Many hospitals are short of doctors. Why is the medical industry still unwilling to recruit more people?

It’s not that hospitals are unwilling to recruit more people, but that under the current system, large hospitals have enough free labor force such as trainees, regular trainees, graduate students, and interns to work, so they have no incentive to recruit new people. New graduates should be trained slowly, because the cost of training new people is too high and there are many uncertainties. The shortage of clinicians in both private and public medical units is an indisputable fact

Let’s talk about private hospitals first. Unlike public hospitals, they are not primarily profit-oriented. They have to be careful with their budgets and will reduce expenses and costs. Increase profits. So try to use as few people as possible to make more money. Although public hospitals are not for profit, they have limited employment quotas and have to go through layers of approvals. The threshold is also high, making it difficult for ordinary people to enter.

In addition, the focus of medical work is tilted towards big cities, resources and equipment are concentrated in big cities, and people go to big cities when they are sick. The shoe industry will increase the burden on doctors. Due to the limitations of the organizational structure, all equipment has a certain specification and quantity, so doctors are busy and no matter how tired they are, they can only endure. Let’s start with first-level hospitals

First-level hospitals are well-known community hospitals and township health centers. Hospitals at this level are fully funded by the state. There is no problem that hospitals are unwilling to recruit people, but local finance is unwilling to recruit people. One more person means another salary.

In places where the local finances are not rich, everywhere is a carrot with many pitfalls. The same is true for hospitals. As long as they can continue to carry out work, they will not recruit people. Due to the lack of professional and technical personnel, many first-level hospitals no longer offer night clinics. So why are secondary hospitals unwilling to recruit people?

The first and second-level hospitals include district hospitals and county-level hospitals, which are responsible for the main diagnosis and treatment work for the people in the area. Therefore, experienced doctors are needed, and the time required to train a medical student to become a qualified doctor cannot be achieved in three or five years. It is better to poach people from other hospitals. Every county-level hospital has "experts" poached from township health centers. The advantage of such "experts" is that they have a short training period and can work independently upon arrival.

Second, it is also based on economic analysis. Second-level hospitals are differential funding organizations. Most of the funding is about 40% of staff salaries, and the rest is earned by themselves. Not only is the local finance unwilling to spend more money here, but the hospital is also unwilling to recruit people. After all, many departments have just been able to pay salaries. With limited income, of course, the fewer people, the better. No one wants to work hard for a month and have to pay all their salaries. Not coming out. Issues that hospitals need to pay attention to

The hospital will definitely want to recruit more people to serve you, but the hospital has to consider the following issues. First: Most of the better doctors have establishment requirements. If you want to recruit a better doctor, the hospital will not be able to recruit you if the superiors do not provide you with establishment establishment. Second: If you don’t want a staffed doctor, he may not be able to meet the hospital’s requirements.

Third: Some hospitals are not busy all day. Most of the time they are only busy in the morning and relatively free in the afternoon. The hospital also has off-season and peak season. Sometimes there are only a few patients a day in the off-season, but there are many people in the peak season. If you follow There are too many doctors in the off-season, and there is no profit. This will inevitably affect the enthusiasm of doctors and lead to the loss of good doctors.