standard of 50 yuan; 4. Public welfare awards, participate in free clinics once a month, and you can get public welfare salary rewards from the hospital; 5. Medical ethics rewards, those who are praised by 100 patients during the monthly consultation period and prescribe the least drugs can get medical ethics wages; Sixth, the grievance reward, during the consultation period was innocently harassed by the patient, there was no conflict with the patient, and the grievance reward was obtained after investigation. ”

Huang Fusheng said with a smile, "A hundred patients have praised it, and it is not easy to prescribe the least medicine, hehehe, what if it is not reached?" ”

Lu Jiudao, "Then don't send it." ”

Shen Congwei said, "This pennant reward is interesting, the money is not much, but the whole hospital report is quite a bit of a posture to provoke comparisons between doctors, in addition, I am more curious about why we set up public welfare awards, and this grievance reward." ”

Lu Jiu explained with a smile, "Once a month, there are two benefits, one is to give the doctors in the hospital a chance to exercise, patients will hear that it is free, then they will definitely come to see, and they will come if they are not sick, which gives some novice doctors enough time to exercise, and the second is to enhance the reputation of doctors, so that their image in the eyes of the people is higher, so that when they see a doctor, patients are more likely to trust them, and the third is to increase the number of patients in the hospital, and the hospital can be effective when there are more people." ”

"It's like the membership day of some pharmacies, but we don't have a discount, but we are all free, of course, just free of diagnosis, and the cost of medicine and acupuncture and other treatments are free."

"As for the reward for grievances, when the doctor sits in the consultation, it is inevitable that he will encounter some patients with a bad temper or more rudeness, although this is only a few cases, but after the base is large, the doctor will not encounter such a person, this reward is to tell the doctor, do not conflict with the patient head-on, and endure it if you can."

"Of course, the grievance reward here also cooperates with the doctor protection system I proposed, in the doctor-patient relationship, the cure of the disease is the joint responsibility of the doctor and the patient, the doctor has fulfilled his duties, if the patient does not follow the doctor's instructions, and then comes to make trouble, the hospital has the right to protect the doctor, if there is a medical accident, then it is necessary to distinguish what the purpose of the doctor is, if it is simply to save people, then the hospital has the right to protect the doctor, if the doctor is not to save people, there is another purpose, Then let the law have the final say. ”

"Here I have built a blackout model, if a patient makes trouble in the hospital and does not listen to dissuasion, the hospital has the right to blacklist him and never treat, I suggest that it can be clearly stipulated without scruples."

Even this has been taken into account?

Shen Congwei and the others were a little surprised, they didn't expect Lu Jiu's idea to be so comprehensive.

There is warmth for doctors and patients, and there are also strict constraints on doctors and patients.

Obviously not a slap in the head.

"Have you ever thought about giving so many rewards to doctors, can the hospital have enough funds to operate?" Huang Fusheng asked.

Lu Jiu said with a smile, "I just used the money used by the hospital to purchase millions of medical equipment, and used it on doctors, without being kidnapped by these high-end instruments and pharmaceutical companies, I don't think that if doctors are paid high salaries, the hospital will not be able to operate, because with the implementation of this system, as long as doctors can treat diseases and see good diseases, the hospital will not have business problems." ”

"I think teachers and principals should also know that the root cause of high medical costs is that in today's hospitals, the authorization of doctors in the medical team depends on technical titles, and technical titles are linked to scientific research results. ”

Pharmaceutical companies then organize a variety of "academic lectures", "academic activities", through lecture fees, labor fees, travel and entertainment, invitations to overseas academic activities, etc., to convey benefits to medical personnel, some experts have become "conference home", frequent visitors to academic conferences, some doctors make friends through the conference, collect resources, use academic resources and academic achievements to appraisal, to enhance their status, consolidate their right to speak, and for the latecomers to fight for turf, and constantly expand their own interest chain. ”

"The impact of pharmaceutical companies on the election of medical organizations is no less than that of the Eagle Emperor election, the heads and main members of pharmaceutical companies investing in academic organizations, writing their own products into technical specifications, and the products are naturally invincible, and everyone will think of doctor kickbacks when they mention pharmaceutical corruption, in fact, doctor kickbacks are only the tip of the iceberg, and major corruption links appear at the key point of concentration of interests."

"In the past, only senior doctors who could go out of the outpatient clinic to formulate inpatient treatment plans were eligible to receive rebates, and later, the head nurse who did not have the right to prescribe but was qualified to decide the use of consumables could also share the profits from the consumables rebate, and the laboratory department that usually had no direct contact with the patient, all kinds of high-priced reagents accompanied by the patient's examination and laboratory "family bucket" continued to grow, and some reagent manufacturers even came up with the trick of "sending equipment to sell consumables" in order to cultivate the market, and often invested millions worth of testing instruments in order to promote reagents for testing equipment". ”

"These problems have always existed, but why not? Because it is too difficult to obtain evidence, the so-called "big prescription" and "big examination", as long as the patient has money and is willing to spend money to buy a "more reassuring" probability, and these medical services will not get worse and worse for the patient, it is difficult for the outside world to judge whether these medical services are reasonable. ”

"All of this is the case with such a medical behemoth."

"I just think that doctors make money and take virtue, and hospitals should train virtuous doctors and let them realize their own value, and the hospital will share most of the benefits to doctors, which is the way to operate for a long time."

Huang Fusheng and the others looked at Lu Jiu, and their eyes showed an indescribable look.

They are people who have come from that era, and they have witnessed that era of fairness, but since the privatization of medical care, the chaos in the medical industry has become more and more worrying.

Lu Jiu can say this, which means that he really sees the essence of the problem.

Rare.

"But there are still few Chinese medicine practitioners who can treat diseases, according to your system construction, if the hospital wants to develop, how many Chinese medicine doctors do you need?" Shen Congwei sighed.

"Yes, although I also agree with your approach, but there are very few Chinese medicine practitioners who can take the pulse, and in a year or two, as soon as Lao Shen's team leaves, what will you do with this hospital?" Huang Fusheng looked worried.

When Lu Jiu heard this, he couldn't help but smile, "Teacher, principal, do you really think that my purpose in doing this is to treat more patients?" ”

"I want to build a big data physical examination system, after the hospital officially starts to operate, every patient comes to the hospital, must enter their personal information, doctors also have to upload the diagnosis data to the database, each diagnosis, is equivalent to a physical examination, the database is connected to the patient's mobile phone, can send them real-time targeted health knowledge popularization, tell them what to eat in what season, pay attention to cold and warm."

"At the same time, this part of the data is retained and provided to the top medical AI technology companies in China free of charge, so that they can use these data to train AI pulse diagnosis.

"As far as I know, domestic teams are already doing research in this area, and I believe that with the current explosion of technology, another year or two of training, AI pulse diagnosis to complete some of the simplest diagnoses, it should be absolutely no problem."

"At that time, the machine will screen out some of the patients who do not need treatment because they are not big problems, and the rest of the patients will not be so big for the hospital, and after building this big data physical examination system, we can use science and technology to serve the masses, so that they can prevent problems before they occur, and do not drag small diseases to major diseases, which is my fundamental purpose."

"Who said that Chinese medicine can't use technology, we can also keep pace with the times."

Hearing this, Huang Fusheng suddenly said, "Do you want to break the examination system monopolized by Western medicine and give full play to the advantages of traditional Chinese medicine in treating diseases!?" ”

I don't know if everyone will think this chapter is reasonable.,A little worried.,I'm afraid that everyone will misunderstand that I wrote the protagonist as the Virgin.。 π_π

(End of chapter)