In charge of do break up the family by half explore public the intersection of hospital and the intersection of reform and new mode

In charge of, do, break up the family by half, explore public the intersection of hospital and the intersection of reform and new mode
In charge of, do, break up the family by half, explore public the intersection of hospital and the intersection of reform and new mode
Beijing medical reform chop off whose staff reporter, chain of interests, ShuJu Zhao, intern of flower bud, release from March 28 such as Beijing dawn such as Wu, Ding XiangYang, Vice Mayor of Beijing, reveals in deepening the system reform working conference of the medical and health in Beijing: One is named " Hospital Authority " Organization,it is expected Municipal Health Bureau list and be established at April at Beijing on the beginning. When the time comes, medicine of Beijing is in charge of the office being divided into over ten departments, specially becomes more meticulous and manages to 22 city owned tertiary hospitals, in the hope of raising the medical care efficiency of the hospital, control operating cost and medical expenses. Because not long ago, Ministry of Public Health has just announced thinking and action - public hospital of Beijing of the public hospital reform of Beijing will reform according to looking after and doing separating, government affairs separating, thinking that will be parted of medicine, realize, three run on foot, so have, analyze, claim Beijing medicine in charge of establishment of office become the intersection of Beijing and " engine " that public hospital reform ,Indicate the public hospital reform of Beijing is sailed into the deep water formally. But while distributing new dispatchs up to the reporter, have not received Beijing " Hospital Authority " yet News listed formally. Medicine of Beijing is in charge of the office ready to appear since the new medical reform scheme will be issued in 2009ly, the public hospital has reformed the opera involving much singing and action thought by the public opinion to be this medical reform. Also just under such a background, last April, Beijing Municipal Government announced the two - year long medical reform scheme, among them, to the public hospital reform which the public cares about most, have proposed preparing to establish the hospital management organization managed by Beijing Municipal Health Bureau clearly. Nowadays, one year has already passed, though Beijing edits and does and has not assigned the file formally yet at present, but can know from the information that Ding XiangYang reveals, so-called " hospital management organization of management of Beijing Municipal Health Bureau " Already ready to appear, and been named " Hospital Authority " . "To put it briefly, curing the function in charge of the office is to bear contributors and run the function of the institute, administrate personnel, run affairs, is in charge of the assets. " The committee member of development and reform committee of Beijing, medicine of market correct director Han XiaoFang to say when being interviewed by media, establish medicine to be in charge of the office, run the duty of the institute of the health bureau to separate, is managed the office by medicine and strengthened basic management, differentiated control and modern hospital management institutional improvement of the hospital pointedly. "Say with an adjective not very accurate, medicine is in charge of office's hiding the ground down, the health bureau should be enough for it up. " On April 8, introduce to the public when radio of city management comes to Great Britain to act as a guest to the side of chief of Beijing Municipal Health Bureau, health bureau and medicine in charge of the difference between the offices to lie in: It is mainly operation, operation and management which are responsible for 22 city owned medical organizations that medicine is in charge of the office; And health bureau more duties are to study hygiene policy, hygiene to plan, be based on the whole society. Though the side comes to Great Britain and has not introduced to the new organization in this infancy more, but " medicine of Beijing is in charge of the office " Already the media has been sketched the contours of the rough outline when reports without restraint recently. According to media, medicine of Beijing while preparing is in charge of office's already authorizing and working out to over one hundred people, set up more than 10 offices inside, including the financial affairs, the service is examined, charges and will all subdivide offices. In addition, news claims, in order to guarantee medicine is in charge of the operation of melting independently of the office, the staff members whose medicine is in charge of the office will not merely come from health authorities, it is expected to seek out able men and receive them from the each aspect of society. There are meddlers even more, are in charge of office's calculating an account roughly for medicine of Beijing not emerging formally yet: It is calculated that it is above 1 billion with average assets in each hospital, the basic personal value that medicine is in charge of the office can be up to more than 22 billion. However, one that is with media is noisy and opposite, seem unusually calm in the hygiene system of Beijing in the swirl. Weekly reporter finds era while trying to contact the staff members of several city owned tertiary hospitals of Beijing, they are not in charge of office's preparing to establish the details in the course knowing to cure either. The capital characteristic tube does and separates " establishes medicine of Beijing to be in charge of the office, that is to implement ' in charge of doing separating ' ". " Han XiaoFang says to reporters. It is investigated, the mode that medicine is in charge of the office comes from Hong Kong first. In early time, public hospital and private hospital of Hong Kong were managed directly by National Health Administration, but because National Health Administration should work and set up the hospital as well as private hospital of supervision, will unavoidably have a conflict, Hospital Authority was established on December 1, 1990 in Hong Kong, took over 38 public hospitals in whole Hong kong formally one year later, National Health Administration no longer undertakes to run the duty of the hospital, is only responsible for the supervision of whole Hong kong hospital. This became later too the inland city implemented while launching reform pilot work of public hospital " In charge of doing and separating " Importance draw lessons from mode. " in charge of doing and separating " Reach on the public hospital reform specifically, mean the government separates with the function of the persons who supervise as medical care supplier, invstors. In view of this, before this wheel of new medical reform schemes were issued, Shanghai, Wuxi and other places have already begun to explore " been in charge of doing and separating " with characteristic of each region The mode, establish and break away from the hospital management organizations of health authorities one after another. Known as the system reform of public hospital " pathfinder (27.800, 0.67, 2.47%) " Wuxi,establish 2005 September by hospital administrative center of grades flat as health bureau; Nearly at one time, Shanghai establishes Shanghai to explain the centre of development of health hospital too, become the only province grade in China " In charge of doing and separating " The pilot unit of health care reform, have 23 city owned public hospitals under its command. In Beijing Haidian District, were listed in establishing area Public Service Commission in 2005 too, it belongs to the manpower, financial resources and material resources of the public institution of the public service that the managing area belongs to districts such as the hospital, library, cultural center,etc.. From the view point of managing the hospital, Haidian District public committee make " the intersection of district and medicine in charge of the office" already Role. "However, medicine of Beijing is in charge of the particularity of the office, it is it that is set up in Beijing Municipal Health Bureau, it is second office managed by Municipal Health Bureau, but Shanghai, Wuxi are responsible for the State-owned Assets Supervision and Administration Commission to administer. " Hong Kong end strength hospital another manage the intersection of research center and director and hospital manage researcher better to tell reporter village have. "It is still under the State-owned Assets Supervision and Administration Commission to set up the management organization of the hospital under the health bureau, the difference between these two kinds of modes lies in, the former is that the tube in the health care system is done and separated, but the latter is that the tube outside a system is done and separated. " Strong in the village to seem, this time the mode of Beijing has not let the health bureau " athletes, the referee " yet Dual identity change totally,"Beijing is whom the medicine last office want to report the work in Beijing Municipal Health Bureau still chief, in this way can not realize completely the tube is done and separated. " However, a public opinion guesses, will cure and in charge of office's setting up under the health bureau in the reason why Beijing, also belong to it cannot help but - according to data, there are ten thousands of service organizations of health care at present in Beijing, every hospital is under the jurisdiction of two grades of health bureau, university, army of government in Ministry of Public Health, urban area,etc. separately " Eight routes of main forces " ,Lack the unified coordinating mechanism. In order to solve" It is difficult to coordinate" Question,it will be October 27 2010,establish specially Beijing capital medical and health Coordination Committee (last committee for the first time) ,Member units include national related departments, army, police, Beijing related departments and 16 county governments of districts. Even so, in 66 public tertiary hospitals of Beijing, only there are 22 city owned hospitals. "Unless mean this, after in charge of establishing office even if Beijing medicining,can only management 1/3 hospitals publics in Beijings concrete. After medicine is in charge of office's tenabling, will pursue the concrete action of the public hospital reform, will need to rely on the function of possession management of health authority, coordinate with the public hospital under the jurisdiction of other systems. " Beijing the intersection of medical reform and the intersection of expert panel and member, Peking University the sub monarch says week such as institute such as public health. Game rules demand urgently to improve " though the situation in Beijing is special, this kind of tube should be all right try to go through half a separate mode, but I think I if can be in charge of office's seperating curing from the health bureau, may get more completely. " The village is strong to think. A strong judgement, Shanghai, Wuxi and other places achievement obtained have some relations in the village. According to media, in establishing one year of hospital behind the administrative center, Wuxi the intersection of city and the intersection of hygiene and service system perfect rate, improve to 94% from 72%, the citizens in Wuxi are average in hospital the hospitalization cost drop by 9.86%, the administrative center of the hospital accepts the appeal amount of the medical dispute drops by 40% than before. In Shanghai, because have a greater autonomy to explain the health mode on people, thing, assets, the data reveal, in 2005-2009 years since the establishment of explained the health from Shanghai, the energy consumption expenditure of every business income of ten thousand yuan drops by 4.88% every year on average in the hospital at city level. However, the village paying close attention to inland public hospital reform is strong but even admitted for a long time, though the hospital administrative departments of the above-mentioned all parts have already run for several years, there are some questions that can't be avoided. Take Wuxi as examples, before medicine is in charge of centre's tenabling, the financial allocations in the governments are all given to the health bureau, the health bureau distributes 60% of the the above of this sum of money into the public hospital again, but now, 60% that the government allocates funds are given to the health bureau, medicine is in charge of centre's getting 40%, in this case, actually few that government which the public hospital gets allocates funds. So the problem of the difficulty and high cost of getting medical treatment has not been solved at all. The ones that are entangled with belong to the public committee of Haidian District. Because there is not a fitting unit upwards, the public committee falls into " multicipital management " Situation,need the Haidian district hospital one staff member often to " the two piece mother-in-law " Put on record at the same time. "So, in the course of the public hospital reform, we can't only stare at the public hospital, let the public hospital improve and manage, the ones that should change are the game rules of government and public hospital now. That is to say, no matter cure and in charge of office's setting up under the health bureau or State-owned Assets Supervision and Administration Commission, should cut off a referee and interests relation between athletes first. " Professor of government of Peking University management college Gu Xin thinks. As to this, the village is strong but holds different views. In his view, even accomplish really no matter do, separate, inland public the intersection of hospital and key of reform lie in completion of compensation mechanism still at present: "There is little input to the public hospital of governments, only accounts for 5%-10% of the expenditure of the hospital, that is to say that there is 90%-95% of the expenditure to be earned by hospital. On one hand, the government requires the public hospital to come back public beneficially, it don't charge so much money to see the doctor; But on the other hand, the government does not give it enough compensation, in this way the hospital can only earn money on patient, so I think the key difficult problem of the medical reform is a word: Money! "


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