Thursday, November 15, 2012

Yantai doctor's income can't be tied to expenses for medicine Pursue and settle account after making a diagnosis

Yantai doctor's income can't be tied to expenses for medicine Pursue and settle account after making a diagnosis
Yantai doctor's income can't be tied to expenses for medicine Pursue and settle account after making a diagnosis
The jellyfish network reports the department of public health of Shandong to print and distribute " the reform pilot work of operating mechanism guided the outline inside the public hospital of Shandong " a few days ago on July 8, have proposed the concrete requirement in such aspects as reform of personnel system, distribution system reform, management system reform. Yantai is exploring the public hospital reform actively too, at present, the clinical route was managed, made an appointment and made a diagnosis the service, good service demonstration engineering construction have already been implemented in the hospital of the whole city second in an all-round way, the paces of information construction of hospital of some tertiary hospitals are being accelerated too According to the " outline " requirement, Yantai will continue advancing the medical action plan of Huimin, include every medical measure in Huimin in the project management, the difficult problem of relieving the disadvantaged groups and seeing the doctor. Lower the medical fee: Cut off department's income and relation of distribution of awards at present, the phenomenon that many public hospitals there is doctor's bonus to get in touch with department's income, " get in touch " Make and expedite child delivery " The gray income " ,One of the high reasons that thus become medical fee. So, propose in " outline ", should improve the system to assess of personnel's performance, reflect the working characteristic of the medical worker, according to distribute according to work and participate in assigned principle according to factor of production, set up, stress practicability the achievement, in weight contribution, the flexible salary distributes the incentive mechanism to act on one's own. Know reporter in not interviewing,all the time,Yantai Ministry of Health for norm service market orders medical, attack to if you can't practise medicine, pay close attention to illegally. With the constant setting-up and improving of the sanitary control system, the strengthening constantly of the law-enforcing ranks of sanitary control, the Ministry of Health of Yantai will concentrate on developing the activity of all kinds of special renovation in the range of the whole city, attack and practise medicine illegally sternly, rectify and standardize the medical order of service market. It is convenient to seek medical advice: The proportion will be reaching some hospitals of 5% to 10% of the Yantai at present to launch a pilot project and make an appointment to make a diagnosis to serve to make an appointment and make a diagnosis, in order to arrange for the patient to seek medical advice in order, it is difficult to relieve and see the doctor. The next step, will pursue in the above- second -class medical organization progressively in Yantai, will improve the working mechanism and workflow, through reserve by phone and network book and hospital make an appointment and subsequent visit make an appointment with the intersection of community and the intersection of person who make an appointment and many ways, realizing and seeking medical advice the masses can make an appointment at any time in 24 hours, make an appointment and make a diagnosis patient's proportion is up to 5% to 10%. In procedure of going to a doctor, should increase the facilities for the convenience of the people, reduce patient's proportion of prepaid fee progressively, realize and hold the card and settle account in real time, and realize progressively that settles account after making a diagnosis. Then, at present, how about making an appointment and making a diagnosis to serve situation in Yantai? It is reported, it is the various forms of making an appointment to make an appointment and make a diagnosis and serve through reserving by phone, network etc., register and seek medical advice to provide convenience for the masses. At present, Yantai has already launched this job in the above- second -class medical organization in an all-round way, 31 hospitals can offer service of making an appointment and making a diagnosis for citizens, there are 16 to among them offer medical organizations booked manually, there are 29 to reserve by phone medical organizations served, there are 4 to carry on medical organizations booked through websites, there are 12 medical organizations changed the place of examination by the community and booked, have some medical organizations through releasing a doctor and contacting the card, reserve methods such as contact details of head of the department, doctor,etc. and offer service of making an appointment. Most medical organizations of the whole city can offer service of making an appointment in 24 hours for citizens. In first half of the year, the whole city books and makes a diagnosis 10578 persons altogether, patient's satisfaction is more than 95%. Medical treatment is equal: Narrow the disparity between all kinds of hospital at present, the unreasonable phenomenon exists in the pattern of seeking medical advice, in order to improve the urban hospital and double-deck service system of service organization of hygiene of community, narrow the disparity between hospital and urban hospital at county level, form examining for the first time, changes the place of examination bidirectionally, the mode of making a diagnosis which grades medical treatment of medical organization at the basic level, Yantai will make great efforts to realize " Small disease is until basic unit, serious disease in hospital, recover, answer basic unit " Seek medical advice pattern. Last year, Yantai started " strong base project of the hygiene " ,Each tertiary hospital helps 3 hospital and 2 community health Centers at county level, each hospital at county level helps 3 health clinics in towns and townships and a community health Center, the health clinics in towns and townships help the village clinic had jurisdiction over. The urban hospital gives full play to technological advantage, more than 3 discipline specialities of hospital choice at the basic level to each coordinated cooperation, and guarantee some services that each discipline speciality has a high title doctor to stay in the whole year, take and guide live, accept refresher training free, launch various forms such as suitable technology popularization,etc. actively, have improved the medical service ability in the basic unit. (YMG reporter Yu MingJun)


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