The long county of something small and hard of Shaanxi leads for 8 months and issues the medical reform scheme Person explored the way in reputation

The long county of something small and hard of Shaanxi leads for 8 months and issues the medical reform scheme Person explored the way in reputation
The long county of something small and hard of Shaanxi leads for 8 months and issues the medical reform scheme Person explored the way in reputation
Prior to the country to issue the medical reform scheme in 8 months, the public hospital medicine price drops by more than 40%, the salary welfare of the medical worker increases by 48%, realize government, hospital, medical personnel and patient " satisfied all sides " tentatively Goal. Take place in the intersection of economy and undeveloped the intersection of son and long these medical reform of county still, become the focus that all circles pay close attention to. Son's long medical reform: The public hospital medicine price drops by more than 40% Reporter Wang Qun of " China's economic weekly magazine "
Report the long county of something small and hard of Yanan of Shaanxi Province gains the name because the revolutionary martyr thanks the son long in Yanan, the drive of 90 minutes from Yanan, because of locating in the plateau hinterland in the north of Shanxi Province, the climate is relatively changeable, in mid-April reaching this county the reporter, the snow flake has floated in the sky. When the reporter goes to the hospital to interview in spite of the snow early in the morning, it happened that meet lotus of 74 -year-old Xu Feng moving about in the corridor, because suffered from diseases such as hypertension and myocardial infarction,etc. all the year round, aunt Xu became " frequent visitors " of the county hospital ,Almost all the medical personnel recognizes her in the capital. It is said the reporter interviews " The par hospital " ,She asks a reporter whether a reporter can listen to her " Report " . Aunt Xu told reporters, her mood was special and profound that in hospital each time in the past, not only should bear enormous pain on the body but also pay the great amount of medical fee. Since begin to pursue on the county " The par hospital " And then, she is much more relaxed in hospital each time: Originally in hospital, wanted a thousand yuan of Forth Five-Year Plan Period in two weeks, but the same treatment now, cost and is less than 2,000 yuan; Use more than nearly 30 yuan for a piece of root of red-rooted salvia originally, 9 yuan now; More than 50 yuan for a bottle of fructose originally, six or seven yuan now; Two or three hundred yuan of medical fee of one day, was less than 100 yuan now originally "The par hospital really lets us ordinary people lighten the burden, receive material benefit! " The old man is extremely exited. Will it be June 1 2008, according to " regarding guaranteeing the public service properties of the hospital as the core, regard establishing the system of medical care of par as the focal point, regard reforming and innovating in the management system mechanism of the hospital as motive force, regard strengthening the government to put into as and catch hands, relieve the difficulty and high cost of getting medical treatment questions of masses conscientiously " Thinking,son is long last " the par hospital " in order to establishing Reform for the public hospital of the theme. Has implemented the medical reform over the past two years, the county finance has added up to and replenished personnel funds, reduced or remitted the expenses for the public hospital and the apparatus is purchased,etc. more than 20 million yuan; Compared with the medical reform, the medicines price of the public hospital of the whole county dropped by about 40%, medical worker's normal salary welfare had increased by 48%, have realized the government, hospital, medical personnel and patient tentatively " Satisfied all sides " Goal. Son long the intersection of county and county magistrate blue Meng lay down, say to " China economic weekly magazine ": Son's long county strives that it is about 300 million yuans to raise funds in many ways in three years, implement the intersection of county and the intersection of village and tertiary standardized construction of health organ, ten major engineering construction tasks such as emergency system construction of the public health event, medical and health information management system construction happen suddenly; Further carry out nine basic public health service items such as great disease prevention and control, children's immunity inoculation, meet multi-level health care demands of the people progressively. The pathfinder of China's new medical reform appears in the long county of something small and hard with still undeveloped economy, and is prior to the national medical reform scheme to issue for 8 months, what are son's long policymakers such own handwriting comes? The reporter has carried on the special visit on this antithetical phrase long secretary of county Party committee Xue HaiTao. How to make sure the medicine price drops by 40% of " China's economic weekly magazines ": How does son's long county establish the par hospital to put forward? What is your impetus? Xue HaiTao: It is in par hospital we offer to masses is it safe, effective, conveniently, serve at cheap health care, solve the important action of the difficulty and high cost of getting medical treatment of the masses effectively. The more important thing is to solve the problem of perception. Making the reform in the past, under the particular historical condition, we had encouraged hospital to compete in the market too, perhaps it was correct at that time, for example the infrastructure of the hospital, medical team developed, in the leading level of the hospital at county level of Yanan. But its negative effects are that questions of the difficulty and high cost of getting medical treatment of the masses are more and more outstanding. Investigate, survey and study and analyze in earlier stage through a large amount of, we find the so-called one difficult to see the doctor, just a macroscopical concept, in the land range in the county, the expensive problem of actually mainly seeing the doctor, but see the doctor and mainly reflect expensively in respects such as the medical price, checking expenses and great prescription,etc.. The operation expenses of a cholelithiasis patient are up to 5000 yuan, and the expenses for medicine account for more than 50%, the hospital " raises medicine with medicine " The system and expensive origin that the government result in seeing the doctor to invests the omission. " China's economic weekly magazine ": Compare with the medical reform, the medicines price of the public hospital of the whole county dropped by more than 40%, how did you accomplish? What kind of measure is taken concrete? Xue HaiTao: Increase the input in government at first. We change the public hospital of the whole county from difference unit to the budget entity in full, only authorized 70% of the salary on the hospital in the past to change into 100% and authorize, the medical worker subsidized and all included with expenses such as personnel training,etc. in the financial budget subsidy. The historical debt of 19,410,000 yuan in the hospital develops is baled in unison by the county finance, check up and return year by year. The government still allocates funds to purchase advanced instrument and equipment for the hospital, upgrade the medical facilities, have already invested 5,230,000 yuan at present. From June 1, 2008, cancel 15% of the medicines addition that the policy allowed, sell a difference rate, and implement single number and charge to 23 number projects, is reduce according to cost accounting by Price Bureau large-scaly and checked the expenses, the part of reduction of income of the hospital is by financial subsidy of the county. The one that should also be paid attention to is, the public service essence of the hospital does not repel the market means, the strength of the market can be must use as the par hospitalled too " The par " Power source one of. Take the medicines centralized purchasing that we implement, provide and deliver the system and say in unison, well used the means of the market regulation, has exchanged group purchase of big volume for the low price of medicines, make the medicines price of the public hospital of the whole county drop by about 40%, 1942 kinds of basic medicines prices among them are reduced by 36.67%, the price of 1044 kinds of daily medicines is reduced by 40.39%, the medicines price of 116 kinds of key negociation prices is reduced by 48.41%. It is not equal to that public beneficial" Mess " " China's economic weekly magazine ": The reform should move whole body, the serivce object of the par hospital is the masses, it is the hospital to be and offering service, how the medical reform makes the hospital satisfied, how was the coordinated reform of the hospital carried on? Xue HaiTao: No doubt, the public service properties of the public hospital have determined the government must increase input. But can unquestionably succeed after having governmental input. While increasing input, should take the capable measure to deepen the internal reforms of the hospital, management system and mechanism of innovative hospital, solve the medical worker thought and knowledge problem. The properties of public service of the hospital must and protect through the doctor The person reflects, for example the structural salary should be settled well, the question of making great prescription should be stopped If has not broken through on the reform, will resume " mess " ,Even if the government invests to make " The par hospital " ,The masses see the doctor expensively and the difficult problem of seeing the doctor can not be still solved. We are in establishment, the system has carried on the norm again after adopting five major actions to manage and run to the inside of the hospital. First, set up medical service price management system. Pursue and network charging, systems such as list, charging item announcement and inquiry about expenses,etc. of one day in an all-round way, have improved and charged the transparency. Second, reform the distribution system of the personnel. Adopt the method of recruiting to the leadership position of the hospital publicly, employ competing for posts, contract to the technical staff of the hygiene, regard 40% of medical worker's amount of wages as the performance part, examine strictly according to service level, attitude and quality, release factually. Third, implement management of two lines of revenue and expenditure and account assignment system. The hospital accountant is appointed by the Bureau of Finance of the county, all business incomes are supervised by the special family of the finance, and use 40% of hospital profit and county financial project subsidy fund for the normal running of the hospital, 30% are used in the medical worker efficiency-related wages, bonus welfare, 30% are regarded as the expansion funds of the hospital. Fourth, cancel opening and deducting a percentage only. Change " award law that the amount of money of the prescription is proposed " For " award law that the prescription quantity is proposed " ,Have stopped " The great prescription " Behavior. Fifth, implement the outstanding talent's incentive system. The county finance arranges the project fund of 1,300,000 yuan for public hospital every year, reward to the outstanding talents making the outstanding contributions to the development of hospital. Since this system is implemented, reward more than 200 to outstanding talents, reward the fund of more than 5 million yuan totally. Say objectively, in son's long county " par hospital " Establish in course, the medical personnel's thought can't say that has not fluctuated. But pass more than practice for less than two year, thought of everybody by restless and looking around, have turned into participating in the reform actively.


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