Chief of Jiangsu Province department of public health Guo XingHua - -Transfer to the mechanism It will be more difficult to have too

Chief of Jiangsu Province department of public health Guo XingHua - -Transfer to the mechanism It will be more difficult to have too
Chief of Jiangsu Province department of public health Guo XingHua - -Transfer to the mechanism It will be more difficult to have too
Staff reporter Zhang CanCan Medicine is improved and entered for year assaulting fortified position. Chief of Jiangsu Province department of public health Guo XingHua says, the exploration in the past two years proves more and more, the reform can't be broken through by the individual soldier, the urgency of advancing the comprehensive reform appears day by day. If does not change the mechanism, the operating cost of the medical health organ will continue rising by a wide margin, difficulty that reform backward large, input that increase too can dilute, lose, must make a decision, given to, deepen the intersection of centre and position of medical reform changing the mechanism. It is difficult that there are 3 reasons in mechanism transform Until Guo revitalize China, it seems, set up basic medicine system and launch the public hospital reform pilot project, involve a lot of profound contradiction and mechanism transform, the difficulty is a little greater. Mechanism transform is difficult, Guo XingHua think that there are 3 reasons. First, the mechanism of creating income has very strong inertia. In a situation that the government put into uncompletely, health care unit find one survive, route of self-development oneself already, though the sustainability on this road is problematic, ensure the gradual improvement of competence with medical treatment, medical demands of masses are presented " Blowout " The state, the portfolio of the medical organization is rising constantly, day turns better day by day, therefore does not feel so urgent about changing the mechanism. Second, the government puts into and compensates implementing with the price difficult. The government bears the responsible for revealing all the details, some have will problems, some really have a problem of financial resources. And price adjustment, macroscopical environment, either very loosely, should transfer that should mend can keep up with, let people suspect. Third, implement the performance and examine, arouse medical worker's enthusiasm, not easy thing. How implement effective encouragement, get back to old road on everybody eats from the same big pot go, still need to explore. Guo XingHua thinks, though the difficulty of mechanism transform is relatively great, should let the medical reform become effective, the masses get material benefit, must place it on stressing the position, as the central task. Regard implementing the basic medicine system as the opportunity at present, put forth effort to change the operating mechanism of the medical health organ in the basic unit, implement the medical comprehensive reform of health organ of the basic unit, change the health care industry at the basic level and develop the way, accumulate the experience in order to push into the mechanism transform of public hospital. Realized that it is very key according to the introduction of Guo XingHua to encourage forward, last year, there were 82 (municipal or district) counties in Jiangsu Province , the medical health organ of 12478 pieces of basic unit implements the basic medicine system, accounts for 77% and 83.9% separately. This year, Jiangsu will realize the basic medicine system goes through the whole cover of the medical health organ of the basic unit in the whole provincial government as soon as possible, and time, make great efforts to set up new mechanism in institutional improvement and standardized operation more. First, strengthen and propagate and develop. Sell a difference rate of basic medicine, the question of touching the medical health organ in the basic unit and running at all, become opportunity and breach of deepening the medical reform, changing the mechanism. Implemented the locality of the basic medicine system in advance, received the goal that the medical portfolio of health organ in the basic unit rises, expenses once drop, the masses get material benefit generally, the more important thing is to pass basic medicine system, the operating mechanism of the medical health organ in the basic unit is being changed progressively, medical workers generally reflect the work has been settled down even more. Guo XingHua says, the Ministry of Health has wanted to solve mechanism's problem without having for many years, mechanism's contradiction is difficult to avoid now, different fields pay attention to, stand up, change the mechanism, satisfy the requirements. Strengthen propagating to develop on one hand, strive for the government leader pay attention to, all related departments' support, on the other hand should strengthen the propagation and education in the trade, strengthen opportunity consciousness and urgent consciousness of the reform, make great efforts to solve and perplex the profound contradiction for many years. Second, strengthen the funds guarantee. It is the two sides of a coin to increase and invest and change the mechanism, need coordinating and promoting synchronously. Jiangsu Province has already defined the organization structuring of health care at the basic level with working out and allocating the opinion and method that the health care unit at the basic level implements the salary of performance. Coordinate and implement next " Task of authorizing, authorize revenue and expenditure, performance examine subsidize " Financial for subsidy for method,what has been authorized that revenue and expenditure last government financial budget badly; Coordinate and adjust the medical charging item of health organ in the basic unit, improve the compensation mechanism of prices; Deepen and shut the medical insurance of paying for the fee, advance newly and agriculturally according to number etc. to calculate and pay the reform method. Meanwhile, will study and improve the subsidy level to the rural doctor. Third, strengthen the performance to examine. Medical worker's positive performance is denied and aroused, the impact on real effect of the medical reform is great, so set up the examination method of the performance, realize that it is very crucial to encourage forward. Jiangsu Province has already printed and distributed the examination method of the performance, there is better practice too in some places, but also further thinning, and make the instruction advancing the reform of unit internal personnel distribution system. First, examine the health care unit at the basic level, focus on implementing public beneficially. The result of appraisal examines and allocates the basis of subsidizing funds and performance salary as the finance, also regarded as the basis that the head of the unit of health care at the basic level appraises, appoints. Another one to instruct basic unit medical health organ to go on examining to the medical worker, improve encouragement and restraint. Meanwhile, should advance the construction of information system of hygiene at the basic level in urban and rural areas, grasp the medical health organ in the basic unit and working state of medical worker in time, let the examination be based on scientific data.


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