Origin-Editorial Room Report 2065438+August 2003, President Wang Mingju moved from Taipei to Zhudong, and from the vice president of NTU General Hospital to the president of NTU Branch, which suffered the most. It is said that it is a rural hospital where "the lights are not on and the toilet is blocked, and one position changes to four people a year". When we met, I thought he would be depressed. Unexpectedly, just three weeks after he took office, he was more radiant than ever. He said that he finally found a solution to the dilemma of the medical system in Taiwan Province Province. At the same time, this plan should solve the influence of an aging society, the financial depression of health insurance, and the gap between urban and rural medical resources and medical system. He spent two hours explaining the strategy and action plan, like an enthusiastic young man: "As long as I can raise 300 million yuan, the future of Taiwan Province Province will be solved." I can't describe the emotion at that moment. In fact, Wang Chuang was also a person who influenced the founding of the country. But "as long as I raise 300 million yuan" is a high standard threshold, which allows me to offer infinite blessings. 20 14 1 10 When President Wang wrote to invite me to attend the groundbreaking ceremony of Dong Jian Center of National Taiwan University, I was really frightened. Only 14 months, he not only raised funds, but also completed many government regulations, bidding and contracting projects. What will make the director of a rural hospital try to reverse the plight of Taiwan Province Province? This is a very touching story. Wang Chuang personally wrote down his mental journey, a dream trip to reverse Taiwan Province's medical dilemma. (Text/Founder Lin Wenling) Countdown to the opening and operation of Dong Jian Center of National Taiwan University 105 days. I remember 65438+August 2002 1 day. When I first arrived at National Taiwan University East Branch, I thought I was ready to serve in the countryside, but when I arrived in Zhudong, I really found that my psychological preparation was far from the real situation. This is indeed a hospital with neither resources nor talents. The financial figures of the past 20 years, if there is no annual subsidy of 50 million yuan, will not be able to maintain rural hospitals. But on my third day in office, a conversation I had in the car with Liu Dage changed everything. Liu Dage was carrying me back to Zhudong Hospital from high-speed railway station in northern Zhu Zhu. In the car, I asked Brother Liu what he would do after taking me back to the hospital. He told me that he would drive to the mountain in Jianshi Township to pick up a patient who needed renal dialysis, and it would take an hour. Then I went down from there and picked up two other patients who needed renal dialysis along the road. In the morning, I returned to Zhudong Hospital on 10 to start renal dialysis. Then at two o'clock in the afternoon, I sent all the patients home, and then drove back to the hospital at four o'clock in the afternoon. After hearing what he said, I was speechless for half a ring, thinking about how to make money for services like hospitals. Tears are almost in my eyes at the moment. At that time, the only thing in my mind was this hospital, otherwise these three patients would be finished. Only the next day, the idea began to emerge. What if a fourth patient needs renal dialysis? From that day on, I bid farewell to the shock and depression of leaving Tianlong country these two days. The question I read in my mind is, how to make this hospital sustainable and benefit the people? And how to prevent the fourth patient who needs renal dialysis from appearing in Jianshi Township? I began to think about why the financial figures of Zhudong Branch are so ugly. Are we really so worthless? Is this hospital doomed to close down? What medical business should be developed? In that distant mountain, how can we prevent the fourth patient who needs renal dialysis? In the next month, I began to face two major challenges. The first item is the hospital evaluation of 65438+August 22nd, 2002. The second item is even more terrible, and it seems that it will not stop. What keeps being sent to my desk is my colleague's resignation documents. The countdown to the opening and operation of NTU East Health Center 104 days, and the hospital evaluation on August 22 and 23, 2002 is considered to be the checkpoint that you must pass immediately when you take office. Of course, it was all the efforts of colleagues in the whole hospital before, but after all, it was July 2000 1 that Zhudong Hospital was transformed into Zhudong Branch of National Taiwan University Hospital for the first time. After the sprint before the exam, the evaluation is finally over. I still remember when I interviewed the Dean last time, the judge who was an old friend asked me what I wanted to do in Zhudong. For this question, after more than 20 exit interviews in three weeks and many meetings to prepare for evaluation, my answer to the members of the evaluation Committee is, "boost morale, strengthen medical care, deepen local cultivation and create a healthy environment." After a year and a half, I think if you ask me this question again today, I will still be the answer to the word 16. In the process of preparing for the evaluation, an urgent matter happened on August 9. The ice water pipe in a room on the third floor of the ward burst and ice water leaked from the ceiling. In order to repair the burst place, it is necessary to stop the supply of ice water for air conditioning in the whole hospital. It was very hot that day and the air conditioner stopped for four or five hours. Almost "air conditioning failure in Dongdong Hospital of National Taiwan University" became the first news when I took office. Ha ha. Countdown to the official operation of Dong Jian Center of National Taiwan University 103. On August 10, the first version of logo designed by my father for the masters of National Taiwan University was released. At the meeting on August 26, I wrote a lot of hospital affairs that needed to be reformed at the back of the briefing materials for the review Committee. Many of the contents in it are the contents of my next painting for Zhudong Branch. A month passed, and on September 4, 20 13, Zhudong branch. In this month, I learned that the most important thing in a hospital is people. Colleagues need morale to have a good service attitude. Before achieving any follow-up goals, boosting morale is the most important task. However, in the process of restructuring, the salary and benefits of personnel have not been given special consideration. This is also an important reason for the high turnover rate. Salary is not the only condition to boost morale and reduce staff turnover, but it is too low to motivate talents. So I started raising money everywhere. Liu Ye, the aforementioned hospital driver, feels the same way. On a bus ride back to Zhudong in August, Brother Liu told me that Zhudong is a large area and people's traffic is very inconvenient. He asked me if it was possible for the business community to donate a car to us like other friends. So we can have a car to take people to the hospital. I still remember my answer at that time. I said that entrepreneurs will donate vehicles in other hospitals because these entrepreneurs always have relatives and friends who are ill and sent to the hospital for treatment, especially emergency and serious illness. After the cure, entrepreneurs will naturally be grateful. After a long time and more times, they will naturally want to donate vehicles or other equipment needed by the hospital. However, the medical ability of Zhudong Branch is not very prominent, and there is no strong emergency and critical medical service, so it is not easy to get the favor of entrepreneurs. Therefore, we are unlikely to get buses donated by entrepreneurs. After listening to my words, Liu Ge thought what I said was reasonable and stopped talking. However, his words made me think about whether entrepreneurs from Zhudong might have the opportunity to ask them to give back to the village. I immediately started looking for someone in my online database. I think Peng, the general manager of a well-known construction company with some origins, happens to be a native of Zhudong. Thanks for serving in a general hospital in the past, maybe the service conditions are not bad. 20 13 Call him at the end of August and ask him if it is possible to donate a medium-sized bus to us. He said he was only a professional manager, but he would ask his boss, Chairman Li. The next day, I received a phone call from Mr. Peng. He told me that Chairman Li (not Zhudong's) agreed to donate a CMB on the spot without saying anything, and asked what model we needed. The donated model was confirmed in early September of 20 13, and the vehicle was driven to Zhudong Branch on June 1 18. We finally have the first car donated by entrepreneurs, yeah! Yeah! Yeah! It was 102 days after the official operation of Dong Jian Center of National Taiwan University that I arrived in Zhudong and thoroughly understood the mistakes of the current medical system in Taiwan Province Province. Conceptually, we only attach importance to medical care and Medicaid, but not to medical care and health care. In the education and training of doctors, we attach importance to specialized medical training, rather than how to prevent and manage diseases in family medicine. In terms of health expenditure, the 6 billion national health budget is only 1% of the 600 billion national health insurance. Universal health insurance is medical insurance. It's a system that pays for your illness, not a system that pays for keeping you from getting sick. Because of this design, the mode of universal health insurance payment only depends on the depth and breadth of hospital medical services. The medical profession has long known that in the national health insurance, the more invasive examinations or operations, such as endoscopes, cardiac catheters, various operations, drugs, examinations and imaging examinations, the more money will be made. Doctors will not make money if they just go to the outpatient clinic to chat with patients and encourage them to manage their health or diseases well. However, in rural hospitals like Taidazhudong, due to the restrictions of regional traffic and caring people, it is impossible to have as many patients as medical centers and pay for examination, inspection, treatment and medical insurance, but all the manpower needed to maintain the operation of the hospital naturally cannot make ends meet. However, if the payment system is changed, as long as local hospitals do a good job in health management, chronic disease management and disease prevention before good people get sick, these medical and health care work can also get the same financial payment as medical services, and regional hospitals will certainly try their best to do it well. In addition, more importantly, if regional hospitals provide medical care, the number of people who need medical care can be reduced. It will have a real effect on preventing the continuous expansion of medical insurance. For TEDA residents, if a heart attack, stroke or cancer really happens, we really can't provide the best medical service at the first time. But we can try our best to reduce people's chances of myocardial infarction and stroke. We can try our best to find cancer early and treat it early. This is the most important and capable medical and health care task for a regional hospital like Zhudong of National Taiwan University. National Taiwan University Dong Jian Center officially opened 10 1 day, and National Taiwan University East Branch could not make a profit because of illness. TEDA lives in Dongdong and wants to make a profit by making people healthy. With this belief, I found my vision suddenly broadened. From this point of view, although hemodialysis, stroke rehabilitation, chronic respiratory care, and medical care for pneumonia and urinary tract infection in the elderly should continue to be provided, we should try our best to prevent people with poor renal function from worsening to renal dialysis, so as to prevent fewer stroke patients, less myocardial infarction, and try our best to prevent diabetic patients from worsening to complications such as vision deterioration, renal failure, myocardial infarction or stroke. These are the things we can do. Although I can't treat one or twenty patients suffering from these acute diseases every month, if I can reduce the incidence of these acute diseases by 20%, 30% and 50% every month, it will be a great contribution. It's just a pity that the current medical insurance system hardly pays for my efforts. Judging from my little negotiating experience with the Health Insurance Bureau in the past, if you want to start working quickly, you must find another source of income. So, I decided to explain my ideas to my EMBA classmates and all entrepreneurs I knew in the past to raise funds, and also used all my connections to invite friends to arrange for me to give speeches in various places. Please support my idea of reforming hospital affairs and promoting different medical care models. Finally, I received the first donation, the second donation and the third donation. As of 102, I have raised more than 2.5 million donations. The first donation I received was a large donation of more than one million. When I received this donation, I almost cried, but I think, God never shuts one door but he opens another. I'm glad to meet several influential entrepreneurs today. Achieve greater success than expected. It is also a big step forward from the big public welfare goal I set. The specific content of our public welfare goal cannot be explained to you at present, but it will be announced before NTU Oriental Health Center is officially put into operation. In short, the goal is simple, that is, to let more people have health. Stay tuned! Brief introduction of the author
Dr. Wang Mingju, Dean of Zhudong Branch of National Taiwan University Hospital, Professor of National Taiwan University School of Medicine.