Zhejiang: Put forth effort to perfect the service system of health care at the basic level

Zhejiang: Put forth effort to perfect the service system of health care at the basic level
Zhejiang: Put forth effort to perfect the service system of health care at the basic level
The reporter of tinkling of pieces of jade of staff reporter's moustache Chen LiMing Since the reform developed last year, Zhejiang Province was in advancing the reform of medical and health system in an all-round way, regard construction and reform of service system of health care at the basic level as the breach, position that lays the most important thing out. --Further improve the service network of health care at the basic level. According to the principles of the pool, integrated service of urban and rural areas, set up and cover the whole province, multi-level, multi-form community's hygiene service system in urban and rural areas. By the end of 2009, should save and already set up 1314 community health Centers, 7158 service stations. 8,865 million yuan of rural health care service system construction fund of financial arrangement at all levels in 3 years, among them the provincial finance arranges 1,821 million yuan, support 60 hospital, more than 350 health clinics in towns and townships, clinic construction of about 11,000 villages at county level. The village clinic operates the funds of 247 million yuan to make separate arrangements this year and next year. --Do a good job of mechanism's reform of the system, further strengthen the vigor of the service system of the rural health care. In 2009, the provincial government will confirm that (municipal or district) in 24 counties Launch Israel " 2+X" It is a rural hygiene reform pilot project of the main content. Among them, " 2 " In order to select to reform the project, including the township (town) The medical health organ in the village integrates the personnel allocation of managing the reform and health clinics in towns and townships to determine the nature; " X" Free project, including county township hygiene integrate and medical resource function combine etc.. Pilot work has already made better progress at present, among them over half county is (municipal or district) Having finished commune hospital's working out and checking and ratifying, integrated management rate is up to 80% at the community health station. The administrator thinks chief of Zhejiang Province department of public health Yang Jing tells reporters, perfect the core of the service system of health care at the basic level, solve the bottleneck that infrastructure, talent's team, system mechanism,etc. restrain the service level of health care at the basic level from promoting. As construction of hardware such as the infrastructure, so long as the governments at all levels are determined, guarantee enough input power, it should be a thing success will come after conditons are ripe. And talent's building of contingent and mechanism's reform of the system are difficult point, need long-term and unremitting efforts. So, at the next stage, the focal point is to stress personnel training, launch the hygiene talent quality at the basic level and promote the project thoroughly; Pay special attention to linking and moving forward, start the county, township, health care resource pool of village in an all-round way and dispose the reform. Yang Jing says, promotes the project in the quality of hygiene talent at the basic level, should do a good job of " four one " ,Namely train and recruit and substantiate one batch, train the complete doctor of more than 3000 in 3 years, trained 1800 rural community's doctors for a certain area from 2010 to 2011, the operation (the assistant) that recruited for the low developed area in 3 years 3000 doctors; The flexible flow supports one batch, advance the county the hygiene talents in the township integrate and manage, has already recruited the complete doctor of the qualify has gone to a hillock of villages and towns to worked, its establishment is kept in the hospital at county level, the tertiary hospital in the city accredits 1500 medical workers of high age and service seniority of hospital at county level in 3 years; On-the-job training is promoted by one batch, finish the complete doctor of service organization of community's hygiene in urban and rural areas and train more than 30,000 persons in 3 years, to that the personnel on duty of health clinics in towns and townships are whole every 5 years trains in rotation once, personnel on duty of village clinic are trained once every year; Ensure the intersection of treatment and steady one, to for a long time in rural hygiene technical staff of basic-level work, it is called respects such as promoting, salary and conditions,etc. and favour that on the job. In disposing the reform in the county, township, health care resource pool of village, stress two are linked, accelerate taking shape " Compound bring little courtyard, the intersection of county and institute lead villages and towns, villages and towns to bring the village a room " Health care pools in urban and rural areas last pattern newly. Advance the county township to link. Include the health clinics in towns and townships in managing with the hospital at county level; Transfer to the county hospital to deposit some remote health clinics in towns and townships of backward areas; Hygiene talents use in a unified manner, allocate in unison while working out to implement the county in the land; Rely on the hospital at county level and build the service centre, face the whole county and offer generality specialities such as examining, image,etc. service. Advance the village to link. The health clinics in towns and townships manage to the village stop in unison organization, personnel, business, medicines, original rural doctor enlisted in the armed forces arrange, equal to the information network, extend the village stop to while being agricultural while being new. It is right to be located in the outlying, sparsely populated mountain village by the health clinics in towns and townships, implement timing, fix people, touring medical care by fixed position.


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