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7/23/13, "Bribery serves as life-support for Chinese hospitals," Reuters
"Bribery is the
lubricant that helps keep China's public hospitals running, and the
health system would struggle to function without illegal payments to
poorly paid doctors and administrators, say medical practitioners and
industry experts.
They say government policies
are partly to blame for a system in which doctors and other staff expect
to be paid extra fees to perform operations and take kickbacks from
pharmaceutical firms and medical-equipment suppliers.....
The corruption stems largely from doctors' low
base salaries, which are set in line with a pay scale for government
workers. Hospitals can pay bonuses but, given public hospitals are
strapped for cash, compensation is usually low, say doctors and industry
experts.
A doctor fresh out of medical school in Beijing earns about 3,000 yuan
($490) a month including bonuses -- roughly the same as a taxi driver. A
doctor with 10 years experience makes around 10,000 yuan a month,
according to Peter Chen, chief executive of privately run Oasis
International Hospital in Beijing.
"Without
the grey income, doctors would not have the incentive to practice,"
said Yanzhong Huang, a senior fellow for global health at the Council on
Foreign Relations in New York....
Public hospitals say recruiting new doctors is
getting harder as many physicians are turned off by the wages at a time
when patient numbers are growing. Health Ministry data showed the
overall number of doctors rose 13 percent from 2008 to 2011, while
patient visits jumped 28 percent.
"There
will be no doctors left to treat the current doctors when they retire,"
said the accounting director at a Shanghai hospital who declined to be
identified because she was not authorized to speak to the media."...
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