It should be to the new medical reform that enterprise's hospital should take the initiative
The chief hospital of director Li Wei enterprise of coal group of the justice of Henan is regarded as the component with important health care industry, in the process of the medical system reform, what a scientific development view of implementation, speed up the development of hospital, serve the worker masses better, it is the question that the administrator must think. I think, enterprise's hospital faces the challenge of the new medical reform, it is necessary to analyze the situation conscientiously, find the localization accurately, seek the way of the self-development. But the existence state of enterprise's hospital does not make people optimistic at present, should not ignore this government department. Here, take situation of the our academy as some concrete analysis. The general hospital of coal group of very heavy justice of the predicament is two first hospitals to survive in the crack, it is one of the general hospitals of the largest scale, advanced in facilities comparison of the west of Henan Province. In 2007, the hospital finishes reforming system, become and provide funds from some workers participating in reforming system with economic compensation payment, cash, unite the non-profit-making medical organization that the coal group of justice provided funds. The most important one is reformed by the public hospital in the new medical reform. Premier Wen Jiabao proposes in the government work report, the country will take out 850 billion yuan to use for the subsidy of the public hospital after the reform. Among them, the state revenue is responsible for 330 billion yuan, local finance will provide funds of 520 billion. The state revenue pays 330 billion yuan certainly out of question in three years, but could put in place troublingly in the locality 520 billion financial, even if the local financial fund can be put in place in full, one which has enterprise's hospital is still unknown number. In fact for enterprise's hospital, the biggest problem is not to replenish the question yet, also not the problem that the hospital income that medicine brings separately reduces, but enterprise's hospital is unable to enjoy the equal treatment with the local public hospital during the new medical reform. In other words, no matter the country replenishes the subsidies of the local government, enterprise's hospital like general hospital of groups of coal of justice may have no one. It is reported, probably there are 7000 national enterprise's hospitals, probably 1000 belong to management of central State-owned Assets Supervision and Administration Commission, remaining 6000 belong to range of management of State-owned Assets Supervision and Administration Commission of the province. So many hygiene technical staff of hospital, accounts for 1/3 of the total number of technical staff of the national hygiene, if enterprise's hospital can not get the policy subsidy, it will make the income of the hospital reduce big that the addition rate of hospital medicines is cancelled, to a certain extent will aggravate patient, diagnose the illness difficult problem. Because the general hospital of coal group of justice has already carried on enterprise's reform, this kind of destabilizing factor will be more outstanding. Affiliated enterprises no longer manage, the government has not received yet, the hospital can not already get the compensation of enterprises, can't enjoy the policy support of the medical department of the country again, but will fulfil the obligation with public beneficial hygiene industry, this kind of right and obligation are not reciprocal, bring the pressure greatly to sustainable development of the hospital. In other words, even if hospital wants to introduce the fund and accelerate development, but because of the awkwardness of the identity of the hospital, ask for a loan from financial institution or financing is impossible in the society. It is realized that external financing is impossible, the parent of enterprise invests and breaks off the channel, enterprise's hospital put into seriously and insufficiently, has already strengthened with the disparity of the hospital at the same level of this area year by year in recent years. If the general hospital of coal group of justice was Sanmenxia area and leading enterprise in the past, and is nowadays total value that no matter the transformation of the hospital, apparatus were acquired, managed, or the quantity of accepting the patient for medical treatment has far lagged behind. The public beneficial respect in the hospital that enterprise's hospital is public beneficial to encounter awkwardness, enterprise's hospital has made the enormous devotion for the society too, but can not get the subsidies of any government. If in SARS period, the local government requires general hospital of coal group do justice well SARS patient accept the work for medical treatment, enterprise's hospital spent much money, has done a large number of work, but not got any subsidy so far. Last year, after the milk power incident happened, were replenished by the country and sifted and checked kidney stone free, general hospital of coal group sifts and checks to more than 2300 infant and pre-school children justice together, costs the fund of more than 57,000 yuan, also specially buy B apparatus of superior grade, think originally " it is single to bury " by the government in these expenses ,But have no reply so far. In recent years, the general hospital of coal group of justice participates in handling more than 10 cases of large-scale public health emergency, all expenses are born by the hospital. The hospital will still accept for medical treatment at any time " there is not three " as the non-profit-making hospital Patient, only this wants the expenditure of twenty or thirty ten thousand yuan at least every year. Enterprise's hospital is public beneficial to still reflect that must carry out the pricing policy that the country stipulates strictly in medical treatment charges, can't go on " The price catalogue " Any charges. All these things, make enterprise's hospital influence giving play to the role of healing the wounded, rescue the dying and sustainable development of the hospital directly like surviving in the crack difficultly. The outlet of enterprise's hospital is mostly located in remotely because of coal enterprise under the new situation, the coal enterprise has one's own public beneficial hospitals with particular emphasis in each country. The existence of these hospitals has not only met enterprise's demands, the difficult problem that also solved local common people and seen the doctor. I think, the biggest necessity that these hospitals exist is that its is professional and convenient. Coal enterprise the intersection of doctor and very direct the intersection of deepening and mine of hospital rescue people, undertake, prevent from with the propaganda and education working etc. by occupational disease while not curing the disease for instance. In the face of new medical reform, enterprise hospital it's time for what course should follow? First of all, should strive for the government's support actively. " suggetion on deepening the system reform of the medical and health of the Central Committee of the Communist Party of China, the State Council " proposes advancing the reform of compensation mechanism of public hospital clearly, adopt the government to buy and serve the new mode. As the enterprise hospital of important component of the health care industry, hope the country is while issuing the relevant compensation policy, the ones that considered enterprise's hospital survived and developed needed, produced advantage and function of enterprise's hospital better. Secondly, administrators of hospital of enterprise should make good use of, use the policy of the country alive. At present, and the intersection of urban residents and medical insurance system fully under way with shut while being agricultural while being new, the administrator of hospital of enterprise should consider conscientiously how to obey the good affair for common people better, improve the medical engineering level, strengthen questions such as good service,etc.. Only through strengthening the management of hospital, bring the medical service level up to a new aspect, could gain one's own due market share. Third, implement the human-oriented management idea in an all-round way. In whole service of the hospital, should pay close attention to the serivce object - -Patient, pay attention to serving the subject too - -Medical worker. Enterprise's director should keep a sober one constantly, in the relationship between doctors and patients, carry out " regard patient as the centre " It is " human-oriented " The core of the idea, and with " subject that the medical worker is " Realize " Regard patient as the centre " Key. So, directors should take every care to protect the medical personnel's legitimate rights and interests, arouse their enthusiasm, it is the basic point of implementing human-oriented management.
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