一位表现为长期低热的疑难病人到基层医院求治,因基层医院无法查明其发热原因,遂逐级转院到某省城大医院,但却可能迟迟无法入院治疗,因为大医院各相关科室考虑到其病情复杂、住院时间长、医疗费用低,会影响科室的主要考核指标导致经济效益下滑,于是以床位紧张为由拒之门外……一位需要进行手术治疗的病人,该手术只需在传统手术方式基础上加以改进即能成功地挽救病人,而院方及手术者顾虑于改进术式的风险性仍选择了传统术式,最终病人未能挽救过来……诸如此类的例证事实上决非少数。是医务人员的道德素质太低吗?非也。这其实是制度性问题。当公众热烈地讨论并期待新医改方案的时候,似乎忽略了一个重要的方面,那就是医学的发展,是关于医学本身的问题。无论新老医改方案,都没有把医学的发展真正纳入其视野之中。应该说这是不合适的。医学科学的发展同样会关系到老百姓的“看病难,看病贵”问题,关系到老百姓最基本的医疗保障问题。在制定新医改方案的时候,人们不应该对它漠然处之。否则,最终只会苦了百姓,害了科学,损了国家。 A performance of patients with long-term fever to the grass-roots hospitals for treatment, because grass-roots hospitals can not identify the causes of fever, and then gradually transferred to a provincial hospital, but may not be able to delay hospital admission, because the relevant departments of the hospital Taking into account its complex condition, long hospital stay, low medical costs, will affect the department’s main assessment indicators lead to economic decline, so bedsides to refuse the door ... ... a need for surgical treatment of patients, the surgery only The need to be improved on the basis of the traditional surgical methods that can successfully save the patient, while the hospital and surgical patients are concerned about the risk of improving the surgical style still choose the traditional surgical procedures, the final patient can not be saved ... ... Such as the fact that By no means a minority. Is the moral quality of medical staff too low? This is actually an institutional problem. When the public heatedly discussed and looked forward to the new plan for medical reform, it seems that one important aspect has been overlooked: the development of medicine is a problem concerning medicine itself. Neither the old nor the new medical reform plan really brings the development of medicine into its field of vision. It should be said that this is not appropriate. The development of medical science will also be related to people’s “difficult to see a doctor, expensive doctor ” issue, related to the most basic people’s medical security issues. People should not be indifferent to it when formulating new medical reform programs. Otherwise, in the end will only suffer the people, harm science, damage the country.