The implementing scheme of the medical reform of Jiangsu causes the warm response It is difficult to see the doctor to do benefit to solving common people

The implementing scheme of the medical reform of Jiangsu causes the warm response It is difficult to see the doctor to do benefit to solving common people
The implementing scheme of the medical reform of Jiangsu causes the warm response It is difficult to see the doctor to do benefit to solving common people
Author: Yellow red sweet-smelling second high 2009, 2011 year such as mountain such as jade such as court Jiang, basic public health, per person of the whole province, serve funds, raise, reach lower than 15 yuan and 20 yuan respectively; In 2010, urban worker participating in the medical insurance, the medical fee submit an expense account the proportion is up to 80% and 60% respectively in the fixed range of system of urban residents, participate in new agricultural peasant that shut real expenses compensate than more than 45% in hospital; Would start the public hospital reform pilot project in 2009, pushed in the whole province open progressively in 2011 After our province deepens the implementation suggestion of the system reform of the medical and health to announce, cause the warm response in the society, the people from various circles applaud, express support for it one after another. [Difficult enterprise worker, rural worker,etc. ] " the medical insurance expands the surface " ,Let difficult crowd diagnose the illness pressure lighten, solve, close bankrupt enterprise, difficult the intersection of enterprise and the intersection of worker,etc. and medical insurance problem of crowd while being state-run especially greatly, it is a medical reform of our province " The medical insurance expands the surface " One of the heavy head programs. Du YouYi is a worker of a difficult enterprise in Nanjing. As far back as 2005, he participated in the urban worker's medical insurance with difficult enterprise worker of Nanjing city 160,000. The material benefit brought to the medical insurance, Du YouYi has deep feeling: "I suffer from hypertension, the heart is not good, the salary of more than 1000 yuan was used for seeing the doctor and taking medicine mostly going to work per month in the past, after there are medical insurance cards, the majority sees the doctor the expenses can submit an expense account, day is much better than before. " Classify the difficult enterprise worker's medical insurance as solving the focal point as to the medical reform in the province, Du YouYi has thought too necessary: "Hope more the intersection of difficulty and worker of enterprise can just the same as I, nip in hand, diagnose the illness, worry sincerely. " It is a sanitation cleaner of profound military district of Nanjing that rural worker's king repairs youngly. "Helped me to do the social insurance in last year. See the doctor now and pay by credit card as urban resident too, submit an expense account equally. Fell ill in the past and did not dare to go to the hospital, had fallen ill now, the pressure was much smaller. " Wang XiuXiao says very passionately. Before the end of this year, how our province 1,600,000 university students at school all include in the medical insurance of urban residents. As to this, university students generally say this is a great practical thing that a government do for university students. The higher freshman, Que YeFeng of vocational technical school in Suzhou, come from the low insurance family. Last year, the small watchtower on either side of a palace gate was found and suffered from the malignant lymphoma, because the students of university of Suzhou participated in resident's medical insurance for one year in the whole province, all effected an insurance last September, the small watchtower on either side of a palace gate cost 35965 yuan together in hospital 5 times that year, formed paying and medical rescue and obtained subsidy of 30071 yuan through the medical insurance. While giving an interview, the small characterized thoughts and feelings of watchtower on either side of a palace gate are said: "It is too important that university students participate in the medical insurance, otherwise our family can not afford the my seeing the doctor expenses in any case. " [Great public director ], " changes the compensation mechanism twisted, I am all for it " "Compensating the public hospital is subsidized three channels by service charge, medicines addition income and finance, change into that subsidizes two channels, turn back the public hospital and trend towards the favourable behavior in service charge and finance, make it come back public beneficially. " This is a key light spot of a public hospital reform of our province. As to this, public directors giving an interview generally express appreciation. "Changing the compensation mechanism that the public hospital twists, I am all for it. " Province people's director Professor Wang Hong's straight talk from an honest man. Hong Wang say whom public hospital exist unreasonable to check, not unreasonable to use medicine, not unreasonable to treat, the origin is imperfect in compensation mechanism, have to " raise medicine with medicine " . Take province the People's Hospital as examples, except that capital construction waits for subsidizing specially, the proportion that financial input takes the expenditure of the hospital is only 7%, other 93% will be earned by hospital. The states of the other hospitals are basically like this too. Under the compensation mechanism of this kind of distortion, if the public hospital does not trend towards the profit, it is unable to maintain normal operation. The intersection of medical reform and implementing scheme that our province issue newly, public the intersection of compensation and by original " 3 legs " channel of hospital Change into " two legs " ,Cancel progressively " Raise medicine with medicine " ,Use instead " Set up the medicine thing service charge, adjust some technological expenses standards of services and increase the governmental input " ,The public health born to the public hospital meanwhile is served and subsidized specially, offer the guarantee to treating and curing, aiding outside promptly, public service funds of supporting agriculture, aiding the border areas etc. that the government appoint. So long as these said on the file can be really fulfilled, believe the public hospital reflects " public beneficial "ly ,Lightening the unnecessary expenses of a patient can unquestionably be realized too to bear. [Hygiene president at the basic level ] At the basic level hospital expect from " Create income " Liberate out at the pressure " this medical reform proposes strengthening the input to the basic public health of the government, very exciting. " Huaihai Road of Nanjing city the intersection of community and Yang, president of commune hospital, have China's excited feelings to show between the lines. Yang has China to tell reporters, the community commune hospital at the basic level is besides basic medical task, also undertake a large number of public health service items, and this is mostly " losing proposition " . Taking this institute as examples, there is resident population more than 60,000 in the area under one's jurisdiction, there are several tens of thousands of floating population, 10 medical personnel of hospital are responsible for women, children specially and keep healthy and plan the immunity, served more than 50,000 persons last year, personnel's salary cost,etc. consumed more than 400,000 yuan, replenish and only account for about 1/4 finally in finance, the rest should be " digested " by oneself completely ,The pressure is very large. The medical reform scheme still proposes cancelling progressively " The medicines addition income " ,The part of price differential is undertaken by the government. Yang has China to think, this one, very important to medical health organ in the basic unit, because of the large hospital " Medicine than " There are only about 47%, and this proportion of medium and small hospital is up to 70%, " raise medicine with medicine " It is the state of basically surviving. In the future, will cancel " medicines addition income " ,Can let ordinary people experience the true advantage that medical reform brings on one hand, pairs of basic unit is medical for health organ from " Create income " Pressure lay liberate come out. [Director of health bureau of the county ] The basic public health service " Equal to melt " Can see, feel " the medical reform implementation suggestion of our province is issued, it is a great blessing to ordinary people, especially basic medical treatment ensures and basic the public health and serves the material benefit brought, see, can touch. " Chief of East China Sea county hospital the Huanghai Sea is flat to combine reality, has discussed one's own view on the new medical reform. "What material benefit does basic public health service have? " It is flat to answer reporters' question from the visual angle that is compared in the Huanghai Sea. It is 8 yuan that the basic public health of per person in East China Sea county will serve the funds standard in 2008, according to the medical reform implementation suggestion requirement issued in the province newly this year, the standard is improved and got and is at least 15 yuan, change that bring is: The service item rises to present 22 9 big classes from 3 big class 8 great one of last year, for example, reseed vaccine of hepatitis B for the crowd under the age of 15, the finance is right to accord with the birth control policy The rural pregnant and parturient women of the scheme give birth in hospital to subsidize specially, implement the cervical cancer inspection of breast cancer to rural women, mend and serve folic acid to prevent the neonatal nerve from being in charge of projects such as the defect,etc. for the rural pregnant woman, did not have before. "The implementation of these projects, for improving rural resident's health quality, try ' not have disease or have disease few ', have very important meanings. "


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