The private capital " Warm up " Medical reform of poor county

The private capital " Warm up " Medical reform of poor county
The private capital " Warm up " Medical reform of poor county
Non- public important component essential to service system of health care of our country of medical organization. On December 3, five ministries and commissions such as national development and reform committee, Ministry of Public Health,etc. release " about further encouraging and leading the social capital to run the opinion of medical organization ", encourage the social capital to run the private hospital, make the private hospital enjoy with the public equal treatment of medical organization in such aspects as entry, operation, development. In Nayong county of Kweichow Province, a private hospital has already carried on ahead of time beneficially and explored, have improved the deficient state of local medical resource effectively. The private capital " Warm up " The medical reform of poor county, going ahead of the rest puts forward some new problems needing to pay close attention to. (the 24th issue of 2010 of " Fortnightly Chat ") It is the most outlying and most poverty-stricken place of Guizhou that the poor county attracts the folk capital Nayong, have in history " Majestic (peaceful) Receive (harmony) Hertz (chapter) ,Can't go " Statement,"see the doctor difficult,see the doctor expensive " Perplex the local problem for a long time. In 2003, having started and shut newly and agriculturally as the first batch of pilot counties of the whole country in Nayong, peasants' demand of diagnosing the illness was released unprecedentedly, but the locality is unable to meet the new demand that the masses seek medical advice. "At that time, we had Traditional Chinese hospital and harmony of county people's hospital, county that is three public hospitals of hospital are fitted, conditions are all worse, some patients can only transfer to Guiyang and other places and go to a doctor. " Incumbent Nayong Deputy Bureau Director of county hospital, luxuriant family property of Chen of the present chief of health bureau are said. In October of 2006, an investor of Nayong invested 80 million yuan what has been set up set up the hospital newly in Nayong openly formally. It is divided into the non-profit-making hospital, in such aspects as new agricultural shutting, medical insurance, industrial injury insurance, tax revenue, enjoy the equal policy treatment with the public hospital, but there is no input of government finance. "Hospital of us apparatus buy, spend 20 million more than alone, have Philip spiral CT more than 20 to import the top-grade medical checkout equipment, more than 10 are exactly high with a high professional title expert that it is dug from second hospital of places such as Shanghai, Wuhan, Chengdu,etc. that still. " Participate in setting up Jin Zhe, Vice President of hospital, and saying newly, " apparatus and talent are in the hospital at county level of the whole Guizhou of preparatory work, also one of the best. " By contrast, the county hospital is " humble " Many: The second second grade, 5 are high, the most advanced apparatus is " fighting for" from Bijie Prefecture hospital in 2005 Siemens CT that will scrap soon that came. Crowd six or seven patients in a ward, is in hospital being attended to by relatives. Director of people of Nayong county Zhang Lin tells reporters, the annual income of the hospital was less than 2 million yuan in 1999. By 2003, the whole institute is still only greatly internal medicine department and big surgery. For promote competition, 2007 the intersection of Nayong and three public the intersection of hospital and integration of the resources county, keep the county people's hospital and county institute of traditional Chinese medicine, is managed by a set of leading groups. Initiate " Nian's fish's effect " " there is no financial input in the private hospital, maintain and operate to totally depend on oneself to each raise the characteristic public and private. We must win the approval of ordinary people, could live on. " Set up director OuYang Xu and say newly. For gain prestige, it leaves some Nayong on hospital to be high to have illness coming on people and strand patients, launch with some free service free specially newly, set up technology, help with famous hospital still, connection launch consult to see patients long-rangely. In 2010, the hospital launches " a million fund will be succoured " The project, take out 1 million yuan every year, prove to those administrative departments at the basic level for the medical fee about 20% of subsidy for the patient specially stranding it. "It is the non-profit-making hospital to set up the hospital newly, medicine price and medical care carry out the expenses standard of the unification of the motherland. But as the private hospital, in construction and operation cost, must haggle over every penny, cost, wrong money by one. " Setting up the responsibility system of the president that the hospital invests in the management company newly, Lu JunJie, Vice President of company, tells reporters: "For example apparatus of us it purchases bid to be can 20%- 30% low often. We implement doing the excellent taking, more pay for more work excellently to the medical personnel, are complained many one will be eliminated automatically by the patient, never raise a sleeper. " In order that with setting up the hospital to compete for newly, the county hospital increases the department, purchase apparatuses such as CT, CR, peritoneoscope,etc., the new clinic building has already been completed, implementing the project of complex building expandedly and is in hospital. The hospital has put out the whole employ reform scheme besides in charge of a cadre in the countying, the middle level cadre competes for posts without exception, slope to outstanding talent and technical backbone on the treatment. Particularly a gratifying one is, happen in the competition in this non-profit-making field of the county of Nayong, still promote and each raise long it in the Supreme People's Court and the Supreme People's Procuratorate public and private, form the characteristic, have complementary advantages, has benefited the patient finally. It is dept. of orthopedics, department of general surgery and urology surgery to set up the hospital newly unyieldingly, the strong point of the People's Hospital is facial features department and gynaecology and obstetrics, the patient can shunt rationally. Seek there are 25 health clinics in towns and townships in the broad Nayong county of medical market of listing basic unit, none reaches the construction criterion of health clinics in towns and townships, the situation of shortage of medical services and medicines is serious. "The condition of making a diagnosis of a commune hospital is still less than a clinic, the only operation that can be done is to show no increases in output and deliver a child. " The Nayong county one hundred revitalizes the Sri Lankan filial piety of president of commune hospital of the town and links and says, " the whole town has a population of 39,000, according to the national standard, need to allocate 60 well-known doctors skill personnel at least, we have only 11. " In November of 2009, set up the hospital and deposit one hundred and revitalize the commune hospital in the town newly, invests 1,200,000 yuan, improve software and hardware facilities for the commune hospital, have acquired 14 medical treatment and checkout equipment, and make and send more than 20 medical personnel to substantiate strength to diagnose. After depositing, one hundred revitalizes the commune hospital in the town from can only check it is tested that three items of blood, urine, stool are regularing, can do more than 20 projects such as liver work, kidney work, fat of blood, blood glucose, myocardium enzyme table to develop into. The person has increased by 5 times in hospital in the moon, annual clinic amount is up to 15,000 persons. The statistics show, after setting up the hospital newly openly, the annual business income rises to more than 24 million yuan from more than 10 million yuan, can be up to 30 million yuan 2010, will realize and make a profit instead of suffering a loss. "We want to expand scale through annexation, operation is listed two or three years later, finance to the society. In this case, our management pressure will not be shifted to on the patient, the operating cost of the hospital will be reduced too. " Lu JunJie says. The competition makes the self-development strength of the public hospital greatly strengthen. New and agricultural jointly implement, the intersection of county and the intersection of hospital and annual the intersection of business income and more than 3 million, reach 26,300,000 yuan in 2009, can also reach 30 million yuan this year. "Let peasants think highly of the disease newly and agriculturally jointly, has enlarged ' the market cake ' for us. The private hospital must use if there is an opportunity, compete for technology and service with the public hospital, each cut and go the greatest market share. " Lu JunJie says, investors have seen this broad market of the medical resource of the basic unit already, quote more than one hundred million, intent to purchase and stand the hospital newly. The competitive environment still needs to be further fair " the hospital of tattered county change greatly now before, have all had the level in environment, apparatus and service. " One hundred was revitalized the happy card village villager moustache Xie in the town and said, set up the hospital and saw the doctor in the price and county hospital similarly newly, which family is good? Is it lucky to steal and raise the iridium bed? In Nayong county, it is a good thing to think the county to introduce the non-profit-making private hospital by a lot of people interviewing. The private hospital can be on condition that higher than even lower than the national expenses standard, realize oneself accumulates and develops. The county operates jointly director's forest to smelt saying deeply newly and agriculturally, encourage peasants to seek medical advice on the spot or in the vicinity, it is the justice that there should be in the new agricultural question of shutting system. As the medical service qualities of two hospitals are improved constantly, seek medical advice more patient selection here, the new agricultural joint-venture's money of the whole county outflowed the proportion had already dropped to 24% from 40%. "Invest a huge sum of money to run the hospital, say that does not want to make money and deceive people. " Setting up hospital investors and saying, " but in the poor county, it is very thin to run the profit of the hospital newly of unwilling open name, must be patient, strive for more patients, could realize the small profits are accepted more. I hope to finish setting up the hospital newly in a ' shop with a history of a century '. " Lu JunJie says, it needs to earn money to set up the hospital newly, its non-commercial property has determined that must accept audit, it can only be used in the development of the hospital to make profits to some extent. But the competitive environment still needs to be further fair. First, fetch the blood inconvenience. It is strong to set up dept. of orthopedics of the hospital newly, the critical patient receiving it use blood volume to be very great more. But only there is right of blood collecting in Bijie Prefecture, a county only stores blood to click for one, storing the blood and is clicked and set up in the county hospital of Nayong. "Fetch the blood in Nayong, must change trains through the county hospital. Because of competitive relation, unavoidably will require ' send patient to the intersection of county and hospital, come ' call blood. " OuYang Xu says. Second, " 120 " First aid is monopolized. Nayong " 120" Set up in the county hospital, a dozen emergency calls of patient, send to the county hospital naturally. OuYang Xu proposes, the government divides a district at first, sets up " 120 " more Single for organization,last hospital can last organization the salaries of the personnel together as county hospital, both sides send personnel to be on duty and supervise separately. Third, " person " Question. The ones that responsible for, work by personnel set up Li ChangWu, Vice President of hospital, and said newly, the private hospital has not worked out, can only engage through the high salary to attract talents. Though the country encourages the medical worker to flow among the public and non- public hospitals rationally, but in actual operation, there are difficulties. For example the doctor recruited from the other places, is not often handled and transferred to the operation card in the original site, can't register receiving, has influenced the doctor's qualification of practising medicine. (Fortnightly Chat reporter Agricultural Li is amazed by inferiorly dawn of week)


|