The medical reform will strengthen the top floor of the reform to design this year Attack the public hospital reform pilot project mainly

The medical reform will strengthen the top floor of the reform to design this year Attack the public hospital reform pilot project mainly
Author: Li HongMei After the basic medicine system is implemented, the price of basic medicine drops by about 30% on average, the rural masses with stronger price sensitivity are comparatively strong when making medicine into the result to experience At present, the problem that the basic unit of our country raises medicine with medicine is being solved progressively, continue solving the problem that the county hospital raises medicine with medicine this year, offer the experience for reform of the large public hospital The new method of bid and purchase is managed " The medicine price is empty and high " Begin, work, medicines quality get assurance too, masses get from the real April such as favor, the office of medical reform of the State Council organizes development to concentrate on supervising and guiding the reasearch project in the first quarter of 2011 years. Supervise and guide and survey and study and is divided into 8 groups, is taken the lead by national development and reform committee, Ministry of Public Health, the Ministry of Finance, human resources and social security department separately, relevant the intersection of ministries and commissions and leader lead a group of people, launch, concentrate on, divide to the intersection of medical reform and key work block supervise and guide and survey and study. This year the medical reform assault fortified position annually, when can the burden of seeing the doctor of ordinary people lighten? When does the public hospital reform face straightly and raise and cure the mechanism with medicine? Whether the bid price of the basic medicine is " It is empty and low " ? The reporter has interviewed this. When can the burden obviously lighten to see the doctor? A few days ago, an investigation result of www.people.com.cn revealed, 60% of the net friends thought the medical reform " basically came to naught, the difficulty, medicine price are high to still see the doctor " . According to the statistical communique of Ministry of Public Health, the absolute number of ordinary people's personal hygiene expenditure is still rising, it will be 509,870 million yuan in 2008, it will be 657,080 million yuan in 2009. Perhaps this is that the ordinary people still feel and see the doctor expensive reason. Undeniable, as a whole, because of the increase of health demands of masses, and the environmental improvement of making a diagnosis that the key element price of technological progress, service rises, and the influence of a great deal of factors that aging population, disease table are changed,etc., the real burden of the hospitalization cost of ordinary people is not obviously lightened yet. In fact, with the implementation of every policy of the medical reform, especially the increase which the government put into, the proportion that resident's personal hygiene expenditure accounts for the all-inclusive cost of the hygiene drops progressively. In 2009, the resident personal hygiene expenditure of our country will account for 38.19% of all-inclusive cost of the hygiene, compared with 58.98% of 2000, decreasing amplitude is very big. Meanwhile, after the basic medicine system is implemented, the price of basic medicine drops by about 30% on average, comparatively speaking, the stronger rural masses in the basic unit, especially price sensitivity are comparatively strong when making medicine into the result and experiencing. This part of crowds are not the main colony participating in the network to investigate exactly. In addition, " the difficulty and high cost of getting medical treatment " Question stress reflect public hospital, but public hospital reform, yet have relatively loud disparity from person's expectation. Last year, the public health Wu Ming, Vice President of institute in Peking University was regarded as the person in charge of the seminar, survey pilot city of 16 public hospital reforms. The investigation finds, the inside of the hospital manage the reform more obviously in effect, but have on the macroscopical aspect, the result is not as good as the anticipated one. She analyzes the reason, one because the aspect that the reform involves is complicated, second, there are not available experience and ripe mode that can be imitated, need exploring constantly in practice, so it is impossible to accomplish in one move. National development and reform committee Deputy Director, medical reform Sun Zhigang, director of office of the State Council think, present the people's requirement for solving the difficulty and high cost of getting medical treatment is more urgent, full of expecting to development of health care industry more, so long as system design is apt, will be well received by the people and support. He points out, will " pass and serve innovation in public hospital reform this year, popularize the facilities for the convenience of the people of Huimin in an all-round way, make the people experience advantage and material benefit that the medical reform brings as soon as possible. " How does the public hospital get rid of and chase the favourable mechanism? Public hospital reform, will have break-throughs in raising and curing the mechanism with medicine this year? "Mend and cure the policy to evolve under the market economy condition into one progressively and chase favourable mechanism with medicine. It was public beneficial that this kind chased favourable mechanism to weaken the public hospital day by day, endangering the people's interests day by day. Unstandard behaviors of making a diagnosis such as the big prescription, abusing antibiotic, excessively treating, unreasonable and checking,etc., and ignore the question of cost,etc., has raised the hospitalization cost, has tightened the relationship between doctors and patients, if things go on like this will diminish the health quality of the entire Chinese nation, will jeopardize the harmonious stability of the whole society. " Sun Zhigang thinks, the mechanism of mending medicine with medicine needs the reform urgently. He points out, the public hospital reform pilot project is the main direction of one gram of a difficult ones of assaulting fortified position this year. How to make a change? He says, will strengthen carrying the design of storey of public hospital reform, at the same time, should be in management system, compensation mechanism, employing mechanism and assigning the mechanism, medicines and apparatus purchase and supply mechanism, respects such as internal mechanism of management, means of payment of medical insurance, supervision and management system, mechanism of upper and lower division of labor and coordination of work, medical price forming mechanism,etc. carry on the comprehensive reform, build up the new system mechanism of public hospital again. Recently, it is clear that State Council office releases " pilot job placement of the public hospital reform of 2011 years ", the public hospital reforms and pushes open by different level, the hospital with the county of this year is in order to reform the focal point, carry on the comprehensive reform. Secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao points out: "At present, the problem that the basic unit of our country raises medicine with medicine is being solved progressively, continue solving the problem that the county hospital raises medicine with medicine this year, offer the experience for reform of the large public hospital. " He has analyzed and chosen the county the hospital as the reason of the key reform target: First, the county hospital has covered about 70% of population in the countryside, the expensive current situation of ugly disease that will relieve the rural area and see the doctor after the reform; Second, the membership of the county hospital is relatively simple, do not belong to university, ministries and commissions, army,etc. as a lot of city large public hospitals; The majority is state-run, and small in quantity, the classification lacks, it is apter to move forward to reform; Third, the local government is quite enthusiastic, glad to support the county hospital to come back public beneficially; Fourth, the enthusiasm of the reform of first class medical worker in the county is relatively high. Win a bid and reduce medicine quality at a low price? At present, nearly 60% of the governments in the whole country run the medical health organ in the basic unit and already implement the basic medicine system. As requested, these basic medicines will adopt the new bidding method to call for bid, provide and deliver. Anhui, Shandong and other places have already purchased the basic medicine according to the new method successively, the result reveals, the basic medicine price decline in Anhui is half, the fall of price of Shandong is up to more than 60%. A lot of people are anxious " Win a bid at a low price " Will bring the medicines quality hidden danger. As to this, Sun Zhigang thought, saved grade bidding and purchasing in the past and only called for bid, did not purchase, by the intersection of basic unit and medical the intersection of health organ and two negociation price, result its appear provincial the intersection of bid and price higher than basic unit actual purchasing price, and it is difficult to ensure the quality of products that the organization at the basic level purchases medicines. The new method of bid and purchase is for these drawbacks and discuss and make, the purpose is to guarantee the quality of medicines preferably, reduce the price of medicines effectively. The new method mainly guarantees quality through 3 measures: First, consumption is great That if you can't last manufacturer directly, call for bid; Second, " one pair of envelopes " Make. Mark to technology at the same time and commercial affair mark go on, call for bid, technology mark get scores high? Mou make Qian of cottonrose hibiscus �� the intersection of great wave and the intersection of addiction and the intersection of Xi and the intersection of �� and the intersection of plum and value, my darling of Chang, steal milk, accumulate ��, locust of ��, live abroad �� carbon beak Peng? Meanwhile, 3 measures of purchase, making payment to promoting trade and investment, finance of manufacturing enterprise directly in enormous quantities etc. that the new method adopts create the space for enterprises on a price reduction. "The purpose which we concentrate on bidding and purchasing, in order to purchase to the high quality products with low price, on the premise of guaranteeing quality preferably, certainly the low one of price wins a bid, this is a current method in the world too. " Sun Zhigang says. He says, Anhui Province has finished a annual basic medicine and purchased the work according to the new method, the overall level of the quality of medicines is improved. 34.6% of the medicines come from 2009 in the enterprises of the medical enterprise comprehensive rank top four, 57.6% of the medicines are the products which rank the top 400 enterprises. So far, through covering inspecting to the basic medicine supplied by random samples completely, has not found the basic medicine quality safety question together. Meanwhile, the basic medicine has been delivered to location rate and has already been up to about 95% in two days, is obviously higher than centralized purchasing. "Practice has proved, this new way has been greatly improved more than the old method, certainly also need to improve constantly in practice too. The medicines price of now has been lowered, the quality of medicines gets the assurance too, medical organizations at the basic level are generally satisfied, prove new method control ' price timid and high medicine ', begin to work, the masses have received material benefit. " Sun Zhigang says. The medical reform is a world difficult problem. Sun Zhigang thinks, frequently, the interests game involves government, the masses, hospital, medical worker, manufacturing enterprise, enterprise in circulation,etc. in many ways, each side has each side's reasons, stand up each other synthetically contradictorily, in this case, "on the premise of satisfied with the people's interests at firsting, and then appropriate to handle other the intersection of side and interests well, this is the basic principle that we should adhere to. "

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