The medical reform of Jiangsu " Move and really boldly challenge a powerful opponent " Medicine at the basic level improves and enters count-down for 15 days

The medical reform of Jiangsu " Move and really boldly challenge a powerful opponent " Medicine at the basic level improves and enters count-down for 15 days
The medical reform of Jiangsu " Move and really boldly challenge a powerful opponent " Medicine at the basic level improves and enters count-down for 15 days
"Draw, turn round arrow! " This was yesterday afternoon, a word that Vice Governor He Quan talked in the provincial government at video-and teleconference held in Nanjing. What he refers to, it is I that save and advance, dash for the medical reform at the basic level of the whole province of count-down for 15 days with strength at present. Core: Which do three major focuses focus on really changing to set up medical reform at the basic level of our province of new mechanism? April 27, the provincial government, to " unyielding person " in the medical comprehensive reform of health organ of basic unit of the whole province for the first time Make, assault fortified position grams of disposing clearly difficult, we can say core to regard breach as around three major focus, focus on setting up new mechanism. The focus one: The basic medicine system is covered with completely in the first half of the year. "All governments in the whole province must all allocate and use national basic medicines and provinces to augment medicine in the medicine catalogue to run health clinics in towns and townships and urban community hygiene service organization Taste, basic medicine want, implement zero the intersection of difference and rate sell, can't implement dual track system on addition of medicines. " Chief of province department of public health Guo revitalize China, explain. The focus two: It is put in place at the end of June that the hospital performance at the basic level is examined. "it want set up and amplify performance examination mechanism of science,really for basic unit health organs and medical workers medical ' pair examine"pair get in touch ' system set up up, must not get back to to go on the old road where everybody eats from the same big pot. Take the various forms, pull open the income gap rationally, slope to key personnel, first line personnel, give full play to the role of encouragement of the salary of performance. " The focus three: Devote more efforts to curing the finance and subsidizing to the village. Vice Governor He Quan requires clearly: "Strengthen it to rural doctor's subsidy, arranging for a proportion of basic public health to serve the work load is undertaken by the village clinic, and implement corresponding funds, solve because the income that cancels the addition of medicines and brings reduces the problem, protect and arouse the enthusiasm of rural doctor, guarantee the rural tertiary health care network ' the bottom of the network does not break ' conscientiously. " Develop: How has basic medicine system already covered 91% of the medicine at the basic level of the whole province and improved the exhibition? On 8 - 9 of June, departments such as development and reform committee in the province, department of public health, the General Office of Finance,etc. make up 6 supervision groups, superintend and check the special topic to the medical comprehensive reform of health organ of basic unit of 13 cities of the whole province. "Already 91% of the governments have run the medical health organ in the basic unit and implemented the basic medicine system in the whole province. Among them Nanjing, Xuzhou, Suzhou, Nantong, Lianyun Harbour, Yangzhou, 7 cities of Zhenjiang have already implemented in an all-round way. " The Deputy Director of development and reform committee of Jiangsu Province, medicine of province are corrected director Qu Feitian and introduced, "the masses bear and drop medical expenses by a wide margin. Take Suzhou as examples, implement basic medicine behind the system, with compare in the same term, the intersection of basic unit and medical the intersection of health organ and clinic times of expense drop by 6.44% 2011 year, the basic medicine makes a reduction by 35.36% on average. " " up to May, most counties of the whole province are (municipal or district) Has already finished the salary scheme of the performance and calculated the work, the scheme is in course of appearing in the newspaper. " Qu Feitian tells reporters, " most areas have designed and implemented the examination method of the performance according to the requirement for implementing the salary of performance, already there are 73 counties in the whole province ' Municipal or district) Finish the community health Center, 68 counties ' Municipal or district) Finish the establishment of the health clinics in towns and townships and check and ratify the work, the accomplishment ratio is 86.9% and 90.4% respectively; Already 281 community health Centers and 646 health clinics in towns and townships have examined the performance in the whole province, accounts for 66.7% and 65.5% of the total number of the whole province separately. " Set up multi-channel compensation mechanism, it is to improve the practical guarantee of rural doctor's treatment. According to the preliminary statistics, 1 is to May, it is 1,796 million yuan that the regional government puts the medical health organ in the basic unit into paying the budget for, put 1,360 million yuan in place actually, implementation rate is 75.6%. Observe: " move and really boldly challenge a powerful opponent " It is the reform that puts a edge toll reporter in place to notice, from gathering to medicine of province and correcting the light spot of medical reform at the basic level of all parts in the visual field to see at present, " move and really boldly challenge a powerful opponent " It is " absolute principle " ,It is the only edge toll which tries hard to keep implementation of medical reform at the basic level too. Take Sheyang County as examples, 18 commune hospitals (hospital) in the whole county And the clinic of 233 villages had jurisdiction over implements the basic medicine system in an all-round way, allocate and use the basic medicine according to the regulation, and all sell a difference rate. Will ask about " How to guarantee the scope of application of medicines does not exceed one, a difference of medicines to lead to sell many one, offer the invoice of charging not to leak one " When, penetrate the relevant persons in charge of open county government to say frankly: The fright strength by investigating and prosecuting strictly is promoted. It is reported, successively superintended and checked big 5 times in two months in Sheyang County, dealt with and notified the whole county 3 unlawful practices strictly. It must guarantee it runs with the related system to make the medical reform implement completely. The reporter knows while interviewing, Wuxi is while the government runs the medical health organ in the basic unit to implement basic medicine system, implement two lines of revenue and expenditure. The market of Nantong, to not the medical health organ of basic unit that the government runs implementing the basic medicine system, the government serves population for certain standard subsidy according to the area under one's jurisdiction, explore that buys the effective form served. "Some areas put undue emphasis on local economic development level and financial difficulty, the financial subsidy fund promised can't be appropriated in place in time. " This is Qu Feitian at yesterday video-and teleconference " Click " Question that the ones that arrive find while superintending and checking this time. And the reporter notices, the objective condition shouldn't become the reason why finance subsidizes uncompletely. Take Sheyang County as examples, this county increases the medical reform newly to put into 150 million yuan this year, total amount exceeds 300 million yuan. Implement the rural doctor and subsidize the policy, subsidize the standard to connect with the main cadre's salary of village, authorize the rural doctor to subsidize 14,000 yuan for each person every year, have taken the lead in solving supporting parents and ensuring the problem of 1292 rural doctor and 360 retired rural doctors on the job in northern Jiangsu area. Dash: " breast the tape " Which are there to want the sprint improved for 15 days ago, what are needed doing? The medical health organ to the basic unit of the finance puts into and compensates wanting in place. "All parts will make and improve the local concrete compensation method as soon as possible, will give play to the role of financial basic guarantee and reveal all the details, authorize the medical financial project of health organ in the basic unit to subsidize and regular revenue and expenditure and difference to subsidize competence scientifically, and include in budget management, appropriate in place in time. " He Quan disposes at the meeting clearly, " subsidize, buy many ways of serving, integrated management,etc. through the government, increase village clinic and the rural doctor's income, arouse the enthusiasm of tertiary medical network ' the gatekeeper ' in the countryside. " "The basic medicine system should be guaranteed to implement in an all-round way before the end of June, the performance salary of public institution of health care at the basic level of the whole province will be fulfilled in place before the end of June, the node will be never broken through in two periods of time. " Guo XingHua requires, "by examination method, " basic unit health organ person in charges medical appoint and examination method ", " the basic unit health organs and staff member performance examination method medical ", must submit to the department of public health of the province before June 24. " It is revealed, " strengthen the application of the result of appraisal " It will be wanting justice in the examination method. "Examination Result and the finance, to the subsidy hook, getting in touch with staff members' income closely of the organization at the basic level, and comment with the promotions of personnel, important reference basis of the reward first as the organization, reward the good and punish the bad. " At present, the implementing scheme of the salary of regional performance has already basically taken shape, but not all is reported to the province formally, some wait for review of municipal Party committee and government, still in a last one draft, improve, some. As to this, save human resources and social security drawing room Vice Chief Xu WenBao to require clearly: "it wants that if you can't examine and approve, have jurisdiction over by county as soon as possible to every city under the jurisdiction of the provincial government ( Municipal or district) Implementing scheme,public health of lasting the whole province and it is the end June salary performance public institution health care ago been at the basic level implement in place. "


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