The community will see the doctor than the cheap over half of large hospital

The community will see the doctor than the cheap over half of large hospital
The community will see the doctor than the cheap over half of large hospital
Cheaper than large hospital over half of going to the community to see the doctor, the urban government of the whole province will set up basic medicine system in an all-round way in principle while running the health organ of the community within the year. Include basic medical treatment in, ensure the intersection of medicines and catalogue all basic medicine, wipe out proportion, obviously higher than the non- basic medicine. The medical reform of this year happened in the working conference end of hygiene of Jiangsu Province held yesterday " The sumptuous meal " ,Its current situation of the disease of seeing the doctor expensively, scorning for in order to relieve ordinary people of aim. [Basic the intersection of medicine and system ] reach the intersection of community and hospital diagnose the illness than large cheap yesterday such as over half such as hospital, chief of province department of public health Guo XingHua points out at the meeting, strives to realize by city under the jurisdiction of the provincial government the door emergency call person of resident's community reaches more than 45% of the local total amount within the year, the expenses once of clinic are lower by more than 50% than the tertiary hospital, the prevention and health care person of the community reaches more than 60% of the local total amount, the old man filing rate is up to 85% over 65. And the cheap basic means of letting community's hospital see the doctor, it is to pursue the basic medicine system in an all-round way. Guo XingHua requires, before the end of February, 37 counties that implement basic medicine system in the first batch are (municipal or district) Guarantee to implement the government and run the medical organizations at the basic level and all allocate using, a difference rate and sell basic medicine and corresponding submitting an expense account policy; Before the end of the year, guarantee 60% of the counties in the whole province are (municipal or district) Set up national basic medicine system. The urban government of the whole province will set up basic medicine system in an all-round way in principle while running the health organ of the community within the year. Include all basic medicines in basic medical treatment and ensure the medicines catalogue, wipe out the proportion is obviously higher than the non- basic medicine. Second, public hospital of third grade should use the basic medicine preferably too. Guo XingHua says, the using rationally preferably of basic medicine, implements the key links of basic medicine systems, this is particularly important in initial stage of the system is implemented. On the basis of 307 kinds of basic medicines which the country confirmed, our province has augmented the commonly used basic medicine of 292 kinds of basic unit, these 599 kinds of medicines generally may satisfied with the health care at the basic level of our province and serve the need. All parts should strengthen supervision and management, supervise the medical health organ in the basic unit to do a good job of use and management of the basic medicine conscientiously. Clear up medicines outside the basic medicine catalogue as soon as possible, stop purchasing medicines outside the catalogue, control the volume of stock of medicines strictly, after guaranteeing the national basic medicine system lasts 45 days, all allocate and use medicines in the basic medicine catalogue, and sell according to purchasing a difference rate of price. Strengthen the training efforts to the basic medicine of medical worker at the basic level and knowledge of using medicine rationally, according to national basic medicine clinical practice guide and prescription collection, standardize medical health organ and doctor administration behavior in the basic unit. Adopt the information-based means, carry on announcement to the unreasonable prescription, strengthen the management of using medicine, guarantee the basic medicine is used rationally. Include all basic medicines in basic medical treatment and ensure the medicines catalogue, wipe out the proportion is obviously higher than the non- basic medicine. [It is turned back progressively that the public hospital reforms ] " Raise medicine with medicine " It has been focal point of the reform and difficult point of the medical and health system all the time that the mechanism deepened the public hospital reform. According to the introduction of Guo XingHua, have already chosen Zhenjiang city and a under the province hospital of two hospitals as the pilot project clearly in the province now, and to the attitude which the other public hospitals wait for, look around, the government will act to some extent as soon as possible, promote the process of the reform. Guo XingHua says, plan and relevant supporting policy in medical organization structuring, will issue in the near future inside of the province, arrangement quantity, scale, overall arrangement, function and task coming to the clear public hospital. "How much is run in the government, how much is planned. If some public hospitals no longer hold, can encourage attracting the social capital to participate in reforming system to recombinate. " In this respect, in fact there is example succeeding in Jiangsu, and was just confirmed as one of the pilot schemes of the public hospital reform by the country not long ago. In 2003, the People's Hospital, Suqian tried the public hospital reform, it is three to dismantle the hospital, the government of Suqian, one country have listed companies, drum-tower hospital to become shareholders, the hospital changes body into the shareholding system hospital from this. The cube justice great wave of drum-tower director has participated in the reform in the whole journey, has turned the People's Hospital, Suqian from second second grade hospital into a tertiary hospital in 7 years. In addition, it is the opera involving much singing and action to reform the compensation mechanism of public hospital. XingHua Guo say get in touch with in economy between hospital and medicines sell of cutting off putting especially, the effective way of exploring medicine separates, turn back the public hospital and " mend medicine with medicine " progressively Situation. [Shut while being agricultural while being new ] great disease wipe out proportion, raise the whole province, regard county as unit join the equal toing rate, keep above 95% to continue jointly while being agricultural while being new, it is the most low to raise funds the standard is improved to 150 yuan of per person, among them the finance at all levels is subsidized and lower than 120 yuan. County, the intersection of township and two policy compensate than up to 60% in hospital in the range, pay limit, raise get local the intersection of peasant and annual per capita more than 8 times of net income in an all-round way at most, the whole province in hospital actual compensation than more than 45%, strive to make 30% tertiary hospital include in new to equal to the intersection of province and magnitude by fixed position while being agricultural within the year, it is at city level by fixed position that 70% of the medical organizations at city level include in. Guo revitalize chief Hua, emphasize Jiang Wu succour of patient get affirmation of Zhu Chen, minister of Ministry of Public Health, completely to shut blood while being agricultural while being new especially at meeting, local blood patient blood pay 20 yuan only completely each time completely, this year, our province choose several expenses high clinical route clear launching a pilot project by the intersection of curative effect and prominent special the intersection of number and development, further raise and submit an expense account the proportion. "For instance, children's acute leukemia, the onset, about 1/100000, but the general family will go bankrupt if meet this disease. We will be chosen the disease cured especially when being chosen disease. " Guo revitalizes China to add. It will not be too enough to suit that some doubt medicine varieties are few In fact, to community hospital of Nanjing, sell, lead medicines to be unfresh by zero difference. In the past few years, they depended on selling the income of the joint-venture, foreign capitals medicine to replenish while offering the basic medicine to patient. The new policies will be implemented soon, except the persons in charge of many hospitals will afraid whether the financial subsidy could be put in place in time, still afraid the popular joint-venture, foreign capitals medicine disappear from the hospital quickly, the patient will be unsatisfied. The relevant persons in charge of one community health Center in the lower district say frankly in vain, there is 1000 multi-type in the medicines which this community health Center sells at present, medicines of the difference rate of zero's account for about 30%. The joint-venture or foreign capitals medicines that sold betterly at ordinary times, there are many ones that sold than inside the basic medicine catalogue, this has reflected the patient's demand too. "There aren't these fast-selling varieties then, patients must go back on one's word. " This person in charge expresses worrying. However, while interviewing, the reporter finds, this worry is not limited to community's hospital, the president of hospital of a the first, second and third says, medicines in the medical insurance catalogue have 2000 multi-type at present when being interviewed by reporter, but basic medicine There are only 599 kinds, it certainly will cause influence in taking the lead in pursuing the community medical organization of the basic medicine that this is not reciprocal. "Type pieces of metaphor, ordinary people get used to eating five-star giant hotel, let the intersection of he and little shop by the outlet and then, it is very difficult to suit. " This president says, the indirect influence that the basic medicine system brings, even if the script yes the patient of community's hospital will pour into the large hospital, thus increase the pressure of the large hospital. As to this kind of worry, chief of Jiangsu Province department of public health Guo XingHua says, what the hospital at the basic level wants to solve are common disease, frequently-occurring disease, so the government has chosen low priced medicines more while making the basic medicine catalogue. On the basis of 307 kinds of basic medicines which the country confirmed, Jiangsu has already augmented 292 kinds of daily medicines, all that there is more quantity for the whole country. And already pushed away in Wuxi in an all-round way before this, practice has proved, can basically meet patient's needs. (Lin moon of China of morning paper of Nanjing)


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