Jiangsu stipulates community's hospital only lets to prescribe the basic medicine

Jiangsu stipulates community's hospital only lets to prescribe the basic medicine
Jiangsu stipulates community's hospital only lets to prescribe the basic medicine
The reporter knows at economic working conference of the whole province held in Nanjing since the 27th - the 28th of December, from this year " Protect and increase " It is primary task, " urge to change " by next year It is a developing focus, disposing the adjustment with thinking of policies of economic work in our province, but there was not the one that changed that is correctly " Ensure and improve the people's livelihood conscientiously " Emphasis. Tackling the international financial crisis and striking and making obvious effect, economic recovery under the great stable background constantly to the good situation, Jiangsu accelerates changing the economic development way on one hand, further improves every system of ensuring the people's livelihood on the other hand, let common people share the achievement of development. Community's hospital only lets to prescribe the first districts of 37 counties of basic medicine to implement in an all-round way next February The new medical reform scheme starts over the past half year, most ordinary people have always thought " much said but little done " . When can on earth the advantage of the medical reform really fall on the patient? Provide the time table at this economic working conference: Next February, the community hospitals of the first districts of 37 counties of our province will implement the basic medicine system in an all-round way, the expenses seeing the doctor will be really lowered. All medicines of community's hospital do not earn 1 fen Chief of province department of public health Guo XingHua participating in economic working conference, mention the new medical reform will be fulfilled soon, do not cover up one's own excited feeling. "Quite soon, 37 counties, medical organizations at the basic level of the district in the whole province will become the area that carry out the basic medicine system in the first batch next February, accounting for the hygiene centre of community of the whole province, 1/3 of the health clinics in towns and townships, the ordinary people in these places will experience immediately that the expenses are reduced by a wide margin to go to the medical organization at the basic level to see the doctor. " How the expenses are lowered to get the assurance to see the doctor? Guo XingHua's explanation has untied a lot of people's doubt: "Guarantee, call for bid first, go on now, we call for bid price make right away very low; The second guarantees it is the centralized purchasing, after the whole province purchases and provides and delivers in unison, the middle circulation link expenses are subtracted, this crowds the moisture going at the price of medicines too; Guarantee whether whether it is use third,must zero difference rate,what there aren't price, what sell price, the medical organization is forbidden to make 1 fen on medicines; The fourth guarantees it is citizens that see the doctor in community's hospital, the proportion that raise the medical insurance to submit an expense account, namely it is less to spend money. " Then, what if the medical organizations of these communities do not open cheap medicine? As to medicines which ordinary people worry about " Reduction dies " ,Guo is not at all anxious when revitalizing China, he tells reporters, it is surplus that this is anxious, because from next February, advance community hygiene centre of the basic medicine system and health clinics in towns and townships to " break off relations " with the medicines profit formally ," only allow to enter the basic medicine, forbidden to enter other medicines, that is to say that can only open the basic medicine " . Certainly, should accomplish these, financial subsidy must keep up with, Guo XingHua introduces, up to yesterday, it has been already clear that it is replenished that there is half in the first 37 counties, districts, the provincial government will have a meeting this week, there are a dozen all clear places. Guo XingHua tells reporters, the basic medicine institutional improvement that is advancing at present, the surface seems it is a question of a medicine, but advance the course of the basic medicine system to reform the overall mechanism to community's hospital, health clinics in towns and townships in fact. After the first batch of 1/3 of the medical administrative structure reform of basic unit is put in place next February, sixty percent of the community hospitals of the whole province should change in place at the end of next year. He says, the country has made a basic medicine catalogue this year, have added extra a part in the province, the basic medicine of our province of now is 597 kinds altogether, it is the most in the whole country, basically guarantee too a patient sees the need of using medicine of most common diseases in the medical organization at the basic level. This batch of basic medicines will use all a difference rate in the medical organization at the basic level in the future, this made to account for the medicines income that the medical organization at the basic level gained 70% in the past and was stripped quickly, this produces circulating to medicines supply and basic unit medical administrative structure reform pull one hair and move the whole body. Any prices will come in, what price goes out, there mustn't be income of one fens on medicines in the hospital, cut off at the basic level medical organization and the intersection of interests and relation of medicines, medicine afford to turn on. Meanwhile, finance must not do to at the basic level subsidy of medical organization into " mess " either Properties, in order to fully arouse the enthusiasm of health care personnel, improve the service quality, the financial subsidy is tied to performance examination, the content of performance examination is mainly the quantity, quality served, and masses' satisfaction, change sentences to say, the medical organization at the basic level only makes great efforts to serve to make the masses satisfied, could get the financial money. The public hospital medicine thing service charge " It is certainly very low " In the new medical reform, involve " deep water " Medicine system besides being basic reform,have hospitals public reform, and the difficulty of the public hospital reform is far greater than the medical administrative structure reform of the basic unit far. At present, thinking that country make that reduce the intersection of medicines and price and apparatus, check the expenses, raise medical service income while being appropriate at the same time, enable hospital from " sell medicines " Change into depending on " Technology " Have a meal. Province Price Bureau, save department of public health, save human resources and the intersection of social security and whom drawing room issue just, carry on this thinking clearly too " about deepen medicines and the intersection of medical care and opinion of price reform ", among them has especially referred to " The medicine thing service charge " . But how on earth the medicine thing service charge accepts, there is not a final conclusion now. "The instruction of the country has not been issued yet, what we want to wait for the country is just easy to fix to come out. " Yesterday, Guo XingHua showed like this when being interviewed by reporter, but he revealed, "medicine thing service charge certain and very low, because medicine thing service charge to make in cost that hospital run according to medicines mainly, it is for the technological labor service value which reflects the medical worker to a certain extent, so will probably accept according to certain proportion of the prescription, the ones that can affirm now are, this newly-increased medicine thing service charge, will not increase the patient to bear. " Yesterday Guo XingHua said frankly to the reporter, the public hospital reformed most central a compensation mechanism in the mechanism too, still there is not a final conclusion at present. "This because want, reduce, see the doctor expense on one hand, can't attack medical worker's working enthusiasm on the other hand, so this scheme must be made cautiously, this is one of the key contents of the medical reform next year. Will so basic medicine system move forward in the public hospital too? Guo XingHua says, can not temporarily. "The basic medicine is unable to meet public hospital's demands, so not fit for pushing in the public hospital open in an all-round way. " A reporter still knows while interviewing, financial compensation will be the main source which the public hospital runs in the future, , in the medical reform scheme, " lose " that the public hospital will never compensate medicines and make a reduction by raising the medical service income --The final purpose of the medical reform is still to make to see the doctor the expenses are really lowered, offer the public beneficial one, high quality to the public Medical care. Medical insurance wipe out community seek medical advice, wipe out for 15%-25% more, save human resources and chief, drawing room of social security, Guo tell reporter while being flat slowly, as the important component of the medical reform, next year, the medical insurance system of our province will further expand coverage rate, 1,600,000 university students at school in the whole province will be included in resident's medical insurance. Improve the new rural cooperative medical service and subsidize the standard, per person raises funds to subsidize and is at least 120 yuan, it is real in hospital the expenses compensate the proportion and more than 45%. The medical fee submits an expense account the proportion is up to 80% and 60% respectively in the fixed range of the medical insurance system of urban worker and resident. In resident's medical insurance, our province requires, by the end of 2010, all parts should realized the pool of clinic in an all-round way, namely little disease of residents' clinic of effecting an insurance and according with fixed checking the expenses before production and can also submit an expense account with the medical insurance pool fund, whom hospital diagnose the illness wipe out proportion to be 15%-25% higher than large hospital in community. Next year, our province will also pursue medical rescue in a more cost-effective manner, the lowest living guarantee target in urban and rural areas, rural five guarantees target, live and succour the great serious illness patient in the target temporarily, enjoy civil affairs department fixed quantitative life simplify, resign from office worker the sixties in allowance, destitute worker that key entitled groups, federations of trade unions of cities and counties authorized and 7 kinds of difficult masses of personnel out of service of ginseng core,etc. qualified to succour, will all enter the medical insurance, will effect an insurance the expenses will be mainly born by finance. It make a diagnosis expense, after enjoying the basic medical insurance to compensate, from the hospitalization cost that is born personally, will also obtain subsidy of different proportions.


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