The mode of different class of medical reform of Gaozhou county: Do not depend on the market by the finance
The whole country of this year " Two Conferences " Go, the member of the Political Bureau of Central Committee of the Communist Party of China, praise of the People's Hospital of Gaozhou county of vast sea of Guangdong secretary of provincial Party committee, the ones that let this Guangdong be west in the mountain area " Two nail " The reputation of the hospital is shaken big. This courtyard of operation modes, are known as " mode of Gaozhou county " . As to " mode of Gaozhou county " ,The impression that the public is low to its hospitalization cost, serves well, a doctor is well paid is deepest - -From 2004 to 2009, every average impatient all-inclusive cost was 4964 yuan, clinic prescription expenses of per person were 75.75 yuan; Meanwhile, the doctor's annual income is more than 100,000 more general, even is up to 20- 30 Wan. Recently, the provincial discipline inspection commission of Guangdong specially goes to the People's Hospital of Gaozhou county to investigate. The department of public health of Guangdong Province has been already right too " The mode of Gaozhou county " Have held several discussion. Statement of income and expenditure data can reflect the question most. According to 2009 financial statement of the People's Hospital of Gaozhou county, gross income was 481,570,000 yuan this year. Among them, the business income is 476,130,000 yuan, non- professional part is 5,440,000 yuan. In the business income, can be divided into medical income and medicines income, it is 290,680,000 yuan and 185,450,000 yuan respectively. Classify according to department, can divide into in hospital and the intersection of clinic and two parts of incomes. Among them, the income is 372,040,000 yuan to in hospital, include two contents respectively: In hospital medical income, medicines income in hospital, it is 240,620,000 yuan and 131,420,000 yuan respectively. The clinic income is 104,090,000 yuan. Among them, clinic medical income and clinic medicines income are 50,070,000 yuan and 54,020,000 yuan respectively. In in the business income, include the intersection of higher authorities and subsidize, financial the intersection of project and subsidize and other the intersection of income and 3 parts. Because financial resources of Gaozhou county are weaker, is 400,000 yuan that higher authorities will subsidize the amount of money in 2009. The financial project is subsidized, this hospital will obtain the amount of money of this subsidy is 120,000 yuan in 2009. Other income, including living expenses, receive a training of fee, ambulance, give first aid charge, the intersection of hospital and the intersection of deposit and interest,etc.. The amount of money of this income is 4,920,000 yuan. The part of the expenditure, total expenditure is 452,220,000 yuan this year in the People's Hospital of Gaozhou county. Among them, the salary expenditure is 81,950,000 yuan, the medical expenditure is 167,980,000 yuan, expenditure of 173,560,000 yuan of medicines, medical apparatus purchase fee is 19,460,000 yuan, foundation and house repairing are 5,630,000 yuan, other expenditure is 3,640,000 yuan. Compare with receipts and expenditures, still 29,350,000 yuan of surplus in 2009. 40%, as the industrial welfare expenditure of the hospital, other 40% are put into this undertaking fund of hospital while making profits, can put, get, remedy hospital lose and at capital construction and heavy-duty equipment purchase. 2009, every large the intersection of hospital and average every, area of Guangzhou, leave hospital person hospitalization cost up to 12553 yuan; The expenses are 5936.2 yuan that per person of the People's Hospital in Gaozhou county is in hospital. Even obviously less than other hospitals in medical treatment charges, but the People's Hospital of Gaozhou county is still up to 6.1% in the profit rate in 2009. This, to very lacking the public hospital where the government finance is put into, and difficult. What reduction is it? The provincial discipline inspection commission of Guangdong surveys and studies and draws a key conclusion, " lie in a whole set of that they ran under the guidance of institute's aim is practical, work well, the affective effective mechanism run. " The experience of the People's Hospital of Gaozhou county, it is to implement " electrification " Management. Some public hospitals have managing uncompletely, management that is not implemented at present; Pay attention to the economic benefits of the hospital, ignore the public service properties of the hospital. The above-mentioned research report is called - -Have everywhere " The high-voltage line " ,Few electrification, there is one that has been energized once in a while, it is the low piezoelectricity too. And the supervision mechanism of this hospital, it is to reduce the most important route of the hospitalization cost. It is that the sunshine is purchased to reduce one of the hospitalization cost ways. For example establish what leaders do not participate in " The medicine thing committee " , the apparatus consumptive material bids publicly. " medicine thing committee " Each purchase, all temporary from hospital expert's storehouse release people to be responsible for at random, smoked the family of special secondary school, its foreign cellphone beeper will be taken over by the hospital at once, this purchases the group to dismiss at once after finishing purchasing. Thus cut off between the medicine " The behind-the-scenes deal " . Zhong HuanQing counts, it has saved 130 million yuan the sunshine for this hospital. In addition, in practising medicine in norm: Stipulate that only opens the inspection that the condition needs for the patient, try hard to use simple medicine, cheap medicine and domestic medicine on the basis of ensuring curative effect. Every day, the expert panel goes to the clinical department to spot check at random, verify the case history and write quality, use medicine especially the situation, training accept the situation for medical treatment etc.. At the end of the month, hold the medical quality of the whole institute and comment on and know, investigate and prosecute excessive checking, abuse medicine, charging etc. excessively. Under these measures, the indirect result is to reduce the income proportion of medicine. The People's Hospital of Gaozhou county accounts for to 35%. But other hospitals may be up to 60%, " 50% are the general level. " Mean the hospital runs and depends on the medicine income seriously at high proportion - -Namely raise medicine with medicine, it is to condemn the focus by the public. As to the above-mentioned method to reduce hospitalization cost, Zhong HuanQing is called " small profits and quick turnover " --Hospital income does not influence and patient cure the disease the expenses are dropped. The impatient was up to 60,000 persons 2009 of this hospital, the clinic amount rose to 780,000 persons from 560,000 persons. The proportion of number of people that Gaozhou county other places seeks medical advice, accounts for more than 50%. Introduced to the competition mechanism of the market as early as 2006 ago, the department of public health of Guangdong Province issued one " Decision on learn from the People's Hospital, Gaozhou countying ". But the mode of Gaozhou county has not still gone out of the People's Hospital of Gaozhou county. Liao XinBo analyzes, it is under the environment of market that success of the mode of Gaozhou county is the most key to lie in this hospital, similar to an enterprise. But to the control of the cost, because " the local government finance is weaker again, it is unable to carry on financial input to this hospital. " This kind forces the mechanism, force the People's Hospital of Gaozhou county to obtain independent growth environment. It is in control of the People's Hospital of Gaozhou county from the clock to shine in clear March of 2002, mind the cost to control very much, "even car oil fee of the hospital is managed. " This hospital has not asked for a loan from bank in the past 8 years, but buy a lot of advanced large-scale medical apparatuses. Namely benefit from the hospital to accuse of the cost severely. If the medicines stock limit is managed, the medicines stock total value of this institute, only in order to buy 0.015% of total value, have reduced the cost of stock. In the all Western medicine, import account for 4.5% only, 40 under injection account for the intersection of injection and 83% of total amount 2009. Such a commercialized management style, on the difficult public hospital that make a living by relying on the government finance to be put into for a long time. Zhongshan University attaches to the first hospital one chief leading cadre to point out, Gaozhou county The great amount of hospitalization cost arises in the consumption of resident, this has been destined to take the par route in Gaozhou county hospital. In addition, the People's Hospital of Gaozhou county has entered some business fields in advance, has bought most more advanced medical equipment through accumulating. Because Ministry of Public Health has strengthened the entry management of the trade in recent years, the other local hospitals can not launch the business easily. Zhong HuanQing thinks, the crux lies in two points: Whether the president has resolution to carry on the reform; Whether the government can unlock, build a loose market environment. And the latter, is the key even more? Rime of ��! Navigate alliance �� good fortune all there are to mix to last hertzs of �
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