Chapter 246: The emergency is not helping the poor
(VIP is listed in the third chapter, and it is still 1,000 away from the target value of the first subscription number. There is no manuscript saved. Before 9 o'clock in the evening, the subscription number will increase by another 500. I will continue to code today's fourth chapter, and now I will take a break. Brothers, if you plan to support genuine reading, don't be afraid of recharge trouble!)
Since Pan Shihua kicked out the district health director Jiang Lijun to deal with the matter, there is no need to continue to focus on the hospital. Mei Gang still has something to deal with in the town. Chen Huai stood up and prepared to go back.
Seeing that Chen Dan's mother closed her eyes and didn't look at him at this time, she didn't know what to say to this stubborn little old lady. Chen Huai could only ask Chen Dan. Chen Tong and his brother nodded and said, "I'll go back first. If you have any questions, call me..."
Since he was just a "patient's family driver", there was no need to say hello to Jiang Lijun and the director of the District People's Hospital. He took Shao Zheng with his briefcase and squeezed over from Jiang Lijun and the hospital and other medical staff.
Jiang Lijun's eyelids twitched and wanted to say hello, but when Chen Huai looked over from him and didn't even raise his eyelids, his throat seemed to be blocking a big stone. It just made no sense to smack his mouth and felt a little bitter in his mouth.
Jiang Lijun didn't say anything. Director Fang of the District People's Hospital and other leaders of the hospital who were brought out by Jiang Lijun could only watch Chen Huai wiped the tip of their noses, and couldn't help but take a step back and give up the aisle.
Li Tie was really ashamed. He knew that silence was often more terrifying than an outbreak, because he didn't know how to satisfy others at all. If the master really wanted to leave like this, Jiang Lijun would not set a lower limit when dealing with this matter, which he could not imagine.
"I'm so sorry, I have to be responsible for this matter," Li Tiezhen suddenly had some strength at this time. He walked up step by step, grabbed Chen Huai's arm and refused to let him go, begging, "Doctor, the nurse has made a serious mistake, our hospital will definitely deal with it severely; and I am their leader, I am the vice president of the hospital. I have failed to understand the situation in time, nor can I stop it in time, and correct the mistakes made by the medical staff below. I want to review and apologize. If you have any resentment, you can come to me, I..."
As he spoke, seeing that Chen Huai's face had no intention of slowing down, Li Tiezhen's knees were soft and he was about to kneel down and beg.
"You are the face of losing the District People's Hospital!"
Chen Huai stared at Li Tiezhen's face with a scoundrel, stopping him from rolling all over the ground like a scoundrel, and said with a sarcastic look.
"You said that the hospital's medical staff made a mistake, you have to take the leadership responsibility - you have to review, you have to consult with your leader, and the superior competent department; you have to respond to the problem, and you have to respond to the problem with the discipline inspection department. I believe the discipline inspection department will deal with it impartially; you have to apologize, the patient's family is at the door, what are you doing, this irrelevant person?"
Seeing that Li Tiezhen was dead there and did not dare to kneel down, Chen Huai continued to question:
"You said that the medical staff took the initiative to hand over the red envelope to you in the morning. There is no other evidence, so I don't doubt it. However, Li Chengping, one of the nurses who received the red envelope, is a father-daughter relationship with you. Why don't you avoid suspicion when dealing with this matter? Is there anything else in this matter? The emergency department of the hospital, you say you are responsible. Then let me ask you, as the head of the hospital, what basis do you have to force the medical staff below to force them to require the following patients to pay the full fee before they can be rescued? I asked you these questions as the driver of the patient's family. I am not qualified to ask me to answer me, but you have to touch your conscience and tell yourself the answer..."
After saying these words, Chen Huai glanced sharply at Jiang Lijun and others. Without saying anything, he walked out of the aisle and went downstairs with Shao Zheng.
Jiang Lijun wiped his sweat. Fortunately, Shen Huai had no intention of expanding and dragged all the medical staff involved in this matter yesterday into the water, but he also accidentally walked around Li Tiezhen and Li Chengping and his daughter.
Seeing other onlookers standing aside and silently, they knew that such a solution would not cause a major rebound within the District People's Hospital, and they didn't care about resentment from Chen Huai, and they treated him like a passerby, and yelled at Li Tiezhen: "Vice President Li, don't embarrass the District People's Hospital, you must honestly explain your problem!"
When Li Tiezhen saw that Jiang Lijun was really following, he took the blame. Dean Fang and others watched coldly, and their eyes turned black in front of them, and their bodies became weak and they had to support the wall to stand.
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When he got into the car, Chen Huai touched his pants pocket, but he didn't touch the cigarette, and he didn't know where he threw it yesterday. Seeing that the machine was quick, Shao Zheng took out the cigarette and the lighter from his pocket and threw it to him.
Chen Huai lit a cigarette, took a few sips, and asked, "Am I too disrespectful to some people?"
"Manager Chen brought the money in time yesterday, so there was nothing," said Shao Zheng. "But there are many families in the towns below who raised less than 3,000 yuan in the night to have surgery. Chen Ji, if you don't give them such a tidy, you may cause something in the future, and it will be even harder to deal with it. I have an old superior in the army who often talks to us, saying that if you train new recruits, you can't be rude if you are kind."
Chen Huai smiled and said to Shao Zheng: "After going back, you notify the head of the town health center to come and report to me. I can't take care of too many things, and now I can only do Meixi Town well..."
After Meixi Town was transferred to Tangzha District, as a primary medical institution, the town health center was under the jurisdiction of the district health bureau in accordance with the principles.
However, Meixi Town’s finance department is responsible for its own finance, and the staff salary, administrative office expenses and revenue and expenditure gaps of the town’s health center are still subject to the town’s financial expenditure, so Meixi Town Health Center is still responsible to the town party committee and government at this time.
Chen Huai didn't have the energy to take care of too much before. He Qingshe was responsible for the specific administrative affairs. He only paid a little attention to the work of the town health center when reading the budget and final accounts and annual reports. He never thought he would ask about it if he had nothing to do.
Judging from the situation of the district people's hospital, the entire medical system has quite a few problems. Chen Huai can't take care of too much, so he just wanted to make up for the possible loopholes in the grassroots medical system in Meixi Town.
When we arrived at the town government, it was already noon. Chen Huai and Shao Zheng went to the canteen to have dinner.
Chen Huai slipped away halfway through the drink yesterday, and did not appear in Meigang and the town government in the morning, but he did not ask where he went without any wits.
Lao Tang, the head of the town health center, received a notice that he didn't know what happened and told the boss to be dissatisfied. He suddenly called him to report his work. After half of the meal in the health center, he piled up the dishes and ran over sweating. He asked Chen Huai, who was smoking in the corridor outside the cafeteria with a large group of people, and said, "Chen Ji, are you asking me for trouble?"
"I just remember to pay attention to the work of the health center," Chen Huai threw the cigarette into the ashtray on the windowsill and said to He Qingshe, "Old He, please listen to President Tang report to the work of the health center with me."
When he arrived at the office, Chen Huai asked straight to the point: "Director Tang, are there any difficulties in the town health center now? Are there any mandatory regulations for the following doctors to pay the fees for patients with acute illness before they can be treated?"
As soon as Chen Huai asked, President Tang knew that it wasn't a leak in the health center that he grabbed it, so he immediately poured sugar beans and vomited bitterly.
In the allocation of medical resources in districts and counties, central hospitals such as people's hospitals and traditional Chinese medicine hospitals often occupy a core position.
Not only are local financial resources tilted towards this central hospital, but also because ordinary people have the dependent psychological habit of going to large hospitals when seeing a doctor, market resources, including the source of medical profits for medical treatment, are tilted towards these central hospitals. Therefore, there is no problem of serious shortage of resources in central hospitals. The most serious problem is township health centers and health centers, which lack financial support, medical staff, and patients.
Speaking of paying the fee before treating acute patients, President Tang also complained:
"When encountering patients with acute illness, it is impossible to ask doctors to treat them after the patients pay the fee. Most hospitals in Donghua now have such unspoken rules. In this year, which hospital has not encountered several patients who evade fees in one year? They all need to be posted by the hospital, and no matter how big the hospital is, they cannot afford it!"
"Nonsense!" Chen Huai interrupted President Tang and said, "Bank lending allows a certain bad debt rate. A bank has a too high bad debt rate, which is the incompetence of the manager; if there is no bad debt rate at all, there is only one possibility, that is, don't do anything. If you don't give up the money, there will naturally be no bad debt rate. Just like what you are doing now, no matter how urgent the disease or how fatal the disease is, you will not save it without money. However, this is not that you have no choice, but that your manager is shirking responsibility. Is it that all patients are evading fees? The proportion of patients who may evade fees in the total patients; the amount of evasion fees may occur every year, and the total income of the hospital may be evaded. Do you have any idea of it? This is indeed the operating risk of the hospital, and it will also cause a certain income and expenditure gap, but as a responsible and capable manager, first, We must control the expansion of this gap without limit, but at the same time, you must allow the existence of this gap to be considered as the operating cost that must be borne by the hospital's operations, rather than shirking it to the doctors below, and not shirking it to those acutely ill patients and their families who cannot raise money for a while. The lender lends loans by the lender. If bad debts occur, the lender will be responsible for it. Do you think the lending work can continue? If the loan unit and individual are not illegal but cannot repay the debt by accident, can the bank force them to sell blood? Can the underworld learn from the gang to tie up people to Shenhe? Like some well-managed banks abroad, they still allow the non-performing loan rate to reach 4-5%. They have to take out a part of the profit every year to offset a large amount of bad debts. Are they fools?"
Chen Huai Liyan scolded him and called Dean Tang uneasy. He knew that his words did not have the appetite for Chen Huai, but he really didn't know where Chen Huai was angry. He sat aside and held his breath, not daring to say anything more, for fear of scolding him for no reason.
Chen Huai told President Tang: "It seems that the town health center has not considered the gap in revenue and expenditure, so I will not push this pressure on the health center. Go back and carefully estimate it, and ask Mayor He to evaluate how big the gap is. The town will provide you with the budget plan every year in the future. As the saying goes, "He is not the poor." We do not need to do good deeds to save the poor, but this "urgent" is a responsibility that our government agencies and public institutions must bear. Don't talk nonsense about this difficulty, that difficulty..."
"I really give it money?" Dean Tang saw that he was scolded and still had money to take it, and immediately smiled happily and asked without confirmation.
Chen Huai also knew that the problem of the medical system in reality was that it was the overall scarcity of resources. While the overall scarcity of resources, local resource allocation also caused some minor or serious imbalances due to various factors, which aggravated the contradictions. It was impossible for him to scold people to vent and solve these problems by solving them, which required development and time to slowly digest them.
Chapter completed!