It is both worried and glad that community's hygiene is developed Various modes are in full flourish
It is both worried and glad that community's hygiene is developed Various modes are in full flourish
Community development like, join May 10th, half - 11 by anxiety, held in Guangzhou by the urban community's hygiene service scientific seminar of the whole country which complete medical branch of medical association of Guangzhou,etc. hosts. At the seminar, the mother and child care of Ministry of Public Health and hygiene Liu LiQun, vice section chief of department of the community have summarized community's hygiene of our country and served and developed the present situation, development trend, and carried on policy analysis. Liu LiQun points out, the meaning that new period develops community's hygiene service lies in, community's hygiene serve to tackle the important means that urbanization, senilization, disease table change, it is the network bottom of urban public health and basic medical care. Liu LiQun thinks, the achievement which the hygiene service organization of the community makes is including lightening the masses' burden of seeking medical advice, shunt a patient rationally, has strengthened the work of prevention and health care, has promoted the masses to be healthy, have promoted the harmony of the relationship between doctors and patients, has strengthened masses' satisfaction. Liu LiQun still points out, community's hygiene service ability and the urbanite's basic hygiene demand still have certain disparity, its management system and operating mechanism still face the enormous challenge. For example, the community doctors of many places have all disclosed one's own mobile phone number, accept the patient's help in 24 hours, however, community's manpower is insufficient, the saturation of work load, it will inevitablely influence rest of community's doctor to pay a home visit temporarily at night, and then influence its health and work quality of next day. " the emergency call question through ' 120 ' the pool of first aid, and perfect the corresponding mechanism at night " ,Thus ensure community's doctor's service quality. In addition, as to the sales policy of some places and a difference rate of community medicines tried, Liu LiQun thinks its essence is to undertake the part of price differential of community's selling medicine by the government finance, such a method has really played the function of lightening the burden of masses' expenses for medicine, let common people receive material benefit, but zero difference lead policy can not chop " raise medicine so as to medicine " off fundamentally Roller chain, controlling doctor effectively and turning on great behavior of prescription,need not cooperating with other measures also more in practice, in order to produce great utility. Should appraise a kind of hygiene service content, management equivalent to procedure operated is important. In community's hygiene service management system, Shanghai Communications University Professor Bao Yong has introduced the procedure management project thoroughly. He thinks, is in charge of community's the same as in charge of enterprisesinging, only makes the procedure and manages it effectively, could appraise its result, and the quality of different area and unit service level. Another light spot of various modes, this seminars in full flourish, is summaries and exchanges of the regional community's hygiene service experience, and formed the successful mode suitable for drawing lessons from. Deputy Bureau Director of Municipal Health Bureau of Zhejiang Province Ningbo Zou MingFei has introduced the construction of the hygiene service system of community of Ningbo especially: In a situation that the government puts into increasing and policy ensures in place, the hygiene service organization of community of Ningbo takes public health and basic medical care as the core, quantize the working index, examine the performance, has guaranteed the implementation of public health services effectively. City these changes the input mechanism that community's hygiene serve even, bear serving and expenses of some basic medical treatment of all public health from the government, have reflected community's hygiene service is public beneficial. The side of Wuxi Deputy Bureau Director of Municipal Health Bureau wears Great Britain and introduces too, from 2006, Wuxi has already invested more than 10 million yuan totally. Every community of urban area has basically realized at present " The six in one " The function, and close functions of management such as the system, every job report form,etc. to realize with the hospital HIS system, medical insurance expenses organically and combine. It has been already of common occurrence in all parts of the country that the large hospital of the the first, second and third helped the method of the service organization of community's hygiene, several representatives of large hospital participating in the conference this time have brought their experience and innovation in helping the community to work. Guangzhou medical college first affiliated hospital ( Hereafter referred to as a institute of wide medicine) Managing Vice President Lai YongHong understands in detail during the speech " Dragon's hole mode " : September 27, 2006, a institute of wide medicine, hole the People's Hospital of the Milky Way district dragon have signed " builds together the cooperative agreement of community's hospital of dragon hole " with public health of medical college of Guangzhou by cooperating with complete medical institute three sides, make the new community's hygiene service networks of the dragon hole community together. " dragon's hole mode " That if you can't lie in whether dragon hole the People's Hospital, last regional " the community hospital " ,By " community's hospital " Administer a batch of community health Centers ' Stand) ,And make up the regional hygiene of community and serve the network, is regarded as the large hospitals and " community's hospitals " of the medical center Build together overall cooperation, form a " large hospital - community's hospital - community hygiene service organization " Two-way actual effect chain,medium-sized"community hospital " Mainly give play to the role of tie of forming a connecting link, offer health care of the different levels service for ordinary people. Because of adopting it is large hospital, it is higher medicine last universities and colleges and " Community's hospital " Tripartite cooperation way, " dragon's hole mode " Have made the good result. The dragon hole in 2007 " Community's hospital " And the making a diagnosis amount of emergency call of door of service organization of affiliated community's hygiene increases by 32% compared with the same period of last year, measure and increase by 40% in hospital, the medical business income increases by 28%. In the field of cooperative medical service, characterized compensation mechanism two times that the representatives of Fanyu district of Guangzhou have introduced this district. The western movie community health Center director Liao YiQing in Fanyu district points out, this kind of supplement cooperative medical service mode is on the basis of cooperative medical service in urban and rural areas of Fanyu district, by the hospital and cooperative medical service relation that the street is established directly. Its characteristic lies in the supplementary cooperative medical service fund raised is all used in a unified manner by the hospital, undertake the risk and observe " Do not make profits " Principle,there are neither high without being wiped out by proportioned nor little in hospitalization cost that masses bear on and it. According to conceptual design, participate in the clinic of personnel who supplement the cooperative medical service and can enjoy not binding and submitting an expense account of 50% on the basis that the cooperative medical service in urban and rural areas of the district of Fanyu submits an expense account in hospital. In the first class hospital if in hospitalling, because between city and country the cooperative medical service submits an expense account in binding the line the proportion can reach 60%, so patient within 50,000 yuan can enjoy and submit an expense account the medical fee fully, going beyond the part at 50,000 yuan can submit an expense account to 50% too. YiQing Liao say dragon American piece, resident of village, take honour suffer from pairs of the intersection of side and femur head necrosis, in hospital 3 times for example, costs 52294.32 yuan, it is 22000 yuan to pay the expenses in cooperative medical service in urban and rural areas, supplementing the cooperative medical service pays 29154.15 yuan, it is only 1150.17 yuan to pay for itself partly. The hospitalization cost which has lightened residents greatly is born to supplement the cooperative medical service.
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