Sunday, September 2, 2012

The new medical reform standard in Qingdao wants - increase- The scheme is expected to issue at the end of August

The new medical reform standard in Qingdao wants - increase- The scheme is expected to issue at the end of August
The new medical reform standard in Qingdao wants - increase- The scheme is expected to issue at the end of August
After appearing on the stage in national new medical reform scheme, the new medical reform scheme in Shandong is issued formally on July 28 too. When to issue the new medical reform scheme in Qingdao? Where will new medical reform point to? On July 29, the reporter learns in the interview, Qingdao will be according to overall reform direction and basic frame of country and Shandong medical reform, combine the global design that Qingdao carried on the medical reform actually. The relevant person reveals, the new medical reform scheme of Qingdao is expected to issue at the end of August, the standard may be higher than the medical reform schemes of country and Shandong. The scheme is expected at the end of August " Impressive " The reporter knows, Qingdao has special medical reform schemes that drafts the group, having established the health care to reform the leading group, and set up health care and reformed the office of leading group, the office sets up in the municipal development and reform committee, members mainly come from related departments such as municipal development and reform committee, Municipal Health Bureau, municipal Bureau of Finance,etc.. After the new medical reform scheme in Shandong is issued, reporters interviewed a person in charge of the relevant department of the medical reform on the 29th, according to the introduction of this person in charge, according to the procedure, after confirming in the country and new medical reform scheme inside the province, hold the health care reform hygiene meeting in the whole city according to the file that higher authorities assign relevant department, dispose the new medical reform job of the whole city in an all-round way. According to him, the new medical reform scheme in Qingdao is expected to issue at the end of August, certainly, because of involving a plurality of departments, exclude from receiving other factors eithering influence, cause the scheme to issue and delay. The reporter learns from Municipal Health Bureau, the Ministry of Health has already planned to launch the system reform theory of the medical and health and discuss the activity at present, let each office discuss the concrete action of promoting system reform of the medical and health, put forward the pointed suggestion, explore the direction of the new medical reform of Qingdao. The medical reform standard of the content is possible " Increase " The question which the citizens care about most is what contents does concrete medical reform scheme in Qingdao include? The reporter knows, Qingdao will be according to the requirement inside the province, do a good job of basic medical treatment and ensure the system especially, national basic medicine system, service system of health care, basic public health at the basic level are served equally and melted to reform with the public hospital reform pilot project,etc.. The goal is to raise the medical treatment of the whole city and ensure the coverage rate and ensure competence, reform and mend and cure the mechanism with medicine progressively, will cancel the medicines addition policy, through setting up many kinds of channels such as the medicine thing service charge, adjusting some technological expenses standards of services and increasing the government to put one's back into, the operating cost of medical organization of reasonable compensation, raise medical service quality and engineering level of the hygiene of the hygiene service organization at the basic level. "It can not be low that the new medical reform standard in Qingdao will only be high, probably higher than the new medical reform schemes of country and Shandong. " It is pointed out that the insider has analyzed, because the medical reform of Qingdao has already and even all walked in the province in the forefront in the whole country, for example the large hospital of city where the scheme of medical reform of Shandong puts forward helps community's hospital geared to the needs of the job, have already implemented in this city. Shandong the intersection of medical reform and scheme require per person basic public health serve the funds standard and is lower than 15 yuan 2009, not lower than 20 yuan in 2011. The district of Qingdao city four has already set up basic public health funds according to 15 yuan standard of each person too at present. The public hospital system of the direction should be reformed according to the scheme of medical reform of Shandong, Shandong will also choose 3 the above representative public hospitals to carry on the pilot project of the reform this year, so as to advance the reform of compensation mechanism of public hospital, increase the input in government, solve " mend medicine with medicine " progressively Question. Then will the public hospital of Qingdao be in the pilot range? As to this, the relevant person in charge of one Municipal Health Bureau say, according to present situation, the public hospital of Qingdao should not be in the pilot range, but this does not mean Qingdao will not carry on the system reform of public hospital, exactly opposite, the public hospital reform will be an important direction of the new medical reform of Qingdao, will use relevant experiences of the public hospital of launching a pilot project inside the province for reference. The reporter knows, as to the reform of the public hospital, Qingdao will define the authority of public hospital owner and administrator progressively, explore that sets up the public hospital corporate governance structure taking board of trustee of the hospital as the core, further improve mechanisms such as president's qualifications, post duty, choosing appointing,etc.. And strengthen it to the financial subsidy of the public hospital, especially be responsible for capital construction, resident's training, retired personnel's expenses and policy subsidy of public hospital,etc., subsidize the public health service task which the public hospital undertakes specially, ensure treating and curing promptly, support agriculture, aids the border areas, the service of Huimin and other public service funds which the government appointed of public hospital. Seven districts of current situation have already pointed out in the scheme of medical reform of Shandong of making newly clearly a difference rate, will set up the basic medicine to allocate and use the system, 2009, 30% of the urban community hygiene service organizations in the whole province and medical health organ of basic unit that the county government held, sell a difference rate. By 2011, the medical health organ of basic unit that all governments hold all allocate and use the basic medicine, and sell a difference rate according to the purchasing price. "A difference rate of Qingdao originally walked in the forefront, welcome the opportunity fully under way especially now. " Will it be evening 29, reporter get in touch with Qingdao zero difference lead manager Zong of the home-delivery center, he tells reporters, this city has implemented a difference rate to use medicine in community's hospital since November of 2007, it is in the hospitals of 137 communities at first, after more than one year of development, the community hospital of the district of city seven has all already begun to order a difference rate medicines now, already been up to more than 190 families, has led the kind of medicine to exceed 150 too in a difference. Manager Zong point out they pay close attention to new medical reform too now, especially among them basic the intersection of medicine and issue of catalogue, lead the administration to expand and hold again in a difference. University student of island city has already enjoyed the medical insurance for two years the new medical reform scheme which Shandong issues is referred to, include all the university students at school in medical insurance ranges of urban residents in 2009. The reporter learnt from municipal work and social security office on the 29th, this city took the lead in including university students in medical insurance ranges of urban residents in the whole province as far back as 2007. And in order to offer the guarantee of medical insurance to university student as much as possible, this city would also stay the blue and green medical fee of university's university student's strange land included in the pool of medical insurance and paid the range last year. Begin " basic medical insurance temporary means of urban residents in Qingdao " of putting in force on July 1, 2007, full-time university student at school of blue and green university and higher vocational technical school all bring into resident's medical insurance stay. The fee is 40 yuan that university student's basic medical treatment of urban residents needed to pay for each person every year submits an expense account to effect an insurance, among them subsidize 20 yuan in finance of this city. It is reported, effect an insurance university student take hospital treatment, it medical fee includes in basic Medical Benefits Funds and pays the range in hospital. University students suffer from serious disease to need outpatient service to effect an insurance, is handled the organization to authorize by the social insurance, it The medical fee of the clinic includes in basic Medical Benefits Funds and pays the range. Reporter the intersection of form and beautiful the intersection of Phoebe nanmu and forest the intersection of will and the intersection of wave and the intersection of Shandong and new the intersection of medical reform and scheme Li issue July 28 just, the provincial government holds and deepens the system reform working conference of the medical and health, put forward concrete implementation suggestion on medical and health system reform of our province, and make concrete arrangement for the medical and health system reform in the following 3 years. The meeting proposes clearly, our province will increase and invest 41,800 million yuan in 3 years, will advance and finish five reforms especially, will finish ten tasks in 2009. Make and issue the relevant related file of the public hospital reform a this year, choose 3 the above representative public hospitals to carry on the pilot project of the reform while saving. Finish 30% of the group's work about file 2 this years, children's immunization campaign coverage rate continues keeping above 85%, 0- the managing rate of health care of children and pregnant and parturient women 3 year old is more than 80%, the managing rate of old person's health care is more than 50%, the managing rate of hypertension, diabetic is more than 30%, the getting in weight spiritual disease patient managing rate is more than 60%, per person's basic public health service funds standard reaches 15 yuan. 3, according to the national requirement, do well and reseed vaccine of hepatitis B for the crowd under the age of 15 conscientiously, rural woman's cervical cancer and breast cancer are sifted, checked, rural pregnant and parturient women mend and obey folic acid, poor cataract patient's regaining one's sight, service item of six items of great public health of giving birth in hospital etc. of changing water and changing the lavatory, rural woman of countryside. In 42009, 30% of the urban community hygiene service organizations and counties in the whole province are (municipal or district) The medical health organ of basic unit that the government holds implements the basic medicine system, according to the purchasing price, sell a difference rate, other kinds medical organizations must use the basic medicine according to the regulation too. 5 finishes 463 health clinics in towns and townships that the central authorities plan to support in an all-round way, 13000 villages clinic that the province plans to be supported, the construction transformation tasks of 468 cities community health Center and 1304 community health stations. 6 has recruited 1500 undergraduate course graduates of clinical medicine and worked for health clinics in towns and townships every year for three years in succession from 2009, train the complete doctor's standardization in 3 years in unison, face countryside and urban community to popularize 20 items of suitable hygiene technology every year. The actual conditions that a difference rate of medicines is sold,etc. that 7 considers, implementing the government will subsidize the policy to medical personnel and business funds of health organ of basic unit of urban and rural areas in an all-round way, make the wage level of the medical worker at the basic level link up with local public institution staff member's wage level. 8 is on the basis of recommending city of Wei workshop as the whole country and deepening the comprehensive pilot city of system reform of the medical and health, our province will choose 2 this year- 3 counties (market) Launch the pilot work of the comprehensive reform. Carry on a reforms such as basic medicine system, medical compensation mechanism of health organ, operating mechanism of public hospital of basic unit,etc. and area medical arrangement adjustment of health organ especially. Included all the university students at school in medical insurance ranges of urban residents in 92009. Before the end of 2009, include the retired personnel of state-owned enterprise of closure and bankruptcy not effecting an insurance in the local urban worker's basic medical insurance. Before the end of 2010, include retired personnel and difficult enterprise worker of collective-owned enterprise of the closure and bankruptcy,etc. in the basic medical insurance. 10 continues raising urban worker's medical insurance, proportion with sharing institute's expenses to submit an expense account of the medical insurance of urban residents newly and agriculturally, control the balance rate of funds rationally. The system of further improving the medical rescue in urban and rural areas, in include the low insurance families of urban and rural areas and rural household enjoying the 5 guarantees in the foundation of the medical rescue range, include other financial difficulties family personnel in the medical rescue range progressively. The provincial government printed and distributed <>,Have confirmed five key reforms during the following 3 years. Medical treatment ensures 90% of the residents to enjoy the medical insurance by the end of 2011, urban worker's medical insurance, rate of joining insurance of the medical insurance of urban residents will be raised to more than 90%, join the shutting rate steady and above 95% newly and agriculturally jointly. Personnel seek medical advice to popularize and effect an insurance " The all-purpose card " ,Realize the medical insurance handles the organization and settles account with the fixed medical organization directly. Allow to join the new agricultural peasants that shut and choose the fixed medical organization to seek medical advice in the area of pool independently, simplify to the overseas procedure of changing the place of examination that seeks medical advice of the county. Make, flow the intersection of employee and basic medical treatment ensure relation to be trans-regional trans-system to shift, continue method, especially do a good job of the medical insurance of urban worker's medical insurance, urban residents, new agricultural shutting, connecting between the systems of medical rescue in urban and rural areas. The conditional place can explore resident's medical insurance with shutting the system to manage newly and agriculturally in unison. Medicine the intersection of system and basic medicine does not raise the price by 2011, all the intersection of basic unit and medical health organ that government hold allocate and use the basic medicine all, and sell a difference rate according to the purchasing price. Other kinds medical organizations must use the basic medicine according to the regulation too, all retails the pharmacy and allocates and sells the basic medicine. Basic medicine include basic medical treatment in, ensure medicines wipe out catalogue all, wipe out proportion, obviously higher than the non- basic medicine. The hospitals of 99 counties of hygiene at the basic level propose the standard Support 99 hospitals at county level (including the institute of traditional Chinese medicine) in three years Construction, make each county have 1 the above hospital at county level reach the standardized level, 90% health clinics in towns and townships set up department of traditional Chinese medicine and traditional Chinese medicine pharmacy, finish village clinic supported to plan build the task on the province basically. The per capita funds of public health are 20 at more least yuan Per person's basic public health service funds standard is not lower than 20 yuan in 2011. Task of serving to the basic public health which rural doctor bear etc., the government serves etc. and subsidizes rationally through buying. The public hospital cancels medicines and adds the compensation which pair the public hospital, is subsidized 3 channels by medical service charge, medicines addition income and finance, change into progressively that subsidizes two channels in medical service charge and finance. Advance the reform of compensation mechanism of public hospital, increase the input in government, improve the economic compensation policy, solve progressively " Mend medicine with medicine " Question.


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