Offer some ideas in Luoyang " The inquiries test " Public hospital Hospital and doctor pay the mortgage money of the risk

Offer some ideas in Luoyang " The inquiries test " Public hospital Hospital and doctor pay the mortgage money of the risk
Offer some ideas in Luoyang " The inquiries test " Public hospital Hospital and doctor pay the mortgage money of the risk
Medical dispute mediation committees of Luoyang and settling a claim to deal with the centre and is next to each other, convenient rapidly " Settle a claim " . Chief correspondent let pairs of the intersection of tinkling of pieces of jade and the intersection of reporter and picture nuclear WeiWen / heart Ma / propose / show health care reform, ferment in appeal and expectation of people, among them, the public hospital is reformed into the most important thing, particularly noticeable. In February of this year, Luoyang becomes the pilot city of national first batch of public hospital reforms, pursue mortgage money system of the risk, the dispute third party of doctors and patients and mediate reform measures such as the mechanism,etc. successively, imagine and the method relevantly, has got the approval of national leader and relevant ministries and commissions. Do these measures have He ShiXiao? How to popularize? Which heavy scale measures appear on the stage? 3 days continuously, reporters interviewed on these questions that people cared about. December 16 before the pilot city Luoyang rank of the reform depends on, the reporter, when the University of Science and Technology of river enclose the institute to interview, see 6 -year-old Dongdong's asthma has already been well controlled. Dongdong's mother Ms. Liu says, it is about 2000 yuans that it is spent together that they saw the doctor, the others are submitted an expense account by the medical insurance. Without the medical insurance, win five or six thousand yuan at least. In Luoyang, were born in having medical insurance to already become normality. The university students from other places, there is medical insurance too. It is reported, in 2009, Luoyang starts and deepens the system reform work of the medical and health formally, include all the citizens and university's university students of the whole city in the basic medical insurance of urban residents, urban worker's basic medical insurance, basic medical insurance of urban residents of the whole city will effect an insurance the number of people is up to 860,000, 900,000 separately in 2010, basically solve all and close the problem of effecting an insurance of retired personnel and difficult enterprise worker of bankrupt enterprise. Keep above 95% to join the shutting rate newly and agriculturally jointly continuously. It is introduced, from January 1, 2011, Luoyang will start the national basic medicine system. The medical health organ of basic unit that the government holds all allocate and use the basic medicine, sell, control the medicines use of non- catalogue strictly a price differential of basic medicine, in order to lighten patient's burden effectively. When the time comes, patient similar to Dongdong, the medical fee will also be further reduced on the basis of now. , on the week mouth, the family is poorer in the native place of Xiao Dong of girl where one university studies of Luoyang. Xiao Dong tells reporters, her more serious pancreas adenopathy, family are very happy Luoyang has entered the medical insurance for university students, that part of medical fee taking care of oneself now can afforded to bear for her family. In February of this year, Luoyang is confirmed as 16 public hospital reform countries and contacts one of the pilot cities. To Luoyang, this is an opportunity, and a challenge too. Luoyang accepts joyfully. Chief of Luoyang Municipal Health Bureau Zhu QiChang says, the present goal in Luoyang is: The medical reform makes the obvious effect in a short time, realize that " establish and improve system of covering the basic health care of urban and rural residents for 2020 years, offer safe, effective, convenience, cheap health care service to masses " ,Lay a solid foundation. Member of the standing committee of Provincial Party committee, Luoyang secretary of Municipal Committee of the CPC Mao WanChun pay close attention to the medical reform, establish the medical reform leading group assuming command with the chief leaders of Luoyang. In May of this year, when Ma XiaoWei, Vice Minister of Ministry of Public Health, investigates the public hospital reform, speak highly of main imagination and method of health care reform of Luoyang, show it " according to accepting completely only " . On November 11, Ministry of Public Health holds accelerating public hospital's reforming the working forum in Beijing, notify light spot and characteristic in every pilot project urban work is advanced, in 9 jobs, 6 jobs of Luoyang form characteristic and light spot, rank the first place. Chen Zhu, minister of Ministry of Public Health, prepays methods such as the system,etc. to the management system reform of hospital of Luoyang, medical insurance fund for the abundant affirmation quarterly. On October 27 this year, when managing vice-premier Li Keqiang of the State Council holds the work of medical reform and leads the group session, have affirmed Beijing, Luoyang " The public hospital under the great hygiene system is in charge of running and separating " Mode. 5 regional comprehensive medical centres of planning Xicheng District, middle urban area, key districts, newly developed area outdoor development areas of Dongcheng District, newly developed area, Luoyang and a bone wound rescue center, implement the multiplication development plan of 11 advantages hospital, strengthen infrastructure construction, demand of meeting the masses and seeking medical advice. On September 26, the first medical group of public hospital of Luoyang is listed and established formally, realized and linked from head to foot, resource-sharing, having complementary advantages. Pursue the mortgage money and restrain municipal Hospital Authority Deputy Bureau Director Lu XianYi in Luoyang, doctor of one bunch of hospitals, from introducing, should raise medical service quality and efficiency, there must be feasible measures, the risk mortgage money system that Luoyang begins to be implemented this year is a kind of good attempt. Luoyang has already pursued the mortgage money system of the risk in city owned more than 10 hospitals, implement in line with hospital and worker voluntary principle. At present, the relevant fund has already reached more than 40 million yuan, if all hospitals participated in, will reach nearly hundred million yuan. It is introduced risk mortgage money form by two parts, include the intersection of hospital and part on-the-job personnel pay and from part that draw in certain proportion under the intersection of hospital and annual business income. The standard of starting of mortgage money of each hospital, as 2% of the business income of prior year, reach 5% - 10% of annual income of hospital progressively according to 1% of the increase of the business income every year later. Hospital leader and worker working fault caused damages, is asserted by the relevant department, should deduct the financial responsibility part that should be born from the mortgage money that is paid in person, and mend the mortgage money of the risk to send to the location within 3 months. From the beginning of this year, Luoyang has already dealt with dozens of doctors and patients' disputes, the related fund is deducted from school's risk mortgage money. The University of Science and Technology of river encloses to doctor Liu of the institute to say to reporters, the mortgage money of the risk is not merely a kind of spur, if avoid the working fault, will obtain bonus of risk: 0.2% that the hospital takes out the annual gross income are rewarded to workers as the bonus of risk. The number of the mortgage money of the risk reaches certain proportion, the autonomy that can also expand the hospital and choose the right person, further expand mortgage money of the risk and pay scale and amount. The reporter has interviewed more than 10 impatients of this institute, direct against this kind of risk mortgage money system, they think very necessary all, " such to hospital, medical personnel whether one supervise, it is certain to benefit patient " . Lu XianYi says, according to the first design, this is pure risk mortgage money, no moving. And then through considering repeatedly, it is determined that a part of the mortgage money of the risk can also be used in the hospital to develop, stipulate in the office it doesn't exceed 40%. The setting-up of the danger mortgage fund, let health care reform have an " insurance " . Third party come, mediate dispute to be apt to deal with BaoShan Liu, citizen of Luoyang, say to reporter, now, people seem to face the fearful with no fears to the medical dispute, even appeared in the society " medicine makes a noise " The job, this is abnormal. The third party who Luoyang puts out mediates the mechanism, just in order to let the medical dispute be solved through the just route . Enclosing the institute in the University of Science and Technology of river, the family members of the patient Mr. Ma say to reporters, the malpractice is appraised, say, need, pay dues, waiting time too very long, ordinary people unwilling to let, appraise, ? Qia, Bi of core, short coat offer the pupa �just �� print protect the intersection of �� and the intersection of rake and lucky the intersection of frame and the intersection of light and the intersection of swan and the intersection of bed and slow manganese �� color another strike and wave evil Pei Pei of footpath between fields ? Tell by reporter one of government officials,is it such and messy to direct against like,handle for " the occasion public security management rules public " although country, die people others after all, punish, stand up " legal and difficult to be reasonable " ,Fall into " make a scene great to solve, small to make a noise light to solve, make a noise, solve " in this way Strange circle. In order to safeguard the normal order of making a diagnosis of the hospital, maintain the interests of more masses, wide open mediating this channel in Luoyang, can yet be regarded as the wise move. Luoyang begins to pursue the medical dispute third party and mediate the mechanism this year, already 26 above- second -class hospitals implement in the urban area, and will pursue in the range of the whole city as soon as possible. On December 17, the reporter goes to the medical dispute people's mediation committee of Luoyang to interview on a special trip, this committee is established at the beginning of this year, the responsible institution is a bureau of justice. Mediators of people here all relatively have social popularity, are full of on-the-job lawyers, some are medical personnels retiring, are full of pensioner's judicial cadres. As the third party, the masses think that can trust. Yang Yan Qi was once a president of a public hospital in Luoyang, retired at home now, become a mediator enthusiastically. Yang YanQi says, it doesn't charge expenses of one fens of either party to mediate the course. According to the introduction of Yang YanQi, they have dealt with 69 medical disputes this year, 100% of success rate. According to relevant regulations that the government of Luoyang made, mediate and generally accept the dispute between 50,000 yuan of 5000 yuan, under 5000 yuan is solved in the hospital by oneself, the legal lawsuit that more than 50,000 yuan walk. The procedure mediated is, the mediator verifies the materials, then judge whose responsibility it is on earth, how much should be on earth compensated. The mediator adopts both sides of the dispute in or such ways as both sides work that the mediator make separately face-to-face, adhering to the fair and just principle, mediate from respects such as the medical treatment, legal principle, reason,etc., until the fact that both sides reach final agreement, can reach an agreement the same day soon most. At about 10 o'clock on the the morning of December 16, the negotiation of the medical dispute comes to a deadlock, both sides come to mediation committees: Patient's side insists on claiming 40,000 yuan, lacking one fen and won't do; Hospital side only willing to compensate 38,000, a lot of and one fen even good. Mediate to personnel and begin to do the work of both sides separately, finish mediating at about 11 o'clock. At 11:30, both sides sign in mediating the agreement together; At over 2 o'clock in the afternoon, the cash of 39,000 yuan is in " claims settlement centre " Transfer - -The next door of the mediation committees is that a medical dispute settles a claim and deals with the centre. "Most disputes do not exceed one week from accepting to finishing the claims settlement procedure, generally solve in two or three days. " Yang YanQi says, " have a cumbersome one too, have had this year disputes have lasted more than one monthed, but reached and compensated the agreement finally. "


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