Advance the medical reform How could break through again

Advance the medical reform How could break through again
Advance the medical reform How could break through again
Staff reporter Dan Sun Meng Wang It is the year when the medical reform assaults fortified position this year, when the fourth Session of the 11th meeting of Chinese People's Political Consultative Conference(CPPCC) closes, we sum up, comb relevant views and views of committee members, expect in order to promote medicine to reconstruct speeches and give advice. Public the intersection of hospital and reform build, mention public the intersection of hospital and reform need, Professor of Nanjing medical university yellow high committee member think, under the circumstances that the government finance at present is put into the insufficient situation, should divide the public hospital into subsidizing fully, difference is subsidized, transfer to private three kinds. The first kind mainly offers cheap medical treatment service for low-income crowd; The third kind can offer the service that the society needs according to the circumstances, and from the funds that are obtained in the transformation of hospital, can put into first two kinds of hospitals, can throw to the demanding party too, in order to reduce the personal medical expenses. Deputy Director of Chinese Academy of Medical Sciences institute of internal medicine committee member Sun JianFang thinks, it is very good to encourage and lead the social capital to enter the medical market in a more cost-effective manner " Extra thrust " Way. "Only the increasingly many social capital enters this trade, form the pattern of a kind of competition with the public hospital, the public hospital will really ' add motive force inside ' improve from respects such as the quality, service, price,etc., could touch the difficult point on the system mechanism finally. " China - Japan friendship director committee member Xu ShuQiang of Ministry of Public Health thinks, how to set up with the public beneficial performance management system as the direction, and really implement the temporary lodging of performance management to post, individual, it is the public hospital that reforms " public beneficial, enthusiasm " Pivots and bridges between two goals. Promote the performance management of public hospital to make progress and break through, the government should increase input in construction such as the medical informationization, set up the tied mechanism to the public hospital. Say, should comb, assess, make the feasible plan of establishment of post the existing post from the hospital, set post according to demand, the performance appraisal result should be applied to all respects such as personnel flowing, position change, post salary,etc. directly. The strong basic unit answers " Many legs " Walk on Zhi Gong Dang's central suggestion, the community health Center in the city can try " government's executive, institute run institute's tube, speciality to supervise " The management mode of combining together, namely is taken charge of the planning of the hygiene service organization of the community by health authority; The hospital runs the hygiene service organization of the community as legal person's organization, manage integratively; Regional Center for Disease Prevention and Control, healthcare hospital for women children,etc. prevent the health institution from being responsible for specialized guidance and supervision of the public health service. In this way, not merely can promote the medical technological service level of health organ in the basic unit, also help to change the place of examination bidirectionally and shunt a patient in right time. The sand committee member Liu JiangLong, vice head of district of district of level ground proposes, adopts forcing the system of Huimin to the expert of hospital of the first, second and third in the market of Chongqing, include its work load in the medical health organ of the basic unit in the examination content of the end of the year, rotate, arrange for in the medical health organ of basic unit going on while being appropriate training and low the intersection of age and service seniority and doctor of intern at the same time, medical quality is in the charge of part-time doctor of the high age and service seniority of hospital of the first, second and third. Zhejiang University medical college attaches to the second hospital ophthalmology centre director committee member Yao Ke to emphasize, should issue national basic health care, serve catalogue as soon as possible, in order to clarify intension of medical care of different levels roughly. Will concern great infectious disease, common disease of all citizen's health,etc. will be listed in this catalogue, and regard public financial ability to take the burden as the prerequisite and submit an expense account to be free to the maximum extent. Meanwhile, combine the clinical route and norm of making a diagnosis, the norm, examining the medical behaviors of medical organization and doctor, thus improve the service quality of the medical health organ in the basic unit and reduce and cure the source injury. Whether medical education and doctor could merge committee member to propose to train, train the system and long length of schooling of medical education of our country at present the intersection of resident and standardization ' Seven -year system, eight -year system) Or the professional degree is educated and merged, adjust its course offered, make medical science grow and finish a resident standardizedly to train systematically under the guidance of tutor. The suggestion of Jiu San Society Central Authorities, the system that should set up to unified complete doctor, resident as soon as possible the standardization to train, should also guarantee to connect with the national hygiene talent's management system effectively. For example, for the guarantee of supporting policy from respects such as personnel's employing, cultivation, promoting, salary and conditions of professional title,etc., thus adjust structure of personnel of the good medical service organizations at all levels of our country and level. The late treasure honour committee member of committee's Deputy Director of the degree of Jilin University proposes, growing to medical science should require it is qualified to examine its rudimentary knowledge after basic course is finished in 3, and it is qualified to prove to issue, it is qualified to prove to be examined and issue the clinical skill after diagnostics, clinical lesson are finished and examined, entering again clinically while practising, medical science grows temporary medical practitioner's certificate, offer the effective legal guarantee for growing the clinical practice in medical science finally. The duke defends and serves equally to melt telling member of the CPPCC National Committee, Deputy Director of Hangzhou Municipal Standing Committee of the National People's Congress Chen ZhongHua of the actual effect to say frankly, though the country has served per capita funds the public health already equally and melted to bring up to 25 yuan this year, but how spend in place, see actual effect the money, need cautious decision. Chen ZhongHua say, the regional public health is served equally and melted in the Ministry of Health of the work planning reason and made at present, lack engagement and authoritativeness. In addition, the phenomenon that some areas value coverage rate, light service ability is comparatively outstanding. She advise, should confirm the public health on the aspect of laws and regulations to serve the equal service content, service quality, coverage rate and compensation mechanism,etc. that melt. Meanwhile, should also make the examination index system with rational science, including personnel's level, operation regulation, intervening quality,etc.. Chen ZhongHua still proposes, should make the working function in health propaganda and education of governments at all levels, construct people's cause for gossip of flowing " Manage the main fact, cooperate closely flowing out flowing into " Management tactics,from flowing into last public health government fully to last funds, it is balanced and putting to ensure the public health of floating population to serve the funds effectively in place.


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