Tuesday, November 13, 2012

The medical reform at the basic level of Heilongjiang has notable effect in one year

The medical reform at the basic level of Heilongjiang has notable effect in one year
It is reported ' And then celebrate big reporter Zhu Tong) Villages and towns and salary of medical staff member of health organ of basic unit of urban community are all paid by the government finance, the commune hospital has turned into a service station of health too; The basic medicine system realizes the basic unit covers completely, common people see the doctor the expensive phenomenon is relieved effectively It is reported, since our province started the comprehensive reform work of medical organization at the basic level in August of last year, one year, with pursuing the reform of personnel system in the medical health organ in the basic unit in an all-round way, implementation in reform measures such as financial compensation mechanism, wage system of the performance, basic medicine system, integrated management of rural hygiene,etc., the comprehensive reform of medical organization at the basic level of our province makes the prominent effect, the health care government's leading factor at the basic level, common people's benefited result have already reflected within the range of the whole province in an all-round way. Government's leading role is given play to fairly proper. It is reported, up till now, the governments at all levels, hygiene administrations at all levels are interdepartmental to sign the goal responsibility contract of the medical reform for two years in succession, implement goal responsibility. Under the leadership of provincial government, according to " a institute of township one " With community's hygiene organization structuring principle, the whole province plans to set up the government and run 899 health clinics in towns and townships together, plan, set up government, run community 523 of health organ ' Do not include land reclamation and cultivation, forestry system) . The government runs health clinics in towns and townships and community hygiene service organization to all include in local government's public beneficial public institution and manage, the whole province check and ratify health clinics in towns and townships 22224 of strength together ' Do not include the friendship county) ; 14845 strengths of health organ of the community. Meanwhile, further defined the government runs medical health organ and basic public health service and basic medical care function of village health organ in the basic unit, government run health clinics in towns and townships and the intersection of community health Center and basic public health serve, change 40 41 to. The reform of personnel system takes important paces. It is on duty to implement the medical personnel of health organ in the basic unit wholly and compete for. By the end of August, the health clinics in towns and townships of the whole province amount to 19010 people signing a contract to compete for the personnel on duty, accounts for 98.1% of the total number of person on duty; The community health Center amounts to 9595 people signing a contract to compete for the personnel on duty, accounts for 99.6% of the total number of person on duty. Have set up steady financial compensation mechanism. According to the per capita yearly wage of 21688 yuan of health clinics in towns and townships, standard of per capita yearly wage of 30444 yuan of service organization of community's hygiene, the all-inclusive cost of medical organization at the basic level of the whole province is about 1,386 million yuan, confirm the security mechanism of my provincial finance in view of the above. At present, the intersection of the whole province and basic unit run funds share responsibility to be already clear, the provincial finance bears 351 million yuan, account for more than 25.3% of expenditure all-inclusive cost at the basic level, on the basis of the setting-up of financial security mechanism, the comprehensive reform of our province can move forward more smoothly. Set up the wage system of the performance tentatively. The policy made in regional foundation country and province, combine local reality, has tried on the distribution system reform boldly. The rewarding salary proportion of performance has been brought up to 60%, presume the post coefficient, examination coefficient scientifically and rationally in east Ning County, make personnel's performance obviously pull open badly. Our province, at the intersection of distribution system and reform, to implement, examine, take the solid first step with performance for post salary on the foundation in an all-round way. The basic medicine system realizes the basic unit covers completely. Our province successively divided three batches and started system pilot work of basic medicine from March 23, 2010 to February 18, 2011, all governments of system full coverage of basic medicine run the medical health organ in the basic unit. In May - June of this year, our province organized the basic medicine of the second round to bid and purchase the work, the ones that announced overallly more than the country at the price of bid retailed and instructed the price to drop by 62% on average, having dropped by 43.4% than the first round, peasants really use medicines of high quality and at a reasonable price. Up to August, the health clinics in towns and townships and clinic quantity of service organization of hygiene of community accounted for the total amount of the clinic of medical organization to rise by 3.1%, clinic the intersection of emergency call and time expenses drop 23.5%, every bed average daily expense dropped by 21.9% in hospital. The integrated management of the rural hygiene is started in an all-round way. From June, all governments in the whole province run the health organs of all villages in health clinics in towns and townships and area under one's jurisdiction, begin to start and set up the integrated mechanism of management. Saving departmenting of public health, General Office of Finance, human resources, the intersection of social security and Room makes the rural hygiene and serves and manages the implementing scheme integratively, and print and distribute it to the whole province, this worker's homework has already been started in an all-round way now. At present, already most health clinics in towns and townships and health organ at village level have begun to pursue the village to integrate and manage in the whole province.

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