The long public hospital reform government of something small and hard of Shaanxi allocates funds Solve common people and see the doctor expensively

The long public hospital reform government of something small and hard of Shaanxi allocates funds Solve common people and see the doctor expensively
The long public hospital reform government of something small and hard of Shaanxi allocates funds Solve common people and see the doctor expensively
On November 2, the reform and development on-the-spot meeting of hospital of national county is held in the long county of the son of Shaanxi Province. The long county of something small and hard renowned for tile kiln fort meeting in the past, nowadays succeeded in pursuing the medical reforming causes the concern once again. The medical reform mode of son's long county is: The government allocates funds fully, the public hospital returns to public service. On June 1, 2008, son's long county starts in order to establish " par hospital " Reform for the public hospital of the theme. Has implemented over the past two years, the county finance has added up to and replenished personnel funds of more than 20 million yuan for the public hospital. Compared with the medical reform, the medicines price of the public hospital of the whole county dropped by about 40%, the salary welfare of the medical worker had increased by 48%, have realized the government, hospital, medical personnel and patient tentatively " Satisfied all sides " . Government: Make the investment for the public hospital, equivalent to invest and see the doctor to mainly reflect expensively in respects such as the medical price, checking expenses and great prescription,etc. for ordinary people, and the hospital " Raise medicine with medicine " The system and expensive main origin that the government result in seeing the doctor to invests the omission. Because of such understanding, the first thing that son's long county does is, the public hospital of the whole county changes from budget entity of difference to the budget entity in full, change only nuclear 70% of the salary of hospital to the county of finance in the past into 100% and authorize. "Increase the input in government, it is the key to ensuring public service properties in the hospital. This ' blood supply route ' of only government remains unblocked all the time, the public hospital could throw but the benefit orientation of the market during the medical reform, solve chronic illness of the difficulty and high cost of getting medical treatment of the masses fundamentally. " Long county secretary of county Party committee Xue HaiTao says the something small and hard with deep feeling. On October 12 of 2009, are held the starting ceremony by the modernized comprehensive clinic building of governmental investment of 57 million yuan. Building a clinic building with 196 sick beds, county director Wu JianJun dare not desire in the past, the major project has already been bound nowadays. Son long blue Meng, county magistrate of county lays down and says, the large-scale renewal of the equipment of the capital construction sum of the hospital is born by county finance. Change, in power idea, strengthen the intersection of government and responsibility, could prominent public service property of hospital. For let public hospital go into battle with a light pack, prevent hospital from make, manage, create income, son long county produce again " well-known writer " : Bale the historical debt of more than 19 million yuan of public hospital in unison, is repaid year by year by the government finance. The medical worker subsidizes and all includes with personnel training expenses in the financial budget subsidy. They still increase the input of medical apparatus for the hospital, require that charges and checks the expenses only according to the cost price. It is introduced, the medical reform does not include apparatus purchasing, capital construction expenditure and subsidy, the average annual financial recurrent input used for public hospital reform of son's long county is 7,660,000 yuan, accounts for about 10% of the expenditure of health care, accounts for about 0.6% of the expenditure of the whole county. Xue HaiTao says: "What we ran is the People's Hospital, make the investment for the public hospital, equivalent to invest for ordinary people. Increase the input in finance, has already solved building the development problem of the hospital, have aroused the enthusiasm of medical personnel. " Patient: The medical fee is getting lower year by year, see the doctor and rest assured in order to reduce the empty high medicine price more and more, son's long county purchases in unison medicines by county, all public centralized purchasing of medical organization of the whole county, exchange group purchase of big volume for medicines and further reduce prices, " six is unified " after realizing medicines catalogue, price, quality, purchasing, providing and delivering and checking out . Son long county confirm 1 the intersection of capability and richer state-run medicine sell enterprises in the company from 10 bid also, responsible for the intersection of the whole county and medicines provide and deliver, work, make the intersection of the whole county and in urban and rural areas public the intersection of hospital and all the intersection of medicines and homogeneity and price. The reporter enters the county people's hospital, can see enormous announcement card, announce the market price, centralized purchasing price and range that the price reduces of thousands of kinds of medicines above. It is compared that " the medical organization at the basic level of Shaanxi Province will purchase and win a bid of the catalogue in unison " for blue Meng's introduction of laying down, one that is with February of 2010, the son purchases the overall price to call for bid and hang the network price lower by 23.3% than the province long. The medicines price of the public hospital of the whole county has dropped by about 40%, 1942 kinds of basic medicine assortment prices among them have been reduced by 36.67%, the price of 1044 kinds of daily medicines has been reduced by 40.39%, the medicines price of 116 kinds of key negociation prices has been reduced by 48.41%. Only the intersection of medicines and the intersection of centralized purchasing and this item, can lighten the intersection of masses and 8 million of burden every year. After providing and delivering in unison the centralized purchasing of medicines, medical representative and interests chain between the doctors have been cut off, the doctor has neither made the great prescription, nor prescribed expensive medicine. It was with a case (No. 1000 Branch held) in the past in year of hospital 1 of county Penicillin, spends six or seven thousand in one month now. The proportion that the unit medicines income of medical treatment accounts for the business income is reduced from 56.2% in 2007 to 38%. Son long the intersection of county and the intersection of tile and the intersection of kiln and the intersection of fort and the intersection of town and 64 -year-old Chen Yu swallow suffer from diabetes, the intersection of brain and the intersection of person who block up and many kinds of chronic disease, in hospital once every year. Her spouse holds a small book one, remembers the annual one is in hospital the expenses. Cost of hospitalization is 7070.62 yuan in 2007, about more than 5000 yuan of 2009, it is 4254 yuan this year. Spouse say have getting lower medical fees year by year, see the doctor, rest assured. Correct, count according to the intersection of county and medicine, contrast around the reform, patient medical the intersection of expense and total value and time expense obviously dropped, every leave hospital the intersection of patient and the intersection of clinic and the intersection of moon and average expenses drop 31.8%, clinic time expense drop by 37.5%, the sick bed rate of utilization is up to 130%. Taking par dispensary, par clinic, par ward as main content" Equal medical care for three times " Having attracted a lot of patients, some patients who originally went to the neighbouring county to seek medical advice originally got back to the county hospital. In the first half of this year, the county hospital always makes a diagnosis the person increases by 21% compared with the same period of last year, the clinic person in the whole county rises by 109.8%. Doctor: So long as do one's best, there will not be few incomes could arouse the enthusiasm of medical worker, concern the success or failure of the medical reform. County medicine is corrected director Jin XiaoHong and introduced, ensuring investing of the government fully and change of the system of buying and selling of medicines, make the public hospital return to standard of public service, but initiated the fissile pain of medical organization, appear some the intersection of medical worker and the intersection of job and passivism, the intersection of prevarication and patient, outflow prescription for a time. Will it be April 2009, the intersection of county and hospital become " the intersection of prescription and amount of money propose the intersection of award and law " For " award law that the prescription quantity is proposed " ,Every service of namely the doctor is a patient, make a prescription, no matter what the total price of the prescription is, deduct a percentage according to 1 yuan, so as to " force " The hospital reforms operating mechanism, stop " great prescription " ,Reduce patient, diagnose the illness expense. Son long county pursue with whole to engage, use as the central reform of personnel system in an all-round way, have realized that manages the transition to post management in identity. On the distribution system reform, pursue the wage system of the performance, expand the part of fluctuating salary, slope to the pace-setter in scientific research, technical backbone, key post especially, widen the difference between different grades appropriately. Wu JianJun introduces, the medical worker salary is divided into two parts of salary of post and performance salary. The salary of performance accounts for 40% of the total amount of the salary, is assessed and releases according to the performance. 30% and financial subsidy income managing the profit on the hospital at the same time are regarded as the salary of performance, according to examining and releasing, it is it variable to make by medical worker move by salary and account for half to salary with? Wish �� Ju ���� abundant �� beautiful Ji forgives and bakes over a slow fire and pushes proud �� Tao Sui according to Lian � low bank? Wang Xiaodong, head of the department of surgery of county people's hospital, says candidly, " took commission before, the income is high, but that is illegal after all. So long as do one's best now, there can not be few either incomes. Now, everybody accepts slowly that increases incomes by good patient of the service. The legal income has doubled than before, the high departments of bonus, such as gynaecology and obstetrics,etc., can get a thousand yuan of Forth Five-Year Plan Period. " The intersection of county and Traditional Chinese hospital, since implementing the salary of performance in April, performance salary can up to 2350 yuan while being high, the lowest one only has 8 yuan. Hospital and department's medical worker performance salary in the county differ by 5700 yuan. The county finance still arranges the project reward fund of 1,900,000 yuan for public hospital every year, rewarded more than 200 to outstanding talents totally since 2007, it reaches more than 5 million yuan to reward the fund. (reporter Wang JunPing)


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