Should have the account ready to make good use of the finance first when being put into
Should have the account ready to make good use of the finance first when being put into
Wu Shuai ( Doctor) After the government increases the input in finance, what the next focal point of the medical reform should be? Professor of Peking University China Center for Economic Research Li Ling says while accepting reporter's special visit recently: "It is extremely urgent to set up effectual accusing of the fee mechanism, otherwise the money may be run to the other places, that fell on the heads of ordinary people is not still enough. " (" www.xinhuanet.com " of March 13) When there is no money, we each fen should save flowers. However, there is much money quickly now, how to do? At two Conferences, Wang Jun, Vice Minister of Ministry of Finance, says, the medical reform has been implemented over the past three years, the newly-increased national finance is put into 1,134,200 million yuan, will increase by 284,200 million yuan than 850 billion yuan that is calculated. Among them, state revenue invest 365,900 million while being newly-increased, drop into, increase 34,100 million calculating. An information that it transmits is, China, as the second major economy in the world, as money in the hand of governments being more and more, the public medical demand is being released constantly, more hygiene is put into putting into medical treatment continually. Under this kind of background, it seems very necessary to appeal for setting up and accusing of the fee mechanism, also very in time. Because if we do a good job of the thing, much money will spend unclear, may mean the enormous waste. " waste " This word is not a groundless rumour. Taking drug use as examples, we probably abuse one of the most serious countries of medicine in the world. Take most frequently used medicine antibiotic as an exmple only, use medicine Xiao YongHong data that offer, committee member of Committee of Experts, rationally according to Ministry of Public Health, according to the regulation of WHO, in 100 impatients, the upper limit of number of people of using antibiotic is 30, but our country is being used by 70 people; As to dosage used, 100 impatients should not exceed 40 parts with antibiotic every day, but our country has already reached 80. One count announcement, reveal, in hospital a patient, only have 10% people who are because of the bacterial infection before the Ministry of Public Health, infect in the courtyard and surgery prevent from, use medicine, need, use antibiotic proportion of treatment in 30% about, but already been clinically up to 70%. This kind wastes calculating " Enormous " ? The money has flowed into the medicine, this is only image in fact. Behind their back, flow into medical enterprises more or less on earth? Fall into the hospital hands more or less? Are there doctor and medical representative? Though it will be probably the surprising number of pen, at present, it is still a still not clear number. If we have this account ready half-heartedly, where appear on earth on knowing at all? On solving, just have no way of doing it. According to the data that Yin Dakui, former Vice Minister of Ministry of Public Health, offered, because of the great prescription, 12%~37% of the all-inclusive cost of hygiene of our country have been wasted. Where is the consumption of hardwares such as except the question of medicine, the medical apparatus,etc.? Wang Guoqiang, Vice Minister of Ministry of Public Health and chief of State Administration of Traditional Chinese Medicine proposes, imported medical apparatuses are mostly " It is expensive to see the doctor " Main reason. He claims, most medical monitoring devices are still imported, thus cause questions such as excessive medical treatment,etc., become at present " It is expensive to see the doctor " Main reason. My suggestion is, what is consumed in the public hospital? How to consume? What kind of medical treatment is offered to consume? That actually checked for it can only be government and the public finally. So,why can't to know the real situation,feel by whole wes clearly resources of hospitals public, make profits, lose state still? There are " people " Question. Hygiene input of the government finance, is it consumed that who mainly? And how to consume? This is a question too. A survey report indicated according to the 2006 of Chinese Academy of Sciences at that time, in the hospitalization cost which Chinese Government put into, 80% are used for 8,500,000 colonies relying mainly on cadre in the government and the Party. According to another Ministry of Supervision, personnel department reveal, there are 2 million cadres at all levels to call in sick for a long time in the national Party and government organs, in that 400,000 cadres have occupied cadre's ward, cadre's hostel, holiday village for a long time, the expenses is about 50 billion yuan in one year. Now, 5 years passed by, had this kind of current situation already halted and improved? This needs to do accounts, after the figure comes out, there could be final conclusions. On this thing in the medical reform, nothing is more important than the use of the money. A clever government, always spend the money on the crucial point, cut down those input that should be cut down, such as the excessive waste; Increase those essential input, for example carry on enough investment on medical manpower, guarantee we have a high efficiency, high quality, credible medical team. For example, we must have an effect on elementary health care, let the public possess enough health accomplishment again, through the prevention and health care, can fall ill few, or catch little serious disease. In addition, government should use more the intersection of hygiene and fund poorest, on the colony needed most, dignitary. We accuse of the health care expenses severely, must learn to do accounts first, and have the account ready. Otherwise, the surprising waste will also probably continue keeping going down, but another side, but most of us have not benefited from it.
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