Saturday, June 16, 2012

The public hospital of Yunnan reforms Will realize 3 years later " Serious disease does not go out of the county "

The public hospital of Yunnan reforms Will realize 3 years later " Serious disease does not go out of the county "
The focal point of the reform of public hospital of our province is put to the hospital at county level this year, this and public hospital reform in the past two years differ widely, then how will our province change, what standard is reached? Yesterday, the hygiene working conference of the whole province was in elder brother's convocation. It is reported this year, the whole province realize basic the intersection of medicine and system cover all, raise funds jointly while being agricultural while being new horizontal per person reach more than 200 yuans. 129 hospitals at county level of the whole province are up to second first rate chief of department of public health of province to think oldly the people introduce, the State Council held the national medical reform working conference last week, put the focal point of the reform of public hospital to the hospital at county level very clearly this time, from bottom to top, easy first and difficult later. "Yunnan Province require every tertiary hospital want, responsible for three hospital at county level of the above, we have 28 tertiary hospitals, try to help to 54 hospitals at county level, and there are our provinces of coordinated cooperation of 19 tertiary hospitals in Shanghai, will help 57 hospitals at county level again. " Think oldly the people say. Think oldly the people propose, the reform should promote ability and level of the hospital at county level progressively. "We require the tertiary hospital to support the hospital at county level to let the hospital of local county up to the level of second first rate hospital in three years, second first wait for popular to say, solve common serious disease, can realize in this way serious disease does not produce the county. " Think oldly the people say: "Helping, working to the hospital at county level, the tertiary hospital of our province has been all doing all the time, the helping geared to the needs of the job of 19 hospitals in Shanghai had already begun too last year. Begin the reform of the public hospital from the hospital at county level, our province has already established certain foundation, our province will comb and look this job later in the near future, the hospital at county level helped lacks anything, will mend anything soon, the hardware software should meet the requirement of second first rate hospital. " Think oldly the people say, try to solve 50 hospitals at county level this year, will solve 50 more a house of hospitals at county level next year. Through the efforts from two to three, 129 hospitals at county level of the whole province can reach second first rate hospital level. In the past two years, the country regards Kunming as the pilot city of the national public hospital reform, our province confirms pilot city, as Yunnan of Qujing, the People's Hospital of third in province is that the province is directly subordinate to the unit pilot unit of reform of medical treatment. Think oldly the people say, some operation respects carry on some attempts first to introduce the social capital and transform, expand high-quality medical resource scale, also obtain better achievement, the central question that but not involved management system, operating mechanism, supervision mechanism's comparing with these such as financial compensation mechanism. Begin the reform from the hospital at county level this year, these key problems will all try and open ice one by one. Base medicine of the whole province is realized and covered for this year completely this year, realize the whole cover of the basic medicine system in the whole province. At present, the area where our province implements the national basic medicine system involves 16 states (market) in the whole province 97 piece county ( Municipal or district) ,Cover 36,420,000 of population, accounts for 84.05% of the whole province. After implementing base medicine, the price of medicines is cheap 15%. The meeting requires the basic medicine of norm to be purchased, provided and delivered and used, monitor and appraise the basic medicine system job to all parts. Also regard making residents and seeking medical advice to serve and enclose the goal, the focal point, to the state (market) for 15 minutes as Government site 20 district ( City, county) , 6 county-level city, Zhenxiong and Tengchong,etc. amount to 28 districts in the 2 counties ' City, county) 188 community health Centers set up carry on the function transformation. Meanwhile, start over 20 medical organizations of our province and carry on the project pilot project of the health. To half the tumour being high to afford to take place, realize and dispel the measles goal; Realized in 2017 that dispel the malaria goal. The morbidity of hepatitis B further drops, the carrying rate of surface antigen of the whole crowd is dropped to under 6%, under the age of 5 crowd lower than 1%, the whole the intersection of crowd and third liver infection rate control at lower level. By 2015, the monitoring point of AIDS reaches 210, AIDS patient's free therapeutic number of people reaches 47,000. And set up 20 pieces of chronic disease and prevent and control the demonstration area synthetically. Take action, cover the whole province 50% county the intersection of the whole people and healthy life style, sift and check in 50% key the intersection of malignant tumour and hotspot at the same time. Examine a patient and measure the system of blood pressure for the first time in the medical organizations at all levels pursue 35, the community above 80%, medical health organ of villages and towns launch blood glucose to determine that serves, support hypertension patient and diabetic free drug therapy in the poverty-stricken area. Will set up the hot line of giving up smoking free by 2015, health levels of urban and rural residents are up to 10%, crowd smoke rate drop 3% at existing foundation, passive the intersection of smoking and rate drop 10% at existing foundation over the 15. Set up the hot line of giving up smoking free, will establish medical health organ, the school, unit smokelessly smokelessly smokelessly actively, set up intact tobacco and control the monitoring system. By 2015, the rural pregnant and parturient women's rate of giving birth in hospital is more than 85%, the system management rate of pregnant and parturient women is up to 80%, bear for the intersection of the whole province and countryside with pregnant to augment folic acid free while being early before the pregnant woman. Neonate's hereditary supersession disease sifts checking the coverage rate reaches 80%, neonatal hearing sifts checking the coverage rate reaches 50%. HIV's infection or syphilis infects pregnant and parturient women and baby given birth to and takes and prevents the intervening measure rate of mother-to-baby transmission from being more than 90%. Shut per person, reach 200 more than this year while being agricultural while being new, the whole province raise funds jointly while being agricultural while being new each competence reach more than 200 yuan. Want, improve at the basic level the intersection of health care and service ability constantly, raise, share the intersection of institute and expenses, wipe out proportion while being agricultural while being new, include clinic common disease, frequently-occurring disease and serious disease psychosis clinic expenses in the pool and pay the range for, expand serious disease and cure the number range ensured for a long time progressively, realize and join and shut to personnel to seek medical advice in the area of pool independently and settle account immediately in an all-round way. In twelve five periods, set up and raise funds and increase the mechanism dynamically, shut to individuals and pay the fees and account for per person to pay the fees newly and agriculturally the proportion is up to 20%-30%. Raise and submit an expense account and compensate the proportion in hospital, expand the special case of great volume clinic and compensate number range, pursue medical guarantee of great disease such as children's leukemia, congenital heart disease in the whole province, and expand number range appropriately and improve the guarantee level of the great disease in hospital special to the clinic, through connected, make great disease ensure competence not to lower than 80% with the system of medical rescue. Reporter Chen Na

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