Release date: 2015-08-12
Nowadays, taxis, meals, bookings, shopping, etc. will provide an evaluation system. With the deepening of medical reform and the impact of Internet medical care, medical service evaluation is receiving more attention. Many local governments are using medical service satisfaction assessment as a hospital assessment standard. But can medical service evaluation be effective in the current China? What basis should the medical service evaluation be based on? What is the proportion of patient weight?
Medical service evaluation is difficult to achieve in China at the moment
Which hospital in Shenzhen is satisfied with Shenzhen? A few days ago, the Shenzhen Health Planning Commission announced the results of the public satisfaction monitoring of the medical industry in the second quarter of 2015. Among the 118 hospitals that participated in the satisfaction monitoring, five hospitals including Shenzhen Zhongshan Urology Hospital were among the best, while Shenzhen Yuanda Anorectal Hospital Five hospitals were notified of criticism due to imperfect patient information data.
Although in the long run, medical service evaluation will be an indispensable part of the medical system in the future, especially under the patient-centered system. However, the evaluation of medical services in China is difficult to achieve results, and can not really promote the improvement of medical services.
First, the hospital has no motivation or ability to improve its services. In China, hospitals rely on the level given by the government to obtain all kinds of advantageous resources and talents. The doctors belong to the establishment of the business, and their income is not from the service fees. Moreover, in the face of the daily situation of a large number of unfamiliar patients, the hospital's service ability is always solving the needs of patients quickly, so that no service at all.
Second, the lack of medical standards and service specifications leads to the lack of standard of evaluation. To evaluate hospitals and doctors is not only the quality of their service attitude, but more importantly, the level of their service capabilities and the accuracy of their treatment. However, China has long lacked standardized guidelines for clinical pathways and objective and effective medical payment standards. In the absence of standards, it is difficult to make an appropriate and clear evaluation of medical services, and can only provide evaluations from their own impressions and subjective feelings, and such evaluations are difficult to be an effective guide for other patients to seek medical care.
Finally, when faced with a strange doctor, the patient is unable to understand and judge the pros and cons of the doctor. The hospital's reputation and the doctor's title can only be used to judge the doctor's good or bad. This further reduces the hospital and doctor's recognition of service evaluation.
Due to the lack of graded medical treatment in China, the relationship between doctors and patients has long been in a strange state, and patients have no understanding of doctors. Moreover, due to the lack of an objective evaluation system, even if there is an evaluation content, the patient is still unable to judge the validity of the evaluation. Therefore, under the current system, medical service evaluation is difficult to really develop.
What basis should the medical service evaluation be based on?
The service evaluation system needs to be established after all, which is also a necessary means to enhance the classification and treatment, ease the contradiction between doctors and patients and improve the management of efficacy. In order to achieve breakthroughs in medical service evaluation, it is first necessary to establish standardized clinical pathway guidelines and national payment standards. Only with these two objective standards can the evaluation of medical services be objective and effective, and can be recognized by both doctors and patients.
The construction of a graded diagnosis and treatment system is the most effective driving force for the evaluation of medical services. However, the premise of establishing a graded diagnosis and treatment is that the doctor's ability of primary medical care obtains the trust and recognition of the patient. The diagnosis and treatment capacity of grassroots doctors in China is currently questioned.
China's medical system is an administrative hierarchy that leads to a lack of high-level doctors at the grassroots level. The medical institutions in the same area are divided into first-level, second-level and third-level, and each level is divided into A, B, C, etc., corresponding to different administrative levels. The higher the level, the more resources the government allocates, the more financial investment, the larger the land occupation, the higher the equipment, the higher the doctor's salary level determined by the government. In this case, the higher the level of doctors, the higher the level of hospitals will be gathered, and the patients will eventually gather.
Therefore, although some places try to guide patients to stay at the grassroots first consultation by pulling the proportion of medical insurance reimbursement between the grassroots and the hospital, such practice does not work in practice. How to improve the ability of doctors in primary care is the key.
What is the proportion of patient weight?
Medicine is a complex subject, and doctors are masters of medical technology. Even the simplest diseases may have different outcomes due to individual differences, and doctors' treatment techniques may vary and costs may vary. But these are not fully understood by the public.
Medicine is not a business that “sees a good disease when it costs money.†In the establishment of the relevant medical service evaluation system, “how much the patient’s evaluation of the doctor should account for the entire evaluation system†is a question worth considering. Taobao-style "buyers' reviews" will never apply to the medical industry!
Source: Global Medicine
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