Fujian: The commune hospital eats " Emperor's grain " Can not small disease go out of the village?

Fujian: The commune hospital eats " Emperor's grain " Can not small disease go out of the village?
Fujian: The commune hospital eats " Emperor's grain " Can not small disease go out of the village?
Staff reporter chapter little Li refined to it is reported one X-ray machine to buy before the 20 year, commune hospital stock first new doctor several decades, the rural doctor's salary is nearly earned from patient Because it is insufficient to put into, there are no people, have no apparatus in the mostly rural commune hospitals of our province, villager think pieces of light disease, have, run into county town, provincial capital too. The new medical reform issued a few days ago collects the scheme to propose, " the government increased the input to the commune hospital, responsible for capital construction, apparatus purchasing, personnel's funds and other funds of the health clinics in towns and townships, enable its normal running. " The health clinics in towns and townships eat " Emperor's grain " ,What kind of advantages are there on earth? What question will bring? The apparatus has used the salary to basically depend on in decades " Create income " Shao Wu takes a town 36 kilometers from Shaowu county town. Before 2006, the person in the town even preferred to go to the hospital by bus to infuse. Take mouthfuls of president of town commune hospital FuPing Yang, say can't blame villager choose very much, commune hospital disappointing. Ultrasonography B machine was bought in 1992, the electrocardiograph had already scrapped, X-ray machine or even 1978 one. Who will rest assured to see the doctor? At that time, the government which the health clinics in towns and townships get every year allocated funds to have 120,000 yuan only, and take mouthfuls of the intersection of town and commune hospital, have 14 retired ex-employee, smooth their pension in one year want nearly 200,000 yuan. There are 19 medical personnel on the job, " I worry all day where salary come from. " President Yang says, he has to make the index, bonus, salary, with " create income " for the doctor Hook. Villager come, diagnose the illness, form pieces of prescription, in thirty or forty, peasant think one cheap disease on average. Finance invest the intersection of multiplication and commune hospital keep patient here, take the intersection of port and day of commune hospital, begin to be better than at the end of 2006. In 2006, the finance of Shaowu included the retired veteran cadres and retired ex employee of health clinics in towns and townships in organ's social insurance first. In April of 2007, are arranging the salaries to workers to " it is single to bury " for all of health clinics in towns and townships in finance of Shaowu ,Have also done medical insurance, social insurance, common reserve funds for them. "The rural doctor's treatment is similar to civil servant, the heart is steady quickly! " President Yang says, the doctor needn't spend attention " making and creating income " again ,How many medicines will be open, how many medicines are prescribed. It is about 15 yuans that the amount of money of the single prescription is dropped to. Need only seven or eight hundred yuan in the natural labor of the health clinics in towns and townships, but natural labor should be about 1500 yuans at least in the hospital of county town. This year, Shao Wu increases allocating to the health clinics in towns and townships to more than 5 million yuan quickly from more than 2 million yuan, the commune hospital has acquired X-ray machine, electrocardiograph, Ultrasonography B machine, washed the stomach machine, heart electricity to guard basic monitoring devices of countryside such as the appearance, blood count appearance,etc. too. President Yang says, no one came to see the doctor in the past, had almost had no people in hospital, should line up to register now, there are 20- 30 impatients each month. Chief of Shaowu Municipal Health Bureau Zhou DongWei says, the government increases the input to the rural commune hospital, just guarantee the commune hospital is public beneficial, let common people's young disease not go out of the village. As to this, the person in charge of department of public health of province thinks too, can not dispose hygiene resources in the countryside with the market principle, the government can't concentrate putting into on hospital either, must dispose rural hygiene resources effectively, really give play to the role of commune hospital. Doctor's remuneration should not be buried by the government completely singly but had anxious experts, live on the salary paid by the state simply ,Will let the doctor produce inertia. Ding YiLi is the member of the standing committee of Municipal CPPCC in Fuzhou studying the health care subject for a long time. She thinks, should adopt the corresponding incentive mechanism and could make the health clinics in towns and townships serve masses better! Chief of Shaowu Municipal Health Bureau Zhou DongWei approves the man's statement too. He tells reporters, what Shao Wu adopted is the incentive mechanism of the salary of performance at present. The staff of commune hospital are besides taking government's salary, presidents will also check and rate through the performance, pay the salary of performance to workers. In order to take a commune hospital in town as an exmple, the low staff take the salary of more than 200 yuan of performance per month, high 600- 700 yuan per month, in order to improve the doctor's enthusiasm. Ding YiLi proposes, the input to the health clinics in towns and townships of the government should be on the hardware, such as the medical apparatus and medical house. And the doctor's remuneration government can set aside and enrich a part, another part is depend on served and earned and fetchinging by the doctor. The government finance can take out the money, offer " subsidy of health " to villager ,Used for buying and serving. The commune hospital only provides service for the masses, could obtain corresponding " subsidy " .


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