China deepens medicine and improves the exhibition and makes an inventory: It is expensive to relieve and see the doctor the ugly disease progressively

China deepens medicine and improves the exhibition and makes an inventory: It is expensive to relieve and see the doctor the ugly disease progressively
See the doctor and submit an expense account, make an appointment and register, see the doctor in the community, buy medicines at a low price Deepen the medical reform to start over the past two years, all districts and departments have advanced every medical reform work solidly, relieving " It is ill and expensive to see the doctor uglily" The respect takes solid paces. Improve and submit an expense account competence, deepen the public hospital reform, strengthen the medical service system in the basic unit to build, implement the basic medicine system in an all-round way 2011 year, deepen medical reform continue until " whether disease cure to some extent " Do all one can to move ahead in new era. The whole people medical insurance diagnose the illness, reduce, shoulder for masses " now, make the intersection of we and ordinary people a lot of glad thing have, it is one of these to be new and agricultural and worthwhile. " . He says, last year, a villager whose surname is Cai suffered from acute gastroenteritis and was in hospital in the village, submits an expense account more than 10,000 yuan if it is shut that new and agricultural. "It can be said and cover jointly with a basic medical treatment largest in number of people and ensure the system in the world that our country is new and agricultural. At present, shut coverage rate to be continuously firm to expand while being agricultural while being new, cover crowd up to 835 million people, join the shutting rate continuously steady and above 90%. " Chen Zhu, minister of Ministry of Public Health, says. Meanwhile, urban worker's medical insurance and medical insurance of urban residents will effect an insurance the number of people is up to 429 million in 2010, finish joining sponsor's number to mark ahead of time. So far, the basic medical insurance of national urban and rural residents effects an insurance the number of people exceed 1,260 million. It is introduced, while expanding coverage, every medical insurance system is still raising and submitting an expense account the proportion constantly, most medical insurance, urban residents of area, and share institute, wipe out proportion, raise to 60% in the the intersection of expense and the intersection of policy and range while being agricultural while being new. Improving children's great diseases such as congenital heart disease, leukemia,etc. ensures horizontal pilot work to start formally, more than 4600 children have been treated and cured in time. "The whole people's medical insurance is important goals that the medical reform puts forward, the purpose is to lighten the medical expenses that individuals of masses pay to bear, relieve and cause and return to poorly and due to illness poorly due to illness. " Chen Zhu says. Until government increase the input in hygiene constantly and basic medical treatment ensure system to perfect, the expenditure of personal hygiene accounts for the proportion of the all-inclusive cost of the hygiene and lowers 38.2% by 2009 from more than 60% of 2001. Basic the intersection of medicine and system let masses buy medicine make a reduction Jiangsu Yang Zhong the intersection of city and resident Cao assuare expensively that because coughs to the local prosperous commune hospital of development zone to diagnose the illness recently, compound licorice root oral liquid that doctor turn on each spend 2.8 only, and price each 9.1 yuan before this. Community's doctor tells him, this is because has implemented the basic medicine system, all medicines are sold by bids, one fen is not made. It is reported, Jiangsu Province implements the basic medicine system to the end of the year from January 1, 2010, ordinary people seek medical advice in the medical health organ of the basic unit the expenses drop by 20%- 25% on average, lighten by 1 billion yuan of masses' medicines expense burden. It sets up basic medicines to be that ensure at the basic level administration safe and effective convenient but and in goal of system, lighten the masses and use the medicine burden. The data that national medicine corrects reveal, up to the end of 2010, already nearly 60% of the governments have run the medical health organ in the basic unit to implement in an all-round way for the basic medicine system. Anhui, Jiangxi and other places realize tentatively the basic unit is covered completely. Zero difference lead basic the intersection of medicine and price sell, drop 30% about on average. With " raise medicine with medicine " The gradual transition of the mechanism, larger revenue and expenditure shortfall has appeared in the medical health organ in the basic unit. For this reason, General Office of the State Council releases " suggetion on setting up and amplifying the medical compensation mechanism of health organ in the basic unit ", implement the compensation policy synchronously, guarantee the running and developing steadily of the medical health organ in the basic unit, guarantee the basic medicine system is implemented smoothly. Meanwhile, implement in order to catch hands with the basic medicine system, all parts still form a complete set and advance the medical comprehensive reform of health organ of the basic unit, mainly personnel allocation determine a post, the intersection of performance and examine, compensate, the intersection of personnel and the intersection of person who assign and the intersection of system and the intersection of mechanism and reform through many channels, employ the post, the salary of performance is being cashed in place progressively, present clinic and the expenses drop in hospital, the clinic person and gratifying phenomenon that the number of people rises in hospital, masses' medical expense burden is obviously lightened. Basic unit medical organizational construction let masses seek medical advice convenient to live the intersection of Hangzhou and the intersection of Yuhang and some aunt Zhang of community, seeing the doctor will take the bus for half an hour to go to the large hospital in the past, because the ability to move around was inconvenient recently, have to get home at the community health station of the gate. "Has never expected that has looked without registering directly, and doctor's attitude is pretty good, the level is good too, it is really too convenient. " Aunt Zhang's words, an important function of understanding the medical organization at the basic level in urban and rural areas. " strong basic unit " Deepen the medical reform, relieve " It is ill and expensive to see the doctor uglily" One piece impetus,getting more more complete through setting up health care service systems at the basic level, make the people can enjoy the convenient and effective service without appearing in community and village. For this reason, deepen the medical reform to start over the past two years, one our country has taken countryside and basic unit as the focal point, strengthen the medical standardized construction of health organ, give play to the hospital at county level and serve the leading function in the network in the rural tertiary health care. Since 2009, the central authorities arrange the fund of 40 billion yuan totally, support 1877 hospital, health clinics in towns and townships, 2382 cities community health Center and clinic construction of 11,000 villages of outlying district of 5169 centres at county level, the Ministry of Finance still arranges the apparatus used in the county the tertiary medical health organ in the village of more than 13 billion yuan to purchase. At the same time " soft to regard as equally important while being hard " ,Strengthen the building of contingent of health care at the basic level taking complete doctor as the focal point. It is introduced, in order to solve the bottleneck of the medical service quality of basic unit of this insufficient restriction of the complete doctor, our country has issued team's construction plan of health care at the basic level taking complete doctor as the focal point, many ways of training for a certain area through job-transfer training, order etc. train 60,000 complete doctors for the basic unit in three years. "The development hoping to work through being relevant, it is more convenient for the people to see the doctor, the overstaffed question ' difficult to see the doctor ' of large hospital can be relieved to some extent. " Chen Zhu says. The basic public health service makes the masses not have disease, have disease few " put prevention first " ,Make the masses not have disease, have disease few and relieve the masses " It is ill and expensive to see the doctor uglily" The most basic measure. Deepen the medical reform to start over the past two years, our country has launched the basic public health service in a more cost-effective manner, offer 9 kinds of basic public health services including file administration of the health for charge free of urban and rural residents since 2009, there have been files separately at present, have launched health examination for the elderly over 84,490,065. The development serving for ensuring several, our country has set up the service funds security mechanism of basic public health ,Would begin to implement the funds according to per person's at least 15 yuan standard in 2009, would improve to 25 yuan of per person in 2011. Meanwhile, our country still implements the great public health service to masses' healthy great disease of the serious threat. Doing? Wink such as Ming such as firewood such as clock Meng ��� Li> fires the arm >>Happy the intersection of snail and the intersection of Zhyuan and the intersection of kang and �� wish �� of �� stern stool ? Such service items of 7 items of great public health as the children under the age of 5 reseed. By the end of December of 2010, have already injected vaccine of hepatitis B free for 60,000,015 children under the age of over, this project will make our country remove as soon as possible " The big countries of hepatitis B " Cap. In addition, 4,892,000, 804,000, 8,620,000 rural women of the right age get free cervical cancer, breast cancer to check and augment folic acid free separately, give birth in hospital and subsidize 14,550,000 people to rural pregnant and parturient women. Implement since 2009 " The project that a million cataract regains one's sight " Also a project of great significance, will make 1 million cataract patients see light again in three years. In addition, also build 7,837,000 innoxious toilets in the countryside, fire coal type Fluorine is poisoned and changed 1,439,000 cooking stoves, 73% infecting the pregnant and parturient women of HIV to detection block the mother-to-baby transmission of AIDS. The service item of these great public health is provided for masses free. The public hospital reform pilot project relieves the large hospital synthetically " It is ill and expensive to see the doctor uglily" Live Ms Zhang of Beijing Haidian District wants to take child to see the Specialist Clinic of BJ Union Hospital, but does not want to let children wait for a long time in the hospital, then thought of making an appointment and registering. Though phone a long time, hang up expert's number finally. "The intersection of expert and the intersection of symbol and 2 of some that coordinate hang up month, spend 2 hour phoning, worth too while being able to register. " Chen Zhu points out, how to let the masses experience that deepen the effect of the medical reform as soon as possible, the public hospital reform is a key. The public hospital pilot project has been since starting in February of 2010, every pilot city has advanced the reform of public hospital actively and reliably. Encourage the public hospital to strengthen internal management, make an appointment and register, optimize service procedure,etc., it is the public hospital reform pilot project that is relieved " It is difficult to see the doctor " Move one of. Meanwhile, all parts still pass and strengthen planning and adjustment of public hospital; Develop the county hospital preferably, promote the whole medical service level of the countryside; Set up the urban hospitals and mechanisms of division of labor and coordination of work which the medical health organ of basic unit links from head to foot; Encourage, support and lead development health care industry of the social capital,etc. to explore and solve " It is difficult to see the doctor " Route. Solving " It is expensive to see the doctor " The respect, the measure mainly taken is: Set up hierarchical medical treatment system, realize progressively the basic unit examines, grades medical treatment, changes the place of examination bidirectionally for the first time; Strengthen internal management, standardize the medical behavior, control unnecessary making a diagnosis etc.; Improve and serve harmony, set up regional hygiene information system, realize the intercommunication of information shares, reduce and check and examine repeatedly; Improve the encouragement tied mechanism of controlling the expenses inside the hospital; Improve the external supervision and restraint mechanism of public hospital, explore way of paying, prepaying according to paying, total value of number of people according to number etc. actively. (reporter Zhou TingYu)

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