By some ones that keep medical reform here " The screw "
By some ones that keep medical reform here " The screw "
" whether serious disease go to the hospital, little disease enters the community " ,This deepens the residents that recommend in the medical reform scheme to seek medical advice in the way. For this reason, the country has invested a large number of manpower and financial resources, develop the urban community's hygiene service and health clinics in towns and townships. According to schedule, will have implemented the basic medicine system in 60% of the medical health organs of basic unit by the end of 2010, but some basic unit medical health organs are in the awkward situation having difficulty in taking a step at present. The standing meeting of the State Council held yesterday, focuses on and studies and disposes the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit for the theme. The meeting points out, since last August, already over 50% of the medical health organs of basic unit implemented the basic medicine system in the whole country, sell a difference rate of medicines, has obviously lightened person's administration burden, but larger revenue and expenditure shortfall has appeared in the medical health organ in the basic unit at the same time. So, must implement the compensation policy synchronously and set up steady compensation channel and compensate the way, guarantee the medical health organ in the basic unit runs and develops steadily, arouses medical health organ and medical worker enthusiasm in the basic unit, guarantee the basic medicine system is implemented smoothly. "The government replenishes the income with organization personnel at present, quota is 48600 yuan for annual each person, and this standard has been already 3 years, there is not any improvement. As to the part of the public expenditure, the government has not replenished, but leave business income to us, but with increase of our portfolio and the rising in price of the water and electricity oil, the business income can't totally support the expenditure, there is a gap of 700,000~80 ten thousand yuan every year, we still can turn over when the beginning of the year, but sadder at the end of the year, there is no fund of turnover. " Beijing Xicheng District Germany defeats the hygiene Korea S., director of centre of community to say when being interviewed by " the first finance and economics daily " reporter clank. Korea S. says clank, Germany defeats the annual medicines income of the hygiene centre of the community and reaches 26 million yuan, but the money is just from her hands, then flow into the pharmaceutical factory directly, but increase with annual portfolio with 30% of the proportions, that brought to her is that public expenditure is expanding constantly, the more medicines are sold, the more her administrative cost is, but because the price charged in medical treatment does not change, the money in her hand is difficult to satisfy the expenditure of the administrative cost. "The government should give cancelling 15% of the addition subsidies of medicines to us, is used in the public expenditure, not used in personnel. " Korea S. says clank. However, as the model of the hygiene service organization of community of Beijing, the medical personnel of Germany who defeats the community health Center work in overload. According to the introduction clank of Korea S., though their portfolio is increasing every year, compare the other community health Centers, the former's personnel's salary has not been encouraged, cause a lot of medical personnel to leave office. "40 medical workers of our this year, 6 have left. " Personnel's resignation is her most distressed thing, because train a complete doctor to need 5~8 years, "but left overnight, without personnel's support, how can the community health Center finish the task in the medical reform? " Korea S. says clank. Deepen the medical reform and go to today, the basic medical organization could run and improve in place, depend on whether the subsidy of the government could be put in place to a great extent. Above-mentioned meeting make, dispose while being a series of, including being implement basic medicine behind the system, the operating cost of the health clinics in towns and townships which the government holds, urban community hygiene service organization is subsidized through the government and the service charge is compensated. Purchasing etc. and developing and constructing the expenditure in capital construction and apparatus is arranged in full amount according to planning by the government, personnel's funds are arranged and subsidized rationally by the government. The government will implement basic public health service funds according to per person's at least 15 yuan standard in 2010, further improved from 2011 years. In addition, set up the medical examination incentive mechanism of health organ in the basic unit and insist on the more pay for more work, excellent good performance reward, ensure the rational income level of medical worker at the basic level not to reduce.
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