The hospital at the basic level of Shenyang: Patient's satisfaction decides medical worker's income

The hospital at the basic level of Shenyang: Patient's satisfaction decides medical worker's income
The hospital at the basic level of Shenyang: Patient's satisfaction decides medical worker's income
On March 7, the reporter knows from the Ministry of Health of market of Shenyang, Shenyang will implement the national basic medicine system to the medical organizations at the basic level of urban and rural areas, community's hospital, health clinics in towns and townships cancelled addition of medicines " Lose " The government will pay the bill to compensate, namely implement " two lines of revenue and expenditure " in an all-round way ; Introduce the wage system of the performance for the first time at the same time, the patient's satisfaction will influence the medical worker salary income directly, examining the medical health organ of basic unit not up to standard will remove the post of person in charge for the 3rd time in succession. The government has footed a bill, will guarantee medical quality soon "Since the government has footed a bill, will guarantee medical quality soon. " A person in charge of Municipal Health Bureau in Shenyang says. At present, the intersection of Shenyang and city have 210 in urban and rural areas at the basic level the intersection of health care and service organization in all, final purpose that performance examine still for make to have more secure healths citizen, there are small disease and chronic disease needing treating for a long time of a slight illness, the community hospital of the gate can get treatment and service at home. The big south hygiene Li Ping, director of service centre in ShenHe district says: "In fact, performance system to assess obtains the result in community's hospital, has formed a ' responsibility roller chain of examination ' now, health bureau of namely the district - -Community health Center - -Every department - -Medical worker, doing it in this way is to break the ' mess ' pattern, does not raise sluggard and idler, let everybody have a pressure, dynamic. At present, the medical personnel's working achievement is direct and one's own salary is got in touch, 40% of the payrolls are the salary of performance. " The Shenyang person in charge of Municipal Health Bureau introduces, will lay particular emphasis on basic medical care and public health service even more after the reform, for example being it offers common diseases, frequently-occurring diseases to be elementary to make a diagnosis and give treatment and make a diagnosis clear nursing of chronic non-Communicable disease, and offer service of rescuing and changing the place of examination and transferring from one hospital to another in emergency call etc.. In addition will lay particular emphasis on the public health service, including setting up resident's health file, health education, management of chronic disease, spiritual disease management, children's health care, pregnant and parturient women's health care, the elderly's health care,etc. such as immunization campaign, infectious disease preventing and curing, hypertension and diabetes. "The goal of Shenyang is very clear, through strengthening the examination mechanism of the medical organization at the basic level, everybody enjoys the basic health care service residents. " This person in charge says. Examine the government not up to standard to compensate " Give a discount " Shenyang will carry on comprehensive coordinated reform to community's hospital, and specially issued recently <>,Will award the diligent and punish the lazy, reward the good and punish the bad through implementing methods such as the salary of performance,etc., set up more flexible, more effective distribution incentive mechanism, make the public obtain more efficient, more high-quality public service. Shenyang Municipal Health Bureau stipulates clearly, the medical result of appraisal to staff members of health organ in the basic unit, will be regarded as it and examined cycle (every cycle will be half a year) Post performance salary assigned main basis and promotion, important reference basis rewarded and employed, engaged and dismissed continuously. Shenyang is divided into three grades the result of appraisal of the medical health organ in the basic unit: 90% of the scores and the above of the total score are outstanding, 80% of the scores and the above are qualified, it is not up to standard under 80% of the scores. Examining the qualified medical health organ of basic unit gets the proportion by subtraction to calculate according to 100%, examine the medical health organ of basic unit not up to standard to fix according to the score of result of appraisal divided by 80. Qualified health clinics in towns and townships, the community health Center to examining, the government will settle account according to the compensation policy; Examine the one not up to standard, the government will multiply by examining so that the proportion by subtraction will be fixed according to examining the qualified and definite subsidy level. Community's hospital will concentrate on examining twice through consulting the materials, looking over on the spot, on-the-spot questionnaire investigation,etc. at least every year in the future, finance, personnel department will check to the result of appraisal, the health authorities at city level will check the result of appraisal subsequently, it is no less than acting as by one storey of 5% of medical health organ of foundation to check the proportion. That is to say which the intersection of community and service that hospital provide for common people in the future well, high satisfaction have by patient, subsidy funds that the government set aside the hair are much; If it is not up to standard to examine, the government subsidizes and " gives a discount " . (reporter Zhu Qin)


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