The deputy to the National People's Congress proposes making making a diagnosis the restriction doctor of the rules writes a prescription arbitrarily

The deputy to the National People's Congress proposes making making a diagnosis the restriction doctor of the rules writes a prescription arbitrarily
"At present, the country basically uses medicine the catalogue has two sets of schemes, one is that rural edition, one are an urban edition, this accord with the Chinese national conditions at present, the present stage is approved, I hope the two can unite two into one by 2020. " Yesterday, deputy to the National People's Congress, provincial director Xu GeLiang and deputy to the National People's Congress, Vice President of Anhui College of Pharmacy of college of traditional Chinese medicine Dai Min from systematic first line of medical treatment tell reporters, the public hospital medical reform is " The bone most difficult to gnaw " ,This assault of fortified positions has chronicity, complexity, arduousness, citizens can't be too high to their expected value in short term. About the medical reform: Public hospital reform, it is " assault of fortified positions " In January of 2010, the rural reform pilot project of health care at the basic level will be started, uncle Ge of the tight shop township of Feixi county goes to the commune hospital in the village to see the doctor, find after implementing a difference rate of medicine, the expenses for medicine have lowered 50%. "The rural health care reform at the basic level throws a stone to clear the road, the severe problem is behind. " It is told reporters that Xu Ge is good, the public hospital reform is a assault of fortified positions with arduous task, with huge project, "the health care reform at the basic level foreshadows public hospital reform, the calm and apt one is started with, this is a strategic principles of encircling the cities from the rural areas. It determines whether the medical reform is the links of key to success whether the public hospital could reform successfully. " The public hospital reform of pilot project of Wuhu and Maan Mountain now, emphasis points of the two are different. Wuhu implement medicine break up the family, medicines manage centre, call for bid, provide and deliver in unison by medicine that government establish, cancel 15% of the addition. Pursue the tube to do and separate in Maan Mountain. "Will explore a set of reform modes in 3 years in public hospital pilot project, by the end of 2011, whether all public hospitals in the whole province could pursue the medical reform, how is the result, citizens can't be too high to this expected value. " About writing a prescription arbitrarily: Common disease prescribes, make " circle " "The same kind of disease, what medicine is used, how much is the dosage? Perhaps 10 doctors in China can open 10 kinds of different healing solutions to the same case, each prescription has its reason, how to supervise the doctor? At present, the foreign method is to make the rules of making a diagnosis, confirm the clinical route, " they accumulate a certain simple case therapeutic experience in 10 years and make the standard, then the actual conditions that all doctors combine the patient while meeting this case follow this standard, limit it and write a prescription arbitrarily " . The medical system is so huge, how to supervise? Xu Ge is good to show, needs to standardize and treat the common case in China too, with what is the case medicine, consumption to make the standard to supervise more or less to this. "Strengthen, in order, could raise and then by supervision,etc. to hospital only in initial stage in medical reform. " About putting into: Government's fund input, don't spread " ground pepper " Propose in the new medical reform scheme, the public hospital of the pilot reform will cancel 15% of the medicines addition, and through government's rational compensation, set up the medicine thing service charge and include the expenses in routes such as the medical insurance,etc., ensure the public hospital to come back public beneficially. But Xu Ge is good thinks, replenished by the government, the number is too huge. "Take provincial hospital as examples, the medicines income accounts for 43% of the hospital income, this part of incomes are about 50 million yuan every year. If cancel 15% of the medical profits, the government makes up 50 million, there are so many public hospitals in Anhui, this is obviously unrealistic. " But if the finance is put into the normal operation that can't guarantee the hospital, can't ensure the doctor's salary, the doctor will lose enthusiasm. "Clinic quantity for provincial hospital one year 1,800,000, if doctors had no enthusiasm, the difficult problem of seeing the doctor can not be solved even more. If the intersection of doctor and salary drop, influence enthusiasm, medical reform can charge, succeed in. " "Though the hospital can increase the medicine thing service charge, raise the technological service charge, these or patient bury singly? " Representative Dai Min also thinks, the government puts into weighing the relation between good three, " the government can't give to put into to each public hospital as spreading the ground pepper " ,The country should assert again to the range of public hospital, collect the low public service hospital and increase governmental input more to the service charge. In addition, Dai Min has cited the example of military the Hou 's the People's Hospital of Chengdu, this hospital is through a series of innovative action of examining etc. of injecting management, humanization into, finely taking of the folk capital, reduce the visit expenses. Data reveal military the intersection of district and the People's Hospital Hou patient seek medical advice expenses and expenses part than the intersection of Chengdu and magnitudes of the intersection of medical organization and average level 22% - 62% low in hospital 2008. "The social capital is entered, it is a beneficial attempt to drive the public hospital to serve the mechanism, system reform. " Professor Dai Min says. About using medicine: Basic medicine catalogue, in urban and rural areas and " two-in-one " 2010, Hefei workers urban medical insurance, urban residents medical insurance and shut newly agriculturally by policy expenses be reached 75%, 60% and 50% more than respectively to be lasted proportioned in hospital in the ranges, the former two's highest payment limit will be brought up to more than 6 times of annual disposable income of annual mean salary of the local urban worker, urban residents in prior year separately too. Though it is very high that our province insures number and coverage rate now, the medical insurance divides rural resident, urban residents, urban worker into various grades and ranks, the amount of money that three kinds of person's medical insurance can use is different too. "So, the country basically used medicine the catalogue sets up two editions, one is edition at the basic level, use for rural residents; One is urban edition. " Xu Ge is good to think, should have no different discrimination of using medicine of this kind to rural resident and urban residents, "though this decides, can understand at the present stage because of a lot of national conditions of the peasants of our country, but by 2020, when the medical reform makes the phased goal achievement, two kinds use medicine the catalogue should unite two into one. " See the doctor, the face that can't see a doctor The sound outside the field: Mr. Wu in the provincial capital sent a mail for the reporter yesterday, Mr. Wu said, in recent years, though the momentum with overall upward medical dispute of all parts has been contained, the total number of medical disputes drops to some extent, but stop the corpse and is at a disturbance of the example and count, threaten the security of personal medical worker seriously the example is counted and remained high. Most serious of all, not because of the medical ethics and atmosphere of a few hospitals, the patient diagnoses the illness in hospital, unexpectedly should put up with doctor's temper, Mr. Wu meets such a thing, therefore, making a noise and curing the dispute constantly, he hopes the representative and committee member can call upon actively, improve the medical service quality. The propagation of sound in the field: Mr. Wu's voice spreads and enters the whole country two after the meeting through the reporter, arouses the attention from many representatives and committee members of National People's Congress in our province, deputy to the National People's Congress, study cloud, say to this by the intersection of Jiu San Society and the intersection of clam and the intersection of port and the intersection of municipal Party committee and main the intersection of committee and Su, hospital should raise medical service quality and the intersection of patient and satisfaction, regard scheme that get a permanent cure as preventing from medical disputing. Strengthen the construction of medical ethics and atmosphere on one hand, improve the medical level constantly, improve the environment of seeking medical advice, improve Service quality. On the other hand devote more efforts to doctor's positive propaganda, the doctor heals the wounded, rescue the dying, the model implementing humanitarianism. In addition, is Su XueYun the same as? Benzene Liang �Ϊ� Xi's flounder stirs according to wishing �� tip's ape to flash greedily Hand over to season greedy �� of vertebra Man competent the intersection of mould and �� �ȫ� is handed in season to steal Gu Zhyuan ��'s tired ��'s scull ���� from ��'s basket fervently greedily Shen move Liang �� greedy Ferment of Jie Ao's rake is small and thin Hold high Europe print, bake spit of fland over a slow fire father rake lucky frame Di thin confusingly? The intersection of wine and military quiet grandfather Chen, Business of Anhui, the intersection of tinkling of pieces of jade and horse fly to spring)

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