Chief of Jiangsu Province department of public health Guo XingHua: Keep rational expectancy to the reform

Chief of Jiangsu Province department of public health Guo XingHua: Keep rational expectancy to the reform
Chief of Jiangsu Province department of public health Guo XingHua: Keep rational expectancy to the reform
Staff reporter Zhang CanCan Guo XingHua says, <>To the principal contradiction of the hygiene work, set about carrying on the system design of top floor, have defined the direction, principle and guidelines of the reform. Because the regional situation of our country differs significantly, it is still principle frame that the draft is overall, also need to make concrete related method, measure, need all parts to combine reality too, explore practice in line with the local conditions. Guo XingHua thinks, the hygiene reform one explores, progressive course progressively, confirm the limited goal practically, keep rational expectancy, embrace it with the too high expectation, construct it by irritable operation, I'm afraid it can only be that more haste, less speed. The reform needs confidence, need too to be patient, depend on every party concerned with sober head and steadfast and persevering will, explore unremittingly that moves forward. An outstanding problem in the hygiene is developed is that the development of hygiene industry at the basic level in urban and rural areas lags behind, in addition the hierarchical visit mechanism with rational division of labour has not set up yet, the contradiction of seeking medical advice that have aggravated the masses and seen the doctor. This needs to carry on system design again, regard solving resource distribution problem of hygiene as the focal point, develop hygiene industry at the basic level in urban and rural areas in a more cost-effective manner, and combine medical treatment and ensure the institutional improvement, lead patients to shunt rationally, can save a large number of medical expenses every year like this. Guo XingHua says, another outstanding problem is in the hygiene work, the ecomonic movement mechanism of the medical health organ is bad, lack and implement policy and mechanism with public beneficial health care in other words. Now, it is supported that the economical operation of medical organization is subsidized, income of price differential of medicines, medical service income by the finance. We have calculated an account, the gross income of medical organization of Jiangsu Province is 48,711 million yuan in 2007, the total expenditure is 47,626 million yuan. Subsidize the respect in the finance, it is only 3,177 million yuan that the finance is subsidized in the gross income of medical organization of the whole province, accounts for 6.52%. The financial input of most hospitals is not enough to pay the retired personnel's salary yet, the financial input of many hospitals is even zero. In medical service income, the medical income of the whole provincial hospital is 21,548 million yuan, accounts for 44.24% of the gross income, the medical total expenditure is 26,632 million yuan, lose 5,084 million yuan. By the look of income of price differential of medicines, the medicines revenue and expenditure balance of the whole provincial hospital is 3,599 million yuan, medicines income accounts for 46.78% of gross income of hospital. Invest insufficiently, compensation mechanism is not complete, survival and development mainly depends on creating income, cause the public public beneficial desalinization of medical organization directly. Especially " Mend medicine with medicine " The mechanism has twisted the medical service act, the not merely large hospital uses such operating mechanism, the health organ at the basic level uses such operating mechanism too actually. Only guarantee public and financial input, could guarantee public service is public beneficial. But the government increases and throws to the large hospital into the burden heavier at the present stage, can only start from basic unit of countryside first, start from urban community, solve the basic service problem of the basic unit preferably. The hospital, especially public hospital reform, it is the focus that each side pays close attention to, it is a focus of the reform, also a difficult point practised. Neither introduce all hospitals to the market, one government does not do, can't all dominate either, or adopt the policies of similar countryside and community health organ. Because of chartering, first, financial inability, the government is powerless; Second, unnecessary, what the hospital offers is not all basic medical care after all; Third, supervise and manage the difficulty, may get back to the old road of planned economy, has weakened the enthusiasm and creativity of the medical organization, medical worker instead. Hospital key issue of reform large to spend the intersection of government and leading way on a large scale, many to use the method of the market, this " degree " on a large scale How to hold, it is the most difficult place of the reform, have not formed the common understanding yet in theory, model not accepted extensively either on practice. As to the reform of the hospital, must explore with the positive and scrupulous attitude, after launching a pilot project, form the intact scheme, push away in order progressively.


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