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在“医疗商城”别只看到共享

2017-09-21 10:17:08   央广网

原标题:在“医疗商城”别只看到共享

共享医疗,正在被越来越多的人熟知。近日,浙江省卫计委发布《关于杭州全程健康医疗门诊部开展医技等共享服务试点的批复》,同意杭州“全程国际医疗商城”的医疗资源共享模式,这也意味着全国首家“共享医院”落户杭州。医疗商城将如何改变普通人的生活?其优势在哪里?省卫计委医政处负责人表示,这里为双创提供宽松氛围,将满足多元化就医需求。(9月20日《浙江日报》)

这家“医疗商城”前所未有,具有开创意义。其最大优势和特点在于,它实现了检验、病理、超声、医学影像等医技科室及药房、手术室等资源的共享,入驻这里的诊所将不需要各自拥有这些资源,可大量节约医疗成本。共享模式在其它领域的不俗表现,或将在医院系统得以展现。

更让人兴奋的是,这家医院不仅以“医疗商城”来命名,而且做法也与其它商城颇为相似。商业系统的通常做法是,商城的投资方搭建一个平台,各摊主纷纷入驻商城,形成一个个独立的单元。这家“医疗商城”也大致如此,商城提供了基础环境,各类诊所成为商城里互不隶属的医疗单元,这种松散式管理和宽松氛围,的确有利于医生走出体制大胆创业创新。将来,患者看病如逛商城,不仅环境优雅,而且选择多元。

假如只看到共享,这家“医疗商城”无疑具有不少优势。谁也难以预料“医疗商城”这种共享模式的最终结局,或许它将带来医疗模式的根本转变,甚至成为化解看病难和看病贵的一大利器。在好处方面,你尽管发挥想象,也有理由对此充满期待。

但看病毕竟不是购物,诊疗并非买卖,若用商业模式来经营医疗,固然优势颇多,可别忘了,两者的最大不同就是风险不同:衣服不合体,可以来换,药吃进了肚子,可没有机会更换;欺诈了消费者,损失的只是钱,欺诈了患者,损失的是无法挽回的健康甚至生命;一分钱一分货,是商业规律,但花多少钱就要达到多大的效果,这可不是医疗规律。“医疗商城”逛逛可以,真是要做手术,商业在此处的最大优势,恰恰就会成为最大劣势。

更让人担心的是,医疗事故的责任如何划分,在这里可能会成为大麻烦。比如,检查的结果不准,导致医生误诊误治,在医院里都属于医院的责任,但在这个“医疗商城”里,你得分清是共享设备的责任,还是诊所的责任,事情的复杂性当前还难以预料,将来在这方面扯皮打架的事不会少,患者的利益也可能因此受损。

每做一件事,都要把风险考虑在前面,医疗关系到人的健康与生命,更是要把防范风险放在首位,其它方面可以摸着石头过河,但防范风险不能。首家“共享医院”的确具备许多可圈可点之处,但在风险防范和事故责任划分方面,也得拿出一个令人信服的方案。

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