The capability of medical organization at the basic level of China is promoted The clinic amount nearly doubled in 5
The reporter learnt from Ministry of Public Health a few days ago: 2010, national community health Center (station) Accounts for 26.4% of the total amount of the clinic of medical organization with the person of clinic quantity 1,540 million of the health clinics in towns and townships, compared with 2005, two kinds of organization clinic quantity increase 740 million persons (increase by 91%) ,The proportion is improved by 6.7 percentage points. Since the new medical reform, the capability of the medical organization at the basic level is promoted by a wide margin, help to untie the common people seeing the doctor expensively, difficult " fast knot " of seeing the doctor . How about on earth the situation that the hospitals at the basic level of all parts go to a doctor, the staff reporter leaves for Beijing, Shanghai, Hubei, Zhejiang and other places, visit on the spot. Beijing: The going to a doctor rate in the basic unit is increased by 7 times in 5 years In 2010, the hygiene service organization of community of Beijing will make a diagnosis every year the person will be increasing constantly. It will be 36,291,000 persons in 2010, compared with 2009, increase by 7.78%. Deputy Bureau Director of Beijing Municipal Health Bureau, press spokesman Mao Yu reveals, as community's hygiene service ability is being strengthened constantly, Beijing went to the basic unit to see the doctor and go to a doctor the person's proportion was improved to 42% at present from 5% of 2006. At present, the community hygiene service network that Beijing covers the urban and rural areas takes shape tentatively. The whole city builds up 327 community health Centers, 2901 community health stations (village clinic built including 899 standardization) . Reach urban residents, the intersection of outer suburbs and plain and within the 15 - 20, 30 minute can go out and goal that health care serve respectively, resident of mountain area, basically. Invests about 3 billion yuan to implement the standardized disposition of the basic apparatus to hygiene service organization of the community in two grades of urban areas. Shanghai: It is known from the Ministry of Health of Shanghai that the reporter disappears in the community in the big prescription, the clinic of community of Shanghai is 73,422,300 persons in 2010, rise by 14.9% compared with the same period of last year. Community account for the intersection of the whole city and pieces of the intersection of emergency call and total number of times form than rise year by year, accounted for 33.18% in 2006, it will be 37.36% in 2009, it will rise to 38.36% in 2010. Since 1997, Shanghai invests the special fund of 1,860 million yuan totally, reconstructs the hygiene service organizations of 2678 communities together, it accomplish" it is longitudinal finally " in overall arrangement, can't arrive horizontally " . In the central urban district, the journey can find a community health station if citizens only need to walk for 15 minutes; In the village or large natural village of the centre of rural area, there are clinics of a village. In the hygiene centre of the community, great prescription, thorough examination basically disappear. At present, the hygiene service organization of community of Shanghai pursues " two lines of revenue and expenditure " Manage, the health care service is buried by the government singly. In addition, from 2007, Shanghai introduced the clinic of service centre of the community and examined checking the fee reduces or remits the policy, burden of lightening a patient and seeking medical advice greatly. The statistics show, the average expenses of emergency call of door of the community health Center of Shanghai are 117.88 yuan, have 40.30% lower average level than second hospital. The relevant person of Municipal Health Bureau of Shanghai says, Shanghai will further strengthen community's hygiene " bottom of the network " during public health and basic medical care of service organization Function, accelerate community's complete medical science, public health personnel training, improve service ability and engineering level of the hygiene service organization of the community in an all-round way, make residents obtain good basic public health and basic medical care in the community. Meanwhile, explore that makes and serves community's family doctor, make the family doctor become the resident healthy " gatekeeper " progressively . Hubei: Construct " serve and enclose in 15 minutes " In recent years, Hubei all parts tamps the network bottom of health care at the basic level in many ways, the hospital at the basic level goes to a doctor the number of people rises progressively. The statistics show, in 2009, there will be 1182 health clinics in towns and townships in Hubei the whole province, total person of clinic is 39,293,900, rise by 12.86% compared with that of last year; Community's hospital amounts to 1133, total person of clinic is 16,332,100, in hospital the total person is 164,400, the sick bed rate of utilization is improved by 20.51% compared with that of last year. In addition, the clinic amount of clinic of village of the whole province is 61,023,300 persons, average each clinic is 2724 persons. The Hubei relevant persons in charge of department of public health say, should change " crowd to the large hospital " Passive state,soon it is at the basic level to be build up hospital and be lasted medical personnels good, be made resident not can rest assured whether it is go to a doctor to come. It is reported, Hubei the whole province will implement 1740 construction projects of hygiene at the basic level in 2010, will plan the gross investment of 9,560 million yuan, have already completed 1170 by the end of last year. Having trained 1500 complete doctors of health clinics in towns and townships, there are no health clinics in towns and townships of medical practitioner or poverty-stricken area to recruit 40 medical practitioners in the whole province. In 2011, it had a hospitalled at county level that reaches the standardized level to fight for each of counties,cities and districts at least that Hubei saved effort, the health clinics in towns and townships reach the national construction criterion, 70% of the village clinics reach standardized construction. The organization launches 2000 complete doctor's training projects of health clinics in towns and townships, guarantee there are more than 5 complete doctors on average in each of health clinics in towns and townships. Promote the hygiene standardized construction and standardized management of service organization of the community, construct community's hygiene " Serve and enclose in 15 minutes " . Zhejiang: The over half patient's basic unit examines in 2010, door of service organization of health care at the basic level of Zhejiang Province, emergency call person will account for the total door of the medical organization, the emergency call person's 53%. It is more conveniently to go to a doctor for the masses, strengthen the service system construction of hygiene at the basic level in an all-round way in Zhejiang Province. It is reported, the newly-increased central authorities of the whole province will invest in 55 hygiene projects at the basic level in 2010, 12 hospitals at county level among them, health clinics in towns and townships (the community health Center) 43, obtain the central fund of 211 million yuan. Arrange 80 million yuan, support the construction of health clinics in towns and townships of 120 low developed areas in provincial finance; Arrange 15 million yuan, it is (municipal or district) to fulfill the county of the first batch of health clinics in towns and townships basically up to standard 8 " take the place of mending in order to reward " Policy; Arrange 91,700,000 yuan, support all parts to push into the village clinic (community health station) Construction. On the other hand, through system design, promote the comprehensive reform of medical organization at the basic level, set up government's compensation mechanism and wage system of the performance progressively. The provincial finance will arrange for the subsidy fund of 275 million yuan of the personnel of health clinics in towns and townships, village clinic to operate the subsidy fund of 67 million yuan together in 2010, city at county level finance add up to 747 million of subsidy fund, guarantee new system go to a grassroots level normal operation of the medical organization basically. Vice Chief of Zhejiang Province department of public health kingdom offer, say to reporter the medical reform implement over the past two years, " strong basic unit " The greatest challenge that faces is how to be further strengthened and ensured, the core is how to promote the service ability of health care at the basic level, how to strengthen the basic unit to defend Grow talent's construction. At present, increase the input in finance in Zhejiang Province, advance the medical comprehensive reform of health organ of the basic unit in an all-round way, achieve and tamp the basic unit, ensure the basic purpose. (the flat king of Wang Jun of white sword peak has good will peaks that take care of spring)
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