Make an appointment register who make money of with compensation

Make an appointment, register who make money of with compensation
Make an appointment, register who make money of with compensation
Staff reporter Liu Ping'an and Han Lu "What is the essential distinction of you and number dealer? " "Does the graduate student of Harvard make money by working as a number dealer? Do you think it possible? " Zhang LiGang replies in this way. As liking scalping in core of the group company of state guest of the health hands, Zhang LiGang sells dozens of yuan to them in one hospital of Tianjin to reserving by phone the registration card of thousands of yuan to the media for the last few days, and it is all right to offer " Push into a queue out of turn " The report that the guiding doctor seeing the doctor served is greatly disturbed. A few days ago, when reporters sent a telegram to this company and got in touch and interviewed, Zhang LiGang acted in person, walk up to platform to tell his view on this disturbance from the backstage. Claim Zhang Li who came back home to start an undertaking after medical college left school in Harvard University just said, reserve by phone and register the inexorable trend that is information-based development of the hospital, the patient may not need to go to hospitals to line up to register in person at all in the future, make an appointment and registering. The problem is, it is equal to making an appointment and registering with compensation making an appointment. Register the company and sell the card, hospital and offer expert's brass-wind instrument, health bureau to offer the platform, how did the three sides cooperate? Among them has formed the assigned roller chain of the interests? The reporter launches interviewing around these questions, each side concerned can take great pains to guard a secret to this. The company loves the health card to included in the medical charging item and had not criticized Li Zhang and just introduced, when Internet's economy grew vigorously in the 1990s of last century, he cut off the study and came back home to start an undertaking, have established the health company of loving and participated in the information-based development of the hospital. However, Zhang LiGang finds soon, the information-based resistance of the hospital is too large, are mainly put into a lot, but the allocative decision of the interests does not have any clear file that stipulate that can be ensured. In this case, 2007, like the intersection of health and Company unite the intersection of state guest and the intersection of physical examination and organization of Shanghai, establish love Company, state guest of health, transfer the core business from informationization to physical examination. "In the new company, information turns into a very little business. " Zhang Li just said. Even this business " It is very small " ,Very considerable too in fact. It is reported, love the group company of state guest of the health to have largest seeking medical advice electron in the whole country to register the system, set up cooperative network with more than 400 medical organizations, can book the clinic number of several ten thousand experts in the main city. On the tertiary first rate hospital webpage of big cities such as Beijing, Tianjin, Shanghai, Nanchang,etc., can all see that love the state guest of the health for booking the introduction served. Only in terms of Beijing, when this company gets involved and makes an appointment and registers to serve with compensation in 2007, there are only 16 main lines, 3 servers, have already developed into 160 main lines, 36 servers now, the scale has been expanded by 10 times. Moreover, Zhang Li just claimed, its telephone system was the most advanced in the world. Regard this as the platform, love the company of state guest of the health to introduce 48 yuan, 90 yuan, different reservation registration cards of 3 kinds of price grade of 198 yuan in more than 50 hospitals of Beijing. Zhang Li just said, loved the company of state guest of the health to book registering the information-based project of the all-purpose card to participate in through Beijing. At that time, such respects as making an appointment amount and patient are being complained of Municipal Health Bureau of Beijing proposed the concrete requirement for them, the commercial interest is divided into the respect and has not regulated specifically, that is to make an appointment and register the income served and belong to company completely with compensation. They once suggested to development and reform committee, price department, brought love health card at 90 yuan within the medical treatment charging item several times, but is criticized. Development and reform committee last registration fee of 3 yuan to be that medical treatment charge,other for medical treatment charging item, so refuse to examine and approve. Zhang Li just introduced, in the clinic person of 80 million every year in Beijing, it only accounts for about 1% to book the registering amount, and not only their family participate in, such companies as Beijing is moved, open in Beijing net participate in a manner to reserve by phone and is registered. It verifies, some hospitals in Beijing reserve by phone and register to serve that the reporter investigates, besides the registration fee, should collect than money a lot of of Figo's telephone advisory fees of local call. "The company cooperates with health bureau, whether have paid the earnest money? How does the health bureau prevent the company from encroaching on patient's interests? " The reporter asks. "Originally, the health bureau thought it was good that someone took over and made this platform, did not pay the earnest money. " Zhang Li just said. "The love health card at 90 yuan, do you want to assign a part to the health bureau? " Reporter ask " someone take over make getting good at that time, commercial the intersection of distribution and instead agreement. " Zhang Li just denied the health bureau participated in the distribution of interests. "Can have a look for the media in the cooperative agreements of company and health bureau? " The reporter asks. "Let's wait for the appropriate opportunity. " Zhang Li just thought unsuitable to show the cooperative agreement to the media now. One patient difficult to ask the intersection of helplessness and choice under in fact, a lot of right to love the intersection of health and Carlos to be strange patient. However, most patients thought that it is the service item which hospital developed to love the health card, do not know that loves the the company of state guest of the health. Not long ago, a friend of the reporter's went to one hospital of Chaoyang District of Beijing to do the inspection before production behind being pregnant. Getting up after going to hospitals to line up to register to both fail at 5 o'clock on two days early morning continuously, the staff members who register the window recommend to her one kind of and " love the health card " Reserve by phone by registration card,it is last 90 yuans this kind card not to say, it being needn't line uped to can use by 3 times. This friend is overjoyed, buy one without thinking. However, after buying the card, this friend finds that there are a lot of questions. First of all, it is able to register that can be passed as what is desired and reserved by phone according to this card, because the telephone given on the card is always busy; Secondly, she know at the Carlos make an appointment the ordinary clinic symbol, it depends on those famous experts must still line up, or it lines up to hang and specially need Specialist Clinic to 200 yuan to cost 100 yuan; Finally, the card can't retreat, equal to, spend money in vain right away while being able to register. This friend reaches seeing suddenly on forums of several pregnant women, it is not small number to have likewise puzzled ready-to-be mothers with her, some resell and love the health card on the net. Understand carefully that finds, this kind of card is that one is called loving state guest's sale of company of health, it was not the hospital that offered. "I bought because of believing the hospital. If know this kind of card was done by company, I may not be certain to buy without thinking. " This friend says in this way. Also the patient approves and loves the health card. One does carrying the campstool for needing and encloses the old man that daughters who checks in childbirth period lined up to register to tell reporters: "This hospital is so many people, can not go to the team everyday. Don't mention experts, even if the ordinary clinic is late but hung up either. The number dealer has regarded capital here as the company. In it is in one's hands that they pinch the brass-wind instrument standing in the front every day, sell to nonlocal patient and patient needing badly it at high price. The more people registering are, the more furious they are. Each number dealer has a task every day, few can not finish. In this case, if It can be able to register to love the health card by telephone, and hang 3 times at 90 yuan, much cheaper than a number of 150 yuan of number dealer. " The hospital makes an appointment and registers to come from supply and demand contradiction for February 19 with compensation, the reporter goes to Gynecological and Obstetric Hospital to interview and discover, all a small notice is being stuck behind registering 5 computers display at the window in this institute: " like health reserve by phone the intersection of card and 90 of price, can reserve by phone 3 (from use, calculate for the first time) in the one year ,Each reservation succeeds in deducting 30 yuan, reserve by phone (pediatrics wouldn't make an appointment) 3 days ahead of time ,Do not promise that will certainly make an appointment successfully each time. The clinic does not make an appointment on festivals or holidays. It is easy to buy to consider, sell and does not replace. " "Buy the ID card, gets to the counseling platform and fills in the form to buy if there is not the ID card. " The staff members in the registration office tell reporters. And other problem in card, let, see notice that computer stick to behind one's back, whether to or let to or not to inquire in the counseling platform. The staff members in the counseling platform say directly: "This is company's behavior, can be able to register I can't answer. " "Why interview our hospital? " This listen to this institute one person in charge reporter interview first response after requiring. "The hospital sells the card to the company, whether will cause the patient to misunderstand? " The reporter asks. This person in charge says, it is that the hospital carries out Beijing Municipal Health Bureau " facilities for the convenience of the people " to love the health card Sell, health bureau trust like whom Company, state guest of health, make, implement a lot of years, more than 50 hospitals are using in the whole city. "Why cooperate in hospital and company of health state guest of the love? What is given to the company every day in the hospital? " The reporter asks. The person in charge tell reporter whether manage health of loving people of Carlos on business, other people do not know the detailed conditions. He thinks, loving the service of health card,etc. the reason why exists, the basic reason is that the imbalance between supply and demand is too conspicuous, the same as celebrating the New Year and buying the train ticket at the festival. Over these years, the hospital develops growth not far catching up with the demand. Before 2002, it was 4000 people that this institute gave birth to lying-in woman's quantity every year. And after the new institute is established, double every year, the giving a birth amount was up to 13000 people last year. The hospital teaches looking at in the centre, doctor and nurse's offices and all vacates and makes the temporary sick bed, not enough. Query Do not let the down card be had " Overlord's contract " Hate by " sell out you card",promise it is can able to register but. Do not discuss in the public hospital for the present and let the third party should offer the paid service, this method of yours has the question. " The whole purpose in Korea S. of association's general secretary of Chinese hospital thinks, since a paid service, should promise to serve in place. The company sells out the card, but can't guarantee a patient can be able to register, stipulate again that does not replace, this is not a paid service, there is " overlord's contract " It dislikes. Korea S. the whole purpose say health control, it makes an appointment persons who register to be actually very much sensitive topic in large hospital in paid service that third party offer, the large hospital can not give rare expert resources the third party's carelessly. How does it like Company, state guest of health, and hospital reaches an agreement, he is not OK. But he thinks whether the country allows the third party to offer the paid service for public hospital, there should be a clear statement. Because make an appointment and register the origin in the system of Specialist Clinic with compensation, there is motion at national two Conferences of members of the CPPCC National Committee that proposes cancelling the Specialist Clinic in 2007, in order to stop to book registering to serve etc. with compensation, but a lot of experts do not agree to this view. There has been a experience that has the Specialist Clinic has happened in the hospital for many years in the main committee Wang Lin in Beijing of Jiu San Society. She says, does not support to make an appointment and register to see the doctor with compensation, but firmly object to cancelling the Specialist Clinic because of this too by oneself. Wang Lin thinks, it is the manifestation of distributing medical resources to implement the Specialist Clinic rationally. Such as asthma, it can be in the ordinary outpatient service to make a definite diagnosis of, but should look for experts to make a definite diagnosis of. Cancel Specialist Clinic, turn ordinary clinic into, enormous to waste to medical resource, also will make a diagnosis and give treatment to bring greater uncertainty to disease. The health bureau has already stopped Li Zhang of cooperation with this company just saying two years before, health of liking state guest Company make an appointment, register, serve, participate in the intersection of Beijing and reservation of Municipal Health Bureau register the project of the all-purpose card with compensation. However, Beijing Municipal Health Bureau says, they had already stopped and loved the cooperation of the company of state guest of the health as early as two years ago. According to the introduction of Beijing relevant persons in charge of Municipal Health Bureau, it is difficult to relieved and registered to implement telephone and network and book the original intention registered. Offered by own network of Municipal Health Bureau of Beijing first, with booking the increasing of quantity later, keep the operating cost increasing, there are no special funds to support in the health bureau, so introduce and love social capital such as the state guest of the health to operate. However, love the company of state guest of the health besides cooperating with health bureau, should have the concrete agreement with hospital, the hospital leaves number for them according to certain proportion, but there is few quantity, the situation difficult to ask has not changed at all on the first after all. This causes and loves the company of state guest of the health to sell the card but does not guarantee the phenomenon able to register. So, loved the term of validity of two years of health card of love that the company of state guest of the health pursued in the past, Beijing Municipal Health Bureau stops the cooperation with this company. However, telephone and network makes an appointment and registers the function served and has not cancelled, this is a development trend after all, and the paid service should be all right. Because these services need social advantage to participate in, it must be paid and the social capital participates in providing service. Many cards coexist to cause" The all-purpose card " The difficult unblocked number source is insufficient to restrict and book the main factor registered. The reporter finds in the investigation: Register the most difficult BJ Union Hospital, has not joined Beijing to book and register " all-purpose card " Telephone or it is online systematic in reservation registered letter; Some hospitals only offer the expert's number of reservation of small quantity, even an expert has only a number. So, though a lot of patients have bought the card, it is unable to make an appointment one's own satisfactory expert, have to go to hospitals to line up again. One the intersection of medical matters and the intersection of circle and personage say if according to state between supply and demand, No. source can be divided " the intersection of heat and No. " into , " warm number " With " cold number " . " heat number " Refer to the number in short supply, it is mainly a brass-wind instrument of some famous experts of famous hospital; " warm number " Mean the supply and demand is analogous to or slightly remaining number, it is mainly some ordinary expert's number; " cold number " Refer to the number for overly asking, it is mainly some ordinary brass-wind instruments of medium and small hospital. At present, more than 50 above- third -class hospitals of Beijing, have " heat number " above 90% of the whole city Resources. And register the difficult problem and concentrate on reflecting that hangs " Heat number " It is difficult to have. If " all-purpose card " There is no enough one " Heat number " Resources, can't meet patient's demands, it is difficult to survive finally. It is that doing things in his own way, many cards of the hospital coexist to restrict and book another factor registered. Though more than 50 hospitals have become " The all-purpose card " The member, but there is one's own reservation clothes at the same time in many hospitals The affair goes to a doctor to nip. Some hospitals and two calories can use, but the treatment is different. If the patient buys a visit card of one hospital to need 15 yuan, can make an appointment 5 times, 3 yuan each time. In booking the system, the number of expert who can make an appointment in 7 days, there is 8 - brass-wind instrument of 15 experts every day. And use " all-purpose card " ,Only 1 - brass-wind instrument of 2 experts every day. Obviously, this institute is more favourable to the own reservation system. Other hospitals do not participate in " The all-purpose card " The system, works out one's own independent reservation system. To patient, except bought " all-purpose card " Outside, it will may hang up ideal expert's number to buy the visit card of a lot of hospitals. In this way, have not only bring inconvenience but also increased burden. Select and edit it from author of " People's Daily " of January 19, 2006: It is flat for white sword peak Wang Jun to make an appointment to register commercialization to expose the public beneficial desalinization of public hospital in fact, the number dealer remains existing despite repeated prohibition, behind the ones that registered companies and presented one after another, it is medical resources that supply the insufficient and structural and out-of-balance profound contradiction. Relevant experts point out, " 2008 China's health statistics summary " reveals, the all-inclusive cost of hygiene of our country only accounts for 4.7% of GDP, 7.7% less than 8.8%, 6.5% of Mexico and Turkey of Brazil, are well below the level of developed country. Among them, government's hygiene expenditure only accounts for 38% of the all-inclusive cost of the hygiene, is well below the above-mentioned country's level too. Meanwhile, medical resource 80% centre in the big city, 30% among them concentrate on the large hospital again, the excessive unbalanced problem of constitutive property that concentrate to large hospitals exists, it is difficult to aggravate and see the doctor. "Make an appointment and register commercialization, expose in recent years the public beneficial desalinization of public hospital reduces the question with the fairness. " Deputy Director Chen YueSheng thinks, with the deepening of the medical system reform for the public sentiment of the Chinese Academy of Social Sciences of Tianjin, a large amount of funds expenditure of public hospital must create income by oneself. Some public hospitals begin to excessively pursue the economic benefits, present public beneficial desalinization, question of fairness weakening. Select and edit it from author of www.xinhuanet.com of February 17: Liu YuanXu Zhejiang does not agree with and increase the service that the patient bears As far back as 2005, the department of public health of Zhejiang Province booked and registered and issued the guidance opinion to the hospital, require all types of hospital to book and register the clinic actively, offer public health resources to the public free through various routes; Hospital make an appointment, register, should face all the public, expert symbol can't monopolize any other unit and individual; Adopt the system of real name while making an appointment, namely the patient's name of making an appointment keeps the same with name on the case history at the time of the visit, reflect the fair, just, open principle; All medical organizations make an appointment and register, charge according to the fixed price and can't charge any additional expense to the patient again. The Hangzhou person in charge of Municipal Health Bureau took a stand at that time, registered on the net, the method to collect the service charge belonged to and aggravated the burden which asked the doctor in a disguised form, and lead to the fact it is not a member's patient that hangs expert's phenomenon with more difficult number to a certain extent. " increase the service that the patient bears, we do not agree " . Select and edit it from " China Youth News " author of June 28, 2005: Square green ink Fuzhou Dong, phoenix of cloud, shout and park making an appointment and registering with compensation progressively To the question that the intermediary collected the service charge of the high price, Fujian Province Fuzhou Municipal Health Bureau has issued and strengthened the method of registering management of the hospital too, reaffirm that the management subject registering is the hospital to make an appointment. The next step, the Ministry of Health of this city will standardize even ban the reservation intermediary not possessing qualification and arbitrary charge one by one. Fuzhou Municipal Health Bureau thinks, no matter ordinary clinic number, it is public resources or the expert specially examines number, can't bring and sell at high price or sell in a disguised form. The method that this Municipal Health Bureau issues still stipulates, from first quarter of 2010, making an appointment and registering will serve and will be organized by proper motion of hospital, and generalize to second hospital progressively; Medical organization or registering and serves by the reservation which the intermediary entrusted launches at present, stipulate according to " provincial notice of medical service price of medical organization of Fujian " that Price Bureau of Fujian Province, department of public health print and distribute strictly, only collect and register the relevant expenses, can't increase the charging item without authorization; The medical organization should offer basic medical treatment service to the masses fairly, can't implement VIP system; Entrusted and make an appointment and register the intermediary served, can't check the reservation service which treat the project, can't make use of booking and registering the name served and carrying on paid health consultation still more. Select and edit it from author of " daily of Fuzhou " of February 23: Xie Wei makes an appointment and should shout to register in an all-round way and anchor some hospitals and register the company and always beautifying the paid reservation to register with compensation, but reality is not optimistic. Register the company and ask an exorbitant price, has already let the patient suffer unspeakably. On some guiding doctor websites, " service charge " registered Several numerous thousands of yuan easily. These extra expenses, make the patient's medical cost increase suddenly and violently. So-called " make an appointment, register, solve, go to a doctor difficult with compensation " ,It is a baseless gossip even more. Have media report some hospital register the company the intersection of expert and the intersection of symbol and 1/3 of source. The outflow of the number source, make the success rate registered at the window reduce again. A few patient enjoy VIP of Xin Shu, serve, be set up in more patients above being painful and deeply worried. A few fat people, but let public interests be damaged. It is obvious, it is greater than the profit to make an appointment and register the fraud with compensation. In fact, since booking registering to present with compensation, the sound lashed out to this phenomenon has never been stopped on the media, network. As to this, the Ministry of Health should not continue turning a blind eye. Obviously violate the method public beneficial, to trample on weak patient's interests of medical organization as to this, ought to be overall to let to stop. Select and edit it from " The Beijing News " editorial of February 18 To " peddle medical resources " The public hospital develops in country's long-term investment step by step to have an operation, and is enjoying every preferential policy in the country. Medical resources of the public hospital have characteristic of distinct public resources. And public resources, to the public service, it should be equal. Some public hospitals betray expert's brass-wind instrument at high price, its essence is to betray public resources. The public hospital betrays medical resources, it is occupying illegally to public resources, and " dealer's grouping of number " And with the cooperating of the public hospital, it is " act in collusion with each other " occupying public resources with hospital Behavior. The new medical reform scheme has proposed a lot of measures to the difficulty and high cost of getting medical treatment of the patient, have, speculate the intersection of expert and symbol publicly to public hospital only, this institutionalized behavior, put forward the counter-measure unequivocally. Therefore the author thinks, the medical reform should be to " peddle medical resources " Have an operation! Select and edit it from " Guangzhou Daily " author of February 18: Xia HuiPing Beijing Buying to sell number and making an appointment has essential distinction Pass the informationization in Beijing The means booked registering to serve to start in 1995. Over 30 large-scale tertiary hospitals of Beijing area were in order to meet the masses' registered letter demand at that time, launch by oneself successively or reserve by phone and register to serve with running company's cooperation. Because serve by hospital, there are different reservations to register the telephone number in each hospital, serve form and time slot and have nothing in common with each other. A few hospitals develop the system by oneself, offer service of making an appointment and registering. Reservation that cooperate with hospital register, run company, have Beijing remit people Science Technologies Co., Ltd. and the intersection of Beijing and Science Technologies Co., Ltd. in being rich mainly at that time, the former signs in the way to provide service with the telephone, the latter provides service by way of adopting signing by cooperating with bank. In 1999, Beijing Municipal Health Bureau website opened the concentrating on network and made an appointment and registered to serve. After the system opens, successively had more than 50 hospitals to participate in, including the main tertiary first rate hospital and some big section hospitals. Making an appointment registers and serves and offers a new registered letter way to patient, gave and went to a doctor in varying degrees the crowd provides convenienced. But with the continuity of running time of the system and increase of user's quantity, make an appointment to register and serve the requirement that can't already meet users in many aspects originally, no matter company or hospital own reservation registered letter system runs unable to make ends meet, the system runs development stagnates and shrinks gradually. In May of 2005, liked health company's taking over Beijing and booking and registering the project of the all-purpose card. Through unite, financing which form present state guest of love health group company this, register to develop into health control, health physical examination from making an appointment too in company's business content; Serve the place to expand from Beijing to main cities such as Guangzhou, Shanghai,etc.. So far, though several companies offering service of making an appointment and registering exist in Beijing yet, but love the plentiful cooperative hospital of group of the state guest of the health, serve the biggest coverage rate. In 2006, Beijing Municipal Health Bureau information center and Beijing hospital managed the research institute to combine and make up information center of the public health of Beijing, and with loving the health company to sign and stop the cooperative agreement. Except that keeping booking in the websites of health bureau is registered and is chained, planning and operation of all services are to love company's behavior of the health and undertake relevant responsibility independently. On February 25 of 2009, Beijing Municipal Health Bureau releases the above-mentioned explanation to the media, in order to respond the relevant report that the media registered in making an appointment. Mention phone / network have policy bases to register 3 yuan / charge once to make an appointment among them, buy to sell number and make an appointment to register essential distinction. Beijing the intersection of public health and information center submit the article, make an appointment, register in conformity with the norm but not shout and parks truly with compensation, the expert makes an appointment and registers the principle that commercialization is unfair, but it can really meet some people's demands. It can make those not have ordinary patient, patient in the other places that back door can be driven, can spend money hanging up expert's number, get expert making a diagnosis and giving treatment in time. Why is commercialization popular that the expert make an appointment and register? Why become the general phenomenon? Because people need. So, why commercialization we think the expert has booked number. I think, solve doctors and patients' imbalance between supply and demand, the one that need going medical resources invest proportionally, foster " right way " of weak medical links in a more cost-effective manner . However, in this " right way " When not becoming level road yet, there can only be experts to make an appointment and register commercialization this kind has diminished fair very unwise move. President this register practicing backdoorism and ticket scalper buy to sell number better lots and lots of. What the administrative department wants to be is to standardize management at the price booking registering at the expert, book the commercialized proportion registered of the expert to control within the specific limits. Select and edit and guide the author of website of community since February 19 triumphantly: It helps to look after the authors of disadvantaged groups and use and book the registration card when pregnant last year that black carp's lake management is apt. Want, get hospital check do pregnant, often at that time, parents, around, it is also very busy for husband to work, go to the hospital alone most time. There is this kind of card, so long as it is able to register to make an appointment several days before checking, can remove me from getting up the hospital very early each time, two or three pieces of hour's bitterness that pregnant to line up. Therefore I think of a lot of old man, they with obviously disadvantaged groups, certainly not so good as young people in view of physical power and meeting the extremely noisy environment, if just fair and reasonable everybody line up equally, then this can be regarded as another kind of unfairness to old man and child? Have an empty nest of old men now, children around, fall ill, get up like young people arranging how much hours team,etc. register early in the morning? I thought, should treat to register with a certain discrimination to making an appointment. If management is apt, it can well become the effective way to look after the disadvantaged groups. For example, register age limit in making an appointment, only permit the old man to buy and and should adopt the system of real name, the special card is specialized; It is specialized that the pregnant woman wants the special card too card, and can only hang the gynaecology and obstetrics; The hospital assigns to the clinic brass-wind instrument, especially Specialist Clinic number resource rationally, can't exceed certain proportion; The number of booking the registration card user must be behind the persons who line up to register, can't " push into a queue out of turn " ,Let alone arrange in the front directly; All patients are equal without exception, never allow the hospital to register the corporate client and look after specially any in making an appointment. In a word, want, think about method strengthen management, it seems to be should make an appointment, register, ask, park in an all-round way with compensation more. Select and edit it from " The Beijing News " author of February 18: Zhang Xin solicits


|