Chengdu: Experimental field of development of pool in urban and rural areas

Chengdu: Experimental field of development of pool in urban and rural areas
Chengdu: Experimental field of development of pool in urban and rural areas
In June of 2007, the trial zone of comprehensive coordinated reform in urban and rural areas of national pool of Sichuan Province Chengdu got the State Council to accredite. So far, Chengdu becomes the third national comprehensive coordinated reform trial zone following Pudong New Area of Shanghai and newly developed area of Tianjin strand. Through the exploration of more than one year, how well Chengdu in urban and rural areas have to conduct operation? Have reached the anticipated goal? How to analyse and explain the difficult problem of integration of urban and rural areas? Which has medical resource been really realized balanced? Staff reporter Yan � As the metropolis with 11,120,000 people, each take half of as the residents of capital township, have a typical one " Big city, large countryside " Characteristic. Deputy Bureau Director of Chengdu health bureau Yang XiaoGuang says, the essence of the pool in urban and rural areas is to change structure of two yuan in urban and rural areas, balanced in urban and rural areas the intersection of health care and resource, let city and countryside have same treatment. To become public expenditure, slope October 27 to countryside policy, in the intersection of Chengdu and the intersection of Xinjin and the intersection of county and the the intersection of peasant and Zhang YuBin family of town, give birth to daughter-in-law shortly after the child with come the the intersection of town and public Zhao, president of commune hospital, looked at to visit steam and have a chat hard. As public the intersection of commune hospital and president, steaming and one mother and child care of commune hospital Zhao doctor " the guardian " of lying-in woman . "The person of the commune hospital phones me regularly, send messages to instruct me how to carry on health care postpartum to me. " The refined daughter-in-law of Zhang Yu tells reporters, she sets up health file from pregnancy in the commune hospital, accept the health service that the commune hospital offers regularly. "In the pregnant and parturient women of town, check, begin from pregnancy period, the commune hospital sends someone instead of getting in touch, tell the pregnant woman to go to the hospital to do health care in pregnancy period. Go back to the county to the hospital to do children's health care on the 7th day, the 14th day, the 28th day after leaving hospital postpartum. All these need the commune hospital to cooperate. The commune hospital examines the performance to the doctor, the examination content includes setting up the health file, paying a return visit etc.. The doctor, according to the work ' earn work point '. Every job has been done, could get all bonus. " Zhao steams and says. The health service of thoughtful pregnant and parturient women which the refined daughter-in-law of Zhang Yu enjoys, exactly the integration of urban and rural areas build one of the material benefit brought to peasant. "One can't make bricks without straw. Invest catalyst that is development of pool in urban and rural areas in finance. " In order to realize the developing by integration in urban and rural areas, always put the hygiene into 2,914 million yuan from 2004 to 2007 in finance at all levels of Chengdu, this grade of finance subsidizes the operation expense of the hygiene from 286 million yuan and 657 million yuan rising to 2006 in 2002, increase by 229%, among them subsidize county's hygiene from 140 million yuan and 434 million yuan rising to 2006 in 2002, increase by 308%. "The reform to villages and towns, village is the well-known writer even more. " Yang XiaoGuang says, Chengdu has finished public standardized construction and hygiene of village of commune hospital and stood and transformed, finish 16 construction projects of public service system, gross investment is 162 million yuan, floor area is up to 63,900 square meters. There are 71 projects of treasury bond of rural commune hospital, with a construction area of 64,200 square meters, gross investment is 44,890,000 yuan. Finish 223 construction projects of standardized commune hospital, with a construction area of 45,400 square meters, gross investment is 378 million yuan, among them the city finance is put into more than 200 million yuan. "This line of figures can all prove Chengdu develop rural medical care in a more cost-effective manner, break confidence and resolution of structure of two yuan in urban and rural areas. " Some agriculture support policies that Chengdu is also especially made, for example prevent and cotrol infectious disease, endemic disease, parasitic disease and chronic disease which the public commune hospitals of villages and towns offer to resident, service items of public health such as the technological service of birth control, the information management of the hygiene,etc., list in the finance and subsidize the range. The turning into the health clinics in towns and townships of the function will " since develop proportionally for the main fact with the public health service, will combine the rural one's own characteristic soon. Seen serious disease, seen the difficult disease by the health clinics in towns and townships, it is unrealistic. The breach of the countryside should be a public health service. " Chief of Xinjin county hospital Nie Jin says, Xinjin county takes the lead in realizing the rural hygiene integrates and manages as the pilot county, the thorough change has taken place in functional demand in the health clinics in towns and townships. "The medical workers of the health clinics in towns and townships sat in the consulting room and waited for patients in the past, each doctor has corresponding village hygiene stations now, see the doctor in the commune hospital in the morning, the doctor stands with the hygiene of village in the afternoon to visit villagers' home together, finish work such as preventing, keeping healthy, recovering, health education and birth control. "Ordinary people can enjoy the health care service when staying indoors. " Nie Jin tells reporters, the community health Center of Xinjin county and public commune hospital of villages and towns change service theories, having finished serving for the subject with the public health, basic medical care does the functionality supported and makes the transition. The public health service item of Xinjin county rises to 61 items from 13 items of the past, increases by 48 items newly, the work load of the public health has increased correspondingly by 5 times too. Another important embodiment of change of the public service function, it is the public sanitary control function of strengthening the countryside, have set up assistant policeman's system of sanitary control within the range of the whole city. In several public commune hospitals of villages and towns which the reporter visited, the brand of sanitary control is hung on one side of the public health station of commune hospital strikingly. "According to serving radius and service population, every community health Center, public commune hospital of villages and towns employ full-time sanitary control assistant policemen of 2 3, personnel funds ( Includes salary welfare and job funds) The basic expenditure includes in community and rural public health funds overall arrangement, manage the funds to list in department's budget of supervisory organ of enforcing the law of this grade of hygiene, the finance at all levels of annual government is put into the special fund of more than 26 million yuan. " Chengdu the intersection of health bureau and law supervise Ying Zhen, division chief of place, say this market had already taken shape in the market, county, township (the street was run) at present The intersection of hygiene and law enforcement supervision system, realize, arrive horizontally, a longitudinal really one in urban and rural areas to cover sanitary control to be networked to manage all. In Chengdu Jin Jiang River district Sam Shing township, assistant policeman Zhang Jiahui tells reporters sanitary control, " delicious hospitability of the people in Chengdu " . Just because of this characteristic, sanitary control is included in public service system. Chengdu stipulates, every family feast exceeds more than 10 desks, must report to the local sanitary control assistant policeman, so as to ensure the food hygiene. Assistant policeman receives sanitary control " The task " ,Gauge food security and hygiene of the family feast on supervision. In addition, such respects as assistant policeman also controls to drinking water, infectious disease sanitary control carry on supervision. Change of the action Rural reform " Add after reducing " Yang XiaoGuang says, adjusts and optimizes the resource distribution of the rural hygiene in Chengdu, it is 236 to simplify 337 health clinics in towns and townships of this market, guarantee each of organic villages and towns has a public commune hospital. "Chengdu has carried on the standardized transformation to the public commune hospital, and Have allocated the ambulance for each public commune hospital in unison, basic apparatus that multi-functional obstetric table, X-ray machine, electrocardiograph, heart electricity guard public health such as the appearance and the basic medical care needs. This actually does the course of subtraction, an original and unstandard part and all subduction, everything is incorporated into starting from scratch. Then begin to build standardization, accumulate on the original basis. " Chengdu Israel " Three appoints separately, " (in charge of doing separating, medicine separating, revenue and expenditure to separate and appoint with the accountant) It is a core, pursue the public standardized construction of commune hospital, improve service function and service mode, implement progressively " The six in one " Basic medical care and public health service. Transform through a series of measure, the rural hygiene of this market is built to basically realize house, apparatus, personnel, technology, management five form a complete set, build accomplishment ratio and reach 100% in standardization, the construction scale is about 470,000 square meters, capital infusion is 350 million yuan. The public commune hospitals of villages and towns increase by 2004 berths newly, fixed total assets is increased by 78% newly, person increases the clinic by 32% on average, person increase 23% more than on average in hospital, every expenses, person of clinic, per capita expense dropped by more than 12% in hospital.


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