The figure understands the service system construction of health care at the basic level

The figure understands the service system construction of health care at the basic level
The figure understands the service system construction of health care at the basic level
Staff reporter Yan � Interviewed the honoured guest: The financial department's chief Zhao ZiLin's new medical reform scheme of planning of Ministry of Public Health is proposed clearly, build up more complete service system of health care at the basic level in 3 years. For this reason, the relevant department is stepping up making the concrete implementing scheme. What is the construction focal point of the service system of health care at the basic level? A few days ago, the planning financial department's chief Zhao ZiLin of Ministry of Public Health understood specifically with the figure. Improve at the basic level the intersection of health care and the intersection of service system and Zhao, say forest 2010, according to new the intersection of medical reform and the intersection of scheme and overall arrangement, by 2010, there will be hospitals of about 2000 counties in the whole country, 5000 the intersection of centre and commune hospital, 25000 the intersection of village and clinic and supported by central authorities and local government 2400 community health Centers, changing the house insufficiently, shabbily and basically makes a diagnosis, apparatus shortage,etc. does not meet the state of hygiene service demands of masses. In addition, local government's project and already reaching the medical health organ of basic unit of the condition requirement of construction by oneself on request, when the time comes, the national service system infrastructure condition of health care at the basic level will get greater improvement, and standardize realization organization's networking, function, serve the standardization. Zhao ZiLin says, while realize everybody enjoys the basic health care service, the medical service system in the basic unit is indispensable important carriers. At present, the medical health organ of basic unit of our country mainly launches public health services such as health education, infectious disease preventing and curing, chronic disease management, mother and child care, sanitary control,etc.. Meanwhile, adopt suitable medical technology and basic medicine, offer common disease, frequently-occurring disease for countryside and community resident and diagnose the service of making a diagnosis of the clear chronic disease. The medical health organ in the basic unit presses close to the residents masses, is familiar with the community, villages and small towns situation, possess certain service ability, put prevention first, prevent and cure and combine, the service cost is lower, offering to urban and rural residents safely, conveniently, cheap basic health care service respect of fine quality, have not replacable function. According to the introduction of Zhao ZiLin, since the 1990s of last century, the construction of the county, township, tertiary medical care network of village raised the curtain. By 2008, the central authorities will arrange to invest 16,950 million yuan specially together, will support more than 42000 rural health care organizational construction. "Though have high input in recent years, the condition is obviously improved, but on the whole, also there are many difficulties and problems in the medical capital construction of health organ of the basic unit. The ones that will pay will be focused the consruction on soon to expect to solve these problems. " Zhao ZiLin says. The hospital at county level: Tens of billion yuan tamps resources according to the introduction of Zhao ZiLin, at present, at county level hospital subject problem that medical service ability exist serious the intersection of disease and medical science, emergency call, operating room, clinical the intersection of person who examine and facility of department apparatus and technical force more weak. So, support at county level tens of billion yuan of hospital use mainly for the expanded business house, strengthen and meet an urgent need to treat and cure the construction of function this time ' Serious disease guards, operation, emergency ward) , improve the auxiliary equipment ' Garbage disposal of sewage, distribution) With disposing essential apparatus,etc.. Zhao ZiLin says, the construction scale of the hospital at county level should suit measures to local conditions, serve the population scale according to the county hospital, in principle under the 100,000 people and people, 500,000 people count 800,000 the intersection of hospital and berth, county of people, 500,000 from 100,000 people to 300,000 people, 300,000 people, do not exceed 100, 200, 300, 400 pieces separately, more than 800,000 people can set up 500, more than 1 million people, large hospital of serving amount can increase the berth appropriately according to the actual conditions. County Traditional Chinese hospital ( Includes the nationality and cure the hospital) Berth press every a thousand the intersection of people and 0.22 berth 0.27 the intersection of berth and planning and construction in principle. Central commune hospital: Financial support " The upgrading of function " Zhao ZiLin says, the health clinics in towns and townships put prevention first, prevent and cure the health organ combined, it is a pivot of the rural tertiary hygiene service network, it is the important service carriers of the new rural cooperation medical treatment system. Among them, the central commune hospital is the instructing centers of prevention and health care, medical technology in certain circumscription, except having function of the general commune hospital, are undertaking to assist the health organ at county level to launch to the work of technical guidance of the general commune hospital in the area. It is introduced, our country has 39876 health clinics in towns and townships now, 10396 commune hospitals in the centre among them. At present, the central business house of commune hospital can't satisfy the demand, the auxiliary equipment is imperfect too. ZiLin Zhao say, for this reason, plan, arrange, invest tens of billion fund this time, it used in 5000 central commune hospitals to be expanded to in hospital in the house, strengthen functions such as emergency call, obstetrical department and Chinese medicine,etc., improve the auxiliary equipment, purchase the essential apparatus. According to relevant regulation, health clinics in towns and townships berth set up standard, should set up 0.6 berth 1.2 berths for every a thousand people, central the intersection of commune hospital and berth set up standard, confirm every a thousand the intersection of population and 1.2 berths as. Zhao ZiLin still reveals, lacks funds to the clinic construction of village of remote area, the clinic coverage rate of village of the western region is only the reality of 79%, the central authorities of village where area is popular of endemic disease arrange and adjust a small amount of financial support in the remote, nationality, border, poor and great infectious disease and clinic construction of village where area is popular of endemic disease in the gross investment this time, its standard is each village and 60 square meters of clinic, invests 50,000 yuan (including 10,000 yuan of apparatus) . Community health Center: Hundreds of millions of used in, transform Zhao, say forest while being newly-built, the intersection of the whole country and by rent the house, carry on the work 31% community health Center at present. By the end of 2008, in 6546 streets of the whole country, 3704 residential districts set up the community health Center, accounts for 57% of the total number of streets, put forward with " instruction on developing urban community's hygiene service of the State Council " " 30,000~10 resident Wan or plan to set up a community health Center according to the range that the subdistrict office have jurisdiction over " Goal have than great disparity. Zhao ZiLin says, plans to arrange the fund of hundreds of millions of yuan this time, is used for newly building, transforming the community health Centers of 3700 cities, 11,000 community health stations are built by place. Through considering every province synthetically ' District, city) Total population and the urban population, residential district, economic development level, consult it to the current situation investigation result of service organization of national community's hygiene, it is about 2400 to estimate out the quantity of community health Center that the central authorities support construction. Set up the respect in the berth, the berth quantity, by the local hygiene administrative responsibile institution according to factors such as hygiene resources, traffic, economics and society development level,etc. in the area that the community health Center recovers, according to every thousand population ' Refer to the population of the household register) 0.3 berths confirm it can't exceed 50 in principles 0.6 berths. The community health Center confirms the construction scale according to serving population, press The population scale can be divided into 3 shelves, namely every 30,000 people is 1400 square meters for 50,000 people, every 50,000 people 1700 square meters for 70,000 people, every 70,000 people 2000 square meters for 100,000 people. The community health Center can set up the function in order to recover as the berth of the main fact, construction scale its each bed increases the floor area and does not less than 25 square meters at the above-mentioned standard foundation. Floor area is not lower than 150 square meters in principle at the community health station.


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