Yang, a girl from Heishan County, Liaoning Province, is 18 years old this year. At 20 o'clock on August 3rd, 2006, her family found that Xiao Di, who was fine half an hour ago, suddenly collapsed on the kang, foaming at the mouth, with a medicine bottle beside him. The family thought that Xiao Di might have taken poison, so they immediately called the emergency number 120, but no one answered several times. In an emergency, the family took Xiao Di to the Second People's Hospital of Heishan County. Because this hospital is the largest hospital in Fiona Fang, only a dozen miles away from Xiao Di's home. After arriving at the hospital, the family rushed to find a doctor to rescue Xiao Di, but the doctor said that the hospital could not save the patients now and asked them to transfer to another hospital quickly. After hearing what the doctor said, the family discovered that the whole hospital was really dark. In desperation, the family had to find their own way. Soon, the family found a pot of water near the hospital and begged the doctor to give Xiao Di gastric lavage. The doctor said that even if there is water and no electricity, the gastric lavage machine will not work, and there is not enough medicine in the pharmacy to save your daughter. Xiao Di's family never imagined that, as a hospital to heal the wounded and rescue the dying, they could not cure their children, but they had to be transferred to the county town of Montenegro, 50 kilometers away, and they had to walk alone for more than an hour. I don't know if Xiao Di can hold on. At a critical moment, saving lives is very important. The family had to take Xiao Di to the county seat with a tricycle again. At about 10: 30, Xiao Di was finally sent to the intensive care unit of Heishan County Hospital of Traditional Chinese Medicine. Only half an hour after the rescue, the doctor declared Xiao Di invalid and died. The cause of death was drug poisoning. Xiao Di's death brought great sorrow to her parents. Xiao Di's father Yang Guang said that the Second People's Hospital of Heishan County has a history of more than 50 years. Because Xinlitun Town, which is located in the north of Heishan County, borders xinmin city and Zhangwu County, it attracts a large number of suburban and rural patients. Since it is such an important hospital, how can it be impossible to save patients if power and water are cut off? Less than a month after Xiao Di's death, the reporter went to the Second Hospital of Montenegro to learn about the situation. As soon as I walked to the hospital, I saw a notice of closure, which was issued on September 2 1. There is also a notice to let all employees have a holiday. When the reporter rushed to the hospital, it was already 15: 00 in the afternoon, which happened to be the working time, but there were no medical staff working in the Second Hospital of Montenegro, and even no one was on duty in the emergency room. The reporter tried, the electricity came and the water came, but the doors of most departments in the outpatient building were locked, and the doors of pharmacies were also locked, and some drugs were scattered on the drug shelves. The CT room is also locked, and the door of the inpatient ward is also locked. No patients, the whole hospital is very quiet. The reporter tried to call the emergency number of the Second Hospital of Montenegro, but heard that the subscriber you dialed had stopped due to arrears. It seems that the whole hospital has been completely paralyzed. Why did the hospital close as soon as the water called? In the hospital, we didn't see the person in charge of the hospital, so we had to go to the local water and electricity department to find out the situation first. The water and electricity department showed the reporter the document that the Second Hospital of Montenegro was in arrears with water and electricity charges for three months. From June to August, 2006, the Second Hospital owed 6797 yuan for water and 3624 yuan for electricity. The staff said that according to the relevant provisions of the People's Republic of China (PRC) Water Law and the National Water Law, they stopped supplying water to the hospital. Nevertheless, considering the particularity of the hospital, the hydropower department specially consulted the person in charge of the hospital before taking measures to cut off power and water. The staff of the hydropower department said that at that time, Dean Guo of the hospital said that the hospital had no money and agreed to cut off water and electricity. So does the hospital really have no money to pay the water and electricity bills? According to the materials interviewed by China Legal News afterwards, it can be seen that before the water and electricity were cut off, the hospital earned about 3,000 yuan a day. According to this income, the hospital can pay more than 10 thousand yuan in water and electricity bills in just three or four days. Then why doesn't the hospital pay? Why did the hospital close when the electricity came? During the interview, Dean Guo, who signed the notice of water and electricity cut off, didn't want his pictures and opinions to appear in our program, so we found the dean who knew the situation. Dean Li said that the hospital was in chaos long before the water and electricity were cut off. The reasons are very complicated, and all the contradictions stem from the restructuring of hospitals. The Second Hospital of Montenegro was originally a state-owned public hospital. In 2002, the Second Hospital of Montenegro invited investment from the society under the condition of poor operation. At that time, Guo He invested in partnership, and they held 565,438+0% shares, while hospital staff held 49% shares. After the restructuring of the Second Hospital of Montenegro, the business is still managed by the Health Bureau of Montenegro County. /10 2002 On June 8, 2002, the Second Hospital of Montenegro was transformed from a state-owned hospital into a joint-stock hospital. From that day on, Dean and Guo began to take full charge of the Second Hospital of Montenegro. At that time, the hospital established a reward and punishment system. Under the management of the system, the medical order and quality have been improved obviously, and the economic benefits have also been improved. But for the problem of hospital restructuring a few years ago, the reporter heard different voices among the staff. The staff said that four people suddenly came from Jinzhou in 2002. At the staff meeting, they said that the hospital would be converted into a joint-stock system from this year, and they also said that this was a government act. The staff said that the hospital that has worked for decades has suddenly become a joint-stock system. Not only can they not accept this change psychologically, but gradually the so-called new management system of the hospital also makes them feel unable to adapt. As an attending physician, Dr. Qi said that his monthly salary was 4 16 yuan. Now the hospital says he wants to increase his income through commission, which makes doctors have to prescribe more drugs, otherwise there will be no money. Dr. Qi said that even with this method of prescribing drugs to patients, his monthly income is still less than before the hospital reform, and the practice of prescribing drugs not only pits patients, but also makes him feel uncomfortable. Workers in the same situation as Dr. Qi are increasingly dissatisfied with the hospital system, and there is a kind of opposition in the hospital gradually. It is precisely because of the accumulation of contradictions that the contradiction between investors and employees cannot be solved, and the hospital is in a state of being unable to operate without power and water. During the interview, the reporter found the doctor on duty who treated Xiao Di on the evening of August 3 1. The doctor said that the nurse had been off work since August 27, and the key to the emergency ward was in the nurse's hand. The reporter found the nurses again, but even they didn't know who was on duty that night, because they all received short messages from department leaders saying that they didn't have to work at night. Water and electricity were cut off, there was no nurse on duty, and even the first-aid equipment was locked. On the evening of August 3rd1,Xiao Di's parents unwittingly sent their dying daughter to such a hospital for emergency treatment. What is the attitude of Heishan County Health Bureau, as the superior competent department, towards this chaotic situation in the Second Hospital of Heishan? Heishan county health bureau said that because the hospital is a joint-stock system, everything should be managed by the hospital itself, and the health bureau has no power to make any decisions. After Yang's death, the Montenegrin government formed an investigation team to investigate the cause of Yang's death and the problems existing in the Second Hospital of Montenegro. According to the reporter's observation, there are still people who don't know the news after the closure of the Second Hospital, and some patients come to see a doctor. If the investigation results are not obtained, the Second Hospital of Montenegro will be closed for one day. When the dying patients need to be rescued, the Second Hospital will still do nothing. How will the health authorities face it then? This situation is worrying. Moderator: The girl didn't survive. Is it normal for hospitals to cut off water and electricity on a large scale? Wang Yue: This should be very abnormal. From this case, I feel that the hospital's rescue of patients is very negative. Even if we cut off the electricity and water, if the family members mentioned in the case at that time found water from other places, the doctors in the hospital should not stand by and take the most traditional or oldest way, even if there is hope to treat the patients. Moderator: Because a hospital involves the topic of public health, if it is to be restructured, it must not be patient-oriented. Who will supervise this situation? How to supervise? How to ensure its business order? Wang Yue: This case shows that in the absence of clear legislation on hospital restructuring in China, local restructuring may have very bad consequences, so local health administrative departments are responsible. No matter whether it is public, private or foreign, as long as it can provide medical services to the local public, it should be served by the health administrative department. Moreover, it is very important for the local health administrative department to evaluate the health resource planning in accordance with the Regulations on the Administration of Medical Institutions when deciding to restructure this hospital. The Regulations on the Administration of Medical Institutions clearly stipulates that the health administrative department has the right to evaluate whether the distribution of health resources within its jurisdiction is reasonable and make plans. There is only one hospital in this area, so it is not advisable to transfer all its assets.