Community's hygiene " Huashan talks about swords " All parts reveal the real skill

Community's hygiene " Huashan talks about swords " All parts reveal the real skill
Community's hygiene " Huashan talks about swords " All parts reveal the real skill
Staff reporter Liu Ping'an HaoHua Hu Ling Zhang On March 18, national community's hygiene, mother and child care and health education working conference are held in Hangzhou of Zhejiang Province. At the meeting, all parts have recommended community's hygiene and served organizational construction, launched experience and method that community's hygiene serve. Officer and expert participating in the conference say, what ordinary people want is out-and-out material benefit and convenient, construction and service of the hygiene service organization of the community should let common people approve of, the government is satisfied, must try one's very best, make the real skill. Examine the subsidy channel of the hygiene service organization of the community in Beijing diversifiedly in management and performance of two lines of revenue and expenditure. First, disposable input, improve the hardware environment; Second, recurrent input, ensure running well; Third, special input, finish key items such as personnel training, information construction,etc.; Fourth, buy, serve, (25 of per person per year) until wouldn't implementing management of two lines of revenue and expenditure the intersection of community and the intersection of hygiene and service organization buy public health, serve And subsidize 15% of the parts of price differential of daily medicines. On the premise of compensating in place, Beijing manages two lines of revenue and expenditure to the community hygiene service organization that health authorities hold since 2007, the treatment of staff members is by the financial guarantee. At present, 18 districts (county) of this market Have already all managed two lines of revenue and expenditure. Cities implementing management of two lines of revenue and expenditure such as Beijing, Hangzhou, Nanjing, Chengdu,etc., advance the reform of personnel system at the same time, examine recruiting to community's hygiene attendants publicly, contract employing, post management and performance. Hefei of Anhui Province simplifies the examination method, develops every district the anticipated examination content that community's hygiene service has already reached is deleteds, pay attention to routine and materials to accumulate, subsidize the funds in the complete and subsidy way of examining hook in reform, subsidize public health, serve funds, appropriate and transfer to every district government examine award, mend in advance according to people central provincial finance. The expert comments on: Manage two lines of revenue and expenditure, deepen the distribution system reform of the personnel, has created the condition in order to cut off medical worker's income and connection of the medical service income, also arouse the enthusiasm of medical worker, have far-reaching meanings in public service properties which safeguards the hygiene service organization of the community. Even meet difficulty and resistance, the exploration should all persevere. Medicines purchase in unison and zero difference lead, sell Anhui Province on the basis of national basic medicine catalogue variety, supplement medicines after adding 114 kinds of communities, the community health stations stipulating the government holds all allocate the national basic medicine, the community health Center which the government holds is on the premise of using the basic medicine preferably, can supplement medicines, choose, use other variety in the range in community, but it take the intersection of medicines and total proportion of sales amount to can't exceed 20% every month, thus has basically satisfied resident's demands for basic medicine. At present, should save 32 pilot districts (county) 75 piece central sum 106 station, implement medicines zero the intersection of difference and rate, sell, implement, purchase platform, purchase catalogue, purchase forced quotation, call for bid, provide and deliver, a difference rate sell " 5 is unified " all . Selling and instructing the flat fare to drop by 32% more than the country in forced quotation that the whole province calls for bid in unison, benefited population exceeds 20 million. Jiangsu Province has finished national basic medicines and provinces and augmented medical procurement and provided and delivered enterprise's bidding work too. Compared with the situation that the country retails and guides prices, the decreasing amplitude of medicines price that the province bids and purchases in unison is up to about 50%. Implement medicines zero the intersection of difference and rate sell, should save until " whether task of authorizing, authorize revenue and expenditure, performance examine subsidize " Policy,last funds, be and adopted by the beginning of the year setting aside, method regarding as at year-end summary in advance, ensure the normal operation of the hygiene service organization of the community. The expert comments on: Purchase, concentrate on providing and delivering in unison the medicines government of service organization of community's hygiene, the links of compressing medicines and circulating, explore that sells, improve compensation mechanism a difference rate, the medical expenses that will lighten residents effectively are born, and establish the foundation for implementing the national basic medicine system. Connect the medical insurance and reform Nanchang of Jiangxi Province of the way of paying and include the hygiene service organization of the community in the basic medical insurance and fixed organization of urban worker's medical insurance of urban residents, stipulate resident's medical insurance clinic account submits an expense account and must be examined in the community for the first time, submit an expense account and must examine and change the place of examination for the first time through the community in hospital, except the emergency call. On this basis, residents reduce in the community in hospital and pay the standard to effect an insurance, raise and submit an expense account the proportion in hospital, lead residents to go to the community to go to a doctor actively. Jiangsu Province includes the hygiene service organization of the community in the fixed organization of all kinds of medical insurance, service organization in hospital and the intersection of door and emergency call, hospital bed set up at a patient's home and old age accord with the fixed project while recovering the intersection of community and hygiene, include basic medical insurance in, pay range, offer certain favour of range at wiping out proportion. The expert comments on: The ones that explored community's hygiene is served with medical insurance system were connected effectively, combined the beneficial exploration in respects such as examining, reform of way of paying,etc. for the first time of the community, lead residents to improve the utilization ratio to the hygiene service organization of the community from mechanism. It's time to move and need to be trans-departmental to coordinate, the energetical support that the local government should offer. Large hospital and community long-efficiency to move 2009 mutually, Tianjin start " senior the intersection of doctor and one hundred people groups enter community's project " ,Explore the large hospital cooperates with community in the interdynamic long-efficiency mechanism. Such departments as this city coordinates the personnel and works and ensures, going to a grassroots level (countryside for half a year, community is half a year) before promote the intermediate professional title of the doctor Policy,change to in promoting high and going to in front of professional title high by half a year such as community in pair, have further improved technological level and service ability of supporting community's doctor. Meanwhile, this city requires every 5 community health Centers to establish an association, every 5 different large specialized hospital doctors to make up one and support community's group, both sides accomplish a butt joint. At tied mechanism, city these works supporting the community and includes in doctor's performance and examines, and promote the hook with the professional title and support community's work to include in the examination project to the medical organization of health bureau. In 2009, this city will send 4 batches of " one hundred people's groups " together It is 619 people altogether and go to the community, serving for developing community's hygiene pours into vigor. The expert comments on: Explore the public hospital cooperates with division of labour of the hygiene service organization of the community in the mechanism, it is for improving the service ability of the health organ of the community. Focal point and difficult point to coordinate interests mechanism, want, make both sides can develop in the course of providing service. (comment on the expert and come from national community's hygiene service system and build and contact the urban technological guidance group especially)


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