Jiangsu pushes the public hospital reform pilot project Top-grade medicine must make a reduction while checking the fee

Jiangsu pushes the public hospital reform pilot project Top-grade medicine must make a reduction while checking the fee
Jiangsu pushes the public hospital reform pilot project Top-grade medicine must make a reduction while checking the fee
Yesterday, the reporter learns from the department of public health of Jiangsu Province, by the department of public health of the province, the province arranges and does, save the committee of development and reform, save the General Office of Finance, save " the public hospital reform pilot project of Jiangsu Province implements the instruction " that human resources, social security drawing room, province Price Bureau made, already the provincial government has agreed. In this share implements the instruction, the public hospital reform of Jiangsu has already fixed the time table. The reform will adhere to the public service properties of the public hospital, separate, in charge of doing separating, medicine and separating, reforming the management system, compensation mechanism, operating mechanism and supervision mechanism of the public hospital the government affairs, arouse medical worker's enthusiasm, raise the operational efficiency of public hospital. Accuse of large the intersection of hospital and scale severely, forbid construction in debt Propose in implementation suggestion, should define scale and standard of the public hospital in the future. Reduce the proportion of public hospital appropriately, the surplus area of public hospital resource needs to recombinate medical resources, lead the social capital to participate in reforming system or substantiating and strengthening the medical organization at the basic level in the form of multi-type. Control the construction scale of public hospital strictly. The public hospital berth should be confirmed rationally according to the medical care demand too, and control the newly-increased debt of public hospital strictly, it is built and purchased the large-scale medical apparatus beyond the standard that can't be in debt again in principle, the ones that need to be in debt to carry on construction must be approved by finance, Ministry of Health at the same level. Understand: The expert of a large hospital in Jiangsu Province tells reporters, at first, it is the better that the hospital is not the larger, control the scale appropriately, it is very favorable too to the patient. Abroad, 1500 berths are the hospital oversize to in hospital, but in Jiangsu, such a hospital can be found everywhere, several one more than berths, the hospital is the larger in scale, control the difficulty of the medical service quality to be the greater. Medical personnel and patient should have pieces of strict proportion, first more than patient, under the situation which the medical personnel cannot increase, the service quality will certainly present the decline. In addition, some hospitals in Nanjing really build the building in the debt now, though this promote and serve a action of the environment, but seen from another respect, if long-term debt, it is the limited words and compensate in the government, the hospital is in order to repay a debt to the bank, certainly will try every possible means to increase the hospital income, patient's interests may be damaged. VIP clinic must be reduced to less than 10% In implementation suggestion, require " the public hospital rely mainly on offering basic medical treatment service ", 10% that the service income proportion of offering service of specially needing and making does not exceed all medical service incomes. " Understand: An expert tells reporters, it is the common so-called VIP clinic to in fact specially need the service. In the past two years, trend to become more and more in the large hospital VIP clinic, become an important source that the hospital creates income, and such a phenomenon undoubtedly damages public hospital public service properties. Already pregnant Miss Wang tells reporters, what card actually went to the hospital not to need doing either, but hear after doing, needn't line up, special messengers guide and see the doctor, doctor that see the doctor to give birth to child in the director,etc., can also give priority to, live in very difficult to book high-quality ward that arrive, then and after the husband has discussed, the heart does ruthlessly, but it should be one or two hundred yuan expensive to see the doctor each time. As to this, the pregnant woman can not " bear " young gold ,Is not this good to be rich and goodlooking and ill? Some expert Professor watch disease, for hang pieces of the intersection of expert and No. citizen for less than quite a while only one week, feel about in the dark to get up early and rush for hospitals to line up. But it have it put out hospital register VIP, it can let by VIP patient with to watching at the same time. Citizens keep gazing with great anxiety and line up holding number, but is jumped the quene by VIP when to oneself quicklying, the mood can be well imagined. The expert tells reporters, in the past two years, in some hospitals in Nanjing, specially need to account for 20%-30% to serve, after the public hospital comes back public beneficially, this proportion must drop. Advance hierarchical medical treatment, change the place of examination bidirectionally Have proposed in implementation suggestion " Hierarchical medical treatment " Concept,Jiangsu public be promoted hospital reform last medical treatments hierarchical, last system bidirectionally. The first class hospital in the city and hospital of part second should plan to be transformed as the hygiene service organization of the community according to the regional hygiene. Understand: The expert tells reporters, Nanjing has already gone ahead of the rest in this respect, a lot of community hospitals have already been listed for the district level hygiene service centre at present. An expert of the district level hygiene centre tells reporters, in fact it is that " small disease enters the community, serious disease is in hospital, recover back to the community " ,This is a goal which the public hospital reforms. The new problem comes again now, their district has made into the hygiene service organization of the community for a long time, but seen from present situation, change the place of examination bidirectionally, has become unidirectional to change the place of examination. Every to the loud hospital every month " Rotate " More than 20 piece patient,but it is large hospital last patient of community to be " as rare as phoenix feathers and unicorn's horn " ,The reason inside is numerous too, the large hospital " holds back " Patient,patient too unwilling to return to by community,in short term,there are getting more difficult to be more solve probably on phenomena such a. Medical ethics should include in the performance and examine in the past year too, medical ethics became the topic that a lot of people paid close attention to. In implementation suggestion, propose the requirement in this respect clearly too, " improve medical worker's professional title and evaluate the system. Implement the post performance wage system, comprehensive performances such as the salary and conditions, service quality and work load of post,etc. are got in touch. Improve the system to assess of performance taking ability of professional technique, working achievement and medical ethics and atmosphere as main evaluation criterion, confirm medical worker's treatment level rationally, reflect the medical services characteristic, fully arouse the enthusiasm of medical worker. " Understand: One expert tell reporter, medical skill and cure Dedu main evaluation criterion, will influence doctor's income directly, but many people will all ask: "How to comment medical ethics, whether will really list in the system to assess, someone comes to supervise. " If let the patient appraise, can be through the E-mail, telephone, many ways of and fill in a forming etc., it is tried that there is such a hospital too in Nanjing, this can be accomplished very easily, but the hospital will really disclose such appraisal, how to really influence the doctor's income on the appraisal, this's the focal point that everybody pays close attention to, also as one of the questions which the hospital administrator needs to ponder over. Have already proposed in implementation suggestion, pursue the open information system of the hospital in an all-round way, make disclosing, institute's affair of the medical matters public, accept the social supervision and but disclose medical ethics and is checked and rated and does not know. It is a content that a lot of people care about that the instrument should reduce to see the doctor expensively while checking the expenses, propose in implementation suggestion, are improving the hospital that Jiangsu has already implementing and selling the policy of raising the price of the medicines difference constantly, lead the hospital to use medicine rationally. Technological labor service service price of appropriate project of investing greatly etc. of improving labor service with high technical content, reduce top-grade medicines, high the intersection of value and medical consumptive material and partly large-scale to make a diagnosis the apparatus on the high side price, set up scientific medical price forming mechanism. Understand: Patient now A topic that concentrates on very much is that " the instrument checks Fitch and makes people inconceivable high. Check a thousand yuan nearby in nuclear magnetic resonance. " The intersection of citizen and the intersection of Ms. and lumbar vertebrae Wang feel pain always, she tell reporter whether doctor say nuclear magnetic resonance to be safe as radiation, check detailed, go, ask price whether frighten, transfer her, it is nearly the salary of two weeks to check the expenses. She would like to know nuclear magnetic resonance, CT, color of superior grade, what basis charge have and what is one purchase of instrument and equipment in cost, what kind of work load scraps to finish, how much unit cost is during that time, seem not to have hospital that announce such a bill. Expert tell reporter whether top-grade medicines, large-scale to make a diagnosis price of apparatus, become, see the doctor your typical representative often. Cancel it in the addition implementation suggestion of medicines progressively, to that it there was a clearer statement at last how to cancel the addition of medicines. Understand: The Nanjing economic and trade president of management college of Chinese Medicine University explains the beautiful dragon's professor tells reporters, say in " opinion ", compensate by service charge public hospital progressively, the intersection of medicines and the intersection of addition and income, and government subsidize switch over to service charge and government, subsidize two channel by 3 channel. Separate medicine, cancel the addition of medicines, the reasonable income which the hospital reduced from this progressively, take measures of setting up the medicine thing service charge, adjusting some medical service prices etc., the route of ensuring funds to pay and increase the government and put one's back into through medical treatment etc. is compensated. The medicine thing service charge is according to the medicine thing service cost in principle, and consider synthetically factors such as social endurance,etc. are fixed rationally, include in the range of ensuring submitting an expense account of basic medical treatment. Pilot content Jiangsu confirms Zhenjiang as the pilot city. Choose a public hospital under the province as the pilot project of the reform (list is still in the province under study for action) . Every city under the jurisdiction of the provincial government is on the basis of insisting on reform direction and principle in which the country confirm, choose 1-2 public hospitals by oneself, explore the reform actively in such aspects as management system, operating mechanism, compensation mechanism, supervision mechanism. Reform the time table From first quarter of this year, the pilot city launches the pilot project of the reform in an all-round way, implement the policies and measures, and improve reform scheme and method in time according to the pilot situation. In the fourth quarter of this year, launch the pilot project of the reform and assess the work in middle period. The other areas combine the real positive reform to explore, make every effort to make the break-through. Third of next year, the fourth quater, the related departments of the province will assess the pilot working condition of the reform in an all-round way together with the pilot city, summarize and reform method and experience, put forward the suggestion of advancing the reform of public hospital in an all-round way. (Liu Jun)


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