Gaozhou county hospital becomes famous because of the par The Beijing officer goes forward to survey and study the medical reform

Gaozhou county hospital becomes famous because of the par The Beijing officer goes forward to survey and study the medical reform
Gaozhou county hospital becomes famous because of the par The Beijing officer goes forward to survey and study the medical reform
Gaozhou county hospital attracts large quantities of visitors after performing the par miracle after becoming famous, welcome Ministry of Public Health to be first to survey and study group again recently, one at county level developing road of hospital initiate the intersection of China and public hospital reform the intersection of battle and June 22 of direction even, a batch of Beijing officers have come to Gaozhou county, in this remote mountain area small city, Beijing of their standard often causes the fixing one's eyes on of the passerby. This is a group of officers from Ministry of Public Health, the purpose of this journey is to come to Gaozhou county hospital to survey and study. The officers of Ministry of Public Health come, are in a sensitive period. Though the direction of the new medical reform is clear already, the reform direction as public hospital of an important link of the medical reform still fails to sort out. An insider claims, this measure may mean it is on the senior level that the development model of Gaozhou county hospital has been caused to reform the thinking of the direction to the public hospital of China. If is really so, this will be closely linked with every Chinese. Chen Zhu, minister of Ministry of Public Health, wrote in one's handwriting: "This case is good, the public hospital, especially the public hospital at county level of market pressing close to the basic unit should finish like this, how good it will be! We should strive for more resources, should pay attention to arousing enthusiasm, but should insist on the public beneficial primary importance, will explain spirit, there should be good leader, group and system's. Propose model this as create, fight for excellent public hospital, reform the advanced unit, advocate first. " All the time, Guangdong is considered to be a previous place open the atmosphere, new thought, new method were often born here, initiated the concern in the whole country rapidly. Nowadays, this glorious tradition, is extended in a remote hospital at county level. The official name of hospital name the People's Hospital, Gaozhou county ' Hereafter referred to as Gaozhou county hospital) ,Miracle birthplace that not used to in people brain here because of locating in remote west Gaozhou county of Guangdong, but the legendary story happens here exactly. Gaozhou county hospital becomes the protagonist of the story, depends on par and high-quality service, patient have a tidal wave of, come, even loud hospital in the provincial capital compete. All sorts of legends of the hospital spread especially among the workshops: The hospital of the par, the most of the whole country " There is no covert payment " Hospital, spending the hospital where the stiver can cure serious disease. Like the persons and things of the other creation miracles of Guangdong, this hospital is originally extremely ordinary, but the way to do things is that specially standing alone like this is all right. Have called out a sentence of words out of the common the legendary here of a hospital at county level, "the People's Hospital serves the people, do not serve for RMB. " In the numerous behaviors of Gaozhou county hospital, have been a little making external world dwell upon with great relish all the time, when a lot of hospitals are striving for benefit, have called out a sentence of words out of the common but here, "the People's Hospital serves the people, do not serve for RMB. " Implementing this sentence has a series of system to guarantee. First of all, in order to guarantee the medicine price is low, all medicines are purchased on the net. For taking precautions against medicine " The behind-the-scenes deal " ,The annual hospital collects experts to make up the panel of expert from expert's storehouse at random, representatives of masses and the hospital discipline inspection commission committee member jointly supervise at scene, the panel of expert dismisses at once after choosing, the group does not participate in purchasing. From 2002 to 2009, the intersection of purchase and about 220 million of expenses that institute this save, lighten to use medicine cost patient greatly. In order to let patients foot a bill little, the apparatus consumptive material is adopted and bade publicly too. The apparatus articles to clinical urgently needed and unable bid are common on the net show for 7 days. If propose during this time the same product and a quality are less expensive, are bought according to the bottom price. In addition, the hospital also drops the hospitalization cost by a wide margin. For example, the artery conduit of this institute has not closed the ligature skill of 4000 yuan / skill 35,000 / example of putting up a bridge of example, coronary artery. Some patients say, it is likewise a heart disease operation, the money saved, it is enough for us to buy several oxen, even a car at several ten thousand yuan. In addition, and extremely strict supervision and punishment measure. Will it be the end every month, hospital will hold medical quality, can comment on, every have, explain single pieces of the intersection of prescription and volume higher than yuan of doctors rationally, will be called the roll to criticize. The doctor in violation of rules and regulations will is reduced the bonus of hair, demote and uses, even will be discharged. The hospital go on and punish 62 medical workers in 2009, including 3 chiefs of the office of department. The hospital discloses " Three no " Promise: Take the intersection of covert payment and present of patient, go to fulfill an appointment to entertain, amuse, it assigns patients to be rich or poor and high and low patient, build " have no covert payment " Hospital. In addition, the mobile phone number of all medical personnel including president, all disclose to the outside, all-round accepts the surveillance by the masses. Just under this kind of high-handed policy, the achievement displays. According to the investigation, from 2004 to 2009, every average impatient all-inclusive cost of this institute was about 5000 yuans, the clinic prescription expenses of per person are 75.75 yuan, average medicine income accounts for 35% of gross income of hospital, the situation of serious disease of spending the stiver looking takes shape tentatively. The hospital restrains the strange method that oneself seeks profit so, shine with president's clock clearly closely bound uply. The clock shines the clear daily a word educates the doctor: The patient should often sell the ox of the family to see the doctor. If they have sold a ox have looked down upon the disease, there is no patient going to a doctor. Often refer to the speech " The ox " ,Reflect experience of life of HuanQing Zhong, as to rural he being strange. In 1977, after graduation from Guangdong medical college, Zhong HuanQing got back to the hometown - -The root garrison post of Gaozhou county takes the pearl village, has worked as a " barefoot doctor " . He runs into the patient of some life in privation often, Zhong HuanQing recalls, " saw the doctor and only charged and examined the fee of 1 mao each time at that time. If the patient does not pay and examine the fee, I do not dare to ask either. " In 1985, the clock shone clearly and called in the People's Hospital, Gaozhou county. The undertaking of entering subsequently on hing one summit, it is October 1997, succeed in not launching it our country he, hospital first coronary artery skill of putting up a bridges at county level, and established first one hundred sheetses of status of the west of Guangdong of his gradually. During this period of days for struggle, his behavior is almost crazy, stand in the operating table in one day and 6~7 hours; Eat in the operating room in 3 days and 3 nights; While studying intensively openheart surgery, he has done the experiment with 60 dogs. The companion calls him " The brave man " . Though all saves money for the patient, this does not influence benefit of this hospital at all. From 2001 to 2009, the annual gross income of Gaozhou county hospital rose to 480 million yuan from 120 million yuan, increased by 3 times; The total assets rises to 850 million from 210 million, has increased by 305%. The secret of this back is " The small profits and quick turnover " ,Attract more patients to seek medical advice through the service of the high-quality low price. The back secret is " The small profits and quick turnover " The in hospitalling amount of the hospital is more than 60,600 last year, close with province the People's Hospital, pure profits are more than 50 million yuan. On June 25, one rainstorm attacks Gaozhou county suddenly. The person in an endless stream is hitting the umbrella Come into the clinic building of Gaozhou county hospital, like country fair being generally lively. There are very many patients, a miracle which this hospital makes. Xiao Wang came to the hospital to reexamine in spite of the rain, several months ago, he did openheart surgery in this hospital. "It is still cheap to come here to see the doctor, the price of operation is nearly half of the large hospitals of provincial capital. " Xiao Wang is just numerous patients who come out of admiration for the reputation, patients like him spread all over the country in 23 provinces, even include the patients of countries such as Hong Kong and Macao and U.S.A., Indonesia, Tanzania,etc.. The big order counterpart of medical portfolio stares. Zhong HuanQing said, the in hospitalling amount of the hospital is more than 60,600, was close with province the People's Hospital last year, pure profits are more than 50 million yuan. General duty nurse can take a thousand of Forth Five-Year Plan Period every month, local ordinary the intersection of civil servant and every monthly salary more than 1,000 yuan. This period, witness brilliant buildings of the hospital and rise sheer from level ground in succession. The hospital still builds up expert's village along the river of 150~200 square meters and one, give the medical backbone and live free. In addition, have also bought a lot of apparatuses. "This relies on the own accumulation of the hospital to build under the condition that government's fund input is deficient. " A staff member of hospital says. On June 22, a batch of Beijing officers came to Gaozhou county, they are a group of officers from Ministry of Public Health, the purpose of this journey is to come to Gaozhou county hospital to survey and study. It is reported, this is that officers of Ministry of Public Health come to Gaozhou county hospital to survey and study collectively for the first time, there are special meanings. Survey and study the group and show appreciation on method of this institute, claim this kind of method is all right study, relevant research reports will reflect to high level even more. The Beijing officer came in the sensitive period of straight place though the direction of the new medical reform has been already clear, but is still undetermined as the reform direction of public hospital of an important link of the medical reform. The officers of Ministry of Public Health come, are really in a sensitive period. On April 6 this year, Xinhua News Agency is authorized and released " suggetion on deepening the system reform of the medical and health of the State Council of Central Committee of the Communist Party of China ", have pointed out direction for the new medical reform. According to the opinion, the key action of the new medical reform is to lighten masses' burden, stress public service properties; Expand and ensure the range, advance the equality in urban and rural areas; Improve the service quality, improve the medical system. " it is difficult to see the doctor what generally reflect at present, it is expensive to see the doctor " The problem is the goal that the new medical reform puts forth effort to solve. The new medical reform will carry on the reform on the medical system, is separate, in charge of doing separating, medicine to separate, profit-generating and non-commercial and separate the government affairs as the direction of the reform. The government increases input to be one of the trends too. In April of this year, national first public hospital reform country contacts the urban working conference of the pilot project to be held in Zhenjiang of Jiangsu Province, meeting situation happened to reveal, public hospital reform direction to be still main threads difficult to seek. An insider claims, the resistance of pursuing the new medical reform at present is very great. Among them the important one point is that it is public beneficial to orientate the public hospital as, can't take the market-based road in public beneficial localization of hospital, can't make the market competition, let the country spend money to raise. "Everything that it is hoodwinked that public beneficial. " The strong supporters of the market competition, in the market competition, Gaozhou county hospital develops, and obtained three wins of the patient, hospital and government. Just under this kind of background, it is of great significance that Ministry of Public Health surveys and studies the group to come to Gaozhou county. Demanded clear key period urgently in China's public hospital reform direction, the visit of the officers of Ministry of Public Health initiated all sorts of conjectures of people's. An insider claims, it is on the senior level that the development model of Gaozhou county hospital has even been caused to reform the thinking of the direction to the public hospital of China. If is really so, this will be closely linked with every Chinese. Gaozhou county hospital has been the strong supporters should take the road to market competition ing in the public hospital all the time. Because its own developing road has fully explained this, in the market competition, Gaozhou county hospital develops, and obtained three wins of the patient, hospital and government. Originally very ordinary in Gaozhou county hospital to create the miracle. Will it be June 28 1991, high five hospital of half layer the building came into operation in hospital, had nearly started with numerous hospitals at county level at the same time. But subsequently, according to the tactics of good service and small profits and quick turnover, win in the market progressively. Zhong HuanQing says, just because the country has not allocated funds directly, must strive for more patients by one's own efforts and technology. Receive the input of the country from the patient's hands indirectly. "Force us to take road on the market, today just bringing up the hospital. " Zhong HuanQing has been emphasizing this kind of view all the time, just as one has not relied on parents and sons who create some cause to come back home, it is the same to advise parents not to help those to rely on parents' other children yet blindly, other children will certainly object to. It is offered to the mode of Gaozhou county in some large hospitals that while saving fuzzy appraisal: Because the environment is different from patient's demand, can be inspired from the experience of hospital of Gaozhou county, but not imitate and imitate briefly. Dispute: Market competition and public beneficial clock shine clear to say market competition and public beneficial, the market competition can be realized better public beneficially. With the public beneficial direction that is confirmed as the new medical reform, appeared about the market competition and sound of the public beneficial contradiction. HuanQing Zhong say market competition and public beneficial, and the intersection of Gaozhou county and example of hospital prove market competition can realize public beneficial better. Zhong HuanQing says, don't fear to study Gaozhou county, Gaozhou county is through one's own efforts too, operate and public beneficial and unite the market, so has succeeded. If there is sufficient market competition, many hospitals like the People's Hospital, Gaozhou county develop, through the market competition, can reduce the medical price, raise the service level, can let the money which the country invest give play to bigger efficiency, in this way the masses see serious disease and serious illness more convenient. If new medical reform totally raises the hospital, the country will be very passive, may invest more money not to raise either. Wanted the country to increase input of more than 400 billion yuan in one year last year, some hospitals at the basic level were still that one fen did not have. If raise all hospitals, how much does it cost? "The facile writer should rescue the country now. " HuanQing Zhong say to reporter market competition and should have not opposite while being public beneficial, we have achieved the goal of letting ordinary people spend the money of minimum to watch serious disease through the market competition. The new medical reform is wanting to let the masses spend the stiver, have an optimistic view of the disease too. The money of the country, should not throw to the public hospital directly, but should put into medical insurance and cooperative medical service. Let every hospital go, compete, serve, the intersection of competition and technology, the intersection of competition and price, let the intersection of patient and oneself go, choose which hospital diagnose the illness. In this way, through market-based operation, make the intersection of hospital and sufficient competition, reduce price, raise, serve, meet the target of curing serious disease with the stiver, to realize the new medical goal. "Medical insurance can submit an expense account percent sixty or seventy now, if the country replenish 30% more, the problem of seeking medical advice has been basically solved if the masses see the doctor. If a medicine The institute raises, will pay the bill in cooperative medical service, in fact pay the bill doubly. " One grade of hospitals and disease of town should be raised to accuse of visiting in advance and stand up by the country, but the hospital above county level should take the road to market competition, it is many insiders' view too to let the large hospital have living environment like Gaozhou county hospital. With the report of the media, Gaozhou county hospital becomes famous rapidly, has attracted numerous visit learners too. A staff member of hospital claims, have come from 12 more than 60 batches of visiting parties saved in the whole country already till now after two Conferences this year, the number of people is up to many several hundred people. "The city leader that the ones that show team are either in charge of, or the director of health bureau, visitors are mostly presidents of the regional hospital. It is for the most part the public hospital definitely, there are one or two private hospitals. " Not merely point out to the meaningful insider of the medical industry, have already formed the alliance among medicine enterprise and hospital, popularize the mode of Gaozhou county, resistance is certain to be quite great. Visitors and patients that welled up one after another, take the economy of Gaozhou county alive. Often the visitor of the hospital lives in in locality most expensive Gaozhou county hotel, the source of houses of guest room is often in short. Though the visitors in all parts of the country are numerous, scarely have and duplicate the example succeeding to study and popularization of the mode of Gaozhou county. An insider claims, " still blooms inside the wall inside the wall fragrantly so far " . Though the official side does not lack the sound praised to Gaozhou county hospital, the Ministry of Health even sends out the file learn from Gaozhou county hospitalled directly, but caused dispute about duplicating the mode of Gaozhou county. Vice Chief of province department of public health Liao XinBo has shown, it may initiate " arms race " to duplicate Gaozhou county hospital blindly . An insider claims, such a view brings resistance to popularization of the mode of Gaozhou county, like the smoke shell, confuse people. Gaozhou county hospital does not do " The arms race " ,But technological contest, service contest. Nowadays, it is careful even the clock shines in Qing discusses " duplicated " Two words. "A lot of people are by duplicating to say the thing, block and learn to popularize. " And the insider points out, has already formed the alliance between medicine enterprise and hospital at present, popularizing the mode of Gaozhou county should undoubtedly cut off chain of this interests, resistance is certain to be quite great. Should cancel all gray incomes of the hospital quickly, resistance is very great too. China throws Guo FanLi, medical trade chief researcher of advisor, to point out, " mode of Gaozhou county " The common understanding of the medical reform that not only has subverted the public, expert for a long time, has but also subverted the official side, understanding of medical reform of medical organization. The medical reform is not several simple slogans, since a county located in remote mountain area belongs to the hospital and can break the deadlock that the medical reform can't break through for a long time, so other cities, why the other hospitals are not all right? The answer is obvious, it is " mode of Gaozhou county " that the local government department has not stretched the tentacle of power to enter Gaozhou county hospital One of the successful main reasons, but how many possible places does this have? A staff member in Gaozhou county hospital claims, though the government is short of the fund input of the hospital, but very great to the supporting on the policy of the hospital. , respect of buying the apparatus, building the room, salary income etc. in talent introduction, talents are promoted, the governments have all given the hospital a very large space. "This is more important than input on fund. " In April of this year, Zhong HuanQing is elected Gaozhou county Deputy Director of Municipal Standing Committee of the National People's Congress, this has reflected local support too. Does an insider claim why popularize the mode of Gaozhou county to meet the difficult problem? It means the reform has already entered the deep water, under the situation that management system does not change, rely on the duplication of image to be already more difficult to succeed simply. Zhong HuanQing says, the reform of Gaozhou county hospital is not merely meaningful to the medical industry, it is meaningful too as to other public institutions. (it is gentle /pursue by staff reporter He Tao, last reporter of house jade QiaoWen Lin)


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