Monday, August 6, 2012

Jiangsu: Subsidize competence and keep up with the village cadre in medicine of village

Jiangsu: Subsidize competence and keep up with the village cadre in medicine of village
Jiangsu: Subsidize competence and keep up with the village cadre in medicine of village
Yesterday, provincial government hold video-and teleconference, implement basic the intersection of medicine and zero difference lead to the intersection of basic unit and medical health organ village cure the reduced compensation question of incomes make arrangement sell, and carried on concrete arrangement on clearing up and dissolving the medical debt work of health organ of the basic unit. Dissolve the worry of medicine of village, develop in a healthy way and unload the burden for the medical health organ in the basic unit, this has fully shown the resolution that our province deepen the system reform of the medical and health. Guarantee the rural doctor's reasonable income is not reduced " the village clinic is the network bottom of the rural tertiary health care service network ", the rural doctor is health care worker of the basic unit the most. " Chief of province department of public health Guo XingHua says, the rural doctor's team of our province was established in the sixties of last century, these decades,it is the masses of rural for doctor in healthy to maintain residents rural, bring about an advance in rural economics and society in make by contributions enormous. According to situation in the whole province, present rural doctor bear rural the intersection of resident and 50% about clinic, serve with 40% about basic public health serving. But for various reasons, 10% rural doctor and doctor of village of 20% of the annual fellow-villagers on duty have not included in the endowment security system in the whole province at present, meanwhile, the rural doctor's team presented personnel to age, supplement question of difficulty,etc. gradually. Especially with the overall implementation of the sales policy of a difference rate of basic medicine, mainly depend on selling medicines as the rural doctor of the main source of revenue, if compensate uncompletely, the stability of this team will be influenced. Vice Governor He Quan says at yesterday's meeting, all parts should follow the country and relevant regulations of province, improve the compensation policy to the rural doctor actively, in the way that the government subsidizes, buys serving, set up multi-channel compensation mechanism, the subsidy level of subsidizing competence wanting and local village cadre is connected, guarantee the rural doctor's reasonable income is not reduced. It is reported, some places such as Jiangyin, brass hill, Wu Jiang of our province have already explored the subsidy of medicine of village. For example, Changshu offers the annual per person a subsidy of 30,000 yuan to medicine of more than 760 villages, Wujiang is according to the annual per person " the fee of number of people " of 35,000 yuan to medicine of more than 400 villages too Subsidize, certainly, this 35,000 yuan is not " given free of charge " ,Ability is got after it is qualified that it is necessary to examine. There is a medical practitioner at least in every village by 2015 Around strengthening the work of rural health care, yesterday's meeting reveals, would strengthen the ability construction of the rural doctor in a more cost-effective manner in the future, it is more convenient to let rural residents see the doctor. By 2015, the clinic of each village of our province should allocate a operation (assistant) at least Doctor. In order to realize this goal, encourage the rural doctor on duty to participate in the normal education with record of formal schooling now, accelerate rural doctor's transforming to the operation doctor; The hygiene responsible institution at county level trains medicine of village free and is no less than twice every year, training time is no less than two weeks totally; Encourage retired doctor and medicine of large hospital of city to study the graduates of above junior colleges of universities and colleges and go to the rural clinic to work. Pushing into the health clinics in towns and townships will integrate and manage to the village clinic in an all-round way, improve the service level of medicine of village. It is introduced, our province explores the province of this method first in the whole country, practice has been proved for many years, the health clinics in towns and townships manage the village clinic integratively, promote the clinic service quality in the village, rural doctor's only way with behavioral operation of the norm. The so-called village integrates and manages, mean the hygiene responsible institution at county level trusts the health clinics in towns and townships to examine technological guidance, business and medical instrument supplies management and performance to the village clinic, the announcement in the village of the result of appraisal, and subsidize with financial funds and personal income distribution hook of medicine of village, make and transfer to A7 edition and connect A1 edition Arouse the enthusiasm of rural doctor, improve the convenience that peasants diagnose the illness. At present, also regard village clinic as agencies of health clinics in towns and townships in Su Nan many localities, adopt the method of accrediting the medical practitioner to the village to serve masses, has made very good result. The debt of medical organization at the basic level dissolves our province and implements the basic medicine system in two years, the medical organization at the basic level " Mend medicine with medicine " The problem begins to be solved progressively, common people's medical expense burden is obviously lightened. But with the cancellation of the addition income from sales of medicines, some state-run hospitals at the basic level are difficult to all rely on one's own ability to solve the historical debt problem. Therefore, clear up and dissolve the debt problem extremely urgently. According to the data of Ministry of Public Health, by the end of 2010, national health clinics in towns and townships and long-term debt of service organization of hygiene of community were up to 5,500 million yuan and 350 million yuan. In Jiangsu, basic unit medical health organ fall into debt phenomenon to be even relatively general, less several million, many one shoulders the external debt of nearly hundred million yuan. Such as Sui Ning County, the whole hygiene system is about 70 million yuan in debt, there are external debts without exception in dozens of health clinics in towns and townships. According to the introduction of relevant person of General Office of Finance of province participating the meeting yesterday, the basic principle of the debt is that melts: First, someone is responsible for borrowing someone. According to the medical current management system of health organ of the basic unit, the debt dissolves the work from every county (municipal or district)ly Government concrete organization implement, until the intersection of area under one's jurisdiction and task dissolve work, responsible for city under the jurisdiction of the provincial government. Second, dissolve after clearing up. Find out the truth of a matter of debts in an all-round way first at present, distinguish the order of importance and emergency, classify and dissolve debts, personal debt of repaying a medical worker and raising funds preferably etc.. Third, adhere the principles of subsidizing after promising, the provincial government requires the debt that all parts finish the medical organization at the basic level in an all-round way in two years to dissolve the task, subsidize the policy in foundation of provincial finance, depend on the regional debt dissolves the situation to subsidize. Staff reporter Zhong ChongShan


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