Ma XiaoWei: The public hospital reform should dare to break through

Ma XiaoWei: The public hospital reform should dare to break through
Ma XiaoWei: The public hospital reform should dare to break through
It is reported ' Reporter Liu Ping'an) On November 15, Ministry of Public Health holds one scene of working exchanging meetings of the south of pilot area of public hospital reform in Shanghai. Ma XiaoWei, Vice Minister of Ministry of Public Health, points out at the meeting, the public hospital reform starts nearly two years, it is not long, the task is very heavy, it is very big to reap too. With the promotion thoroughly that Beijing, Shanghai and some pilot cities worked, the route of the reform is clearer and clearer, each pilot city and area should find one's own advantage accurately, do one's best, do things within the limits of one's own resources. Dare, want policy make good use of policy run thing well horse big to affirm fully the intersection of the south and blocks of the intersection of area and national pilot the intersection of city and public the intersection of hospital and effect of reform dawn. He says, at first, the measure of Huimin convenient for people is synchronized with mechanism's reform of the system moving forward. Make an appointment and register, high-quality care, the clinic, medical insurance expenses are settled immediately,etc. a great deal of facilities for the convenience of the people of Huimin not merely make the masses benefited directly on two-day weekend and festivals or holidays, and formed and promoted the going bankrupt and forcing the mechanism of mechanism's reform of the system. These reforms of Huimin convenient for people have met various questions in advancing too, for example the high-quality care has put forward strengths few and attending to and charging the low grade question, question of assigning etc. that the hospital reform at county level has put forward the personnel. The mechanism's question of these system appears and expansion, promote each side to explore and solve together, have promoted reform paces. Secondly, the large hospital in big cities such as Beijing, Shanghai,etc. takes the lead in carrying on the reform, make enormous contribution, find accurately and dissolve the subject problem of the public hospital, must put forward on this aspect of tertiary hospital. Ma XiaoWei points out, there are nine tasks in the public hospital reform, each pilot city and area must find one's own advantage accurately, do one's best, do things within the limits of one's own resources, some policies advance and need course, can't surmount the actual conditions in the present stage. Meanwhile, should dare to break through on some key links. Some questions thought that can be touched in the past, but the practical experience of Shanghai and other places was proved, these questions can be touched. For example, without pricing system reform, the reform of means of payment is very difficult, Shanghai has carried on the reform to the pricing system, do very well. Ma XiaoWei thinks, the public hospital reform needs forming a complete set, the Ministry of Health takes the lead in moving forward duty-boundly, want, coordinate in many ways at the same time, such as the intersection of personnel and the intersection of distribution system and reform, must large departments move forward synchronously. The greatest advantage in the pilot city is the policy, should dare to want the policy, make good use of the policy, do the thing well. Catch two tap form one horse big to require every pilot area and national pilot project contact city want " catch, form in a mechanism by two taps " dawn mechanism ,Make and reform the actual effect. Ma XiaoWei says, at first, should improve medical service system, optimize the allocation of resources, make the people take a fancy to the disease, see the good disease. Should plan the public hospital system framework to some extent in this respect, there are two taps to be caught, one is the tertiary hospital, one is the county hospital. It is to flow in the mechanism to set up a mechanism longitudinally, form hierarchical medical treatment, otherwise the unordered situation that sees the doctor is difficult to solve. Expand medical resources by every possible means at the same time, improve the service level, advance a resident doctor to train and train with the complete doctor in a more cost-effective manner. Secondly, explore that forms rational compensation mechanism, make the people think highly of the disease. It the more important thing is how much to mend, how much is lowered, how much is promoted to adjust prices on the premise of ordinary people afford not to increase ing, should solve the problem of seeing the doctor on the basis that total value prepay at the same time, this mechanism does not adjust, reform impossible implementation. Will set up tied mechanism and incentive mechanism to the public hospital, the incentive mechanism concerns and invests the policy, tied mechanism is a problem of management. It is a soft rib of a medical trade to manage, to various hospitals with formal ownership, including the public hospital, how evaluate, appraise, should spend much time. The hospital at county level reforms the aspect, Ma XiaoWei emphasizes primary task is the construction of ability. He says: "At county level hospital require, two first cover, final purpose to achieve the intersection of county and the intersection of patient and producing rate of hospital, drop greatly, leave the patient in the basic unit. Bad difficult and complicated cases and serious disease patient that the most patients or basic unit seeing in the large hospital sees, the majority rotated from the first class first grade of hospital at the basic level. So county the intersection of hospital and ability it builds to be the very crux, must firmly believe, sink lower heart, come, finish, make real. "


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