Liao Xinbo: The embodiment of doctor's value begins with the reform of the payment system

The doctor’s labor value is not reflected in the price, which is a consensus.

Doctors complain that the value of knowledge is underestimated and the income is unreasonable. What are the reasons behind the social complaints about “big inspections”, “big prescriptions” and poor services? A truth that cannot be ignored: the payment system makes it happen! China's current payment system simply ignores the labor value of doctors, basically cutting off the way for doctors to obtain legitimate and reasonable remuneration through knowledge and experience, and fosters a very unreasonable and deformed compensation system for “lossing the embankment within the embankment”.

I believe that the key to solving this series of problems is to start with a reform payment system. Through the reform of the payment system, the doctor's labor value is truly reflected in the income, thus promoting the comprehensive reform of all subjects and various links of medical care .

The income structure with Chinese characteristics does not reflect the value that doctors should have.

The current income structure of Chinese doctors can be said to be unique in the world and also has Chinese characteristics.

Its basic structure is: basic salary, position (title) salary and reward wage. The basic salary is very low. Just graduated is a thousand dollars. Up to a certain year or a certain title, it is two thousand yuan, from the resident doctor to the chief doctor. Rewarding wages, in the name of “performance pay”, is basically based on job title and job title, and is the most critical and important part of doctors’ income. According to different regions and hospitals, reward wages account for 60-80% of total income. Where does the reward wage come from? Usually the total income of a department or a hospital minus the total expenditure, and then a certain percentage as a reward salary - this is Chinese characteristics.

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