Advance the new medical reform Five systems analyse and explain and see the doctor the ugly disease expensively

Advance the new medical reform Five systems analyse and explain and see the doctor the ugly disease expensively
Advance the new medical reform Five systems analyse and explain and see the doctor the ugly disease expensively
" it is difficult to see the doctor, it is expensive to see the doctor " by 2009-03-13 It is the most urgent problems of common people, have already become the eager problem that solve most of governments at all levels too. Premier Wen proposes in " government work report ", advance the development of medical hygiene industry reform, from this year, do a good job of five following jobs especially: Advance basic medical treatment to ensure the institutional improvement, set up national basic medicine system, perfect the service system of health care at the basic level, promote the basic public health to serve progressively equally and melt, pilot project of advancing the reform of public hospital. At national two Conferences, Chinese Health Ministry says publicly this year: The new scheme of the medical reform will be here " Two Conferences " Later announced and implemented to the society, in order to reduced people and saw the doctor to pay the proportion for itself, reduced the medicine price, " it is difficult to see the doctor, it is expensive to see the doctor " to analyse and explain fundamentally Question. Five jobs are that five jobs advance the reform of medical and health: In advancing basic medical treatment to ensure the institutional improvement, the government work report is proposed, urban the intersection of worker and basic medical insurance, urban residents basic medical insurance and the rate of joining insurance is raised to more than 90% in the new rural 3 years such as cooperative medical service. In basic medicine system, the government work report proposes, will make and release the national basic medicine catalogue in unison this year, issue basic medicine production, circulation, prices, policy of submitting an expense account of using and medical insurance, solve the masses and see the doctor and seek medical advice and basically use and bear with the expenses for medicine. In perfecting the service system of health care at the basic level, the government work report is proposed, state revenue support 5000 more the health clinics in towns and townships, 2000 hospitals and the construction of community health Center of 2400 cities at county level of centres in the following three years. Support the clinic construction of village of outlying district. Promoting the basic public health to serve the equal respect of melting progressively, the government work report is being proposed, expand the service range of free public health, the project input to increase great infectious disease, chronic disease, occupational disease, endemic disease and prevent and cure. The pilot respect of advancing the reform of public hospital, the government work report is being proposed, management system of the key reform, operating mechanism and supervision mechanism. Cancel and mend and cure the mechanism with medicine progressively, advance the reform of compensation mechanism of public hospital. 850 billion yuan guarantees the reform advance the government work report to propose, advance the development of medical hygiene industry reform smoothly, the governments at all levels plan to invest 850 billion yuan in the following three years, among them, the state revenue invests 331,800 million yuan, in order to guarantee a smooth system reform of the medical and health promotion. According to financial budget report, arrange 1180 in health care expenditure of state revenue of 2009. 5,600 million yuan, increase by 38. 2%, will support to advance basic medical treatment to ensure five key jobs such as institutional improvement especially. The authority analyzes that points out, analyse and explain the difficulty and high cost of getting medical treatment question presently, also need the government to increase the input in health care after all. Nearly 40% of the medical expenditure has increased and revealed the government to the attention deepening health care reform. And according to the budget report, 1180 this year. The health care expenditure of state revenue of 5,600 million yuan is used mainly in: --Improve the new rural cooperation medical treatment system, set up basic medical insurance systems of urban residents in an all-round way, subsidize the standards and all reach 80 yuan of per person in central and local finance, state revenue arranges the subsidy fund of 30,400 million yuan. --Support, solve central authorities and central authorities transfer policy the intersection of closure and bankruptcy and state-owned enterprise and locality bankrupt the intersection of state-owned enterprise and retired personnel effect an insurance problem in accordance with the law further. --Strengthen the medical rescue in urban and rural areas, the state revenue arranges 64 of subsidy fund. 500 million yuan. --Perfect the service system of health care at the basic level, support to build 2 especially. 90,000 health clinics in towns and townships and expanding the health clinics in towns and townships of 5000 centres, support the urban community hygiene service organization, health clinics in towns and townships to allocate the medical apparatus, the state revenue arranges 165 of subsidy fund. 300 million yuan. --The work of public health of strengthening great infectious disease and preventing and curing etc., the state revenue arranges the subsidy fund of 24,600 million yuan, support the place to offer basic public health service for charge free of urban and rural residents according to the project, per person's public health service funds standard is not lower than 15 yuan in 2009. Establish the medical reform focal point of five respects in Shaanxi In order to solve common people " Difficult to see the doctor and see the doctor expensively " The question, in recent years, our province has done generous work, has pursued a series of health care system reform action for this too. At hygiene working conference of the whole province held in Xi'an a few days ago, established the focal point of work of five respects of system reform of health care of this year of our province: First, consolidate and improve the new rural cooperation medical treatment system, advance basic medical treatment to ensure the institutional improvement. Raise peasants and compensate the proportion in hospital, the clinic conducts the proportion and pays the limit. Shut 15% that the surplus of those years of funds can't exceed the total funds raised of those years newly and agriculturally. Second, pursue the basic medicine system, set up the basic medicine catalogue with rational science and select and adjust the mechanism of management. Require the medical organizations at the basic level that the government holds to all all allocate and use the basic medicine in principle. Third, improve the service operating mechanism of health care at the basic level, raise and serve efficiency and level. The whole province invests 1 this year. 500 million yuan, build 15000 clinics of standardized village, community's annual per person's public health of the whole province is subsidized from improvement of 14 yuan to 21. 5 yuan. Fourth, promote the basic public health to serve equally and melt, narrow urban and rural residents and serve disparity progressively. Implement rural pregnant and parturient women give birth in hospital policy free in the whole province, launch rural pregnant woman with pregnant to mend, admire folic acid, work in early days, the vaccine inoculation of hepatitis B is expanded to 15 years old from 6 years old. Fifth, the pilot project of advancing the reform of public hospital, pushed away progressively in 2011, checked and calculated respectively medicine in reform, manage separately. Cancel the medicines intermediate layer policy progressively, the government is responsible for capital construction and large-scale medical equipment purchase, the public health service task which the hospital undertakes is replenished specially, safeguard the public service properties of the public health care. In the face of the new medical reform scheme which the country will issue soon, the authority of department of public health of province says, paying close attention to, wait to appear on the stage in new scheme, will combine the actual conditions of our province to carry out in an all-round way.


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