临床医师看医疗改革与医疗管理RelationshipbetweenDoctorsand.pptVIP

In a surgeon’s eyes:Relationship between Clinicians and Administrion Beijing Cancer Hospital Gastroenterology Unit LI Ming Background History review 1980s Manage health care with economical measures History review 1990s A series of laws on health care reform and social insurance History review From 2000 Encourage cooperation and combination between all kinds of health units Medical reform-dilemma Global problem Experience from other country may not functioned here Different country situation and enviroment World wide ecomonic influence on our country Public hospital? Non profit hospital？ A public hospital a hospital which is owned by a government and receives government funding. Provides medical care free of charge, the cost of which is covered by the funding the hospital receives. Most hospitals world wide are public. Dilemma of Chinese public hospitals Government funding shortage Social pressure on better service Increasing government request Social insurance demand Dilemma of Chinese public hospitals Clinicians dissatisfaction Working without enthusiasm Do something just for profit Difficult to safeguard right Contravention between clinicians and hospital administration Development of public hospital? Government domination Marketing domination ——scholars dispute for a long time Question How to face to reform of public hospital by clinicians? Face one Oppose and criticize－refuse reform Afraid of losing vested interest Disappointed with past reform Face two Support Feel important of reform The development of individual clinician coincide with hospital Face three Non business with Concern only individual profit No way to say a word No one care the opinions Sustainable development of public hospital Human-oriented Patients oriented Clinicians oriented Clinicians oriented Encourage and listen to clinicians’ opinions Pay attention to the promoting and social security of clinicians Encourage clinicians to achieve Training for new generation of clinic