Needle drop can be heard!
Not long after, Qin Tao took the lead and said, "There is absolutely no one in our department participating in drug rebates."
Sun Binbin also said: "Our department probably doesn't have one either."
"We shouldn't have either!"
"..."
Seeing everyone's unnatural appearance when they denied one by one, Su Mu knew that it must not be as simple as he thought.
"What I want is an affirmative answer, not should!" Su Mu continued, "I know, if I ask you now, you won't be able to give any affirmative answer.
After returning from the meeting, the directors of each department notified the doctors of each department!
Before 7 o'clock tonight, within a year, I, who had participated in the drug rebate, took the initiative to confess to Dean Xue or Dean Gao.
Doctors who don't confess will bear the consequences after being found out. "
"Next, let's talk about the three issues exposed by this incident." Su Mu did not dwell on this issue, but directly moved to the next topic: "The first issue is that doctors colluded with drug manufacturers to sell Patient Benefits.
The second problem is that unreasonable expenses have greatly increased the burden on patients.
The third question is whether the operation process is reasonable and whether the use of surgical consumables is appropriate.
What are your thoughts on these three questions? "
It was Qin Tao who was the first to stand up and said: "Let me start by throwing bricks to attract jade, a few immature suggestions, just for your reference."
"Everyone is brainstorming, and if you have any ideas, just say it."
"In view of the problems exposed by this incident, I think our hospital should implement the separation of medicines." Qin Tao suggested.
"Separation of medicine?" Su Mu asked, "What does this mean?"
"So far, our doctors in Longguo have the right to diagnose and prescribe." Qin Tao said: "This is equivalent to a court having the right to adjudicate and supervise at the same time.
Judge by yourself, supervise by yourself.
Justice and injustice are all in the mind of the judge.
The right to supervise is equivalent to being idle.
This is what we doctors are doing right now.
The doctor has too much authority, so he can't supervise himself, right?
The separation of medicines is different. Physicians have the right to diagnose patients, but have no right to review and dispense prescriptions. Hospital pharmacists have the right to participate in clinical drug treatment, and have the right to review physicians’ prescriptions and preparations, but have no right to diagnose. "
"This is a good idea." Sun Binbin echoed: "Actually, most developed countries in the world have adopted the management method of separating medicine.
We in Longguo have also proposed the 'separation of medicine', but in the end it all came to nothing. "
What Sun Binbin said was very cryptic, but Su Mu still understood the interests involved.
The separation of medicines means that medicines are sourced from medicine sales companies, and hospitals do not sell medicines.
In the current Longguo, hospitals are actually responsible for the sales of medicines.
Pharmaceutical sales are still the fat of the entire hospital.
The interest relationship among them can be described as complicated.
The separation of medicines has been proposed so many times, why did it end without a problem?
The reason is simple. Hospitals are unwilling to give up drug sales, and drug manufacturers are unwilling to enter a fair market competition. Therefore, some practitioners advocate that "separation can only lead to higher prices" as an excuse for not reforming.
In short, those with vested interests do not want their own interests to run away.
But Su Mu is not afraid!
Su Mu didn't intend to make money at all.
Since the separation of medicines can also play a supervisory role and provide patients with better medical services, why does he disagree?
"Separation of medicine, this is a good suggestion." Su Mu continued to ask: "Does anyone have any other suggestions?
For example, as mentioned in the video, the problem of increased unreasonable spending by patients. "
"I'm afraid it will be difficult to solve this problem." Gao Hai said: "The diagnosis of the disease is a difficult problem, and the reliability of the diagnosis must be ensured first, in addition to the accumulation of experience.
Many technical means are also required.
Sometimes, technical means may not be able to confirm the disease.
However, the possibility of some kind of disease can be ruled out.
Therefore, in many cases, it is necessary to check a few more items in order to allow patients to receive better diagnosis and treatment services. "
"You all think so?" Su Mu asked.
Xue Zhongnian replied: "Su Dong, in fact, there are not many discussions on this point on the Internet, and everyone knows this truth.
Many people can also understand.
Everyone thinks that if there are too many checks, it should be considered a physical examination.
Facts have also proved that after more inspections, the misdiagnosis rate in our hospital has indeed decreased.
The quality of medical care provided to patients has indeed improved.
In the face of the results, these flaws don't need to be too entangled. "
"Yes! Some patients don't mind!" Su Mu asked: "But this is not an excuse for us to increase the number of examinations."
"Then what suggestion do you have?" Gao Hai spread his hands and said badly, "Anyway, we don't have any better suggestions."
"It seems that you can't think of any good solution." Su Mu paused and said directly: "Then I will say it directly.
Starting tomorrow, our hospital will implement 'see the doctor first, pay later'.
After the patient sees a doctor, if he has any doubts about the content of the examination, he can complain about the questioned consumption.
After the complaint, our Medical Dispute Office will review the related expenses.
After the review is completed, if it is confirmed that the various examinations are not helpful in diagnosing the condition, our hospital should unconditionally exempt the patient from related expenses.
The method of "see a doctor first, pay later" is also implemented in the inpatient department in addition to the outpatient department.
After the operation, patients can complain if they have any doubts about the consumables used.
After the complaint is established, our hospital can exempt the corresponding fees. "
"See a doctor first, pay later?" Gao Hai said in surprise, "Dong Su, there has never been such a precedent in our Dragon Country's medical system.
Everyone pays first and then sees a doctor.
If some patients are seriously ill, they are not rescued.
His family refused to pay the medical expenses, so we can't ask him for it, right?
I think we can charge first and refund later.
If the patient has any objection to the part of the charge, it can be reviewed by the Medical Dispute Office.
After the review, if the complaint is established, we can return it directly. "
Why do you want to 'see the doctor first, pay later'.
That's because Su Mu knew that after the introduction of this clause, there must be some patients who came to see a doctor without spending money to 'skip the order'.
When the time comes, Dawu Hospital will have to pay for all their expenses.
This is what Su Mu wants!
Naturally, he would not agree with Gao Hai's suggestion.
However, if you disagree, you also need a suitable reason.
Su Mu glanced at Gao Hai, and said calmly: "Dean Gao, as a leader, the situation needs to be opened up.
Do you know why we do 'see now, pay later'? "
Chapter 142 Overturning the Rules
Before Gao Hai could reply, Su Mu asked himself and answered, "After the Xindu Daily report was published, the reputation of our Dawu Hospital was seriously damaged.
The public needs us to give an attitude.
An attitude that enables them to continue to trust us in Dawu Hospital.
I think, 'heal first, pay later' can help us express our sincerity.
'Care first, pay later' is more than just a payment method.
It is our Dawu Hospital who dare to be responsible to patients!
Courage to take responsibility!
Allow patients to seek medical treatment with peace of mind. "
"To achieve this goal, the mechanism of 'pay the bill first and correct the error later' can also be achieved." Gao Hai was puzzled.
"Dean Gao, let me ask you." Su Mu paused, staring at Gao Hai and asked, "Is repudiation a low-probability event or a high-probability event?"
"Nowadays, the quality of citizens is generally high, and defaulting on debts should be a low-probability event." Gao Hai replied truthfully.
"'Pay the bill now, fix it later' and 'treat the disease first, pay the bill later' seem to have the same effect.
However, the feeling to the patient is different. Su Mu explained: "Our Dawu Hospital has the power to decide the former, and patients don't have much trust in our Dawu Hospital."
After the launch of this "pay the bill first, correct the error later", it will only be considered as a public relations method of our Dawu Hospital.
'Cure first, pay later' is different.
This payment method gives the decision-making power to the patient, and the patient has an advantage when fighting for his own rights.
I admit that this payment method will inevitably give some speculative patients an opportunity.
But these patients are a minority after all.
Can we deny patients with a high probability of obeying the rules for a small probability event?
Moreover, for those patients who do not pay their bills, we can use other methods to regulate them.
In short, I personally think that it is not worth giving up the trust of most patients in us for the sake of a small number of patients who do not follow the rules.
Therefore, our Dawu Hospital must implement 'treat the disease first, pay the bill later'! "
Su Mu's explanation suddenly seemed to make sense.
In fact, it's all just sophistry.
No matter how good the rules are, they are against gentlemen but not against villains.
Although it is a low-probability event for patients who renege on their debts, even the cost of this low-probability event has to be included.
The gross profit of the medical industry is not high.
The occurrence of one small probability event may damage the profits generated by one hundred patients.
'Treat the disease first, pay the bill later' is definitely a loss-making business!
It's not that Gao Hai and the others don't know this truth, but they can see from Su Mu's attitude that there is no room for negotiation on this matter.
Anyway, Dawu Hospital is the property of Su Mu alone, and if it loses or makes money, it is Su Mu's business alone, and has little to do with them.
Since Su Mu's attitude is so firm, it's not easy for everyone to take Su Mu's face.
Afterwards, after Su Mu discussed with everyone about other issues in the hospital, a new decision was basically formed.
"Dean Xue, Dean Gao, after you go down, make an announcement on the separation of medicines system and the payment method of 'treat the disease first, pay the bill later' and other contents discussed today." Su Mu continued: "After the announcement is formed, at night Released on time at eight o'clock."
"Ok!"
"Okay, that's the end of today's meeting." Su Mu paused, as if thinking of something again, and added: "After returning, all departments will report, and the doctors who have participated in prescribing rebates will report on their own initiative.
Before seven o'clock in the evening, doctors who do not report will bear the consequences. "
After the meeting adjourned, news of the voluntary reporting of medical rebates spread among the doctors at Dawu Hospital.
The entire Dawu Hospital was calm on the surface, but it was turbulent behind the scenes.
Some doctors took the initiative to ask Gao Hai and Xue Zhongnian to explain.
And returned the relevant commission.
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