The representative and committee member discusses the system reform of the medical and health animatedly

The representative and committee member discusses the system reform of the medical and health animatedly
Implement the national basic medicine system in the basic unit in an all-round way. Set up and improve the basic medicine and ensure supplying the system, strengthen medicines to supervise, the security of guaranteeing to use medicine, reduce the medicine price and encourage all parts in the management system of the hospital conscientiously, respects such as medical service price forming mechanism and supervision mechanism,etc. probe boldly and improve the rate of joining insurance of the medical insurance of urban worker, resident steadily and join the shutting rate newly and agriculturally jointly. Want, shut while being agricultural not being new this year and the intersection of urban residents and the intersection of medical insurance and finance subsidize standard bring up to 200 finish rural tertiary hygiene serve network and urban community's hygiene serve organizational construction Task. The national per person's basic public health serves the funds standard and raises to 25 yuan and improves and advances some operation systems more of doctor this year, encourage the doctor to flow rationally among all kinds of medical organizations and open the clinic in the basic unit, it is difficult to see the doctor to pursue making a diagnosis to offer convenient health care service for the people and select from the government work report [the keyword ] in grades, guide a patient in no matter blowing and raining or heat severe winter in the hospital first visit at the basic level, been packed with people the registration office of BJ Union Hospital, they hold the stool, the intersection of roll and bed clothes, bring solid food, for can be able to register. In the past few years, the large hospital in the city just as a piece of magnetite is attracting the patient, and the hospital of the basic unit, the person seeing the doctor reduces a lot. The medical system should be one " The straight trigonometry " ,It is the large hospital to be sharp, cure difficult and complicated cases, the base is the hospitals of a large number of communities, cure the small disease, but one now " Pour the trigonometry " . "It is difficult to see the doctor, the main reason is developed fast with economy, people, to the healthy constant improvement of demand, and the medical resources of our country are insufficient in total amount, maldistribution, big cities have concentrated 80% high-quality medical resource. " Committee member Li LiMing, secretary of Chinese Academy of Medical Sciences, says. "In order to let more persons take a fancy to the disease, we implemented the service mode reform last year, tap the latent power medical resource, clinic quantity up to 2000 more than people, medical worker work load translate time than the past. But we find, come in person that sees the doctor, the one that got common disease had accounted for 80% after analyzing, these diseases can solve in the hospital at the basic level. " Committee member Xu Liang, Vice President of hospital of chief of institute of ophthalmology of Beijing, colleague, says. Xu Liang thinks, should implement the system of making a diagnosis in grades, keeps common disease, frequently-occurring disease in the basic unit, go to the large hospital to see in difficult and complicated cases. Provincial director representative Xu Ge Liang in Anhui thinks, the government should increase input, also study the mode of making a diagnosis in grades with strong operability, carry on the reform on operating mechanism. Representatives propose, can pass the limitation in submitting an expense account in the range, amount, proportion etc. of system of medical insurance, guide ordinary people to the hospital first visit at the basic level, the hospital at the basic level changes the place of examination to difficult disease and serious disease, so as to dispose medical resources rationally. [Doctor at the basic level of keyword ] trains the complete doctor, encourage them to work for basic unit the medical resources of countryside and community are few, it is difficult to attract qualified curing skill talents, service ability is generally not high, ordinary people have to go to the large hospital of the city to seek medical advice. The white white villagers of temple village of temple township of Pingliang in Gansu Province finish red precious representative's surveying and studying finding, the medical worker of the medical organization at the basic level not only the quantity is insufficient seriously, professional quality also remains to improve. White 11 villages and more than 11,000 people of temple township, there are 19 pieces of medical personnel, among them 9 people in what there are doctor's card and nurse's card. Last year, our country increased the input into service organization of health care at the basic level, the hardware environment of the medical service organization in the basic unit was obviously improved. "However, add the medical apparatus well in some commune hospitals, leave unused because there are no people can operate. " Bi HongZhen says. The condition of service organization of health care at the basic level is bad, the treatment is low, it is difficult to attract the professional medical worker to stay. Committee member of Chinese People's Political Consultative Conference(CPPCC) education, science, culture, health and sports committee Wu MingJiang proposes, accelerates basic unit's suitable for the cultivation of hygiene talentsing, implement school education, educating, complete doctor that educates on the job trains the plan after graduating; Set up the suitable appraisal mechanism of retaining staff, promote the mechanism and various security mechanism. Committee member Chen Zhu, minister of Ministry of Public Health, says, solves the masses " the difficulty and high cost of getting medical treatment " ,Must strengthen the medical care at the basic level, but too strong to get up quickly now, then will take some measures soon, for example encourage undergoing the complete doctor of formal training " Sink " ,Work for medical unit in the basic unit, offer them better treatment. Also recommend large hospital's and community medical organization's realizing benignly that interdynamic and changing the place of examination from head to foot. The large hospital and hospital at the basic level had better have direct interests to truss up the relation, personnel are ready to accept a higher or a lower post, in this way there can be the best doctor in the basic unit. [Keyword ] sees the doctor and implements the basic medicine system expensively, reform and raise and cure the mechanism to see the doctor expensively with medicine, also a question that the common people reflect strongly. 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, decline by a big margin. However, committee member Wang LiDong, dictorial supervisor of Zhengzhou University, points out, because of the improvement 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 has not been lightened, the absolute number of the expenditure of personal hygiene is still rising. See the doctor and let a lot of patient families cause expensively poorly and returning to poorly. "Such as the tumour patient at present, spend 100,000 to 200,000 yuan while seeing a disease, in that half can't submit an expense account through the medical insurance. " The committee member says that the subsidiary pathologic head of the department of tumour hospital of Tianjin medical university grandson keeps. "In the past, the country only gave the policy the hospital, compensated it little. Some large hospitals excessively check, excessively treat for survival and development, obtain incomes from medicines by every possible means, has formed the mechanism of raising medicine with medicine gradually. " Wang LiDong says, solves and sees the doctor expensively, should not merely increase input, reduce common people and pay the proportion, and should chop off and raise the roller chain of medicine with medicine. Otherwise, the government gives a lot more of compensation, will not reach the actual effect either. Wang LiDong proposes, increases the input in hygiene, medical and ensures input; Implement the basic medicine system in the large public hospital, it is empty and high to manage the medicine price; Reduce and check the expenses, return to the rational price. For seeing the doctor expensively, those peasants who suffer from serious disease realize deeper. Xu Ge's good suggestion, devote more efforts to subsidizing to the rural patient, further raises and submits an expense account the proportion, expand serious disease and succour the range, introduce the business insurance, ensure ordinary people to think highly of the disease through many channels.

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