The system reform of medical and health of Heilongjiang is returned big Make into the fruit and benefit the common people in Longjiang in medicine

The system reform of medical and health of Heilongjiang is returned big Make into the fruit and benefit the common people in Longjiang in medicine
Since the medical reform was implemented last April of network news of news of Heilongjiang, our province was by " expanded the surface, construction, general survey, pilot project " It is a focal point, advance the reform of each item with all strength. Through the efforts of more than one year, the masses have systems to ensure to seek medical advice to see the doctor, seek medical advice and use and obviously drop with the expenses for medicine, the difficult problem of seeing the doctor was relieved to some extent, the level of prevention from suffering from the diseases was obviously improved, the people have experienced the new change that the medical reform brings really, have enjoyed the material benefit of the medical reform tentatively. Deepen the system reform of the medical and health, the vital interests related to the broad masses of the people, high concern of various circles of society, the people are full of expecting. Meanwhile, the medical reform is a complicated system engineering, with deepening progressively, it is further strengthened that the ones that reform are comprehensive, complexity is further prominent, urgency is further promoted, need long-term efforts to realize the set objective. The medical reform goal that our province has already confirm been of this year, should protect and basically realize the break-through, try one's best to clear away and expand the dead angle of surface, realize that should join and join, should protect and protect to the limit to the limit. Realize the break-through on the strong basic unit, do a good job of the medical project construction of health organ of basic unit taking the hospital at county level and health clinics in towns and townships as focal point conscientiously. Realize the break-through in stressing the pilot project, guarantee to try the experience to happen, try the effect to happen. Realize the break-through on the mechanism under construction, connect the synchronous operation of the mechanism through external related mechanism and inside, reach the goal of buying to the mechanism, spending money building the mechanism. The realization of the goal, need further enhancing confidence even more, meet the difficulty, bold practice, sturdy to advance the reform of each item effectively, do this great people's livelihood project which benefits the people of the whole province well and do really, let the broad masses of the people receive more material benefit. Keyword expand surface up to May, the whole province effect an insurance number up to 15,510,000 people already, the rate of joining insurance up to 96%s. Join the shutting rate and is up to 98.8% newly and agriculturally. The surface of medical rescue further extends, succour 4,600,000 of difficult masses in urban and rural areas at 1,572 million yuan. March toward " the whole people's medical insurance " Implement the pool at city level of endowment insured fund of the industrial injury before the end of October this year, include the intersection of closure and bankruptcy and collective-owned enterprise and other difficult the intersection of enterprise and retired personnel,etc. in basic medical treatment ensure the range - -A series of Huimin policy issued successively, let the common people in Longjiang look very happy. Liu Xiao of Harbin, first, have been worrying one's own hospitalization cost question all the time after retiring. Before because retire he in go bankrupt by enterprises difficult unable to effect an insurance,in addition, whether family is difficult, have not been including in medical treatment and ensuring the range all the time. Lao Liu talks about brow of this to unfold now, according to the policies of country and province and city, he include in into the intersection of medical insurance and range now, ill to seek medical advice, receive effective guarantee in hospital. On April 8, Liu Xiao is ill first and is made a definite diagnosis of lung cancer, through the treating actively of nearly two months, the expenses happen actually to reach 44589.08 yuan, within the range of medical insurance because of it, the medical insurance pool fund is that it has paid hospitalization cost of 31,000 yuan, not only has made him ill and has been treated and cured in time, but also maximum have lightened his personal burden. According to the introduction of municipal human resources and medical insurance place relevant person of social security office in Harbin, Harbin issues a series of Huimin policy successively, effect an insurance over 100,000 state-run closure and bankruptcy and all kinds of difficult enterpriseses retired personnel have brought into the city medical insurance and conducted the range, make them reach the disease to cure to some extent. In basically solving the retired personnel's medical treatment of state-owned enterprise of the local policy closure and bankruptcy and ensuring the foundation of the problem 2008, country and provincial government arrange the special subsidy fund again respectively, before the end of last year 80% of the subsidy fund, namely 3,029,610,000 yuan and 285,070,000 yuan fund are all allocated to all parts, already over 564,900 bankrupt state-owned enterprises in accordance with the law in place of the whole province, central authorities and central authorities transfer the retired personnel of state-owned enterprise of local policy closure and bankruptcy to all include in the medical insurance range. Ensure the question to include the collective-owned enterprise of the closure and bankruptcy and medical treatment of the retired personnel of other difficult enterprises in the important work schedule this year, make and issue the relevant document of the policy, before the end of June, all include the collective-owned enterprises of more than 1,400,000 closure and bankruptcy and retired personnel of other difficult enterprises in the basic medical insurance coverage of urban worker. " old industrial injury " The problem will be solved effectively too. Our province is the old industrial base, forestry, coal, war industry,etc. endanger the trade more high, because of a great deal of of history,etc., old industrial injury personnel's quantity is great, the treatment is low, the contradiction that even the treatment can not be paid is very conspicuous. At present, it is 129,000 people that the industrial injury insurance treatment of our province has not got the old industrial injury personnel that have implemented. In addition, there are 61,600 old industrial injury personnel who the enterprises of our province should include in but not include in insured fund management of the industrial injury before effecting an insurance. Protect the introduction of insurance Liu Wei, division chief of of industrial injury of drawing room according to province people, the industrial injury insurance of our province will implement the pool at city level of insured fund of the industrial injury by the end of October this year, join enterprise the intersection of industrial injury and insurance before will it be the end December " The old industrial injury " Personnel's industrial injury insurance treatment includes in the insured fund of the industrial injury and manages. Protect introduction of Chen ZeMin, division chief of of medical insurance of the drawing room according to province people, the basic medical insurance of our province effects an insurance and expands the surface situation to make good progress at present. Up to May, the whole province effect an insurance number of people up to 15,510,000 already, rate of joining insurance reach 96%, among them, resident effect an insurance Damien 6,970,000 people, worker effect an insurance Damien 8,540,000 people. Especially in the first half of this year, the foundation of Harbin expands surface reality, have no policy of effecting an insurance of obstacle after issuing the basic medical insurance, effecting an insurance for the masses of employee and common people opens the convenient door, has aroused the masses of common people's enthusiasm of effecting an insurance effectively. And the constant improvement of the ability to resist risk as urban basic Medical Benefits Funds is helped together, all parts adjust the original medical insurance policy, further lighten the personal burden proportion. The worker of the whole province effects an insurance the average individual of a patient bears the proportion to control about 22% at present, residents are personal and conceited 48.3%. The pool will be paid the proportion and raised by 3.1% and 5.1% compared with 2008 separately actively in 2009. In addition, explore strange land seek medical advice effective way that settle account, launch the intersection of resident and the intersection of clinic and pool work respect go on, explore actively. Improve the system of medical rescue in urban and rural areas Ensure the difficult colony " The disease is cured to some extent " In recent years,our province in exploring, reform, advancing and innovate in improve by system on medical rescue progressively, make the system of medical rescue ensure difficult masses " The disease is cured to some extent " The function of China is given full play to. The reporter learnt from province Bureau of Civil Affairs, since 2003, the whole province invested the fund of 1,572 million yuan of medical rescue in urban and rural areas together, succour 4,600,000 of difficult masses in urban and rural areas altogether, subsidize rural low insurance, five guarantees target to participate in the proportion of new rural cooperative medical service and is more than 98%. The medical rescue target range is expanded progressively. The whole province generally regard the low insurance in urban and rural areas, rural five guarantees target as the key crowd of medical rescue, some ground The district has also expanded coverage rate of medical rescue progressively, include difficult crowds such as the elderly, serious illness, serious incomplete personnel in the low-income household,etc. in the medical rescue range, have ensured the basic medical rights and interests of the difficult colony effectively. Is it multi-level? Only stir � in straitened circumstances according to army � Yu N Servant �� flirtatious �� presents Pout, inlay falcon �� Xi slowly Cut latitude flash ship kill hand ���� surprised to deceive Wei reflect, admire Ying stir ticket O dip in and ask Luangge group with the intersection of Tiao and the intersection of � and subcutaneous ulcer while being brown Qian offer Tao stir Pu ���. 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In recent years, the civil affairs departments at all levels of our province revise and improve the medical rescue policy many times, several improvement medical rescue levels. At present, already more than 80% of the counties have been (municipal or district) in the whole province Having cancelled and succoured one pair of lines in hospital, more than 50% of the counties are (municipal or district) Have cancelled and succoured number in hospital, has generally raised and succoured the proportion and bound the line in hospital, the whole province succours the proportion to already raise by 10% on average, bind the line to already improve by 1000 yuan on average, succour and bind the line and already reach 20,000 yuan highest in hospital. The medical rescue procedure is more simple and more convenient. The medical rescue procedure is in the original community (village) , street (the villages and towns) , on the foundation of tertiary verification of civil affairs department at county level, all parts have advanced the medical rescue " a station type " actively Settle account to serve, it ends to only need to pay and pay the department for itself while leaving hospital to succour target's medical treatment, the medical insurance is submitted an expense account to pay first partly by the fixed hospital with medical rescue. At present, there are 5 cities (ground) in the whole province This grade and 17 counties (market) Having implemented fixed medical organization's paying first and making, it has been implemented before medicine and succoured in medicine that some cities and counties explored, it is so enough to live as to get up in the institute, take a fancy to the disease to make difficult masses join. The fund of medical rescue soars greatly year by year. Obtain country, invest in urban and rural areas the intersection of medical rescue and fund from initial 12,130,000, rise to 71,500,000 yuan for 2006, rise to again 338,120,000 of 2009, province grade invest in urban and rural areas the intersection of medical rescue and fund from first 12,130,000 yuan, rose to 34,040,000 yuan in 2006, rose to 274,570,000 yuan in 2009 more, increasing degree of fund was relatively large. Keyword pilot the intersection of Daqing and the intersection of city and public health serve equal to take with the clinical route of general hospital of Daqing oil field managing, the government of Jixi buys work such as construction of community's public health service, integration of urban and rural areas of service system of Qitaihe River hygiene, the way has happened in time, have offered helpful reference for the fact that the reform is advanced smoothly. The government buys community's public health and serves citizens and seeks medical advice and ensures the residents of the intersection of Jixi and city to serve this word not strange to community's public health any more, in some communities of Jixi, the hygiene service organization of the community is playing a positive role, let the residents living herein enjoy and see the doctor in the community, the cure the disease as well as cheap one seeks medical advice and ensures the policy. In order to guarantee the urban community's basic public health service item is implemented effectively, Jixi city take government buy way, serve 9 21 public health detailed to turn 115 some service, make every public health service item have concrete content, operate standards, have quality requirements, buy prices, convenient practical operation of medical organization and business of administrative department are examined. Organize the expert panel to serve the goal performance, organize the management level, social benefit etc. and examine the performance to the medical public health of health organ of the basic unit twice every year, cash the government in examining the unit up to standard and buy the fund, the offering reward stressed to the work, the unit cashes the government after rectifying and improving in place to buy the fund to not up to standard of ing, as to the one that has not been up to standard of for two years in succession, cancel the government and buy the qualification. Through encouraging tied mechanism, has aroused the enthusiasm that the health organ of the community launches public health service. Residents reach 84.5% to the satisfactory rate of the hygiene service organization of the community, the knowing rate of knowledge of health education is up to 71.2%. Last year, the municipal government rewarded 10 outstanding community hygiene service organizations worked, release the bonus of 300,000 yuan. The community hygiene service organization not up to standard of has rectified and improved within a definite time period to work to 4, deferred and reducing the punishment of buying fund of hair government. The public hospital reform realize and break through Qitaihe River in order to accelerate the paces of the public hospital reform to combine hygiene resources and increase operation rate, in 2010, will make " the land hygiene of urban area of Qitaihe River will be planned " and " the public medical organization structuring of Qitaihe River will be planned ", it is clear to set up dividing the work, the medical service system with rational structure, form and develop together with the non-profit-making medical organization publically with non- publically, profit-generatingly, medical care pattern of general hospital, section hospital, medical mutual cooperation of health organ of basic unit. Strengthen the medical organization, health clinics in towns and townships, construction of community health Center at county level especially, have improved the utilization ratio of medical resources. Give full play to each advantage in the People's Hospital, Qitaihe River, seven coal general hospitals, science confirms the developing direction, make the medical service centre in the area; Strengthen infrastructure construction and talent introduction of healthcare hospital for women children of the city correctly, make women in baby's health care rescue center; The institute of traditional Chinese medicine of the city is wounded with the bone of Chinese medicine especially, anus intestines, recovering for the main fact, make the rescue center with characteristic of Chinese medicine. The county people's hospital sets up senile disease, chronic disease,etc. and treats the project, improve infectious disease to prevent and cure, the first aid ability of the emergency call, make the medical service centre in the basic unit. In order to adjust the overall arrangement of optimizing the structure of public hospital, newly build healthcare hospital for women children of rice market of square 21,000 in the strange land, fill the gap that there is no medical organization at city level in the eggplant river district; Newly build institute of traditional Chinese medicine of rice market of square 20,000 in the strange land, solving because transform the newly-built Residential Area 150,000 and move and move to the people the problem of seeking medical advice in sinking into area, shanty town; Newly build 4000 square meters of 120 first-aid centres in the strange land, insufficient, problem not complete with unreasonable procedure of function of solving the house of first-aid centre of the city; Extend 30,000 square meters of house of the business of city the People's Hospital, increases by 300 berths, it is not complete to solve the function, problem with weaker service ability; Extend 24,000 square meters of business house of general hospital for seven coal, increase by 300 berths, difficult problem of relieving the masses and is in hospital. Strengthen community's hygiene service system construction in an all-round way. 3 district level hospitals, 8 ore hospitals make the transition as the community health Center in an all-round way, the whole city will finish 34 community health Centers, 246 societies by 2010 The standardized construction of hygiene service station in the district, community's hygiene service coverage rate is up to 100%. Strengthen the ability construction of medical organization at the basic level especially. Build and place the focal point of capital construction on the basic unit in keyword, key start has implemented the medical construction project of health organ of 458 pieces of basic unit, finish investing 536 million yuan. At the basic level medical treatment build, mention the intersection of shelf and acceleration rate, bring, seek medical advice new scene live the intersection of Harbin and 72 the intersection of treasure and peach Liu, old man of year old, of city suffer from cardiovascular vessel disease already for many years, besides perplexing by one's own disease, the difficulty and high cost of getting medical treatment has become her " worry " especially . The old man tells reporters helplessly, " go to the hospital by car for more than half an hour at ordinary times, line up to wait for quite a while to register, see the doctor, take medicines again after reaching hospitals, take several hundred yuan each time. " At the end of last year, a brand-new community health Center comes into operation near the old man's inhabitancy place, this is hers " Worry " Untied at last. "It is fine now, it is very convenient to go to the community health Center to see the doctor, take medicine, infusion, and the medicine price is much cheaper than more hospital. " Peach old man says cheerfully that Liu is precious. Build and increase the speed " the coming into operation of the community health Center with hardware, can offer medical treatment such as medical treatment, preventing, keeping healthy, recovering, health education, planning the preparental instruction to local and ensure serving effectively, have helped the masses seek medical advice, has lightened the burden of seeking medical advice. " " since the new medical reform was started that medicine of department of public health of the province corrects the relevant person in charge and says to reporters, our province gets out of and makes for 15 minutes the health care serves the goal enclosed, set up a community health Center according to a street, every ten thousand resident's principles of setting up a community health station of place that can not be covered in centre, realize community's hygiene to serve and cover completely progressively, at present, the construction object of the community health Center of the whole province has already been finished in an all-round way, the coverage rate of standardized community health Center is more than 90%. " The prominent effect of construction of the community health Center is just a epitome that our province accelerates the construction of medical service system hardware of basic unit. In order to solve grassroots " It is difficult to see the doctor " The question, our province launches construction and transformation of the rural medical health organ actively at the same time. In advancing the newly-built village health station in the village in the friendship township of the market of Qiqihar, the reporter sees, the consulting room, dispensary, health education room, injection room are all available. Doctor Chen Liang of the health station tells reporters, in the past two years, the government has increased input to build the health clinics in towns and townships, realize " light disease produce village, common disease produce township is anxious to endanger serious illness to change the place of examination in time " basically already for the moment Goal. It is introduced, our province has already all finished demonstration and examination and approval of the basic construction project of the medical service system in basic unit at present, other preparation of construction have already been launched in an all-round way too, invested the hospitals of 64 counties newly constructed of 536 million yuan to all reach the appearance image ornamentally last year, serve the form, medical worker and annotate, attend to the mode, expenses standard etc. " Ten is unified " . In order to accelerate the medical service system hardware construction of basic unit of the whole province, make the hard environment of medical treatment improved, optimized at all, this year, our province is on the basis of last year, will support 32 medical organizations at county level, 95 community health Centers, health clinics in towns and townships of 40 centres, construction of 180 villages health station once again, meeting the broad masses' hygiene service demand constantly. Software build mention shelf " large hospital overstaffed, there are very few callers in the hospital at the basic level, this has a psychological problem that the masses seek medical advice, but the more important thing is some hospital service levels at the basic level are not high. " Medicine of department of public health of the province corrects the relevant person in charge to say, strengthen the personnel training at the basic level, by taking small big, the above is brought down, will combine the resources of health care in urban and rural areas, raise and dispose efficiency, bring about an advance in equilibrium effectively, raise whole operational efficiency and service level of the medical resources in the basic unit fundamentally. For the one that improve service quality of health care at the basic level of the whole province " The gold content " ,Our province cooperates and advances the software construction of team of talent of medical organization at the basic level with the related departments closely, make great efforts, make basic medical care grade improve and function strengthen. It is reported, our province is drafting and drafting the construction plan of team of hygiene talent at the basic level in the whole province tentatively, have defined it on the goal of building of contingent of hygiene talent at the basic level, the foundations of the principle, task, have confirmed and finished connecting with the long-term fitting associations of 90 medical organizations at county level in 35 tertiary hospitals in the whole province. Meanwhile, implement the personnel training plan in a more cost-effective manner, through education with record of formal schooling, on-the-job training, acknowledge sb. as one's master in many ways of learns a craft or trade, are temporarily released from one's regular work and receiving a training etc., already on-the-job training county, township, village hygiene personnel more than 4,000, have aimed at training selecting the tree county to be district level, villages and towns (community) Grade, three levels at village level, containing the basic unit of Longjiang of health care, hygiene management, public health, four respects of Traditional Chinese medicine " Well-known doctor " The building of contingent, has promoted the service level of health care at the basic level of our province in an all-round way. At present, our province has already selected the tree district level " well-known doctor " in counties 138, villages and towns (community) Grade " well-known doctor " 51 is famous, at village level " Well-known doctor " 28; Train the requirement according to the national complete doctor, has already finished community's complete doctor's training 2515 people, 2704 nurses. Through strengthening the construction of the service system software of health care at the basic level, the quality of the hygiene personnel team at the basic level of our province has been promoted by a wide margin. At present, the doctor undergraduate course education at the basic level of the whole province account for the proportion of medical worker in the whole province to raise by 3.2%; The training occupies the proportion to raise by 4.9%; Medical practitioner, assistant medical practitioner and operation nurse, nurse practitioner account for the proportion of the whole province to raise by 4.1%; At the basic level the intersection of clinic and quantity, rise 3.1% - 2.5% separately compared with the same period of last year in hospital rate. Know the real situation in fund demand calculating, financial situation of medical organization directly under the provincial Party committee of medical reform that the financial department of general survey of keyword launches, what the Ministry of Health organized plans to implement the medical basic situation investigation of health organ of basic unit of the basic medicine system, the public health jointly launched with departments such as education,etc. serves the base figure of project implementation to investigate etc., it is wide general survey, the work load is large, not only find out the truth of a matter but also find out the weak link. The public health service is entered " Equal to melt " Will it be May this year one day such as era, forest the intersection of mouth and GuiFen Han, old man of sixty years old, of county come from own less than 100 the intersection of county and the intersection of hospital and physical examination of place early in the morning. Blood routine, blood glucose, fat of blood, electrocardiogram,etc. check, make piece all over while being a series of, the old man has not spent one fen. "Our peasant can enjoy the free hygiene service like urban resident too, some the intersection of health and file, talent of town, we have too nowadays in the past, sick to know early, there is no disease to prevent early! The policy of the party is good, our something small and hard of pit of the stomach is warm Hey! " The old man's face is permeated with the happiness, say to reporters cheerfully. The new medical reform is implemented for over one year, countless to look like Han Gui Fragrant and the same peasants are enjoying " The basic public health service is equal to melt " Policy " warm sun " Illuminate. "Promote the basic public health to serve progressively equally and melt, one of the 5 key reform contents that deepen the system reform of health care. " Medicine of department of public health of the province corrects the relevant person in charge and introduces, " the public health service prevents disease, it improve health most it is effective, means when it is economic most,it can let ordinary people not had disease, had disease little, can't serious disease, have disease late. " Since the new medical reform was started, our province has carried on carpet type general survey to the city in the area under one's jurisdiction, rural resident systematically, and organize meticulously, increase input, implement 9 kinds of basic public health service item and 6 great public health service items, it is equal to advance the basic public health service in urban and rural areas and melt in order. The urban and rural residents in the whole province also enjoy weak crowd's health service such as woman, low insurance target, disabled person free besides enjoying basic public health service free. It is introduced, the service content of the basic public health includes resident's health file, health education, immune planning, infectious disease prevent and cure, the intersection of chronic disease and management, the intersection of mental disease and the intersection of person who manage and nine major contents. These nine services are implemented specifically by every township hospital and public health service centre, the masses do not spend one fen, expenses produced by this are all buried by the government singly. Through generally investigating in an all-round way, implement conscientiously, every basic public health service measure in our province has already been implemented item by item. So far, our province has already 85.4% of the urbanites and 85% of the rural residents have set up health file; 557,000 children under the age of 15 in the whole province get free hepatitis B vaccine to reseed; 3400 poor cataract patients see light again. Medicine was made into April of 2009 of fruit since it is implemented that the system reform of the medical and health will be started, our province has carried out the spirit of national medical reform thoroughly, combine reality, advance with " five reforms " actively Work for the medical reform of the focal point, has made the prominent achievement, has realized the phased goal, a important one the broad masses practical to receive material benefit in medical reform particularly. Basic medical treatment is ensured increasing 5,070,000 personnel newly and will effect an insurance in the same year in 2009 effectively, account for, effect an insurance 17% of number always. Incomplete statistics, the whole province effected an insurance urban residents added up to 690,000 persons to enjoy the treatment of medical insurance that year. The whole province effect an insurance the average individual of a patient bears the proportion to control about 25% by dropping at present conscientiously to seek medical advice with the expenses for medicine. The medical health organ of basic unit held in 30% of the governments of the whole province has implemented the basic medicine system, a difference rate is sold to include implementing the online centralized purchasing of basic medicine, providing and delivering with medicines, lead selling price and country to retail to instruct the price to compare to drop by 33% in a difference of basic medicine, the seeking medical advice of common people uses medicine the burden is obviously lightened. See the doctor difficult problem relieve the intersection of basic unit and medical the intersection of health organ and clinic quantity to up to 22,330,000 people 2009 to some extent, increase 3,800,000 people compared with 2008. The whole province will add up to nearly 5 million key crowds to enjoy the basic public health service that the level of prevention from suffering from the diseases obviously improves in 2009, health levels of masses are improved notably.

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