The sample of Luoyang: The public hospital tries water " Pluralism goes through medicine "
The sample of Luoyang: The public hospital tries water " Pluralism goes through medicine "
Author: Liu wells up The public hospital reformed " The sample of Luoyang " ,Exchange a light spot at the meeting after becoming the national public hospital reform. On July 25, Liu Qian, Vice Minister of Ministry of Public Health, surveys and studies in Luoyang, understands the public hospital reform of Luoyang advances the state. On July 26, municipal medicine in Luoyang is in charge of office's reporting on going to the capital to correct to medicine of the State Council in same question, and exchanged with the pilot city of other public hospital reforms. "We carry on the internal operating mechanism reform in some hospitals, carry on the property relations reform in another part of hospital. " Municipal medicine in Luoyang is in charge of Deputy Bureau Director of the office Lu XianYi's telling the staff reporter, " pass such a reform measure, we hope to form the pattern that pluralism go through medicine finally. " Trying hard to recommend property right reform in these hospitals can be divided into three kinds on the whole, one is the city owned public hospital, one kind is the hospital stripped out from enterprises, have one more kind of hospitals that is the commercial establishment "The situation in Luoyang is that there is little population, the public hospital is numerous, the government finance is and unable to charter all public hospitals. " Lu XianYi says in this way. It is reported, the urban area population about 1,700,000 in Luoyang, the quantity which has all types of hospital exceeds 80, only about 20,000 people of citizen that each hospital served come down on average. And 2010, the first class fiscal revenues of Luoyang are 14,200 million yuan, the expenditure of health care is 1,724 million yuan among them. "We divide the whole city into 5 areas, through combining the medical resources in each area, form and regard tertiary hospital as the medical centre in the area, the radiation at the same time, driving the subordinate hospital, medical group of the community hygiene service organization in this area. " Deputy Bureau Director of Luoyang Municipal Health Bureau Liao Ming says early, carries on the property relations reform and involves 13 public hospitals altogether. These hospitals can be divided into three kinds on the whole, one is the city owned public hospital, one kind is the hospital stripped out from enterprises, have one more kind of hospitals that is the commercial establishment. According to the reform scheme, the public hospital involved can follow one's own actual conditions, choose to reform system in the way from two kinds of modes by oneself. Two kinds of modes are separately, state-run assets are sold, the mode and mode of keeping the stock, introducing increment, increasing capital and stock that workers hold share collectively wholly. It is essential after deducting to transfer the state-run assets income and carry on, change over to the development fund account of the health care industry. "It is still unwilling to lose the present identity that may be more, this needs to be solved cautiously. " One involves reforming system of the doctor's words of the hospital, representing most doctors' idea. In addition, the prospect that the hospital reforms system is that a lot of people worry about. It is in Henan area too before this, ever the hospital worker appears in the county to demand to belong to the state-run situation again after reforming system. At present, nearly all pilot units in Luoyang are still on the preparatory stage when the thought mobilize, take inventory of property and make an accounting of funds, still no hospital announces the concrete implementing scheme. According to the time table of the public hospital reform of Luoyang, by the end of 2011, the task that the public hospital reform has reformed system will be basically finished. Contrast the progress at present, the pressure is not small. Pursue the council and make the supervisory organ that the board of supervisors is the hospital, are made up of representatives such as discipline inspection of the hospital, financial audit, trade union,etc.. In addition, the president is the person in charge of executive body of hospital, can't serve as a president at the same time Though the intersection of Luoyang and the intersection of city and famous tertiary hospital, the intersection of Henan and the intersection of University of Science and Technology and second affiliated hospital (hereafter referred to as sophomore period of department, enclose the institute) Face the enormous operation pressure too. "Our shortfall actually on the budgets for operation is very great, do not reveal all the details in government finance. " The department encloses to Wang DongSheng, secretary of institute, and says in this way in sophomore period. Can see from the working scheme of operating mechanism which Luoyang issues, it is the only operating mechanism reform pilot project that Luoyang confirms when being initial that the department encloses the institute in sophomore period. And at present, six hospitals are carrying on the operating mechanism reform already. The content of the operating mechanism reform mainly includes setting up the corporate governance structure taking council as the core, set up and amplify in order to employ system and post to set up and manage for the personnel management system of the main content, improve the system to assess of the performance, set up medical organization and undertake task compensation mechanism of the public health,etc.. In this reform content, changing the greater one is to set up corporate governance structure, and other respects hospital is improving progressively. The design of the corporate governance structure of Luoyang is " One layer for three meetings " ,Namely the council, board of supervisors, congress of workers and staff and hospital administration and supervision authorities. The council is the policy-making bodies of the hospital, taken charge of in people, administration by Party organization of the hospital and responsible for people, president's of trade union, relevant department's representative's, hospital expert's and employee's representative's of municipal governments making up. The board of supervisors is a supervisory organ of the hospital, are made up of representatives such as discipline inspection of the hospital, financial audit, trade union,etc.. In addition, the president is the person in charge of executive body of hospital, can't serve as a president at the same time. "Great decision of hospital to make by council now, to cure, in charge of office responsible for council at the same time, there is reporting system of great items. " Wang DongSheng introduces. Wang DongSheng thinks, the really more key one is actually examining and competing and engaging as the personnel system of the subject for the distribution system of the subject and with the post with the salary of performance. At the request of Luoyang, the hospital should set up and amplify in order to employ system and post to set up and manage for the personnel management system of the main content, implement worker's appointment system for the entire personnel.
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