Since July 1, the first "Chinese Medicine Law" has been implemented for more than a month. How does the industry evaluate this law? What impact does the law have on different Chinese medicine institutions such as public hospitals, private Chinese medicine clinics, and Chinese medicine clinics? What are the views of medical institutions on the future training of Chinese medicine professionals? The "Economic Information Daily" reporter recently visited some Chinese medicine medical institutions in Beijing. The industry expects that relevant departments can cooperate with each other and issue supporting rules as soon as possible to effectively promote the development of Chinese medicine.
Chinese medicine productivity will be liberated
"The "Traditional Chinese Medicine Law" will liberate the productivity of the Chinese medicine industry." Professor of Beijing University of Traditional Chinese Medicine, Beijing's non-legacy protection project "Cheng's acupuncture" fourth generation inheritor, founder of Dacheng Chinese medicine Cheng Kai believes.
Cheng Kai believes that the "Traditional Chinese Medicine Law" is beneficial to the identity of private Chinese medicine practitioners and the way of teaching instructors, and to the growth of the team of Chinese medicine practitioners in the future and the inheritance of folk experience. At the same time, the law gives more open policy support to doctors' places and geography, which means that doctors can play a greater role in the future. In addition to liberalizing multiple practice between different medical institutions, doctors with good skills, ability and energy can also open their own clinics or medical institutions. The previous regulations were that non-employed persons such as retirees or resignees could open a doctor. Pavilion.
The Chinese medicine preparations in the hospital were changed from the examination and approval system to the filing system, and it was also considered by the industry to be a highlight of the Chinese Medicine Law.
It is understood that before the implementation of the "Chinese Medicine Law", prescriptions in Chinese medicine hospitals can only be given to patients in the form of a single Chinese herbal medicine, so that patients can be decoctioned or hospitalized, and the dosage form is relatively simple. If you want to make a form of medicine such as Pills and Dan, you can apply for new drugs according to the national batch number and be produced by a qualified pharmaceutical company. According to the provisions of the "Chinese Medicine Law", after the preparation of the hospital preparations is completed, the hospital can entrust a production-qualified pharmaceutical factory to process and produce it, and use it in the hospital.
Public Chinese medicine hospitals have high expectations for the preparation of the in-house preparations. Wang Yaoxian, dean of Dongzhimen Hospital of Beijing University of Chinese Medicine, said: "Although the "Traditional Chinese Medicine Law" has given more autonomy to the hospital in this respect, the specific implementation rules have not yet been issued. I hope that relevant departments will cooperate with each other and issue supporting rules as soon as possible."
Challenges in multi-point practice and clinic filing system
"The far-reaching impact of the "Traditional Chinese Medicine Law" is that it will bring about changes in the pattern of Chinese medical institutions." Wang Yaoxian believes.
The reporter learned that in the long run, "organizing a Chinese medicine clinic from a licensing system to a filing system" will undoubtedly help the Chinese medicine industry to further develop and grow. However, in the short term, the variety of medical treatments is diversified, and the challenges for private clinics, outpatient departments, and public hospitals cannot be ignored.
Dr. Zheng Zhaoqi, from the Institute of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, believes that although the relevant implementation rules have not yet been issued, it is expected that the threshold for the establishment of Chinese medicine clinics will be relaxed. "The "Traditional Chinese Medicine Law" will open up a large number of clinics for the liberalization of Chinese medicine clinics. There will be more room for Chinese medicine doctors with feelings, ambitions and ability," he said.
"All along, talent shortage is a key factor restricting the development of private Chinese medicine museums. Whether it is recruiting experienced doctors or training doctors themselves, it is a big problem in front of the private Chinese medicine clinic. "The identification of the identity of private Chinese medicine practitioners and the way of teaching undergraduate education, coupled with the 'sunshine' of doctors' practice, has made the sources of doctors in the private Chinese medicine museum more abundant, which is conducive to the development of private Chinese medicine museums." Cheng Kai believes .
But the pressure of competition has followed. "For clinic operators, the competitive pressures in the state of meager profit or even loss are undoubtedly worse. Whether you can find a good profit model is the key to success. Otherwise, if the clinic loses money, it will not be even better. Development and growth." Zheng Zhaoxuan said.
According to industry sources, the establishment of private Chinese medicine clinics is costly and has a long payback period. It is difficult to make profits in a short period of time, and about 70% to 80% are at a loss. In addition to the clinic rent, the purchase of medical desks, chairs, sofas, etc., staff salaries are a lot of expenses, there are really patients who come to see the doctor, the medical treatment fee charged to the doctor, the drug fee bonus is also canceled, So it is not easy to make a profit.
Relatively speaking, the challenges faced by public Chinese medicine hospitals are more direct. "First of all, the diversification of medical treatment forms may divert the outpatient volume of public hospitals. Secondly, after the clinic filing system and doctors practice more 'sunshine', under the influence of interests, there may be more outstanding doctors practicing outside. The frequent flow of on-the-job doctors has an impact on the personnel management of public hospitals; once again, the impact of doctors' practice on market research and teaching will also be highly concerned." Wang Yaoxian said, "Public hospitals should actively adjust and transform, effective Respond to these new challenges."
Teacher education and college education should be effectively connected
The "Traditional Chinese Medicine Law" clarifies that "the state develops Chinese medicine practitioners to undertake education, and supports Chinese medicine practitioners and Chinese medicine professional technicians with rich clinical experience and technical expertise to teach and practice in the practice and business activities, and to teach traditional Chinese medicine theory and technical methods. Training Chinese medicine professionals."
In this regard, Wang Yaoxian believes that "the recognition of teacher education by the "Traditional Chinese Medicine Law" will greatly promote the development of Chinese medicine, and the way of training talents in the future will change. However, it must be clear that college education is a Chinese medicine practitioner. The mainstream of talent cultivation should encourage the development of teacher education on the basis of college education, and should not completely abandon the education of colleges and universities."
Cheng Kai also believes: "The academic Chinese medicine does have his strengths, because the Chinese medicine school has a relatively complete education system, in addition to Chinese medicine professional knowledge, as well as medical ethics knowledge, Western medicine first aid knowledge, infectious disease knowledge, public health knowledge Etc. These are the necessary courses in the university, which can enable students to have a relatively complete knowledge structure. However, in the process of cultivating the folk teachers, these relatively lacking, students may only learn a trick, only learn to solve A problem, this is both his advantage and his disadvantage."
“The key is how to link academic education with teacher education. At present, relevant authorities are vigorously promoting teacher education after college education. Cheng’s acupuncture and moxibustion cooperates with Langfang City Hospital of Hebei Province according to the requirements of Beijing Municipal Bureau of Traditional Chinese Medicine. Jian, gradually explored the teacher education model for the in-service doctors." Cheng Kai said.
that the school will strengthen the ability to develop students' practical skills and solve practical problems. In addition, it is recommended to give different training modes for different types of talents. Rather than 'one size fits all'. For example, for acupuncture clinicians who are mainly positioned as outpatient services in the future, it is recommended that doctors' standardized training to a certain extent allow people with certain scale, technical characteristics and academic atmosphere, and inherit the training system. The medical institution undertakes. This will not only improve the students' practical skills, but also help the private institutions to carry out talent training and skills transfer." Cheng Kai added.