Saturday, November 10, 2012

The public hospital reform of Heilongjiang is opened " The ice-breaking trip "

The public hospital reform of Heilongjiang is opened " The ice-breaking trip "
The district and provincial hospital are confirmed as the pilot cities, urban areas and units in the province in the market condition of Shuangyashan, Heihe River, Harbin First class and transforming as the hygiene service organization of the community and exploring that sets up to the dispute third parties of doctors and patients and mediates the mechanism and cancels the public hospital and mends the medicine machine with medicine progressively in the hospital of part second in the city Made it a few days ago, from (Heilongjiang) Department of public health of the province, the province arranges and does, development and reform committee in the province, save the General Office of Finance, save the human resources and 5 departments of social security drawing room to jointly make and issue " pilot implementation suggestion of the public hospital reform of 2010 of Heilongjiang Province ". " implementation suggestion " proposes adhering to the public service properties of the public hospital clearly, attach primary importance to safeguarding masses' health rights and interests; Raise the operational efficiency of public hospital, meet basic medical care demands of common people. After Qitaihe River of our province is established for the public hospital reform country and contacts the pilot city, our province confirms again district and Heilongjiang provincial hospital reform the pilot city, urban area and unit for the public hospital of the whole province in market, Heihe River, market condition of Harbin of Shuangyashan. The main task of " implementation suggestion " has 10 items, summarize as 3 parts of improving service system, innovative system mechanism, strengthening internal management etc., demand to do a good job of forming more scientific and more normal management system of public hospital emphatically, manage key contents such as mechanism, compensation mechanism, operating mechanism and supervision mechanism,etc. and further investigate, bold in blazing new trails and achieve tangible results. Among them, in improving the service system of public hospital, there can be plans, relocate, combine, make the transition and reform system according to the step, promote the optimization adjustment of the structural overall arrangement of public hospital; First class in the city and the hospital of part second should plan to be transformed as the hygiene service organization of the community according to the regional hygiene; Set up the public hospital and mechanism of medical division of labor and coordination of work of health organ of basic unit, implement hierarchical medical treatment, change the place of examination bidirectionally, lead, make a diagnosis, sink to basic unit generally. The conditional area, the hospital where one stays can promote the medical rational distribution of resources through cooperation, depositing, recombinating,etc.. In reforming management system and supervision mechanism of public hospital, " implementation suggestion " demands to advance government's hygiene and other departments, possession of the state-run affiliated hospitals of enterprises and institutions to manage actively. All medical health organ ownership, investment subject, membership and manage properties, by the hygiene administration (including the management of traditional Chinese medicine) The department plans, unifies the entry in unison, supervises in unison. The conditional area can set up specialized agency, is responsible for assets management, financial affairs supervising and engagement of the hospital chief leading cadre of the public hospital, set up coordinating, unified, high-efficient management system of public hospital. Develop medical treatment unexpected injury insurance and medical liability insurance actively at the same time, improve the dispute third parties of doctors and patients and mediate mechanism,etc.. " implementation suggestion " demands to advance medicine to separate clearly, mend and cure the mechanism with medicine in reform, compensate by service charge public hospital progressively, the intersection of medicines and the intersection of addition and income, and government subsidize switch over to service charge and government, subsidize two channel by 3 channel; Should strengthen it to the management of public hospital, all types of public hospital of the norm allocates the proportion of using the national basic medicine, popularize and apply suitable technology and basic medicine, set up and amplify the national basic medicine purchase and supply management system; Accelerate advancing and doing and curing the pattern in pluralism, encourage social forces to hold the non-profit-making hospital. " implementation suggestion " especially proposes, should include the public Traditional Chinese hospital in the regional hygiene while planning, the public Traditional Chinese hospital does not cancel, not amalgamate, not make the transition. Improve and distribute the incentive mechanism, arouse the enthusiasm of traditional Chinese medicine personnel effectively, technology and method of encouraging employing traditional Chinese medicine and making a diagnosis. Expand the service item of Chinese medicine, reflect the characteristic advantage of Chinese medicine; On the basis of cost accounting, improve Chinese medicine, make a diagnosis technological service price while being appropriate, fully reflect the labor service value of technology that the doctor of traditional Chinese medicine makes a diagnosis.

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