Experience the medical reform of wooden county of the spirit of Shaanxi Province in the first anniversary: " our government has earned a large sum of "

Experience the medical reform of wooden county of the spirit of Shaanxi Province in the first anniversary: " our government has earned a large sum of "
Experience the medical reform of wooden county of the spirit of Shaanxi Province in the first anniversary: " our government has earned a large sum of "
Summary: "The people's livelihood is the investment with high repayment. " This is that Shaanxi Province god wooden secretary of county Party committee Guo BaoCheng implements the supernatural wood " The whole people's free medical care " The biggest one has felt since more than one year. The one that is assumed command in person by him " The wooden medical reform Dream Team of the spirit " In more than li for one year, are become heavy " Utopia " difficult to bear by the finance of the external dispute , the one that excessively make a diagnosis " The moral hazard " Does it have answers to wait for the question? This " medical reform Dream Team " There is any experience, are worth drawing lessons from the whole country? What new tendencies does the wooden medical reform of spirit have in the future? It is stated" we did accounts, spent 1.5 hundred million, has solved the problem that ordinary people saw the doctor " that comprehensive, ordinary people break out the enthusiasm of production, the enthusiasm of this kind of production, such enormous society join forces to promote the development of supernatural wood, be to tell the truth regarded as the economic account, our government has made a fortune. The construction of people's livelihood, if do well, run and move forward according to the economic law of the market, also an investment with high repayment. " ---Wooden the intersection of secretary of county Party committee and treasure Guo, spirit of Shaanxi Province, become " people's livelihood with high repayment investment. " This is that Shaanxi Province god wooden secretary of county Party committee Guo BaoCheng implements the supernatural wood " The whole people's free medical care " The biggest one has felt since more than one year. The one that is assumed command in person by him " The wooden medical reform Dream Team of the spirit " In more than li for one year, are become heavy " Utopia " difficult to bear by the finance of the external dispute , the one that excessively make a diagnosis " The moral hazard " Does it have answers to wait for the question? This " medical reform Dream Team " There is any experience, are worth drawing lessons from the whole country? What new tendencies does the wooden medical reform of spirit have in the future? [The people's livelihood of income ] is that investment Guo Bao with high repayment becomes May 30 to say frankly the reporter of The Southern City coming to interview, the supernatural wood is pursued " The whole people's free medical care " Purpose very simple: Eager demands of ordinary people. He thinks, builds three big problems of going to school, seeing the doctor and house in China's present people's livelihood. In the city at county level, the housing problem is relatively not outstanding, the supernatural wood has already implemented free education for 12 years, it was the difficulty and high cost of getting medical treatment that the masses had the strongest voice for the moment. "Question of the difficulty and high cost of getting medical treatment for thousands of years of an old common people that we attempt, come up from the source and start to solve. " On March 1 last year, there was 400,000 people's spirit wood that implemented " free medical care " in the whole county in an all-round way . "We did accounts, spent 1.5 hundred million, has solved the problem that ordinary people saw the doctor, ordinary people break out the enthusiasm of production, the enthusiasm of this kind of production, such enormous society join forces to promote the development of supernatural wood, be to tell the truth regarded as the economic account, our government has made a fortune. The construction of people's livelihood, if do well, run and move forward according to the economic law of the market, also an investment with high repayment. " Guo BaoCheng says. [The experience ] reform has not touched the Deputy Bureau Directors of wooden county hospital of interests spirit of persons who have already got and concurrently recovered and gone through director Zhang Bo and introduced, they bundle medical insurance of cadres and workers in the past and new agricultural jointly medical insurance together, the rate of joining insurance of the whole county is up to 99.68%, a few rich persons have not effected an insurance, but peasants all effect an insurance voluntarily, 80% a lot of high rate of joining insurance under new rural cooperative medical insurance than before, reason new to wipe out low jointly while being agricultural. Submitting an expense account in front in medical treatment, officer and the masses basically realize everyone is equal. Guo BaoCheng introduces, the cadre's medical treatment ensures nearly keeping the original level, worker and the intersection of guarantee and and at the intersection of cadre and same competence level of peasant. "Spirit wooden medical reform who suffer a loss? " Question in the face of this, it is left and said that a wave is distracted first: "The civil servant has not suffered a loss, has taken some petty gains, peasants have taken the big advantages. Who has suffered a loss? It was the doctor accepting covert payment that only suffered a loss. " Treasure Guo become, add in fact, some doctor obvious income increase now, the covert payment has lacked, " the covert payment lives in no matter the policy, the society does not have fair justice " . The welfare of Ministry of Civil Affairs and charities Wang ZhenYao, chief of promotion department say, always there is " the profound reform needs to touch the vested interest " in the external world Statement,draw back with fear some people. But according to god's wooden medical reform, do not regard weakening the vested interest as and catch hands, and exactly enlarge the vested interest, the reform deepens one step each time, ordinary people and officer get a step of material benefit, this is the place for needing everybody to think again. [Query ] expenses sustainable up to will it be will it be the end February this year, god wooden county implements " overall free medical care " Wipe out, in hospital 143 million of medical fee totally, per person, resident of the whole county, replenish 400 yuan about, per person replenishes the standard which reaches 120 yuan to well-above the new medical reform scheme of our country by 2010. And the external world queries: God's wooden medical reform violates the economic law of the market, the local finance faces the risk worn down, can this kind of mode continue? Guo BaoCheng says, the input to the medical reform of the government was within budget range last year, as the spirit wood of the national one hundred prosperous counties, the government finance is totally capable and absorbed continuously, it is 180 million yuan that the finance is invested this year. And someone is anxious, whether after implementing free medical care, will collude together hospital and patient, embezzle the public resources of government collectively? Zhang Bo says, consider this question at the beginning of design plan and and make the concrete specification regulation. If urban and rural residents pay 10 yuan every year, can enjoy the clinic expenses of 100 yuan and submit an expense account for each person every year; In in hospitalling, the part over 400 yuan is submitted an expense account by the government, submit an expense account for each person every year the volume of 300,000 yuan is bound. In in hospital on the expenses, medical treatment want, carry out, in hospital day quota system of expenses in hospital in the county, can't exceed 400 yuan in the fixed medical organization at county level, urgent, endanger, the heavy patient can't exceed 1600 yuan (except checking fee, operation fee in the hospital at county level specially) . The wooden county of the spirit is through setting up medical information system, control prescription, medicines of the hospital and use information to the behavior in the whole medical course in real time, including the checking diagnostic message,etc. of the patient. Not merely can control effective total value to the medical behavior of the hospital, supervise the case to the doctor and behavior of making a diagnosis of the hospital, analyze the behaviors of both sides of supply and demand, carry on the expenses and control monitoring with the behavior to both sides of supply and demand on this basis, thus has improved the treatment quality of the hospital. "The most expensive one is not CT, but a pen in doctor's hands, but god's wooden county government is regarded as the single buyer, it is strong to negotiate ability, control these expenses. " Social Vice Minister of R D Department Gong Sen of Development Reseach Center of the State Council says. Join medical fee of sponsor, reduce, come down, will hospital shift, give, effect an insurance crowd high medical fee? Recover and handle the data offered and reveal, it is not that the proportions of people of free medical care are small according to god's wooden county, only accounts for about 10% in the fixed medical organization at county level. In addition, the fixed medical treatment machine at county level last year The average cost of hospitalization which constructs free medical care is 4240.49 yuan, the expenses are 1931.23 yuan that crowd not enjoying free medical care is in hospital in the fixed medical organization at county level on average. Through these two data discoveries, effect an insurance the crowd's cost of hospitalization has no improvement, reason whether the intersection of crowd and oneself these inhibit consumption, in addition, proportion little, high medical fee transfer to, effect an insurance on person unrealistic even. [Future ] establish the system of preventing at this year national two Conferences, Zhu Chen, minister of Ministry of Public Health, offer the intersection of abundant affirmation and " county magistrate like supernatural wood to god's wooden mode, can do inside at least 1/5 of the counties. " Recently, Vice Chief of Guangdong Province department of public health Liao XinBo says, Guangdong can totally duplicate god's wooden medical reform mode, implement the whole people's free medical care. After the supernatural wood takes the first step of the whole people's free medical care, this " medical reform Dream Team " Start new exploration again. Guo BaoCheng reveals, the supernatural wood is set about making and preventing the system this year, leave and put prevention first, treat the healthy spirit wooden medical reform mode in order to be complemented. As township hospital and village hygiene station, should bear the epidemic prevention of the public health, health education, the function of health care. Social development and public policy institute's professor Tian DongHua of Beijing Normal University are proposed, the supernatural wood can't stay on over the past frame, such as setting up preventing the chronic disease system, propose effect an insurance for all residents carry on the mandatory physical examination within the range of the whole county every yearing, according to different age, make different physical examination " because a lot of disease prevent from money that spend early period, the money to be spent comparing with the time of really having illness coming on is much bad. " Guo BaoCheng agrees to this, says conscientiously: "Prevent the system, the one that must enter this time. " Wang ZhenYao proposes, after free medical care, for ordinary people, and higher service demand. Hope the supernatural wood includes in the range of the medical reform too in including specialized medical treatment such as the mental patient, psychological medical treatment.


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