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由于社会发展和人民生活水平的提高,人均卫生费用也在持续上升,社会对卫生资源的需求也日益加大。随着医疗保险制度改革的推行,各项改革措施将陆续出台。这一新的形势给中医院带来了机遇和挑战。只有以战略眼光、适应变化了的形势,本着改革精神更新观念,调整好自己的位置,才能做出有利于事业发展的战略决断。 一、正视中医院面临的困难 与西医院相比,中医院起步晚,物质装备水平低。大部分县(市)级中医院在70～80年代才开始建设。起步阶段家底薄,要依靠自身力量争取基本建设项目,购置医疗设备,用有限的业务收支结余资金搞基本建设,这样往往顾及不到购置先进医疗设备,建设职工宿舍与改善职工福利,造成中医院业务用房和生活用房严重不配套。由于医疗设备数量少,总值低,开展的检查治疗大多是收费低、亏损大的老项目,医疗补偿缺口大。加上中医事业长期以来受冲击、干扰大,人员整体素质不高,特别是高级中医人才匮乏以及自我发展的基础力量比较薄弱,与其日益增长的医疗服务工作量极不相称,在激烈的医疗服务竞
As a result of social development and the improvement of people’s living standards, per capita health costs have also continued to rise, and society’s demand for health resources has also increased. With the implementation of the reform of the medical insurance system, various reform measures will be gradually introduced. This new situation has brought opportunities and challenges to TCM hospitals. Only by adopting a strategic vision and adapting to changing situations, can we update our concepts in the spirit of reform and adjust our position so that we can make strategic decisions conducive to the development of our business. First, face the difficulties faced by Chinese hospitals Compared with Western hospitals, Chinese hospitals started late, and the level of physical equipment is low. Most county (city) level Chinese medicine hospitals began construction in the 1970s and 1980s. The initial stage is thin, and it is necessary to rely on its own strength to strive for capital construction projects, purchase medical equipment, and use basic business income and expenditure balance funds to carry out basic construction. This often takes into account the failure to purchase advanced medical equipment, build staff quarters and improve the welfare of employees. The hospital business houses and living houses are not seriously matched. Due to the small number of medical equipment and the low total value of the medical equipment, most of the inspections carried out are old items with low fees and large losses, and the medical compensation gap is large. In addition, the traditional Chinese medicine cause has been subjected to shocks and interference for a long time, and the overall quality of personnel is low. In particular, the basic strength of the lack of senior Chinese medicine personnel and self-development is relatively weak, and the medical service workload is extremely disproportionate to its increasing medical service. Competition