Jiangsu will do " Five things " Advance the reform of medical and health system

Jiangsu will do " Five things " Advance the reform of medical and health system
Jiangsu will do " Five things " Advance the reform of medical and health system
Yesterday, reporters learnt from the department of public health of Jiangsu Province, already the people's government of Jiangsu Province agreed to " five key reform 2010 job placement of medical and health system in the whole province ", this year, there are five key reforms in the medical and health system in the whole province, including accelerating advancing basic medical treatment to ensure the institutional improvement; Advance and improve the basic medicine system; Perfect the service system of health care at the basic level; Promote the basic public health service to be equal and melt; Pilot project of advancing the reform of public hospital. [Keyword: Medical insurance ] proposes while " reforming the job placement ", it is above 95% that urban worker's basic medical insurance, rate of joining insurance of basic medical insurance of urban residents are differentiated steadily. The medical expenses submit an expense account the proportion reach 80% and 60% separately in urban worker's medical insurance, fixed range of the medical insurance of urban residents, the pool fund is paid the limit and improved to more than 6 times of annual per capita disposable income of annual mean salary of the local worker and resident separately at most. Further improve medical insurance policies of urban residents, the hospitalization cost that the coincidence that personnel give birth in hospital and take place of effecting an insurance is fixed includes in the medical insurance fund of urban residents and pays the range. Make the medical insurance relation and shift and continue the method. [Keyword: " reforms the job placement " of basic medicine ] proposes, carry out the government and run the medical health organs in the basic unit and all allocate the regulation of selling basic medicine of using, a difference rate strictly, improve the basic medicine (augment medicines including the province) Wipe out proportion. By the end of 2010, 60% of the counties in the whole province are (municipal or district) Implement the national basic medicine system. [The expert say ] " how the public hospital use the basic medicine, these right to choose is at those pen of doctor's. " Relevant experts tell reporters, " if does not carry on the reform to the public hospital, devote more efforts to compensating, expect to restrain a doctor through the professional ethics, it is not very realistic to let him prescribe more basic medicines. Decide this year the large hospital uses the principle of the basic medicine, could really benefit the patient not very OK yet. " [Keyword: Electronic case history ] implements the basic public health service item in an all-round way. Construct the service information platform of the public health care, advance the electronic health file construction of urban and rural residents especially, strive the elderly filing rate is more than 85% over all cities in the province 65. The application of pool resident's electronic health file and electronic case history of hospital is developed. [The expert says ] though the informationization is very important for hospital and patient, setting up electronic file has a great deal of advantages too, but a medical circle insider thinks too, " digitization of hospital " Later, the hospital can revise the procedure, if the patient needed to collect evidence because of the medical dispute, will face very great difficulty. [Keyword: Public hospital reform ] strengthens the regional hygiene to plan, confirm the function, quantity and scale of public hospital rationally. Reform the management system of public hospital, explore the government affairs are separate, in charge of doing the effective form separated, advance director's professionalism, specialized construction. Reform the compensation mechanism of public hospital and explore the concrete route to realize medicine and separate, change the situation that the public hospital depends on the income from sales of medicines unduly and keeps on the go, cancel the medicines addition policy progressively. [Expert say ] relevant expert say " whether Jiangsu Province public hospital reform pilot project implemented the notice of the instruction " already issue at present. From looking now, the task of this year relatively weighs too, each public hospital will have one's own localization, it is not that the greatly hospital is the better. Need to pay attention to, the internal management of the hospital is a very important reform too, though the relation with patient is not too direct, the president's professional role will have clear definition. (modern bulletin author Liu Jun)


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