Speak of from large medical devices (add)

Ken Kamler: Medical miracle on Everest

Last respecting, the existence of large medical devices, brought the income that does not poor to the hospital really. But the addition of this part income originates of the patient need and diagnostic responsibility of the doctor, still originate the doctor just is opposite to take deduct a percentage from a sum of money of the patient dinkum " revulsive " , with respect to unknown. According to the classmate‘s view, affirmation has profitable intention inside.

Want to have the intention that make money only, patient with respect to hard to avoid floriferous injustice money. The target that medical treatment reforms may be very big, but should come true to the patient is spent less or do not spend injustice money only, it is boundless beneficence -- below the circumstance that although the price serves in medical treatment,cannot drop.

Want to achieve this goal, be about to begin to the doctor‘s drive from the change. Now, hospital mostly bright move dark touchdown sets, the patient is done machine examination is morer, the doctor‘s deduct a percentage from a sum of money is more. In this kind incentive mechanism falls, hard to avoid can have the doctor with not tall medical ethics to draw out money to do useless work to make money and allow a patient. And good incentive way is: The doctor is more effective to the patient‘s make a diagnosis and give treatment, the award that he wins is larger. Alleged " effective " , have two meanings: One, good patient of utmost ground medical service; 2, utmost ground replaces patient be economical. You should be evaluated effective, have to very know medical knowledge, know a doctor it is indispensible that what diagnose a program, what is redundant. But actually, majority person goes without ability the make a diagnosis and give treatment of professional comment on doctor, come true then of pair of broad doctors control the job that finishs unlikelily namely with drive.

Cannot come true to drive, we must think method is abate at least negative to drive. Say simply, it is difficult to be done. The hospital introduces medical devices, always have profitable intention, and earn money always has one part to turn into through certain kind the doctor‘s welfare. So, wanted a hospital to buy a machine only, the doctor has motive to allow a patient " excessive " use these machines, no matter have so called " is deduct a percentage from a sum of money made " -- the unit that who does not think to let whose (then oneself) become richer? Does hospital of so rigid limitation buy medical devices? Arrive from the dean doctor, won‘t agree. According to the classmate‘s view, bought a machine, unit and individual are richer and richer; Did not buy a machine, very poor from beginning to end. Accordingly, even if superior has motive to qualify a hospital, the hospital also can play with you " moral risk " . And, moral risk is OK still bright move plays: If the hospital emphasizes introducing instrument,be for better patient of make a diagnosis and give treatment, superior also takes it to do not have method -- and this, also originate information asymmetry.

Guo Kai has said, medical treatment service industry is the industry with information the most outstanding asymmetry, what kind of information asymmetry has. Look in me, information asymmetry is hospital and doctor help straw, below its shelter, hospital and doctor always can be accomplished " on have policy, there is the way to deal with a situation below " . Accordingly, the government perhaps ought not to spend much energy to run this industry really, cost is huge, effects is likely however very small. Might as well give the market tries.