The wooden medical reform of the spirit of Shaanxi has been already half a year It is most afraid the policy will change that common people are benefited

The wooden medical reform of the spirit of Shaanxi has been already half a year It is most afraid the policy will change that common people are benefited
The wooden medical reform of the spirit of Shaanxi has been already half a year It is most afraid the policy will change that common people are benefited
On March 1 this year, the wooden county of the god in Shaanxi Province implements the medical reform, propose: Seek medical advice in the fixed medical organization, implement the medical card of the clinic and submit an expense account and make in hospital. The beneficiary of this reform, include having registered permanent residence and cadres and workers and urban and rural residents of the whole county who has participated in cooperative medical service of urban and rural residents and worker's basic medical insurance of supernatural wood. Wipe out get up pairs of the intersection of line and the above-mentioned part, besides medicine at one's own expense, submit an expense account fully. Submit an expense account and does not exceed 300,000 yuan totally for each person every year. A stone evokes a thousand layers of waves, each side discusses and comes in a continuous stream, pass different judgements on. More than half a year passed by, how on earth is the wooden medical reform result of spirit? A gleam of of reporter's deepening launches the investigation. A few days ago, the wooden county of the god in Shaanxi Province held " working scheduling meeting of the whole people's free medical care " of the third time since the free medical care policies of the whole people of this county are implemented ,Notify the situation of submitting an expense account of free medical care of the whole people of this county from March of this year to September. "The statistical data reveal, the working progress of free medical care of the whole people of my county is steady in order overall, but there is situation that specific expenses of fixed hospital exceed standard, we have carried on punishment to these hospitals according to the regulation at the meeting, this is our first time to implement punishment. " Guo YongTian, Deputy Bureau Director of wooden county hospital introduces to the reporter the spirit. The statistics show, since the whole people's free medical care is implemented on March 1, up to September, spirit wooden county wipe out, in hospital the intersection of patient and 19622 people (agricultural the intersection of resident and 18295 people among them totally, the cadre 1327 people) ,Wipe out medical fee of 78,800,000 yuan totally, monthly 11,257,000 yuan. Among them the per capita cost of hospitalization of hospital at county level is 4319.89 yuan, in hospital the expenses of 365.59 yuan daily; Per person submit an expense account 3632.19, submit an expense account 84.08% of compensating etc., medicines proportion 50.98%. The expenses are 975.86 yuan that per persons of health clinics in towns and townships are in hospital, in hospital the expenses of 117.45 yuan daily; Per person submit an expense account 760.7, submit an expense account 77.95% of compensating etc., medicines proportion 81.38%. " the rich finance, poor common people " Government try, check supernatural wood for the intersection of the whole people and medical treatment, a population only has 400,000 little counties of north of Shanxi Province, rarely known by the people outside, it is far-famed in Shaanxi. Because the fiscal revenues of this county have already occupied the first place in every county of Shaanxi in the location for years. The introduction to the thunder due west of county magistrate of wooden county of the spirit, in 2008, the general financial revenue of the whole county is 7,200 million yuan, be expected to exceed 10 billion yuan in 2009, but " the rich finance, poor common people " ,A lot of are returned to due to illness poorly and still frequently happening regretfully because of the example of the treatment of having no money to stop over. In order to solve the above-mentioned problem, god's wooden county issues " the whole people's free medical care " System. This system is implemented since March 1 this year. According to <>Regulation,all it have it is supernatural registered permanent residence of wood and be be lasted urban and rural residents cooperative medical service and worker the whole county cadres and workers and urban and rural residents of medical insurances basiced, in 21, 7, 5, provincial 5, Beijing 6 hospitals at city level at county level fixed medical organizations (villages and towns, 5 fixed pharmacies at county level) Ones that pay and treat, implement the medical card of the clinic and submit an expense account and make in hospital. Can enjoy clinic of 100 yuan to subsidize for each person every year, the medical card balance fund of the clinic can be carried down and used and inherited. Submit an expense account in hospital and presume that gets up in one pair of lines, one pair of lines is 200 yuan for every person that the township hospital submits an expense account in hospital, the hospital at county level is 400 yuan for every person, the hospital is 3000 yuan for every person outside the border of the county. Blow under the pairs of line ' Includes one pair of lines) In hospital hospitalization cost because it pay line the parts aboves (except medicines at one's own expense) for itself from patient, it pay to get up ,Submit an expense account fully on condition that submits an expense account totally for each person every year and does not exceed 300,000 yuan. Known as " Hold the domestic beginning " Spirit wooden for medical reform for mode report media,namely cause by concerns extensives social. The persons who praise think, god's wooden medical reform has not only revealed idea, super - normal courage and courage and insight that the policymaker of this county assumes power for the people, also set an example for the other places, especially its " integration of urban and rural areas " Implementing scheme have open ice meaning. The opposition person thinks, the god corrects one's mistakes in idealism in wooden medicine, " courage has enough and to spare, practical and insufficient " ,Have not fully considered the citizen's moral hazard, lack the essential control mechanism too, a large number of " whether small disease take, in hospital too " , " recover from illness, leave hospital either " Patient make have full ward,make county finance unable hospitalization cost on it is heavy for continuing, finally, the medical reform will move towards dying young. Pay close attention to generally in every public opinion, the intersection of dispute and the intersection of sound and fierce a May one day most, held by the enlarged meeting of wooden standing committee of county Party committee of spirit which secretary of county Party committee Guo BaoCheng presides over in person, more than 30 leaders and relevant department heads at county level are convened, there is one topic: Discuss " the whole people's free medical care " Whether the system continues insisting on. The fierce discussion appearing in the imagination in this meeting, everybody has highly unanimous opinion, form the resolution quickly: The system must go down unswervingly, meanwhile, should improve the system and control the system constantly too. It only accounts for 1/8 of the rich financial capability of the budget of Huimin of the whole year to guarantee the reform is pursued "We admit, implement the first two months in the free medical treatment system, really increase sharply patient's quantity, in short situation of the specific hospital berth. The statistics show, the impatient peaked from the last ten days of March to the first ten days of April, increased with comparing in the same term by 30% " ,The standing committee of the wooden county Party committee of the spirit, propaganda minister Lei JiangSheng say. But he says, " these questions have not gone beyond our imagination, the appearance of the question is very normal at the same time. Because there are many historical debts on one hand, patient who there is no money to see the doctor before a lot of, only possible hospital treatment after the free medical treatment system is implemented. Because other patients are afraid the policy can't be lasting, see the doctor by surprise. But as time goes on, people's demand of seeking medical advice returns to normal, after the lasting implementation of the policy is produced and believed in, the in short state of the berth has been just relieved. " On October 16, the reporter will come and have the hospitals of wooden county of spirit of 400 berths. The president is rough to assuare the jade verifies one, about berth rate of utilization about 95% of this institute at present, except that internal medicine department, infectious disease department slightly show tensely, other department berths are vacant. Another the intersection of free medical care and the intersection of fixed hospital and supernatural the intersection of China and supernatural the intersection of the east and electric director hall introduce high generation, there are 170 berths in all in the hospital, the impatient is steady about 160 people at present, " there is not a situation that patients can not be in hospital now " . Guo YongTian says, even reach the period of the highest peak in impatient's quantity, through taking many kinds of measures to guarantee the hospitalized for treatment in timing of the urgent critical patient too on the county. "We require all each departments of fixed hospital to reserve 2 urgent critical patient's berths. Can't be in hospital temporarily to those General for patient,demand we let's meet and examine by doctor leave by the contact details of they, there are empty beds that will be notified at once. At the same time, in order to shunt disease effectively, encourage the chronic disease patient to seek medical advice in the clinic, we made and printed and distributed ' the whole service life volume of outpatient service of chronic disease submit an expense account to stipulate ' at the beginning of February, diabetes, hypertension 23 chronic disease implement the whole the intersection of service life and volume wipe out, the intersection of number and 1800 yuan to 60000 yuan since. " "As to the worry that can bear to the finance of my county continuously, in fact totally unnecessary. We prove from research starting 1 - year long zero 3 months at the beginning of 2008, calculate repeatedly on the fund expenses, pass to the verification of the medical expense state of the whole county from 2005 to 2007, calculate the general demand of medical expenses in the whole county of 2009 between 180 million yuan in 150 million yuan. Submit an expense account and look from the reality of this 7 months on number, has not gone beyond and calculated the range. " River sound introduction to the thunder: "In 2009, we plan to implement ten major Huimin projects, all budgets are 1,300 million yuan, ' the whole people's free medical care ' is only one of these, it only accounts for 1/8 among them 150 million yuan too for. " As far as reporter know, benefit from abundant coal resources, the economic comprehensive strength of land of wooden county of the spirit ranks the 92nd of the whole country at present, the fifth of west, Shaanxi Province primary importance. 2008, the general financial revenue of this county is 7,227 million yuan, local fiscal revenues are 1,719 million yuan among them. Lei JiangSheng says, " the rich financial resources are foundations that the free medical treatment system can be implemented, meanwhile, my population in the county is only 400,000, in addition, is located in the west, the medical expenses standard is very height, this is the reason why finance can afford too. " Irregular to spot check, prevent excessive medical treatment and the intersection of hospital and old prescription from turn on the great prescription issue to the intersection of patient and excessive medical treatment and hospital that public opinion pay close attention to generally to hospital, Guo YongTian admits frankly, these problems really exist, will also appear too in the future, but " what should prove is, all these are only extremely specific phenomenon " . As to these questions, the wooden county of the spirit " sees that employs and dismantles employing " ,Solving progressively. The county hospital issued in January of this year <>,Having stipulated the supervisory method to a lot of questions that may appear, among them demand to control the medical expenses strictly clearly, carried out and in hospital the expense quota system on day the hospital treatment in the county, namely generally the average daily all-inclusive cost of the patient can't exceed 200 yuan in the fixed medical organizations of villages and towns in hospital, 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) . Made in mid-March " In hospital single number pays and manages the temporary means by norm " ,To cut open the intersection of palace and produce, appendicitis 30 the intersection of form and number go on expenses undertake to do a job until it is completed standard regulation by norm in hospital. Guo YongTian says, in hospital at present the patient's hospitalization cost is paid first by the patient first, submit an expense account in the hospital while leaving hospital, the medical insurance of the county is settled with hospital after doing and treating and doing checking per month jointly, if the hospital charges unreasonable, the corresponding expenses will be undertaken by hospital. Meanwhile, implement to the fixed hospital " an example is checked reasonably, check the index synthetically " Supervisory system,last expert irregular about hospital county hospital spot check case, check to it, treatment, administration are evaluated rationally. Have set up 3 pieces of synthesis and examined the index: The medicines expenses at one's own expense can't exceed 10% of the total medicines expenses; The medicines expenses can't exceed 50% in hospital the all-inclusive cost to in hospital; The large-scale monitoring device checks the positive rate and can not be lower than 75%. "We make to the fixed hospital and make dynamically the entry, a examination in one year, there are 14 hospitals at county level in all in god's wooden county, there are 7 fixed hospitals at present, if which hospital is not up to standard in checking and examining, will be eliminated. " Guo YongTian says. "Once can not enter the fixed hospital, our rice bowl is equal to being broken. " The east electric hospital Vice President Liu YuKai responds so that supernatural China is supernatural. Though hospital set up into all sorts of the intersection of control and measure, and the hall is spoken high generation, the income of oneself affiliated hospital does not lower increasing instead. "As the fixed hospital of free medical care, the number of people has been increased by about 15% as compared to before in hospital in our academy, though per person expense been lowered by odd one hundred yuan in hospital, the gross income has probably increased by 10%. " Gao ShiTang says. And as the only public hospital of wooden county of the spirit, the hospital of wooden county of the spirit has just finished moving in February of this year, new sick bed of hospital count 210 rise to 400 from before, " now per person expense required to limit to 4000 yuan in hospital, it is about 200 yuans to lack comparatively, but because the number of people of disease increases by a wide margin, the gross income of the hospital increases. " Rough to assuare the jade tells reporters, because of the implementation of the free medical treatment system, make medical resources expanded, it is undoubtedly all motive force that this pair of economic and social benefits of hospital are promoted. And the real datas of hospital and commune hospital, have just explained this state. According to the introduction of a Vice Minister of wooden propaganda department of county Party committee of spirit, supernatural China is supernatural in the electric hospital 2008 second of the east, the business income will be 2,300,000, 2,350,000 yuan respectively in the third quarter, second of 2009, the business income will be 2,530,000 yuan, 2,580,000 yuan in the third quarter. The commune hospital of tower township of rough home will be in hospital 42 people from January to September, be in hospital 59 people from January to September; Protect as the town commune hospital will be in hospital 31 people from January to September big, be in hospital 64 people from January to September; Sand Mao town commune hospital will be in hospital 80 people from January to September, be in hospital 124 people from January to September. Common people are benefited, most afraid the policy will change Could popularize and still stay and need checking and examine in a subject ward in the hospital of god's wooden county, 53 -year-old Wang Shuang hall seems in poor health, suffer from to he of many kinds of diseases such as pulmonary emphysema, bronchitis, gastroenteritis at the same time, but treated carefully in hospital in the past. "There is no money, scorn for, can not really shoulder, look for a small clinic to lose the liquid for a few days. " The only person of one pair of halls of king, is a rural low insurance family. Since March 1, he is in the high-new second hospitals of hospitals, counties and county hospital of wooden county of the spirit in hospital separately. "Live 19 day in high-new hospital, cost 6213 together, wipe out 5549 yuan; Live 18 day in second hospital, cost 5728, wipe out 5019 yuan. The intersection of county and hospital already live for 9 days now. " Wang ShuangTang says, because the health does not always get better, transfer to institute several times, live for longer time, "free medical care has helped a lot, otherwise where to afford to live? " After retired cadre Jiao HuaiQing hangs good number, sit in the county waiting to call the brass-wind instrument in the waiting area of outpatient building of the hospital quietly. But as the reporter mentions that there is the public opinion that says to god's wooden medical reform that queried At the time of the topic, his expression and tone obviously get exited: "Totally all right too that secretary, county magistrate have not used the money on here, do this thing making ordinary people glad now, why throw cold water on them? " " see the doctor and does not spend money, dare not desire " ,What a lot of spirit wooden people are expressing the happiness of heart with the most simple words, as the reporter asks about them " to worry about most " When, they unanimously: "Afraid the policy will be changed. " Though the directors interviewed for high evaluation to the free medical treatment system of this county unanimously, but can popularize in the whole country this system, keep the prudent attitude. ? 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"Because we are ' the first person who eats the crab ', there is not a experience that can be drawn lessons from, the time that in addition, the policy implements is not long yet, it exposes questions that comes out to be the intersection of surface and level at present, so the mode it has to be really profound contradiction, have what question impassable, all these can only after getting in longer period on earth, as the constant test practising could be found, and solve progressively. " Lei JiangSheng says, " we wish eagerly the society can give us the time to fully try, even if prove finally that fails, can summarize a lot of valuable things at least. "


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