I can talk to my internal organs

Chapter 184 Six Standards of Healing

"It's okay for you, kid, to play so big when you come up?"

When Huang Fusheng saw this disease cure evaluation system, he couldn't help laughing. The rule of refunding money seems simple, but once it is implemented, it will cause all kinds of troubles.

"There must be a standard for this to be cured." Shen Congwei said.

Lu Jiudao, "Of course, it is written below that there are six criteria for a cure. First, whether the patient can sleep until dawn without waking up halfway through; second, the patient's appetite is normal; third, the hands and feet are warm, and the head, face and body are cold; fourth, every day One stool, the color is light yellow in strips, and does not stick to the urinal; Fifth, urinating five to seven times a day, the color is light yellow and transparent, no nocturnal urination, continuous urination; Sixth, the spirit is good during the day, and will not feel sleepy for no reason."

"Within three days, if the patient tends to improve towards these six criteria after treatment, it means that there is a curative effect. Then, according to the doctor's diagnosis, the disease can be divided into Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, According to jueyin, how many days does it take for a disease to be cured, if it exceeds, it is considered uncured."

"Of course, the specific situation is analyzed on a case-by-case basis. If you do encounter some rare diseases or diseases that doctors are not sure about, you can transfer them to other doctors. If all the doctors in the hospital can't achieve results, you can persuade patients to go to other hospitals for treatment."

Huang Fusheng asked, "What if the patient does not cooperate with the medication?"

Lu Jiu smiled and said, "This is the second system I want to build, decocting medicine. This model is available in many hospitals now, but it is too simple. I don't think it should be just a simple service."

"On the one hand, there are many Chinese herbal medicines that are not allowed to be used more than prescribed by the Pharmacopoeia. If they are prescribed to patients at random, the hospital will be responsible for any accidents. Forget to take your medicine."

"Replacing the decoction can solve these three problems. First, ensure that the medicinal materials will not harm the patient. The hospital can also compare the doctor's diagnosis according to the medication records, and supervise whether the doctor prescribes the medicine reasonably; Supervising patients to take their medicines plays a role in recording the regularity of their medications. If a patient fails to cure their illness due to frequent medications, the hospital will have excuses; third, the efficacy of medications can be monitored in real time to ensure transparency of information between doctors and patients.”

Hmm, this is good.

Huang Fusheng turned a few pages later, and also saw the decoction system written by Lu Jiu, which charges five yuan per payment, which is not too much, and most patients should be able to accept it.

"Huh? Medical cost system, why do you set the diagnosis cost so high?" Huang Fusheng asked.

"Let me see, fifty, isn't that high, huh? The diagnosis is incremental, the more patients are cured, the higher the diagnosis fee?" Shen Congwei's eyes lit up.

"This explanation explains." Huang Fusheng became interested.

Lu Jiu nodded, and then said, "Emphasis on diagnosis and not methods. This is the greatest respect for a Chinese medicine doctor. The core of Chinese medicine is syndrome differentiation. If the syndrome differentiation is correct, medicine and acupuncture will follow. If the syndrome differentiation is wrong, no matter how sophisticated the method is, it will be useless."

"The diagnosis of Chinese medicine is like the examination of Western medicine. The biggest profit of the hospital comes from the examination. This is also because they must rely on expensive equipment and instruments to perform medical methods, but Chinese medicine does not need it. It only requires a lot of thought from one person. Come to study medicine, so re-diagnosis is to allow qualified doctors to get more remuneration, and at the same time avoid the disadvantages of relying on medicine to support doctors."

"How much money you want to take depends on how many patients you want to see. It's as simple as that."

Many people, even patients, have fallen into a misunderstanding, that is, they think that if they go to the hospital, they have to pay if they are not optimistic. After all, doctors have hard work without credit, right?

But where is the hospital?
It is a place to treat diseases. Is it reasonable for your hospital to charge you money if you can’t treat diseases?

It's like I bought a refrigerator and it doesn't cool, but the parts on it are very good and there is no problem, so should I not return it because these parts are no problem?

It is the most basic truth to be in one's place and seek one's job.

Of course, this is also related to the long-term propaganda by relevant media and hospitals that many diseases cannot be cured, so the inability to cure diseases in hospitals has also been rationalized.

Chinese medicine also has many diseases that can’t be cured, but you have to say if you can’t cure it, you can’t charge money for knowing that it can’t be cured, right?

The disease cure evaluation system conceived by Lu Jiu is to explain a principle, I will collect the money if the cure is good, and I will refund the money if the cure is not good, so you can rest assured that you can leave with peace of mind, we do not kill patients.

"Well, more work pays more, yes, this is quite a breakthrough. The diagnosis fee is not based on the professional title, but on the patient, so that the doctor's interest is linked to the patient's health instead of the hospital's income. This is really a breakthrough. Not bad!" Huang Fusheng greatly appreciated it.

"In this way, the hospital is more like a platform for providing services. Doctors have become the de facto main body of the hospital. How should the salary be arranged?" Shen Congwei saw the intention of Lu Jiu's rules at a glance.

Huang Fusheng also flipped back and immediately saw the entry of the doctor's salary system, "Hey, there are quite a lot, huh? There is also a medical ethics reward, what is this?"

Lu Jiu said with a smile, "I divided the salary into six yuan in total. First, the basic salary, everyone has a unified standard; second, the performance salary, which is linked to the diagnosis fee and the evaluation of disease cure; third, the incentive salary , the patient donates a pennant, the hospital must issue a reward, and the whole hospital will report that a pennant will be rewarded at the standard of 50 yuan; [-]. Public welfare rewards. Participating in a free clinic once a month can get a public welfare salary reward from the hospital; [-]. [-]. Medical ethics reward. The person who gets good comments from [-] patients and prescribes the fewest medicines during the monthly consultation period can get the medical ethics salary; Then get a grievance reward."

Huang Fusheng smiled and said, "One hundred patients have good reviews, and the least amount of medicines should be prescribed. It's not easy. Hehehe, what if it doesn't reach it?"

Lu Jiudao, "Then don't post it."

Shen Congwei said, "This pennant reward is interesting. It's not much money, but the hospital's announcement is a bit provocative to compare doctors. In addition, I'm more curious about why there is a public welfare reward and this grievance reward."

Lu Jiu explained with a smile, "The monthly free clinic has two advantages. One is to give the doctors in the hospital a chance to exercise. Once the patients listen to it for free, they will definitely come to have a look, and they will come if they are not sick. Some novice doctors have enough time to exercise. The second is to enhance the reputation of doctors and make them look bigger in the eyes of ordinary people. This will also make it easier for patients to trust them when they see a doctor. The third is to increase the number of patients in hospitals. Only when more people come, can the hospital benefit.”

"It's like the membership day of some pharmacies, except that we don't offer discounts, but free of charge. Of course, only the diagnosis fee is waived, and treatment fees such as medicine and acupuncture are unavoidable."

"As for rewards for grievances, doctors will inevitably encounter some ill-tempered or unruly patients during their consultations. Although these are only a few cases, when the base is large, doctors will encounter such people. This reward It is to tell the doctor not to confront the patient head-on, and to bear it if you can."

"Of course, the grievance reward here is also in line with the doctor protection system I proposed. In the doctor-patient relationship, the cure of the disease is the joint responsibility of the doctor and the patient. The doctor fulfills his duties. If there is trouble, the hospital has the right to protect the doctor. If there is a medical accident, it must be clear what the doctor's purpose is. If it is purely for saving people, then the hospital has the right to protect the doctor. If the doctor is not for saving people, If there is another purpose, then let the law have the final say."

"Here I have built a blacklisting model. If a patient makes trouble in the hospital and does not listen to dissuasion, the hospital has the right to blacklist him and never treat him. I suggest that it can be clearly stipulated without any scruples."

Have you even considered this?

Shen Congwei and the two were a little surprised. They didn't expect Lu Jiu's idea to be so comprehensive.

There is warmth to doctors and patients, but also strict constraints on doctors and patients.

Obviously not a slap in the head.

"Have you ever thought about giving doctors so many rewards, will the hospital have sufficient funds to continue operating?" Huang Fusheng asked.

Lu Jiu smiled and said, "I just spent the money that the hospital used to purchase tens of millions of medical equipment on doctors. Without being kidnapped by these high-end equipment and pharmaceutical companies, I don't think it's necessary to prescribe medical equipment to doctors. With high wages, the hospital will not be able to continue to operate, because with this system, as long as the doctors can treat and treat the disease well, there will be no operating problems in the hospital.”

"I think teachers and principals should also be clear that the root cause of high medical costs is that in current hospitals, the authorization of doctors in the medical team depends on their technical titles, which are linked to scientific research results, and pharmaceutical companies provide medical staff with various services. "Scientific research projects" and "elegant bribery" in the form of scientific research funds, after which the "scientific research results" can endorse their own products."

"Pharmaceutical companies organize various "academic lectures" and "academic activities" to deliver benefits to medical staff through lecture fees, labor expenses, travel entertainment, invitations to overseas academic activities, etc. Some experts have therefore become "conference experts", Regular visitors to academic conferences, some doctors make friends through conferences, collect resources, and use academic resources and academic achievement appraisals to improve their status, consolidate their right to speak, compete for territory for latecomers, and continuously expand their own chain of interests. "

"The impact of pharmaceutical companies on the reelection of medical organizations is no less than the general election of the Eagle Emperor. Pharmaceutical companies invest in the heads and key members of academic organizations, and write their own products into technical specifications. Naturally, the products are invincible. When you mention medicine When it comes to corruption, doctor kickbacks come to mind, but in fact doctor kickbacks are just the tip of the iceberg, and major corruption links appear at the key points of interest concentration.”

"In the past, only senior doctors who were able to go out to the clinic to formulate treatment plans for inpatients were eligible to receive rebates. Later, head nurses who did not have the right to prescribe but were qualified to decide on the use of consumables could also benefit from rebates on consumables. They usually had no direct contact with patients. In the laboratory department, all kinds of high-priced reagents are constantly growing along with the "family bucket" of patients' inspection and testing. Testing equipment, in order to promote "special reagents for testing equipment."

"These problems have always existed, but why not? Because it is too difficult to obtain evidence. The so-called "big prescription" and "big inspection", as long as patients have money, they are willing to spend money to buy a "safer" probability, and these medical services are very important for patients. It will be difficult for the outside world to judge whether these medical services are reasonable.”

"Through all kinds of things, there is such a medical behemoth that appears now."

"I just think that doctors make money and get it with virtue, and hospitals should train doctors with virtue so that they can realize their own value. The hospital should distribute most of the benefits to doctors, which is the long-term business way."

Huang Fusheng and Huang Fusheng looked at Lu Jiu with unspeakable expressions in their eyes.

They came from that era and witnessed that era of fairness, but since the privatization of medical care, the chaos in the medical field has become more and more worrying.

Lu Jiu's ability to say these words meant that he had really seen the essence of the problem.

rare.

"But there are still few Chinese medicine doctors who can treat diseases. According to your system, how many Chinese medicine doctors do you need if the hospital wants to develop?" Shen Congwei sighed.

"Yes, although I agree with your approach, there are very few Chinese medicine practitioners who can take the pulse. After a year or two, when Lao Shen's team leaves, what will happen to your hospital?" Huang Fusheng looked worried.

Hearing this, Lu Jiu couldn't help laughing, "Teacher, principal, do you really think that my purpose of doing this is to treat more patients?"

"I want to build a big data medical examination system. After the hospital officially starts operating, every patient who comes to the hospital has to enter his or her personal information, and the doctor has to upload the diagnosis data to the database. Every diagnosis is equivalent to For a physical examination, the database is connected to the patient's mobile phone, and targeted health knowledge can be sent to them in real time, telling them what each person should eat in which season, and pay attention to keeping warm."

"At the same time, this part of the data is kept and provided free of charge to the top medical AI technology companies in the country, allowing them to use these data to train AI pulse diagnosis. Of course, after the training is successful, our hospital must enjoy discount benefits when purchasing equipment. "

"As far as I know, domestic teams are already doing research in this area. I believe that with the current technology explosion, after another year or two of training, the AI ​​pulse diagnosis can complete some of the simplest diagnoses. It should be absolutely no problem."

"At that time, the machine will screen out some patients with minor problems and no need for treatment, and the remaining patients will not be such a big problem for the hospital, and after building this big data physical examination system, we can completely use technology Serving the general public, allowing them to prevent problems before they happen, so that minor illnesses don't drag on to serious illnesses, this is my fundamental purpose."

"Whoever said that Chinese medicine cannot use technology, we can also keep pace with the times."

Hearing this, Huang Fusheng suddenly said, "You want to break the inspection system monopolized by western medicine and take advantage of the advantages of traditional Chinese medicine in preventing diseases!?"

　I don’t know if everyone will think this chapter is reasonable, I’m a little nervous, I’m afraid it will make everyone misunderstand that I wrote the protagonist as the Virgin. π_π
　　
　
(End of this chapter)