The committee member of Standing Committee of the National People's Congress calls the medical reform " It is not capable enough that the thinking has measures "

The committee member of Standing Committee of the National People's Congress calls the medical reform " It is not capable enough that the thinking has measures "
"The core of the system reform of the medical and health, it should be the public medical administrative structure reform. The Central Committee of the Communist Party of China, the State Council determined to implement the system reform of the medical and health in 1997, goal, guidelines, basic principle, main content and basically the same now of reform. Why is not there great breakthrough for so many years? " This morning, divide into groups and review the report on deepening the system reform working condition of medical and health of the State Council at the 18th meeting of the 11th Standing Committee of the National People's Congress, pursue a committee member on dark day to say, proposed " everybody enjoys the basic health care to ensure " in 1997 ,And " the public hospital reforms " ,But reform and still carry to the public hospital at present " The ones that want progressively, safe pilot project " . It seems, only resolution can't solve the problem yet, should dare to move forward. The public hospital reforms: Should replenish some committee members of standing committee of National People's Congress of ordinary people, deputy to the National People's Congress attending the meeting without voting rights and agree on this. Committee member Fang Xin says, the medical resources above the centralized our country 95% of public hospital at present, how to reform the importance very. The more important thing is to separate the public hospital publically and profit-generatingly. Thinking have now, but the measure is not capable enough. The public hospital reform was linked to the reform of the whole public institution, hope the reform scheme of public institution can be issued as soon as possible. "Why is reform of public medical organization so difficult? The core has lain in obscuring basic public medical care and profit-generating medical care - -While accepting that pulls out the fund in finance, will develop oneself by creating income. " The horsepower of education,science,culture and health committee's committee member of National People's Congress says, the public hospital reforms, medical treatment ensures expense supply the ordinary people's direction to be right - -A large number of subsidies of the state finance should be given to the demanding party, but not give to the supplier. It want it let vote foot demanding party,which hospital high in quality in medical treatments, which hospital convenients it is, which hospital treatment I get. Let ordinary people have more choice rights. But public hospital reforms competition mechanism it is not enough at present. Committee member Ren Maodong says, the public hospital reform policy put forward in the report is, in charge of doing separating, medicine to separate, profit-generating and non-profit-making and separate, it is still calling upon statement. Medicine seems to break through to some extent separately, but the applicable scope is limited, still can't relieve seeing the doctor expensively, difficult problem of seeing the doctor. "Medicines account for the proportion that the hospital charges to drop to some extent at present, but in two first large above hospitals, use the heavy-duty equipment and import the medical consumptive material to excessively check and excessively make a diagnosis and already become its main channel of article 2 that accumulates wealth by unfair means, the straight line rises to account for the proportion of its income in recent years. Because the medical care that the large hospital offers is serious and in short supply, and the manpower cost of medical care is soaring constantly, it is inevitable that the price which the hospital serves rises. If the public hospital reform does not return to public service, it is difficult to solve seeing the doctor expensively, difficult problem of seeing the doctor. " He further says, country, individual and enterprises and institutions put one's back into the medical insurance in a large amount, but it is the better that the operating mechanism of the hospital still earns the patient to the more money have. As a result, the government puts into increasing constantly, but the medical fee increases faster, patients can not receive material benefit in fact. Advise the government to force the hospital to change its operating mechanism, lower hospitalization cost. Government related departments should study further, how handle organization, go on, control to hospitalization cost through the intersection of third party and medical insurance that pay, make the government put into the true flower and get on the patient. Deputy to the National People's Congress attending the meeting without voting rights, Liang BingZhong, chief of institute of Chinese materia medica of Chinese medicine of Chinese University of Hong Kong, say, find out from the report, cure at present and change in five great projects, the most backward, most difficult to advance, it is the public hospital that reforms. He proposes, can launch a pilot project by reducing the method to make profits, " some teaching hospitals that I am familiar with, every year gains and unexpectedly exceeds 1 billion yuan; Follow the small hospital at county level of our cooperative poverty alleviation, every year gains and exceeds ten million yuan too. The public hospital reform does not reduce and make profits, the basic medicine system is difficult to give play to, it is unable to move even a single step too that the medical system of the basic unit sets up. " Excessive inspection: It is a new system that this medical reform put forward to offset the basic medicine system and reform the basic medicine system of the achievement. Point out in the report, so far, already 26006 governments ran health clinics in towns and townships and community hygiene service organization in the whole country to implement the basic medicine system, accounts for 51% of the total number. Anhui, Jiangxi, Shaanxi and other places push open within the range of the whole province first, zero difference lead basic the intersection of medicine and price sell, drop 30% about on average. In the grouping this afternoon is reviewed, how do many committee members improve, really solve the ordinary people " the difficulty and high cost of getting medical treatment " after pursuing basic medicine system Problem proposition suggestion. Committee member Ren Maodong thinks, the expensive, difficult problem of seeing the doctor that see the doctor at present as to whether the basic medicine system can relieve, should not overestimate. The expensive problem of seeing the doctor, not because the basic medicine is costly to cause, but is valued for using medicine on the structure. Especially it is higher to import medicines and consumptive material price. The proportion in the whole medicines are consumed of basic medicine is very low, according to the basic medicine price which the national development and reform committee announced last October, there are 307 kinds of basic medicines of national basic medicine catalogue now, there are 65% of the prices in under 10 yuan, the consumption of the basic medicine only accounts for about 10% of consumption of medicines. Ren Maodong thinks, forming mechanism has serious and insufficient or defects at the price of medicines, it is one of the reasons causing the timid high, doctor of the medicine price to take the commission phenomenon. He advises the related departments of the State Council to assess policies such as the current medicines pricing method and bidding and purchasing,etc. again, set up the medical price forming mechanism with reasonable science as soon as possible, cancel medicines and call for bid, manage the medicines ceiling retail price. Treat to the medicines enterprises both at home and abroad equally without discrimination, combine present many kinds of medicine catalogues, attack the wind of the commission of medicines in accordance with the law. Deputy to the National People's Congress, Xia JiEn, Vice President of market the People's Hospital of Sichuan Province Meishan, think, mainly there are two to cause expensive reasons of seeing the doctor: First, it is unreasonable to check the expenses; Second, the expenses for medicine are unreasonable. Check the expenses very high now, a lot of hospitals make profits by the monitoring device. 8 kinds of large-scale medical apparatuses must sanction being can be disposed in the past, it could bought so long as rich now. Horsepowers of committee member propose key of medical reform lie in, control expenses, could solve, see the doctor your problem, the basic medicine system has already been implemented, but the excessive treatment appears again and excessively use the high medical service price that the modern medical apparatus forms - -Now nuclear magnetic resonance, computer scan and Ultrasonography B popularize very much already, all at the basic level medical organization have Ultrasonography B, the intersection of color and ultra apparatus, costs several hundred yuan once, cost is too high. Change the place of examination bidirectionally: Some medical organizations are still expanding in summer blindly achievement kindness think, the difficult problem is the structural defect to see the doctor now. It is very difficult to see the doctor to get to the large hospital, but look in the hospital at the basic level The disease is not very difficult, base in that the hygiene is unreasonable in resource distribution. Wu Ri? �� night of chaste tree of good �� north Xing �� is taken off My darling swollen in the south for word of � Hong coin �� magpies poor last Xi is the ���� s fierce to try stupid to select U not to be last �� copies of �� Qi until the first day of the lunar month now after lasting Ga �� s luckied in sheath in Hui Shrimp's all brown Kui's lip of Na � dregs of 4 Xi health Mao �� Jian horizontal inscribed board all conspicuous �� climbed Lian Wu! Detailed knock lead on Hu mast uncut jade good fortune �� Du silent sheath apricot wash ostrich Ze of tool instrument 1 thumb last dregs of rice uncut jade ridge to freezing is main officer of Tibet beautiful to call out bucktooth Yin take off and stir for 2 times in Xun of � of Yu Huan after lasting junket to ���� Niu ��� lets out and dies young a promise bag and stirs apple � low bank � has the bag and stirs apple � low bank Ze's good fortune shelf bag stirs the �� discord of ��'s family of � stem of apples and beats Luan with a stick and dredges �� Buddhist nunnery swollenly to bare Ring the intersection of � and detailed mother Qin relatively Jie? Field jade State Scientific and Technological Commission person says, overstaffed everyday inside a lot of large hospitals now, the patient is in order to see the doctor, get up and line up to register in very continuous several days and half nights. Though related departments have taken some measures, it is not very smooth yet to run. Should relieve the difficult problem of seeing the doctor, the most important thing is the medical treatment of the clear different grade hospitals makes a reservation. The hospital at the basic level should solve some small disease, common disease, the large hospital solves the difficult disease. At present, ordinary people do not trust service quality of the medical organization at the basic level, all kinds of diseases are gone to the large hospital to see, and large clinic of hospital 70% watch the intersection of common disease and frequently-occurring disease while being about, need, get large hospital think difficult and complicated cases of expert have only 30% to be about in fact really. The large hospital and medical organization at the basic level should realize benign changing the place of examination bidirectionally, could solve the difficult problem of seeing the doctor, the public hospital pursued now and mode of the coordinated cooperation of hospital at the basic level, operation is not that a very smooth reason is mainly as follows, hospital service levels at the basic level are not enough; Changing the place of examination has no standard; The interests pattern was not made in order. The deputy to the National People's Congress Xu RuiXia uses one's own finding, works hard resolutly on proposing medicine changes to and implements basic medicine system and supporting policy conscientiously. Ministry of Public Health launches in health clinics in towns and townships and urban community commune hospital this year " A difference rate of medicines " Work, enter medicines of the hospital to raise the price through calling for bid, the gap is replenished by the government. This original intention is very good, but survey and study finding, have not totally achieved the goal. Find in research: In the past, enter the same kinds of medicines, county the intersection of hospital and price higher than the health clinics in towns and townships; Get to the prefecture-level hospital, the bid is a little higher; Get to the first class hospital in the province, the medicine price is higher. Then, the same medicine of same producer, there are 4 kinds of prices. Find some call for bid the intersection of medicine and price, higher than at county level the intersection of hospital and original bid now. For example health clinics in towns and townships whether 5 enter the medicine in the past, raise the price 50%, 7.5 can be sold; The hospital at county level may sell to a patient at 9 yuan; Now, call for bid but the price is 12 yuan. Medicines zero difference lead, government take replenish by one, mean the intersection of the supply and civilian, but entered the intermediate link in fact. As a result, implement " a difference rate of medicines " After calling for bid in unison, the government finance has increased burden, ordinary people see the doctor more expensively. So must implement basic medicine system and supporting policy, especially medicine price conscientiously, every medicines which enter the basic medicines catalogue, regard pricing of the national development and reform committee as the medicine price that a patient used directly, and stipulate all pharmaceutical factories should do duty, the production and sales of the basic medicine must finish certain amount every year, replenish the pharmaceutical factory in countries of various fields such as tax revenue. In addition, cancel the price markup of the commune hospital of health clinics in towns and townships, county now, the local finance is the 'mouth-feeding' budget, if replenish and can't put in place, will influence the existence of health clinics in towns and townships and community commune hospital directly. Staff reporter Li Wang YiJun Cui

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