People's Daily: There must be system guarantee while returning to public service in medical treatment

People's Daily: There must be system guarantee while returning to public service in medical treatment
Lifetime such as people, from catching to die, old age and illness the probably saddest, most helpless, so, let people " looked after properly in the old age, ill and cure to some extent " It is the goal of the harmonious society, it is the duty of governments of various countries too. One of the important tasks of the serving government, it is to offer serving and basic medical care of public health that people take. The development of the health care industry of a country, though and its economic development level is closely related, arrange and ensure playing an essential role too in its public policy, system. From the beginning of the eighties of the 20th century to the 1990s, with the reform, transition of the economic system, the great change takes place too in the health care system of our country: The medical health organ turns from single public ownership into many kinds of ownership to coexist; The relation between different health care service organizations moves towards competing from the division of labor and coordination of work in an all-round way; The service goals of public hospital and even public health service organization are the main fact in order to mainly change into pursuing the economic goal benefit from pursuing the public service goal. The positive achievement of this kind of change is, the health care of our country is equipped and improved with the level greatly, some have already reached the international most advanced level. But really presented some passive consequences, it is mainly the fairness decline of the medical care, the macroscopical efficiency that the hygiene is invested is low, the difficulty and high cost of getting medical treatment of common people has outstanding question day by day, it is healthy it not only influences people, also bring a series of social concern. In order to reverse this kind of trend, since the middle period of the 1990s last century so far, our country implemented the reform that basic medical treatment ensured the system, will begin the new medical and health system reform in 2009. The focal point of the new medical reform is: Accelerate advancing basic medical treatment to ensure the institutional improvement, make urban worker and resident basic medical insurance and rate of joining insurance of new rural cooperative medical service raise to more than 90% in 3 years; Set up national basic medicine system tentatively, include all basic medicines in the catalogue of submitting an expense account of medical insurance medicines in 3 years; Perfect the service system of health care at the basic level; Set up unified resident's health file in the whole country progressively; Advance the reform of public hospital. Advance the reform of these, aim at implementing the public service properties of the health care industry, regard basic health care system as the public products to provide for the whole people. Recent publication from this edition " Why does it see the doctor so expensive " 3 letters from reader can find out, the new medical reform is implemented, raise medicine, excessive medical treatment, interests chain born by the patient finally with medicine, still exist in analogous to the ranging, we have published reader's analysis on their reasons too, view of a edition and some medical workers of key reflection of today. Though visual angles are different, is basically the same that people treat the cognition of the system drawback and hope of letting the public hospital return to public service in practising medicine now. Relevant data reveal, up to the end of 2009, our country has 14086 public hospitals in all, account for 71% of the total number of hospitals; 2009, of our country public hospital make a diagnosis person reach 1,710 million, it is hospital that make a diagnosis 92.4% of the person always roughly. The insider thinks, solve and see the doctor the expensive problem, basic medicine system and reform of the public hospital are keys. Took data which director of a the first, second and third of Beijing reveals as examples, the source of revenue revealed from 2000 to 2009 in this institute, the medical income accounts for 53%, the medicines income accounts for 40%, subsidize incomes and account for 5% in finance, other incomes account for 2%. Once require the hospital not to raise medicine with medicine again, this institute will face the enormous expense shortfall - -It will be 116,220,000 yuan in 2009. In fact, it is insufficient relying on medicines include medical examination and phenomenon that consumptive material charge mainly by the intersection of hospital and income for government finance to invest, it is the common awkwardness of public hospital of our country at present. The hospital administrator thinks, how to arouse the enthusiasm of medical worker is a big problem that the medical reform faces too. So to how guarantee public the intersection of hospital and public beneficial realization and how let, cure the sickness to save the patient, become honourable job problem, must make reasonable system arrange for and fund input ensure, otherwise, the medical reform will be probably " Look very beautiful " .

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