The medical reform of Luochuan: Try closely type to deposit wholly

The medical reform of Luochuan: Try closely type to deposit wholly
The medical reform of Luochuan: Try closely type to deposit wholly
Staff reporter sweet Beibei Luochuan county of Yanan of Shaanxi Province renowned for meeting in Luochuan in the past, nowadays deposit the mode during the medical reform closely through exploring, implement the management of the tertiary hospital in second hospital, let the masses enjoy the medical care of the hospital of the first, second and third in two first hospitals, paid close attention to by the society once again. Getting close to deposit wholly, under not depositing into the intersection of hospital and main part of property right, the intersection of ownership and prerequisite that property does not change, the persons who deposit take over its administrative power, personnel right, ownership of property, implement ownership and power of management of the hospital " two right is separated " Reform mode, construct in exploration tentatively and regard regional large-scale hospital as the hospitals of core, county for backbone, community's hospital and health clinics in towns and townships as the tertiary network of medical service system on foundation. Grafting wants " The looks clothes of water and soil " The hospital of Luochuan county was established in 1950, but discipline development stagnated in recent years, the service level was relatively low, change the place of examination to Xi'an, Yanan and other places on even operation for appendicitis. Luochuan county in 2008 " Two Conferences " During this time, more than 100 motions, proposalses, the spearhead directs at the county hospital. How should the way in front of the hospital of Luochuan county go down? Deputy Bureau Director of Luochuan county hospital Duan YanJun says, consulted repeatedly, the county Party committee, county government determine to look for a " good relative by marriage " To help the county hospital. On January 7 of 2009, the county government of Luochuan will sign the agreement with the affiliated hospital of Yanan university, go on, deposit wholly to hospital, county of Luochuan, deposit time for 5 years while being first-phase. Prolong and enclose Vice President, the hospital incumbent president Bruce Lee in Luochuan county of the institute and say big, second hospital and tertiary hospital all have certain disparity regardless of personnel, apparatus or technology, so can't tertiary management style of hospital briefly to hospital, county of Luochuan, " Duplicate " , " paste " ,But like graft Fuji apple at the intersection of the first and apple tree Qin, take, enable the intersection of two and " the the intersection of water and soil and the intersection of looks and clothes " . Prolong greatly and enclose the institute and send 4 comrades with professional experience of management to serve as the chief and vice presidents of the county hospital, from leading the organization respect to guarantee smoothly at first " Graft " . "Offer talent's guarantee and technological guarantee for county hospital, prolong greatly and enclose management idea and management style of the institute and could permeate effectively, and contribute. " At the beginning when deposit, Bruce Lee and leading group other members " hope to smell and ask and cut " to the hospital every day ,Open for the question that is found " The prescription " . To the problems of shortage of talent of hospital of Luochuan county, echelon's fault with obvious phenomenon, prolong greatly and enclose the institute and send associate professor of treatment and the above professional and technical personnel to the hospital of Luochuan county long-termly incessantly, 8 for each batch - 10, rotate in 3 months, make the team of talent of the county hospital prone to rationalization. These professional and technical personnels are while medical personnel carry on technology in the hospital to pass on experience, improve the norm of making a diagnosis to the county, instruct the department to build the chapter and stand and make again, carry on standardized management. Luochuan county also sends the doctor, nurse of the county hospital to prolonging greatly to enclose institute and other tertiary hospitals to train free, accept the new management idea, enclose the institute to " regard patient as the centre " big through prolonging Hospital cultural construction right on-the-job medical personnel go on " Wash the brain " ,Improve service theory and service consciousness. " two right is separated " Help the reform of depositing the public hospital closely to involve adjustment of different complicated interests relations such as the personnel system, managerial structure, compensation mechanism of the hospital, also arouse the enthusiasm of medical workers. Bruce Lee says, ownership and appropriate reform mode that separates of the power of management, make the persons who deposit know the administrative power, personnel right, ownership of property of the county hospital, can manage the hospital deposited more directly, the membership of hospital of Luochuan county after guaranteeing to deposit does not change, independent legal person organization become and assets belong to become, the intersection of hospital and property and the intersection of function and become, the intersection of financial allocations and channel and allocate funds standard become and the intersection of worker and identity change. Having known the administrative power of the hospital, the new hospital leads the group to make the comprehensive quality control scheme of the hospital under the leadership of Bruce Lee, interests of result, each department, everybody of checking and rating quality are got in touch closely; In the construction aspect of discipline, change according to the local disease table, has set up an inpatient area of internal medicine department specializing in treating vascular disease of the heart again, two inpatient areas of internal medicine department specializing in treating breath, digesting, endocrine disease,etc.; Control and infect the requirement according to the hospital, has set up standardized delivery room and neonatal ward, establish physical examination centre and Specialist Clinic, and belong to blank peritoneoscope operation, cataract operation,etc. before launching. Increase the resulting income through portfolio, has improved some aging hardware facilities. "The mainstay of the medical reform is a medical worker, so it is essential to arouse medical worker's working enthusiasm. " Bruce Lee says, the staff members that the county hospital is not in working out formally to, implement the equal pay for equal work; Have made" staff members go out to study the subsidy standard ",etc.; Examine the performance, and reward quarter to make into the monthly bonus. Deposited and then know the personnel right of the hospital, lean towards the unreasonable phenomenon of personnel's structure such as being old and play a key role in changing the age of pace-setter in scientific research in the composition of trained personnel of the hospital. After depositing, the hospital implements a cadre and head nurse system of appointment of middle level, according to the needs of post, allocate pace-setter in scientific research, engage one as two years, presidents signed the liability statement of the goal with middle level cadre; It is on duty to compete for the head nurse, make head nurse's mean age drop to about 30 years old from 47 years old, and it is all academic certificateses at or above the junior college level to engage head nurses newly. At the same time, the hospital recruits talents from society publicly, medical specialized personnel of the above professional title of introducing 5 - 10 medical science professional undergraduate course and the above academic graduate or attending physician every year, and sign with introducing personnel " Work and is not lower than 5 in the hospital of Luochuan county after depositing and expiring " Job agree,tentatively form the ones reasonable talent echelon. It is reported to manage the long-efficiency mechanism, after the reform, the hospital of Luochuan county is not merely undertaking the medical treatment and health care work of 204,000 people in the whole county while visiting Soto, still radiate to surrounding areas such as Huang Ling county, Baishui County, Fu County,etc.. The intersection of clinic and quantity increase nearly 80,000 person than 2008 this year such as institute, patient increase 6000 over person in hospital; Compared with 2008, will shut the patient changing the place of examination rate newly and agriculturally and drop to 18% from 24% in 2009, the changing the place of examination rate of medical insurance patient of the urban worker drops to 30% from 50%. The sample investigation reveals, clinic patient's satisfaction is 98%, are in hospital patient's satisfaction is 95%, the worker is 93.9% to the comprehensive satisfaction of the work of the hospital. In the intersection of county and hospital, reporter meet come from Qin, county of Luochuan, imprison the township to give to auntie Su who the spouse got it filled. She tells reporters, the spouse did the cataract operation here before one and a half months, and just two years ago, the county hospital can't do this operation yet. Auntie Su says: "This operation has cost less than 2000 yuan, hear in higher and half the than this large hospital expenses. " On this basis, deposit the effect to the villages and towns at the basic level The commune hospital extends. Will it be July 27 this year, hospital with the intersection of Chinese scholartree and the intersection of cypress and the intersection of in the center and commune hospital, the intersection of ox and the intersection of township and commune hospital Zhu, county of Luochuan, sign, deposit agreement, time is 3 years, guide the base? Hang and suffer from the man with lot my darling's �� rammer �� Does the arm �Ԥ� block �� Ao in ��? While interviewing, Bruce Lee sighed for the medical reform many times to give the county opportunity for development of a hospital, also get much policy support. It is under construction that he points to the building tells reporters in hospital, the fund which build the building comes from " standardized construction project of hospital at county level " that the country invests for the medical reform Fund, has already put 18 million yuan in place at present. Duan YanJun says, the county hospital of Luochuan proves the feasibility of developing towards grouping to depositing, realize the integrated management mode of medical organizations of city, county, and township, lead masses' level to go to a doctor, and will change the place of examination and fulfill bidirectionally and make the hospitals at all levels clearer in functional demand.


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