From taking a fancy to the disease to think highly of the disease

From taking a fancy to the disease to think highly of the disease
Staff reporter Zhang CanCan Over the past 30 years, no matter the leader of the reform, or the participants of the reform are all struggling for the same dream, that to let the intersection of ordinary people and disease of China cure to some extent, let patient can enjoy medical the intersection of technology and happiness that fast development brings. It let on ordinary people cure 30 year ago to some extent disease,pregnant woman just before giving birth be gone to Shanghai in Gynecological and Obstetric Hospitals district level in hospital, two lying-in women have lain on all sick beds to discover, there is not a surplus sick bed at all. Having no choice, nurse has to let her sit in lie at the two bed of lying-in woman waiting to produce already, the sick bed was pressed and collapsed finally. Have gone through " The Culture Revolution " Great calamity,shortage it is serious resource in health care,diagnose the illness difficult, getting more difficult and it gives birth to that childing is difficulting in hospital, become deep memory to people of that times. Doctor, division of endocrinology of BJ Union Hospital, those years and let Ministry of Public Health cure the intersection of policy and the intersection of department and chief, review and say on a river: "There were little the intersection of Peking Union Medical College Hospital and monitoring device and event at that time, patient's requirement make, check sometimes, such as patting a X-ray slice, doctors should try to persuade him earnestly and maternally, through asking the medical history, checking the body can be diagnosed clear, don't take an X-ray! In the seventies of the 20th century, Peking Union Medical College Hospital introduced a X-ray machine of 500 milliamperes newly, everybody was terribly happy. " The question in front of hospital is unable to make ends meet for a long time, do the poorer. The berth is in exceedingly short supply, add the bed in the corridor, a lot of patients raise one's head and look and wait, even let go in the man's world in the course of waiting for the berth; The technical staff of the hygiene is in exceedingly short supply, doctor's working overload; The apparatus is in exceedingly short supply, the CT machine already popularized now, it was still luxury goods at that time. State that medical worker face to dry, do little and same more, be kind to be broken and same, getting the salary monthly, the patient comes to have no relations with own. On June 14, 1986, after it is celebrated that Harbin workers were yellow to jump to fall wounded, tossed about in bed in 7 hospitals, some hospitals said that there is not berth, it is unable to shoot the film that some say. After the 19 hour, can live House of Lords yellow to celebrate and jump and diverge from this world, make people hold one's own wrist. Yellow to celebrate and jump the incident after reporting in the media, the whole country is in an uproar. A famous scholar's speech at an internal seminar hits the nail on the head: Should see the public health work of health care can not meet the people's demands from this incident, and also see medical care lacks the evil consequence brought in competition. Must make the health organ produce a kind of inherent economic motive force and pressure, besides strengthening the education of medical ethics and atmosphere, the more important thing is to look for the outlet from the economic system reform, break equalitarianism and mess, arouse the enthusiasm that the medical worker worked. " doing exclusively, mess " ,Drawback of exposing the hygiene industry while developing. In 1985, the State Council offered the new thinking of developing hygiene industry: First, encourage doing and curing through many channels, increase and serve and supply; Second, delegate power, make concessions, invigorate, encourage creating income and self-development to the medical health organ; Third, the system of charging of the reform, to employing new instrument, new apparatus and project of making a diagnosis launched newly, can charge according to the cost. In short, direct against the imbalance between supply and demand, the solution is to arouse all strength that can be aroused to develop hygiene industry, let ordinary people have places to see the doctor, difficult to analyse and explain and see the doctor! At the end of 1992, the 14th National Congress of the Communist Party of China (CPC) proposes clearly, sets up socialist market economy system in our country. From that time, each shows his special skill in the hospital, give play to the role of market regulation actively, expand the channels that the hygiene raises funds, propose �{'s efficiency. Hospital administrators are clear, according to national conditions and national power, the country has no ability to wrap up the development of the hygiene industry completely. "Develop and lean against the country, having a meal depends on oneself! " The hospital should survive, must attract the patient by good service and can't refuse patients except thousand li again. In the course of improving medical care, each hospital may be said the Eight Immortals crosses the sea, each shows his special skill. Then, giving birth to the child has " warm easy rooms " ,The husband can come into the delivery room to accompany and produce, it is in confinement that the lying-in woman can also finish giving birth to the child in the hospital; There are landscaped roadways in the emergency call, do not know which number should be hung, there is nurse's whole journey that leads examining for you; For convenience working clan, the hospital also offers the clinic at night, serve patient for 24 hours. In October of 2000, the children's hospital of Chongqing took the lead in pursuing doctors and patients to communicate to make in the whole country, stipulate the doctor while connecting and examining, should take the initiative to infant relatives to introduce disease diagnosis situation, main treatment means, serious consequence,etc. that the important purpose, result, medicine side reaction,etc. that check may be caused. In order to ensure the smooth implementation that communicates and makes, the hospital still trains all medical personnel, and establish the system of ensuring correspondingly. After doctors and patients communicate and make two years, the contradictions of doctors and patients of this institute are obviously reduced, doctors and patients' dispute obviously drops, patient's satisfaction to medical personnel is up to 94.7%, has reduced to the appeal that the condition does not understand by 20%, the unclear appeal of the expenses has been reduced by 88%. This action was the popularization of Ministry of Public Health later. Nowadays, common people have already enjoyed the achievement of development of hygiene industry. Announce, the hospital quantity grows from 9293 in 1978 to 19852 home in 2007 according to the statistical yearbook of China's hygiene of 2008; Doctor's quantity grows from 1153234 people in 1980 to 2012914 people in 2007, the nurse grows from 465798 people in 1980 to 1543257 people in 2007. The health organ berth counts 3,701,100 which grows from 2,041,700 in 1978 to 2007. Every a thousand technical staff, hygiene of people, count from 2.85 people for 1980, develop into 3.66 people for 2007. Let ordinary people think highly of the disease hospital and advance on the inertia runway that seeks development at a high speed, but government's annual appropriation only took gross income of the hospital averagely 7% - 8% , Great prescription, checking excessively, excessive medical treatment are condemned, the public beneficial desalinization of the hospital. Made a appendicitis operation, only cost more than 80 yuan in the past, though the operation fee of now did not change, but with how much gauze, how much bottles of brine, how much apparatus, how much medicines must charge one by one, calculate that it costs thousands of yuan to come down. The ordinary people lacking medical treatment and ensuring begin to complain incessantly expensively in order to see the doctor: " the ambulance rings, a pig is raised in vain " ," live last time institute, live and do in vain in one year " . Have exactly seen it is tended to that some in the reform is bad, in 1997, the Central Committee of the Communist Party of China, the State Council issued " Decision on hygiene reform and development ", have defined the hygiene industry of our country is the social public service implementing certain welfare policy, reaffirm the government shoulders important responsibility for developing hygiene industry. In 2003, the third national hygiene service investigation result that Ministry of Public Health carried on revealed: Our country in urban and rural areas occupies The proportion that the people should go to a doctor but not go to a doctor rose to 48.9% from 36.4% of 1993; The patient should be in hospital but not the proportion in hospital is up to 29.6%; In in hospital in the patient, proportion left hospital ahead of time to put forward 43.3% voluntarily, more than 60% among them leave hospital ahead of time because of affording the relevant expenses; The proportion in hospital is to rise to 75.4% from 63.7% of 1998 even more that peasants should be in hospital but not; Send to and return to poor peasants and rise to 33.4% to account for all poor peasants' proportion poorly and due to illness due to illness. At this moment, the related departments propose too, to solve and see the doctor analyze the reason expensively, one should: The health care industry is developed unbalancedly, resources are insufficient to exist as wasteful use of resources, it is serious and insufficient to put the finance into, and present the downward trend year by year. In the 80s and 90s of last century, the hygiene expenditure has accounted for 6% of total expenditure of government for a time, by 2002, drop to 4%; The medical insurance is developed slowly; Medicines and medical equipment are produced and circulated disorderly; The operating mechanism of public hospital is unreasonable, exist and chase favourable inclination; The supervision of the medical market of the government does one's best. Unless lie in old complaint government responsibility omission, so must strengthen by government leading factor, only by "treat the head when the head aches, foot be cured by footed to be ached " Partial readjustment,helpless to problem settlement. In 2003, after overcoming epidemic of SARS, the Central Party Committee put forward the human-oriented scientific development view, the pool which pays close attention to economics and society is developed, pay close attention to the hygiene work, set about to solve and lay stress on curing instead of make light of defending, valueing city more than the disadvantage of the countryside, in the public health, great disease prevention and control, the rural hygiene builds and establishes new rural cooperation medical treatment system, respect of advancing the development of urban community's hygiene, improving the social medical insurance system in a more cost-effective manner etc. has adopted a series of great action. The government pays close attention to people's livelihood unprecedentedly, has brought the new opportunity to development of hygiene industry. In the annual government work report, the exposition to the hygiene work is more and more detailed, the input of the finance to hygiene obviously increases, government's leading hygiene is developed, further adjust the expenditure structure, increase public products and proportion of the service. The hygiene is put into and can't be only regarded as the economic account, should be regarded as the people's livelihood account even more, has already become the common understandings of the governments at all levels. From 2002 to 2007, government finance use for expenditure of hygiene reach 629,400 million totally, increase by 358,900 million yuan 5 years by one having, have increased by 1.27 times. The expenditure that the state revenue is used in the health care increases year by year too, will reach 83,200 million yuan in 2008, the public proportion put into the all-inclusive cost of hygiene began to rebound, in 2006, the expenditure proportion of government's hygiene was up to 18% in the all-inclusive cost of the national hygiene, 3 percentage points that relatively in 2001 to rebound. Qinghai Province Tibetan Autonomous Prefecture of Haibei Qi Lian County in the Northwest proposes loudly, take the way of the rich hygiene of poor county. This general fiscal revenues have poor county of 11,650,000 yuan only, the operation expense expenditure of the hygiene accounts for 10% of the expenditure of the whole county in 2007, the operation expense expenditure of the hygiene will account for 14% of the expenditure of the whole county from January of 2008 to October, at present, have already included salaries to workers of medical organization such as the county people's hospital and health clinics in towns and townships,etc. in the financial budget, allocate funds fully, has unloaded the heavy burden of the hospital. The medical worker greets patients in smiling face, the development of hygiene industry is overflowing with vigor. In order to reduce the medical expenses, from 2000, the health care system begins to implement medicines and concentrate on bidding and purchasing the system. This system has played certain function of lightening the burden. The hospital takes action rapidly too. Peking University third hospital crowd, do, in hospital day moisture equally, drop 9 day to already day in hospital while being average. The affiliated hospital of medical college of Jining pursues the forced quotation of single number and charges from 2004, charge to 128 pieces of form number implementation forced quotation progressively. By the end of September this year, this institute accepts 21675 patients of forced quotation for medical treatment together, save the hospitalization cost to reach more than 26 million yuan for the patient. Ministry of Public Health statistics show, in 2006, 4198 hospitals implemented single number (more than 5 kinds) in the whole country Forced quotation charges, accounts for 22% of the total number of hospitals. Implement the hospitalization cost in the whole country " The list is made on the first " Hospital 11,900,what has been accounted for hospitalled total number 63%. 242 regions and the above cities diagnose auxiliarily that it is open to check a form in the whole country, there are 5791 to participate in hospitals. On October 15, 2007, the 17th National Congress of the Communist Party of China (CPC) is held in Beijing ceremoniously. The meeting proposes clearly, by 2020, the goal of development of hygiene is that everybody enjoys the basic health care service. In October of 2008, the medical reform scheme will " raise and cover the head " ,Collect the opinion towards the society. The Central Economic Working Conference just finished, decide that will have " protected to increase, expanded the domestic demand, adjusted the structure " for the economic work of next year 9-word policy,and it put forward last people's livelihood starting point and standpoint when it protect it increase. And improve the social security system in urban and rural areas and let ordinary people's disease be cured to some extent, undoubtedly protect the greatest subject of the people's livelihood, also a opera involving much singing and action of the new round of medical reform. In order to realize the goal that the disease cured to some extent, the system reform of the new round of health care has already blown the clarion call.

|