The pilot opinion of public hospital reform of Yunnan: The thing fee medical insurance of medicine " It is single to bury "

The pilot opinion of public hospital reform of Yunnan: The thing fee medical insurance of medicine " It is single to bury "
Yesterday, (Yunnan) Website's announcement of department of public health of the province <>Hereafter referred to as " the opinion ", city first class should plan to be transformed as the hygiene service organization of the community according to the regional hygiene by hospital of part seconding; After cancelling the addition of medicines, cover the loss through measures such as raising an increase of the medicine thing service charge, and bring medicine thing service charge within the medical insurance. The first and second class hospital in the city changes the opinion draft of community's hospital to stipulate, the hygiene administration above city level of the setting up area (including the management of traditional Chinese medicine) The department plans the requirement according to the planning of regional hygiene and medical organization structuring of area according to each duty, to resident's medical care demand and economic development level in the area, discuss and make this grade of arrangement and development plan that government is responsible for holding the public hospital, through calculating conscientiously, define the classification, quantity, scale, overall arrangement, structure, functional demand and large-scale medical device layout standard of all types of public hospital. The first and second class medical organization mainly offers services such as making a diagnosis, wounded or disabled recovering, chronic disease treatment of common disease and frequently-occurring disease,etc.; The tertiary hospital is mainly engaged in the making a diagnosis of urgent critical disease and difficult disease. Fully want utilizing and existing health care resource of rational distributions, newly-increased hygiene resources must accord with the regional hygiene to plan. To some public hospitals, there can be plans, relocate, combine, make the transition and reform system etc. according to the step, promote the optimization adjustment of the structural overall arrangement of public hospital. City first class should plan to be transformed as the hygiene service organization of the community according to the regional hygiene by hospital of part seconding. Define second more than public functional demand of hospital, put forth effort improve the intersection of basic unit and medical service ability and competence of health organ, guide and regulation and control that produced prices, basic medical treatment ensured being paid the policy etc., guide and generally make a diagnosis and sink it to the basic unit. This time the public hospital reforms one grade of pilot cities that confirms Qujing as the provincial connection in the province; The People's Hospital of third in province is the pilot unit of the provincial comprehensive reform. Other states (market) Can declare for the provincial pilot city, can choose 1- 2 public hospitals at the county level and above to do the pilot project of the reform by oneself too. Cancel the medicines addition government and replenish the funds and compensate the public hospital by the service charge progressively, medicines the intersection of addition and income and government subsidize change into service charge and government subsidize two channel by three channel. Service charge and government subsidize the proportion according to national relevant regulations, consider the functional demand of the hospital, medical treatment ensures fund endurance, local financial ability, income level of resident in urban and rural areas and fixes factors such as the endurance of price adjustment,etc. rationally. Cancel the medicines addition policy progressively, to the reasonable income reducing therefrom of public hospital, take measures of setting up the medicine thing service charge, adjusting some technological expenses standards of services etc., ensure funds to be bought and served the route of paying etc. to compensate through increasing government's putting one's back into and medical treatment. The medicine thing service charge is according to the medicine thing service cost in principle, and consider synthetically factors such as social endurance,etc. are fixed rationally, include in the range of ensuring submitting an expense account of basic medical treatment. The norm books procedure and content of making a diagnosis to serve, popularize the clinic and clinic on vacation at night, try the elastic work system of the clinic, the unblocked emergency call landscaped roadway, implement the urgent slow disease and divide and rule, improve admitted to hospitalling, service procedure of leaving hospital, reform the medical chargeable service and manage and settle with medical insurance and serve measures such as management,etc., make great efforts to shorten patient waiting time, improve a patient and seek medical advice and experience. Further standardize the clinical care, attend to and undertake to do a job until it is completed and attend to the mode with responsibility wholly. Set up the specialized agency to manage and put forward in the public hospital suggestion draft, the people's government in the province is responsible for holding and undertaking the difficulty critical disease making a diagnosis and giving treatment, medical scientific research and provincial medical center with comprehensive functions of teaching; The county is (municipal or district) One grade of people's governments is mainly responsible for holding the public hospital at county level; The other public hospitals are held by people's government at city level of the setting up area. According to the principle that the supervisory function of medical care separates from that the medical organization holds the function, advance government's hygiene and other departments, possession of the state-run affiliated hospitals of enterprises and institutions to manage, realize the unified management of the public hospital progressively. The conditional area can explore that set up the specialized agency, is responsible for assets management, financial affairs supervising and engagement of the hospital chief leading cadre of the public hospital, set up coordinating, unified, high-efficient management system of public hospital. The new mode confirms the function, quantity and scale of public hospital rationally to make the investment and set up to explore the third party. Until regional hygiene plan, want the public Chinese medicine (national medicine) Include in the regional hygiene and plan, keep public Chinese medicine (national medicine) Overall arrangement and structure of the hospital are rational. According to the principle that the government affairs separate, make the relation between administrative department of the government and public hospital in order, health authorities should reduce the control over concrete affairs of public hospital, put main energy in regional planning, trade supervise with the policy and make. Regard in charge of building separatinging as the breakthrough point, explore the medical treatment of establishment invests the group (or the centre) Wait for diversified forms of third parties to invest in the construction of the new mode of public hospital, in order to accelerate public hospital's building developing steps. (the information newspaper of Yunnan)

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