What do you think will be the direct consequences if the doctor's career establishment is cancelled?

Cancellation of career establishment, although reducing the financial burden, has increased the risks in the field of social health and safety!

Let's talk about benefits first ...

There is no burden on local finance, the Finance Bureau is happy, the county magistrate is happy, and the mayor is happy.

Equal pay for equal work, happy doctors, happy nurses and happy colleagues.

Pharmaceutical companies are happy, suppliers are happy, middlemen are happy, pharmaceutical companies are happy and everyone is happy.

Temporary workers are happy, nurses are happy, and the public security department is happy.

It's not good to talk about it again …

First of all, the financial support was cancelled and the county hospital had no income. The salary of doctors can only be self-supporting, and the medical conditions at the county level are not up to standard, which cannot attract high-level talents. Some common diseases, serious diseases and chronic diseases are afraid to go to the hospital, and the income of the hospital will go from bad to worse. Where do doctors' salaries come from, nurses' salaries come from, and nurses' and security guards' salaries come from?

Secondly, it will bring a vicious circle. With the decrease of income, hospitals can only reduce expenses, reduce duty, and reduce staff and nurses to do nursing work. The original two people were changed to 1 person, and the original department was1person. There are six people in the department now. The security guard used to have two people on each floor, but now there are two people on the third floor. The reduction of personnel makes thieves and thieves, doctors and nurses have no time to take care of them, and security guards have no time to take care of them. The more bad reviews the hospital management gets, the worse its reputation. Even if you have a headache or a cold, it is estimated that no one will come to see it! The income will be weaker.

Moreover, with the decrease of income, local medical talents will not apply for jobs and have no money to buy new equipment. Without new human resources and new equipment, it is even more difficult to see a doctor and expensive to see a doctor. The dean will be very unhappy.

Fourth, there is no establishment, which leads to the lack of competent units and the weakening of the accountability system. The safety of drugs cannot be guaranteed, nor can the price of drugs be guaranteed. With the drug supervision department, everyone knows what is going on now, referring to the fake vaccine incident. Pharmacies in the market are expensive and beautifully packaged, and how many ingredients are urgently needed drugs? A bottle of vitamin tablets can be packaged to 100 yuan, but in public hospitals, the small bottle packaging is generally less than that in 5 yuan.

Fifth, it is more and more difficult and expensive to see a doctor. If the hospital's income increases, it will be shared equally with patients. Only through examination fees, outpatient fees, medicine fees, nursing fees and other expenses can the hospital's income be increased. The wool is on the sheep, and of course these are on the patient's head. There is no doubt that the cost of public medical care has increased.

Sixth, just like many private hospitals, hospitals, doctors and nurses can only survive by being hospitalized and implementing medical insurance card reimbursement. The hospital sends cars to the marginal mountainous areas every week to pick up the poor people for hospitalization, and implements the reimbursement system, that is, the medical insurance fund is used, and the people enjoy the one-stop service of picking up and seeing a doctor. The doctors and nurses in the hospital are rich and all three are beautiful. Let many hard-working taxpayers pay the bill, which hurts taxpayers' hearts and puts the national medical insurance policy in crisis.

1. If doctors cancel their career establishment, the income of top doctors will be infinitely enlarged. And bad doctors can only force them to change careers, and the mixed situation can be purified in batches. When you see a doctor, the doctor will look at you seriously and won't look up. His attitude will definitely improve, because he wants you to be her long-term patient (client), his good friend's stable income, and have the same disease as you. If you go to your own clinic and go to a public clinic in a hospital, your attitude will definitely be different. She will give you a serious answer to everything she knows in her own clinic, but not in public hospitals.

Private hospitals and public hospitals are like banks now. Look at the good service attitude of commercial banks, especially China Merchants Bank. The four state-owned banks are worthless, and now they are much stronger than before.

3. I think the service attitude of doctors will be better if the career establishment of doctors is cancelled. In fact, the service attitude is good, I have tried my best and the pressure is great. The number of patients who send red envelopes will also decrease, because there are good-looking people who send them or not. Who will deliver it? Right? !

Whether the establishment of doctors can be abolished has always been a hot topic, and it has not been fully implemented, which shows that this problem is inherently difficult, and it must have advantages and disadvantages from the current point of view. In order not to make the situation too chaotic, the country must think twice before acting.

The first aspect is advantageous.

1. That is to cancel the establishment of doctors in the hospital. For doctors in big hospitals, it is more conducive to their mobility. Whether considering economic interests or other development interests, there are more choices. For example, in private hospitals, they feel that they can better realize their value.

2. Abolishing the establishment of doctors is more conducive to fair competition between hospitals and other forms of investment, and is conducive to breaking some monopolies. The recruitment of these hospitals is more attractive, achieving the goal of attracting more outstanding talents.

3. To a certain extent, it can realize the function of dispersing superior medical resources, and to a certain extent, it can alleviate the current situation of difficulty in seeing a doctor, especially in large hospitals.

The second shortcoming

1. In this case, it may make the hospital more commercialized; Corporate interests are stronger. Let doctors pay more attention to the ideology of money interests. Perhaps the public welfare and social service of the hospital will be discounted.

2. Increase the brain drain in rural hospitals. Because rural doctors are not economically attractive and have no other advantages. If it is not compiled, it will add insult to injury and be at a disadvantage in the competition.

The government should pay more attention to it. All kinds of unfavorable factors brought by doctors' cancellation of establishment, if not considered in advance, may make the current medical reform more dissatisfied with the people.

Therefore, I think that before the reform, we can learn from foreign practices, consider horizontally and vertically, and adopt different reform efforts for different hospitals. In this way, the favorable side is better retained and the unfavorable side is removed.

Your attention is the source of my positive energy! When the medical reform was going on, I was writing!

In ancient times, there were no hospitals, only pharmacies and only Chinese medicine. But now doctors only use machines to see doctors, with hundreds of minor illnesses, tens of thousands of hospitalizations, tens of thousands, hundreds of thousands and millions of operations. Look at how many families in the world have money to treat diseases. One family has a heavy burden of adopting parents, raising children and raising doctors when it is sick. Why is the business of pharmacies blooming everywhere booming in China? If hospitals are abolished and doctors are allowed to open their own stores and clinics, how much will medical expenses be reduced? Medical insurance is also paid, which is universal in the country. Skilled doctors are popular, while unskilled business quacks bask in the sun! In this way, there are doctors in streets, communities, rural areas and everywhere, which is the blessing of the whole people.

Don't even think about it Hospitals and schools cancel occupations, teachers and doctors are contracted, and people are free. Then whoever has money, the cow will be hired by which school has money, and then the school will become the most famous. Tuition is the most expensive, and make-up classes become the norm. There is no way to control the hospital. Whoever has money will hire the best doctor and become famous. Then seeing a doctor will definitely become more and more expensive, and then giving a red envelope will become the norm. Why shouldn't people be compensated for a career and then receive a red envelope without taking care of others? Good schools and hospitals are getting worse and worse until they close down, and the rest are definitely sophisticated, so schools and medical care will definitely become more and more expensive in the future, until they can't afford to go to school and look down on diseases, and social contradictions are getting bigger and bigger.

Some people say that cancellation is a good thing and the general trend. I believe most people support it, but I firmly oppose it. Because establishment is the last line of defense to protect the public welfare nature of public hospitals and public schools. People working in public welfare units must be prepared. People who work in public welfare institutions should not be rich or expensive because of the nature of the unit, but they must be guaranteed to be carefree all their lives. Only in this way can they really do their work with peace of mind, and having an establishment identity is the most important guarantee condition. If they have been living in a precarious state, can they still work with peace of mind? Moreover, the nature of public welfare will ultimately be guaranteed, promoted and improved through human labor. If there are no people who can work with peace of mind, the nature of public welfare is just an armchair strategist and can only fall into a situation that is not worthy of the name. Now the lesson is profound enough.

Some people say that if the hospital is abolished, it will be a profitable, self-financing and powerful hospital, which can attract more good doctors and buy good equipment, so patients also need more money to see a doctor. It is a fact that patients with less money, that is, the poor, can't get good medical care. But let's take a look at the situation that has not been compiled yet. Isn't it the same? It is the rich who can get better medical care. Those who have no money will try to borrow money from each other and give up after a while, or go to poor hospitals to maintain it. Those who have money can stay in the top three hospitals for a longer period of treatment. If it is the same, canceling the state establishment will reduce a lot of financial pressure and make people inside and outside the hospital be treated fairly. Perhaps many people know that in many institutions, some people are paid for nothing and have the position of doctors, but they won't see a doctor, or their names are simply in the hospital, but they don't go to work because they are relatives of a leader, but their wages are paid according to their wages. This is basically a phenomenon in all institutions. The country is now across the board, in fact, it is encouraging free competition, getting rich through hard work and getting rid of the moths attached to the state system.

In fact, as early as 20 16, Ministry of Human Resources and Social Security made it clear that he would study and formulate the personnel management connection method after universities and public hospitals were not included in the establishment management, so it should be the general trend of the reform of public hospitals in China to cancel the establishment of doctors.

On the internet, there are also people who are in favor of and against whether to cancel the establishment of doctors' career.

Capable people go up, mediocre people go down. At present, doctors' career establishment is promoted through professional titles, from attending doctors to chief doctors, but one drawback of professional titles is the limitation of the number of posts, which leads many newcomers to see no room for promotion and lack motivation; The other is the lack of a mechanism for upgrading. It takes a lifetime to hire senior professional titles, which leads to the lack of motivation for many elderly people to hire professional titles. Canceling the establishment can give more opportunities to those who have the ability and willingness to do things, so that those who have no ability and ability can see it and achieve better survival of the fittest.

Losing the establishment is likely to make good doctors easily poached by private hospitals with high salaries, while public hospitals will gradually lose their competitiveness without the weight to attract talents. Wool comes from sheep, and the high salary of doctors in private hospitals is based on high medical expenses, which will increase the cost burden of patients.

As a financial worker, I think it is the general trend to cancel the career establishment, and I believe the whole society will agree.

As for the direct consequences of canceling the establishment of doctors' career, it may be beneficial or unfavorable.

The favorable consequences can break the lifelong evaluation system of doctors' professional titles and help create a good competitive situation for doctors to survive the fittest; But also conducive to the free flow of doctors and promote the reasonable balance of doctors in the whole society. It is conducive to breaking unreasonable social phenomena such as hospital distribution and seniority.

The adverse consequences may be that some private hospitals poach all high-level doctors with high salaries, leading to the brain drain of public hospitals; Moreover, after the high-level doctors in private hospitals are concentrated there, the fees may be higher, which will further increase the economic burden of patients. Will make more people return to poverty due to illness.

Canceling the establishment of doctors' career may have two consequences, one is for doctors themselves, and the other is for society-

For doctors,

1, income may increase.

Because the establishment has certain restrictions on the salary and treatment of personnel, the system of public hospitals will be more complicated, so there will be certain restrictions on the income of doctors. After the abolition of the establishment, the income of some high-quality medical talents should be significantly improved, and more high-paying employment opportunities may be encountered.

2, improve work enthusiasm, improve the overall quality.

Because there is no longer an iron rice bowl, some doctors who fish in troubled waters and muddle along in the establishment will have a great sense of crisis, and under the income standard without establishment constraints, doctors may show enthusiasm that they did not have before.

For society,

1. Hospitals may be more likely to attract medical talents.

After all, establishment is a limited thing. In the past, if hospitals wanted to recruit doctors, they had to wait for vacancies. If the establishment is cancelled, the introduction of talents will be more free, flexible and proactive.

2. It may lead to the differentiation between public and private hospitals.

Because public hospitals have lost their innate advantages in staffing, some high-quality medical talents may be poached by private hospitals with high salaries, and the medical expenses of private hospitals will increase accordingly, which will lead the rich to go to private hospitals for medical treatment, while the general public will go to public hospitals that have lost many high-quality talents for medical treatment. Whether this difference will have a great impact on social medical care is worth thinking about.

At present, the state's proposal to cancel the establishment of medical and educational units is also a tentative decision. I hope to find a more balanced and stable method and state in the process of trying in the future!

You are welcome to express your different opinions in the comments section below.