Furnish funds of 300 million repurchase commune hospitals in Yuhang of Zhejiang Sell by 75 million before this

Furnish funds of 300 million repurchase commune hospitals in Yuhang of Zhejiang Sell by 75 million before this
Furnish funds of 300 million repurchase commune hospitals in Yuhang of Zhejiang Sell by 75 million before this
Special despatch of October 24 of Xinhua News Agency Hangzhou Topic: 300 million yuan for 28 commune hospitals of buy-back, what does Zhejiang Yuhang government want to buy back? A happy district government of Yuhang of Hangzhou of reporter of Xinhua News Agency announces recently, 29 original shareholding system commune hospitals in the locality are except that a transition is a private medical organization, other 28 commune hospitals are all retracted by the government finance. Why originally sell it the commune hospital at the basic level in Yuhang district? Now, why furnish funds of 300 million yuan, buy back the commune hospital selling one-man business at 75 million yuan before this in an all-round way? " Get rid of the burden " The new difficult question thrown out was from 2002 to 2003, Yuhang district made the decision, the town township (street) to original independent accounting The commune hospital carries on the shareholding system reform. Through auctioning, 29 individuals and his shareholders bought it by the government and all 29 commune hospitals run collectively originally with the total price of 75 million yuan. The one at that time because the government put into insufficiently, the most commune hospitals of the whole country including Yuhang generally suffered the loss, have even presented the question of surviving. " At that time, the income of the whole Yuhang all commune hospitals was added up there is only several ten million yuan too, at least 70% of the commune hospitals face loss, the great majority lose amount above 30%. " Chief of Yuhang Municipal Health Bureau Huang GuoLin says. So, many local governments decide to introduce the market-based means, lighten the burden on one hand, vitalize resources on one hand. Organization's undertaking properties do not change after the share reform, the funds are subsidized and basically only limited to the public health project is subsidized, implement with the town township in the district ' Street) Condominium, management system relying mainly on district, government's leading public health on the macroscopic, in microcosmic the shareholder participates in inside to manage, the government implements functions such as the public health,etc. and strengthens supervision by buying and serving mainly. " The introduction of this method, there was its rationality at that time. " Huang GuoLin says. Reforming system really brings a gleam of to transform to the existence of the commune hospital. " Reform system, have 1/ 3 commune hospital have surplus probably, 1/ 3 fair, other 1/ 3 locate in, suffer the loss still as to remote, the intersection of economic development and low-level commune hospital. " Participated in the shareholders of the yellow lake town commune hospital Zhu ShengZhen by shares and said, and the profit overwhelming majority of the commune hospital came from the medicines income. However, more new difficult problems follow. Disease in Yuhang district accuses of the Deputy Director in the centre and does big group has deep feeling for this: " The commune hospital is busy diagnose and writing a prescription for the patienting, the public health serves hands to allocate insufficiently, carry out strength and give a great discount too. " " Moreover, invest insufficient, disparate development, the intersection of development capacity and on the weak side, medicines expensive, clinic times of but also question such as being costly appear one by one again. " The department of public health of Zhejiang Province defends Hu Ling, vice section chief of place and says agriculturally. The profit has become the oldest motive force of shareholders. Managing benefitedly in order to improve, most doctors are arranged to diagnose, the great prescription is customary. At that time, the medicines income of the commune hospital accounted for all incomes 80% - 90% . In order to lower costs, the shareholders are generally can't be more unwilling, will come down in the courtyard and give up in a few years, the apparatus is tattered. In order to reduce the expenses of manpower, engage the casual labour in a large amount. Cancel the formal staff, more than 50 of village commune hospital, engage a casual labour and nearly keep an equal pace with regular employee outside. Some doctors and patients of commune hospital disputes take place frequently, masses' satisfaction drops, the people of commune hospital run off seriously. The buy-back government of a huge sum of money wants to buy back something " It is not a method to maintain and survive by medicines profit. " In 2008, the national medical reform scheme is still under consideration, but the local government has already smelt the direction of the medical reform sharply. Recall past pains, the district government of Yuhang determines to carry on whole buy-back to the commune hospital selling. In December of 2008, the yellow lake town commune hospital will become the first pilot project of buy-back. Subsequently, are going through " Purchase and try the scheme, pilot project, purchase and supplement the opinion, take inventory of property and make an accounting of funds, consult, negotiate " After when the job of lasting 21 months and hard, the government invests about 300 million yuan totally, having finished purchasing in the government to the commune hospital of 28 shareholding systems, a remaining one is even transferred to a private medical organization smoothly. Meanwhile, the government carried on the integration of the resources, formed a township of organic town (street) A community health Center which governments holds, is divided into the integrated community's hygiene service system at the basic level of several community health stations. A series of innovation is thereupon launched. First of all, reconstruct and extend community health Center and service station. Reporter see the intersection of here and more than 10 million yuan at the cost of government in one hundred the intersection of town and community health Center, newly-built the intersection of floor area and square meter of new buildings, the intersection of inside and the intersection of centre and medical district, the intersection of prevention and health care and district, the intersection of health and physical examination area, the intersection of woman and the intersection of health care and district and clear function of recovering etc.. Infant and pre-school children's place for immunity inoculation, even open up the small playing areas of one. Two lines of revenue and expenditure of implementation, while improving the medical staff member's treatment of the basic unit by a wide margin, tie medical personnel's income to implementation of service of the public health, the income break off relations to make a diagnosis with medicines, arouse the enthusiasm of staff member at the basic level. The income of non-agricultural workers in the past each months is more than 1000 yuan, improve to more than 3000 yuan now, this also excludes the expenses that the government buys the public service. Head nurse Kong YunFang says: " Felt that was working as a temporary labourer for the boss by oneself in the past, it is oneself that misses the secretary now. " Clear villager of wave village sweet-smelling to feel indebted as if it were received in person silk Shen: After government's buy-back, went to a doctor the environment has been obviously improvedded, it is obviously little to see the doctor and spend money, more hardworking too in the lower village of the doctor of the community. " Adhere to basic medical treatment and public service attribute of the public health service field, relieve the essential that the difficulty and high cost of getting medical treatment of the masses is the medical reform. " The kingdom of Vice Chief of department of public health of Zhejiang Province offers and says, the buy-back of a huge sum of money, the government not merely wants to buy back common people's trust to the medical organization at the basic level, the service efficiency and hygiene that want to buy back the medical organization at the basic level even more are fair, buy back the whole people's health. The action of the buy-back commune hospital of Yuhang district of realizing the goal of medical reform and shouldering heavy responsibilities has been launched over the past two years, have paid enormous financial resources and manpower cost, has obtained all satisfactory result of the three sides of the government, worker, masses of making, medicine is made into the result and appeared tentatively. Follow taking profit as purpose policy, reduce the intersection of medicine and price greatly, let, benefit common people. Take yellow lake town community health Center as examples, reform system, make concessions 42 one year. 70,000 yuan, prescription once value of clinic is from 111 in 2008. 64 yuan drops to 83 in 2009. 85 yuan; The clinic person is but from 3. 10,000 persons have risen to 4 last year. 140,000 persons. Expenses once are realized at price of medicines and clinic " Pair drops " Simultaneous,realize clinic person with masses satisfaction " Pair of growth " ,The burden that the masses see the doctor is obviously lightened. On duty through choosing, competing for publicly, the talents that a number of in the prime, management and knowledge are with higher level have replaced Great last age, the knowledge structure was outmoded, regard making a profit as the first purpose" The legal person " ,hold centre director post. Well paid, not staying in the past, talents' basic unit became the target that employment of large quantities of graduates of medical college was chosen. Newly recruited 100 graduates last year alone, entrusted and trained 35 people. The intersection of talent and enhancement of team, seek medical advice improvement of environment, full-automatic biochemical appearance medical outfit of apparatus raise at the basic level engineering level that hygiene serve greatly, the condition of seeking medical advice of the countryside basic unit of Yuhang district is integrated with the city day by day. Though take a great step forward on the road of relieving the difficulty and high cost of getting medical treatment of grassroots, but Yuhang district knows, should realize becoming and wait for the patient to the doorstep in order to serve voluntarily in the past, turn the serivce object to the whole crowd from the patient, " Need innovation from change of the system to mechanism, realize the basic transitions of idea and service function finally " . (End)


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