The public hospital of Jiangsu reforms: Break through from the basic unit

The public hospital of Jiangsu reforms: Break through from the basic unit
The public hospital of Jiangsu reforms: Break through from the basic unit
Author: Wang Hai's flat economic working conference of the whole province of Jiangsu of 2010 is clear, the public hospital reform pilot project of formal start in 2011. On December 30, chief of Jiangsu Province department of public health Guo XingHua expresses while accepting staff reporter's special visit, twelve five initial public hospital reforms of Jiangsu still take basic unit as the core. 2011 year round " protect basic strong basic unit, build the mechanism " Jiangsu Three principles advance the medical reform. In this national medical reform frame, there is no pilot task in Jiangsu. Guo XingHua says, as the large province of economy, capable in Jiangsu should explore in the concrete work actively too. [Long Yongtu of planning of the end of the year of Homeway.com ]: The powerful country of manufacturing industry is still that the residents of striving direction twelve five in China raise an increase of 7% of goal Exceed 50% Beijing resident next year have no intention of buy house it if you can't make every effort to open up, purchase coal enterprise aggravate coking coals international monopolize exceed 4,000 billion gross investment spring execute once by shooting Chen state walk to silk until intellectual 10 year such as electric wire netting Go out of the jade girl in the past of shade of the nest case and store the current situation and is exposed (Fig.) Take care! China's economy has already presented the omen of declining at this economic working conference, Luo Zhijun, secretary of provincial Party committee of Jiangsu, and acting governor Li Xueyong have both emphasized the medical reform respectively. Two chief leaders mention the medical reform at a meeting at the same time, it is the first time in Jiangsu. The ones that seek medical advice and change the most important thing " The public hospital " Reforming, Guo XingHua thinks, country and Jiangsu Province all encourage the social capital to run the hospital. The research of the department of public health of Jiangsu reveal, this way should be further broken through, "if allow social capital to enter the public hospital and for the appropriate, rational repayment, can promote the public hospital reform better. " Protect the basic, strong basic unit to " basically protect " The respect, Jiangsu will improve the finance and subsidize the standard in 2011, will raise the proportion of submitting an expense account partly at one's own expense of the medical expenses. Guo XingHua shows to this newspaper, " common people see the doctor and try hard to spend less money by oneself " " basically protect " Important content, Jiangsu will increase and have a great effect on masses, the burden will be heavy, curative effect will be precise, clinical the route will be clear and break through to some extent in 2011 " The medical project of serious disease of serious illness " Single for kinds of case quantity and number of raising single last proportion. "Such as children's congenital heart disease, children's leukemia,etc., treat the fee above 100,000. The standard of submitting an expense account at present can be up to 70%, if it is charitable to count as subsidy and civil administration that the central and provincial financial budget increased in 2011 etc. to succour, this number submits an expense account the proportion can be mentioned and got about 90%. " Guo expresses. " basically protect " Another content " Control the expenses, strengthen cost management " . At this point, the hygiene system will carry on the reform on the means of payment, will implement the control on certain level to the cost of hospital, further strengthen and close electronization operating and platform construction, reduce to see the doctor for time of procedure. "The cost of each number will be controlled on the total amount to some extent, will prevent the money which the government raises during the medical reform from not being wasted. " Vice Chief of Jiangsu Province department of public health Chen ShaoJun expresses to this newspaper. " basically protect " Another thinking " Have the future in mind " . Guo XingHua says to this newspaper, in 9 big classes and 22 items of hygiene such as prevention from suffering from the diseases, public health serve the basic project, realize the whole province of villages and small towns cover. In this respect, should make the basic public health service put in place even more more thinly. For example " the neonate visits and looks at " Number of times can increase relatively,there are can getting more careful and putting in place,etc. even more on guidance on is it sanitary in woman. In " strong basic unit " The respect, its thinking is to perfect the service system of the hygiene, the focal point lies in " health clinics in towns and townships of the centre " " six in one " Serve, make its hardware condition and service ability promote to some extent. In 2011, Jiangsu is " promoting medical personnel's quality " Have, will issue the standardization and operate the file. "Different from foreign countries,whose name is fine in the China at present one doctor as,graduate after 1 year to can test university undergraduate courses general by doctor license. " Guo XingHua says, Jiangsu will make the new regulation in 2011: Working for full three years can be entered for after the undergraduate course graduates, its purpose lies in improving the complete doctor's ability. Main consideration of Jiangsu that after medicine student graduate, go to the loud hospital to go on the reeducation that a resident trains by force, after training to be the qualified doctor " Walk out " Assign to the hospital at the basic level. Reform the public hospital in the basic unit and reform the aspect in the public hospital first, Jiangsu puts emphasis on making the break-through in changing the mechanism. But in the overall frame of Jiangsu medical reform, the break-through of the mechanism is only limited to the public hospital in the basic unit. "The provincial public medical unit is not in the plan at present temporarily. " Chen ShaoJun says, does, but because " there are many aspects had high input, involved, interests are complicated " ,So do the basic unit well in key, " one will come financial resources are put into not big, second the basic unit accumulate the experience first and then promotes the large hospital reform. " Because the provincial financial resources are relatively generous, by the end of this year, the county where Jiangsu has implemented the basic medicine system is (municipal or district) Reach 82, accounts for 77% of the total number. According to planning, the basic medicine systems will be all put in the whole province of Jiangsu in place in the first quarter of 2011. In fact, pursue the basic medicine system, the ones that turned back and existed for a long time mended the breach and foothold that cure the mechanism with medicine too. After implementing the basic medicine system reform, analyse on present exploration, Jiangsu defends the examination of the system to medicine, mainly divide two levels to carry on: The government examines to the organization, the examination to the medical worker of organization. To the examination of organization, there are indexes,etc. such as quantity of service, quality, person's satisfaction offered every year, improving at regional resident's health,etc. mainly. Can not eat the thinking that individual examines " Mess " . Jiangsu thinks, this examination should be " commented on synthetically " ,It is the most important task transferred to mechanism route and next reform. Guo shows, the public hospital reform of basic unit in urban and rural areas will implement hiring making wholly, work out competence and go on according to the local public institution in its wage standard, the insufficient part is replenished by the finance. Another method of the public hospital reform of Jiangsu is " Link from head to foot " ,Namely strengthen the ability of seeing the doctor of community's hospital at county level, make " small disease get to the hospital at basic unit, serious disease " ,In order to reduce the pressure of the large hospital at present. "The hospitals of the different levels should be the division of labor and coordination of work, but can't be the competition situation. " Guo XingHua shows to this newspaper, this is internal restraint, important respect of operating mechanism, "public hospital reform, Jiangsu must get up in this respect to the obvious change. " Reform the most crucial compensation mechanism on the public hospital, there are new transitions in Jiangsu this time. The staff reporter learns, the provincial finance will not be subsidized to the hospital directly, but change into with " county " It is the unit.


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