Qi connected with the foot of a mountain " The people's livelihood budget "
Qi connected with the foot of a mountain " The people's livelihood budget "
Staff reporter Zheng He Jun Cao Not long ago, at on-the-spot exchanging meeting of the rural hygiene policy held in Qinghai Province, the exploration of Qi Lian County in Tibetan Autonomous Prefecture of Haibei has brought conferee's attention. This general fiscal revenues had poor county of 11,650,000 yuan only, the operation expense expenditure of the hygiene accounted for 10% of the expenditure of the whole county in 2007, the operation expense expenditure of the hygiene will account for 14% of the expenditure of the whole county from January of 2008 to October. Total population has only 45,000 people's Qi Lian County, half agricultural, half one herd the county. In with very limited financial resources cases, how to implement " little finance, great people's livelihood " Idea of development? The county Party committee of this county, county government explore and regard people's livelihood as the most important thing, regard health problems of peasants and herdsmen as the actually caughting of people's livelihood, regard developing in hygiene work as the method of the effective way to improve the people's livelihood. As the poor county, where does Qi Lian County develop money of rural hygiene industry from? How to guarantee rural hygiene industry correctly is absorbed continuously? What is the true feeling of common people? " poor county " "richness hygiene " After two months, Qi Lian County begs grand president of township commune hospital Wang ShunJi and reaches his first sum of annual pay on the high-ranking military officer: 80,000 yuan. This lets him quite feel proud: "In the west, presidents of commune hospital can take the estimation of the annual pay without having several home. " What he belongs to begs the grand township and lies in the most remote northwest corner of Qinghai Province, on the broad and boundless prairie, there are only more than 2600 herdsmans in this life. Though the environment here is arduous, the traffic is inconvenient, the commune hospital where the king obeys the base work can not be at all " humble " ,Having allocated 12 medical workers, it is all more available to check the instrument Ultrasonography B, X-ray machine, electrocardiogram,etc., local ordinary people's general common disease can be treated and cured at any time. Locals have calculated an account for the reporter, such a commune hospital, want more than 2 million yuan in infrastructure construction, cost such as annual personnel's salary, the government will replenish nearly 500,000 yuan. On the meagrely-populated prairie, does this sum of money worth? "Value! " Chief of health bureau of Lian County Qi's red big answer is rather clear-cut. In his view, there are such a health clinics in towns and townships, the ordinary people lived in outlying district can run several hundred kilometers few when seeing the doctor. Wash this, the commune hospitals of 8 villages and towns of the whole county, are all the same as begging the grand township, have obtained the government " Abuse the principal " Input. It is said that red and big: "In the western countryside, the hygiene is put into and can't be only regarded as the economic account, should be regarded as the people's livelihood account even more. " This piece locate in Qi, connect the intersection of mountain and the intersection of southern foot and county town that hinterland gain the name with, praised as locals " epitome in Qinghai " : The intersection of territory and large county, the intersection of population and little county, the intersection of resource and Fu County, the intersection of economy and poor county, the expenditure should basically depend on the transfer payment of state revenue. But reporters have checked and calculated and seen such a group of figures in the hygiene funds expenditure of the centre from the Qi 's: 2006, the county government determines that it is in arrears with worker's salary for many years to solve Qi Lian County the People's Hospital and all health clinics in towns and townships by the county finance, 1,548,000 yuan such as the endowment insurance, medical insurance and 370,000 yuan of back hospitalization cost for many years of retired veteran cadre and retired ex employee; Include salaries to workers of medical organization such as the county people's hospital and health clinics in towns and townships,etc. in the financial budget, allocate funds fully, 100% of worker gets the salary fully; Implement president's yearly salary system, 80,000 yuan, 60,000 yuan every year of Vice President every year for president to the health clinics in towns and townships; Shut the medical expenses to pay the proportion for and raise newly and agriculturally on the existing foundation by 5 - 10 percentage points, the province, state, county, township, compensation proportion at village level raise to 35%, 50%, 60%, 70%, 75% separately, let more peasants and herdsmen benefit from it; According to at county level 4-6, the intersection of township and grades of 1 and 2, adjust, solve county, two of township, handle the organization strength by county government jointly while being agricultural while being new; Take out 220,000 yuan and float and reward the salary for medical personnel in the outlying district; Insure for living out one's life in retirement, medical treatment, unemployment for the rural doctor in the farming and pastoral area. The fund will all include in the financial budget. Put into bringing " The two-win " The government increases input, let the tertiary health care network of the western countryside be benefited, benefit the masses of common people in the farming and pastoral area even more. In the People's Hospital of Qi Lian County, reporters have met the herdsman 52 years old from Russian fort township to add in week, he says cheerfully: "The doctor's attitude is very good, look after the patient very thoughtfully, everybody would like to go here to see the doctor. " The presidents of this institute exert justice just the my darling tells reporters, since the county hospital allocated funds fully, old accounts of many years' standing in the hospital are all paid off, the heavy financial burden of the past of the hospital that lighten the county, having aroused the medical worker working enthusiasm greatly, the service theory takes on an entirely new look too. In Qi Lian County's health clinics in towns and townships, the reporter still notices a detail, no matter which commune hospital, a full-time cook cooks for patient and medical worker. Red and big says, they find, it is mostly among 11 o'clock to 14 o'clock that peasants and herdsmen go to the commune hospital to see the doctor while going to the countryside. Because this is the warmest time on the plateau, the medical worker often needs oneself to get lunch in this time, often delay ordinary people's going to a doctor. April of 2007, at on-the-spot working meeting held in functional department of county government, the county government leads the decision as 11 public beneficial work positions such as 12 medical treatment unit newly-increased cleaner, fireman, cook, personnel's salary is by the financial commitments in the county. Red and big says what the medical worker considered is not how to go as the profit of hospital now, but how to improve the service quality. (leave and rotate the 7th) In yellow to hide the intersection of temple and village Lian County Qi, reporter meet the intersection of village and the intersection of medicine and Su build gently. He says, especially has energy to work now. Not long ago, county Party committee, county government determined to improve the treatment of the rural doctor in the farming and pastoral area in an all-round way, the village clinic that he belongs to not merely can get the medicines revolving fund of 3000 yuan, can get the salary of 450 yuan monthly too, has also afforded his living out one's life in retirement, medical treatment, unemployment insurance premium in county finance by oneself. At present, medicine of 45 villages has enjoyed this kind of treatment like him already. The development of the health care network makes ordinary people benefited directly. It is reported, Qi Lian County is while allocating funds fully in unexecuted finance, the annual clinic amount of medical organization of the whole county is 49,000 persons, in hospital 820 persons, the rate of utilization of the berth is 35%. After the reform in 2006, annual clinic quantity exceeded 60,000 persons, in hospital 1300 persons, the rate of utilization of the berth was up to 52%. Put into coming from responsibility and increase and put into making common people benefited, the pressure brought to the government is undoubted. Where does motive force that Qi Lian County does so stem from? Red and big says, this must be talked about from two accidental events. Before 2006, the fund input of the hygiene was insufficient, the salary of the hospital worker 67% in the county should be earned by hospital, the professional and technical personnel runs off seriously. Qi Lian County's ordinary people do not have confidence at all to the local medical organization, sick to seek medical advice Either go to the small clinic to prescribe some medicines, or go to the nonlocal hospital. In 2006, successively two patients because did not go to a doctor in time, there is no money to go to the nonlocal hospital to see the doctor, delayed treating the opportunity, passed away unfortunately. These two accidental events are hidden and touched to county magistrate Qi Lian County who was newly elected at that time greatly even more. Take up an official post at the beginning of, he show, want, given to important position indentify hygiene industry clearly. At this moment, the policy environment of the country changed too: The central authorities pay close attention to the people's livelihood undertaking day by day, the north state of sea that Qi Lian County locates proposes especially, undertakings such as local hygiene, education,etc. will walk in the forefront of the state of animal husbandry of the whole province. The Qi 's begins to adjust the structure of expenditure, increases the input into hygiene industry. In 2006, the Qi 's established 4 including health bureau to check and calculate the centre, the Bureau of Finance of the county appoints staff members such as the accountant,etc., garrison in every functional department and carry on the funds and unify management, check and calculate in unison. The county government, in the pilot work of two lines of revenue and expenditure, the finance of turning over all incomes of counties, township health care units, and on the basis of appropriating salary of personnel of medical organization and job funds in full amount, take out special fund, establish the intersection of hygiene industry and fund, great public health meet an urgent need fund, the intersection of maintenance of equipment and fund, the intersection of hygiene and the intersection of staff training and fund, hygiene bonus pool, concentrate on checking and calculating the funds budget from checking and calculating the centre. Ma FuCheng, Vice County Magistrate of this county, says, every functional department of the government establishes and checks and calculates the centre to carry on the funds budget, not only has increased the transparency that the funds use also increased supervision, supervision. On the basis that the expenditure structure adjusted, the Qi 's changes the unbalanced phenomenon of government's expenditure in the past, adopt the hospitality expenses compressing meeting funds of the whole county and every functional department in a more cost-effective manner, implement measures such as the funds overall rationing system of the job,etc., make the expenditure slope to undertakings such as the hygiene of the people's livelihood of the relation,etc.. The statistics show, last year, Qi Lian County's administrative funds expenditure was up to 960,000 yuan, and administrative funds expenditure is only 340,000 yuan from January of this year to October. FuCheng Ma say until " whether increase hygiene, put one's back into year by year, increasing degree lower than the same period financial increasing degree of running expenses " Standard will require for input of hygiene also increase year by year. Hide, say Lian County Qi abundant to famous for with natural resources, with relevant development and utilization of resource even more, in the following two years, the fiscal revenues of Qi Lian County will quadruple. "Qi Lian County will become better and better, this will be provided safeguard for development of health care too. " Red and big to have confidence in this.
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