Recently, the Shenzhen Municipal Health Commission and the Municipal Medical Insurance Bureau jointly issued the "Shenzhen Specialist Training and Management Measures", which will be implemented from January 1, 2024 and will be valid for 5 years. (December 11, Shangguan News).
It is reasonable to let ** have the right to prescribe. On the one hand, from the perspective of **, doctors' resources are relatively scarce, and the clinical situation is changing rapidly, so ** needs to have a certain amount of operational authority;On the other hand, many European and American countries have opened up the right to prescribe and cultivated a group of high-quality talents, which provides a certain reference for relevant domestic exploration.
In addition, the specialty has a high "entry threshold". According to the relevant regulations, three conditions must be met to obtain the college certificate, namely: a bachelor's degree or above in nursing;More than five years of clinical nursing work experience, and more than two years of work experience in related specialist positionsObtain intermediate or above nursing professional and technical qualifications. This also shows that only a small number of ** with high professional quality have the right to prescribe, and patients do not need to worry too much.
However, whether the right to prescribe can be opened is related to the practice positioning of medical staff. This is not only a technical issue, but also involves complex issues such as the interests and values of different groups.
For a long time, ** was in a subsidiary position. And when ** has the right to prescribe, not only will the sense of professional identity be improved, but also have more voice in the department, as well as a more generous salary. When the time comes, will it overlap or blur with the doctor's job responsibilities?Will there be a conflict of opinion or even a conflict of interest with the doctor?
What's more, if there is a medical dispute and social public opinion because of the prescription of **, regardless of whether the procedure is reasonable or not, its severity may far exceed that of a licensed doctor, and can the medical institution withstand the pressure?Is the training model of the specialty ** mature?These are also issues that cannot be ignored.
In September 2022, West China Hospital of Sichuan University announced that it would become "the first hospital in the country to open ** prescription rights", but deleted the document in less than 10 days, and responded: "I feel that the time is not yet ripe." "And now, Shenzhen is the first to pilot, and Shanghai will also issue relevant documents in the near future, is the time ripe to open up the prescription right?
It is necessary to open up the right to prescribe at a more prudent pace, and it is necessary to build a talent team, improve the salary system, change the concept of "emphasizing medical care over nursing" and other related measures to promote at the same time, so as to do a good job of risk avoidance with more detailed rules, so that doctors, nurses, and patients have room for understanding and adaptation.
The right to prescribe is not only a waist card representing the right to prescribe drugs, but also a kind of responsibility and responsibility, which not only requires the grantee to be able to deal with the complications of the drugs they prescribe and bear the corresponding consequences, but also requires the relevant departments in various places to further consider and evaluate and explore more beneficial attempts to provide convenience for patients and revitalize medical resources. (Zhengguan commentator Han Jing).
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Co-ordinator: Chen Ruosong.
Editor: Ren Sining.