Henan: Multiple actions advance the medical reform

Henan: Multiple actions advance the medical reform
Henan: Multiple actions advance the medical reform
Henan: Multiple actions advance the medical reform
What if Henan Business reporter Zheng Xiao Qian it takes the mechanism disadvantage expelled to ask domain of health care at present most, the answer of Chen Zhu, minister of Ministry of Public Health is: Mend medicine with medicine. And the Business reporter knows from the working meeting of hygiene of the whole province, cancel and mend medicine with medicine on the 14th, strive to make 2013 generally pursue in hospitals at county level in the hospital pilot project at county level this year in Henan, pushed in all public hospitals open in an all-round way in 2015. Cancelled and mended medicine according to the current regulation with medicine completely in 2015, medicine in hospital, the hospital can raise the price 15% are sold to a patient, the medicines income becomes the important component of the hospital profit. Say that it is expensive to see the doctor, some doctors whose focus of the contradiction will point to some hospitals prescribe expensive medicine, write a prescription more. At national hygiene in this year can work, Zhu Chen, minister of Ministry of Public Health, say, ask health care field need mechanism that expel most what disadvantage at present, I think the majority's answer is " Mend medicine with medicine " . "Mechanism this promote medical expenses unreasonable to rise, cause medicines abuse, twist medical personnel's behavior, corrode our team, must eliminate completely. " Chen Zhu says. And the Business reporter knows on the 14th, according to the arrangement of Ministry of Public Health from working meeting of the hygiene of 2012 in the whole province, our province strives for " Twelve five " Expel in the hygiene system safely in an orderly manner and mend and cure the drawback with medicine during this time. Dispose according to Ministry of Public Health, 300 pilot counties in the whole country push open in advance this year, strives to make 2013 generally pursue in hospitals at county level, pushed in all public hospitals open in an all-round way in 2015. In our province, all governments in the whole province ran medical health organs and village clinics of villages and towns and all implemented the basic medicine system last year, have already sold a difference rate. Last September, Qinyang, improve military two cities and counties also as national pilot project of Zuo Jiao, take the lead in, start the intersection of county and the intersection of intra-area and whole medical reform, implement medicines a difference rate, sell in at county level hospital. The relevant persons in charge of department of public health of the province say, by the end of 2015, all medical organizations in our province should realized a difference rate of medicines to sell too, expel and mend and cure the drawback with medicine. Population should be to some extent while exceeding a million counties " The large hospital " Close to celebrating the New Year, the in-patient dept.s of a lot of large provincial hospitals of Zhengzhou are still full of patients, connect with and full of and add the bed in the corridor. Chief of province department of public health Liu XueZhou says, the high-quality hygiene resources 80% in Henan centre in the city, cause patients to flow into the large hospital in the city in a large amount. In order to relieve this current situation, realize ordinary people " serious disease does not go out of the county " Goal,say Liu XueZhou,this year " whether it is at county level for hospital service ability multiplication plan " Implement continuously, according to planning, by the end of 2013, the whole province at county level the intersection of hospital and berth expand 140,000-15 ten thousand to by 70,000, a thousand people berths want to reach even exceed the average national level when being counted. The county land is of over 1 million people, will plan to build a tertiary hospital; The county is from land people 500,000, guarantee to have hospitals to reach second first rate hospital level too. In addition, the Ministry of Health will rely on Zhengzhou in the important key city position of middle part, accelerate Zheng Bian's process of integration, rely on existing medical resources and build together the medical centre of national-level area in Zheng Bian newly developed area province department, serve Henan, and the peripheral province of radiation. Abusing antibiotic, 12607 persons are dealt with The hygiene work of our province will not avoid the question that appeared in the work last year either. Notify according to the department of public health of the province: Last year, the provincial medical technical appraisement department asserted 33 malpractices, 7 first class accidents among them together, punishing 421 persons, among them 83 persons are warned, suspended administrative penalty of operation,etc.. In addition, in punishing severely and abusing the antibiotic behavior, the tertiary hospital of the whole province dealt with 5297 persons to the person liable of the prescription not up to standard last year, among them suspend the prescription right 25 person; 7310 persons are punished in second hospital, among them suspend the prescription right 19 person, suspend the operation and deal with 2 people, a person has the practising certificate revoked. In addition, all above- second -class in the whole province medicine of hospital account for until (the medicines income take the proportion of gross income of the hospital) All unified announcement. Overall situation come, watch, second hospital inferior to tertiary hospital, have 29 second below standard general hospital. Such as the intersection of the Yellow River and central hospital, medicine account for as for less than or equal to 43% as index, its reality was 53.02% last year, and the hospital of Henan Province building is 52%. Made an inventory and diagnosed the illness in Henan, what situation probably last year The medicines income can't exceed 50 kinds in tertiary hospital antibiotic variety as requested, second hospital can't exceed 35 kinds. It was 40.32% (this proportion in the whole country will be 45.53% in 2010) that tertiary hospital medicine of the whole province accounted for than on average last year ,Drop by nearly 4 percentage points compared with the beginning of the year. Because the whole province implements the above- second -class hospital " Ten major indexes " Supervise, only medicine accounts for controlling more than this index, save the medical fee of 1,116 million yuan for the common people in the whole province. See the doctor and spend it if in hospital, in the tertiary general hospital, will live in 12.57 days on average (the whole country is 12 days) ,Second general hospital will live in 9.8 days (the whole country is 9.3 days) ,In second hospital, 42 indexes exceeded 12 days require, the longest one is up to 43.5 days. Seeing the doctor in the clinic, the tertiary hospital per person spends 185.44 yuan, similar to the same period of 2010; Per person spends 8218.96 yuan, increase by 6.58% compared with the same period of 2010 in hospital. In second hospital, go to the clinic to see the doctor the average expenses are 142.85 yuan, need 3913.70 yuan in hospital. It is shut that new and agricultural 2011 the whole province joined and shut to 78,044,600 peasants, join 96.96% of shutting rate, pay for the hospitalization cost of 12,800 million yuan totally in the whole year. Take the lead in, realize, shut the whole province, mend direct while being trans-regional while being agricultural while being new in the whole country, expenses pay for bind line, up to 100,000 yuan in hospital, the whole province all rural children suffer from 6 kinds of serious diseases such as leukemia, congenital heart disease and pay the proportion for and reach 90% in hospital. Shut and pay the pilot effect to manifest newly and agriculturally according to number. The whole province 30 pilot hospital accept for medical treatment, pay 25,000 of patient according to number together, expense are lowered by 1806.48 yuan in hospital than pay time according to project, drop by 44.86%. Medical resources have been over the past two years, the medical organization of province and city has invested 12,200 million yuan, more than 40,000 newly-increased berths. The statistics show, the intersection of the whole province and a thousand the intersection of people and hospital berth count and medical practitioner count and registered nurse it counts to be 3.48, 1.65 people, 1.29 peoples respectively at present, increase notably than 2.54, 1.2 people, 0.97 people in 2008, obviously shrink with national disparity.



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