Difficult problem of solving common people and seeing the doctor at all of the whole people's free medical care that the spirit of Shaanxi is wooden

Difficult problem of solving common people and seeing the doctor at all of the whole people's free medical care that the spirit of Shaanxi is wooden
Difficult problem of solving common people and seeing the doctor at all of the whole people's free medical care that the spirit of Shaanxi is wooden
On Dragon Boat Festival eve, in a ward of the wooden in-patient dept. of county people's hospital of the spirit of Shaanxi, the reporter sees and solves the fort township peasant Wang Shuang of home to cherish. 61 -year-old Wang Shuang cherishes because of suffering from gastric carcinoma, the stomach is excised, successively in hospital for 9 months, the medical fee cost more than 20,000 yuan, only bear more than 1400 yuan by oneself. Shuang Wang cherish, say to reporter while being tearful: "Without free medical care, the disease that I get, has to the nest wait for death at home. The money that it is little to only spend now, is reborn! " Spirit wooden county pursue free medical treatment systems of the whole people March 1 of 2009 in an all-round way ' " The wooden mode of the spirit " ),Implement after the will it be zero 3 more than month 1 year, treasure Guo, wooden secretary of county Party committee of spirit, succeed, say joyfully: "Practice has proved, have got support from cadres and masses of the whole county and supported by ' the wooden mode of spirit ', solve seeing the doctors of ordinary people expensively, difficult problem of seeing the doctor fundamentally, let the patient treated and cured in time, let the critical patient come back to life, especially let poor masses enjoy the achievement of economic development, have avoided causing and returning to poorly and due to illness poorly due to illness. " Prove for 15 months, visit more than 130 units, count and exchange its draft - -System design makes every effort to improve when wooden county people's hospital interview the spirit, the reporter happens to meet the north and close village military country China and close the window to " bury singly " . Lao Wu's grandson is in hospital for 22 days because of pneumonia. The reporter asks how much he spent, Lao Wu says with dense north of Shanxi Province accent: "Not clear, are calculating! " The time speaking, settle account to pass from the window out only, amount to 4263 yuan, Lao Wu bears 455.7 yuan. Lao Wu tells reporters, pay the deposit of 3000 yuan in hospital, only need take back surplus money. "These policy is so nice, we only spend little money seeing the doctor, this dare not desire in the past. The government misses common people, make it warm in the heart! " Lao Wu sighs with deep feeling. "' the wooden mode of spirit ' is one of the important people's livelihood projects, it is not on a sudden impulse to put out this system, also not ' achievements project ' and ' face project ', but do something concrete for masses really. Had proved the research of 15 months, had done the adequate preparation with supernatural wood before implementing, strive to make completion and practicality of system design. " Treasure Guo succeed, state frankly. The god wooden county responsible for this project recovers and goes through director Zhang Bo and introduces, through verifying the medical expense situation in the whole county of 3 years from 2005 to 2007, do, the new agricultural relevant data which operates jointly the whole year, calculate 400,000 people in the whole county the general demand of the medical expenses will be 130 million yuan in 2009 in medical insurance. Hereafter, looked over domestic and foreign relevant information through various channels, visited more than 130 medical units and 16 departments, and some villages, towns and enterprises, combine central authorities, relevant policies and regulations of province and city, have made " god's free medical care implementing methods of the whole people in the wooden county " (tentative) And " implementing regulation ". Prove repeatedly through system related departments of the health care and unit, after counting and exchanging its draft, release on the net, solicit the opinions and suggestions to the various circles of society extensively, is revised by numerous discussions, the system is basically shaped. According to the regulation, fund input relies mainly on public finance of the county, the equal guarantee in urban and rural areas, the volume of submitting an expense account at most can reach 300,000 yuan. The free target of medical treatment is the urban and rural residents of the registered permanent residence of the supernatural wood. 30 pieces of form number, 23 kinds of chronic disease pay management and the whole service life volume and submit an expense account by norm - -Clear to define individuals and pay and bury the thunder due west of county magistrate of wooden county of the spirit of single threshold and talk with the government vividly, " wooden mode of the spirit " It is a government " Bury the single entry " ,See the doctor the masses so long as pay and stipulate the expenses, can enjoy " four entrees and a soup " Favour,if have "customer of the restaurant" Think that " orders " ,Range not including " The dish " Need oneself to pay. At the beginning of system design, patient individual pays and buries the single threshold with the government to clear define. God's wooden county implements getting up in a pair of lines and clinic card systems in hospital, one pair of lines is 200 yuan for every person that one grade of fixed hospitals of township gets up, 400 yuan for every person of fixed hospital at county level is getting therapeutic in Beijing, Xi'an, forest of the elm, Erdos fixed hospital one pair of lines is 3000 yuan for every person, the proportion is 70% that the overage submits an expense account. Urban and rural residents set up the medical card of clinic at 100 yuan, very free use of the fund for each person every year to effecting an insurance. Old Red Army man, more than 6 grades of wounded or disabled soldier clinic expenses in the fixed hospital of personnel, second-class of leaving one's post submit an expense account fully. Meanwhile, pay, manage by norm to 30 the intersection of form and the intersection of number and implementation, implement the whole the intersection of service life and volume wipe out system to 23 chronic disease. Zhang Bo introduces for example, single number is mainly to need the case of operation, for example cut open the palace to produce, must implement in at the county level and above hospital, authorize expenses 2800, the intersection of patient and conceited 400 yuan. The operation expenses exceed 2800 yuan, the hospital should receive economic punishment. Relevant supervision is run from recovering, jointly taken charge of in departmented of public health, Supervisory Bureau, medical insurance running, Price Bureau,etc. department. For another example, the system of submitting an expense account of the whole service life volume of chronic disease, refer to county hospital's evaluating the number asserted, for instance diabetes, hypertension, renal failure, epilepsy,etc., within a year naturally(from the 1st of January to December 31) Stipulate one wiping out amount of money clear such as one year such as diabetes it wipes out volume to be 3600 yuan, liver cirrhosis is 7200 yuan, renal failure needing to make blood and dialyse is 60,000 yuan. "The authorizing of the limit has given consideration to solvency and medicine price level, has fetched the middle value, if use high price medicine, one's own payment volume will be a bit higher. " Zhang Bo says. A rural diabetic who the reporter interviewed says, take medicine three times in one day, fixed medical fee expenditure is nearly 4000 yuan in one year, at public expense basically paid fully, got chronic disease and has not born! Many departments jointly supervise, reward and punish to the hospital clearly demarcatedly - -" is a new distance that ' the wooden mode of spirit ' is taken to solve excessive medical treatment and make peasants benefited, the mode not succeeding can be drawn lessons from, this requires us to discover the problems on one side, solve the problem, complete progressively. " Lei JiangSheng, propaganda minister of wooden county Party committee of the spirit says, for example need the question of hospital treatment to the patient, the nail disagrees in B hospital, first hospital thinks that does not need to be in hospital, second hospital thinks that can be hospitalized for treatment, will standardize management by the system soon. " wooden mode of the spirit " last year While just putting out, common people's demand of seeking medical advice was released big, from the last ten days of March, the impatient peaks, until in the past compare, increase 30% in the same term, the intersection of hospital and one difficult to ask bed. Through the trying to find out of one year, in order to prevent excessive medical treatment, contain the waste of medical resources, on March 25 this year, god's wooden county issued the fixed new examination method of medical organization. Hang sick bed while being timid, light patient use medicine, not unreasonable to check, not unreasonable to charge in hospital and unreasonably and the intersection of medicine and the intersection of price and timid higher 10 unlawful practice list row that punish in, receive lowest 30,000 yuan, 120,000 yuan highest economic punishment. Not only punishment, have too Reward. God's wooden county stipulates, do not exceed and stipulate the range to every examination index of the whole year, check and rate the hospital at county level not punished and reward 100,000 yuan synthetically, the health clinics in towns and townships reward 20,000 yuan. "Because the rewards and punishments are strict and impartial, the number of people drops gradually in hospital, the tense situation of the sick bed is relieved. " Lei JiangSheng says. Up to will it be will it be the end May this year, the whole county wipe out, in hospital patient 47826 person totally, hospital in hospital a patient 44491 people in the county among them, 3335 persons of hospital outside the county; Wipe out, in hospital medical fee of 183 million yuan totally, 140 million yuan in the county among them, 43 million yuan outside the county. "Though has gone beyond 130 million yuan total value checked and ratified in advance, the county finance can totally afford. " Guo BaoCheng thinks, the economy of god's wooden county was developed fast in recent years, last year, the general financial revenue of the whole county reached 9,326 million yuan, take some money out and improve the people's livelihood, totally have a condition. "Moreover medical treatment it ensures to be to begin free education of 12 years that pursue from 2008. Let the economic development achievement fully benefit common people, could offer forever motive force for economic development. " Guo BaoCheng shows firmly, no matter implementing " god's wooden mode " Meet a lot of difficulties in the course, the wooden county of the spirit will pursue continuously, will not know the lapse because of change of the person in charge. God's wooden county statistics show, in the hospital treatment crowd, local peasants account for 94.6%, cadres and workers only account for 5.94%. "This indicate peasant seek medical advice, get true help, it solves theys to be sick to dare, cure, serious illness wear the difficult problem of house down fully, the health level is improved notably. " The due west of thunder is said gratifiedly, " wooden mode of the spirit " Have solved" where the money comes " scientifically, how to spend rich " Two big problems. Because not what people imagine coal rich, rich to implement " god's wooden mode " . Sound system design is " The wooden mode of the spirit " Solid foundation.


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