Chief and concurrently medicine of Beijing Municipal Health Bureau are in charge of office chief's side's coming to Great Britain to talk exclusively - -How new born medicine is in charge of the office " Begin "

Chief and concurrently medicine of Beijing Municipal Health Bureau are in charge of office chief's side's coming to Great Britain to talk exclusively - -How new born medicine is in charge of the office " Begin "
Chief and concurrently medicine of Beijing Municipal Health Bureau are in charge of office chief's side's coming to Great Britain to talk exclusively - -How new born medicine is in charge of the office " Begin "
Staff reporter � Zhang JianShu Yan Newly formed medicine of Beijing is in charge of the office, how will become more meticulous and manage to the public hospital? How will handle the relation with health bureau? A few days ago, hot question chief and concurrently medicine of Beijing Municipal Health Bureau of exclusive interview that this newspaper paid close attention to on the society were in charge of office chief's side's coming to Great Britain. Make the health newspaper of the mode according to the actual conditions: Someone thinks, will cure and in charge of the department that the office puts under the health bureau to manage, has not realized the real tube will be done and separated. To this kind of mode, how did you know? And then come to Great Britain: Beijing will cure and in charge of office's putting under the health bureau, it is the actual conditions that fully consider Beijing area, having implemented the greater part and made the tube under to do and separate, it is the concrete embodiment of the big hygiene view at the same time. A clear one must be that it is to let the party of the tube manage more energetically to in charge of doing the key separated, the party run does more energetically. First of all, the hygiene is the strategic strength of the national security, are different from general community service or people's livelihood service. So, the government must have a strong health care team, while presenting the public incident in the society, this team can be that stability and development which safeguard the society contribute. Secondly, health care and public health can not separate completely. Any individual medical question, is in fact all developing towards colony direction. There is a kind of statement in the society, think the health bureau should be in charge of the public health, medicine is in charge of office's really in charge of medical treatmenting, and without the support of health care in fact, can not find strong point in a lot of work of the public health. For example, hypertension, on the issue that it says it is absolutely an individual to treat, but when 20%~30% of the residents all suffer from hypertension, it becomes the public health question. In addition, when the great public incident appears or the accident happens suddenly, must coordinate wholly, combine strength cooperation such as medical treatment, public health. So, the function that medicine is in charge of the office is mainly to run the hospital on behalf of the government - -Make great efforts to realize and pay becoming more meticulous to manage to the public hospital where Beijing Municipal Government provides funds; The health bureau wants to be here more " In charge of " On work hard,hygiene if you can't want, discuss and make plan,macroscopical without being studied hygiene strategic policy and policy, assign and combine health care resources, strengthen the work of public health scientifically and rationally, improve the great public health event and the emergency system of the public incident happens suddenly. Health newspaper: Is anyone in charge of office chief's querying to you, how do you read holding medicine concurrently? And then come to Great Britain: Hold the chief concurrently, this is personal scheduling, it is the system that arranges too. Personal scheduling respect, because after medicine is in charge of office's setting up, there is a large amount of work to be coordinated with the health bureau. Watch arrange from system, involve to medical management, the intersection of hygiene industry and consideration that development orientate. Under the existing national conditions, need to support the social health guarantee as to the strong public medical system or non-commercial medical system, this is responsibility of a government too. It is not all two halves health newspapers that the function is divided: The tube under the great such hygiene frame is done and separated, how do you think of answering to fulfil health bureau and medicine and is in charge of their own functions of the office? How to avoid the conflict between the two in other words? And then come to Great Britain: I have been likening the function that health bureau and medicine have been in charge of the office to and should " be enough for it on the health bureau vividly all the time, medicine is in charge of the office's entering the ground. " To be popular, as to the management of the hospital, it is cross section that the ones that in charge of the office and health bureau function in medicine are cut apart, but not all the intersection of two halves and who divide into, move. The crosscut, the health bureau is with light packs to leave up, medicine is in charge of office's walking down solidly. Particularly, weighed with 100 fen if medical treatment worked, the working function of Municipal Health Bureau is to discuss and make the unified hygiene policy of Beijing, responsible for 60 that realize the goal of medical reform stage by stage mainly; It is explored and implemented realization route and method of the work of medical reform that municipal medicine is in charge of the working function of the office, make the public hospital implement the unified hygiene policy, play a craning one's neck to look into the distance, taking the lead role in the medical reform works, meet the seeking medical advice of the masses' needs, finish 60 points of the medical reform goal 100 stage by stage. In addition, often someone asks me, what if the two conflict? What I want to say is, why must is there the conflict? For example, suppose the health bureau should open and cure the policy to know, the topic studied is that the grade of the hospital is evaluated, if hospital should choose as first grade, second or tertiary, and medicine in charge of office want study 22 large hospital city owned to enter the first, second and third or enter three B respectively? This shows, policy-making level and attention of carrying out layer are different. If the two pay close attention to a point together, there must then be conflicts. The basic reason of the conflict is that have not thought two questions over: First, health bureau and medicine are in charge of office's going to do on earth something; Second, we must study the big department and make the tube under the framework to do and separate. In charge of, run, it separates to be the intersection of government and public management function ' In charge of) With contributor's function ' Do) Separately,varied in its form, can take by way that organization separate, also can realize its goal in cases the organization does not totally separate separately or. The intersection of Beijing and medicine in charge of establishment of office, in sufficient the intersection of research and the intersection of capital and the intersection of area and the intersection of hygiene and decision that make under development situation, structure. The reform is a kind of attempt after all, which way is good, should weigh with the actual effect. The health is offered not to increase burden for the hospital: After medicine is in charge of office's tenabling, how to design the evaluation index of the hospital? To director, will increase management to bear because of establishing a department newly? As to the other hospitals of the whole city, what influence will there? And then come to Great Britain: Medicine is in charge of office's having 3 tasks after being tenable: Should study first which kind of evaluation system is set up to assess level and efficiency of the medical organization, commonly called as the performance to examine. Second wants studies the medical organizing system, for example recover, attend to how to do? How to do approaching one's end care? Which kind of organization's framework helps to raise the operation efficiency of 22 city owned tertiary hospitals? Third want, study institutional framework and framework of running inside the hospital at present, president want, in charge of anything. Appraise the intersection of hospital and performance, examine, include 4 that first grade examines link degree and include checking and rating the social response specifically; Capital operation situation ( Investment, benefit) ; Personnel training, scientific research level; Service ability and efficiency. Second is examined and is divided into a concrete examination index of 10 12. Make an appointment, register person who throw in, day, average day, the intersection of berth and rate of utilization, the intersection of fund and the intersection of circulation and rate, the intersection of antibiotic and the intersection of person who use and concrete index in hospital in hospital. These indexes will be produced from the existing operation management system of the hospital automatically at the same time, can't fabricate, I do not hope to be in charge of office's letting the hospital fill out a lot of report forms first after establishing curing, do not hope to cause new management to hospital to bear. Next action, besides making examination evaluation system of the performance, will also put out and book registering - -Divide period and go to a doctor, implement evaluation system of medicine separating, total value prepaying, DRG,etc., make a change Turn into the service mode. At present, it is with the assets in order to contact the working office made up of the frame that medicine of Beijing is in charge of the office. Divide with the assets, only manage 22 city owned hospitals, accounts for 1/3 of the tertiary hospital of the whole city. In fact, Beijing Municipal Health Bureau did not have the hospitals of all tubes in the past, to the management that is not other medical organizations that the municipal government provide funds, fulfil the functions of trade management and possession management. Medicine of Beijing is in charge of office's drawing lessons from the mode that Hong Kong medicine is in charge of the office, but it is in charge of the office to different from Hong Kong medicine. All public hospital assets relations in Hong Kong are in the government of Hong Kong, and there are more than 60 affiliated tertiary hospitals such as central space, army, university, enterprise in Beijing area, known as " eight routes of main forces " . We hope to manage through becoming more meticulous, make a batch of hospitals with modernized management level and service ability, lead the development of the other medical organizations of Beijing area. Health newspaper: When is medicine in charge of office staffing to put in place? The difficult problem of recruitment exists? How were 60 establishment made medicine of Beijing is in charge of the office? Will you please meet real work's needs? And then come to Great Britain: Two three month expected to finish medicine in charge of office all recruitment, dispose and work. Medicine is in charge of the other staff members of the office, the source has several respects: Until work adjust, health bureau have some cadre send, reach medicine in charge of office, for example, the financial budget place, must transfer to medicine and manage the office from the health bureau, including to the logistic administrative section of the hospital in the past, also put and in charge of the office to medicine. In addition, through open recruitment,etc., the internal and external outstanding talents of attracting industry, set up leading group and job group full of vigour. This kind of personnel adjustment or recruitment is easy. I joke, worry the intersection of Municipal Health Bureau and this side stay people, like, go medicine it in charge of people of offices to be numerous sometimes. 60 sources of establishment are, how many departments are set up according to functional positioning at first, how many people then calculate and maintain the most basic operation to cost. There are more than 37000 persons to cure and manage the responsible 22 city owned tertiary hospitals of Beijing of the office at present, fixed assets are more than 20 billion yuan. Manage through becoming more meticulous, no matter realize from the responsibility for relieving the difficulty and high cost of getting medical treatment the public hospital runs benefit is explained, it is of great significance. Chain the tube and do the regional attempt Shanghai that separates and establish and explain the centre of development of health hospital In 2005, the government of Shanghai launched the tube and did and separated pilot work. Policy, planning, entry by all means of health bureau, including the entry of personnel, technology, apparatus, the examination and approval of organization structuring and quality of the whole trade are supervised, meanwhile, establish Shanghai to explain the centre of development of health hospital, the central duty goes through medicine, the working content includes planning, management, assets supervising, performance are examined. Explain centre of development of the health hospital and Municipal Health Bureau and financial budget entity in one Shanghai class, the financial subsidy that set aside to the hospital originally no longer through Municipal Health Bureau, but changed to be explained the centre of development of health hospital to allocate to the hospital. Established the hospital to manage in the centre 2005 in Wuxi, municipal Wuxi of Jiangsu Province divided the health bureau into two, establish the new management organization - -Administrative center of hospital of Wuxi. From administrative organizational system, administrative center and health bureau of the hospital are at the same level, the health bureau is the government department, it is the administrative organ; The administrative center of the hospital is a government organ, it is the public institution that fulfils administration. Former the intersection of health bureau and the intersection of organ and 1/3 the intersection of person and whole organizational system row, forward to medicine, in charge of in the center. Set up 6 rooms one such as public affairs department, medical development department,etc. in in the center, have 9 city owned hospitals, health school of l home, a company under its command. Fulfil the responsibility of running medicine and state-run assets management of the government. The health bureau guides trade management and trade of the whole society, is mainly responsible for sector planning, implementation of trade laws and regulations and entry of trade. Wei workshop set up will it be December 2005 such as organization in health bureau, Shandong the intersection of Wei and the intersection of workshop and city explore, run, separate management mode of house. Main characteristic to set up organization, bear tube that separate, run function in health authority. Has established the sanitary control place in Municipal Health Bureau, as the regulator of the public hospital, set up general accountant's management office at the same time, act on one's behalf in the public hospital and " run " Duty. The public hospital after the reform cancels the administrative rank, change into health bureau engages, elected for a term of 4 years. Chengdu is establish in January of 2010 of Hospital Authority, vice provincial urban Hospital Authority will be established in Chengdu, separate the relevant public hospital management functions of health bureau out, and incorporate corresponding offices into Hospital Authority. District (county) Even set up and cure and manage the branch office and take the corresponding medical organization back in first grade. Hospital Authority and State-owned Assets Supervision and Administration Commission handle official affairs jointly, implements two brands of a set of groups. Hospital Authority fulfils contributor's duty and is responsible for managing him and reform on behalf of the country, mainly responsible for organizing the affiliated hospital to implement the medical development plan, manage the manpower, financial resources and material resources of the public hospital, push into the affiliated hospital to explore management system and operating mechanism are reformed. The health bureau of Zhenjiang does not differentiate the duty Zhenjiang of Jiangsu Province of shoes and start the reform at the end of 2009 with offices, different offices that are set up in Municipal Health Bureau fulfil the whole trade and supervise the duty of doing medicine with the contributor separately. The representatives of contributors garrison in the hospital ' Group) The council, exercise the great item policy-making power of the hospital. The content includes: Set up public hospital contributor's system; Establish the public hospital council, council members are made up of hygiene, National Development and Reform Commission, medical insurance, hospital staff,etc.; The council determines and appoints the director, Financial Controller, medicines director, confirm performance management objectives and worker's payrolls of the hospital,etc.. Select and edit it from " websites of Ministry of Public Health "


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