Meng Fanchi in the "Chinese and foreign enterprise culture" in 2012, the first issue of the article pointed out that the workforce how to bring up, the staff's personal values and corporate vision of how to highly consistent up, we have to solve the cultural means, and can not take the hard administrative means. To use corporate culture to integrate, to cultivate the values of employees. Why there are so many systems, the cadres of corruption is still very serious, this is because there is a system is not implemented. For example, on the promotion of cadres, the appointment of cadres of the procedure, from the central to the local system is very strict, on how to nominate, how to discuss, how to test, how to vote and so on have clear provisions, but some people in the appointment of cadres often will be this set of procedures to play in the palm of your hand. They rely on the power of leadership, tell Zhang San who he wants to promote, let Zhang San go to the examination, after the examination first with the department to report, the procedures are not missing, they are very appropriate to achieve their purpose. Everyone else understands, but they just can't tell. Therefore, just have a system without the correct cultural concepts to guide, the system also becomes a clay man, hand-made. In addition, the enterprise value of the various systems to open the channel, not to monopolize the value. The so-called value monopoly, that is, in a stage of the enterprise only a value recognition, that is, an employee when the official is successful, not when the official is not successful, thus creating a value monopoly. Any enterprise so few leadership positions, in order to let everyone can realize personal value, should open up a variety of channels, which is called value diversion. To let employees understand that there are many ways to realize personal value, not only when the official that way. In the process of enterprise culture construction, cadres of the culture of integrity, the staff of the culture of success, to establish, to become the enterprise *** Central Committee, the State Council on deepening the reform of the medical and health system of the views of the "and" the "reform of the medical and health system in the near future focus on the implementation of the program (2009-2011)" was announced, marking the launch of a new round of China's pharmaceutical reform. Every major social reform is always accompanied by the process of ideological liberation and conceptual change, the majority of medical staff is the main force of the medical reform, therefore, in the process of deepening the reform of the medical and health system, we should focus on the development of hospital construction under the new circumstances of the value orientation and thinking orientation, strengthen the ideological and political work, the majority of medical staff to the unity of thought to the reform of the direction of the target, in order to promote the comprehensive Medical reform to provide political assurance and spiritual impetus.
1.the current hospital value orientation and thinking-oriented analysis of the problem
Public hospitals as a government-organized, to the people to provide public welfare and basic medical services to the institutions, to fulfill the special nature of the social responsibilities and obligations decided that it is always necessary to put the social benefits in the first place. However, the hospital has experienced a long period of free-form competition in the development stage, but also accumulated and exposed more and more problems. How hospitals can adapt to the new situation, find the right positioning, combine the assumption of social responsibility with the development strategy, improve their own comprehensive strength, and realize the harmonious development of hospitals and society, is a new topic facing hospital managers.
1.1, social responsibility and self-interest
In our country's medical service system plays a leading role in public hospitals, public hospitals are organized by the government to provide public welfare and basic medical services to the people of the organization, to fulfill the special nature of the social responsibilities and obligations decided that it is always necessary to put the social benefits in the first place. With the occurrence of SARS, "5.12" Wenchuan earthquake, H1N1 influenza A and other public **** events, as a public hospital to fulfill the social obligations for the country, for the people to share the difficulties of the social obligation to take the initiative to take up the important task of medical assistance and medical emergency. Safeguard and promote the health of the whole population, so that everyone, rich or poor, have access to the necessary medical and health services, not only to protect the health of the individual requirements, but also to protect and develop the social productive forces, the realization of economic development, social harmony requirements.
The development of medical and health care must emphasize the principle of public welfare. Seeing a doctor is the inevitable needs of patients' survival, indispensable and irreplaceable. If medical and health services are regarded purely as commodities, and profit maximization is pursued according to market rules, the result is bound to be that only a few rich people can enjoy high-quality medical services, while low-income people find it difficult to get the necessary basic medical services, which is contrary to the interests of the society "1", and also leads to a rapid rise in medical costs and an increase in the financial burden of patients. People as individuals cannot predict when they will get sick, what kind of disease they will get, what kind of examination they will need when they get sick, how they will be treated, how much they will pay for the treatment, and so on. If hospitals or doctors only seek to maximize economic benefits, they can easily take advantage of the unequal information of expertise to guide patients' consumption and provide excessive or unnecessary services to patients. Another characteristic of medical services is the existence of an insurmountable contradiction between the tendency of patients to consume more and the uncertainty of the service effect. On the one hand, patients to avoid the risk and at any price, buy expensive not cheap; on the other hand, the medical service field price is not necessarily high quality. Subject to the development of medical science and the limitations of the patient's own differences, although the patient pays a high cost, the result of the treatment may be restored to health, or may not be restored to health, or even loss of life.
The dilution of public welfare is currently a prominent problem in hospitals, but also an important obstacle to the development of health care. The reasons for this: First, the government's investment in public hospitals is insufficient, the financial income and expenditure of public hospitals, residual retention, personnel system, business management and other aspects of the supervision is not in place; Second, the hospital will be pushed to the market, only to give the policy, self-supporting, prompting the direction of hospitals to operate for profit. Hospitals to survive and develop, in order to attract patients, competing with high-tech and equipment, resulting in excessive medical and other irregularities and rising medical costs. Third, the results of the emphasis on economic efficiency of medical services from "prevention" to "heavy treatment", from low-cost to high-tech high-cost, such a shift so that more and more people can not afford to see a doctor, and even dare not see a disease.
1.2, scale expansion and moderate development
With the deepening of the reform of the health care system and the increasingly fierce competition in the industry, public hospitals are faced with the survival and development of the contradiction is more prominent in the face of the complexity of the environment, many hospitals chose to expand the scale of the development mode. Expansion is a response to the medical market demand, but also the need to further subdivide specialties and new departments. There are generally two ways to expand the scale, one way is to expand their own scale, the construction of new medical buildings, increase the area of medical rooms, the number of beds, the number of medical staff, the introduction of equipment, etc., the deep-seated motivation is to increase patient intake, increase revenue. The other way is to take the restructuring mode of "cooperation, merger, union, grouping" to create a "joint fleet", in order to achieve the purpose of expanding the scale effect, revitalizing the stock, optimizing the resources, lowering the medical cost, improving the efficiency, and facilitating the competition in the medical market. 2". From a practical point of view, the expansion of the scale of medical institutions has adapted to the growing demand for health services of the people and alleviated the difficulties in accessing medical services to a certain extent. However, along with the expansion momentum, the hospital's luxury wind is also blowing more and more fierce, buy large-scale medical equipment, build VIP wards, resulting in medical costs rise too quickly. Some large hospitals blindly seize the medical market and share, as patients are flocking to large hospitals, large hospitals have no triage, no referral, no level, the patient does not get careful treatment. From the hospital itself, its talent pool growth rate may not be able to keep up with the speed of expansion, resulting in increased difficulty in the management of the hospital, the quality of health care declined, medical costs rose too quickly, medical education and research capabilities can not be coordinated development. From the point of view of hospital managers, hospital development to stand on their own height, consider the performance, staff treatment, undertake a certain amount of medical business, to achieve these purposes, the need for funds, the need to expand, which is not wrong. But how to grasp the moderate development, according to their own strength, consider the value of inputs and outputs, to ensure that the hospital's brand is not diluted, large hospital gates can not be permanent.
For the expansive development of public hospitals, first of all, the government should be repositioned, in the guiding ideology of the hospital as the state to maintain the people's health of public institutions, around this positioning to develop appropriate policies. Secondly, change the medical model, change the treatment and profit-oriented medical, establish to protect and promote health as the basic goal of health management model, fundamentally reduce medical costs. Once again, change the way public hospitals are compensated. The government to increase investment, and gradually realize the change from fixed subsidies and project subsidies to subsidies according to the amount of services and quality of service, rationalize the income distribution mechanism of doctors and protection mechanism.
1.3, "disease-oriented" and "people-oriented" issues
Along with the development of human society in the evolutionary process, the traditional biomedical model of structural and revolutionary changes have taken place, has formed a biopsychosocial medical model. social medicine model. For disease diagnosis and treatment still apply the traditional theories and drugs, surgery, rehabilitation treatment of the three major clinical treasures has been far from enough; now the medical service has covered the whole process of human life, from perinatal, infancy, adolescence, middle age, old age to the end of life, the object of medical service is first of all the "people", and secondly, "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease", "disease" and so on. "Patients are not only people with biological attributes, but also people with social roles. Medical personnel must establish the service concept of "people-oriented", stand in the perspective of respecting and valuing "people", and help them fight against diseases. To help them fight against diseases, overcome diseases and regain health; on the one hand, to use their own professional medical knowledge and skillful medical technology to solve the physical diseases for patients, on the other hand, from the service attitude, workflow, treatment environment and living conditions to bring the patients psychological and spiritual satisfaction, and to turn the pure technical diagnosis and treatment into the medical technology, psychological care and health care model; at the same time, to change the single medical service into a medical, preventive and preventive service, and to change the single medical service into a medical and preventive service. At the same time, the single medical services into a medical, prevention, health care, rehabilitation, health education as one of the full range of medical services system, from serving a body to serve the entire community, through the provision of health care, health guidance, establish a correct concept of health, to change the public's bad habits and behaviors, with a view to achieving the purpose of truly improving the quality of life and health of the people.
The concept of "people-oriented" is embodied in the various departments and work processes of the hospital, that is, respect for patients, care and understanding of patients in the first place, and effectively do good things for patients, do practical things for patients, with all the convenience of the patient, all think of the patient, all for the patient as the starting point, from the emphasis on the improvement of clinical symptoms to the improvement of clinical symptoms. In focusing on the improvement of clinical symptoms at the same time but also focus on the quality of life and health outcomes of patients, improve the quality of life and quality of life, from around the disease to around the patient, from completely by the medical staff to change to the doctor and patient *** with the consultation, cooperation, so that the patient to participate in the therapeutic activities of the disease, in the life, the environment, the service, the attitude of the patient in all aspects of life, give the patient a full range of care and attention.
2, at this stage to strengthen the significance and role of ideological and political work
With the deepening of the reform of the medical system, the majority of medical personnel's ideological concepts, ways of thinking, value orientation, etc. are also changing, the ideological and political work is to educate people, transforming people, shaping people's systematic project, is the fundamental guarantee of medical work and other work. Therefore, for the current stage of hospital construction and development of value orientation and thinking orientation, and actively explore the ideological and political work of the countermeasures and tasks for the scientific development of medical reform, escort, is particularly important.
2.1 for the fulfillment of social responsibility to provide political assurance
General Secretary Hu pointed out in the Politburo 20th collective study: "medicine and health care is related to the health of hundreds of millions of people, related to the happiness of thousands of families, related to the economic development and social harmony, related to the future of the country and the future of the nation, it is a very important livelihood issues. To establish and improve the basic medical and health care system covering urban and rural residents, and to provide safe, effective, convenient and inexpensive medical and health care services for the masses is an unshirkable responsibility of the Party and the government, an inevitable requirement for safeguarding and improving people's livelihoods and promoting the all-round development of human beings, and an important task for building a moderately prosperous society in an all-round way and accelerating the advancement of socialist modernization." Medical and health care is a cause for the benefit of the people, the core of the new round of medical reform is to implement the public welfare nature of medical and health care, the majority of medical workers is the Party and the Government's medical reform concept of the implementer, to take up the rescue of the dead, preventing and treating diseases, to protect the people's physical health of the important mission. Ideological and political work must guide the majority of medical staff to establish the correct values, interests, right and wrong and outlook on life, in a nutshell, is the law of self and others. At the same time, we must fully mobilize the majority of medical personnel's mobility, invigorate the spirit, reform, innovation and enterprise, and better undertake the sacred duties entrusted by the party and the people.
2.2 for the promotion of scientific development to lay the ideological foundation
Deepening the reform of the medical and health system, is the implementation of the scientific concept of development in the strategic decision, not only to fundamentally solve the people's "difficult to see a doctor, see a doctor" problem, but also to improve the four major systems of medical and health care in the long run to realize the health cause coordinated, healthy and sustainable. Coordinated, healthy and sustainable development of health undertakings. To strengthen the ideological and political work, so that the majority of medical staff to better understand the scientific concept of development why development, how to develop, by whom the idea of development, pressure into motivation "3", through the review of history, summing up the experience of the conviction that the development of the hard way, firm reform and development of the confidence to speed up the development of hospitals to provide a strong ideological guarantee and public opinion support.
2.3 Provide spiritual power for building harmonious doctors and patients
Medical staff is not only the carrier of medical technology, but also the source of power for the development of the hospital, and the foundation and key to establish harmonious doctors and patients. To realize the comprehensive development of medical personnel, not only to cultivate the level of service and technical ability of medical personnel, but also to cultivate medical ethics, service style and dedication, to achieve both virtue and talent, moral and behavioral consistency. Ideological and political work should guide medical staff to discover the value and significance of their own work, integrate their personal values into the values of socialism and collectivism, organically combine their personal goals with the development of the hospital, and transform their potential knowledge and abilities into contributions to the development and construction of the hospital, so as to achieve a "win-win" situation for both individuals and organizations. "Secondly, it is necessary to change the medical staff's mindset. Secondly, to change the medical staff's ideology, service concept and social role, must be from the "gift" to the "service" role transformation, respect for patients in their work, care for patients, service to patients, willing to be the maintenance of social and public health The "giver".
3, the ideological and political work to promote the development of the hospital countermeasures
Ideological and political work is an important part of modern scientific management, but also the party's political advantage. In the face of the new situation of the hospital development of hot issues, do a good job of ideological and political work, is to cultivate a positive consciousness and style, is to promote the construction of hospitals, improve the level of service is an important guarantee.
3.1 systematic education combined with thematic activities
Ideological and political education is the first and basic ideological and political work, to establish a long-term mechanism of ideological and political education, in the grasp of the system, regular education at the same time, but also according to the situation and the actuality of thematic education, special governance, thematic activities and other forms of education. For example, close to the post to carry out "patriotism, socialism, collectivism, professional ethics, laws and regulations" five kinds of education, to carry out the code of professional ethics and medical ethics education. Organize party members and workers to visit the Revolutionary Martyrs' Cemetery and other revolutionary traditions and patriotism education, to carry out the theme of "striving for excellence", "carry forward the spirit of Bai Qiu'en, for the people's health services"; in the annual "3.5 Learning from Thunderbolt Day", "5.8 World Red Cross Day", "7.1 birthday of the Party", "Hospital Day" to carry out large-scale free clinics, health education activities, and encourage departments to create "civilized departments", "youth civilization" activities. The whole educational work is not only consistent and coordinated, but also adapted to the stage of health reform, the characteristics of professionalism.
3.2 Combination of quality education and professional ethics education
The main significance of ideological and political work is to purify people's hearts and minds, and to enhance people's thinking, and to always adhere to the correct political direction under the current diversification of ideological concepts, and to persistently utilize Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory, the "Three Represents" important thought, the scientific development concept, and the "Three Represents" important thought. Sound personality, and constantly improve the level of political theory and ideological and moral standards; so that the majority of medical personnel to the spirit of no self-interest, the spirit of the first and the last, the spirit of technical excellence, the spirit of passion for the patient, love and dedication, patient-centered, dedicated to the people's health services as the highest standard of abiding by the sacred profession of "white angel", firmly establish the love and respect for their work, and the highest standard, and firmly establish the love and respect for their work. The highest guidelines, firmly establish the love and dedication, practice according to law, the concept of honest service, adhere to scientific, reasonable, standardized diagnosis and treatment behavior, improve medical quality, improve service attitude, control medical costs, and promote the construction of medical practice and various undertakings of sustained, rapid and healthy development.
3.3 education and guidance and scientific management
Ideological and political work only in hospital management, in order to enable medical personnel to do the unity of knowledge and action, so as to play an effective role; hospital management only reflects the connotation of the ideological and political work requirements, in order to highlight the management of the spirit of the value and direction. Specifically, one is to be combined with business management, so that it is centered on improving the quality of medical care and service level to implement effective management, strict implementation of medical procedures; the second is to be combined with talent management, the establishment of the industry not to seniority belittling people, not to the authority of the industry's culture of suppression of people, not stick to one pattern of selection of talent, and the establishment of fair and impartial mechanism for the selection and recruitment of talent. "4" incentives for advanced, spurring backward, the strong political, business, discipline, moral and technical talent to use up, in the hospital to form a good environment of respect for talent, love and cherish talent. To continuously improve the system of rules and regulations, promote system innovation, internalize the management provisions into the conscious behavior of medical staff, so that hospital management on the track of institutionalization and standardization. So as to build the hospital into a spirit of upward mobility, medical morality and medical style noble and excellent, the cadres are diligent and incorruptible, the majority of staff love their jobs, academic thinking rigorous and active, cultural atmosphere thick and elegant, hospital environment clean and beautiful window of spiritual civilization.
References:
"1" Li Ling: Let public hospitals return to the track of social welfare. Seeking the truth magazine, 2008-4-1
"2" Yi Xueming: Identification of several hot issues in current hospital management. China Hospital Management, 2010, 30(3):1-3
"3" Wang Weixian: How to Strengthen and Improve Ideological and Political Work under the New Medical Reform Situation. China Hospital Management
"4" Li Li: Establishing the socialist concept of honor and disgrace and building a harmonious hospital culture. Modern Hospital. 2007,7(8):130-131
Industry team building, values cultivation of the important content, must do a good job.