Jixi of Heilongjiang Province: Examine and change the place of examination and make and analyse and explain the difficult problem of the medical reform for the first time
Spacious and bright, completely equipped. Needn't register, it is free of charge to pay a home visit! The expenses are 2/3 more than the large hospital in this city to in hospital, the child under the age of 1 does health care 4 times free, masses satisfaction 95%. Come into ' Heilongjiang) Build the community health Center of the well, make people find everything fresh and new on the cockscomb area south mountain of Jixi. Wang RuTao, director of centre, tells reporters: "We call voluntarily, serve the masses of more than 20,000 communities. " 2008, Jixi city is confirm, serve medical insurance and health care of the urban residents in the whole province, link the demonstration area, the whole provincial government to buy the urban community's public health and serve the pilot city together. This city aims at the breach, have the courage to bring forth new ideas, a large sum of input, convenient and swift, masses' satisfactory broken callus of service system of hygiene of community appears. Insist that puts up the difficult point of medicine and health work of our country of service platform of community's hygiene in the basic unit in public service property, there is not community's hygiene that serve the platform to support, health care reform is an empty verbiage. The government of Jixi issues and plans, first class hospital, the hospital of part second, medical organization of enterprises and institutions leading the government to hold, make the transition, transform into the community health Center, lead the district hospital, enterprise hospital to divide the clinic to set up or transform into the community health station, encourage two, public hospital of third grade to run the hygiene service organization of the community. Combine resident's medical insurance, pursue the fixed community health organ of the medical insurance to examine and make, change the place of examination and make for the first time, stipulate clearly, residents do not examine and seek medical advice in the fixed community hygiene service organization that is chosen voluntarily for the first time to effect an insurance, treat the expense medical insurance fund and refuse to pay. The market share increases, change the place of examination and can increase incomes through the community, this policy makes to run the hospital to invest in the enthusiasm of the health organ of the community surgingly. At present, the governments at all levels of the whole city and investing more than 16 million yuan running the hospital together, set up 44 hygiene service organizations of the community, increase and transformation serve with an area of 15,500 square meters, purchase medical the intersection of apparatus and more than 200 (one) newly ,Form basically self-contained, personnel's fully equipped hygiene service system of community up to standard of the house area, the coverage rate is more than 90%. Pursue the hygiene service organization of the community and standardize management, have unified service promise, management system, service software, information exchange and managed the platform, special file of staff training, family's health and chronic disease, examined for the first time " Avoid three minus one preferably " The policy and ceiling price of single number. In the first half of this year, the organization trained more than 500 persons of complete medical personnel, improved the engineering level of the hygiene service organization of the community greatly. Implement one and examine system of changing the place of examination and issue the policy of Huimin in order to strengthen the hygiene service organization of the community to the patient and run the attractiveness of the hospital, Jixi stresses that examines, changes the place of examination the links of this vital part for the first time, has issued a series of policies and systems. The health organ of the community and diagnoses to common disease, frequently-occurring disease clear chronic disease carries out one and examines responsibility system, to the difficulty that can't be made a definite diagnosis of, critical case, request for agreement to patient to the agreement hospital to change the place of examination; The agreement hospital of higher level needs rehabilitation and other patients qualified to make and transfer to the condition to to change the place of examination to the community steadily. The hygiene service organization of each community has established the relation of changing the place of examination with two or three large and medium sized hospitals bidirectionally, it is responsible for having the special messenger, guarantee that the channel is unblocked to change the place of examination. Issue a series of preferential policy, guide and effect an insurance residents go to the community to examine for the first time. Effect an insurance resident wipe out, get up in hospital pairs of line, tertiary medical organization for 300, wipe out 50%, community hygiene service organization 150 and wipe out 65%. Effect an insurance personnel get the intersection of community and health organ go to a doctor, exempt from registration fee, in hospital the intersection of bed and fee, physics, and laboratory check the fee reduce or remit 10% and 15%, the medicine price is reduce by 5%; Every agreement hospital exempt from registration fee, in hospital the intersection of bed and fee, physics, and laboratory check the fee reduce or remit 10%, go to a doctor and arrange having priority in hospital. The medical organization of the superior and the subordinate checks single and common, all announcement of medical care and medicines price, pursue " the list is made in one day " . Community's hygiene examines, changes the place of examination and makes achieving many things at one stroke for the first time. Common people see the doctor and save money, convenient, easy to supervise, the pressure of the clinic of large hospital is relieved effectively at the same time, have promoted " Small disease is in the community, serious disease are in hospital, recover back to the community " Forming of the medical pattern. Implement the performance and examine and offer good service to masses according to the national requirement, Jixi has confirmed the service content of 17 items of public health. Health authorities and the financial department's science estimate out the per capita cost that the government bought community's public health service, examine the performance to the hygiene service organization of the community, the result of appraisal of the year-end basis, the financial department appropriates 30% left fund. It is not up to standard to examine for two years in succession, is disqualified. In the past two years, the government of Jixi has paid the subsidy fund of more than 18 million yuan of services of community's hygiene. So far, Jixi sets up 668,000 resident's health files, filing rate is 90.4%; The management rate of chronic disease is more than 85%; Children's immunization campaign builds the card and builds card rate 100%, the qualified inoculating rate of whole journey is 98% of the the above. The survey of 29 73,000 residents of subdistrict office reveals, residents reach 84.5%, 71.2% to hygiene satisfactory rate, knowing rate of health education knowledge of service organization of community respectively. Examine, change the place of examination and make the contradiction while clearing up the benefit account of medical organization and public beneficial for the first time, have realized the government, community resident, community hygiene service organization, run the hospital " Win together all sides " . In June of this year, the experience of Jixi is selected the medical reform policy training materials of the national directors of health bureau of districts and cities as the only special case of our province. (reporter Li Fei)
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