Guide
I go to work just to make money, don't talk to me about my ideals, my ideal is not to go to work.
Source: Yimaitong Author: Yiyi This article is edited and written by Yimaitong, please do not reprint without authorization.
Have you ever thought about changing jobs?
If there is a good opportunity, it is probably thought, just like "people go to high places, water flows to low places", which is already a tacit understanding of convention.
However, in the water of society, the flow of talents will stir up waves, thus breaking the peace of "nothing to do".
And after the "break", some people are happy and some are sad. For example, in the medical industry, the "siphon-sucking" poaching of higher-level hospitals, and the suffering of lower-level hospitals or some private hospitals.
Public hospitals scramble to poach talents? The National Health Commission clearly requires "three don'ts"
Speaking of the poaching incident in a large hospital, on May 20, 2022, a news that "nearly 40 experts jumped to the First Affiliated Hospital of Zhengzhou University" caused heated discussions at that time. Some people called the move of the First Affiliated Hospital of Zhengzhou University as a "siphon" poaching, and after the incident caused a sensation, the Henan Provincial Health Commission had to send a letter to stop the job-hopping.
And the occurrence of such a "magical" event also reflects some industry truths - that is, it is not uncommon for large hospitals to "dig into the wall", and it has even become rampant.
In response to this phenomenon, the official website of the Jinan Municipal Health Commission recently updated the answer to the question of "Suggested Handling by People's Congress Deputies". Among them, in reply to Hou Yan, a representative of the Third Session of the 18th Municipal People's Congress, "there is a phenomenon of public hospitals grabbing talents from enterprise hospitals, which makes it more difficult for enterprise hospitals." The main person in charge of the Jinan Municipal Health Commission has clearly requested: "Don't poach people from each other in a disorderly manner, don't target the city, and don't target the grassroots." At the same time, the reply also mentioned that in the next step, the Municipal Health Commission will start from improving salary, development space, practice environment, social status, etc., care for the physical and mental health of medical personnel, enhance the sense of professional honor of medical personnel through various forms, create a good atmosphere of respecting medical care and health in the whole society, and mobilize the enthusiasm, initiative and creativity of medical personnel.
In fact, this is not the first time that the official request has been made.
In June 2018, the former Henan Provincial Health and Family Planning Commission issued the "Notice on Ensuring the Stability of the Grassroots Health Talent Team", clarifying a series of hard standards, drawing red lines for regulating the reasonable flow of grassroots talents, requiring the stability of the grassroots health talent team, improving the incentive mechanism for grassroots talents, and curbing the abnormal flow of health talents.
In July 2020, the National Health Commission and the Ministry of Human Resources and Social Security jointly issued a notice explicitly prohibiting higher-level medical and health institutions from "siphoning" talents from lower-level medical and health institutions.
As can be seen from these official documents, this problem has been around for a long time.
And now it has not been curbed, but it is intensifying, why is that?
Behind being "dug up" is to survive upward
After the "siphoning" poaching incident of the First Affiliated Hospital of Zhengzhou University was exposed, the "Xinhua Daily" sharply pointed out: When key doctors leave the hospital, medical institutions should also reflect on what is the reason for this? If it is due to the salary, position, establishment, and other reasons, it is necessary to find ways to improve the salary and try to meet the expectations of the doctors.
It can be said that the problem of treatment is the main reason for doctors to change jobs.
A doctor rooted in the grassroots told Yimaitong that the shortage of talents at the grassroots level can be described as "hard to find". The low income level is the main reason why it is difficult for primary medical and health institutions to recruit and retain people.
The president of a county-level hospital said in an interview with "Half Moon Talk" that the average salary of doctors in the county is 6,000 yuan, and it is tens of thousands of yuan in the province.
Even some orientation committee trainees would rather lose money than go to the township health center, they prefer to take the postgraduate entrance examination, or stay in the provincial capital to work.
In fact, not only grassroots doctors, but even doctors who are in better hospitals, as long as they have the opportunity, they are more willing to choose the top hospitals. Because a better hospital is a bigger stage, in addition to better treatment, development prospects, opportunities, fame, etc., are all attractive factors.
In fact, in addition to grassroots hospitals and lower-level hospitals, private hospitals are also one of the targets of "digging into the wall".
Recently, the topic of "doctors in private hospitals are cutting their salaries and squeezing into the public" has sparked heated discussions in the industry.
Once upon a time, it was still a public hospital doctor who was in charge of the job to shine in a private hospital, but now how has the wind changed?
The uncertain development prospects, poor stability, and limited growth of doctors in private hospitals have been problems for a long time, and there is no need to repeat them here. Especially a recent incident in a private hospital, which has to make people re-examine the medical status of private hospitals-
On April 11, some netizens posted a video saying that his grandmother, who was in her 80s, was hospitalized in Jincheng Hospital, Linxi County, Chifeng City, Inner Mongolia. During this period, it was found that the hospital was giving expired electrodes to the elderly for home.
After the matter was verified, the hospital refunded the person concerned, and the outrageous thing happened - the hospital dismissed the doctor and the nurse involved.
That's right, it was the hospital that fired the doctors and nurses together!
The outrageous degree of this matter is just as netizens said: This thing is equivalent to going to a restaurant to eat, the customer's skin touches the expired table mat, and the boss is afraid of causing trouble and opens the cook.
Behind the unreasonable outrageousness are the humble medical staff, more precisely, the medical staff of private hospitals. In a public hospital, it's hard to imagine a medical staff being fired for expired electrodes.
In addition, there are some factors of the times that change the direction of the wind.
At present, DRG's medical insurance payment reform will be more difficult to survive without core technology, reputation, and private hospitals with lower cost and efficient operation than public hospitals. Therefore, it is not an unthinkable choice for doctors to go to public hospitals.
Therefore, under the intricate background, you look as if the higher-level hospital is waving a hoe and "digging the foot of the wall", but in fact, the doctors in the lower-level hospital have tried their best to win a chance to "be poached".
In the TV series "Flowers", my uncle said to Bao: "In the Empire State Building in New York, it takes an hour to run from the bottom to the roof, and it only takes 8.8 seconds to jump from the roof." ”
You see, it is always difficult to move upwards, and it is even more difficult to survive upwards.
There is no grass under the big tree, how to break the game?
It's always bad if there is no grass under a big tree.
At present, the obvious concentration of patients in large hospitals is still unchanged, which is not conducive to the implementation of hierarchical diagnosis and treatment, and the second is to increase the resistance to retain talents at the grassroots level.
So what to do?
On the issue of poaching people, "Xinhua Daily" once issued an article saying that if the price offered by the relevant hospital is higher than the normal level, the pace of hospital expansion should be appropriately restricted and regulated to curb the abnormal flow of talents.
Zhang Hongbing, a professor at Peking Union Medical College, also said that the hierarchical diagnosis and treatment system can be truly implemented by appropriately curbing the expansion rate of "super hospitals" and creating a "harmonious medical ecosystem" with large hospitals as the leader and radiating the grassroots.
Indeed, from a rational point of view, only by standardizing and limiting the scale of large hospitals can large hospitals concentrate on serious and difficult diseases, and do a good job in teaching and scientific research, and can also leave room for small and medium-sized hospitals to recruit and work.
In this regard, on December 25, 2023, the Ministry of Finance, the National Health Commission, the National Health Insurance Administration, and the State Administration of Traditional Chinese Medicine jointly issued the "Guiding Opinions on Further Strengthening the Construction of Internal Control in Public Hospitals". The document clearly requires strengthening the management of capital construction projects, strictly prohibiting public hospitals from borrowing money for construction and over-standard decoration, and standardizing the whole-process management of capital construction projects. Strengthen the construction and management of multi-hospital districts, strictly prohibit the construction of hospitals without approval, and resolutely put an end to disorderly expansion.
For the lower-level hospitals that have been "poached", they need to strengthen their "hard power" to attract more outstanding talents.
For example, grassroots medical institutions, deepening the construction of medical alliances, and guiding and improving hierarchical diagnosis and treatment through medical insurance and other means are all entry points;
Of course, the most important thing is the issue of treatment.
Why?
Answer it with a quote that is very popular at the moment - I go to work to make money, don't talk to me about my ideals, my ideal is not to go to work.
Editor-in-charge|Yiyi Mizi
Cover image source: Visual China
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