"You're a good boy, but you're going to have such a big show?"

When Huang Fusheng saw this disease cure evaluation system, he couldn't help but laugh out loud. The rule of refunding money if it is not good or bad may seem simple, but once implemented, there will be all kinds of troubles.

"There must be standards for this cure," Shen Congwei said.

Lu Jiudao, "Of course, it is written below that there are six major criteria for cure. First, whether the patient can sleep until dawn without waking up in the middle of the night; second, the patient's appetite is normal; third, the hands and feet are warm, and the head, face and body are cold; fourth, every day One stool, light yellow in color and in strips, not sticking to the toilet; 5. Urinating five to seven times a day, light yellow and transparent in color, no night urination, and constant urination; 6. In good spirits during the day, and not feeling sleepy for no reason."

"Within three days, if the patient tends to improve towards these six standards after treatment, it means there is a curative effect. According to the doctor's diagnosis, the disease can be classified into Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin determines how many days it takes for a disease to be cured. If it exceeds the number of days it will be considered uncured."

"Of course, after analyzing the specific situation, if you really encounter some rare diseases or diseases that doctors are not sure about, you can transfer them to other doctors. If all the doctors in the hospital cannot achieve the effect, you can persuade the patients to go to other hospitals for treatment."

Huang Fusheng asked, "What should we do if the patient does not cooperate with the medication?"

Lu Jiu smiled and said, "This is the second system I want to build, 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, many Chinese medicinal materials are not allowed to be used in multiple ways according to the pharmacopoeia. If they are prescribed to patients at will, the hospital will be responsible if something goes wrong. On the other hand, many patients do not know how to boil medicines and find it troublesome. Sometimes they Forgot to take your medicine.”

"Decoction-based medicine can solve these three problems. First, it ensures that the medicinal materials will not harm the patient. The hospital can also compare the doctor's diagnosis based on the medication records and supervise whether the doctor prescribes the medicine reasonably; second, it solves the problem of patients' difficulty in taking medicine, and at the same time, it can Supervising the patient's medication drinking plays a role in recording the patient's medication regularity. If the patient takes medication every now and then, causing his or her disease to fail to be cured, the hospital will also have excuses; third, it can monitor the efficacy of the medication in real time to ensure transparency of information between doctors and patients."

Well, this is good.

Huang Fusheng turned a few pages back and saw the system of decoction-based medicine written by Lu Jiu. Each medicine was charged five yuan, which was not a lot and most patients should be able to accept it.

"Huh? Medical fee system, why do you set the diagnosis fee so high?" Huang Fusheng said.

"Let me see, fifty is not high, huh? The diagnosis system is incremental. The more patients are cured, the higher the diagnosis cost?" Shen Congwei's eyes lit up.

"This is an explanation." Huang Fusheng became interested.

Lu Jiu nodded and then said, "Emphasis on diagnosis rather than methods. This is the greatest respect for a traditional Chinese medicine doctor. The core of traditional Chinese medicine is syndrome differentiation. If the syndrome differentiation is correct, medication and acupuncture will be successful. If the syndrome differentiation is wrong, no matter how high the method is, it will be useless."

"TCM diagnosis is like Western medicine examination. The biggest profit of the hospital lies in the examination. This is also because they have to rely on expensive equipment and instruments to carry out medical treatment, but TCM does not need it. It only requires a person to spend a lot of thought. Come to study medicine, so re-diagnosis is to allow qualified doctors to get more remuneration, and at the same time avoid the disadvantages of relying on medicine to support medicine."

"How much money you want to take depends on how many patients you have to take care of. It's that simple."

Many people, even patients, have fallen into a misunderstanding, that is, they think that if they go to the hospital and the disease is not treated well, they still have to pay. After all, doctors have no credit but hard work, right?

But where is the hospital?

It is just a place to treat diseases. If the hospital cannot cure the disease, it still charges money. Is this reasonable?

It's like I bought a refrigerator and it doesn't cool, but the parts on it are all very good and there's nothing wrong with it. Should I not return it just because the parts are fine?

It is the most basic principle to be in your position and seek your job.

Of course, this is also related to the long-term propaganda by relevant media and hospitals that many diseases cannot be cured, so it is rationalized that hospitals cannot cure diseases.

There are many diseases that Chinese medicine cannot cure, but you have to tell if you can’t cure them. You can’t just charge money knowing that you can’t cure them, right?

The disease cure evaluation system conceived by Lu Jiu is based on the principle that if the treatment is good, I will collect the money, and if the treatment is not good, I will refund the money. Therefore, you can come here with peace of mind, and you can leave with peace of mind. We do not kill patients.

"Well, more work, more reward, yes, this is quite groundbreaking. The diagnosis fee is not based on professional title, but on the patient, so that the doctor's interests are linked to the patient's health, rather than to the hospital's revenue. This is really

Not bad!" Huang Fusheng greatly appreciated it.

"In this way, the hospital is more like a platform for providing services, and doctors have become the de facto main body of the hospital. How will wages be arranged?" Shen Congwei saw the intention of Lu Jiu's rules at a glance.

Huang Fusheng also scrolled back and immediately saw the entries of the doctor's salary system, "Oh, there are quite a lot, eh? There is also a medical ethics reward, what is this?"

Lu Jiu smiled and said, "I divided the salary into six pieces. First, the basic salary, which is the same standard for everyone; second, performance pay, which is linked to the diagnosis fee and disease cure evaluation; third, incentive pay

, when a patient presents a pennant, the hospital must issue rewards and notify the whole hospital that a pennant will be rewarded at a standard of fifty yuan; 4. Public

Benefit reward, if you participate in a free clinic every month, you can get a public welfare salary reward from the hospital; 5. Medical ethics reward, the person who gets 100 positive reviews from patients during a monthly consultation and prescribes the least medicine can get a medical ethics salary; 6.

, grievance reward. During the consultation, I was innocently made things difficult for the patient. I did not have any conflict with the patient. I received the grievance reward after being found out.”

Huang Fusheng smiled and said, "It's very difficult to get a hundred patients' positive reviews and to prescribe the minimum number of medicines. Hahaha, what if we haven't achieved it yet?"

Lu Jiu said, "Then don't send it."

Shen Congwei said, "This banner reward is interesting. It's not a lot of money, but it was reported to the whole hospital, which kind of provokes comparison among doctors. In addition, I'm more curious about why there are public welfare rewards and this grievance reward."

Lu Jiu explained with a smile, "Free clinics once a month have two benefits. One is to give the doctors in the hospital a chance to practice. Once the patients hear it for free, they will definitely come over to see them, and they will come even if they are not sick. This gives

Some novice doctors have enough time to practice. Secondly, it also improves the reputation of the doctors and makes their image higher in the eyes of the people. This also makes it easier for patients to trust them when they see a doctor. Thirdly, it increases the number of hospital admissions.

The more people come, the more effective the hospital can be."

"This is like a member day of some pharmacies, but we are not discounted, but are completely free. Of course, it is just exempt from diagnostic fees.

"As for grievances, doctors will inevitably encounter some patients who have bad temper or ruthlessly when they are in the clinic. Although this is only a few cases, after the base is large, the doctor will not have less such people.

I just want to tell the doctor that do not conflict with the patient, to endure it. "

"Of course, the grievance rewards here also cooperate with the doctor's protection system I proposed. In the relationship between doctors and patients, the cure of diseases is the common responsibility of doctors and patients.

If you come to make trouble, the hospital has the right to protect the doctor. If there is a medical accident, it is necessary to distinguish what the doctor is out of. If it is just to save people, then the hospital has the right to protect the doctor.

Another purpose, then let the law say it. "

"I have a black -drawn mode here. If a patient has trouble in the hospital and does not listen to discouragement, the hospital has the right to include it on the blacklist.

Even this is considered?

Shen Congwei was a little surprised. The two of them did not expect that Lu Jiu's conception was so comprehensive.

There are tenderness to doctors and patients, as well as severe constraints on doctors and patients.

Obviously it is not the idea of ​​making a head.

"Have you ever thought of so many rewards for doctors, can the hospital be operated with sufficient funds?" Huang Fu Sheng asked.

Lu Jiuxiao said, "I just use the hospital to purchase hundreds of millions of medical devices for the doctors. I don’t think it is abducted by these high -end instruments and pharmaceutical companies.

High salary, the hospital will not be able to operate, because it will be implemented with this system. As long as the doctor can cure the disease, it is not possible to have business problems. "

"I think the teacher and principal should also be clear that the root cause of the high medical cost is the current hospital. The authorization of doctors in the medical team depends on the technical title, and the technical title is linked to the scientific research results.

"Scientific research projects" and "elegant bribes" in the form of scientific research funds. After that, "scientific research results" can endorse for their own products. "

"Pharmaceutical companies re -organize various" academic lectures "and" academic activities ". Through lecture fees, labor costs, travel entertainment, invitation of overseas academic activities, etc., they send benefits to medical staff. Some experts have become" conferenceers ".

At the frequent visitor at the academic conference, some doctors make friends through the meeting, network resources, and use academic resources and academic achievements to improve their status, consolidate their right to speak, and fight for the latecomers to continuously expand their own interest chain.

"

"The influence of pharmaceutical companies on the change of medical organizations is no less than the Emperor Emperor's election. The person in charge of the pharmaceutical company's investment academic organization.

Corruption will think of a doctor's deduction. In fact, the doctor's rebate is just the tip of the iceberg.

"In the past, a high -age doctor who could only formulate the treatment plan for hospitalization patients was eligible to receive a rebate. Later, the nurses who had no prescription right but were eligible to determine the use of consumables could also be divided from consumables. Usually, they did not directly contact the patients without contacting the patients directly.

The inspection department, various high -priced reagents accompanied by the patient's examination and laboratory "family bucket" continued to grow. In order to cultivate the market, some reagent manufacturers even played a "sending equipment and selling consumables".

Detect instruments to promote "dedicated reagents for detecting 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 the money, he is willing to spend money to buy a" more peace of mind ", and these medical services are for patients for patients.

If you do n’t cure the worse, it is difficult for the outside world to judge whether these medical services are reasonable. "

"In this way, it appears in such a medical behematic."

"I just think that doctors make money and take it with virtue, and hospitals should cultivate virtue doctors and let them realize their own value. The hospital divides most interests to the doctor, which is the long -term business way."

Huang Fu Sheng looked at Lu Jiu, his eyes showed an unspeakable look.

They were people who came from that era and witnessed that fair age. However, since the privatization of the medical care, the chaos in the medical community has become more and more disturbing.

Lu Jiuneng said these words, which means that he really saw the essence of the problem.

rare.

"But there are still few Chinese medicine medicine that can cure the disease. According to your system, how much does the hospital want to develop?" Shen Congwei sighed.

"Yeah, although I also agree with your approach, but the Chinese medicine medicine that can only put the pulse is poor. One or two years later, the old Shen's team left, what about your hospital?" Huang Fu Sheng was worried.

Lu Jiu heard that he couldn't help laughing, "Teacher, principal, do you really think that I am doing these purposes to treat more patients?"

"I want to build a big data medical examination system. After the hospital officially started operation, each patient came to the hospital and had to enter his own personal information.

Once a physical examination, the database connects the patient's mobile phone, which can send them a targeted health knowledge science in real time, telling them what seasons should everyone eat, pay attention to the cold and warmth. "

"At the same time, this part of the data is reserved, provided for free of charge to the top medical AI technology company in China, and let them use these information to train AI pulse diagnosis. Of course, after the training is successful, our hospital must enjoy discount benefits when purchasing instruments.

"

"As far as I know, the domestic team is already doing this research. I believe that with the current technology, it is for one or two years to train some simplest diagnosis, which should be absolutely no problem."

"At that time, the machine screening part of the problem is not large. Patients who do not need to be treated. The remaining patients are not so big for the hospital. After building this big data medical examination system, we can use technology to use technology to use technology.

Serving the general public and letting them prevent problems before they occur. They do not need to be dragged to major illnesses. This is my fundamental purpose. "

"Who says traditional Chinese medicine can't make use of technology? We can also keep pace with the times."

After hearing this, Huang Fusheng suddenly said, "Do you want to break the monopoly examination system of Western medicine and give full play to the advantages of traditional Chinese medicine in treating pre-diseases!?"

I don’t know if everyone will find this chapter reasonable, but I’m a little worried because I’m afraid it might lead to misunderstanding that I wrote the protagonist as the Virgin.π_π
Chapter completed!