医师职业精神---薪酬影响因素研究-中美医师职业精神研究中心.pptVIP

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医师职业精神---薪酬影响因素研究-中美医师职业精神研究中心.ppt

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医师职业精神---薪酬影响因素研究-中美医师职业精神研究中心

Professionalism---Physician Payment as a relative factor Ma Qiang October 21st, 2008 1.Role of the physician payment in professionalism in modern society Compare to other countries, the physician payment in china is quite low the cost paid to physicians in hospital is far less than the total one the physician payment in china is quite low Compare to other countries, in China the cost paid to physicians in hospital is far less than the total one the payment for physicians’ skills and techniques is one of the lowest the salary income of the physician is one of the lowest The Health BASKET PROJECT REPORT awarded by EU： Health benefits and service cost in Europe service cost for 单纯性阑尾炎阑尾切除术in China total cost for 105 cases: 301746.27元 average for each case: 2873.77元 fees for medicine: 118863.18元 (39.4%) Fees for physician payment: 31096.77元 (占10 %） average for each operation: 296.16元 cost standard regulated by THE MINISTRY OF HEALTH OF P.R.CAB83150032004015 ? 2004-11-03 code：24820 minor surgery(小手术)：阑尾切除术 550yuan/case　 code：22061 Surgery(中手术)：剖腹产 800yuan/case code：24221 Major surgery(大手术)：巨大浸袋型垂体瘤经额手术 1800yuan/case code：12501、 12502、 12503 住院诊疗费：一级医院 8yuan/day　二级医院 9yuan /day 　三级医院 10yuan/day The surgery without Anesthesia in 18 century—cost vs. interest (5:1) cost vs. interest ---the Primitive surgery (4:1) The physician payment in China （RMB：yuan） Physicians in the countryside: in Zhou Shan in 2005：28,000yuan/year in Jiang Su in 2008：40,000yuan/year In Shanghai in 2005：14,400yuan/year In Shanghai, In 2005, the average income for per family from countryside: 8342yuan In 2004, the average salary level for employees: 24398yuan/year Shanghai, hospital cost in 2006 The physician payment in developed countries and areas in 1999 The U.S Northwest Hospital: welfare salary for each employee 52,665$/year Middle-grade h