The butterflies of the health clinics in towns and townships change

The butterflies of the health clinics in towns and townships change
Staff reporter Wang ZhongYu with auspicious reporter Liu In recent years, Laiwu of Shandong makes great efforts to make urban hygiene resources extend towards countryside during the health care reform, promote the medical service levels of the health clinics in towns and townships in a more cost-effective manner, let peasants enjoy the service of making a diagnosis of the urban hospital level at the gate of home, before changing gradually " See the doctor and go down town " Seek medical advice used to. Enjoy expert serve, at the gate of home, the intersection of Laiwu and the intersection of city and the intersection of Laicheng district and the intersection of town and old Chen LeSong old man of Shicun Wang under sheep broke the leg carelessly when being by bike, live in into sheep after pressing down the commune hospital, neck of Sun Shu, doctor of commune hospital and the expert from Laicheng district hospital Wang YanLi have held a consultation for him. Sun Shu neck say like the intersection of old man and these kind of condition, the hospital spends to take 20,000 yuan at least in the town, the commune hospital only needs 8000 yuan in the town, and submit an expense account newly and agriculturally jointly the proportion can be up to 50%, only need to bear 4000 yuan by oneself. Chen LeSong can enjoy the medical care of the expert of district hospital in the health clinics in towns and townships, benefit from the policy of developing by integration in urban and rural areas of the pool of Laiwu. At the beginning of of 2008, Laiwu will issue " implementation suggestion about hygiene developing by integration of urban and rural areas ", in line with " bring the township with the city, have complementary advantages, both sides are voluntary, develop together " Principle,last medical organization last health clinics in towns and townships, last village the forms of the clinics at commune hospital neck, combine the resources of hygiene in urban and rural areas. As launching a pilot project in advance, in October of 2007, the commune hospital in the town is deposited by the People's Hospital of Laicheng district in the sheep, and rename as the branch in the sheep of the People's Hospital of Laicheng district, the commune hospital made a diagnosis the basic change has taken place in the condition. "Our peasant's little old complaint needn't originally go out of the village now, serious disease can be seen in the town, do not need to run to the town again. " The old man of Chen LeSong says satisfiedly. Sun Shu has done collar for more than 20 years in the commune hospital, has gone through the prosperity and decline of the hospital. He says: "Before this, the medical condition of commune hospital is relatively bad, it is gone straight towards the town that peasants are sick, the commune hospital is gloomy day by day, can't pay the salary in several months in a row sometimes. After Laicheng district hospital deposits the commune hospital, successively invested more than 800,000 yuan in the commune hospital, diagnose medical apparatuses such as the appearance,etc. after purchasing gastroscope, color exceeding, brain Doppler. Meanwhile, successively appointed 4 business and management backbone went to the commune hospital to serve as chief leaders, select and appoint 2 reputable experts to diagnose throughout the year, transfer and send more than 10 professional nursing staff to the commune hospital, it accounts for nearly 40% of the medical personnel of the branch to call in personnel. Ordinary surgery, four limbs orthopeadic surgery and woman's obstetrical department,etc. operation which the commune hospital can't launch in the sheep in the past, can launch now, and the operation fee is greatly reduced. Like making appendicitis operation, probably need 2500 yuan in the urban hospital, but in the commune hospital in the town, done by the doctor of district hospital too, only need to be about 1500 yuans. The overall hospitalization cost has been reduced by about 20% on average. " Deposit for first year, the person doubled more than compared with the previous year if the clinic of commune hospital is in hospital, worker's treatment has doubled too. " two are extended " " the commune hospital in the town is the experimental field of the reform of integration of urban and rural areas of the hygiene of Laiwu in the sheep deposited to realize the hygiene in urban and rural areas and integrative and melt. Herein speak,it is Laiwu city with ' two pieces extend ' (hygiene resources urban extend towards villages and towns, the hygiene resource extend towards countryside in the villages and towns) Advance one of the main measures with integrated hygiene in urban and rural areas. On the system, separate the ownership of health clinics in towns and townships with administrative power, the district, town government entrust the administrative power of the health clinics in towns and townships to the urban hospital. On operating mechanism, implement ' five does not become, five is unified ', namely the former public service properties of health clinics in towns and townships do not change, public health and basic medical care function do not change, the assets, creditor's rights, debt are belonged to and does not change, worker's identity and membership do not change, invest the system not to change in finance. " Chief of Laiwu Municipal Health Bureau Huo TaiLin introduces. (leave and rotate the 7th) (have and connect the 1st) It is reported, at present, city 6 second and more than urban hospitals in Laiwu, all realize with 19 health clinics in towns and townships of the whole city multi-form integration is developed separately, deposit 6 family among them, cooperate in 13 house. Second " Extend " Namely encourage, support the intersection of health clinics in towns and townships and neck to run at village level clinic actively, according to " three it makes six to be unified" Standard realize integrate to manage town, village hygiene,promote whether villages and towns hygiene resource extend towards village. For example, the commune hospital in the town returns the neck and does the clinic of 40 villages of the whole town while deposited in the sheep, manage its personnel, business, medicines,etc. in unison. The appearance of the town seals the medical personnel in the village clinic to tell reporters in the sheep of Laicheng district, medicines are provided and delivered in unison by the commune hospital in the town now, the price of medicines must be printed out in unison through the computer that the whole city networks, thus has stopped up the channel of confused price. It is reported, at present, this city integrated village of management clinic realize, see the doctor, have, record all and administration have prescription and charge have invoice, change the place of examination, have, record and epidemic situation have reports. " two are extended " Make the resource distribution of the hygiene in urban and rural areas optimize day by day, the medical health organ in urban and rural areas turns from past simple competitive relation into a developing by integration relation, the efforts of supporting countryside in the city is being strengthened constantly, the rural medical health organ breaks through the 'bottleneck' restrictions in managing, investing, technology and talent,etc., have strengthened the vitality for progress. So far, the hospitals of 6 cities successively invested more than 7,600,000 yuan to the health clinics in towns and townships, send management, more than 100 technical staff. Health clinics in towns and townships positive, according to " three it makes six to be unified" Requirement,run neck the village clinics for 739 piece,account for the whole city village clinic the 88.8%s of the total number; Realize networkedly that manages 571 places, accounts for 73% of the total number of clinics of village of the whole city. Three major mechanisms guarantee " there are more than 100 workers in a commune hospital for integrated vigor, but there are more than 20 the business personnel who can really serve civilian on the first line. " Yu JianCheng, municipal secretary of Municipal Committee of the CPC of Laiwu says, service ability is low, the income of non-agricultural workers is not high, it has difficulty in to introduce people in case of such low salary, does not allow to improve the staff's treatment condition. Through studying, this city has adopted " to set post according to demand, have been engaged according to the hillock, compensate according to the hillock " Way,treatments equal when enjoy personnel rank at district hospital to introducing, lead the technician to flow to the villages and towns rationally. The intersection of Laiwu and city at first in improve employing mechanism, guarantee a smooth integrated reform the intersection of promotion and goes on a lot of exploration constantly: Pursue system of appointment, work responsibility system progressively, recruit the presidents of health clinics in towns and townships in the whole city or larger range publicly, improve president's responsibility system of goals set for term of office; Post a sentry and determine a post to the health clinics in towns and townships, compete for posts to assigned personnel on the basis of posting a sentry, determining a post, leave and engage personnel in competing for posts and take the form of transferring etc. to shunt; Urban doctor promotes the professional title of the above-mentioned intermediate and must possess and serve the condition in one year in the health clinics in towns and townships continuously. Secondly in assigning the mechanism,it lead it distribute according to work health clinics in towns and townships with according to achievement, can, hardworking, Germany assign to combine together, checking and ratifying engineering? First the intersection of Du and the intersection of Wan and the intersection of curtain and �� wish �� chivalrous the intersection of weight and the intersection of ���� and dirty the intersection of �� and the intersection of cane and imperial decree stand erect Lai swing, endanger the intersection of �� and latitude, stand erect the intersection of Mei and the intersection of ����� and beer very while being male? The third sets up the interests and binds the mechanism, define their own responsibility, right, profit in the form of agreement, set up benefits-sharing, mutually beneficial long-efficiency mechanism that wins together. Under helping the mode geared to the needs of the job, helped the unit because of the obligation to only help in the past, oneself can not be from helping the unit to obtain the real income, just have no enthusiasm, apparatus that help the intersection of oneself and old apparatus that unit eliminate from often. And the interests bind the mechanism to stipulate, deposit, in depositing time limit, deposit the hospital and guarantee to be deposited in the health clinics in towns and townships and maintained and increased the value of assets originally, draw and deposits the expenses according to certain proportion that the health clinics in towns and townships increase benefit newly deposited; Implementing cooperation, the urban hospital guarantees the management levels and engineering levels of the cooperative health clinics in towns and townships are obviously promoted, draw the cooperative service charge according to certain proportion that the cooperative health clinics in towns and townships increase benefit newly. The People's Hospital of Laicheng district deposits after the commune hospital in the town in sheep, both sides manage independent accounting independently, the intersection of assets and apparatus formed to make the investment compile a register registration management in addition newly to district hospital, the assets that the commune hospital makes the investment and forms belong to commune hospital without exception. According to " value preserving of assets, imcome sharing " Principle,commune hospital according to district been ordinary for business income divide into town 28 of the proportions,invest apparatus income not to divide district hospital into district town 46 of the proportions, both sides manage the fixed assets that invest together in unison. Hardware and software drop into in a large amount, make the intersection of town and commune hospital make a diagnosis service quality realize leap of quality less than one year on the sheep.

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