Chengdu: Medical reform " experiment field " What longer than?

Chengdu: Medical reform " experiment field " What longer than?
Chengdu: Medical reform " experiment field " What longer than?
Key suggestion Chengdu public the intersection of hospital and reform pass half a year already, in charge of office realize tube run separate through set up medicine, cure and make a change in Chengdu " The experiment field " The situation grows to see the clue for the first time. From January to June in 2010, Chengdu is in charge of the public emergency call amount of hospital door to increase by 10% compared with the same period of last year; The person increases by 16% compared with the same period of last year to leave hospital. In a situation that the software and hardware has not basically changed, through promoting efficiency, a certain degree has been relieved " it is difficult to see the doctor " . Staff reporter gentle the intersection of space and man Liu have / pursue On September 7, the People's Hospital of Chengdu second connects with one hospital at county level in the city formally, have taken shape in Israel " Fly in the ground hospital " Preliminary purpose that the mode enters into cooperation. So-called " fly in the ground hospital " ,Namely it is large-scale in city hospital through jointly organizing, depositing, share,etc. realize whether there aren't strange land, purpose to export high-quality resource, promote to take disposition while being fair public medical resource. According to " walk out " Development strategy, Chengdu is in charge of public hospital's facing Chengdu two three circles and one storey of districts (market) The county, look for their own " fly in the ground hospital " Placement, let the masses in Chengdu of universe enjoy the tertiary hospital to serve nearby. So far, the public hospital of Chengdu reforms " experiment field " at the beginning of the year The situation grows to see the clue for the first time. " in charge of doing and separating " Delegate power in the hospital in presidents' view, is " in charge of doing and separating " Let the hospital have greater autonomies. In January of this year, Chengdu Hospital Authority is established, is authorized 15 public hospitals at city level of holding and management by the municipal government, health authorities no longer manage the hospital directly, but supervise the trade. This kind of system is outside " In charge of doing and separating " Still belong to the first in the hinterland. The public hospital of Chengdu reforms and launches in the dispute sound. After medicine is in charge of office's tenabling, involve the development plan, financial administration, capital operation, organization structuring, group form a cabinet, the intersection of worker and the intersection of employ, concerning foreign affairs affairs, equipment purchase,etc. and to delegate power to the lower levels give hospital eight respect. In presidents' view, are " in charge of doing and separating " Let the hospital have greater autonomies. In the past, the city was in charge of public hospital's buying the apparatus of more than 50,000 yuan to need responsible institution to examine and approve promptly, pass the bid procedure again, it is time consuming and very long. "Actually the idea which we thought of first, when the apparatus is put in place, there are the private hospital, provincial hospital first, thus lose the first chance of leading development. " Two hospitals of relevant persons in charge of market say. Now, the hospital of city two has the right to determine to purchase under 1 million yuan apparatus independently, this institute is according to the cosmetic department of newly opened skin of market demand, over 10 apparatuses such as laser therapentic instrument are basically put in place at the end of August, utilize the advantage of competition development of the Hi-Tech apparatus to appear. While delegating power to the lower levels, responsibility is greater. After pursuing president's responsibility system in an all-round way, the presidents break through the public hospital thinking making type that necessary governments undertake the whole things, have established market awareness in an all-round way. The hospital of city five located in Wenjiang expands the market voluntarily, cooperate with peripheral hospitals of counties and cities and health clinics in towns and townships, receive the critical patient. On 6 - 20 of August, transfer from the sub town commune hospital of the street of market of high state to a pair of rosy clouds of lying-in women of the hospital of city five, go into a coma for 10 days, the heart stop suddenly 3 times, break away from the life danger through sueing and labouring. This institute " Achieve a of mirror technology of surgery a little " Radiating the perimeter extensively, the patient exceeds 30% outside the port at present. At first half of the year summing-up meeting, Chengdu medicine in charge of Lou, chief of office, stock for several times putting emphasis on " competition consciousness " . "The enemy is at the city gate in the market competition from provincial hospital and private hospital, we should be fast to implement high-quality resources to cover strategy fully, look for ' fly in the ground hospital ' the placement. " Meanwhile, it is in charge of office's encouraging the hospital to return the market of low end to the hygiene service organization of the community too curing, concentrate strength on making the key competitiveness of the hospital. "Realize the tube is done and separated, intervene too many states to the hospital after changing the Ministry of Health through setting up ' medicine is in charge of the office ', activate the competitiveness of public hospital, help to guarantee state-run assets appreciate. " One familiar with Chengdu and cures the member of the CPPCC National Committee who changes inside information and says. " constitutional reform of the hospital " Supply supplementary potentiating public hospitals of Chengdu and offer some ideas one after another, solving efficiency bows the problem, help the masses seek medical advice. Masses " difficult to see the doctor " Important in reason effective supply of structures medical is insufficient in ability. There is expert analysis, central authorities and local government are 3 years (2009 - 2011 years) Total will be put into the medical reform fund of 850 billion yuan, 2/3 among them are used in the demanding party (the patient) ,Only 1/3 are used in the supplier ' Medical organization) ,These 1/3 are cast on medical health organ and professional public health organ in the basic unit especially. "The supply of the hospital increases the fast growth which can not catch up with the medical demand, the hospital must try every means to increase and supply ability. " Lou Jin describes the situation for the moment " Time and tide wait for no man " ,He thinks, if Chengdu hospital does not realize the great-leap-forward development in recent years, will lose and enlarge and strengthen the good opportunity by mistake. But the hospital " The hard capability " (hardware scale) It is impossible for promotion to accomplish in one move. Medicine of Chengdu is in charge of office's confirming 2010 as the hospital " Efficiency is promoted annually " ,Through optimizing actions such as the procedure, improving the service,etc., increase the effective supply of hospital getting instant result. In first half of the year, public hospitals of Chengdu offer some ideas one after another, solve " the time of paying the fees is long, the time of waiting is long, the time of making a diagnosis and giving treatment is short " Wait for efficiency to bow the question, help the masses seek medical advice. City one hospital amalgamate the intersection of midwest and medical room, establish enter discharge office, pay the fees, social insurance check concentrate hall on the first floor on, adopt the bank to call the brass-wind instrument type service. The intersection of citizen and KeQiang Yang act as the intersection of cataract and operation, the intersection of daughter and the intersection of Ms. and August 20 " a station type " Yang in institute this Finish the discharge, save time of half than the past. The hospital of city two puts out and sees the doctor " Sincerity is prepaid and made " Serving, the patient is admitted to hospital and " escort " the social insurance card In the hospital, all treats and finishes, at one time pays the bill, does not line up to pay the fees many times again. On June 12, medicine of Chengdu is in charge of office's issuing eight regulations, demands to serve the window (register, row prices, charge, fetch medicines etc.) clearly Waiting time can't exceed 10 minutes; The survey report not needing to provide the result on the spot can be offered to the patient by way of E-mail, message, fax,etc., prevent the patient from running on the way repeatedly; It is zero to demand to undertake the first class malpractice above ultimate liability by the hospital. From January to June in 2010, the city is in charge of the public emergency call amount of hospital door to increase by 10% compared with the same period of last year; The person increases by 16% compared with the same period of last year to leave hospital. In a situation that the software and hardware has not basically changed, have increased effective supply through promoting efficiency, a certain degree has been relieved " It is difficult to see the doctor " ,The masses see the doctor the expenses are controlled to a certain extent too. In first half of the year, it is lower by 66.4 yuan than the average clinic person's expenses of hospital under the province of the whole country of 2009 that the city is in charge of the expenses of clinic person of the public hospital. Promote " hard capability " Increasing the hospital has investment plans to supply too. In charge of the introduction to the office according to municipal medicine, it is used in expanding thousands of berths investing hundreds of millions of yuan to take 3 years, used in apparatus renewal and talent introduction, take shape and supply greatly Ability, " it is difficult to see the doctor " The question will be relieved effectively. Internal management " Because the institute should make " Multiple reforms advance side by side, " raise medicine with medicine " The difficult position is being turned back. Until reform step into deep water, how realize encourage, medical reform cost how the intersection of person who dissolve and question approach step by step effectively hospital. In first half of the year, reform of personnel system, distribution system reform, financial rule reform of the public hospital of Chengdu,etc. advance side by side, reform the progress " Because the institute should make " . Before the reform, city three hospital limited by on overstaffing in organizations and the idea was outmoded from later stage to 2008, 1990, clinic quantity is slipped to fewer than 400,000 persons under up to a million persons from the whole year. Will not " find the market unless cut payroll to improve efficiency, break with the conventional idea " ,This Zhang XiaoXuan, secretary of institute, says frankly. June 7, three hospital combine, simplify for 11 19 functional department, through compete for, get on post, director of functional department, 26 people. The newly formed operational department puts forth effort to study the procedure to optimize, after checking and minuting to the nuclear magnetic resonance on the spot, find the patient wears the clothes to exceed and check time time consumingly, through optimizing procedure, can check 8 more people every day now, the patient makes an appointment for time and reduces as one day from 5 days. A hospital of market moves south to 3rd Ring Road from the city center at the end of 2007, is not favoured for a time. This institute at present " The small stand stand " Change " great dimension " ,Get onto the track of benign development, and take the lead in carrying on the distribution system reform. Implement the salary revision pilot project of the performance in March of this year, strengthen patient's satisfaction examination weight to 30%, an ob-gyn of this institute meets with patient's effective appeal, is arrested 30% performance salary of hair that month. Base on the premise that the hardware scale can't expand immediately, medicine of Chengdu is in charge of office's requiring the hospital to walk in a low price, high-quality road and surmount and develop the bottleneck, the cost of the hospital is controlled into primary problem. In first half of the year, a hospital of market " regards hospital as the centre " With the hospital of city two " Regard patient as the centre " Cost control mode last results better. "No matter with what for control cost by centre, principle to want, let the intersection of hospital and sustainable development, let staff and patient satisfied, we encourage multi-form exploration. " Municipal medicine is managed the relevant person in charge of the office and said. Medicine Chengdu that office assign medicine take than ( The medicines income takes the proportion of gross income of the hospital) The index, the hospitals at all levels take tough means to carry out, the task is decomposed to the department, tie to salary of performance. The city is in charge of average medicine of public hospital to account for than 41.29% in the first half of the year, well below the coastal area and tertiary first rate hospital level of middle part, city two hospital medicine account for than bring 39.24% down to. " raise medicine with medicine " Torsion of the difficult position.


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