Staff reporter Han Lu Will it be April this year, Ministry of Public Health, in the intersection of the whole country and all types of medical organization, focal point in second more than public hospital, start until " whether it serves to be kind high quality and medical ethics fine, masses satisfied " It is the theme " Satisfied " The activity, in order to put forth effort to solve the inconvenient, medical quality of medical care worrying, such problems as the relationship between doctors and patients is disharmonious, and expect to realize finally " The masses are satisfied " Goal. In the national health care system that was held a few days ago " Satisfied " At activity can boost work, XiaoWei Ma, Vice Minister of Ministry of Public Health, say, " three-good " The activity is that one works for a long time, it is the important thrust of deepening the public hospital reform, it causes a light spot of new period medicine and health work to make this activity. Where will the activity be launched Where there is a new change " satisfied " The activity is launched so far, only less than half a year, just as expecting at the beginning of the activity, where the activity is launched, where the problem is solved, where to launch the activity, where there is a new change. Under the efforts of the health authorities and all types of medical organizations at all levels, the people have already experienced conscientiously the health care system is diligent and taking action, improving, making the effect progressively. Ma XiaoWei says, the national health care system " satisfied " The activity starts well, is moving forward steadily. In appraising through discussion and patient's satisfaction investigation of decent practice that all parts organize, the systematic decent practice of the health care ranks and rising to some extent of patient's satisfaction. In the past half years, all parts have generally made an appointment and made a diagnosis to serve, optimize door emergency call environment and procedure of the hospital; Popularize the high-quality care, make great efforts to advance the result of inspection and examination of medical organization at the same level to mutually recognize; Launch thoroughly " The voluntary service is in the hospital " Activity; Set up and amplify to the medical dispute third party and mediate mechanism and medical liability insurance system, construct the harmonious relationship between doctors and patients. Liaoning Province promised to the society publicly in 2011 " Satisfied " 10 movable great goals. The southern southern hospital of medical university pursues the clinic window to integrate and manage, " a window is multi-functional, a hillock pleuripotent " to realize the main window of the clinic ,Shorten the waiting time of clinic patient. BJ Children's Hospital is in order to relieve registering the question of standing in a long queue, registers as to the ordinary clinic, do not have restriction in quantity, can go to a doctor in 24 hours of every day; Register as to expert and special disease clinic, offer doctor work station to make an appointment, reserve by phone and book 3 ways with the window, the first visit patient can make an appointment until two weeks, the subsequent visit patient can make an appointment until 3 months. In the past half years, all parts have further strengthened medical quality control and controlled the construction of system, every medical organization implements medical quality and safe key system of medical treatment conscientiously, strengthen the management and foundation medical quality control inside the hospital, strengthen ability construction and medical matters staff training of the clinical training, pursue the clinical route to manage in a more cost-effective manner, the service act of making a diagnosis of the norm, move forward and check rationally, use medicine rationally, treat rationally. Shandong launches medical worker's basic skill post troop training activity regularly, further implement the key system of medical treatment. Rely on every professional medical quality control centre and do a good job of quality control and education and training in Zhejiang Province. Ningyang county of Tai'an of Shandong establishes the longitudinal cooperation mechanism of the business of medical organization in urban and rural areas, implement the business and hold a consultation, guide and make the rounds of the wards, unite the operation, emergency call first aid, professional training and change the place of examination bidirectionally, let the masses rest assured to see the doctor at the gate of home. In the past half years, every unit is improving the system norm of medical ethics and atmosphere constantly, combine the hygiene trade characteristic, launch aim consciousness, professional ethics and discipline legal education thoroughly, lead the medical worker to establish good medical ethics and atmosphere. Meanwhile, investigate and prosecute the malpractice in buying and selling of medicine and medical care strictly, serious trade discipline, purify the system reform social environment of the medical and health. Guangdong Province checks and rates medical ethics the promotion in post or in rank, post employing, distribution of awards, commenting and appraising and choosing excellent first and examining and linking directly regularly of result and medical worker, set up effective encouragement and tied mechanism. Launch in Hunan Province " Three healthy bodyguards in Hunan " , " three Hunan medical ethics models " With " outstanding Communist around me " Selecting activity, move and inspire people with model. Set up and cure the policy department's medical care consulting telephone, medical ethics and atmosphere informants' hot-line telephone of human resources department, supervise the informants' hot-line telephone of sanitary control in Liaocheng of Shandong, release to the whole society through the media. In addition, all parts reform and " satisfied with the antibacterial medicine clinical practice special renovation activity three-goodly " as the public hospital The importance content of the activity, control the variety quantity of antibacterial medicine strictly. At present, rate of utilization and using the intensity to obviously drop, the clean operation prevents the administration to improve to some extent. In May of this year, the variety quantity of antibacterial medicine of above- second -class hospital of Tianjin is all up to standard. Sichuan Province ranks the antibacterial medicine special renovation situation of 75 medical organizations, and to social announcement. BJ Union Hospital has been emforcing the management on clinical practice of antibacterial medicine all the time, the variety quantity of antibacterial medicine has already reached and renovated the scheme to require. The central hospital of Dalian utilizes the information-based means to control clinical application strictly. The refined hospital of Hunan of middle and southern university opposes the fungus medicine and the first 3 medicines most quickly of acceleration rate of non- antibacterial drug use and suspends the system for 3 months, and to delaying using the doctor whose consumption rank the first 5 of medicines, spot check 5 case histories respectively, assess its rationality of using medicine. Set up goal advance, urge medical reform assault fortified position grams of difficult Ma XiaoWei, Vice Minister of Ministry of Public Health, point out solidly, the medical reform is started in more than two years, all parts are in respects such as the innovative mechanism's system, improving service system, strengthening internal management, improving the service condition and serving Huimin convenient for people,etc., have made a lot of progress and effect. Meanwhile, a great deal of questions and challenges reformed in the course begin to appear: There is difference in all department thought and knowledge, have restricted speed and depth that the reform advances; The compensation mechanism reform lags behind, influence the public beneficial full play of public hospital; Promote the intension of public hospital to build, improve the incentive mechanism of medical worker's enthusiasm and wait to set up; Some public hospital expand scale blindly, put undue emphasis on the intersection of hardware and construction, lead to the fact medical quality safety store a great deal of hidden dangers in, the hospitalization cost is too empty and high to leave All these have hindered the promotion of the medical reform seriously. Ma XiaoWei says, at one stage in the future, should be with " satisfied " The activity, as guarantee and motive force of advancing the reform of public hospital. By " serve " Based on, put forth effort to improve the people and see the doctor and seek medical advice and experience; With " high quality " It is a core, put forth effort to control the scale of public hospital to expand with the hospitalization cost blindly to be unreasonable and increase; Israel " has good medical ethics" It is a criterion, put forth effort to establish the good morality of the medical trade. Realize that " serves " ,Can improve the masses and see the doctor and seek medical advice and experience directly, improve masses' appraisal to that the public hospital reformed the effect. For this reason, Ministry of Public Health demands to do well and make an appointment to make a diagnosis especially and high-quality and attends to the clothes Affair work. Should not merely make an appointment and register, in other fields of making a diagnosis? Miserable the intersection of ���� and obedient �� crowd ��'s scar call out It cash purport stir level ground last gold-plating �� of �� 1 clam inner feeling �� Ke of decayed tooth 1 �� s poor add the gardens have worried to would like to cough to last Shu actinium Fei rancour 5 sedan-chair Pan in �� in mark in �� after lasting �� to side decayed tooth table tennis Kangs bright? At the end of 011, all ordinary clinic of tertiary hospital should make an appointment open, at least 85% Specialist Clinic should make an appointment open; By the end of next June, all Specialist Clinic has wanted all opening to make an appointment. Continue expanding coverage rate of high-quality care, substantiate the clinical first line nurse's team, devote more efforts to supporting and ensuring, implement the responsibility system and attend to the work pattern; Innovative mechanism, manage the post, improve the distribution system, the scientific performance is examined, strengthen undergo job-specific training, plan to develop in job, fully arouse nurse's enthusiasm, advance the high-quality care to develop continuously thoroughly. With " high quality " It is a core, strengthen the intension construction of public hospital, the behavior of making a diagnosis of the norm, can realize the goal that the control hospitalization cost is unreasonable to increase. For this reason, Ministry of Public Health demands to correct the wrong idea that the public hospital regards economic income and scale enlargement as the development goal, advance the construction of national clinical key training, lead the hospital to improve and promote the respect and work hard with service ability more in construction of discipline, quality. With " high quality " The pricing system is adjusted to serve for advancing medical treatment in prerequisite, explore the reform of means of payment of paying according to number, according to the relevant group of the disease diagnosis, according to the number of people etc. under the circumstances that total value is controlled, it is unreasonable to control the hospitalization cost to increase under buying and serving the pattern. Perfect medical quality control and control the system, supervise the medical organization implementing medical quality and safe key system of medical treatment strictly, the behavior of making a diagnosis of the strict norm, use the antibacterial medicine rationally, popularize suitable technology, pursue the clinical route to manage, check rationally, use medicine rationally, treat rationally. Good medical ethics and atmosphere is that the public hospital reforms the important guarantee that can be advanced smoothly, the medical worker sense of duty of job and collective sense of honour are important foundations of constructing good medical ethics and atmosphere. For this reason, Ministry of Public Health requires, continues strengthening medical ethics and atmosphere to educate on one hand, launch masses' satisfaction test and assessment extensively, investigate and prosecute the malpractice in domain of buying and selling of medicine and medical care sternly, serious trade discipline; On the other hand, want, reform examine and incentive mechanism, set up, adapt to the intersection of trade and characteristic, can standardize the intersection of medical worker and behavior, help, shift the intersection of medical worker and salary system of enthusiasm, it is left together, promote its sense of duty of job and collective sense of honour that multicell. Ma XiaoWei still points out, it is " satisfied " to move forward Still there are some problems in the course of the activity, mobilizing the clinical first line medical worker's tissue also needs further strengthening, it is implemented that the working measure will be further thinning, good method and experience also need further solidifying in the form of system. Guarantee " Satisfied " The activity makes bigger effect, the health authorities and medical organizations at all levels should link every key work of the public hospital reform closely, find the breach accurately, strengthen working endeavour, mobilize the medical worker to participate in positively " satisfiedly " at the same time In activity and public hospital reform; Innovate and improve working mechanism constantly, for " satisfied " The activity is more easy to offer system and mechanism's guarantee; Strengthen knowledge of medical science to propagate, lead masses' reason to treat the medical risk, promote the respect, understanding and support to medical science and health care worker of various circles of society, optimize the medical operation environment. Extend and read Shandong and keep a grip on quality and accuse of the good expenses as far back as 2008, Shandong " serves in the hygiene system of the whole province, high quality, the masses are satisfied " Activity. From " two good satisfaction " Get and is " satisfied with three-goodly " ,Stress quality control, ensure the medical security, stress the expenses are controlled, standardize the service act, been saving focal point of the activity all the time. In strengthening quality control, should save and successively examine the whole province, pathology, attending to, recovering, ophthalmology department, sense post skill match and case history quality of institute compared and assessed, implement vocational training such as medical science of serious disease, pathology, institute's sense, inspecting temporarily, medicine rational application, clinical blood transfusion, promote the intersection of medical worker and the intersection of post and loud troop training; Evaluate and put out 82 " The medical quality demonstration department of Shandong " ,Strengthen the construction of clinical professional ability; Build up 28 provincial clinical qualities and accuse of the centre, basically realize the key clinical speciality is covered completely; Setting up and improving the quality controls degree and quality to accuse of the standard, accuse of the professional quality; Launch the medical health organ of basic unit of the whole province " Standardize and serve and take action " With the medical worker at the basic level " Training improves and takes action " ,Promote the medical health organ in the basic unit to promote the service level. In controlling the hospitalization cost, should save launching with " a pair of lowering, a pair of accusing of, one pair of norms " It is the content " Three pairs of actions " ,Arrange and develop simultaneously more, reduce the medicines income and take the proportion of the business income, reduce the proportion of material expenditure of the hygiene to medical expenditure; Control the medical cost, control per person's clinic to charge with the grade of the cost of hospitalization the expenses increase too fast; Check and the behavior of using medicine, standardize the clinical route and treat the project in norm. Through strengthening staff training, launch, fly, check, launch the clinical practice special renovation of antibacterial medicine; It is able to bear the medicine monitoring net to set up antibacterial drug use monitoring net and bacterium of the whole province, the quantity of network hospital reaches 53 and 48 home separately. Have implemented the clinical test result for 6 years in succession " A form is open " ,Up to 506 in the network hospital of the whole province, temporary inspection project approved is up to 9, stint on expenses 112 million yuan of Damien for the masses; Write " the medical image of Shandong learns to check the technological operation regulation ", in order to implement the inspection result of the image " very open " Lay a solid foundation. Actively promote the clinical route to manage, the whole province launches the clinical route and manages the hospital and reaches 203, cover 22 clinical and specialized 321 pieces of common number, has standardized the service act effectively. Over the past 3 years, should save service quality of the health care and level to raise constantly, the trend that the hospitalization cost increases too fast gets preliminary control, the relationship between doctors and patients is becoming more harmonious. In the first half of this year, the berth utilization ratio of medical organization of the whole province is 79.31%, the number of times of the turnover of the sick bed is 15.7 times, the patient enters, leaves hospital and diagnoses the coincidence rate is 95.1%, it is 96.6% to rescue success rate in emergency call, the index is superior to the same period last year; The masses reflect in letters the people send in and the complaints they make when they call medical service quality and appeal in the level are reduced by 11.9% compared with the same period of last year; Average expenses of every clinic person of medical organization, the average expenses of the person are 153.9 yuan, 5594.4 yuan respectively in hospital, realize negative growth for the first time in recent years. The decent practice of the hygiene is appraised in the public service industries precedence is promoted greatly, ranked the 4th in 22 service trades in 2011, 7 cities occupy the top 3 of local service trade, masses' overall satisfactory rate rises to 91.73% from 87.35%. The sample of Jiangsu gives consideration to the affair and seeks practical results Tertiary general hospital The antibacterial medicine average service rate of one hundred prescriptions is dropped from 21.18% in 2010 to for 19.17% of this year. 53 is in hospital the first rate rate of the case history is more than 90% in 55 tertiary hospitals, 49 qualification rates written out a prescription are more than 98%. Is it protected that the masses are right to be high-quality? Gangue �� is insane >>Is the cheek of kang favored with to say ��'s gangue �� Zhyuan ��'s error dyes �'s short iron rod with 4 edges? More than 8%, keep above 89% to serve comprehensive satisfaction to the hospital. Since March of this year, Jiangsu Province has insisted the sample is given consideration to, it is " satisfied " to move forward solidly The window serves the unit activity, make the phased effect. It's time to save and make " improved the concrete measure of medical care in 2011 years ", has improved 24 concrete actions such as the clinic service, first aid medical care, serving in hospital clearly. Move forward and book making a diagnosis to serve in a more cost-effective manner, the tertiary hospital of the whole province makes an appointment and makes a diagnosis the number of people accounts for 36%, the tertiary hospital of patient's proportion accounts for 49% accounting for 52%, Second Grade hospital that the Specialist Clinic makes an appointment and goes to a doctor; Serve volunteer's hospital extensively, there are 45376 registered volunteers of above- second -class hospital; Implement, attend to demonstration project while being high-quality in an all-round way, tertiary the intersection of hospital and high-quality the intersection of care and the intersection of demonstration and ward coverage rate 47% on average, among them 9 tertiary hospitals are up to 100%. In order to improve the service mode, this save, issue " about set up public hospital and in urban and rural areas the intersection of basic unit and link, the intersection of division of labor and coordination of work and opinion of mechanism from head to foot under medical health organ " successively, <
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