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The character that medical services is assessed
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Zhou Jiren
Economy observes a newspaper on October 29, 2007 on Monday
Below the case that can choose freely, why should do blame seek profits hospital? To answer this question, many people receive a respect easily to go to duty think of a plan. Yes, each country government gives normally blame seek profits the hospital lest the privilege of duty. Seek profits hospital levy a tax, blame seek profits the hospital is duty-free, formed the difference of a relative value. On logic, as long as this price difference is enough big, benefit of total somebody hasten avoids kill, will do odd blame seek profits hospital?
But, in blame seek profits below the system, duty-free privilege is nodded then " advantage " , contributive person can be not taken away. Because be not,seek profits the hospital is not not to let a hospital seek profits, however even if hospital scores battalion carry gain, also can cast the development to the hospital only, cannot offer share out bonus. The issue came: Calculate duty-free arrangement interest at seeking profits, but the capital that runs a hospital rolls how many gain no matter, want even Bendaili to be put on the development of the hospital forever. Contributive person after all " graph " Where is what?
Hitting nonprofit cover to gain profit? That is behavior of a kind of dodge a tax actually, where to happen possibly, also have really happen. Produce result in the public eye nevertheless, so not easy also. Revenue won‘t let off for nothing, other the market go-between that loads taxation, discovered search hire an opportunity to flock and go up, everybody defends these alone hard " benefit " . Besides, running a hospital is not crash thing, how does the likelihood lean for a long time " secretly " does the advantage that come score a success? Hospital of ancient Chinese name for Venus of blue like the United States cross, Taiwan, and Beijing assist seek profits with so famous blame medical establishment, have history of a few years at least, how many person is being stared at look at, "Blame seek profits " always be be worthy of the name. Below competitive pressure, blame seek profits the contributive person of the hospital abandons planning to make money, is it possible that be to should seek fame?
This is an answer with must come easy. But, seek profits orgnaization not also all the same can does rich name sound? It is in order to hold the Wang Yongqing of hospital of ancient Chinese name for Venus exemple, he runs plastic, chemical industry, make, each places bright pursuit to seek profits, also because chase profit in the right way, just make this " management god " the name is far sow. Do the risk of the hospital and trouble, far very at general business company. Although Wang Yongqing still wants to increase his popularity, why be not do a blame to seek profits hospital cannot? He does not know, only with respect to rich name character, hold blame seek profits is medical establishment it seems that so " businesslike " -- Beijing assist with the hospital who does? Who runs hospital of Shanghai Mount Hua again? Not certain dehisce says the reader. Bubble of this period of time is in if it were not for in hospital data, I also do not know euqally. This is to say, with satisfying vanity to come explanatory blame seeks profits orgnaization, rather see the person flat.
My view, blame seek profits the occurrence of the hospital, really with " renown " about. Do not cross this " renown " have greatly in the market exquisite, its basic skill can be the happening that reduces client misgive, stimulative service. Actually, with " fame " the happening that cooperates to trade, it is very common market phenomenon, the technical property that serves as a result of medical services merely, just decided here asks " renown " , norms can arrive high looking is it seems that a kind " blame market is organized " .
Let us be mentioned from negligible market activity. The reader notices, housewife serving market, not be an all stall normally " ramble " to, just make the decision that buys food next. Blamed, they do not know, is goods righter than many ability is the person that buy advantageous? Office worker accepts time restriction, should not talk additionally perhaps. But namely " full-time " housewife, normally also the stall that patronage minority is familiar with a few times just. Yes, "Frequent visitor " , " turn round guest " , " old customer " , it is the common phenomenon in the market.
How to understand? Want bought goods every day, buying an accumulated knowledge should be not little. Even if is such, also cannot say the character of vegetables examines an issue with respect to the be clear at a glance, character that does not have commodity. An egg, after all fresh, again astute buy the home to also be not done check and accept on the spot, be not the ability after be being knocked to know. The trouble is: Do not carry, place bright should be in an unfavorable situation; Every buy an egg to want to carry -- character assessment is also -- cost too tall. The housewife that has experience discovers eventually, foretaste a few, the child old man that knows which stall is true does not have bully, later often patronage, when " frequent visitor " be.
Ba Zeer (Y.Barzel) invented a term for this, say " buy repeatedly " . Means, even if essence of life sells the home nevertheless,the world buys the home, but also can apply subtotal slightly, with " want you not to deceive people only, I often patronage " for criterion, drive sells a honesty to entertain a guest. Deeper one thinks, be like vegetables egg simply, want to reduce assessment cost, also want to choose way, sell domestic character assessment through be opposite for instance, replace the assessment that sells goods to him. The meaning is, had tried a few times to know this faker humanness sincere letter, the egg that buys from his hand was assessed every day with respect to lest!
Housewife do not know certainly, they are the effort that guard him purchasing power and brings to bear on, also have the great power that guides butcher do good works. Not be earthshaking moral article of course, it is Everyman is in market life however, the interest for oneself -- client Chang Laiguang considers the business -- must the daily morality criterion that sincere letter entertains a guest. Such seeing, think market activity is natural ask to run in the opposite direction with morality " opinion " , honest a bit excursive 10 thousand lis. This is not to say, there won‘t be the thing that hanky-panky to happen on the market, forever some, so law is the foundation with market indispensable economy. But like vegetable egg such trading -- other trade Yi Ran -- do not need judge and lawyer to be accompanied constantly. Market regulation included moral criterion, be as good as one‘s word can be reduced trade charge.
Cosmetic is another story. Also be every day object, also want to often be bought, the cost that character examines is not low also. But cannot use namely " buy repeatedly " method processing. Because of cosmetic once character makes mistake, consequence is extremely serious; "Buy repeatedly " , consequence is more serious. Then, "Brand " came on stage. The company costs a large number of financial capacity to invest brand construction, the meaning is " in case the product makes mistake, the harm that the company gets compares a client want a lot of bigger " . Such seeing, brand investment is not " wasteful " , it is some kind of commodity however a kind of of managing assessment cost special arrangement.
The character of the service is assessed normally more troublesome. Because serve to be not offerred " thing " , just offer an enjoyed course. Go out for instance travel, service quality of the tourist guide after all good, blame enter " process " ability knows -- often when know, when be however late already. This is to serve course of study to compare the reason that manufacturing industry and retail business grow harder. For the price that character of managing service line of business checks, commercial culture exert all over skill, the expert evaluation system that often wants a famous brand, independence, complex agreement design, judicatory intervenes and governmental control is amalgamative use. Among service line of business, the technology is the more sophisticated, change fast, character makes mistake, sequential and serious, trade cost is higher, the difficulty that managing character assesses is greater also. Think financial industry is good, the client buys mark of one caboodle electron, even " content " also do not see, it is after all " content is worth somewhat " , from He Zhi?
Very unfortunate, almost the world assesses the quality that medical services the hardest. Especially contemporary medical skill, the major that is height divides the work, 2 it is sudden new technology shift introduces, 3 once make mistake,be character, those who endanger property, endanger life possibly still. A friend becomes nephritic artery operation in center of Stanford university medicine, he says is a kind of brand-new experience: "Beforehand whats do not know, after the event also does not have any feelings " -- tens of thousands of dollar has been spent, about the same everything is the doctor said to calculate. Such profession, for just wanting how to be conveyed, does ability let ground of patient be most willing to go in him entrust?
The mechanism here, the most complex the most exquisite also. The doctor‘s fame is important, from of old such -- this fame person, often the mixture product of medical skill and medical ethics, exquisite red (heart) only. The brand of the hospital is very costly, general experience is long cover is new, often had jumped over more -- the meaning is not only famous, and the devastate that fame wants withstand years. The doctor enters the established practice of travel heavily, although entered modern society to often still withholding the remains of mediaeval guild -- no more than was used " the person of the same trade is enemy " mechanism, drive up the doorsill of practise medicine admittance. Doctor association is the expert system of high autonomy commonly, authority nots allow anybody sells at a discount casually. Look nevertheless all these is insufficient still perhaps, medical services must be added again a bit, ability gets more adequately needing square full-fledged member commit sth to sb‘s care. This are not other, namely " blame of medical services seeks profits " .
Yes, my apt serves the difficulty that character assesses with medical services, will explain " blame seek profits medical establishment " appear and exist. Do not say this is casually " the market fails " . The market is rescueing him -- rescue namely actually division of labor is deepened and trade expand -- not hesitate even raise " blame seek profits organization " banner. Yes, "Blame seek profits " it is the measure of a kind of market that copes with character to assess difficulty. It is early appeared, also exist in initiative market all the time, the eyesight malfunction of prep only by at observer and mental malfunction, this important phenomenon just was eliminated besides the eye shot that market organization studies.
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