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I Can Talk to the Internal Organs-Chapter 214 - 182: The 6 Standards of Healing_2
Huang Fusheng laughed, "A hundred positive patient reviews and the least amount of prescribed medication, that's no easy feat, haha, what if none of them meet the standard?"
Lu Jiu replied, "Then none will be awarded." π§πβ―ππππππ°π·π¦π.πΈβ΄π
Shen Congwei said, "This banner reward is interesting, not much money involved, but the entire hospital will be notified, which somewhat provokes competition among doctors. Moreover, I'm curious why there's a public service reward and this grievance reward."
Lu Jiu explained with a smile, "A monthly free clinic has two benefits: one, it provides an opportunity for in-house doctors to train. Patients hearing 'free' will definitely come for a check-up, even if they're not ill, giving new doctors ample training time. Secondly, it enhances the doctors' reputation, elevating their image in the eyes of the public, making it easier for patients to trust them during consultations. Thirdly, it increases the hospital's patient volume; more visitors mean more profitability for the hospital."
"It's akin to membership days at some pharmacies, except we're not offering discounts but making it completely free. Of course, it's only the consultation fee that's waived, medication and acupuncture treatment fees are not included."
"As for the grievance reward, when doctors are on duty, it's inevitable they'll encounter some ill-tempered or rather tricky patients. While these cases are the minority, when the numbers increase, such encounters will not be rare. This reward is meant to tell doctors not to confront patients head-on, to endure where possible."
"Of course, this grievance reward complements the doctor protection system I've proposed. In doctor-patient relationships, disease cure is a shared responsibility. If doctors fulfill their duties and patients don't follow medical advice but cause trouble later, the hospital has the right to protect the doctor. Should medical accidents occur, we need to determine the doctor's intentβif it was simply to save a life, then the hospital can protect the doctor. If the doctor had ulterior motives, then let the law decide."
"Here, I have devised a blacklisting mode. If a patient causes trouble in the hospital and refuses to listen to persuasion, the hospital has the right to blacklist them, denying them treatment permanently. I suggest this can be clearly stipulated without concern."
Even this was considered?
Shen Congwei and the others were somewhat surprised. They hadn't expected Lu Jiu's ideas to be so comprehensive.
There was warmth toward doctor-patient relations, but also strict constraints on them.
It was clearly not a spur-of-the-moment idea.
"Have you thought about whether the hospital can operate with enough funds after giving doctors so many rewards?" Huang Fusheng asked.
Lu Jiu laughed, "I'm simply reallocating the hospital's budget from purchasing medical equipment worth millions to spending on doctors. Without being tied up by these high-end instruments and pharmaceutical companies, I believe paying doctors well won't hinder the hospital's operations. As long as doctors can treat and cure patients, there can't be any operational problems."
"I think my mentor and the principal also understand that the root cause of high medical costs is that in today's hospitals, the authority of doctors within medical teams depends on their technical titles, and technical titles are linked to research achievements. Pharmaceutical companies provide various 'research projects' to medical personnel in the form of 'elegant bribery' through research funds. Afterward, 'research achievements' can endorse their own products."
"Pharmaceutical companies then organize various 'academic lectures' and 'academic activities', funneling benefits to medical personnel through lecture fees, service fees, travel hospitality, overseas academic activity invitations, and more. As a result, some experts have become 'conference regulars', frequently attending academic conferences. Some doctors make friends and gather resources at these meetings, using academic resources and achievements to raise their status, solidify their influence, and secure territory for successors, endlessly expanding their interest chains."
"The influence of pharmaceutical companies on the reshuffling of medical organizations is no less than an Emperor Ying election. Pharmaceutical companies invest in the heads and key members of academic organizations, incorporating their products into technical specifications. As a result, product expansion naturally proceeds without hindrance. When people discuss pharmaceutical corruption, they often think of doctors' kickbacks. In fact, doctor kickbacks are just the tip of the iceberg; significant corruption occurs at key points where interests concentrate."
"Previously, only senior doctors who could formulate inpatient treatment plans were eligible to receive kickbacks. Later, head nurses, without prescription authority but capable of deciding on the use of consumables, could also share in the consumable kickbacks. Even in labs, which typically have no direct contact with patients, various high-priced reagents have grown with the 'full package' of patient tests, with some reagent manufacturers even providing free equipment as a market strategy, investing huge amounts in diagnostic instruments to promote 'reagent-exclusive diagnostic devices.'
"These problems have always existed, but why aren't they addressed? Because evidence collection is too difficult. So-called 'big prescriptions' and 'big tests,' as long as patients have money and are willing to pay for a 'greater peace of mind' probability, and these medical services don't deteriorate a patient's condition, it's hard for outsiders to judge whether these services are reasonable."
"Various reasons have bred today's medical giant."
"I just think that doctors earning money should be with virtue, and hospitals should cultivate virtuous doctors, letting them realize their value. Giving most of the benefits to doctors is the way to sustainable management for hospitals."
Huang Fusheng and the others looked at Lu Jiu, an indescribable expression in their eyes.
They were people who lived through that era and witnessed an age of fairness, but since the privatization of healthcare, the disorder in the medical world is increasingly worrying.
For Lu Jiu to say these words means he truly sees the essence of the problem.
Rare indeed.
"But there are still so few skilled practitioners of traditional Chinese medicine, according to your system, how many TCM doctors would a hospital need to develop?" Shen Congwei sighed.
"Yes, although I also agree with your approach, capable TCM practitioners are so scarce. One or two years later, when Shen's team leaves, what will happen to your hospital?" Huang Fusheng asked worriedly.
Hearing this, Lu Jiu couldn't help but smile, "Mentor, principal, do you really think my goal in doing all this is to treat more patients?"
"I'm building a big data health examination system. Once the hospital officially starts operating, every patient entering must input their personal information, and doctors should upload diagnostic data to the database. Every diagnosis is equivalent to a health check-up. The database connects to patients' mobile phones, sending them targeted health knowledge in real time, advising them on what to eat during certain seasons and to be wary of the cold."
"Meanwhile, this data is preserved and provided freely to top domestic medical AI technology companies, allowing them to train AI diagnostics with it. Of course, once the training succeeds, our hospital must enjoy discounts when purchasing equipment."
"As far as I know, domestic teams are already researching this, and with the current tech boom, in one to two years, AI diagnostics performing basic diagnostics will be absolutely feasible."
"By then, the machine will filter out patients with minor issues not needing further treatment, so the remaining patients won't pose significant challenges to the hospital. By constructing this big data examination system, we can fully utilize technology to serve the masses, allowing them to prevent illnesses instead of neglecting small ailments until they become severe. This is my ultimate goal."
"Who says traditional Chinese medicine can't leverage technology? We can also keep pace with the times."
Upon hearing this, Huang Fusheng suddenly remarked, "You're aiming to break the monopoly of Western medicine's diagnostic systems and leverage the preventative advantages of traditional Chinese medicine!?"







