Zeng YiXin: Protect the basic strong basic unit and build the mechanism and point to the shortest board of China's medical treatment

Zeng YiXin: Protect the basic strong basic unit and build the mechanism and point to the shortest board of China's medical treatment
Zeng YiXin: Protect the basic strong basic unit and build the mechanism and point to the shortest board of China's medical treatment
" protect the basic, strong basic unit, build the mechanism " Point to the shortest board of China's medical system - -" the direction that was the new medical reform worthy to be most glad was right to specially interview once benefit of the academician of the Chinese Academy of Sciences newly, the route is correct. " Academician, the Chinese Academy of Medical Sciences / Beijing of Chinese Academy of Sciences coordinate one pair of institutes (school) of medical college It is once long benefit pointed out newly, " protected the basic, strong basic unit, built the mechanism " while referring to the new medical reform a few days ago Have pointed to the shortest plate of China's medical system, has taken on and drawn together the most crucial content of China's medical reform. As the deep participant of the new medical reform, once it is made that benefit had participated in the modification of the implementing scheme of the medical reform newly many times. Combine it correctly " It is expensive, difficult to see the doctor to see the doctor " Analysis,think he "it is basic strong for basic unit since it protect, be be built by mechanismedded " Have refined out the breakthrough point which advances China's new medical reform. He says, so-called " see the doctor expensively " Mainly " Mend medicine with medicine " Become being favourable on mechanism and individual pay by proportion questions that be coexisted too high. " mend medicine with medicine " And the speech, should become " mend medicine with medicine " For " mend medicine with the skill " ,Dispel the empty high charge of the links of circulating of medicines, make the pricing system of the technological service in order, reflect the medical worker technological labour value; In case of that the expenses that individual afforded are too high in proportion, one degree of one that pursued was shut newly and agriculturally in a more cost-effective manner during these years, urban residents and worker medical insurance have been aiming at setting up helping each other and disease risk sharing system of a kind of society, lighten individual and family and see the doctor and bear. "Create the insurance network of the largest scale in the world newly and agriculturally jointly, cover more than 800 million peasants, though it submits an expense account the range is still limited, but the basic medicine and treating the expenses can submit an expense account to 60%-70%, this piece ' protect basically ' can be said, ensure basic existence right of peasants. " Zeng YiXin says. About " it is difficult to see the doctor "ing ,Reach large hospital think famous professor difficult mainly in fact. "Why must ordinary people line up to register to crowd to the large hospital at midnight? Afraid the medical level in the basic unit is not high, are afraid of misdiagnosing and managing by mistake. " Zeng YiXin says, so, the medical reform " strong basic unit " once in the past three years Having placed on the second, the country invests much money to build the medical organization at the basic level, including the intersection of county and the intersection of village and tertiary medical network, not merely the hardware has improvement by a wide margin, also train the rural doctor of hundreds of thousands in turn, improve their engineering level, also improved their treatment. The State Council issues the instruction on setting up the complete doctor's system this year, pursue the complete doctor's system from the national aspect on a large scale. Zeng YiXin says, this is structure and quality that want to change the doctor team at the basic level fundamentally, makeover the mode of seeking medical advice that serious disease and small disease run to the large hospital, let ordinary people see high-level complete doctor at the gate of home. "However, should really attract adding the complete doctor trained in 3 again after reading 5 undergraduate course to the operation at the basic level, really need the special policy. " The third main point in the medical reform has been in the past three years " Build the mechanism " . Zeng YiXin says, this is for the large hospital, will manage the large hospital well, service offered, guaranteeing the medical quality well, further raising and serving efficiency. These years a large hospital of arbitrary charges, accept covert payment commission, unstandard person who practise medicine question repeatly appear in the newspapers in the end, new medical reform, during these years, health authority spare no effort, go on, rectify to these phenomenon too, such as from " bribe against the commerce " , " medical Long March to Quality Campaign " , " the safe hospital establishes " , " it is rational to take action with medicine " , " unit construction of high-quality nursing " ,Get and " make an appointment and register " , " festivals or holidays clinic " , " satisfied " Wait a moment. Each hospital begin from get than manage than scale and than the construction of intension, the every little bit " Improve " In fact here too " Build the mechanism " . Someone say new three year such as medical reform, large hospital or number of people crowd, see the doctor difficult what no change basically often. As to this, once benefit pointed out newly, the large hospital was just like the top of a tower, oneself should be getting tough, its bottom needs tamping even more. The bottom should tamp, from hardware to software, especially the good complete doctor wants to train out, sink down, could play a role in filtering patients, shunting the patient, this takes time. Once benefit thought newly, if " strong basic unit " Tamp the bottom, " build the mechanism " With a view to letting the top be getting tough, both respects make considerable progress, the medical system of China could have practical change. (reporter Zhou TingYu)


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