Cough cough cough!

When a person who had first contact with him stared at him with such naked eyes, Huang Su felt a little strange. He coughed twice to relieve the embarrassment.

Li Weiying didn't feel anything strange. This plan had been conceived in his mind for a long time.

Now it is time for him to become the director of the municipal hospital, and the Health Bureau is dissatisfied with the current internal dissatisfaction of the municipal hospital and officially realizes its ambitions.

Seeing Li Weiying still staring at him, Huang Su moved his body slightly.

"Director, there is no problem for you to let our Chinese medicine department pilot."

Feng Su paused for a moment and said, "But, you can't be too hasty about this."

Hearing the twists in Huang Su's words, Li Weiying frowned in a flash.

Li Weiying has long formed a feasible plan for this treatment-paying plan.

Hearing that he couldn't be too hasty, Li Weiying thought that Huang Su would resist and cooperate like other department directors.

"Director Huang, why not tell me your opinion."

Huang Su was thinking in his mind how Li Weiying's plan was implemented in the Chinese medicine department, but he didn't listen to the abnormality in his tone.

Li Weiying's plan is very similar to the future payment plan for efficacy, but it still uses different places.

Flavin combined with the understanding of the efficacy payment in his previous life, he sorted out a general idea in his mind.

"Director, the workload of your plan is too large and not something that our hospital can implement. Even if we use the entire health system of Grassland City, it will be very difficult to implement, let alone achieve results in a short period of time."

"The scores for each condition are formulated, and the scores of each diagnosis group, and the ratios of scores and diagnosis fees are required."

Twenty years after the development of computers and big data, in the richest Jiangsu, Zhejiang and Shanghai, China, the first batch of diseases only selected 22 major diseases for pilot projects in traditional Chinese medicine.

Li Weiying thought that Huang Su was perfunctory to him, but she didn't expect that she would really speak out.

"Director Huang, you continue to talk."

The unhappiness in his heart just now disappeared soon. Li Weiying felt that she had met a confidant today, and many opinions coincided with her, and urged Huang Su to continue talking.

Based on the knowledge of later generations, Huang Su continued: "If you want to fully implement your plan, in addition to solving information storage and huge statistical operations, you must also cooperate with a complete medical insurance system. With the current national medical insurance system just established, it cannot bear your plan at all."

"Director Huang, your thoughts coincide with me, I have thought about these issues."

As he said that, Li Weiying sighed and said, "I didn't think of pushing it away in one step, so I chose the most common disease from each department as a pilot, but it was opposed by all departments of the hospital."

"In recent years, the trend of commercialization of hospitals has become more and more obvious, and the burden of patients' treatment is getting heavier and heavier. The plan I envisioned can completely balance the interests of patients, doctors, and hospitals. As long as the results are seen, I believe that my plan will be promoted, but I did not expect that the first step will be very difficult."

Flavin is very clear about what Western medicine is about paying for efficacy.

It is because Western medicine strongly opposed from top to bottom that during the pilot demonstration period, the efficacy payment was originally planned to be piloted in hospitals with two medical systems of traditional Chinese and Western medicine, but it was changed to pilot only in hospitals with traditional Chinese and Western medicine and hospitals with integrated Chinese and Western medicine.

"Director, you chose the Chinese medicine department for the pilot program, and I fully support it."

"As a medicine supported by theory, traditional Chinese medicine can clearly know how the symptoms improve during the treatment process of patients taking medicine. This is the advantage of traditional Chinese medicine implementing your plan. The diagnosis nodes are easy to divide and the treatment effect is clear."

"But there are also disadvantages! Traditional Chinese medicine is a general practitioner. If you want to fully implement your plan in the Chinese medicine department, the workload and difficulty of work are no less than the implementation of a complete Western medicine system. To be honest, it is simply a fantasy with the current manpower and material resources of the Chinese medicine department."

This is also the main reason why Western medicine strongly opposes payment for efficacy, because Western medicine does not have its own theory and there is certain uncertainty in the process of treating diseases.

Especially in Western medicine, it is very common for minor diseases and serious diseases to repeat them. It is impossible to clearly divide the treatment nodes, let alone implement the efficacy charges.

"So that's how it looks. I really didn't think about it so much."

After listening to Huang Su's analysis, Li Weiying fell into deep thought.

Li Weiying is also from Western medicine and does not know about traditional Chinese medicine. After listening to popular science of Huang Su, he knew that he had thought simple about the problem and simple about traditional Chinese medicine.

"Director Huang, I am a Chinese medicine expert. Since I cannot fully implement my plan in the Chinese medicine department, can you choose three to five common Chinese medicine diseases? Let's do a pilot first."

Flavin is still very interested in the efficacy charges.

Before rebirth in the previous life, I only knew about the efficacy and fees, because it was piloted in Jiangsu, Zhejiang and Shanghai, and I did not participate in it myself.

In this life, if you explore it yourself, the model of Chinese medicine efficiency and fee will be released in advance.

Faced with the siege of foreign Western medicine and Western medicine capital, traditional Chinese medicine also has a powerful tool to fight back.

If you want to slander traditional Chinese medicine as a placebo, you can use the efficacy fee to make the most effective counterattack.

Li Weiying looked at Huang Su and said her new ideas.

Huang Su said in contemplation for a while: "It is very satisfying to choose common diseases. As long as you choose common diseases in the Northeast region, you can do it. The patient base of these diseases is large, which can better highlight the pilot effect."

Before Huang Su finished speaking, Li Weiying interrupted happily: "This proposal is good, so it can better highlight the effectiveness of the implementation of the plan."

Looking at Li Weiying's excited look, although Huang Su couldn't bear to break his good mood, he still told the truth: "Director, if you only choose three to five types, it is very difficult for you to implement your charging model in the municipal hospital. The three or five types of cases are not convincing at all."

Li Weiying waved her hand indifferently now and said, "I really want to fully promote my charging model. You have also said that all aspects are immature. Now I just want to attract the health department to pay attention to this charging model through the pilot effect. One day I can really fully promote it, which is my contribution to millions of patients."

Li Weiying's sincere words also touched Feisu.

Huang Su couldn't help but ask: "Director, then how do you plan to sort out the phenomenon of the hospital's over-pursuing commercial benefits now?"

Li Weiying began to use efficacy charges to change the current bad habits of the hospital. The cost model of efficacy charges cannot be implemented, so there is no question of correcting the bad habits of the municipal hospital.

Li Weiying's face also became heavy, and she sighed and said, "I'm thinking of other ways to do this with the leaders of the hospital."

Li Weiying was under great pressure to be the director of the city hospital.

Before Li Weiying took office, the leaders of the Health Bureau repeatedly emphasized the need to change the bad habits of the city hospital.

This is also what Li Weiying, as the director of a city hospital, needs to produce results as soon as possible.

But after talking to so many department directors, I felt their inner resistance.

Li Weiying knew that this was not as easy as she thought, so she took out her immature efficacy charges.

We hope that through this charging model, the appearance of the city hospital will be completely changed.

The new charging model cannot be implemented, and Li Weiying has no other way for a while.

Seeing Li Weiying sighing at a loss, Huang Su could understand Li Weiying's difficulties.

It is impossible to close and correct one's desires after they are opened.

After a short contact, Huang Su could understand what kind of person Li Weiying was.

In the current medical industry and the environment of developing towards business, people who can consider problems from the perspective of patients are already in vain.

Huang Su couldn't help but say: "I have experienced the entire process of the ideological changes of the city hospital, and I also have some thoughts in my mind. I wonder if the director wants to hear my opinion on the current situation of the city hospital."

Li Weiying's eyes lit up instantly, she sat up straight and said, "Director Huang, please tell me, I can't ask for anything."

If all the doctors in the department of the city hospital are immersed in the pursuit of money and cannot extricate themselves.

Then, traditional Chinese medicine is the white lotus in the sludge, and Li Weiying will naturally attach importance to the idea of ​​flavin.

Looking at Li Weiying's look at her listening with scruples, Huang Su sorted out her thoughts in her mind and began to tell her own opinions and thoughts.

"There have been debated for many years whether the hospital is marketized. The original President Liu was just a staunch supporter of the hospital market. He just did it more thoroughly, treating the hospital completely as a company, and pursuing all interests, completely forgetting the fundamental attributes and functions of the hospital."

Listening to Huang Su’s story, Li Weiying nodded in agreement.

With Li Weiying's consent, Huang Su boldly said: "When all medical staff get benefits from commercialization, people's selfish desires are completely relaxed."

"In addition to the hospital manager, hospital procurement, pharmacy manager, outpatient doctor, individual doctors accept commissions from prescriptions from pharmaceutical factories and drug dealers or receive rebates from pharmaceutical factories and drug dealers. These drugs with higher commission rebates are often new special drugs and expensive drugs."

"In order to satisfy personal interests, they purchase and use these new special drugs relatively concentratedly when taking medicine and prescribing medicines. For example, for a patient, they can use ordinary penicillin to treat it, but they prescribe Pioneer Chrysanthemum, which increased the cost by ten times. You can see that all the drugs in the city hospitals are replaced with expensive new drugs. There is no old medicine that has been used for many years without good and cheap."

"In this environment, it is only inevitable that the Cao Zhengchun case will appear."

Li Weiying sighed and said, "Director Huang, I have examined what you said after taking office. It is indeed as you said, the chaos in the hospital now comes from the word "interest".

"The word "interest" sounds simple, but it is not easy to change it. Throughout history, many dynasties and many failures of reforms all stem from interests."

Huang Su said: "I want to change the current chaos in the city hospital, but I have a few immature ideas."

Li Weiying hurriedly asked, "Director Huang, you might as well speak boldly and let's discuss it together."

Huang Subian said: "You have the determination to change the hospital, and we have the foundation for victory to ensure that the new policy is implemented."

"My first idea is that the hospital set up a drug procurement committee to implement centralized drug bidding and procurement. After the bidding is transparent, the phenomenon of units and individuals getting kickbacks when private contact with vendors and buy drugs is eliminated; seriously investigate and punish inflated drug pricing, and fundamentally eliminate the space for commission kickbacks for drug sales."

Li Weiying pondered for a while and saw that Huang Su really came up with a feasible plan.

Li Weiying stood up happily and said, "Director Huang, wait a moment before talking. I'll call Secretary Zhang over and let's discuss it together."

As he said that, Li Weiying quickly walked to her desk and called Zhang Qiian’s office.

Not long after, Zhang Qiinian knocked on the door and came in.

Li Weiying enthusiastically took Zhang Qiinian's hand and said, "I chatted with Huang Su. Director Huang's many ideas have inspired me a lot. If you don't ask you to come here, you can also refer to it."

Li Weiying said the idea of ​​Huang Su to bid for unified procurement of medicines.

Zhang Qinian looked at Huang Su in surprise and said, "Everyone knows that Director Huang is a famous doctor in our grassland city. I didn't expect that Director Huang has such high ability in hospital management, which makes Director Huang a little embarrassed as the department director."

Zhang Qienian sat affectionately on the other side of Feisu and sandwiched Feisu in the middle with Li Weiying.

It can be seen that in changing the bad habits of the city hospital, Li Weiying and Zhang Qieni stood together.

Huang Su said humbly: "Secretary Zhang, I know how much I have. It's okay for me to see someone for medical treatment. I'm thankful if I don't manage the hospital in a mess."

Huang Su said that this policy has become very common in later generations. Many urban hospitals have large-scale procurements under the management of the Health Bureau. For this reason, many health bureaus have drug bidding and management departments.
To be continued...