Yunnan emolument Feng County explored and shut newly and agriculturally in 5 Peasant's greatest intensity is benefited

Yunnan emolument Feng County explored and shut newly and agriculturally in 5 Peasant's greatest intensity is benefited
Author: The king was brilliant more than 70 years ago dawn, Fei Xiaotong came into the emolument of Yunnan abundantly, regarded it as native soil Chinese small-scale peasant economy life style model and dissected, the emolument is abundant to receive the extensive concern. Nowadays, the emolument Feng County enters the sights of people again. Shut the key pilot county first batch of newly and agriculturally as our country, through the exploration of more than 5 years, the emolument is abundant to make the preliminary effect in the new agricultural fund-raising, compensation, paying and innovative respect of service mode that shut, ,called by people " The abundant mode of the emolument " . A few days ago, the emolument was abundant that the reporter came, surveyed this. Fund-raising of many grade meets emolument located in the southeast of plateau of the middle regions of the Yunan Province of peasant's different demands abundantly, the scenery is beautiful, it is national commodity grain, high-quality tobacco leaves and pig's bases of the goods, the agricultural population is 350,800 in 436,000 total population, the per capita net income of the peasants of the whole county is 3597 yuan in 2008, it is the typical agricultural county of west. "As shutting the key pilot county national-levelly and newly and agriculturally, should hold policy goal and developing direction first. " It is shut chief expert, Ministry of Public Health and shut to group's vice group leader Wang LuSheng of technological guidance newly and agriculturally and introduced that new and agricultural in the emolument Feng County, raise funds low 30 yuan most according to central the intersection of policy and per person start jointly, while being agricultural while being new, among them individual paid 10 yuan, but so low-level fund-raising, it is difficult to realize and reduce the policy goal that peasants diagnose the illness and seek medical advice and bear, for this reason, competence becomes the new agricultural inevitable requirement of shutting development to improve and raise funds. Emolument abundant to implement many the intersection of grade and the intersection of fund-raising and mode, lead peasant raise individual, pay the fees competence on one hand, thus improve and compensate the benefited level; On the other hand meet peasant's different medical demand. Li JingYun, Vice County Magistrate of Feng County of the emolument says: "Abundant grade such as 10 yuan, 15 yuan, 20 yuan of introducing individuals and paying the fees of 2005 of emolument, enjoy different clinic to reduce or remit the proportion, bind line and family's health service in hospital in different grade. Change 10, 20, 30 3 grades to 2007. 2009 because country propose individual pay the fees most low 20, cancel 10 grade, keep 20 and the intersection of 30 and two grade only. " It is reported, this county paid 15 yuan and people of 20 yuan and accounted for and joined and shut total population's 14.4% voluntarily in 2005, it will account for 44.2% to pay 20 yuan and 30 yuan one voluntarily in 2008. "We worry presenting rich peasants to choose high-gradely to pay the fees, submit an expense account costlily at first, low-income population chooses low-gradely, submit an expense account low, is unfair. But enter an investigation to find how much to pay the fees and family income level is not the positive correlation, and suffer from the biggest relevance of chronic disease with kinsfolks. " Wang LuSheng says, this discovery expedites the emergence of the family health care service item of finding early, diagnosing early, early treatment directly. The little pain expense clinic of little disease can submit an expense account in this county widely and openly and press down the health clinics in towns and townships too, reporter see several clinic have people line up, wait for, see the doctor, sitting does not start on the room, some wait outside. Come from nine the intersection of village and the intersection of stockaded village and old the intersection of village and new the intersection of the people and the village add beautiful and a little feverish while being old while being 22 -year-old, she tells reporters: "See the clinic can submit an expense account, there is a little pain of little disease that dares to see too now. " This year joins and pays the fees jointly, she of 20 yuan, the ordinary clinic can reduce or remit 45% medical fee. The clinic compensates two ways of family's account of clinic and clinic pool, the former is the helping each other and helping together of whole family, the latter shuts funds agriculturally again " The total plate " China marks a proportion of fund as the clinic pool fund, the whole county joins and shuts the helping each other and helping together of people, peasants can obtain more material benefit. Wang LuSheng tells reporters: "A lot of places tried family's account of the clinic in initial stage of shutting the pilot project newly and agriculturally in the whole country, the emolument Feng County is since launching a pilot project too clear to practise family's account, insist the clinic conducts the mode, purpose lie in, give full play to shut while being agricultural while being new help each other, help function together, reduce chronic patient in financial burden that clinic go to a doctor. Define the direction at the same time, the improvement of competence, strengthen the allocation proportion that the clinic conducts the fund with raising funds, raise the clinic and reduce or remit the proportion compensated progressively. " It is introduced, the clinic and fund in hospital press 3 in emolument Feng County 2007: 7 assign, individual pay the fees 10, 20, 30, clinic reduce or remit it compensates the proportion to be 25%, 30%, 35% respectively; The clinic and fund in hospital will press 4 in 2009: 6 assign, individual pay the fees 20, 30, clinic reduce or remit it compensates the proportion to be 45%, 50% respectively. The local peasant's clinic diagnoses the illness the demand for seeking medical advice is released greatly. It is understood Vice President of town commune hospital Yang LinDong and said that it is wide: "Implement newly and agriculturally after shutting the pool of clinic, person has doubled the clinic, less than numerous people every day originally, close to 200 people now, the clinic person is up to 90,000 people in 2008. Clinic and pharmacy which a lot of individuals opened have all closed successively in the town. " Stop to " ask for great treatment only minor illness " The hospital takes the initiative " Control " The medical fee is controlled and risen and offsetted the shutting newly and agriculturally benefitedly of peasants too fast because of the hospitalization cost, concern directly that shuts developing newly and agriculturally in a healthy way continuously. The reform of means of payment of the emolument Feng County, the ones that become in the whole mode are the a bit more most light too. It is reported, shut the means of payment newly and agriculturally, it is to study newly that shuts funds to manage the way how agriculturally the side pays the expenses to the hospital. The means of payment paid according to the medical service item traditionally, will inevitablely impel the doctor to increase the service item, " ask for great treatment only minor illness " . Wang LuSheng thinks, control the medical expenses to increase too fast, only lean against shutting to several staff members of management office newly and agriculturally to the tertiary medical organization of the whole county and several hundred doctors supervise, checked the prescription, checked the case history, checked all day that using medicine not only too busy to do its, but also formed " cats " With " mouse " Relation. Solve setting up the self- tied mechanism of the expenses of medical organization thoroughly of the problem. The method is calculating through science, provide a expense total value and standard, does not overspend and mend, the surplus are retained for use. Under the guidance of this thinking, the abundant clinic total value of the emolument is paid and paid the mode and arisen at the historic moment in 2006, 2007 respectively on day according to the bed in hospital. It is introduced clinic total value it pays to be every year in total funds raised, clinic pool fund drawn in proportion, and distribute to all health clinics in towns and townships to, join and shut to peasants and reduce or remit and compensate using according to the regulation while going to a doctor according to all village and town population and going to a doctor rate. It is to make to the medical organization of different ranks, different kinds of impatients differently and pay the standard to be in hospital and pay on day according to the bed, shut no matter not run it according to using medicine and checking the project to pay to it of the hospital again. Hospital will for obtain more surplus, and reduce, treat project, or serious the intersection of disease and patient extrapolate? This county shut tube do the intersection of Deputy Director and RunPing Li, say, shut tube do, make and implement a series of the intersection of examination and way of rewards and punishments strictly, in order to stop this kind of incident. Director of people in Feng County of the emolument Xiong WenYun is still relatively satisfied with the means of payment after the reform. He felt this means of payment gave the doctor the autonomy of curing the disease according to the medical principle, have stimulated their working enthusiasm. For "no flower exceed" ,The hospital has also set up one's own shutting the management office newly and agriculturally voluntarily, the self- tied mechanism of the expenses of medical organization is set up tentatively. It is reported emolument abundant means of payment reform make clinic of this county and time medical expenses control in Yunnan Province or even lower competence of the whole country all the time in hospital, join, shut actual compensation of peasant in competence more than keep. Change sick to cure for defend, cure, shut management organization while being agricultural while being new early early just and what kind of payment relation it is between the hospital, vast to join shutting peasants do not understand, but they experience material benefit. In wide to lead to town on the in-patient dept. of the commune hospital, the reporter sees a 72 -year-old grandma, because kidney water accumulation and the intersection of waist and the intersection of vertebra and the intersection of quality and hyperplasia, in hospital, grandma join pay the fees 30 yuan jointly, can reduce or remit and compensate 70% of the expenses in the health clinics in towns and townships in hospital according to the regulation. The grandma still takes out family's health service " Contact the card in love " Showed reporter, if the grandma met endangering, urgent serious illness when being at home originally, still can be contacting the doctor to make house calls. Li JingYun introduces, abundant in the emolument, can enjoy the family health care " examining, two building, three services " in 20 yuan and 30 yuan in grade that individual pays the fees . " examine " Mean that carries on free physical examination once a year; " two is built " Refer to setting up the card system of contacting health care doctor and set up health file; " three services " Including health consultation guidance service, make a diagnosis and give treatment and serve with emergency call giving first aid and pickup and delivery service to the doorstep. "Designed the mode of paying the fees of different grade originally, with a view to changing the hygiene service mode at the basic level, promote the basic unit to prevent and cure and combine. " Wang LuSheng says, it seems now that Lu Feng pursues the family health care service mode for more than 4 years, really make the doctors of commune hospital of the township and village clinic go out of the gate, enter into village and family, manage health for peasant voluntarily, realize sick to find, diagnose, treat early early early, this equal to take, serve and establish the foundation for implement basic medical care with public health that new medical reform put forward too. Reporter abundant to see an officer of World Bank Beijing Office while investigating in emolument, he stretches out the thumb to explain a family's health service doctor of commune hospital making house calls: "You are a family doctor of the door-to-door service of first which I see in the countryside of China. " In emolument being abundant, clinic go to a doctor person and person people and 13,000 people compare for 510,000 in hospital with 2003, 2008, these two figures are up to more than 900,000, 23,000 persons separately, new agricultural the intersection of joint-venture and the intersection of money and rate of utilization and peasant join person who shut rise to 91.78%, 95.72% for 2008 from 78.49% - 87% for 2003 respectively too. " abundant mode of the emolument " Realizing it is popular that peasants get material benefit, government, have development in the medical organization " Three wins " Situation.

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