The frame has already appeared The measure is treated thinning

The frame has already appeared The measure is treated thinning
The frame has already appeared The measure is treated thinning
Staff reporter Kong LingMin On October 14, the new scheme full text of the medical reform is announced, and solicit the opinion towards the society, the purpose is to absorb all the useful ideas, let the new round of medicine change into ordinary people bring more practical interests. Just like what a lot of scholars said, as an overall scheme, the draft points out the direction for the medical reform, and should solve a great deal of difficult problems that the health care system of our country face specifically, this scheme is still only a starting point. Extensive concern causing the society immediately that the medical reform scheme does not lack a issue of light spot draft and discussing warmly, in less than 3 days, collected nearly 4000 suggestions on the websites of the national development and reform committee. Raise one's head and look the draft that expected as to the public, the scholar thinks that it is difficult to see the new meaning, but more scholars point out, the medical system reform is a difficult problem which whole worlds faces together, if study this new scheme carefully, will find that does not lack the light spot among them. Professor of government of Peking University management college Gu Xin thinks, it is " column of four roof beams eight " that the draft puts forward to accelerate building the medical security system China is the a bit more most light. The scheme proposes clearly, should be through setting up and amplifying existing urban worker's medical insurance, medical insurance of urban residents, shutting the system newly and agriculturally, combine with the system of medical rescue in urban and rural areas, realize the medical security system covers all residents. Gu Xin thinks, have realized the whole people's medical insurance can be solved or can relieve " see the doctor expensively " in a short time at least Question. The medical organization " In charge of doing and separating " It is another light spot in the draft. Gu Xin says, medical administrative structure reform is a great difficult point of the medical reform, though the exposition to this question of the new medical reform scheme still has insufficient, but defined the basic orientation. The draft proposes, the guidelines of the medical reform are: Separate, in charge of doing separating, medicine to separate, profit-generating and non-profit-making and separate the government affairs. He thinks, is " in charge of doing and separating " Should become the guilding principle of the medical service system reform. Propose " set up and improve the corporate governance structure of the hospitalling in the draft, define the responsibility right of owner and administrator, form decision, carry out, supervise and check and balance each other, there is responsibility, encourage, restrain from, have the competition, vigorous mechanism " . Gu Xin thinks, this sentence, just to " in charge of doing and separating " Concrete exposition of the principle. Based on this, can really make to the hospital administrator's role in order and make a reservation, change it " The milu " Awkward position. Because only the hospital becomes a really independent legal person, no longer any organization attaches to, it could make decision independently, bears due and civil and criminal liability. Gu Xin thinks, pursues " in charge of doing and separating " Can also promote the reform of the supervisory system of medical and health of our country. The draft points out, health authorities should become the administrator of the whole trade or supervise the person who is in charge of. He thinks, realizes the precondition of this system is that a person who is supervised must be a referee of the neutrality. So, are " in charge of doing and separating " Can promote the medical service system reform on one hand, on the other hand can promote the supervisory system reform of the medical and health, it is the act of hitting two hawks with one arrow. Think as chief editor, hygiene medical system reform and Wang HuFeng, director of research and development centre, of the People's University of China of the medical reform scheme of People's University edition, generally speaking, and improves the statement of four major systems of health care in the draft about the medical reform basic principle, not only consider the question define and cure category and border changed systematically but also, has realized the innovation of the theoretical foundation. Pass the input and medical guarantee multi-level in setting-up to public health and public medical organization, form and is different from the foreign medical mode relying mainly on free medical care or business insurance, having defined the system frame, the embryonic form delineating the system mode. The medicines field should promote industry upgrading and technological innovation question, indicate the government should not merely solve the problem of using medicine, will be also devoted to bringing about an advance in medical industry. Wang HuFeng says, just like climbs a mountain peak in medical reform, but the draft points out the direction for everybody, design a brand-new street map. Whether could reach the summit, depend on our efforts. Numerous concepts still need to analyze to this draft related to all-round reform of the health care system clearly, while numerous scholars are affirming the basic orientation of the medical reform, put forward one's own doubt and suggestion too. The worker of the Chinese Academy of Social Sciences is thought, it is a bit fuzzier to still leave many in this scheme by researcher Yu Hui, especially some concepts frequently used lack the clear definition all the time. Such as what is " Public health care is public beneficial " ? " basic health care " Really what categories are included? Some lets " The government affairs are separate, in charge of doing and separating " ? What differences do management and planned economy of two lines of revenue and expenditure have? Community's hygiene service was hit " The community " How to understand? Only direct against the community health Center of introduction of Ministry of Health at all levels, can all offer the medical organization of the basic clinic service for resident nearby? What medicines should basic medicine including traditional Chinese medicine include on earth? Why did basic medicine want fixed production or centralized purchasing through calling for bid, concentrate on providing and delivering, and make the unified retail price? Will the delivery links among them call for bid? What is the whole trade management? What differences does it and the whole trade have to supervise? What meaning are concepts such as the price differential rate of buying and selling of medicines, service charge of the pharmacist, paying according to the number of people,etc.? Yu Hui hopes to define after soliciting the opinion that can list the clear explanation of nouns catalogue in the new scheme of medical reform issued. Wang HuFeng thinks, proposes in the draft, should solve " the difficulty and high cost of getting medical treatment " ,And also solve " Have disease, not have disease few " ,How balanced are these two questions? Should put into increasing, as well as efficiency is improved, how could realize? The state-run hospital reforms with it all also need continuing discussing thoroughly what a question of advancing synchronously etc. the public institutions reforms. Respect of ensuring medicines catalogue and price, state-run hospital reform, medicines industrial policy, government to put one's back into in public health, medical treatment etc., should not led by local government carry on the pilot project of the reform either, but need the supporting policy of issuing whole of central first grade badly. In the attachment of the draft, the relevant person in charge of work group says, it is a very arduous and complicated long-term task to deepen the system reform of the medical and health, the concrete operational policies and measures of implementing the draft will be given clearly and thinningly in the relevant related file. To that if " in charge of doing and separating " , reform, mend, cure mechanism, the intersection of norm and public the intersection of hospital and operating mechanism,etc., reform the relevant difficult point issue with the public hospital with medicine, also there are different views at present. As to this, the draft has only reformed the direction clearly, will further explore through the pilot project. The next step, the work group will be on the basis of further absorbing the opinions of various fields, step forward to the draft It is complete to revise, will accelerate making the related file at the same time, will start pilot work as soon as possible. Though a lot of details still need to further study, most scholars think, it is impossible for draft not to afford to accomplish in one move, but it has pointed out the direction for the medical reform in the future at least. Only along this direction, we could realize finally everybody enjoys the overall goal of the basic health care service, face the public solicit opinion itself of our country the intersection of health care and the intersection of system reform and scientific democratic decision-making, healthy and orderly development one time beneficial to try. Seven respect need, pay close attention HuFeng Wang say medical reform the reason why scheme go through, ferment, can issue two years, it is difficult to unifying the understanding, the interests are balanced and difficult, design the precision to expect much, social expected value is higher. Wang HuFeng thinks, the new scheme of the medical reform solves 10 problems emphatically, among them government's leading factor is still the leading factor of the market, mend the demanding party and mend the supplier, draw lessons from 3 questions of Britain's mode or U.S.A.'s mode to already basically get clearly in the new scheme of the medical reform. As to the thing that the public hospital should implement two lines of revenue and expenditure, develop the public or non- public medical organization especially, medical service price, medicines price are put or accepted, rise or lower, the medical insurance is " Protect serious disease " " protect the small disease " ,Localization and developing direction of the health organ of the community, the integration of urban and rural areas is still questions such as the development of dualization in urban and rural areas,etc., Wang HuFeng thinks, have been solved partly in the draft too. How the encouragement and tied mechanism about the doctor set up the question still not clear at present, so these 7 respects all need the public to pay close attention, medical personnels should put forward the effective opinions and suggestions according to one's own personally experience.


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