The medical treatment at the basic level of China is said good-bye to - raise medicine with medicine- The fee includes in the medical insurance to generally make a diagnosis

The medical treatment at the basic level of China is said good-bye to - raise medicine with medicine- The fee includes in the medical insurance to generally make a diagnosis
Interview people: Reporter Li Hong's plum understands people: Medicine of the State Council turns person in charge of office of leading group into and forms the long-efficiency mechanism compensated through many channels, arouse medical worker's enthusiasm, guarantee the running and developing steadily of the medical health organ in the basic unit. " suggetion on setting up and amplifying the medical compensation mechanism of health organ in the basic unit of General Office of the State Council " (hereafter referred to as " opinion ") The 14th is released. At this point, reporters have interviewed the person in charge of office of leading group of the medical reform of the State Council. Government offer to difference long-efficiency to compensate " the opinion " to be clear, implement basic medicine behind the system, health clinics in towns and townships, urban the intersection of community and the intersection of hygiene and the intersection of personnel and expenditure and business of service organization that government hold the intersection of expenditure,etc. and operating cost and government subsidize compensate through service charge. Basic medical care mainly ensures paying through medical treatment and individual pays and compensates; The basic public health serves and serves the security mechanism of the funds to compensate through the basic public health in urban and rural areas that the government set up; Regular revenue and expenditure difference by government according to " Task of authorizing, authorize revenue and expenditure, performance examine subsidize " Method subsidize. Include three channels specifically: First, subsidize the funds specially. Mainly have four respects, purchase etc. and develop and construct the expenditure in capital construction and apparatus, the government develops the construction plan to arrange in full amount according to the medical health organ in the basic unit; The basic public health is served and appropriated to the medical health organ in the basic unit in full amount on time according to quantity of service and quality, further improved and subsidized the standard in 2011; The public health event happens suddenly to handle the task authorized according to the service cost by the government to subsidize; Funds of medical personnel of health organ in the basic unit (including retired personnel's funds) , staff training has expenditure needed with recruitment, the financial department invests the policy, relevant personnel training to plan to be planned to be arranged and subsidized with recruitment rationally according to government's hygiene. Second, adjust medical medical care charging item, expenses standard and medical insurance of health organ in the basic unit to pay the policy. Third, the difference of the regular revenue and expenditure is arranged in the annual budget in full amount by the government, set aside in advance first, settle account, and set up steady subsidy channel and long-efficiency subsidy mechanism. The person in charge of office of leading group of the medical reform of the State Council says, will set up long-efficiency compensation mechanism, must work hard on the comprehensive reform, will carry on the reform to operating mechanism such as the medical personnel, assigning, management of health organ of the basic unit, break completely " Raise medicine with medicine " The mechanism, avoid getting back to " mess " at the same time ,Could make the result of the basic medicine system be brought into play. Make a diagnosis generally fee include medical insurance in, wipe out " the suggestion ", propose existing registration fee, examine, check fee, inject fee (including intravenous the intersection of infusion and fee, do not include the fee of medicines) And medicine the intersection of thing and service cost merge into, make a diagnosis fee generally, no longer have the medicine thing service charge only. The expenses standard of the fee can be adjusted appropriately on the basis of dividing the sum of the a expenses standard originally to generally make a diagnosis, and on the premise of the masses have now individual who bears not to increase ing, confirm rationally the medical insurance is paid the proportion. Concrete expenses standard (national averages are about 10 yuans) Pay the policy with the medical insurance from every province (district, city) Consider synthetically the medical health organ of basic unit of this area implements the basic medicine system, factors such as labor service cost of the utilization ratio of service ability, medical worker, medical insurance endurance,etc. are made. The medical other services of health organ of the basic unit still charge according to existing project and standard. To already amalgamating to Ferry's original charging item of generally making a diagnosis, can't charge separately or charge in a disguised form. The relevant department will make the concrete supervision measure, will prevent the medical health organ in the basic unit from charging, decomposing the prescription and overcharging repeatedly. The person in charge point out " make a diagnosis fee generally " that set up Will include the category of submitting an expense account in the medical insurance, will not aggravate masses' burden. After medical worker's salary consults the undertaking unit's " opinion " and implements the basic medicine system for the medical health organ in the basic unit, arouse a series of pertinence measure of enthusiasm formulation of medical worker at the basic level. First, ensure it basically, the rational income level of medical worker at the basic level is not reduced after implementing the basic medicine system clearly. Medical worker's wage level links up with average wage level of local public institution, meanwhile, the performance wage system of implementing the medical health organ of basic unit of the basic medicine system is implemented completely synchronously. Second, reflect the performance, the distribution mechanism that sets up the more pay for more work, excellent good performance reward, slope to key post, business backbone and staff member who makes outstanding contributions especially, pull open the income gap appropriately. Third, improve the position, the government implements the compensation responsibility to the medical health organ in the basic unit, the organization runs and ensures with the reasonable income of the medical worker, has makeovered the medical worker of the past by selling medicines, creating income to keep the state of income level, make the medical worker settle down to provide service for the masses, have more time and energy to improve professional skill. The village clinic and it is not that medical health organs of basic unit that the government runs are the important component of the service system of health care at the basic level. " the opinion " clinic and whether the intersection of basic unit and medical health organ that government run subsidize rationally through the intersection of government and way served to buy mainly to village clearly. " opinion " points out, on the basis of checking and ratifying the service item of the public health and size of population of the service, arrange a proportion of basic public health serve the work load, bear by the village clinic, and pay corresponding funds. Can include the clinic service offered in the eligible village clinic in the new agricultural range of submitting an expense account jointly.

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