Friday, July 13, 2012

Jiangsu will start the medical insurance to see the doctor in the strange land and settle account in the first half of the year

Jiangsu will start the medical insurance to see the doctor in the strange land and settle account in the first half of the year
Jiangsu will start the medical insurance to see the doctor in the strange land and settle account in the first half of the year
Author: Zheng flat the intersection of disease and strange land close difficult crowd, worker, rural worker, freelancer, university student,etc. of enterprise, include in the medical insurance as soon as possible too spring The new scheme of the medical reform has been issued in calling again and again. We see gratifiedly, compared with a lot of cities, the medical reform of Jiangsu walks in the national forefront, we have got better medical guarantee. But the way of the medical reform shoulders heavy responsibilities after all, what we cared about is: In the future, can we spend less money while seeing the doctor? Can the medicine price be cheaper? The doctor can diagnose the illness more carefully? All these, remain to give us an answer in new medical reform. Our country will pursue the strange land of the medical insurance and settle account in the following three years the new medical reform will require Jiangsu The settlement scheme in the strange land is finished, network badly Uncle Yu in Taizhou suffers from cerebral thrombosis, daughter's to Nanjing home lives after retiring. However, not living for two months, having let twice 120 was rescueded, the expenses were drawn by oneself. Because the medical insurance in Taizhou is blocked and can't be used in Nanjing, if you want to must return to homeland while submitting an expense account, the old man feels very troublesome, the way back and forth is costly may all exceed submitting an expense account actually - -But nowadays, such a situation will change soon. Yesterday, Medical Benefits Funds administrative center director Hu DaYang in Jiangsu Province revealed to the reporter, start the improved strange land that takes retired personnel founding a room for in the strange land it as the focal point, seek medical advice, close, serve the first half of this year, the scheme has already been finished now, is carrying on the preparation of the computer technology at present, save effort and fight for and realize and network and settle account in an all-round way by the end of this year completely. The statistics show, the number of people is 265,800 that Jiangsu Province effects an insurance in worker's strange land and seeks medical advice in 2007, 2% of the number of people that account for and effect an insurance; The hospitalization cost happening is 1,417 million yuan to seek medical advice in the strange land, accounts for 8.16% of all hospitalization costs of worker's medical insurance. Seeking medical advice in the crowd in the strange land, retired personnel are 158,700 people, accounts for 59.71%, 4.34% of the retired personnel's total number that account for and effect an insurance. Seek medical advice in the strange land the crowd mainly has a situation of founding a room for in the strange land, working and transferring to seeking medical advice outside in the strange land etc., found a room for in the strange land with in different places staff member accounting for strange landing, seeking medical advice 75.80% of the total number of person among them. Strange land seek medical advice personnel flow into, within the range of this province, account for the intersection of the whole province and strange land, seek medical advice 62.81% of number mainly, the ones that flowed into and sought medical advice outside the province accounted for 37.19%, among them what flowed into Shanghai is 17.09%. The reporter knows, because the medical insurance of Jiangsu Province conducts the level is still the pool at county level, the intersection of medical insurance and policy one, treatment differ, effect an insurance the intersection of personnel and strange land seek medical advice with expenses wiping out difficult problemming, generally existing between the area. Mainly showing in the following aspects: It is difficult to seek medical advice to effect an insurance in personnel's strange land. The expenses seeking medical advice afterwards in the strange land submit an expense account in way and longer submitting an expense account and verifying cycle, it is more low to the income, paid for the more effecting an insurance of fund first the target has aggravated the burden. At the same time because effect an insurance different from medical insurance policy implemented seeking medical advice,if you can't have unavoidably, go beyond and effect an insurance some hospitalization cost last range medical insurance, can only be effected an insurance finally personnel undertake, the ground level of generally going beyond and effecting an insurance of real expenses produced, aggravate effect an insurance financial burden of person virtually. The expenses are difficult to submit an expense account that secondly seek medical advice in the strange land, seek medical advice in the strange land at first personnel generally reflect that it is inconvenient to submit an expense account, this part of personnel is mostly the old,weak,sick and disabled person, have difficulty getting about, but should travel to and fro between and effect an insurance in the ground seeking medical advice. In addition, the hospitalization cost submits an expense account and verifies to expect much, it is long, need to get all details of all kinds of notes ready, if the material is not complete or not fulfils requirements, refuse to submit an expense account without exception, it is difficult to seek medical advice and submit an expense account to cause the strange land. Finally, still involve the behavior of seeking medical advice of strange land and supervise the difficult problem. As to this, DaYang Hu say for help, effect an insurance the intersection of personnel and strange land seek medical advice to wipe out, close expense, Jiangsu will advance this job progressively. The first step, solve management service and expenses that effect an insurance and seek medical advice in personnel's strange land in every city under province and settle the problem first, Suzhou, Nantong, Taizhou, Zhenjiang city realize, effect an insurance personnel pay by credit card, seek medical advice with expense networking, closing across the intersection of pool and area within the range of this city already at present, Nanjing realize medical insurance city and all counties pay by credit card, go to a doctor, close on will it be second quarter this year too. The second step, the provincial aspect issues the settlement policy of seeking medical advice inside the province in the strange land, set up the strange land in the medical insurance centre of the province to seek medical advice in the central platform of information system, rely on gold to assuare the project network links with every pool area of the whole province, effecting an insurance in personnel's strange land and getting the medical insurance card and medical insurance policy according to effecting an insurance and paying by credit card to calculate seeking medical advice while seeking medical advice. Such as uncle Yu in the above-mentioned case, after daughter in Nanjing home lives for a long time, can go to the centre of medical insurance of Nanjing to get a medical insurance card first, reach the fixed hospital of medical insurance of Nanjing can pay by credit card, close in real time directly while diagnosing the illness later ' Standard of submitting an expense account still medical insurance policy of worker in Taizhou of ground) according to effecting an insurance ,Individual needn't pay for the expenses first again, but the end is checked out regularly by centre and the centre of medical insurance of Nanjing of medical insurance of Taizhou. "Certainly, want, realize strange land seek medical advice the whole province network, close goal of ' the all-purpose card ' finally, we also need some time. " DaYang Hu say they the content move forward step by step according to going to a doctor for example: It is the hospital treatment expenses that are settled first, then the clinic expenses settle, carry out the transition to all medical expenses to settle progressively; Meanwhile, unlock in batches according to the fixed grade of medical organization, lack some tertiary medical organizations and section hospitals first, then second more than fixed medical organization, carry out the transition to all the intersection of medical insurance and fixed organization progressively. Strange land seek medical advice, network, close work, implement step by step too according to the intersection of business and level, first urban the intersection of worker and basic medical insurance, then generalize to the basic medical insurance of urban residents, and then carry out the transition to the industrial injury, birth insurance progressively. The new medical reform requires the basic medical treatment of our country ensure the system to cover with the whole people in three years; The rural worker whose employment stabilizes and signs the labour contract includes in three kinds of difficult crowds of Jiangsu of urban medical insurance and includes in the guarantee this year The new medical reform scheme made yesterday, " medical insurance " Become the focus once again. To Jiangsu, combine new the intersection of medical reform and scheme, the intersection of worker and medical insurance, the intersection of resident and medical insurance, shut what new actions will there in the future while being agricultural while being new? The reporter received the latest news from Jiangsu Province work and social security drawing room yesterday, including rural worker's medical insurance relation is shifted here inside, four major new policies will be pushed away successively in Jiangsu. The new policies one: 5 million rural worker's medical insurance of flowing can be shifted and continued the current situation: According to the statistics of labour department of Jiangsu Province, there are more than 9 million rural workers flowing between town and country in the whole province at present, more than 4 million people in relation of in that working steadily, most of this kind of personnel have already participated in the urban worker's medical insurance. Not 5 million people as the relation of working steadily and regularly among urban and rural areas, between the regions, flowed between the job except these 4 million people, these flowed some of rural workers participated in the urban worker's medical insurance in the capacity of flexible employee, some have participated in and shut the medical insurance of urban residents newly and agriculturally. The province works The department reveals, in order to solve rural worker's basic medical insurance problem properly, will further strengthen working endeavour. To signing the labour contract and with the employing unit ' Contain the hired labourer's self-employed entrepreneur) Establish and trouble the rural worker of the relation steadily, the employing unit handles urban worker's basic medical insurance the same as other workers for it. Really have employing unit of the difficulty in participating in the urban worker's basic medical insurance, can participate in the medical insurance or serious disease medical insurance temporarily and is in hospital, and transfer to participating in the urban worker's basic medical insurance that the interconnected system account combines progressively according to the improvement of economic endurance, the expenses participating in and is in hospital the medical insurance or serious disease medical insurance are paid by the employing unit, rural worker individual does not pay the fees. Can participate in the urban residents medical insurance in the building site of the affair as to other rural workers. The new policies two: 3 kinds of difficult crowds include in and ensure the great umbrella current situation as soon as possible: Up to the end of 2008, the urban worker's basic medical insurance of the whole country effects an insurance the number of people is up to 199,960,000, the urban residents medical insurance has effected an insurance the number is up to 118,260,000, the basic medical insurance system has already covered 318 million people in the cities and towns. The urban worker and resident number of participants in medical insurance in Jiangsu Province are 16,040,000, 12,330,000 respectively, the peasants participating in new rural cooperative medical service are up to 44 million people, the whole coverage rate is more than 90%. In order to realize the goal of the whole people's medical insurance as soon as possible, the present focal point is to " pick up the neglected and to supply the deficient " to the crowd not effecting an insurance in every system yet ,Bring into the coverage as soon as possible. First, solve the worker of difficulty enterprise and effect an insurance, subsidize, bear etc. and pay the fees in many ways through the finance the way solves the difficult problem of raising funds progressively. Second, accelerate doing non-public economic employees well, rural worker, the work that peasants, the flexible employee and freelancer effect an insurance of taking over the land for use, strengthen the alternative of the system, personnel's work of renewal of insurance of doing well and stopping paying the fees. Third, advance university students to participate in the basic medical insurance of urban residents in an all-round way, fully utilizing the university to organize, there are the resources of medical organization now on function and university, adopt to effect an insurance, advance way with treatment close the method suitable characteristic its, offer convenient effecting an insurance and paying the fees and submitting an expense account and serving with the expenses to university student. The new policies three: The medical insurance is introduced " The negotiations mechanism " Current situation: 2007, Jiangsu Province effect an insurance the intersection of worker and the intersection of out patient and per capita the intersection of hospitalization cost and 76.23, the intersection of impatient and per capita the intersection of hospitalization cost and 6239.65, effect an insurance the intersection of urban residents and the intersection of out patient and per capita the intersection of hospitalization cost and 59.37, the intersection of impatient and per capita the intersection of hospitalization cost and 4751.36. Ministry of Health statistics show, per capita hospitalization cost of 144.18 yuan of all out patients in our province, per capita hospitalization cost of the impatient are 6781.81 yuan in 2007. The clinic of worker and resident, in hospital per capita hospitalization cost are lower than social average level to effect an insurance. The relevant person in the medical insurance centre in the province tells reporters, the health care is a special trade, hospital and have serious information asymmetry between the patient, medical treatment ensure, effect an insurance person " group purchase " after all The medical care one " Agent " . Pay mechanism as one third party, should guarantee, effect an insurance the intersection of personnel and essential payment of hospitalization cost, and also guarantee the balance between revenue and expenditure of the medical insurance fund, run healthily, so it is very necessary to introduce " negotiations mechanism " . The so-called one " The negotiations mechanism " ,Refer to the medical insurance " Agent " In order to reduce and effect an insurance personnel's expenditure, " discuss " with the fixed medical organization , with the fixed pharmacy" Discuss " . Under the principle of insisting on lightening and effecting an insurance patient's financial burden, reduce the medical expenses price through the negotiation, make, effect an insurance person enjoy favourable medical care. On one hand, the medical insurance, through expanding coverage rate, strengthen " group purchase " of the medical organization With the strength of the negotiation, reduce and effect an insurance personnel enjoy the medical service cost. On the other hand, the medical insurance is settled, supervised and inspected through the expenses as the role whom the third party supervised, control medical service act and expenses, impel the medical organization to standardize the behavior, reduce hospitalization cost, ensure, effect an insurance person's basic medical treatment better. The new policies four: Worker's medical insurance is paid the limit to 180,000 yuan at most Current situation: The reporter knows, many cities of Jiangsu have all cancelled serious disease and submitted an expense account and bound the limit at most, for example no longer had in 2006 in Suzhou " Bind the line " . Nanjing the intersection of worker and the intersection of medical insurance and the intersection of pool and fund pay limit from original 40,000 improvement to 60,000 at most at present, on this basis, actually there was binding the limit at most and already cancelling too of 200,000 yuan in the relief fund of serious disease. According to resident's medical insurance, the financial subsidy standard to the medical insurance of urban residents in Jiangsu is 80 yuan for each person every year at present, the present limit of submitting an expense account at most in Nanjing is 80,000 yuan, and Jiangsu the every Overall Planning district's lowest submitting an expense account limit has 60,000 yuan. According to the new medical reform scheme, what urban worker's medical insurance, medical insurance of urban residents will be paid the limit and improved to annual mean salary of the local worker and disposable income of residents separately at most will be about 6 times in 2010, shut and pay the limit to improve newly and agriculturally to more than 6 times of per capita net income of local peasant at most, thus lighten the personal medical expenses of the great serious illness patient to bear effectively. Take Jiangsu as examples, the average salary of the workers at their posts of the whole province will be about 30,000 yuan in 2008, per capita disposable income of urban residents is about 18,000 yuan, rural per-capita net income is 7357 yuan. According to the above-mentioned requirement, urban worker's medical insurance, medical insurance of urban residents of Jiangsu are paid the limit with shutting newly and agriculturally at most and brought up to 180,000 yuan, 100,000 and about 50,000 yuans respectively. In addition, the country requires the finance at all levels to improve to the subsidy standards of basic medical insurance and new rural cooperative medical service of urban residents by 120 yuan for each person every year in 2010, so Jiangsu will improve by 120 yuan for each person every year next year. Will it be more expensive that we are anxious to see the doctor in the future? Pay the expenses for medicine, check fee, medicine thing fee Will it be more expensive to see the doctor in the future? In the face of the voluminous medical reform scheme, what ordinary people cared about most is actually very simple: "Can cost less the money while seeing the doctor? " It must analyze three following respects one by one to answer this question: First, medicines price, second, medical care is every expenses checking, third, " thing fee of medicine " put forward newly Who checks. Will the price of medicines be reduced? "Do not speak more generally concretely enough. " About the new medicines pricing mechanism to the medical reform scheme, many insiders appraise like this. According to the scheme, the price differential rate of links of controlling medicines and circulating in the future, but how on earth one will be " controlled " France, how to confirm difference rate, the thing that it may be clear in the next implementing regulation that it is estimated. The relevant person of Price Bureau of Jiangsu Province says, the future reform goal is to implement a difference rate, but estimate that will adopt the present difference during the transition Pricing. The reporter knows, the current circulation link price differential rate is 15%, namely can raise the price on the basis of bid of medicines in the hospital 15% are sold. But very obvious, the higher the bid of medicines is, the larger the space of real profit is, this method that can't stop the hospital writing a prescription more. However, basic medicine system and low priced medicines pricing policy put forward in the medical reform scheme are a advantage to the patient. According to the incomplete statistics in recent years, the country has already reduced the price of medicines on a larger scale 25 times. Will continue carrying out the pricing policy of controlling the price of medicines after the medical reform scheme is implemented this year. Will the medical service price rise? From " raise medicine with medicine " Get and " raise medicine with the skill " ,The medical reform scheme has put forward the appropriate action of adjusting the medical service price, and regard this as an important part which improve the compensation mechanism of public hospital. Does this mean, will go to the hospital to make film, make CT in the future, jabing a needle all spend more money to have an intravenous drip? The relevant person of Price Bureau of Jiangsu Province tells reporters, this question must reach the overall background that the price of medicines is reduced, the government increases the input into public hospital to come down to look synthetically, some price of medical care upward perhaps, wipe out increase of proportion because of the intersection of medicine and reducing, medical insurance of price, the patient's overall expenditure is still decline. Seek medical advice, treat service price only but speech, country to hold, raise and improve the principle in recent years. But while some medical service items are raised, large-scale medical apparatus check price, take, reduce progressively within the year, the concrete scheme will be also treated the scheme specification of the medical reform will be issued and the situation which the government invests will be made. " thing fee of medicine " Let the patient foot a bill more? In the medical reform scheme, people have heard a new term " thing fee of medicine " ,What kind of expenses is this on earth, let the patient check? The relevant person of price department of province explains, to be simple, after all prescriptions are opened by the doctor now, the patient has gone to the dispensary to get it filled directly, but to questions such as the curative effect of medicines, having side effects,etc. made, the doctor may not be totally clear to make a diagnosis, but all prescriptions will pass pharmacists' verification of the operation in the future, therefore produced " The thing fee of medicine " ,This is actually one kind of compensation mechanism of the hospital too. Whether will increase the question that the patient bears to this expenses that a lot of people cared about, the relevant person claims, it is to submit an expense account by the medical insurance that possibility is greater. Moreover, really establish and collect this expenses, it is estimated that must wait for longer period. We are anxious Medicines call for bid quilt " Sneak the rule " ? The local government reserves and operates the space Medicines call for bid quilt " Sneak the rule " ? In the new medical reform scheme, there are central authorities and local government responsibility concurrently. And relevant medicines are bade and purchased among them and reform of the pricing mechanism, is meant being called as the local government and " keeping and operating the space " by relevant views . Corruption and power to exist among them are sought and rented how to stop, " ugly disease is expensive to see the doctor " that become Important topic. View from the point of disclosing the aspect, the basic medicine will be bade and purchased publicly, will provide and deliver in unison, reduce the intermediate link, can reduce the procedure of raising the price of medicines to the maximum extent, reduce the medicine price. Secondly, the country makes the basic medicine and retails and guides prices. "If really the sunshine is operated, all these are very good measures. " A personage engaged in medical trade management, insisting on anonymity for many years tells reporters, the key problem lies in, some actions will often " lose shape " when arrived to carry out actually . It is busiest every year that medicines produce and sell enterprises " The major issue " Count calling for bid, the trick here is the largest too. The insider thinks, the task of top priority should issue the effective supervision measure at the same time, stop up corruption and power that may continue existing and seek and rent the space, could really reduce the medicine price effectively in this way strictly. Bulletin reporter flat we also worry being busy going to the village fair to see the doctor spring such as Zheng? Some operation is busy going to the village fair to see the doctor allowing the doctor more? After the new medical reform scheme is issued, doctors can practise medicine in many hospitals and become reality gradually - -Though this phenomenon has already existed, a lot of doctors are still very excited to the issue of this policy, clap and shout "Bravo", even optimistic to say clinic become, have about equal effectivenesses because of issue of this policy noon, night. However, many citizens " make excessive money by giving performance " to the doctor Legal to worry too. The person in charge expecting the medical reform can bring a plurality of identities and very normal a hospital of Nanjing of more material benefit IC picture doctors to patient tells reporters, this phenomenon is even non- rare in the whole country in Nanjing. An expert insisting on anonymity in Nanjing tells reporters, understand that looks on him, some doctors even have four or five identities, a lot of persons play the edge ball, by " hold a consultation " Wait for the name, go to another hospital to diagnose. While interviewing, a lot of doctors are cannot help but revealing, " in the large original hospital, if are all your clinic in one week, then the young people of the department are easy to be suppressed, as time goes by, young people have opinions too " ,A doctor tells reporters. In addition, look in term of serving the patient, there are few channels that a lot of patients understand, often come to this hospital, just know that there are doctors who sees this disease, it is diagnosed so there are hospitals, all right more patients. "In many of expert that hospital diagnose the illness being well-known doctor basically, otherwise nobody please go to diagnose too. These people have already reached the summit of the career, can not go to flow for the economic reason. Say strictly, and the so-called making excessive money by giving performance is not the same thing " ,This expert tells reporters, abroad, the doctor only has " licenses" ,Where can see the doctor, even can open the clinic by oneself; At home, because violate with the regulation of the country, the doctor can only play " edge ball " . The well-known doctor more " Take a walk " In fact, the advantage is numerous to allow the doctor and flow. The insider tells reporters, first, doctors that has the ability to go to many hospitals to diagnose in fact are all well-known doctors, it is the authority in the industry. After a lot of doctors retire, has accumulated a large number of clinical experiences, if the doctor fixes a place, then this part of talents have been wasted. Second, the hospitals at county level, community hospitals are unable to let a well-known doctor stay around forever. So allow doctor flow, at county level hospital often can ask, pass by and diagnose temporarily well-known doctor, the patient needn't rush about back and forth either. In addition, after allowing the doctor to flow, perhaps the clinic can become reality at noon. Because doctor's daily schedule is unrestricted, the space of use has grown up. Citizens: Welcome to worry about many some doctors for holding medicine very too very much, how is the attitude of the citizens in Nanjing? Live Ms. Luo of the drum-tower tells reporters, feel this method is still pretty good, can see in the community later Good doctor; And it is too difficult to see the doctor to go to the large hospital, after allowing the doctor to flow, some pensioner old doctors can devote one's remaining years to the service of the people. However, citizens have expressed one's own worry: The doctor comes and goes hurriedly, may not be careful while seeing the doctor; And after doctor's flowability increase, not often very by fixed position, not easy to find next time. If has participated in rescuing, in case there is a mistake later, whose responsibility is it on earth? This may be made very complicated. Hospital: Afraid the person in charge of a hospital of Nanjing of brain drain worries about this a bit. He tells reporters, the identity of the Chinese doctor is still very fuzzy at present, it is finally " professional people " ," social people " ,Nobody can provide the accurate answer. The doctor also belongs to each hospital to manage now, that is to say the unit manages, endowment insurance, salary, the unit pays or releases. Once allowing the doctor to flow, the original management hospital is certainly unreconciled. How on earth to make in order the relation inside, need a long-term course. While interviewing, the expert tells reporters, will carry on the reform inside the hospital, this will be put forward in the new medical reform too, should improve the corporate governance structure of the hospital, then could confirm the doctor's identity. Star of the bulletin reporter high Zhang Liu Analyze How to think about Cancel the addition policy orientation of medicines (reporter Han Jie) according to the report of Beijing (Xinhua) the 7th April In order to reduce the too high medicines expenditure expenses of a patient and prevent the medical organization " Mend medicine with medicine " The behavior, has cancelled the policy orientation of the addition of medicines clearly in new medical reform scheme announced this week, become the focal point that the various circles of society pay close attention to. Yu Hui, researcher of Chinese Academy of Social Sciences, points out when being interviewed by reporter on the 7th, this policy orientation will inevitablely cause the increase that the government put one's back into the public medical organization, but can be found from the medical reform " opinion ", governments are different to input policies of medical health organ and public hospital in the public basic unit, and the increase not totally put into by the government remedies the public medical income after cancelling the addition of medicines of health organ to lose. As to the medical health organ in the basic unit, the medical reform suggestion proposes reforming the medicines addition policy, sell a difference rate of medicines. As to this, Yu Hui points out, after implementing this policy, the income of the medical health organ in the basic unit should be really reduced by one, the government will strengthen the input power on him too, but this does not mean addition income of this part of medicines reduced should be subsidized and replaced specially directly by the government. "Cancel medicines after the addition, basic unit medical operating cost of health organ can subsidize two compensate channel, compensate together through service charge and government, thus guarantee its normal running, does not mend medicine, fIll in with medicine with medicine again. " Yu Hui says. As to the public hospital, scheme regulation of the medical reform, through the pilot project of three years, compensate by service charge public hospital progressively, the intersection of medicines and the intersection of addition and income, and finance subsidize switch over to the service charge and finance, subsidize two channel by 3 channel. In the future it is public it want hospital last medicines addition progressively,hospital therefore incomes or loss that be formed reduced, will compensate through the route of setting up the medicine thing service charge, adjusting some technological expenses standards of services, increasing the government to put one's back into etc.. As to this, Yu Hui says, the patient seeking medical advice, though has increased the medicine thing service charge expenditure of several yuan for seeing the doctor, but lightened the burden that the hospital wrote a prescription, wrote a prescription and brought more in the past greatly. Through adjust some technological expenses standard of services, make real the intersection of reflection and medical service cost its, can reflect the medical worker technology and labor service value. Why not mention allocating funds fully Ensure public hospital personnel's funds (reporter Han Jie) according to the report of Beijing (Xinhua) the 7th April The intersection of medical reform and opinion that announce newly and in the recent key implementing scheme, propose government " protect salary, protect the welfare " to public hospital Fully ensure policy. As to this, reporters interviewed Central University of Finance Economics' property tax Deputy Director of research institute Wang Jun on the 7th. Wang Jun thinks, the reason why so, mainly has three reasons: It is for preventing the financial fund from wasting at first. Wang Jun says, our country has been devoted to setting up and serving the health care system of offering and raising funds and seperating, restrict each other all the time, the public hospital of this decision will obtain more steady source of revenue of business, including medical treatment ensures fund and individual to pay the expenditure etc., and these incomes have already included the compensation to the cost of manpower, this is unit's greatest differences of budget appropriations in full such as public hospital and public school,etc.. "So, if the government provides the guarantee in full for public hospital medical worker's salary welfare as treating the teacher of public school on one hand, put a large amount of fund into construction of medical security system again on one hand, on the issue to will form and is subsidized repeatedly, ensured repeatedly, cause the financial fund to waste, is unfavorable to the medical rational distribution of resources. " Wang Jun says. Secondly, Wang Jun thinks, realizes that is allocated funds to ensure public hospital personnel's funds fully by the state finance, it is still unable to bear and maintain that there are financial resources now in our country. In addition, Wang Jun thinks, public hospital personnel's funds are born fully by the finance and helpless to medical service quality improvement and guarantee of resident's health. Wang Jun proposes, in this case, the government department can take the following measures to promote the reform: First, reform management system, operating mechanism and regulatory ystem of public hospital. Second, advance the reform of compensation mechanism of public hospital. Third, accelerate, form pluralism, do, cure pattern, to to become the favourable behavior, produce and restrain function from public hospital. Fourth, produce the supervision function that medical treatment ensures the third party of the system to pay. Where is the new medical reform? The direction confirms, the goal is established, it is clear to put into With sum of " suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China " <>Announcement,is it the new round of to cure, correcting type set sail. Can " opinion " and " implementing scheme " guarantee the medical reform drives towards the successful other shore smoothly? Some insiders and experts emphasize, deepen and is covered with " thistles and thorns " on the road to the medical reform ,Want, get hold of overall direction of reform, should notice detail of system improve and to that policy carried out supervision norm, in order to avoid taking detour or even off-course. " the public hospital reform is the greatest difficult problem how to handle the public hospital well public beneficially and the medical worker is positive. " Participate in numerous the intersection of medical reform and chief of Ministry of Public Health Policy and Regulations Department Liu XinMing that policy make say, the public hospital reform must be handled well " It is public beneficial to safeguard " With " arouse enthusiasm " Between relation. For many years, because the government puts into insufficiently, the public hospital creates income and trends towards the profit obviously, it is weakened seriously that public beneficial. "Keeping, running and developing the main fact of the public hospital Want the capital source to be the service charge. " Liu XinMing points out, because doctors and patients' information is not reciprocal, when the hospital has too many one's own interests that are considered in providing service, induce the demand to be very easy to produce, will increase the masses and see the doctor and bear virtually. In addition, Liu XinMing points out whether can shift a medical worker to " safeguard public beneficially " But not the enthusiasm of creating income, it is the public hospital that could reform the key to success. Social minister of development department Ge YanFeng of Development Reseach Center of the State Council thinks, the public hospital reform is improving compensation mechanism at the same time, the more important thing is to improve and manage inside the hospital. Must explore the new system encourages medical worker's enthusiasm, such as setting up competitive personnel system, shutting? The vast neon cane imperial decree stands erect it is fetched that Xuan is poor Thin Song is raised ��'s own crisp poor magpie? Solve the efficiency problem of medical care with management. Can the input of the medical insurance really become ordinary people's material benefit? At present, while medical treatment ensured competence to be limited, the medical insurance has medical fee that " increases accordingly " in the course With " excessively treat " Phenomenon. Because the complexity of the professional and medical course of medical treatment, strong and effective supervision is one of the difficult problems ensured facing in medical treatment. The net friend who takes up a job as a doctor 14 years " Li Xin " Have enumerated the example around: About 700 yuan for a appendicitis operation cost, it is about 3000 yuans to nowadays spend in the health clinics in towns and townships too, the proportion that the medical insurance according to 70% of locality submits an expense account, the patient should still pay nearly one thousand yuan. The money that the government invests has not really brought material benefit to ordinary people. Ge YanFeng says: "The fund-raising level of the medical insurance needs improving progressively according to the national economic level, in a situation that it is with high level to raise funds at present, it is rational to use the fund of medical insurance effectively even more, put into the field of the health with good performance especially, spend the limited money on the crucial point. Meanwhile, should strengthen supervision, implement each detail in the course by improving the system, let, put into, turn welfare of civilian into really while being public. " OK avoids the public health service " Go through the motions " ? Clear in " opinion " and " implementing scheme ", " promote urban and rural residents to enjoy the equal basic public health service that melt progressively " . Our country will also confirm the national basic public health service item in 2009. ", the most effective, economic means of improving health that the public health service prevents disease. " XinMing Liu say, but public health serve, want, contribute, need mechanism let " prevent from " at first Do. Because the public health service does not become effective within short time like treatment, so the difficult point of advancing public health services lies in how to guarantee the work is fulfilled and got up to the actual effect, but not " vigorous a moment, lively for a moment, resume the old sample again later " "go through the motions " . Liu XinMing points out, advances the service system of the public health to build in course and should set up the scientific system to assess of internal performance, not only pay attention to offering the quantity of a service of the public health but also pay attention to quality and result of the service, such as disease controls rate, vaccine inoculation rate, masses' satisfactory rate,etc.. How to go out of the predicament of the health care talents at the basic level? Often overstaffed in the large hospital, register like buying the ticket during spring transportation, " it is asked that it is difficult on the first " ; Desolate in the community at the basic level, especially medical organization of the remote countryside, nearly half the medical facilities are nearly left unused. According to " opinion ", will accelerate rural tertiary health care service network and urban community's hygiene service organizational construction in our country. Ge YanFeng says, " it is difficult to see the doctor " to set up multi-level medical service system to solve Important measure. But how to let ordinary people change and used to going to a doctor, accept and approve the medical care of the basic unit is present difficult problems. This not only needs to strengthen the hardware construction of the medical health organ in the basic unit, the talent construction at the basic level shoulders heavy responsibilities. Liu XinMing admits frankly: "Perfecting the service system of health care at the basic level, talents are headache the most. " Medical reform this propose set up large-scale resident, train the system in large hospital. Health minister Chen Zhu says, this will be a " lead ox's nose " which steps talent's predicament Its act. Study the graduates of universities and colleges after the large hospital undergoes formal training in more medicine, can leave and work for basic unit. Basic the intersection of medicine and system could let the intersection of medicine and price " Lower at the sound " ? Set up one of the important contents that basic medicine system is the medical reform scheme. Ge YanFeng says, advances this system to aim at reducing the expenses, guarantees ordinary people have available medicine, can afford to use medicines, the means that can use medicine rationally. Clear in " opinion ", the basic medicine is bade and purchased publicly, provide and deliver in unison. But how is the basic medicine catalogue set up? How to ensure its production and supply? This line of questions are still at the stage of fumbling in our country at present. Really solve with the basic medicine system " It is expensive to see the doctor " The question will go if the question has long ways. To the empty and high problem of the medicine price, our country has already adopted and bid and purchase medicines before this. But because " Raise medicine with medicine " Existence of mechanism, appear the intersection of medicine and price employ high low priced medicine, die right away at one stroke strange phenomenon. Expert point out previous lesson show, " can call for bid only price theory, must employ the quantity. The production quantity of medicines will determine prices to a great extent. " She says, considers the factor that calls for bid, it should be the quality of medicines at first, then the quantity, it is the price finally. Liu XinMing points out too, the basic medicine does not mean cheap medicine, low priced medicine, but clinical and essential, easy to use, the price is reasonable. And how to guarantee to set up a bid transparent, pricing is rational, intact roller chain of use guidelines, let ordinary people enjoy good and inexpensive medicines, solve for him " It is expensive to see the doctor " Key to the difficult problem. The commercial association managing Deputy Chairman Zhu ChangHao of Chinese medicine shows too, the key to the basic medicine lies in guaranteeing to use clinically, whether the medical organization could carry out reforms as soon as possible, can realize that " it is expensive to see the doctor " through solving the national basic medicine system Key point of the question. Xinhua News Agency " Xinhua's view point " The reporter, the graceful jade river country becomes Cui Jing in week Guarantee Jiangsu will give this year The health care " Invest more " Input government takes the hygiene " The leading factor " ,The government " checks " Offer the public health service, it is one of the main embodiment that scheme of this medical reform benefits the people's livelihood, this is not strange for Jiangsu. The reporter learns from province General Office of Finance, should save and begin to reform the financial fund and subsidize the way from 2008, make the policy of buying urban community's public health service of the government. Contrast the intersection of medical reform and scheme, also until hygiene throw mechanism into and government buy the intersection of community and the intersection of hygiene and the intersection of person who serve and respect have new break-through Jiangsu this year. To the reform of the public hospital, all circles appraise " depend on how much the government gives " unanimously . Propose in the medical reform scheme, central government and local government should all increase correctly sanitarily Input. The reporter knows, at the social insurance working conference of the whole provincial finance that is held at the end of February, Jiangsu has already proposed supporting the implementation of the medical reform scheme clearly, has increased the input in health care, improve government's hygiene and put one's back into the proportion which takes the hygiene expenses progressively. According to international practice, the government puts one's back into the proportion of taking the hygiene expenses usually among 10%-20%, and Jiangsu is among 5%-7% at present, this already can be regarded as the higher one our country. After the medical reform scheme is implemented, the efforts that Jiangsu will continue increasing the input in health care, improve government's hygiene and put one's back into the proportion which takes the hygiene expenses progressively. In addition, " community's hygiene can confirm to serve the fixed organization through the government procurement way " ,The departments of public health of province General Office of Finance, province issued in 2008 <>The governments of China, ones that have already put forward the medical reform scheme "? 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It is reported, under the frame of the medical reform scheme, Jiangsu will also buy community's hygiene service and further move forward to the government this year. Bulletin reporter Zheng ChunPing Nanjing will established soon Leading group of the medical reform The bulletin is reported ' Reporter Liu Jun) After the new medical reform scheme is issued, chief of Nanjing Municipal Health Bureau Chen TianMing says, Nanjing establish the intersection of medical reform and leading group soon, advance the intersection of Nanjing and the intersection of city and the intersection of health care and every reforms of system steadily. Chen TianMing says, sets up government's leading basic health care system, it is public beneficial to come back, this accords with basic attribute and inherent characteristic of the health care industry, light spots of the hygiene of Nanjing have reflected the public service properties of the government in the past 6 years. He say, continues and deepens community's hygiene to serve the operating mechanism reform in Nanjing this year, set up steady financial input mechanism, the burden that make great efforts to lighten the masses to seek medical advice. Expenses once of clinic of service organization of community's hygiene are lower by more than 50% than the tertiary hospital, residents are more than 55% in the going to a doctor rate of service organization of community's hygiene. Chen TianMing introduce the country get out of per person's basic public health will serve the funds standard and is not lower than 15 yuan in 2009, not lower than 20 yuan in 2011. But last year, Nanjing had already reached 15 yuan of per person, it is per person from 17 yuan to 19 yuan this year, next year per person should say, Nanjing has already far exceeded the average level of the country from 20 yuan to 24 yuan.


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