In recent years, China's medical system reform has made great progress, but the problem of "minor diseases and major treatments" still plagues the masses. The performance-oriented remuneration mechanism of doctors is one of the important reasons for this problem. Doctors pay too much attention to the amount of diagnosis and treatment, and neglect prevention and health education, which puts a heavy burden on patients.
Why is this happening?The reason is that the current remuneration of medical staff in China still places too much emphasis on performance indicators. The hospital takes the number of diagnosis and treatment and the number of surgeries as the main evaluation criteria, and the doctor's personal year-end bonus is also linked to the completion of the performance. As a result, some doctors may prescribe too many unnecessary tests for patients and perform inappropriate surgical operations in order to achieve the indicators, in order to earn more money.
In fact, the responsibility of doctors should not be limited to patients, but more importantly, to prevent diseases and promote public health. Physicians should take a more holistic, long-term view of their responsibilities rather than simply relying on performance metrics to be measured.
To do this, we need to reform the remuneration mechanism of medical staff and delink the remuneration of doctors from performance indicators. The evaluation criteria of hospitals and doctors no longer emphasize the amount of diagnosis and treatment and the number of surgeries, but focus on patient satisfaction and prognosis. At the same time, it is also necessary to increase the remuneration of doctors for carrying out public health services, such as giving health lectures and popularizing medical knowledge.
In addition, we need to redefine and standardize the professional responsibilities of doctors. Physicians are accountable not only to individual patients, but also to the health of their communities and the public. Doctors should take the initiative to carry out preventive health education to help the public develop good living habits and awareness of medical treatment, and jointly maintain community health.
Only by reforming the current performance-oriented compensation system and reshaping the professional responsibilities of doctors can doctors truly put the health of patients and the public at the center. This is also an important aspect of deepening the reform of the medical system. Only with the participation of doctors and the public can we truly solve the dilemma of "minor illnesses and major treatments" and build a people-oriented health care system.