Ask and solve the medical reform " Difficult problem the most " -How many banks does public hospital reform step?

Ask and solve the medical reform " Difficult problem the most " -How many banks does public hospital reform step?
Ask and solve the medical reform " Difficult problem the most " -How many banks does public hospital reform step?
The news on March 5 of 2009, according to Chen Zhu, minister of Ministry of Public Health, people will be reduced to pay the proportion for itself to see the doctor after the new medical reform scheme will be implemented, the medicine price will drop by a wide margin. The new scheme of the medical reform is expected to announce to the society after two Conferences. China News Service sent Liu JunFeng and took a photograph of " the most difficult that I thought, it was the most important too, the reform of the public hospital. " Premier Wen Jiabao says frankly to hundreds of millions of netizens in the whole country two of this year before the meeting. At two Conferences, the system reform of the medical and health is a focus paid close attention to, and that disputed most is that the public hospital reforms. In five key tasks of medical reform of the past three years, only the public hospital reform is orientated as " pilot project " ,It serves to show it " It is difficult " . Why must the difficulty change in this way? Which banks does the reform stride? At this point, reporters have interviewed insiders and some representatives and committee members of drugmaker. Why want the public hospital " Common" Is the word in the van? " the public hospital is not surnamed common " --The stars of the member of the CPPCC National Committee, country of Vice President of Fujian provincial hospital old man state outright, "government throw to public hospital into little, less than the intersection of hospital and total 10% of funds, it is only enough to send the pension of the hospital. " The public hospital is basically all making money busily from patient, the heavy one sees the doctor and bears and lets ordinary people suffer unspeakably. Our country will set up basic medical security system in order to relieve the difficult problem of seeing the doctor clearly, but Professor of Peking University China Center for Economic Research Li Ling thinks: "The hospital is the key links of the whole medical and health system. If does not reform the operating mechanism of hospital twisted while expanding medical treatment and ensuring coverage rate, even more input is probably swallows by the hospital. " Member of the CPPCC National Committee, Chen Zhu, minister of Ministry of Public Health, point out, the public hospital is not merely a mainstay offering basic medical care, still undertaking the important mission of playing an important part in overall situation of whole medical reform, such as train resident doctor, launching various medical scientific research, supporting the medical health organ of basic unit in urban and rural areas,etc., in this sense, it is imperative to reform the public hospital. "Adhere to the public service properties of the public health care. " Premier Wen Jiabao emphasizes in the government work report. Chen Zhu points out too, as the subject of the public health care, the general orientation of the public hospital reform is reflecting public beneficially, should turn back the inclination that the public hospital create income, let it become and cure the platform where serious disease, serious illness and difficult disease offered basic medical treatment service for the people. Deputy to the National People's Congress, Zhong NanShan, president of Chinese Medical Association, think, if the one that can really strengthen the public hospital is public beneficial, a lot of problems faced now are well solved. "But if country replenish insufficient, reform very much difficult to move forward. " As to this, Chen Zhu committee member point out maintain public hospital to be public beneficial, hospital compensation mechanism should do bigger reform, coming from public and financial input should increase. Since 2009, the governments at all levels will also invest 850 billion yuan to implement five key jobs of medical reform in the following 3 years. In addition, subsidize the improvement of the standard, will increase the compensation to the public hospital indirectly too in medical insurance in urban and rural areas of the following 3 years. How to walk out " Raise medicine with medicine " The strange circle? "The price of medicines is more expensive than the ones that have not called for bid that the hospital of the domestic many places calls for bid, and appear expensively much, the question of this back is worth thinking deeply about. " Deputy to the National People's Congress, Xia JiEn, Vice President of market the People's Hospital of Sichuan Province Meishan, say. Representative Xia JiEn surveys and studies finding, a medicine curing hypertension, the bid bid of the hospital is 26.3 yuan, sell patient, want, add 15% addition, medicine and producer this, sell, there is 15 yuan in the pharmacy with specification, products in lot number. Why did medicines call for bid more and more expensive? Representative Xia JiEn points out, such big price differential indicates our medicines centralized purchasing system waits to be complete. Another important reason is " Raise medicine with medicine " The mechanism is haunting, call for bid the price is the higher, the larger the number which means the addition is, some cheap medicines can not be employed and there is no pharmaceutical factory to like to produce on clinic for a long time, so that nearly disappear. The market first director of the People's Hospital gynaecology and obstetrics representative Lu YanLing of Zhaotong in Yunnan Province thinks, how much the some so-called new medicines, effective composition difference is not big, price but far short of what is expected, if there is a piece of penicillin only, and very beginning spore three generations, four generation just first more than one hundred yuan list. Many drugmaker representatives and committee members reflect, should solve " see the doctor expensively " conscientiously The question, must change " raise medicine with medicine " Mechanism. This mechanism does not change, medical insurance funds put into ordinary people will be offsetted by great prescription, thorough examination finally, ordinary people can not get real material benefit. Then, how to cancel " raise medicine with medicine " ? How to remedy the reduced income of the hospital? Committee member Chen Zhu points out, the new medical reform will increase the input in public finance, will raise technological service price of medical treatment and setting up the medicine thing service charge,etc. at the same time, in order to increase the hospital income. How to satisfy the interests demand of the medical worker? The fourth national hygiene that announce newly serve investigation, reveal, reflect, diagnose the illness expensive see the doctor difficult, in patient, the medical worker hurt and wronged mood is prominent in the investigation too. Among them, 40.9% medical personnel think patient reduce to trust their, 37% medical worker think the intersection of responsibility and too serious, the intersection of operation and the intersection of environment and poor, high pressure. "The medical worker in the whole country 6 million is direct participant and executor of the medical reform, if has ignored this colony, very difficult success of the reform. " The subsidiary drum-tower director Ding YiTao of medical college of Nanjing University says. "Wanted even university in 8 years last 5 years as a doctor, it is being risky that doctors are undertaking, and the overwhelming majority worked overloadingly. " Chief director Wang MingXiao says, " the medical worker should have a treatment of paying a price and are suitable for with them with coal. " As to this, committee member Chen Zhu points out, the public hospital reform faces a " face a difficult choice " Situation: How to arouse the enthusiasm that the medical worker provided service while safeguarding public beneficially. "There are not interests of hospital and medical worker that guarantee, the patient's health interests can not get the effective guarantee. " "In fact expect much, it is all right that can keep up with the local civil servant's salary. We the intersection of hospital and new the intersection of resident doctor and salary on 1,000 a little over, have disparity compared with teacher. " Representative Lu YanLing says the innermost thoughts and feelings of the doctor at the basic level. MingXiao Wang tell reporter whether price of our country translate odd times for over 10 years, but the price of medical care steadfastlies stand one's ground, this is difficult to reflect the medical worker knowledge and technological value. Committee member Chen Zhu acknowledges even, " at present in the health care serve, the labour value of the technological service has not got reflecting rationally in price. " The doctor's prescription, as a kind of work and technological service, the collection of some appropriate medicine thing fee is reasonable. "But this is a very complicated problem, need pilot project to explore. " With When, committee member Chen Zhu still points out, besides charging to adjust, arouse medical worker's enthusiasm, the reform of management is a key content, including employing system, incentive mechanism,etc. too inside the hospital. How to break " In charge of doing and separating " Solid ice? Health authorities are a host of the public hospital, and persons who are supervised - -This current management mode in our country has been condemned by the society all the time. "This kind of management mode causes the omission of contributor of health authority, out-of-balance, enforces the law unjust, such questions as efficiency is low, the professional lines in managing in the hospital is not strong of supervision mechanism. " Member of the CPPCC National Committee, think, like this very difficult to stand at public position supervising public service qualitying and benefiting of input and output of hospital really by Vice President of Chengdu Municipal CPPCC uranium Li. As to this, the government work report proposes clearly, encourage all parts to explore the government affairs are separate, in charge of doing separating, medicine separating, profitability and nonprofitable effective form that separate. Vice Chief of Guangdong Province department of public health Liao XinBo says, implements " in charge of doing and separating " Administrative membership that the public medical organization should be independent from administrative department at first, set up and perfect its corporate governance structure. He points out, the public medical health organ is in the administration old system of the public institution at present, in commercialized state in operation. Administration and commercialized making up, have twisted the behavior of the public medical organization, cause their social public beneficial desalinization on one hand, on the other hand lack the space developed normally again. Committee member Chen Zhu thinks, replies " in charge of doing and separating " at present There is an overall understanding, " great hygiene " The pattern was left " In charge of doing and separating " Do not strip the public hospital out from the whole hygiene activity briefly, the public hospital is a key part in the service system of the whole basic hygiene, it and other systems can't concerned with cutting off at will. The intersection of uranium and committee member Li propose city or the intersection of county and first grade of person who set up set up " Hospital Authority " Or " administrative center of the hospital " ,Make it independent of health authorities, exercise authority independently, is responsible for the area medical care management, assets management, performance of the public hospital are examined and worked with the reform, but the Ministry of Health is responsible for making planning, supervising in accordance with the law, trade entry, public health,etc. to manage. "Hospital Authority, through making the thinning performance examination method, can promote the public hospital to lower costs, improve the service quality. " Committee member says Lee uranium. (the graceful jade Zhou Ying's peak of week that reporter Korea S. is clean)


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