Jinan: The new medical reform - move ahead among fair and efficiency with vigorous strides of three years

Jinan: The new medical reform - move ahead among fair and efficiency with vigorous strides of three years
Jinan: The new medical reform - move ahead among fair and efficiency with vigorous strides of three years
2009, the new round of to deepen the system reform of the medical and health to implement formally, accelerate advancing basic medical treatment to ensure the institutional improvement, perfect the service system of health care at the basic level, promote the basic public health to serve progressively equally and melt etc. and become the content advanced especially in the first cycle of getting. In the past three years, just around relieving the goal of the difficulty and high cost of getting medical treatment of the masses, Jinan basically realizes that " protects the basic, strong basic unit, builds the mechanism " ,The medical reform goal that the basic health care system provides for the whole people as the public products can be fulfilled. Reporter of this newspaper of staff reporter Tian KeXin Cui Lei The medical treatment of Huinong, 3,250,000 " persons in the village " See the doctor, have, ensure the intersection of Zhangqiu and the intersection of city and bright the intersection of water and the intersection of town and the 77 year old this year, old man of WenYing, Zhang, stockaded village of village, because the brain blocked up and lived in the bright water town commune hospital, was in hospital for 41 days total cost 14457 yuan not long ago, can leave hospital, pay, take in the fresh agricultural 3645.7 yuan that paid for itself jointly only, only account for 25% of the all-inclusive cost. " if not shut newly and agriculturally, and then pay the money " Policy,we can ill to be look down upon really for woolen cloth. " Zhang WenYing says cheerfully. " see the doctor first, and then pay the money " It is the bright water town commune hospital of Zhangqiu that, on the new agricultural foundation of shutting the system, in the tentative visit mode in hospital of October of 2011. Patient admission need, pay, in hospital deposit at the procedure, need, sign " the intersection of hospital treatment and expenses close agreement " with hospital only, and cure and guarantee it or shut medical certificate, one's own ID card or depopulation copy newly and agriculturally to hand over to the admissions office to retain. Leave hospital, settle account, need, pay medical insurance or new agricultural expenses which individual should bear wipe out jointly, to hospital only. "This guarantees a patient gets the valid treatment as soon as possible. " The bright water town president of commune hospital Jiao ShouJun says to reporters, nowadays the medical personnel does not press for fee another, pay attention to the service regulation further, try hard to use and share medicines in the policy range of the institute and treat newly and agriculturally, reduce the patient's conceited proportion, nowadays more than 300 patients who enjoys this policy are very satisfied with this, hospital the person has increased by 20% compared with the same period of last year in hospital. At present, Jinan joins and shuts the number of people and has already been up to 3,254,600, joining the shutting rate reaches 100%. The standard of raising funds is improved to 250 yuan progressively from 20 yuan of initial per person. Shut and compensate and up to 75.48% in policy range in hospital newly and agriculturally, pay the limit and reach 108,000 yuan at most, it is more than 10 times of per capita net income of peasant. In 2011, ensure to the great disease medical treatment of rural children, shut the expenditure of 1,950,000 yuan newly and agriculturally, treat ahead of 74 worry infants, leukemia infant is 20, and include mental disease, breast cancer,etc. in the guarantee of serious disease, shut the expenditure of more than 18 million yuan newly and agriculturally, treat more than 7000 persons. And shut and form the newspaper, newly and agriculturally immediately " The all-purpose card " Wait for reform pilot projects of means of payment such as the handy service for the people and paying, prepaying according to number paying, total value according to the number of people,etc., having further improved the new agricultural service ability of shutting system, 3,250,000 rural residents had one's own health guarantee from then on. Break and raise medicine with medicine, the organization at the basic level returns to public service Kun Liu the intersection of Jinan and the intersection of city and the intersection of village and the intersection of town and a Chinese medicine doctor of commune hospital Jia, county of Shanghe River, whom commune hospital organize whole to compete for in the work in mid-September the intersection of village and town Jia, 27 people participate in the competition, 24 people are engaged, Liu Kun is one of them. It is on duty to speak of this time, he tells reporters, whole to compete for to let everybody have big " crisis awareness " . "unless it is for three year in issue since it employ, it is will laid off to work hard,this but " Force " Get to everybody and pay attention to the service quality, make great efforts to study the business. " "It is one in 10 jobs of medical comprehensive reform of health organ of the basic unit that whole to compete for. " Chief of Shanghe River county hospital Lu XingFu introduces to the reporter, this county introduces competition mechanism in a situation that personnel are not overstaffed in the organization, there are 99 people that fall and engage in the comprehensive reform, recruit 42 people newly, has set up selecting the superior and eliminating the inferior, ready to accept a higher or a lower post employing mechanism coming in as well as get out. On-the-job personnel's salary is from the county (market) , the intersection of district and finance include financial budget, county (city) in The health bureau of the district examines the performance to the medical health organ in the basic unit every half a year, the organization examines the performance to staff members every month, tie to salary of performance, and the rewarding salary of performance accounts for 40% of the salary of total performance. Up to September, 78 medical comprehensive reforms of health organ of basic unit which governments holds directly of Jinan are finished in an all-round way, have broken the operating mechanism of raising medicine with medicine completely, has realized the medical health organ in the basic unit returns to the great changes of public beneficial management system and operating mechanism. At the same time, Jinan has increased the land medical treatment of the county newly with an area of 128,000 square meters over the past three years, have finished 20 health clinics in towns and townships of central planning in an all-round way, 6 community health Centers of city planning, 38 community health stations and including in the construction transformation task of the village clinic of unified planning of the city, and launched " Advance the medical expert to enter the community " " ten thousand doctors support the rural hygiene project " Take action, the large quantities of medical personnel professional skill at the basic level are improved. Set up health file, build and protect the protective screen for residents Zhangqiu city embroider, favour town, go back north the intersection of in the North and 67 year old this year Liu, villager of village, suffer from hypertension for many years, the intersection of spouse and the intersection of cerebral thrombosis and sequela of him, take care of oneself, the old folks to go back north the intersection of village and the intersection of clinic and basic public health serve key personnel, they and other 796 healthy villagers who need key management can be while there are one's own health files, often accept health knowledge is educated in the village, enjoy, check body and 4 times consult body healthily in an all-round way once a year. "Area under one's jurisdiction have 52,000 resident, medical worker visit villagers' home go on physical examination of person who draw in the net, set up the intersection of health and file, sift, check key crowd, the work load can be well imagined. " Embroider the town public health subject section chief Gao Hong five of commune hospital of the favor and tell reporters, in order to guarantee both quality and quantity and finish this task, examine the performance in basic public health service that they bear to medicine of village every month. The first 10 village clinics are rewarded, the last 10 is punished, so as to arouse the enthusiasm of medicine of village. " And this year, Jinan the intersection of city and basic public health serve the intersection of funds and standard by the intersection of per person and 15 rise to 25 yuan, up to November, the number of people 5,760,000 that the health files of urban and rural residents of Jinan file, filing rate is 91%, the number of people 3,980,000 that the standardized electron files, filing rate is 63%. The whole city key the intersection of crowd and the intersection of standardized management and number of people reach 1,896,000, some index occupy the leading place in the whole province, the whole country. Meanwhile, have finished rural woman's cervical cancer and checked 500,000 people totally over the past three years, has checked 530,000 people in breast cancer, release folic acid with pregnant early woman before the pregnant countryside to 75,000 free, release and give birth in hospital to subsidize to 96,000 rural pregnant and parturient women, rural poor cataract patient's free operation of regaining one's sight 520 3, 79,000 national-level construction projects of innoxious toilet. "The implementation in an all-round way of 11 national basic public health service items is the light spot of the medical reform of Jinan of three years. " Secretary of Jinan Municipal Health Bureau, chief Jia TangHong thinks, chronic non-Communicable disease and aging population are society's heavy burden in the future, it turns the citizens of Jinan to set up an effective health and protect the protective screen that the basic public health is equal. " "Certainly, contrast the economics and society in Jinan and develop the requirements for hygiene industry and the people's earnest expectation to the medical reform fast, some problems still exist, influence masses' impression of medical reform. The next step, as the continuation of the medical reform of Jinan is deepened, some bottleneck problems will be analysed and explained progressively too, the medical reform of Jinan is sure to bring more health happiness to residents. " Jia TangHong says.


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