Recommend new agricultural three transitions that shut in new period

Recommend new agricultural three transitions that shut in new period
Recommend new agricultural three transitions that shut in new period
Ministry of Public Health the intersection of hygiene and the intersection of institute for economic research and emolument Wang grow new and agricultural very great change has taken place compared with pilot project one in the pilot project one equal to, a lot of new situation and new characteristic have appeared, shutting newly and agriculturally should carry on three transitions in right time in new period. Charge to pay the fees, change voluntarily passively because last pieces of period countryside prevail arbitrary imposition of quotas in peasant, claim for charge at random, cause peasants to the decline on trust of government; In addition, traditional the intersection of cooperative medical service and several in history get up several fall and serious disease ensure, cause peasant's disappointment to the cooperative medical service. In initial stage of shutting the pilot project newly and agriculturally, peasants generally had psychology not believed to shutting newly and agriculturally, hold suspecting and wait-and-see attitude, even paid the money the person participating in had a lingering fear, afraid of having dust thrown into the eyes, is afraid it can't be lasting. In the face of peasants' trust crisis, all parts shut mobilizing the cadres at all levels of the whole county newly and agriculturally on the initial stage of starting in pilot project, adopt various instrument of propaganda, through various propaganda ways, propagate and mobilize extensively, take over the premium from house to house on the basis of participating in voluntarily. Such expensive passive fund-raising, it is necessary on the initial stage of launching a pilot project, but if year in and year out, will influence the new agricultural sustainable development shut directly. Through in the nationwide pilot project, a lot of rural residents really experienced the new agricultural material benefit shut behind being ill, especially with increasing that government subsidize, compensate improvement of competence, a lot of patient receive as little as several hundred in hospital, reach the compensation that is even several ten thousand yuan of thousands of yuan. Peasants, to shutting the improvement by a wide margin of trust of the system newly and agriculturally, participate in the new agricultural enthusiasm shut and generally run high, the difficulty drops to raise funds. We should change fund-raising in right time under this kind of situation, from taking over the way passively to paying the way to change voluntarily, guide peasants from accepting to participate in voluntarily, form and pay the premium and join consciousness and habit shut voluntarily passively, realize from " Want me to join and shut " " I want to join and shut " to get Transition,and new agricultural sustainable development that be shut when it helps that if you can't reduce, raise funds for costing. As Anhui Province Yuexi county implements since 2006 " Raise funds definitely three times " ,Individual by peasants is according to the standard of paying the fees of the regulation, stipulated time, appoint to pay voluntarily by fixed position, the whole county raises funds in year time shortens to 7 days, it is up to 96.9% to join the shutting rate. Practice of Yuexi county proves, under peasants, to shutting trust raising and benefited situation newly and agriculturally, being taken over to the transition that is paid voluntarily passively is feasible. It is likewise the peasants on the initial stage of launching a pilot project to distrusting to change to set up family's account newly and agriculturally jointly to the pool of clinic from family's account newly and agriculturally jointly, afraid of being deceived, is afraid of suffering a loss, produce under the background participated in actively. All parts join the shutting rate in order to improve, cater to the psychology that peasants are afraid of suffering a loss, set 10 yuan that individual paid as family's account all or partly, medical expenses used for kinsfolks went to a doctor in the clinic to cancel after verificationing. The relevant results of study reveal, implement family's account and shutting rate of ginseng implementing pool of clinic do not have obvious difference, it does not have decisive influence in joining the shutting rate whether to explain and set up family's account or not, basic trust and really benefited that still lies in peasants. Family's account is actually the guarantee in a family, its defect is helping each other and helping together among kinsfolks, not having more broadly helping each other and helping function together, that is to say it is sick that the family uses up the money of family's account to go to a doctor, can't use the account money of family of the family without the disease and has not gone to a doctor. In addition, the new agricultural money which shuts family's account is very limited, general per persons are about 10 yuans, only enough for seeing a disease in the village clinic. The negative influence of family's account, first, can't reduce the disease financial burden of the clinic effectively, especially the financial burden of chronic disease; Second, influence rural residents' clinic medical care to utilize; Third, family's account fund is precipitated, cause and shut the rate of utilization of funds on the low side newly and agriculturally; Fourth, diluted the helping each other and helping spirit together of peasants. Clinic pool opposite to family's account, it can realize in several Wan and hundreds of thousands population help each other, help together, say popularly it is a person without disease that helps the sick person, can fully utilize the limited fund to reduce the financial burden of the out patient, especially the financial burden of the chronic patient, accord with new agricultural purpose and property of shutting system, accord with the principle of the insurance. In peasant to equal to trust, raise while being agricultural while being new, especially with the increasing that the government subsidized, joining and shutting it under peasant's generally benefited situations, we should transfer family's account to the pool of clinic in right time, it help fully it is new without being utilized shut agriculturally by fund,it last clinic and compensate than,improve by clinic utilization ratio, improve the rate of utilization of funds, help to develop the helping each other and helping spirit together of peasants. Should be explaining the clear reason at first to transfer to the pool of clinic in family's account, on the foundation of doing a good job of cadre and peasant, make the transition steadily. Every province of the whole country has already carried on very good exploration in this respect, has made a lot of experiences succeeding, some provinces have already realized the successful transition of the whole province. In hospital for main fact to in hospital with clinic and concurrently mend, change new and agricultural to shut during the course of launching a pilot project raising funds level to be limited because of per person mending, basically rely mainly on protecting serious disease, about 80% of the funds are used for being in hospital, and mainly compensate in the county two grades of health organs in the township are in hospital, only general common disease, the making a diagnosis and giving treatment in hospital of frequently-occurring disease. In hospital actual compensation on average in the whole country in 2007 like this than only 32%. 20% of the funds of new agricultural contract are used in the clinic and go to a doctor to pay for, per persons are about 10 yuans, even in the area implementing pool of clinic, the actual compensation of the clinic is 20% less than than too. If implement family's account, 10 yuan is only enough for a person and see a disease in the village clinic, the benefited intensity is extremely low, especially for chronic patient who often goes to a doctor, the function of lightening the financial burden is very few, nearly equal to totally seeing the doctor at one's own expense. This is shutting newly and agriculturally in the low-level awkward choice under of raising funds. In shutting the pilot project newly and agriculturally and starting five years, the central authorities and local government increase to that the new agricultural subsidy shut doubled twice, individual raises funds and increases to some extent too, per person will raise funds to reach 100 yuan in 2008, have already reached 200~300 yuan in some economy more developed areas. Because the enormous improvement of competence of raising funds in 2008, all parts generally do the adjustment greatly in compensating schemes. In economically underdeveloped area, if expenses control better in hospital, according to in hospital, assign with 8/2 clinic fund, health clinics in towns and townships compensate than more than 80% in hospital, at county level hospital compensate than too can more than 65% in hospital. Even if fund, according to assign with 7/3 clinic in hospital, health clinics in towns and townships compensate than more than 70% in hospital, the hospital at county level compensated in hospital to more than 55%. Improve in the new agricultural competence of raising funds jointly year by year, compensate than under the corresponding situation that obviously improves in hospital, I think I should consider keeping the institute for not mainly changing, on the basis of pool of clinic, the appropriate fund allocation proportion of strengthening the clinic is right It compensate clinic raise degree than,and until if you can't raise funds by continuation of level, improve in the future, reach clinic progressively and in hospital until than. The foundation? ? Project setting and running situation analysis of regional compensation of 008, the fund in the poverty-stricken area distributes the proportion with the clinic 64 according to being in hospital at present, the fund of the medium-sized area of economy distributes the proportion with the clinic 6.53.5 according to being in hospital, the fund of the developed area distributes the proportion with the clinic 73 according to being in hospital. This suggestion is only for reference, the more important thing is that should be through calculating strictly. According to the new medical reform implementing scheme, the new agricultural government that raises funds jointly will subsidize and reach 120 yuan of per person in 2010, individual raises funds the level should be improved correspondingly too, the ones that proposed to 2010 were in hospital to assign and compensate conceptual design and should be studied with the compensation policy adjustment, fund of the clinic as soon as possible, and put forward the guidance suggestion.


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