A group of industry big curry call: doctor evaluation to be clinical!

The author |Linxi a group of big curry directly refers to the doctor evaluation mechanism unreasonable" the existing evaluation system rated a lot of big doctors, but precisely will not see a doctor, evaluation of a lot of high biological technology doctors, but will not communicate, will not communicate, will not care, this is not welcome by the people.
" at the Caixin summit held on November 14th, Liang Wanying, executive vice president of the Vanke School of Public Health and Health at Tsinghua University and former director of the National Health and Health Commission's Physical Reform Department, said.
he said that the existing doctor incentive mechanism needs to be changed, should not be based on education, the number of patients, the publication of papers and other factors as a criterion, but should pay more attention to whether doctors are the people want good doctors.
also suggests that the inherent medical model should be changed, not doctor-centered, patient-centered, people-centred, disease-oriented and health-oriented.
the concept of good doctors changes, the evaluation and evaluation of doctors will change.
fact, not only Liang Wanyian, in recent years, a number of industry big curry have been in public directly pointed to unreasonable doctor evaluation mechanism brought about by the drawbacks.
Qin Boyi, a member of the Chinese Academy of Engineering and former president of the Institute of Military Medicine, has published in Science and Society the reflection on the withdrawal of the paper: China's clinical medical degree system needs to be reformed, pointed out sharply the embarrassment caused by unreasonable evaluation system to young doctors.
he introduced that papers, degrees and job title promotion and treatment, which formed a "chain of interests", in the interests of today, young doctors can only revolve around this "chain of interests."
Cai Xiujun, director of Yifu Hospital of Zhejiang University, has also pointed out that the paper-oriented evaluation system has had adverse consequences, should be used classification evaluation, the general assessment of doctors, should be dominated by medical skills and clinical performance, the paper can not be required.
, vice president of the Rocket Army General Hospital, has also veung a resering of the current title system.
he believes that many doctors are forced by the title review system to scientific research fraud, and even buy papers, their jobs have been lost, not worth the loss.
"Good doctors should be measured by clinical levels and surgical levels, as well as patient word-of-mouth, not by SCI articles."
" and well-known cardiologist Professor Hu Dayi, "let more doctors feel at ease to see a doctor" has aroused strong concern in the industry.
Hu Dayi believes that the heavy SCI paper, ignoring the clinical, is the end of the inverted, and ultimately suffer a big loss is the patient.
he also said: "The title review should have a distinction, when doctors do not focus on SCI but on clinical, to the attending doctor on the line, do not engage in deputy chief physician."
Title review reform on the road in fact, as early as the two meetings in 2015, Premier Li Keqiang pointed out that the medical title assessment is related to the overall situation, some doctors "thesis is well written, but the operation is not done well, the patient's problem is not solved", this is just a "flower shelf", when the relevant departments are required to pay attention to and study to solve this problem related to people's lives and health.
In early 2017, the General Office of the CPC Central Committee and the General Office of the State Council issued the Opinions on Deepening the Reform of the Title System, which carried out a substantial reform of the evaluation of doctors' job title and the shackles of papers, when the document had proposed that hospitals and medical schools should evaluate their own title, and even the performance of multi-point practice and entrepreneurship can be evaluated.
At the executive meeting of the State Council held in September 2020, the Premier once again proposed to establish a clinical practice guarantee mechanism, strengthen the clinical teaching function of university-affiliated hospitals, promote early clinical multi-clinical repetition of medical students, carry out capacity-oriented examination evaluation reform, and promote the evaluation of the title of outstanding clinical practice.
On the one hand, the relevant departments of the state are vigorously reforming the conditions for the evaluation of medical personnel's job title, decentralizing the evaluation authority, taking Zhejiang as an example, from 2018, Zhejiang Province's senior health title evaluation authority has been decentralized to the three-level hospital, the provincial Center for Disease Control and Prevention and the leading hospital level of more than two (inclusive) county medical community, the implementation of independent evaluation of units.
some large private hospitals in the future will also be awarded the autonomy of job title evaluation, their own evaluation, which will completely break the existing private hospital title evaluation disadvantage.
On the other hand, more and more young doctors are using practical actions to break through the traditional job title evaluation system, no longer willing to through more than a dozen or twenty years of youth in the system to return a vice-high, high title, but after promotion to the main treatment, choose to go to the market, join the community to run a doctor.
Xu Weicai, a columnist for "Looking at the Medical World" and deputy director of the Health and Wellness Bureau of Shanyang County, Shaanxi Province, said, "Patients' choice of doctors is never to see the title of the high and low, but depends on the doctor's reputation, the ability to eat with true ability, is conducive to the real scholars stand out."
" Xu Weicai believes that the reform of job title evaluation, decentralization of evaluation power is a good thing, and may also break the situation of salary by title, which is conducive to medical personnel out of the unit into a "social person" capable of eating with real skills, rather than relying solely on job title certificate.