June 5, 2007 

 

The door to business is open 

 

The personal brand of Chinese doctors is not established, and it is difficult to practice completely outside the system, and the best way to start a business is to practice within the system. 

 

Recently, the national health and family planning commission, the ministry of people's social and social department has issued a series of posts, giving the working doctor the medical establishment, the self-employment "untied". 

 

The medical association is a doctor group founded by a working doctor, and sun hongtao, founder of the Chinese academy of medical sciences, is a heart surgeon. The previous day, when he contacted sun, he had an operation in the hospital, and on the afternoon of the interview, he was in shandong to approach the medical association. The work within the system and the work outside the system seem to be smooth and unconflicted in sun. 

 

The medical association is doing well, Mr. Sun said. When it was established, it raised 20 million yuan. There are dozens of partners, of whom there are 20 or 30 of them, and there are still excellent contract doctors who continue to be partners. There are more than 1, 000 people who have signed up for the contract. We will mainly work with grassroots hospitals in the field of expert resources, science and technology, and equity cooperation. Now and hebei, henan, shandong and other regions of grassroots hospitals to carry out the remote ecg platform for cooperation, at the grassroots clinics on the electrocardiogram machine and hardware equipment, training the clinic doctors, cooperation unit exceeds 500. The average doctor watches over 700 records a day and diagnoses the disease. If the patient needs further treatment, the patient will be transferred to the central hospital, where the doctor will be operated on. In addition, the medical association also has a private doctor service, which specializes in connecting high-end clinic customers in Beijing, Shanghai and shenzhen. 

 

In July 2016, all medical zhumadian first people's hospital heart center was established, in less than six months, successively completed more than 40 cases, complex heart surgery has quickly become the center of the biggest local heart center. 

 

"I created all the medical union, the purpose is to build a more professional cooperation platform. I still fuwai hospital doctor, also want to clinic, surgery, on the premise of not affect job, do platform, help doctors to use their own technical treatment more and more people, especially the grassroots, let them enjoy high quality medical service at home." Mr. Sun said that the profits of the doctors were thin, but doctors were able to go out and do an operation, and the income was substantial, which greatly improved the doctor's income. 

 

Everyone within the system of medical group is China's first doctor group, some evaluation of it not only created a system within the doctor business first, push the door across the system and to deepen the reform of the gate. Hong-tao sun said the Chinese doctor's personal brand is not established, completely free practice and the difficulty in system, the best business model is more practice in the system. 

 

No one is alone. In April 2015, xie rushi, a liver and liver surgeon at the sixth hospital affiliated with sun yat-sen university, was the first to set up a private doctor's workshop in guangzhou. Working with a medical check-up, the doctor USES his spare time to provide personalized medical advice for patients. After the examination, the patient can also conduct the consultation in the workshop. Once surgery is needed, they direct the patient to the sixth hospital in zhongshan. At present, xie rushi has gone out of the system and started a medical group outside the system, but the studio is still mainly a platform for on-the-job doctors. 

 

More practice remains relevant 

 

It is a distortion, and a waste, of not being able to support doctors in public hospitals with the value of technology, but by medicine and inspection. 

 

Are doctors in the system willing to work outside the house? "The medical association is mainly aimed at the grassroots," said sun. "this is a market that the hospital didn't do, and it won't touch the existing interests." 

 

Dr. Sejour and colleague Lin feng set up the bodega group, which also recruited many doctors in the system. One of the main reasons doctors are willing to practice more is the lack of a full display of talent in public hospitals. 

 

Miao yanqing, a researcher at the health development research center of the national health and family planning commission, said that more than 80 percent of the country's quality medical resources are concentrated in public hospitals. For many doctors in public hospitals work time is limited, public hospital equipment, resources are finite, really to serve patients with time is not much more special. "If we encourage these people to start their own businesses, we can optimize the allocation of resources, improve the efficiency of medical services, and enable more patients to enjoy quality services." She said. 

 

"Public hospital's wage level is not high, do not reflect the doctor's learning cost, risk cost, time, cost, etc., high input, low returns, the value of the doctor can not get. So, look from the payroll, the doctor's income is very unreasonable, do not reflect their labor value." 'the fact that public hospitals don't have the value of the technology to feed their doctors is a distortion and a waste,' says Mr. Xie. 

 

Deng yong, a teacher at the Beijing university of Chinese medicine, has found that doctors are more likely to run medical institutions and are more difficult to manage, testing the doctors' comprehensive management ability. And multi-practice costs are low and easy to implement, becoming the top choice for most doctors. 

 

Doctors have opened up more practice, but some of the hidden barriers are still holding back policy. Deng Yong said: "more practice involving the public hospital personnel management system, etc., the dean will naturally worry about management does not reach the designated position, personnel loss. Many hospitals, doctors of administrative duties cannot be more practice, for multi-point practicing doctors can not continue, in accordance with the institution of endowment insurance, medical insurance to guarantee, compensation will be adjusted, performance bonus and welfare benefits cannot be payment in full." 

 

Deng yong believes that because of the lack of supporting system, the interests of more practice physicians are not protected. Medical malpractice, the division of responsibility is blurred, and the physician is concerned. The biggest concern for sufferers is the lack of health care. 

 

The doctor group liberated the doctor 

 

The lack of a commercial platform for doctors is one of the main reasons why doctors are working in the workplace. Just as airlines need airports, no good plane can land without good ground service. 

 

Deng Yong that encourage on-the-job doctors more practice or business, must cancel the institution establishment and break the doctor "iron rice bowl", the doctor went out of the public hospital "liberation", and make the patient "sees a doctor to the hospital" to "to see the doctor the doctor". 

 

"The doctor and walked out monthly, from the original unit, the practice may face many risks, to join the doctor group, establish risk-sharing mechanism, can reassure the physician's practice." Deng Yong said, compared with the domestic hospital as the leading system, the establishment of the foreign doctors pay more attention to team and brand, the doctor team is independent of the hospital, the hospital as the operation platform, and the doctor team cooperation, this pattern make resources flow more freely, to lift the big hospital resources flow, doctors don't have to worry about medical risks. 

 

Miao yanqing believes that the development of the doctor group is a very good situation for the doctors group to drive the use of quality resources. 

 

Xie Rushi said: "the lack of commercial platform, services of a doctor is a doctor in one of the main reasons for entrepreneurship, more practice. Like airlines need to the airport, if you don't have good ground service, again good the plane could not land." He argues that the doctors' group, which is initiated by doctors, has the following characteristics: first, a medical institution that can register doctors for more than one practice. Second, it has its own management system, its risk control system and its network platform. Third, there are independent medical price pricing and pricing systems. Fourth, there is the insurance company's payment guarantee. Fifth, it is an independent legal person who can undertake medical services and civil liability. 

 

Pay more attention to the personnel qualifications, "our clinic is a place for receiving patients, do not need to how much medical equipment. If you want to do surgery, then go to large hospital. The doctor group for these places conveying more practicing physicians, technical, operation and management cooperation." Xie Rushi said. 

 

Hong-tao sun, all medical consultations with foreign medical institutions are often, transportation experts to carry out the operation, training, etc., all through the way of compliance, and buy insurance for the doctor, also buy insurance for patients, make the doctor surely more practice, to reassure the patient treatment. "Platform continued practicing physicians more up to hundreds of people, enthusiasm is very high. With the expansion of business, there will be more doctors to go out, for patients with high quality medical services." 

 

Currently, there are several provinces and regions in the country that have opened up the registration of business registration for medical organizations, while allowing them to operate in medical institutions or certain departments. Recently, the development of the doctor group has been encouraged in the documents issued by the state and some provinces. MiaoYanQing said: "the doctor group development will change more practicing physician relationship with public hospitals, from employment to cooperation; solve the doctor group nature of income, source of income, income taxes, the doctor group and doctors; profit distribution relationship between the doctor to get more practice income channels and forms, and medical liability insurance, etc., need to establish relevant system specifications, they can better play to the role of the doctor group integrating resources."