Jiangsu: 1-3 community push away family doctor make the intersection of doctors and patients and dispute involve in compensate exceed Wan can't within the year " Solve privately "

Jiangsu: 1-3 community push away family doctor make the intersection of doctors and patients and dispute, involve in, compensate, exceed Wan can't within the year " Solve privately "
Jiangsu: 1-3 community push away family doctor make the intersection of doctors and patients and dispute, involve in, compensate, exceed Wan can't within the year " Solve privately "
The hygiene working conference of the whole province was held in Nanjing yesterday in 2012. The Ministry of Health, around pursuing family doctor's system of this year, expand the range of application of basic medicine, set up the provincial intensive focus problem of serving the platform, dealing carefully with doctors and patients' dispute etc. of booking making a diagnosis, take a series of measure. Within this year, pursue a family doctor to make in 1/3 of the community hygiene centres In some western countries, residents see the doctor to seldom crowd the large hospital, book one's own " family doctor " first . Secretary of the leading Party members' group of department of public health of province, chief Wang YongHong introduced, from this year, our province will push away " family doctor " in an all-round way too The system, will cover the more than 30% of the community health Centers within the year. What did family doctor and hygiene of community in the past have to serve different? The reporter knows, the family doctor further presses close to ordinary people on the basis of calling voluntarily. From " row a scene of management " It is further thinning to get to the family. Through calculating, each doctor will " sign the contract " with 200 residents ,Offer with the health control and ask medicine to ask medicine is as the door-to-door service of the main fact. Different from foreign countries, foreign family doctors are mostly individual operation, each service should charge. And our family doctor's supporting unit, the community health Center held office offers financial support by government, manage two lines of revenue and expenditure, so the family doctor can offer the free service. At present, get rid of the charging item that the price department will make tomorrow, it is free that major part serve. 2��3 there must be 70% of the base medicine catalogue medicines in the hospital Last year, Jiangsu implemented the basic medicine in the health organ at the basic level of the whole province in an all-round way, at the basic level the intersection of health organ and clinic times of expense drop by 16.61%, common people receive material benefit. When to expand to the large hospital base medicine, it has been the question that citizens have cared about all the time. The reporter knew yesterday, the medicine coverage of base of this year would be further expanded, not merely want in the village clinic and not the government run the medical organization at the basic level to push open, expand the range of application in two tertiary hospitals too. 2��3 the hospital must allocate the not less than 70% base medicine variety, the medicine proportion of the base is raised by 5% compared with prior year in the gross sales amount of medicines. However, as to implementing " a difference rate " in the basic unit Sell, because compensation mechanism has not been put in place yet, base medicine in two tertiary hospitals still raises the price like other medicines this year 15% are sold. Set up medicines in short supply and concentrate on supplying the system, guarantee " help medicine " Go hungry last September, domestic every large hospital appear the intersection of heart disease and operation must use medicine fish's precise albumen shortage, only stop doing 20 operations at least in one day in Nanjing. In order to guarantee" Help medicine " Do not " go hungry " ,Will set up the supply security system which is short of medicines closely progressively. The low price must administration price, change for many years, profit too low and pharmaceutical factory unwilling to produce, it is a main reason of the shortage. As to this, hygiene department consider " help medicine " in short supply Adopt fixed production, unified price, purchase in unison, the form provided and delivered in unison, guarantee sufficiently to supply, the manufacturer can obtain and replenish correspondingly. In addition will revise the present medicines pricing mechanism, will protect the enthusiasm for production of the medicine enterprise. Provincial reservation make a diagnosis platform build up, put into operation at present first half of the year, the whole province tertiary hospital and 70% second hospitals have pursued and made an appointment registering. But seen from actual effect, book and see the doctor the proportion not height. The reporter learnt, our province had already set about setting up " provincial and intensive to book making a diagnosis to serve the platform " yesterday . However, some cities have been already building and booking and registering the platform before this, such as " Nanjing 12320 " Collect 20 already in would rather loud the hospital. Come provincial platform build up, every the intersection of city and original platform what will do? It is reported, both sides will realize and combine through the technological means. This platform has been already in test run of two places of Nanjing, Wuxi at present, it is estimated the open patient makes an appointment before the end of June this year. Register the high problem of breaking one's promise rate in order to solve making an appointment, the platform will put out system of real name, " blacklist " synchronously Wait for the system. Doctors and patients dispute wade, pay for volume can " solve 10,000 yuan privately " The department of public health of the province proposes, the above- first -class medical organization of the whole province should participate in various medical liability insurances this year, the medical dispute involves compensating for or paying the amount of money for 10,000 yuan, must lead to the doctors and patients dispute people and mediate the organization or people's court to deal with. And in reality, doctors and patients' dispute involves in compensating the amount of money and is seldom lower than 10,000 yuan, this regulation is just as by " solve privately " while stopping doctors and patients The form solves the dispute. For which kind of consideration is this regulation? The relevant person in charge of department of public health of the province points out, doctors and patients have relatively great contradiction now, some patients and relatives are by " make a noise " Solve problem, large hospital many spend a large amount of time, energy, money deal with doctors and patients' dispute, sometimes in order to pour oil on troubled waters, whether the patient has paid attention to, has sustained economic losses. But this leads to some evil consequences, leave patient " make a scene greatly to compensate, small to make a noise small to compensate, compensate without making a noise " Impression,too encourage"cure make a noise " From hitting the illegal ill-gotten gains. "This is not a normal doctors and patients' dispute handling. Issue this regulation, hope to lead the treatment of the contradiction dispute to the regular road that the people mediate, deal with doctors and patients' dispute in accordance with the rule, according to the system in accordance with the law. " He says. And require the medical organization to participate in medical responsibility dangerously and hope to set up one and compensate for sharing system of the risk, lighten the financial burden of the hospital. However, this person in charge points out, doctors and patients' dispute is complicated and difficult to resolve, can't expect to totally solve the problem in a few actions. For example, medical responsibility lacks the relevant law to support by inches, how to improve relevant system design to need to further explore. Staff reporter Cha JinZhong


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