China Tribune " Dialyse " Medical reform new policies

China Tribune " Dialyse " Medical reform new policies
Staff reporter Liu Ping'an and Wu Gang On July 13, on China Tribune that World Conference on hygiene economy sets up especially, Yin Li, Vice Minister of Ministry of Public Health, introduced the new medical reform scheme that our country issues this year. Institute's management system reform that the scholars seek medical advice, 4 themes such as the basic medicine system of China in the economic management of the hospital, rural medical treatment of China in new period ensure the system and explore, have launched fully exchanging. Should separate to in charge of doing fraction should take shape to check and balance effectively too medical science portion institute's Vice President, Wu Ming of doctor of economics of public health in Peking University say, it is analyzed that the statistical data in 2007 find, there are nearly 20,000 public hospitals that the government holds, the serving amount accounts for more than 80% of the national medical service market, has revealed the absolute predominance, and such respects as personnel treat and cure are playing an important and irreplaceable role in medical first aid, social accident. Wu Ming thinks, as the public hospital " contributor " Government,mainly last hospital," the contributor " at but practical operation The duty is uncomplete, the management of respects such as the manpower, financial resources and material resources, service, quality of public hospital,etc. can't form actually engagement. Under this kind of management system, the hospital administrator has very great autonomies, and formed two right separation in fact - -Ownership is separated with the power of management, has formed the de facto tube to do and separate too - -Because there is not the government " Do " ,Not very much either " In charge of " . Wu Ming thinks, the government is the representatives of state-run assets owners, require " owners " No matter one's own assets are irrational. But the government should not intervene the management of the hospital directly either, but should be with a view to choosing suitable intervention and control means, and grasp the intensity intervened and controlled. Wu Ming thinks, it is separated imperatively that the public hospital is in charge of running, and it is that the simultaneous enhancement to in charge of doing the core separated in fraction is controlled and restrained. But the right to host the Olympic Games of the government is separated from supervision right, no matter in a department or in different departments, could solve problem, can appear new dispute over trifles and the intersection of management and problem such as being smooth separate, need to weigh and assess conscientiously. If government's duty is uncomplete, lack effective control and restraint, can't get the result of checking and balancing. The public hospital pays the channel for and be reduced for 2 by 3 The financial department of planning of Ministry of Public Health plans person in charge Yu ShiLi of the price and says, the new medical reform will pass and advance the reform of compensation mechanism of public hospital, compensate by service charge public hospital progressively, the intersection of medicines and the intersection of addition and income, and finance subsidize switch over to the service charge and finance, subsidize 2 channel by 3 channel. The new medical reform scheme issued this year proposes, the basic medical service price is made according to the service cost deducting the finance and subsidizing, reflect reasonable cost and technological labor service value of medical care. Research explores the charge method reform of charging according to number etc.. Think in the generation profit, the focal point of the pricing policy of medical care is to advance medicine to separate in the future, explore actively many kinds of effective ways reform and mend and cure the mechanism with medicine progressively, through implement the intersection of buying and selling of medicines and difference raise the price, set up the intersection of medicine and the intersection of thing and the intersection of service charge,etc. and many way, reform or cancel the intersection of medicines and the intersection of addition and policy progressively, take measures of adjusting the medical service price, increasing the government to put one's back into appropriately etc. at the same time, improve the compensation mechanism of public hospital. Will also explore actively that sets up the negotiations mechanism between medical safety unit, medical service organization and medicines supplier and calculates the medical service cost regularly, encourage all parts to explore the mechanism that the relevant side of interests which are set up pricing of medical care participates in consulting. Yu ShiLi says, the present and main work is to adjust the unreasonable medical service price, reflect the medical worker technological labor service value. The concrete route sets up or adjusts and makes a diagnosis the fee, attends to fee, registration fee, raise operation fee, berth fee,etc. appropriately, reduce the too high large-scale medical apparatus and check the fee, weaken the income of price differential of medicines progressively at the same time. Shut with the intersection of medical rescue and system wanting, realizing four respect connect including not new and agricultural to shut in new the intersection of period and China rural medical treatment inside ensuring the system to be discussed while being agricultural while being new, it is a great light spot on this World Conference on hygiene economy China Tribune, also participate in the conference both at home and abroad the experts and scholars quiz the topic with supreme enthusiasm. ShanLian, mao Hu centre, Zhang ZhenZhong 3 experts answer and question one by one. The hygiene Zhang ZhenZhong, chief of institute for economic research of Ministry of Public Health proposes, shuts realizing with the rural medical rescue system the system is connected in 4 aspects newly and agriculturally, could ensure peasants' question of diagnosing the illness better. The first aspect is medical relief funds to subsidize and succour the target and participate in and shut newly and agriculturally, this is the most basic aspect both connected; Second aspect for succour target, pay, blow, pay expenses under the line jointly while being agricultural while being new medical relief fund, the purpose is improving and succouring the target's benefited rate; After the third aspect submits an expense account newly and agriculturally jointly, the medical relief fund carries on compensation two times in succouring the target, aim at improving the benefited intensity of succouring the target; Fourth aspect whether medical rescue exceed, bind line behind the above expense of part jointly while being agricultural while being new paying, influence not succouring temporarily by the succour target of life notably, the purpose is to solve the edge crowd (the potential population below the poverty line) Problem faced. Zhang ZhenZhong shuts to peasants ginseng taking binding the line as 20,000 yuan in hospital the compensation standard is illustrated with examples, pay and get up to pay the expenses under the line newly and agriculturally jointly in medical rescue, among between 100 yuan and 300 yuan, cooperative medical service wipe out 40%~60%, medical rescue subsidize 40%~50%, make it reduce to 10%~20% by some proportion not to pay for itself. And exceeds 20,000 yuan while binding the line, the system of medical rescue offers provisional succour. The large volume hospitalization cost of 50,000 yuan, are helped to contact the charitable fund to compensate by the system of medical rescue as to 30,000 yuan. Zhang ZhenZhong thinks, medical rescue is a security catch net when the citizen meets calamitous hygiene expenditure, the determination of succouring the target should be based on family economies income of peasants strictly, and can't replace responsibility for other relief systems with the system of medical rescue.

|