The representative and committee member focuses on four major focuses of medical reform The public hospital reform becomes the focus
Cable of March 14 of www.chinanews.com (Yao PeiShuo) It was key implementing scheme of nearly three years of China's medical reform in 2011 " Finish " Annual. It open what has been made at institute on Wen Jiabao government work report and " Twelve five " Planning outline draft, the content of deepening the system reform of the medical and health has occupied the important position. " pilot job placement of the public hospital reform of 2011 " is released formally during two Conferences of this year, the new round of public hospital reform pilot project of 16 cities begins in two Conferences on eve too. How to analyse and explain the public hospital reform to become the focus that the representative and committee member discusses warmly, how to strengthen the medical service system in urban and rural areas build, perfect the medical security system, improve medicines and supply the security system etc. and make suggestions and give advice to centre on one after another. Focus on the topic one: The public hospital reform waits to solve the problem in five key jobs of medical reform, the public hospital reform has an exploratory job most complicatedly and most, also focal point and difficult point of the medical reform. Reformed for the public hospital clearly in 2011 " The year of decisive battle " . Health minister Chen Zhu says frankly in two, the public hospital reforms and has not totally solved the problem yet before the meeting. The member of the CPPCC National Committee Huang JieFu says, though the new medical reform obtains the achievement greatly, but the most key problem in the medical reform - -The top floor is designed and has not broken through yet, medical reform core - -The base of the public hospital reform has not been touched either. Fair at present and efficiency is difficult to give consideration to, the way that can be combined through system design and supervision is solved. Zhang Mao, secretary of the leading Party members' group of Ministry of Public Health, points out while attending medicine and defending the circle and uniting the group and discussing, the public hospital reform selects the hospital at county level especially this year. He says, the large hospital membership is complicated, the county hospital stands opposite each other simpler, relieving the masses " The difficulty and high cost of getting medical treatment " Can not merely have full play is " basically protected " Function,at the same time still can public hospital reform last experience. The reform pilot work of public hospital is started since February of 2010, confirm 16 countries contact the pilot city and 37 provincial pilot areas. Every pilot city advances the reform of public hospital actively and reliably. As to the public hospital reform pilot project, it has been " caught on the idea " that Zhong NanShan thought . But when can to the medical reform become effective, he holds the prudent attitude - -"Could become effective 10 years later. " The reason lies in he thinks too, " the course will be very long " in the reform of the public hospital . It is neither relevant for person in charge say in Ministry of Public Health nor mainly been public hospital with "in charge of doing, separating, separate government affairs, separate, not profit-generating and non-profit-making to separate medicine " Launch the great system mechanism for the core and reform the comprehensive pilot project, try to break through to some extent. Focus on the topic two: Let basic the intersection of medicine and the intersection of system and policy Huimin " expand the basic medicine system and implement the range further, run the medical health organ in the basic unit in all governments and implement the national basic medicine system, sell a difference rate of medicines. " This is one of the key work in the medical reform is arranged in 2011. Whether the task could finish determining whether the basic medicine system could be set up tentatively. National development and reform committee Deputy Director, medical reform Sun Zhigang, director of office of the State Council say, 60% of the medical organizations at the basic level have implemented the basic medicine system in the whole country at present, the basic medicine is cancelled the addition of medicines, the price of medicines drops greatly, drop by about 30% on average, ordinary people have received very obvious material benefit from it. Member of the CPPCC National Committee Liu improve, propose national basic medicine one purpose in general system of favor in system, it is a people's livelihood project advanced from the national aspect, the present problem lies in carrying out. The implementation in the present stage of national basic medicine, chip that have already caused base medicine to produce, quite a lot major enterprises of basic medicine production feel very puzzled now, this is very good market and policy, but China-Super low price biding price of reality is confused, it influences one of the important origins which restricts trade development to really already become too. Up to the end of 2010, the basic medicine system has already gone through the medical health organ in the basic unit to implement in 57.2% of the governments in an all-round way. Anhui, Tianjin, Ningxia, Jilin, Jiangxi, Shaanxi, Gansu, Hainan and other places have realized tentatively the basic unit is covered completely. Zero difference lead basic the intersection of medicine and price sell, drop 30% about on average. During the two Conferences, continue national development and reform committee reduce some foreign capitals after the supreme retail price of medicines last December, the development and reform committee waves the broadsword again, determine to reduce some antibiotic and circulatory system supreme retail price of medicines from March 28, involve 162 varieties together, it is estimated that can lighten by nearly 10 billion yuan of masses' burden every year. This is the 27th order on a price reduction since first reduction of 1998. "Must see, medicines on a price reduction can let common people lighten the expenditure of the medicines expenses, but will set up rational compensation mechanism in key. " Member of the CPPCC National Committee, burn Ge JunBo Professor, cardiovascular expert of name, point out, should cancel the addition of medicines on this basis, can't examine the achievement of the medical organization in a manner to calculate the business income, how much again with prescribing medicine, more or less if you can't check, determine by the incomes of medical worker, ones that cut off in the public hospital trended towards the sharp roller chain, set up valid mechanism to resist external gaining and luring at the same time. Yunnan Province Vice Governor's peak committee member proposes, devotes more efforts to standing in finance to the remote area, reform medicine keep, cut system, improve basic the intersection of medicine and catalogue, let basic the intersection of medicine and the intersection of system and these policy Huimin further convenient for more people. Focus on the topic three: Say while building medical security system human resources and Hu XiaoYi two Conferences, Vice Minister of social security department, of integration of urban and rural areas, since the new medical reform, cities and towns increase, effect an insurance number 114 million people alone, shut while being agricultural while being new, the intersection of worker and medical insurance, the intersection of resident and the intersection of medical insurance and three basic medical treatment ensure system cover over 1,260 million people already, striding forward towards the goal of the whole people's medical insurance. It is reported, while expanding coverage, every medical insurance system is still raising and submitting an expense account the proportion constantly, most medical insurance, urban residents of area, and share institute, wipe out proportion, raise to 60% in the the intersection of expense and the intersection of policy and range while being agricultural while being new. Have improved children's great diseases such as congenital heart disease, leukemia,etc. and ensured horizontal pilot work already in the formal start of last year, more than 4600 children have been treated and cured in time. This year, medicine keep institute and serious disease wipe out proportion promote, to 70%, meanwhile, wipe out, bind line, promote to lower than 50,000 yuan. Chen Zhu, minister of Ministry of Public Health, is in the fourth Session of the 11th National People's Congress " The medical reform " At the press conference, reveal this Huimin good news. Member of the CPPCC National Committee, public health Wu Ming, professor of institute in Peking University say, the basic medical insurance system is the most outstanding one effect in five tasks of medical reform. But the medical insurance of our country is still low-level, the institutional improvement of the next medical insurance should be improved and ensured competence on one hand, the medical behavior of the norm that on the other hand should take measures, control the unreasonable expenses to rise. "It costs a pair of money invested finally Make good use of, use it in place. " Do deputy to the National People's Congress, professor of Jilin University institute of economics Du Jie say, present urban worker's basic medical insurance, basic medicine of urban residents of our country? Dip in and hold Luangge group in ticket O Qian offer Tao stir the intersection of ticket and O blink ���, huge rock of ��, shelter, pass on the intersection of E and the intersection of Lu and product mean Wei, Bi of She, offer to the intersection of bath and father stupid to stop up Xi ��select, the first day of the lunar month Kui have Chen grasshopper spread Lu �� general to practise the intersection of �� and noisy the intersection of matte and the intersection of key and reel silk from cocoons stir the intersection of ticket and O put on poor the intersection of decayed tooth and the intersection of �� and the intersection of legendary bird with poisonous feathers and burnt mushroom apple have Does reel silk from cocoons fear Mei �� of the key stir ticket U salty Qu idly? Focus on the topic four: Health care resources slope to the countryside twelve five plannings draft are pointed out, strengthen, serve networking so as to the intersection of county and hospital for tap, health clinics in towns and townships, the intersection of village and clinic for the rural tertiary health care of the foundation, improve it as the new urban health care service system on the foundation with community's hygiene service, newly-increased health care resources slope to countryside and urban community especially. Strengthen the building of contingent of health care at the basic level taking complete doctor as the focal point, improve and encourage the complete doctor in the service policy at the basic level for a long time. Committee member Ge JunBo proposes, the input of the government should further slope to the basic unit, to the countryside, want, allocate qualified complete doctor and fine medical apparatus, make the intersection of community and hospital, township hospital become the intersection of ordinary people and of health service check on people; Pass the limitation in submitting an expense account in the range, amount, proportion etc. of system of medical insurance, lead ordinary people to go to the medical organization at the basic level to carry on the first visit; The conditional area puts up the information-based platform, let the hospitals at all levels share high-quality medical resource and information of making a diagnosis, and change the place of examination in the passway unblockedly bidirectionally. "The rural tertiary hygiene serves networking not only to build the floor, buy the apparatus, should also increase the medical worker. After the rural medical reform, the medical hardware apparatus is basically complete, need large quantities of doctors even more. " Deputy to the National People's Congress, Vice President of Hunan Province Anxiang county people's hospital Wang ZhiYing say. Deputy to the National People's Congress, propose, let peasant by the intersection of Kweichow Province and the intersection of Anshun and the intersection of city and the intersection of the west and beautiful the intersection of district and vice the intersection of head of district and XiaoYing Yao " Click and seek medical advice only " ,Take measures to encourage a doctor " Flow " Stand up. Yao XiaoYing proposes, the country should take measures while pursuing new rural cooperative medical service, devote more efforts to allocating the rural doctor's support and allocating rationally, encourage a large number of good doctors to go to by peasants. "Compare the intersection of patient and whole family ' flow ', doctor social resource that consume much fewer alone ' flow '. " National development and reform committee Deputy Director, medical reform Sun Zhigang, director of office of the State Council revealed to the media a few days ago, " there are qualified complete doctors in the medical health organ of national basic unit in striving for for two years " . It is undoubtedly an important action that this seeks medical advice to common people in situ.
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