Quiz 2011

Quiz 2011
Quiz 2011
The intersection of staff reporter and the intersection of policy and Meng Cao celebrate general the intersection of king and red the intersection of the people and pieces of brilliant brilliant cub reporter Chen XiaoMan Yue, king of Lu, Han It takes two weeks of the past just now, national hygiene working conference, national food pharmaceuticals administration working conference, traditional Chinese medicine working conferences national, hygiene system discipline inspections national and last this year such as relations such as working conference,etc. it is hygiene meetings important where work move towards. Every meeting-place, all of us are listening attentively to, listen attentively to the idea to the overall situation of the medical reform of a policymaker of the hygiene, listening attentively to them will assault fortified position on one gram of a difficult ones suggestion to medical reform. But we not merely listen attentively to. In the past 2010 years, a lot of media events attracting people's attention have taken place to the health care trade. Those persons and things disappearing on paper are still continued in reality. They are still influencing our life and even the overall situation of the policy quietly. We are leading these news in the past into the meeting-place, question policymaker of those hygiene, listen to them explaining, ask them to comment on. History is yesterday's news. Question in the history, not only in order to make an inventory later, it is for looking forward even more. These initiate the question paid close attention to even disputed on in 2010, seem not to receive the satisfactory answer at that time. In 2011 years when have been already beginning, can we have the answer? The commune hospital, buy? Yuhang district of Hangzhou of Zhejiang Province of the background passes the efforts of 21 months, the commune hospital of buy-back of governmental investment of 300 million yuan. One play of news, has caused the extensive concern of the public opinion. Among them no doubt have " 300 million yuan " Attract the eyeball, but more comments, have pointed to a key problem faced in medical development of health organ of the basic unit: How should the government make a reservation, how to play a leading role? The discussion that as to this, at the hygiene working conference of keeping lasting until this year, in the minds of a great deal of local hygiene officers, do not still have a definite answer. " what let the government hold on earth on the sound? How should the basic public health service be bought? There is not a definite answer now! " At the discussion meeting-place of the national hygiene working conference, a hygiene officer in Yunnan Province finishes talking, the echoing of following sighing of the next slice of field. These questions easy to answer in academia's view, in actual operation, but make the hygiene administrator rather troublesome. Yuhang the intersection of buy-back and the intersection of shareholding system and the intersection of commune hospital and the intersection of dispute and sound, to the limit, on January 13 of this year, hold the hygiene working conference of the whole province in Zhejiang Province, has assigned " six major projects " . Among them propose clearly, as to the organic health clinics in towns and townships of more than 30 transformation at present, want the form of taking government's buy-back or buying serving etc. to solve. Several provinces of neighbouring Zhejiang, are trying to solve the problem of the organization at the basic level too. Anhui Province drawing room of department of public health grows tall and opens the flame and says, there is a similar situation in the basic unit of Anhui, especially community's organization, the situation is more complicated, the various forms of service station of hygiene at the basic level coexist, considering several methods, if you do not adopt and buy the form served, otherwise come back in all Long. The government is calculating tentatively too, but the situation is really more complicated than the ones that estimated, and to the fund shortfall of buy-back, the financial resources are not supported either. Numerous hygiene heads of department and bureau do not maintain the medical organization at the basic level is held by the social capital, this is mostly in consideration of reality. "It is not easy to manage to buy and serve. " A chief of department of public health of eastern provinces says, it is not enough for relevant policy system to connect, it is unable to keep up with management to need. Take over totally government,at least in supervision can degree effectively. But what let local officers complain is, the view which they approve, seem not to fix on the central aspect yet. "At the end of last year, the Ministry of Finance allocated a sum of funds suddenly, demanded to subsidize the private organization in the basic unit. Why mend, how to mend, every province is confused. " The public hospital, " sell " Do not " sell " ? The background is in Kunming of Yunnan, the public hospital reforms system and recombinates to run through the topic in 2010. In June of 2010, jointly sweet and refreshing medical investment Management Co., Ltd. has been established in first hospital and Yunnan Province city construction investment Co., Ltd. in Kunming, take and encourage the social capital to participate in a step of substance that the public hospital reforms system and recombinates. Introduce the socialized capital, participate in public hospital's reforming system to recombinate, let the right and wrong dispute to be constant. The supporter can thereby optimize the allocation of resources to praise for, the opposition person upbraids he follows " sells to the hospital " Old track. The public hospital develops to participate in the socialized capital, how to leave on earth? Expect in 2011 years, we can find the answer. The sound " ' unwilling to take to the greenwood ', but is forced to do so. " The difficulty of provincial finance of Yunnan, but masses' medical demand blowout, the development of the medical industry can't meet patient's demand, can only adopt the method of financing of many kinds of channels. "' insufficient army provisions ', can only lend the arrow by grass ship. " The chief of department of public health of Yunnan Province thinks oldly the people say. The act of the reform to Kunming, chief of Kunming Municipal Health Bureau Xu Yong just explained, if 3 public hospital shareholding systems of Kunming reform system project cooperation succeed, the total amount of medical resource at city level will increase nearly 70% rapidly. While a hygiene officer from Guangdong is agreeing to the method of Kunming, have shown the greater one out " The wild ambition " . Compared with Yunnan, Guangdong has not lacked " army provisions " Its anxiety, his starting point is to introduce the competition. "Only proceed with increment, it is at all unable to shake the existing pattern of medical market that social forces goes through medicine, it is more unable to form the effective competition. " He says, if can divide a part of the best medical resource to hold for social forces, that may appear " Catfish's effect " . But he admits, it is one that imagines, very about to realize now, still need to wait for the opportunity. As to this, chief of Jiangxi Province department of public health Li Li does not approve. He thinks he represents the hospital of the regional level, should be dominated by the government. If all unlocking, I'm afraid what final interests are damaged is still common people. Even carry on the attempt of transformation of public hospital, should hold cautiously. In fact, he does not advocate raising a hand to strike existing medical resource stock, but should increase the stock, " the country of China Association for Promoting Democracy enters " . Specially need, whether shell? December of 2010 of background, medical expert, bright a few words of Shen Xiao, Vice Mayor of Shanghai, have caused the disturbance of a public opinion. Shen XiaoMing mentions in the once speech, Shanghai is considering stripping " intermediate court of the institute " of the public hospital Or specially need the ward, return the resources of the berth to common people. This view, has caused numerous presidents' query. Strips the dispute specially needing to initiate, just a " disturbance in the teacup " ,Because this measure does not have essence movements temporarily, need 3 and may implement at the soonest. But behind stripping need specially, highlight government to the intersection of hospital and public beneficial the intersection of understanding and view. The medical resources of the public hospital are finally deserved How to dispose, how should fair and benefit be given consideration to? It is still far to strip the time when specially needs, but clear up these questions? �� swallow moat cover, mend �� to be thin? " the understanding of the media may be offsetted to some extent on the sound. " Talk " stripping specially needs " ,Chief of Shanghai Municipal Health Bureau Xu JianGuang explains, " strips " in a hurry Do not " cancel " . Xu Jian only says, Shanghai specially needs medical care to have two kinds of forms in all at present, one jointly operate some China and foreign countries social capital with public hospital of organization coorperate and provide, specially need the service, one kind is that the own medical resources of public hospital were offered. Xu Jian only says, the stripping that is put forward this time, is mainly for the social capital part, separate it from the public hospital, the public hospital can still keep the existing VIP clinic, need advanced medical care ward bear the weight of specially in the past, concentrate, reach, lie Pudong New Area respectively and in the the intersection of Minhang and two large international medical garden of district, take the way that production, teaching, research combines together, the public hospital offers support with oneself technological advantage, the profit obtained is still used for ensuring the public hospital. The course need, might adjust finishing progressively 3 year to 5 year at least. Xu Jian only says, runs " intermediate court of the institute " Or specially need the ward, it is the special policy which the government implemented while putting medical treatment into insufficiently in the past. The thinking of medical reform of Shanghai reveals, the finance will offer every public hospital compensation fairly proper, reach, can let, need ward withdraw from public hospital specially already, return resource, give in the basic medical treatment. The method to Shanghai of a hygiene officer of one province in the South expresses " It is difficult to understand " ,He refer to an expert's research conclusion, idea of Shanghai shout " move " Seem more suitable, can only solve the problem not tying up existing public hospital hardware resources, only give up the berth, move out in the consulting room giving up, field. In fact perhaps just 100 specially need berths in the hospital, there may 500 to specially need the berth in two major gardens now, need more high-level medical experts, whether be interpreted as " tying up public medical resources to the greater extent " (used at the end of a special alternative, or rhetorical question)? Food, when is safe? The background only needs to drip into one or two drops, a pot of fresh water can turn into delicious soup-stock when setting up horses. This kind is called " One drop is fragrant " Additive,last that the trades regular without being sneaked. In addition, the little lobster incident of evil mind milk power incident, Nanjing exposed continuously, the past 2010 years, the food security incident happens repeatedly, this lets the pressures of heads of department and bureau of hygiene be enormous: "Worrying about three things from morning till night, first, health care reform, second, the hygiene meets an urgent need, third, food security. " Food and beverage service links are in the end supplying the chain from farmland to whole food of dining table. Planting, cultivating, producing the risk existing in processing, market circulation,etc. every link may break out in food and beverage service links, thus lead to the food security incident. In 2011, can we even more? The sound " guarantees food of food and beverage service's security, should catch key link and key variety. " National food medicines supervise Bian ZhenJia, Deputy Bureau Director of administration bureau, saying. At the national food pharmaceuticals administration working conference, the reality that many officers of Bureau of Drugs Supervision approve is, of our country food and beverage foundation still weak in trade, manage classification to be extensive entry threshold low dealing in siting more, and quantity old and level different interloping the intersection of phenomenon and the intersection of person who stress and problem, existing in different areas to some extent. Especially enterprise's management level is generally not high, safe consciousness, sense of risk, sincere consciousness and responsibility consciousness are also relatively thin. OK correctly " Make immediately, consume immediately " Have not made the small-scale food and beverage service of the food and beverage service licence to supervise yet, it is a difficult problem that all parts generally face. National food medicines supervise the food security of administration bureau supervising Xu Jing, chief of department, and introducing, this year, will regard as the pilot city with Beijing, Shanghai, Tianjin and Chongqing, it carries on light eating houses, little peasant families to be happy rectifying norm and demonstration construction by light the intersection of diet and the intersection of group of stalls,etc. and all kinds of light food and beverage. Expect to make the small food and beverage reach progressively " the overall arrangement is basically rational through pilot work, facilities are basically complete, the system is basically complete, are basically ensured safely " Goal. The experience of Beijing is letting " Brand of thinking, select the restaurant to become a new habit of consumers' gradually " . Announcement of the unit hygiene grade of food and beverage that Beijing has realized in an all-round way " Five are unified " : Unify and hang the hygiene grade sign at the gate of restaurant, unify and put " information platform of sanitary control " at entry to the restaurant ,The striking seat puts up in the commodity section in unison " The sanitary control of food and beverage supervises the announcement column of information " ,Unifying and operating an entrance and marking and operating the place name, is unifying and operating the area and putting up the post hygiene system. Commission, when to " have no door " ? Small U one of one background makes doctor of Hangzhou several hospitals fall into " The commission door " ,The Beijing tumour hospital doctor is suspected of being involved in and open to deduct a percentage only reporting of the offence, " asparagus slice of sky-high price " that the profit rate is up to 1300% appears in the catalogue of medical insurance of Hunan Province ,Heads of the department of medicine of 9 public hospitals in Zhuhai fail collectively, there is " north consonances, south Hunan is refined " Its reputation " Hunan is refined in a century " Corrupt nest involving case In 2010, the health care trade becomes the high hair area of the corrupt problem. Someone says, in the public hospital, these posts of pharmacy dept., capital construction department, finance section are the most dangerous. Then, where has corrupt interests chain of this medical treatment already been extended? Where is the crux of the corrupt problem of medical system? Still the rampant one sneaks the rule in the medical trade, what kind violent medicine should the relevant department play? " what our medical worker faced is the struggle of a money and human nature on the sound, the outside temptation that they faced has already been far greater than one's own holding capacity far, how could this battle be won? " Stay in the Qi jade platform of the leader of discipline inspection group of department of public health of Guangdong Province and say. And check unhealthy tendencies and malpractices at the discussion meeting-place of the working conference in the national hygiene system discipline inspection, platform of jade of Qi is said, " public relation training class " that he has ever seen enterprise holds medicines Teaching material,inside be divided by 6 major types of head of the department on medicine in detail, be summed up how not to let doctor not agreed by 9 kinds of methods written a prescription, and all these are medical representatives having dealings with doctor on the first line for a long time, according to personally summarizing the experience. "If all medical representatives handle like this, I'm afraid head of the department can withstand few pieces of medicine. If participated in medicines the expert evaluating the tender has already become the stealthy advisors of enterprises, can price of this medicine be still fixed? If medicine head of the department and doctor have already become the employ personnel of enterprises, how do ' amphibious people ' supervise to these? " "To the corrupt problem of medical treatment of emerging in an endless stream, must take out the new solution, only emphasize ' warning was prevented ' in the past, would pay attention to ' dispelling was prevented ' even more now. " Platform of jade of Qi is proposed, Can imitate the foreign method, set up a " sincere record " as soon as born in beginninging for everybody ,Must investigate while choosing the person engaged in the sensitive post " The sincere record " ,Can't work hard only in the formulation of game rules, but ignore and play the person of the game; Meanwhile, the ones that have already called upon for a long time have bribed the enterprise " blacklist system " Also must issue immediately. An insider says, the reason why medical worker becomes enterprise's unprincipled public relation target of medicine, one of the reasons is that medicine is supervised on behalf of nobody. He says, Ministry of Public Health has ever made one " medicine represents Rules of Conduct " ,But not been approved by relevant department. At the beginning of of 2010, the system of circulating of medicines has already been incorporated into the management of Department of Commerce formally, is supervising this field in the deliberation of the responsible institution too effectively. False Chinese medicine, why overflow? In background 2010, will wave " Chinese medicine will keep in good health " The big flag one " Highly skilled doctor " , " one is long " --Piece realize copy and first Li, become much more popular rapidly, and then low-spirited curtain call. Have a provocative slogan, drama plot real one once very much " Chinese medicine health care " Have pushed to the sound of public questions, hard to extricate oneself. No matter piece realize copy or one Li, swindle by false pretences holding the banner of traditional Chinese medicine, let a lot lose confidence to traditional medicine to people that does not understand this. Why did false Chinese medicine overflow so? Can we still enjoy real health care and health service? " mends the fold after the sheep have been stolen, it has been late, is limited that the sheep counts on the sound. So, no matter the government is interdepartmental strengthens cooperation, fill in and supervise the blank of link as soon as possible, strengthen propaganda of popular science, strengthen public the intersection of oneself and ' immunity ', should put to the intersection of traditional Chinese medicine and concern of health care in place as soon as possible. " A chief of administration bureau of provincial traditional Chinese medicine says. At national the intersection of traditional Chinese medicine and working conference, as to until " whether piece realize skill one " Come down to traditional Chinese medicine and supervised " The omission " ,Some representatives participating in the conference cannot help but say. Sichuan Province the intersection of traditional Chinese medicine and hall Yang, chief of administration bureau, revitalize, show as to practise medicine, scalp excessively without licences and improper health care that propagate messy and alike in market, the Ministry of Health bears inescapable responsibility within the range of duty naturally. However, in standardizing the course to market of health care, each department " each sweeps the snow in front of the door " Management system last Ministry of Health too quite to last helplessness. Chief of Beijing traditional chinese medical science administration Zhao Jing is stated outright, no matter realize this halls or main road halls, the advisory company examines and approves and passes through the industrial and commercial bureau in the health care research institute, keeping in good health on the market at present, there is no right to speak on this link at all in the administrative department of traditional Chinese medicine. Even if last these raise life to construct out-of-rangely and manage, so long as has not involved illegal medical treatment, the Ministry of Health does not still have a supervision authority. So, how to define " medical treatment and health care " With " medical treatment " Needed further clarifying. The appearance of false incident of keeping in good health, it is major health education and major Chinese medicine that " cry out " Result,there are hygiene also that administrator know together on this. "In a lot of medical organizations, pulling out the pot, massage is treated for Chinese medicine the project, in a lot of so-called health care health institutions, are known as the health care project. How to distinguish treatment and health care, a lot of experts are unable to answer. " A hygiene officer says, as to whether the health institution out-of-range manages, strongly professional medical theoretical questions such as the illegal medical treatment, etc, can't solve by improving public accomplishment, the public has no responsibility to distinguish, the government should bear and help the public " Eliminate the false and retain the true " Duty. Vaccine, how to hit? Will it be September 1 2010 such as background, Ministry of Public Health hold news briefing, announce and launch the intensive immunity activity of Measles Vaccine at will it be 10 - 20 that month nationwide. No matter inoculated vaccine before this, only not allergic, there is not taboo disease, propose inoculating again, estimate tentatively that involves nearly 100 million children of the right age. A few days subsequently, though major media of the overwhelming majority paid the sufficient, definite concern to this intensive immunity activity, but among the workshops, especially fictitious cyberspace, has initiated a great disturbance. This gigantic and vigorous public health activity has not begun to be perplexed yet. Though the thing is put down finally, the intensive immunity activity goes on steadily, done how on earth vaccine strengthens the work, what is the scientific tactics, still remain to be clear. " the government provides funds, the specialized department ensures with all strength, why do ordinary people or not understand on the sound? Last a few words a few people,why can experts and scholarses countless, effortses enormous where professional personnel make offset? Strengthening the great public health such as the immunity and moving to similar measles, people should have right of being in know, right to choose, authority to supervise, but what assurance from aspect of system? " In the national hygiene working conference is discussed in groups, disease of Ministry of Public Health accuses of office chief Chen XianYi's speaking of the intensive immunity activity of this Measles Vaccine, a stomach query. In the national hygiene working conference is discussed in groups, also have sound reviewed. Have hygiene heads of department and bureau to propose whom network spread " poison is spoken " , " the conspiracy is said " It is a letter to wait for the view to be insufficient, what a lot of people really queried is this kind of method to make it rigidly uniform. Looked from technological aspect, no matter inoculated Measles Vaccine to the fixed age group crowd in the past, " have one injection " ,But a kind of public health action under the particular background condition, its extensive essence making it rigidly uniform determines it can't be as a kind of regular disease control means. In addition, move as a nationwide public health, the strengthening the immunity of short time can cause the public to the concern dispelling measles, have, propagate function while being certain, some inoculate parents of children, may inoculate Measles Vaccine because of mobilizing in social propaganda. However, may hide the ethics risk behind this kind of result: It is generally acknowledged, it is unnecessary for person who inoculates 2 pharmaceutical Measles Vaccine to inoculate 1 more pharmaceutical. The immunization campaign needs to sign the letter of consent in the know, if has not told children's parents the above-mentioned fact in the letter of consent in the know, have meant violating the ethics principle. Many hygiene heads of department and bureau say, need to strengthen the immunity, the reason is that the element task has not been done well - -It is unable to guarantee regular inoculation of the Measles Vaccine once of 2 pharmaceuticals of children. Guarantee it can be according to the inoculation procedure which the country stipulate that the basic unit inoculates personnel from system, offer vaccine inoculation of regular measles service for crowd of the right age, this's dispel the basic scheme of measles finally. In addition, the risk communicates and already becomes the important component of vaccine inoculation, the specialized department should communicate from respects such as funds, personnel,etc. by more input for the risk, " it is too very important to persuade people to hit vaccine " .


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