Our country will arrange for the hospital apparatus at the basic level to be purchased in full amount

Our country will arrange for the hospital apparatus at the basic level to be purchased in full amount
Our country will arrange for the hospital apparatus at the basic level to be purchased in full amount
News of December 7 of www.eastday.com: Yesterday, Premier of the State Council Wen Jiabao held the standing meeting of the State Council, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit. The meeting points out, since last August, already over 50% of the medical health organs of basic unit implemented the basic medicine system in the whole country, sell a difference rate of medicines, has obviously lightened person's administration burden, but larger revenue and expenditure shortfall has appeared in the medical health organ in the basic unit at the same time. So, must implement the compensation policy synchronously and set up steady compensation channel and compensate the way, guarantee the medical health organ in the basic unit runs and develops steadily, arouses medical health organ and medical worker enthusiasm in the basic unit. The compensation policy government arranges for the apparatus to purchase the measure in full amount: After implementing the basic medicine system, the operating cost of the health clinics in towns and townships which the government holds, urban community hygiene service organization is subsidized through the government and the service charge is compensated. Purchasing etc. and developing and constructing the expenditure in capital construction and apparatus is arranged in full amount according to planning by the government, personnel's funds are arranged and subsidized rationally by the government. The government will implement basic public health service funds according to per person's at least 15 yuan standard in 2010, further improved from 2011 years. The medical service price is made and adjusted in the right place progressively according to the service cost after deducting the government to subsidize, the medical service charge is increased to pay partly by the medical insurance, does not increase the masses to bear. Difference of regular revenue and expenditure of the medical health organ in the basic unit after implementing the government and subsidizing and adjusting the service charge, arranged in the annual budget in full amount by the government. [Understand ] the intersection of Chinese and the intersection of community and hygiene Wang Wei, Deputy Secretary-general of association say, at present, besides realizing some cities of two lines of revenue and expenditure, the community hygiene service organizations of a lot of areas in the Midwest are not still that the government allocate funds fully, the government will compensate with 15% of medicines income of service organization of community's hygiene, but not adjusted in the past 20 years in view of the medical service price of our country, so 15% of the financial compensation can't remedy the expenditure of the medical organization at the basic level, also unable to change it " Raise medicine with medicine " Situation,namely cut off at the basic level doctor and between representatives medical relation,be be be public beneficial when lasting one that serving realliededded. Wang Wei thinks, under the situation of the medical service price not in conformity with value at present, 9 the intersection of big class and 21 service that community bear give play to while being difficult. So, the medical pricing system demands urgently to adjust, and the medical insurance fund that precipitates at present needs to be used rationally, but meeting once can be seen from then on, the country will pay by submitting an expense account in medical insurance, but not increase the patient to bear. Improve the personnel to assign and compete for the measure on duty: Advance the medical comprehensive reform of health organ of the basic unit in a more cost-effective manner. The medical health organ in the basic unit mainly offers basic public health service and basic medical care, it makes a diagnosis subject, berth quantity, personnel and apparatus should accommodate functional demand when being allocated etc.. Improve the distribution system of the personnel, implement it in order to compete for the contract on duty and manage for the employ systems and post management systems of the main content. Advance the clinic pool of the basic medical insurance and way of paying of medical insurance to reform. Set up the medical examination incentive mechanism of health organ in the basic unit, insist on the more pay for more work, excellent good performance reward, ensure the rational income level of medical worker at the basic level not to reduce. [Understand ] Wei Wang say, include Beijing, Jiangsu and other places realize the intersection of community and the intersection of hygiene and the intersection of service organization and operation mode of two lines of revenue and expenditure at present, but " the income is turned over, buried singly in the government " Way but it is of improving medical worker without being unfavorable toed it is working enthusiasm,easy to be lead to the fact whether " everybody eats from the same big pot " will appear Psychology,it is last this situation not to last feedback. In order to realize " The community examines, the level visit for the first time " Seek medical advice pattern,it last processes working of medical insurance for to promote by community hygiene service organization too in our country, when the time comes, the residents going to a doctor in the community not merely can buy a lower than the large hospital price a bad rate medicines, and can enjoy " Hold the card and seek medical advice and settle account in real time " Convenient service. Encourage all parts to support the clinic measure in the village: Strengthen the subsidy to the rural doctor through many channels. Mainly buy the way to serve and pay subsidizing to the village clinic rationally through the government, arranging a proportion of basic public health service is undertaken and implemented corresponding funds by the village clinic. Will accord with the clinic of the clinic of terms village to serve and include in submitting an expense account in the range newly and agriculturally jointly. It is sure to support to encourage all parts to offer the village clinic in such aspects as building construction, apparatus purchasing and staff training. [Understand ] China defend Qing Yin, general secretary of association, say at present, a lot of the intersection of village and clinic of place undertake by individual while being agricultural, so exist more insufficient in system, management and personnel's treatment,etc.. A lot of rural doctor have not accepted and too educated regularly, no matter is difficult to take on the rural resident " healthy gatekeeper " from personnel's quality, engineering level Duty,lead to the fact whether a lot of peasant is to township commune hospital or county hospital sick run, meanwhile, the rural doctor's endowment security system has not been really sound yet. Times of the intersection of meeting and spirit of the State Council can find out the intersection of state aid and the intersection of village and clinic, train medicine of village from then on, it by it last public health by service function,develop the hygienes rural, especially village the constructions of the clinics is getting more important very. The government subsidizes the measure of enterprise's hospital rationally: The public health to bear the medical health organ of basic unit which the government run is served and subsidized rationally in the way that the government buys serving, and include the eligible organization in the fixed range of the medical insurance and carry out and run the basic unit with the government medically the same medical insurance of health organ is paid and submitted an expense account the policy. [Understand ] the intersection of Chinese and the intersection of community and hygiene Wang Wei, Deputy Secretary-general of association say, it is not the medical health organ of basic unit which the government holds that includes the medical health organ run by enterprise, individual,etc., though its important supplement strength as public medical organization, has met the masses' demand of seeking medical advice to a certain extent, but because government's financial budget can't put the fund into this kind of organization directly, so take the government to buy the way to serve to replenish it. As encouraging the private capital to do medicine, realize that does the action which cures the pattern in pluralism, our country will encourage the development of the private medical organization through the policy, once it manages, charges, serves etc. and reaches relevantly to require, namely can be included the ranks in the medical insurance and submit an expense account, this will be while attracting a patient to this kind of organization to seek medical advice, ensure its development and operation. Community's current situation door emergency call increases doctor hands and is regarded as Fengtai district and run in one of the community health Centers with better result little, cattail pollen the intersection of elm and community health Center annual pay of doctor 47,600, performance replenish for being 4000 yuan about the end of the year, but still the salary standard lower than the personnel of public institution of this city by 58,000 yuan. The elm community health Center director Zhang ZhiJun of cattail pollen says, this year, the door emergency call person in past three quarters in the centre has increased by 20 compared with the same period of last year %, up to 15,000 people and each month, but the total number of medical workers has not been improved, among them the complete doctor is only 25 people, the doctors feel to have a little " Too much to bear " . According to the standard, every 2000 residents should mix a complete doctor, but 100,000 residents that administer according to this centre calculate, complete doctor's half the gaps. " whether because old person in the area under one's jurisdiction many, everybody has recognized our community hospital " ,Choosing one to examine in the community as to increasingly many common people, Zhang ZhiJun says, community's doctor want to do the best to do the work well on one hand, limited to hands again on the other hand few, predicament with many task, "we have already applied to increase and work out with the Ministry of Health of the district at present, there are many hands could do the work better, live up to the expectation of common people " . Pay close attention to the fact hygiene of Beijing community personnel performance examine the hygiene Xu JunFeng, division chief of at the basic level of Municipal Health Bureau in Beijing say next year, next year, this city will improve the public funds of the hygiene service organization of the community, and issue unified public funds to pay the norm, when the time comes, every community hygiene service organization will obtain the public funds of the corresponding amount of money according to the amount of the work load. Xu JunFeng says, in order to improve the medical worker enthusiasm, encourages the more pay for more work, from next year, this city will be to the community health Center (station) And staff members implement the system to assess of the performance, 40% of the payrolls will be used in the performance. When the time comes, the intersection of this city and the intersection of community and dress with the intersection of the whole city and the intersection of public institution and average salary of person average salary of medical worker, namely improve from 37,000 yuan to 58,000 yuan for each person every year. "According to this standard, then different doctors, according to the difference carrying on the work, there will be salary disparity between 23,000 yuan at most every year " .


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