For hundreds of millions of masses' health happiness

For hundreds of millions of masses' health happiness
Reporters of Xinhua News Agency Che Yuming and Jiang Guo become Zhou TingYu The Spring Festival of rabbit year just passed, the white snow outside window had not totally melted yet, the warm was happy and harmonious in the meeting room of the west hotel of Beijing Beijing. A promotion medical reform work summary mobilization meeting unprecedented in scale is held here on 15 - 16 of February. --Except every provincial administrative division is responsible for the Vice Governor, Vice President, Vice Mayor of the work of day to day business, the Vice Governor, Vice President, Vice Mayor in charge of the hygiene work have come too; --Except the relevant persons in charge of ministries and commissions of the Central Party Committee and the State Council, all parts arrange and do, the development and reform, hygiene, finance, human resources social security, food medicines supervision department and chief leading cadre of the independent price department that set up have come; --Except the personnel present of main meeting-place, in the regional branch hall, chief leader, prefecture-level government's chief leader and government's chief leader at county level of provincial government, also listened to the meeting at the same time. Carry on the nationwide medical reform working conference till county first grade at the same time, this is still the first time. At this moment, start medical reform already for the second anniversary formally from country. Medical reform, has already entered key stage. Five reform effects manifest the people and get in April of 2009 of preliminary real favor progressively, the Central Party Committee, the State Council have released the suggetion on deepening the system reform of the medical and health and recent key implementing scheme of system reform of the medical and health in succession ' 2009~2011 years) ,The system reform of the medical and health raises the curtain formally. Relieve the basic goal that the difficulty and high cost of getting medical treatment of the masses is this medical reform. The past two years, through arduous efforts, 5 reforms scheme design move forward steadily, the effect appears progressively: --The whole people's medical insurance becomes reality. At present, the basic medical insurance of national urban and rural residents effected an insurance the number of people exceeds 1,260 million, this means one regards medical insurance, worker's medical insurance, new agricultural shutting and medical rescue in urban and rural areas of urban residents as the subject, the basic medical security system of covering all residents in urban and rural areas takes shape tentatively. "The system of medical insurance is realized and covered completely, has relieved and caused the poor problem due to illness to a certain extent, also increased ordinary people and come into the spirit that the medical organization sees the doctor, this helps to improve health levels of ordinary people, can also lighten the burden of seeing the doctor. " The public health Hu Shan, professor of institute of Shanghai Fudan University unites and says. --The basic medicine system contains the empty high medicine price. It not only need the complete medical insurance system day by day, but also need to contain the too high medicine price to relieve and see the doctor expensively. Pursue the national basic medicine system, the purpose is to lighten the urban and rural residents administration to bear. The basic medicine system has already covered about 60% of governments of the whole country and run the medical health organ in the basic unit at present. Anhui, Jiangxi, Shaanxi,etc. 8 are provincial ' District, city) First push away within the range of the whole province. In Anhui, 67 -year-old old man, Great Britain of Shi, Hou infect on will it be September and will it be January 2010 2009 in hospital twicing because of the intersection of bronchiectasis and companion, but before and after last 1000 yuans expenses two administrations. The reason among them is: The commune hospital sells a price differential of basic medicine, the comprehensive decreasing amplitude of medicine price of the whole institute is more than 50%. --The medical care condition at the basic level is obviously improved. Run to the city in the countryside, the large hospital looks, cause the difficult important reason of seeing the doctor on small disease. The impetus as the country regarded strong basic unit as is only more than one year, people find in surprise, the hospital, health clinics in towns and townships are to the village clinic from the county, the medical health organs of thousands of as many as ten thousand pieces of basic unit have changed earthshakingly from infrastructure to medical apparatus. Meanwhile, the building of contingent of health care at the basic level taking complete doctor as the focal point has already begun to have an effect. "Improve service ability of health care and level at the basic level, only have no good high buildings and large mansions, also there should be good doctors, easy to manage. The service level of the basic unit has been improved, ordinary people see the doctor and save the vessel and vehicle fatiguedly, not needing to go to the city easily, it is convenient to save money yet. " The public health Wu Ming, professor of institute in Peking University says. --The equal competence of melting of the basic public health service is further improved. The health is the good fortune. Make great efforts to make the masses not fall ill, fall ill and advance the public health service few, implement the policy specializing in preventing. Over the past two years, the country has strengthened the basic public health service in an all-round way. At present, there have been files already, chronic disease patients such as nearly 50 millionth hypertension, diabetes and serious disease and psychosis,etc. have got standardized management. Between two years, the country has already inoculated vaccine of hepatitis B for more than 60 million children. The rural women of the right age " Second cancer " Implementation in free projects such as checking, operation of regaining one's sight of poor patient's cataract,etc., have improved residents' health level effectively. --The public hospital reform pilot project moves forward actively and reliably. The public hospital is the main body of the hospital of our country. In recent years, the difficulty and high cost of getting medical treatment question that the masses reflect strongly, mainly concentrate on the public hospital. So, the public hospital reform is " opera involving much singing and action " of the medical reform . Now, nearly 70% of the pilot counties are (municipal or district) Set up the system to assess of public hospital performance, 54.2% of the public hospitals of pilot project have advanced the post to employ the system. Meanwhile, public hospital in charge of, run, separate and government affairs separate and medicine separate, not profit-generating to separate from that non-profit-making, " 4 separate " The reform is moving forward. "If does not move the compensation mechanism of the public hospital, does not control the hospitalization cost, the medical insurance will lose while investing even more money; Change at the basic level medical organization, run mechanism of management, basic the intersection of medicine and system promote. " Professor of Peking University China Center for Economic Research Li Ling says. Today, the intension of the basic health care system has been already clearer, the government protects basic responsibility to strengthen notably, fairness and accessibility of medical care were obviously improved, the broad masses have got the material benefit that the reform brings conscientiously. Positive progress and preliminary effect that every key reform makes, lay a solid foundation for finishing the implementing scheme of 3 years of the medical reform in an all-round way. One gram of difficult medical reforms is a world difficult problem that the pool is planned to advance and catch the key to assault fortified position in order. Even developed countries such as U.S.A., Britain,etc., all meet the numerous difficulties during medical reform. One has the developing countries that 1,300 million people, regional development level are different such as China, the medical reform advances less than two years to make the obvious effect, what kind of hardships are gone through during that time, the any experience to guide reform in the future? (leave and rotate the 3rd) (have and connect the 1st) As a system engineering, the medical reform pulls one hair and moves the whole body. In the face of the complicated work, the State Council deepens the system reform leading group of the medical and health to dispose according to the decision of the Central Party Committee, the State Council, the pool is planned, global design, with particular emphasis, step by step Advance. Two files which will start the medical reform will be released so far since the beginning of April of 2009, a dozen ministries and commissions such as the intersection of the State Council and development and reform and committee, Ministry of Public Health, Ministry of Finance, the intersection of human resources and social security department,etc. have released more than 30 files in succession, question making stipulations and guidance of every aspect seeking medical advice and changing to be involved. The central and local governments at all levels increase the input into medical reform conscientiously. Since the medical reform is started, striking in the face of the international financial crisis, severe situation that props up again of financial reduction of income, the financial health care expenditure of the whole country will still reach 399,400 million yuan in 2009, will increase by 39.7% compared with 2008. 443,900 million yuan of national financial health care expenditure budget arrangement in 2010. The fund is used in five key reforms of medical and health system mostly, especially basic medical treatment ensures expanding the face and carrying marking, medical service system construction and public health of basic unit to serve equally and melt etc.. In advance medicine correct one's mistakes in the Cheng, create a lot of experiences too all parts. Among them advance the basic medicine system to take shape " The mode of Anhui " ,Because its result is generally praised prominently. In the course of implementing the national basic medicine system, find in Anhui Province, if only compensate for medical health organ in the basic unit according to the medicines addition cancelled, difficult to operate in practice, especially can't cut off medical health organ, medical worker and medicines and produce the interests roller chain between a supplier fundamentally, it is difficult to break and raise and cure the mechanism with medicine, realize benign cycle. Implement for the breach with basic medicine system once, the pool advances the campaign of the medical comprehensive reform of health organ of the basic unit to fire in Anhui. New management system, new compensation mechanism, new employing mechanism, new income distribution mechanism, new medicines centralized purchasing mechanism, it is difficult, difficult to provide and deliver to purchase to analyse and explain the basic medicine in succession, it is difficult to distribute and arrange that the medical health organ in the basic unit compensate difficult, personnel and the medical worker examine this difficult four major difficult problems. Through the efforts of more than one year, the phased goal of implementing the basic medicine system in Anhui Province is realized tentatively. Now, win a bid of price, instruct price to be on average lower than country by 52.8% through 288 variety, 857 the intersection of product and the intersection of rule and medicine bade and purchased to concentrate on. Cost of hospitalization drops by more than 20% on average medical fee of clinic, time once of health organ in the basic unit, the masses use medicine the burden is obviously lightened. Like Anhui Province, all parts are according to one's own characteristic in the course of advancing the medical reform, also created a lot very good experiences: --Put forth effort to strengthen hygiene talents' function in Gansu Province, popularize the application of the technology of traditional Chinese medicine in a more cost-effective manner, have made the obvious effect; --Beijing directs against " The masses scorn the disease, community for seeing the doctor, the large hospital can not take a fancy to the disease " Wait for 3 practical problems, through implementing " card project of the social insurance " , set up, have vacation hospital and electronic the intersection of case history and the intersection of project,etc. and measure, the medical reform made the phased achievement; --Jiangxi Province start with improving the special difficult colony's health status, stress the work of palatognathous patient" the brightness smiles " to cataract and lip The three public health service items such as the project, fanning out from point to area promotes the basic public health to serve progressively equally and melt. Advance the course of the medical reform, it is people that know the course deepened to the medical reform law constantly too. Insist on protecting the basic, strong basic unit, building the mechanism, it is one of the important experiences. Basically protect, but regard basic health care system as the public products to provide for the whole people, this is a key idea of a medical reform. The strong basic unit, should just strengthen the service ability of the medical health organ in the basic unit in an all-round way, form the platforms and networks offering basic medical treatment and public health service effectively. Build the mechanism, should just ensure the effective operation of system norm of the medical and health through mechanism's reform of the system. Overall arrangement, stressing the key points, moving forward in a proper order, it is an important experience too. The medical reform scheme not only planning reached blueprint and long-term goal in 2020, but also proposed the reform goal of the past 3 years and five focal points. Design direction and route of defining the medical reform on one hand like this, help the medical reform to move forward continuously; On the other hand even help to catch the key, let the masses get material benefit, the medical worker is encouraged, the governments at all levels caught hands. Medicine is improved into " The deep water " Dash for five key reform tasks The medical reform has already been entered " The deep water " ,This is a common understanding of participating in each side of the medical reform. Hope it is expensive to see the doctor, see the doctor the difficult problem is solved as soon as possible, this is common expectation of ordinary people to deepening the medical reform. Dash for five key reform tasks of medical reform, let ordinary people enjoy the material benefit that the medical reform brings more, lay a good foundation in order to realize the goal of 2020 medical reform, this will be the common direction that every relevant department took action in 2011. Have no need for reticence, the medical reform has been started over the past two years, five reform tasks are on the road of advancing steadily, also face a series of problem and challenge: The progress of the regional reform is uneven, the structure insufficient in total amount of medical resource is unreasonable, the public hospital reform still needs to further investigate, horizontal disparity is great that the basic medical insurance system raises funds, the medical talent's building of contingent of the basic unit lags behind "These questions have explained exactly the medical reform is not an easy thing, practice has proved arduousness and complexity of the medical reform. " Professor of Peking University China Center for Economic Research Li Ling says, " it is unavoidable to reform and go wrong in the course, the more important thing is to face, pay attention to these questions, is solving these problems constantly in the reform is advanced. " General Office of the State Council made arrangements for the medical reform groundwork of 2011 years recently. Will be had to deepen the system reform work of the medical and health in the whole country, leading groups of medical reform such as medicine of the State Council is corrected and every province, autonomous region and municipality directly under the Central Government, formation of production and construction of Xinjiang,etc. have signed the job liability statement of the medical reform for 2011 years. Round " protect the basic, strong basic unit, build the mechanism " Requirement,reform it is comprehensive to stress system mechanism,last Huimin direction correct for the people, assault fortified position gram to be difficult, pool advance the intersection of medical and health and the intersection of system and 5 key reforms. --The Central Party Committee, the State Council have pointed out the direction for the promotion medical reform work of 2011 years. --Further improve the medical insurance and ensure competence and service level. Shut while being agricultural while being new 2011 year, the intersection of urban residents and medical insurance and urban worker's medical insurance effect an insurance ' Shut) Rate more than 90%, shut while being agricultural while being new, the intersection of urban residents and medical insurance government subsidize the standard and rise to 200 yuan from 120 yuan; Proportion that the ones that raise in policy range submit an expense account in hospital. --Implement the whole cover in the basic unit of the national basic medicine system. The medical health organ of basic unit running in all governments implements the national basic medicine system; Set up normal basic medicine and purchase the mechanism, reconstruct medicines at the basic level and supply the security system; Advance the medical comprehensive reform of health organ of the basic unit in a more cost-effective manner. --Strengthen it with complete medicine Grow for the building of contingent of health care at the basic level of the focal point, strive to realize there are qualified complete doctors in the medical health organ of each basic unit in two years. --Expand basic public health and serve and cover crowds, per person's basic public service funds standard rises to 25 yuan from 15 yuan; The service standard improved and implemented 9 kinds of basic public health service items strictly, operation regulation? Apply the own tax Pei ? --Devote more efforts to launching a pilot project, strive to form the basic way of the public hospital reform. The concrete goal of each, it is to " protect the basic, strong basic unit, build the mechanism " Detailed for note,even more it is let's make great efforts our country promote by justice the witnesses historicals of the justiceses social. Deepen the system reform working conference of the medical and health to just dispose in the whole country, committee, Ministry of Public Health, Ministry of Finance, the intersection of human resources and social security department,etc. every relevant department of national development and reform are adjacent to holding their own work arrangements meetings, the ones that realized the task is transmitted had not sewn to connect. All parts participating in the conference represent very confidently, show one after another that will combine their own characteristics, change to the affair in medicine of carrying out this year. --Hebei representatives say, in order to let common people " take a fancy to the disease, think highly of the disease, see the disease well, see the doctor few " It is a focal point, made for half an hour medical treatment is enclosedded, implement university student's village and cure the system, implement the performance and examine and arouse medical worker's enthusiasm, and will launch the establishment of health city in the whole province. --Shanxi representatives say, will combine the large characteristic of people in the countryside of Shanxi, will do a good job of the integrated comprehensive reform of the medical and health of county town especially, realize the intersection of health care and the intersection of resource and integrated disposition, county the intersection of village and tertiary medical health organ integrate and manage. --Beijing representatives say, the public hospital reform of paying close attention in Beijing, will set up the system of standardard management of the hospital, raise the efficiency of the hospital; Through reforming management system and operating mechanism of the hospital, improve medical personnel's treatment, difficult problem of solving the capital and seeing the doctor finally. "The medical reform is a system engineering, the medical reform must be a comprehensive reform, five tasks will form the resultant of forces, advance side by side, in this way the government has spent money ordinary people's enjoying and receiving material benefit. " Ling Li think, deepen medical reform to be sure to have strong leading capacity and carry out strength, every relevant department should coordinate and cooperate.

|