Too low performance and collective transfer, don’t ignore the non-profitable pediatrics

  ■ Come on

  You cannot treat pediatrics with a utilitarian attitude.

  Recently, an online report of the Susong County People’s Hospital in Anhui Province "Report on All Pediatrics' Requests to Transfer Jobs" showed that due to the apparently low performance appraisal in July, some pediatric medical staff jointly requested collective transfers, causing concern.

The hospital subsequently issued a statement stating that it had adjusted its performance distribution standards and given a preferential policy for pediatrics. The performance of 35 pediatric medical staff for the month was distributed according to the average level of the hospital.

  The hospital in question temporarily adjusted its policy and "tilted" the performance of pediatric medical care to the average level, which seemed to calm the conflict between the two sides. However, looking at the reality that the work intensity of pediatric medical care is generally higher than the industry average, it can be said that the problem has not been fundamentally resolved.

  Pediatrics is considered to be the busiest, tiring, and most conflict-prone department. However, when the hospital calculates performance pay, the pediatric 1.0 coefficient is only 498 yuan, which is far lower than the administrative logistics 1.0 coefficient of 2,600 yuan, and it cannot be compared with other departments. Compared with high-performance departments, this may be difficult for anyone to accept.

  In the report, the pediatric medical staff of the hospital believed that they "cannot create wealth for the hospital." Although their expressions contained certain emotions, they touched on a generally unreasonable phenomenon in hospital performance evaluation.

It is reported that the main basis for the performance appraisal of the institute is revenue ability.

The hospital also admitted that due to the large decline in the number of paediatric services, the performance rewards for pediatric medical care in July were significantly lower than usual, which confirmed this.

  The fact that cannot be ignored is that children’s hospital turnover is very fast, but routine work such as medical record writing is also essential.

The operation of pediatric diagnosis and treatment is difficult, examinations and tests are few, and the amount of medicine is only a fraction of that of adults.

This all determines that the pediatrics department has a large workload, but the income is far lower than that of other departments. If the performance is determined by the amount of wealth created, the pediatrics department will become one of the departments with the lowest income.

  The performance of medical staff is linked to revenue. Because it is simple to operate, seems fair, and has the effect of stimulating income generation, it is adopted by many hospitals.

However, if the performance appraisal ignores the particularities of the pediatrics, emergency department and other departments, it is easy to dampen the enthusiasm of the medical staff in these departments.

In recent years, the serious loss of pediatricians is related to unreasonable performance appraisal methods.

  But obviously, one cannot treat pediatrics with a utilitarian attitude.

Many hospitals believe that pediatrics do not earn compensation, so if they can not be opened, they cannot be opened, so that "the general hospitals above level 2 must open pediatrics" has become a goal that many places have worked hard for for many years but are difficult to achieve.

Even if some hospitals have opened pediatrics, they are still limited in scale and are unwilling to increase the number of beds and clinics.

This kind of more subtle utilitarian approach is also not conducive to the development of pediatrics.

  The public welfare nature of public hospitals determines that the construction of departments and performance distribution should not be too important for money, but must always consider social needs and provide support.

Those who earn more will be rewarded, and whoever earns less will be ignored. This will form a substantial encouragement for medical staff to stay away from unprofitable departments. When that happens, whoever undertakes pediatrics, emergency care, epidemic prevention and other unprofitable jobs will become An unsolvable problem.

  Tired and bitter pediatricians cannot get positive incentives, which may affect their enthusiasm for work. Even if they do not collectively transfer or leave, they will inevitably affect their sense of responsibility in the long run, which is not conducive to the development of hospital pediatric services.

Obviously, it is time to put the issue of pediatric medical care treatment on the agenda.

  □Luo Zhihua (doctor)