The public hospital reform of our country enters the deep water Demand urgently to strengthen the top floor to design

The public hospital reform of our country enters the deep water Demand urgently to strengthen the top floor to design
The public hospital reform of our country enters the deep water Demand urgently to strengthen the top floor to design
Beijing, Shanghai, Baoji, Wuhu, Zhenjiang, An'shan, six introduced method and experience of the reform pilot project of local public hospital at the pilot working conference of the public hospital reform in 2011 recently. At the meeting, national development and reform committee's Deputy Director, medical reform Sun Zhigang, director of office of the State Council point out, cure at present and improve into the deep water, the public hospital reform is focal point and difficult point of the medical reform. He emphasizes, advances the reform of public hospital, should strengthen a design of storey. Dispose according to the State Council, Ministry of Public Health in February 23, 2010, compile and run, announce " instruction about the public hospital reform pilot project " in committee, the Ministry of Finance and five departments of the intersection of human resources and social security department of national development and reform in central authorities, have confirmed 16 countries contact the pilot city, all parts have chosen 37 provincial pilot areas to launch the work of launching a pilot project too. In these six places, besides Beijing, other five is the pilot city of public hospital reform of the national connection. The pilot practice since the public hospital reforms of development of these six places is summarized to see, through launch great the intersection of system and mechanism's reform explore, advance medical service system to adjust and recombinate, strengthen the facilities for the convenience of the people of Huimin to popularize and implement in an all-round way in a more cost-effective manner, strengthen hygiene talent's building of contingent, arouse a series of actions such as medical worker's enthusiasm,etc., have made positive progress in the pilot area. Meanwhile, met existing recruitment of public institution " dual track system " too in the course of reforming The phenomenon is difficult to break, the run-up main body of group's hospital is inconsistent with the responsible host of the hygiene service organization of the community, it is difficult for the mechanism of division of labor and coordination of work linked from head to foot to await reality of further improving etc.. Beijing: In charge of doing the professional plan for reform of public hospital of Beijing of advancing the president separately to take three steps, the first step will realize the tube is done and separated, establishes and runs the specialized agency of the hospital thoroughly, run the hospital in the capacity of state-run assets contributor. Health authorities fulfil the supervisory function of the trade. Ding XiangYang, Vice Mayor of Beijing, reveals, Beijing is preparing to establish municipal medicine and in charge of the office, responsible for the management of the city owned hospital people's property. "Administrating personnel will especially in charge of a president, should advance the president's professionalism, strengthen and examine the president's performance. Running affairs is basic management, inside running and reform which are responsible for the hospital. Centre on respects such as the hospital order, cost, efficiency, environment, security, culture, brand, satisfaction,etc., manage the standardization, specialized foundation finely melting to the medical service act. Deepen reform, set up modern hospital management system, advance medical treatment, recover, attend to the differentiated control of hospital that is separated. In charge of the assetsing is to manage assets situations such as making the investment, planning, developing, cost accounting of the hospital,etc.. " Ding XiangYang says. Shanghai: Overall arrangement citizens can reach a tertiary hospital in an hour to optimize the structure of public medical organization Shanghai rounds " In charge of the long-term, do spade work, sustainable " ,Have chosen " Overall arrangement of optimizing the structure of public medical organization, resident's standardization training, information construction of hygiene taking resident's electronic health file as the core " As three special pilot projects. Correct the Deputy Director, health bureau chief Xu Jian's mere introduction according to medicine of Shanghai, from 2010, ensure at the cost of two grades of governments in the urban area, newly build 5 tertiary hospitals in the suburb in about three years, promote 3 hospitals of suburb second as the tertiary hospital. Build up, realize each the intersection of suburb and county have one tertiary hospital, can reach a tertiary hospital in the an hour such as public transport such as citizen such as Shanghai, thus improve suburbanite's fairness and accessibility of enjoying high-quality medical resource. Baoji of Shaanxi: Explore and set up actively long-efficiencily that cooperates that helps the mechanism Baoji is the country " Guan Zhong - economic zone of the sky and water " One pair of key cities, build thrust augmentation and raise speed in land urbanization of the county. Baoji is based on reality, explore actively the public hospital of western low developed area reforms the new way. Baoji the intersection of city and mayor wear, solicit society, say since public the intersection of hospital and reform pilot work start, according to " protect the basic, strong basic unit, build the mechanism " Principle,explore actively we set up because it is long-efficiency if you can't cooperate, help by mechanism, can't lead resources medicals high-quality not to be sunk effectively, let more masses have an optimistic view of the disease in the basic unit. Through " the third grade is helped, moderate breeze is linked " Wait for action, take management, procedure, give a new lease of life to, intensify, run advanced person manage the idea go down to the grass-roots units gradually finely, the basic unit runs the performance is obviously promoted, help 10 hospitals at county level to launch 16 items of new business together, train 136 pediatrics, internal medicine department, business backbone of department of traditional Chinese medicine for the health clinics in towns and townships, guide the village clinic and improve more than 1000 service regulations, has improved the service ability at the basic level greatly. Wuhu of Anhui: Insist the public service principle advances the reform of compensation mechanism of public hospital mayor of Wuhu city Yang JingNong introduces, since 2008, the finance of Wuhu has been put into no less than 50 million yuan every year for five years in succession, used for combining medical resources specially, support the public hospital to accelerate the construction of medical infrastructure. After over 2000 retired personnels of every medical organization all strip and enter the social insurance, the finance was appropriated originally the undertaking funds of 40 million yuan were not still reduced every year to give the hospital. Expense, patient of medical insurance, " And then pair is made " Change into " prepays and makes " ,Prepay 90% fund of hospital per month according to the expense level of the medical insurance of the same period of last year, meet circulating fund of the hospital's needs. Zhenjiang of Jiangsu: Innovative resources are distributed Zhenjiang mayor Liu Dong of the way rationally and introduced, the overall thinking of the medical reform of Zhenjiang is that " a core four moves ahead simultaneously " : Namely regard public hospital reform pilot project as the core, four reforms of advancing basic medical treatment to ensure synchronously etc.. To the public hospital reform, our city insists on relying mainly on voluntary, regarding assets and technology as the tie, have set up two medical groups taking tertiary first rate hospital as the core in the urban area, hospital, section hospital and all whole organizational system of community health Center incorporate into every second, invest the newly-developed and re-developed medical house of nearly 1,200 million yuan. Meanwhile, Liu Dong also mentioned some questions needing to go on and explore that are met while the public hospital reforms, there is recruitment of public institution now " The dual track system " The phenomenon is difficult to break, need to make overall plans nationwide, strengthen the top floor to design; The run-up main body of group's hospital is inconsistent with the responsible host of the hygiene service organization of the community, the mechanism of division of labor and coordination of work linked from head to foot remains to further improve. An'shan of Liaoning: Optimize the overall arrangement and combine medical resource An'shans because of the historical reason, the place and Anshan Iron and Steel Plant, two sets of health care service system, coexists for a long time, organization structuring overlaps, the problem with unreasonable, unbalanced in resource distribution overall arrangement is very outstanding. To the situation, An'shan make the regional hygiene plan to be planned with medical organization structuring again, adopt methods such as similar amalgamating, arrangement adjustment and moving to transform,etc., has carried on all-round, multi-level integration to the health care resources in the whole city. Vice Mayor of An'shan city Wang ZhongZhe says, passes medicine Treat the integration of the resources, An'shan has already formed " 3 big medical group, 4 regional comprehensive medical centres, a public health centre at present, and several characteristic section hospitals " Medical for resource new for overall arrangement,form " last community (village) diseases light " ,General the intersection of disease and person who produce ' Villages and towns) ,Serious disease does not go out of the city " Seeking medical advice pattern,get, community, masses proportion that villages and towns seek medical advice improve to 25.2% last year from 17.6% of the year before last already. At 2011 year public the intersection of hospital and the intersection of reform and pilot working conference, national the intersection of development and reform and the intersection of committee and Deputy Director, director of the State Council medical reform Sun Zhigang say, can only come to design from practice to top floor, reach to practice, through several being repeated, finish the whole course that knows. Place want, combine public the intersection of hospital and the intersection of reform and pilot requirement of job placement turn concrete the intersection of system and frame and implementing scheme into 2011 year actually, the national aspect will strengthen the guidance of the pilot cities and counties reform conscientiously this year, concentrate strength on being set about carrying on the system design of public hospital reform on the surface. Chen Zhu, minister of Ministry of Public Health, reveals, " difficult to see the doctor " to round and solve firmly , " it is expensive to see the doctor " The question, implement a batch of public hospital reform measures seen accurately with instant effect, trying the masses get material benefit and make breakthrough progressing. Advance the reform of many kinds of means of payment of paying, prepaying according to number paying, total value according to the number of people etc. in a more cost-effective manner, realize basic medical treatment ensures the expenses to settle directly, promotes the public hospital to allocate and use the basic medicine preferably, improve the centralized bid and purchase of medicines and consumptive material. The hospital at county level will become the links of focal point of the reform of public hospital, the difficult respect of relieving the masses and seeking medical advice plays an important role.


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