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    強化醫院主體責任 加碼整治號販子

    2019/06/10 15:13   作者:佚名  編輯:徐芳芳   來源:新京報

      大醫院診療水平高,社會公眾也高度期待,至少在短期內,醫療資源緊張的情形難以得到根本緩解,但是,公平公正配置資源,只能依靠深化醫療體制改革,只能依靠嚴格管理,而不是“號販子”的潤滑。

      據新京報報道,6月9日,因“號販子”整治不到位,北京協和醫院、北京同仁醫院、北京兒童醫院負責人被約談,北京市衛健委要求這些醫院切實履行主體責任、堅決做好整改。

      之前的6月5日,北京市衛健委在通報全市衛健系統開展掃黑除惡專項斗爭情況時披露,從去年開始,北京市就全面開展預約診療服務和實名制掛號就診,取消醫師個人手工加號,并在20多所醫院推廣人臉識別信息系統,要求對“號販子”“治理到位、全面好轉、持續保持”。

      此外,針對“號販子”違法成本低的問題,由北京市公安局上報公安部對357名“號販子”實施聯合懲戒。

      應該說,這些整治措施的效果是積極的。據披露,2018年以來,北京市共抓獲“號販子”1342人。掛號監管越來越嚴,已成北京市大醫院的常態。

      不過,上月底,有媒體暗訪發現,在協和醫院、同仁醫院、兒童醫院等仍有不少“號販子”肆意游走攬客,報道稱,一個專家號竟然加價3000元,而一個住院床位則要加10000元。

      昂貴的掛號加價,不僅嚴重損害了病人及其家屬的正當權益,也扭曲了醫療資源的公平公正配置。北京市約談“號販子”活動猖獗的醫院,充分表明了治理的決心。對此,作為負有主體責任的醫院,沒有道理不繼續強化門診服務管理,徹底杜絕“號販子”。

      一直以來,“號販子”屢禁不止,始終麇集于大醫院周圍,就像牛虻一樣吸食病患者,不排除病患者有需求。

      也即,在優質醫療資源較為緊缺的情況下,自然會滋生類似“號販子”這樣的寄食者。畢竟,“號販子”讓遠道而來的病患者有可能盡快就診,事實上,這也是“號販子”難以根治的社會土壤。

      只是,拂去表面的塵沙,就會發現,作為一種在灰色地帶隱秘潛行的行當,“號販子”并不能獨立存在,而是需要附著于醫院的。

      相信很多人都有疑問,既然有關方面一再表態嚴厲打擊,為什么“號販子”仍能夠拿到靠前的號,并如愿約到專家?既然專家資源那么緊張,“號販子”又靠什么樣的神通予取予求?

      還有,在信息十分便利的語境下,僅靠“人臉識別”系統,以及靠保安驅趕,顯然不能讓“號販子”絕跡。

      可見,懲治“號販子”,關鍵仍需要發揮醫院的主體責任,并從根本上鏟除倒賣醫療資源的食物鏈。

      這就要求醫院能夠從源頭治理,多一些制度約束,強化門診掛號服務的監管,盡量避免個人裁量權過大的情形。

      特別是,對于那些里應外合,與“號販子”勾結牟利的“內部人”,一經查出,絕不姑息。

      這樣的盲區并非難以治理,1342名“號販子”也絕不會單獨作戰,有關方面應該深入調查,理清這條隱秘食物鏈的各個環節,這樣也可以有的放矢,徹查嚴處。

      北京的大醫院診療水平高,社會公眾也高度期待,至少在短期內,醫療資源緊張的情形難以得到根本緩解,這也是一個基本現實。但是,公平公正配置資源,只能依靠深化醫療體制改革,只能依靠嚴格管理,而不是“號販子”的潤滑。-社論

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