The township of donkey-hide gelatin investigates: Medical treatment at the basic level after a difference rate of basic medicine

The township of donkey-hide gelatin investigates: Medical treatment at the basic level after a difference rate of basic medicine
The township of donkey-hide gelatin investigates: Medical treatment at the basic level after a difference rate of basic medicine
Implement the pilot county of the national basic medicine system in the first batch as Shandong in Donga, all implemented the basic medicine system in health clinics in towns and townships and the community health Center of the whole county from March 1, 523 kinds of medicines implement a difference rate to sell. Implement it in a last few months, how is the result? Where to popularize the key implemented? The reporter has carried on the investigation. It is really not September 17 expensive to see the doctor and take medicine, the ginger floor town commune hospital, 55 -year-old He Qing tells reporters jade: "I high blood glucose have, suffer from the intersection of cervical vertebra and disease still, take, quench one's thirst pill and 2 first pair guanidine throughout the year. Quench one's thirst the intersection of pill and before one the intersection of box and 20, it is 15.4 yuan now; Two first pair guanidine was 8.75 yuan for a box in the past, it is 6.7 yuan now. Two medicine these, it is one box that take five six day, eat for a long time, charge that very saves money. " To Ren ShuLan of the Jia 's of residential district of new city, the advantage that the basic medicine system brings is, a piece of headache generates heat, would like to go to the community health Center of the street to see: "Medicine very cheap, spend pieces of ten eight, shut while being agricultural while being new, still can wipe out 30%. Held on firmly despite extreme adversity, pain, etc. if there were small diseases in the past, often towed into serious disease. " 65 -year-old Zhao Heng is beautiful, have suffered from bronchitis for many years. In collect the intersection of township and commune hospital while being old, reporter meet doctor give prescription form that he turn on, except that the glucose, transfusion system, needle are not in charge of within the range of basic medicine, 5 kinds of other injections use medicine and 3 kinds of oral medicine, amounts to 47.1 yuan. Lao Zhao is very satisfied: "This was in the past, what must sixty or seventy yuan too, it is very cheap to see the doctor. " Collect to doctor Wang XingRui of the commune hospital oldly to say, " to senile disease, chronic disease, hypertension patient needing to take medicine for a long time, there is many material benefit obtained. " Every commune hospital has set up " A price differential " Medicines special counter, peasants can see the comparison with current rate of original price of medicines. The data that the county hospital of Donga offers show, March - July, the medicines prices of health clinics in towns and townships of the whole county 13, the street community health Center, the average price drops by 40.79% compared with the same period of last year, medicines expenses once of per person of the patient drop by 32.8% compared with the same period of last year, the average expenses of the person drop by 21.6% compared with the same period of last year to in hospital each time. There are many ones that go to the commune hospital at the basic level to see the doctor to implement the basic medicine system, what influence is there on medical health organ in the basic unit? The street community health Center director Chen RuiGui of new city introduces: "Just at the beginning, we are really anxious in the heart, do not do medicines and raise the price, raise medicine with medicine, how do we have a meal? Various subsidy implementation now, the ones that were higher than in the past sold the medicine profit, the per capita salary of the medical personnel has been raised by more than 700 yuan, everybody's working enthusiasm is improved greatly. The medicine price is lowered, the relationship between doctors and patients is harmonious too. 3- In August, person increased the clinic by 20% compared with the same period of last year. " The street community health Center of new city also includes the public health service in contents such as health care,etc. that mother and child care, chronic patient recover, well received by resident of area under one's jurisdiction. Floor town president of commune hospital Yao JiDong of ginger introduces: "In March - August, the clinic person of our academy increased 1928 persons compared with the same period of last year, the person increased 132 persons in hospital. Per capita monthly salary is more than 1400 yuan now, medical personnel feels that there are prospects. " Have also worked out and paid allocating to health clinics in towns and townships, the street community health Center of the whole county in Donga. 9 health clinics in towns and townships increase and work out 131 persons of number; Two community health Centers increase and work out to 19. Meanwhile, implement the wage system of the performance in an all-round way, pursue the medical management system reform of health organ of the basic unit steadily, have set up the medical health organ in the basic unit and mechanism of division of labor and coordination of work of medical organization of higher level tentatively. 3 of this year is to July, compared with the same period last year, 13 clinic persons of medical organization at the basic level in Donga county rose by 21.6%, the monthly salary of the worker increases by 300 yuan on average. Key lie in, form steady the intersection of compensation mechanism and lucky the east Yao, think implement basic the intersection of medicine and a difference rate sell, it is a key whether the finance could be implemented while subsidizing the policy. If compensating the fund can't be put in place in full amount in time, the medical organization at the basic level is unable to operate, the basic medicine system is difficult to pursue. Compensate the fund to put in place now, the building construction, apparatus of the commune hospital at the basic level change normally, staff training, need money, the money compensated is not enough. The X-ray machine of the ginger floor town commune hospital, it is the second-hand equipment bought in 2002, upgraded 200,000 yuan, there is not so much money in the commune hospital. Want, appear on the stage color exceed plane, need 400,000 more than, afford still more. Chief of Liaocheng health bureau Liu DeYong thinks, implements the basic medicine system, it was a difference rate of basic medicine that sold the question, the key lies in using the basic medicine through allocating, set up and amplify system and mechanism of the medical health organ of a whole set of basic unit, advance profound reforms such as management system, compensation mechanism, personnel system, distribution system,etc., realize finally " it is encouraged that the people need material benefit, medical worker, the medical organization increases vigor " Goal. By the look of situation in Donga, the distribution system reform of the personnel has just started, the personnel allocation determines a post, profound reform paces such as examining, performance salary remain to further accelerate bidirectionally. Popularize the basic medicine system, need continuing exploring. The personage of the hygiene of Liaocheng circle proposes, the next step, should implement the government and invest the policy, explore multi-channel compensation mechanism actively, such as exploring by way of bought and servedding, the medical insurance fund of use is compensated. Compensating should keep the medical health organ in the basic unit running well, as well as solve problems such as medical debt, medical risk and sustainable development of health organ in the basic unit,etc. progressively. Meanwhile, lead the medical health organ in the basic unit to implement the comprehensive reform, make system and mechanism in order as soon as possible.


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