From the new medical reform of the new organization's partial view: " in charge of doing and separating " Still take clearly

From the new medical reform of the new organization's partial view: " in charge of doing and separating " Still take clearly
Clarifying and the medicine prison is being after the food supervises the powers and functions of the field, the 'three fixations' of Ministry of Public Health The key content of the scheme is concentrated on new medical reform. On September 1, Ministry of Public Health announced its 'three fixations' foreignly Scheme. Two new departments - -Medical care supervises the department, medicine policy and basic medicine system department (hereafter referred to as " The basic medicine department " ),Become the bright eyes content strikingly. The initial new medical reform was discussed since 2005, the domain administrative structure reform of the hygiene has been followed into it all the time. The hygiene function is cut apart and crossed and is regarded as " The medical reform is unsuccessful " Reason one of. And come here, " great hygiene " With the roles of medicine, medicine, medical insurance under the overall leadership, have finished the power that the new medical reform centre halfback grows the field to check and ratify. Compared with administrative structure reform of other ministries and commissions, the 'three fixations' of Ministry of Public Health Have reflected directly the ongoing new hygiene policy of this department needs. Though new the intersection of medical reform and scheme announce since the end of last year, news produced to reveal watch from various channel yet, four items of institutional improvement (public health system, medical security system, medical service system and national basic medicine) It is its key content of reform. On August 29, the hospital that Ministry of Public Health holds manages at the annual working conference, Gao Qiang reaffirmed four basic contents of the new medical reform again. Correspond to this, the setting up in the organization inside of Ministry of Public Health, change to the affair to " connect " after finishing medicine --To four tasks, there are four corresponding organizations separately: Prevent and cotrol the office, rural hygiene management department, medical care and supervise department and basic medicine department in disease. And these four departments or buearus, have reflected three key fields of the new medical reform respectively: Hospital, medical insurance, medicine. "Administrative structure reform original intention and guidelines of the Ministry of Health, should reflect that meet the medical reform direction, system of running. " Shanghai Communications University's public health dean Cai RenHua says. "Medicine supervises the department and belongs to tube of Ministry of Public Health, has established the independent basic medicine department, purpose to achieve medicine and unify management. " An expert insisting on anonymity analyzes, the difficult point that medicine is unified - -How to guarantee the hospital uses medicine rationally - -Seem expected to break through in this administrative structure reform, " Ministry of Public Health has already been in charge of the hospitals and doctors, in charge of medicines, use medicine again. Will be more unblocked than in the past that the relevant policy is coordinated. " "The reform has strengthened the supervision of the medical organization. " Ningbo Municipal Health Bureau cures the policy Gao Wei, division chief of to claim, before the reform, disperses the supervision right that the medical organization serves in internal different departments of Ministry of Public Health, the service for medical organization is difficult to supervise to form the resultant of forces. If rule department of the wealth of Ministry of Public Health and Personnel Department have right of supervision and management to financial affairs and personnel of the hospital too. "Concentrate management, financial affairs, personnel administrative power to the hospital on an independent department or buearu this time, and have to the function of its management system reform of hospital, it is expected to issue with higher speed that the public hospital reforms. " A medical reform expert analyzes. Besides connecting the new medical reform, personage, system of hygiene, time three make in the the schemes finding out even from then on, in management of the hospital " Decision and authority to supervise are discrete " Idea,namely it last policy department supervise department lasted two kinds of functions respectively medical care when and it set up newly. "The macroscopical policy of curing the responsible medical organization of policy department is made, medical care supervises departments concentrating and responsible for hospital's supervising and assessing. " It is analyzed to the reporter that it is high and towering, not before the reform, it is a policy maker of medical organization to cure the policy department, also persons who supervise, the function is not clear. For instance the organization is before the reform, Ministry of Public Health has 5 offices such as medical organizations, medical service center to cure the policy department respectively, the former is in charge of the hospital, the latter is in charge of supervising. After the reform, it is mainly responsible for policies such as medical organization, technical standard, personnel's entry,etc. to make to cure the policy, and supervise the service of the medical service organization, can concentrate on the newly-built organization. " in charge of doing and separating " Still take clearly Though Ministry of Public Health " Three is fixed " The scheme represented and connected new medical reform " Determined " ,But organizational adjustment still fails to solve all problems of the medical reform. "Find out in organization's reform scheme how to realize ' in charge of doing discretely '. " The above-mentioned medical reform expert analyzes, if Ministry of Public Health is " doing" Do not change the function on the hospital, even if make policy and make sure discretely, the dual identity of working as referee and athletes both exists. If Ministry of Public Health returns at present " Management " It burn some is subordinate to a ministry hospital,it appoint about these personnel at hospitals, financial affairs,etc. power to make decision. "To a certain extent, cure the policy department seem it is the hospital that manages the department. " This expert says, from solving supervise as well as direct" do " The but the speech of situation of the hospital, assign a topic for a long time in transformation of the functions of Ministry of Public Health. In addition, the experts increase the department or buearu newly to Ministry of Public Health - -The establishment of the basic medicine department, propose warning too. "The government can't be regarded as the direct purchase of the basic medicine, distributed the subject, but should give play to the strength that the trade organizes. " Law teaching and research chief of the office Wang Yue of hygiene of the intersection of Peking University and medical science department says, the establishment of the basic medicine department will exert an enormous influence on the present medicines circulation system. "Watch out for the government and intervene the medicine enterprise in the micro field of managing etc. with the administration means. " Professor of Peking University Guanghua School of Management Liu GuoEn reminds, in the basic medicine system is set up, if the government stipulates the manufacturing enterprise of the basic medicine directly, and " supervise " It provides and delivers and uses with the hospital, such administrative management is very difficult and medicine enterprise and hospital stand up as the operator's role's matching of market main body. Author: Wang ShiLing

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