The intersection of people and society department - submits an expense account and binds the line and is not lower than 50 000 yuan in hospital

The intersection of people and society department - submits an expense account and binds the line and is not lower than 50,000 yuan in hospital
In the afternoon of March 9, the 11th four meetings in the People's University hold the press conference, Chen Zhu, minister of Ministry of Public Health, Wang Jun, Vice Minister of Ministry of Finance, national development and reform committee's Deputy Director, medical reform Sun Zhigang, director of office of the State Council, human resources and Hu XiaoYi, Vice Minister of social security department, " deepen the system reform of the medical and health " Relevant problem answer reporter questions. The newly-increased finance is put into 1,134,200 million yuan in 3 of medical reform The medical reform scheme proposes, from 2009 to 2011, the newly-increased governments at all levels will invest 850 billion yuan, central government invests 331,800 million yuan. Has this sum of fund been implemented at present? Wang Jun says, the new medical reform implements the newly-increased input of the national finance over the past three years 1 1 3 4 2 A hundred million yuan. Unless 850 billion yuans is book by figure, if you can't carry out, can excess when coming down this year,it is estimated can 284,200 million yuans more. Wang Jun says, the state revenue invests and pays attention to " protect the basic, strong basic unit, build the mechanism " . To basically slope, such as strengthening the input power ensured in basic medical treatment, it cost 230 billion yuan in 3, accounted for more than 50% of the whole health care expenditure of state revenue; Second, slope to the basic unit, support the construction of software and hardware at the basic level, basic medicine system to implement etc., would exceed 110 billion yuan in 3, will account for 24%; To build mechanism, slope, such as implement public health serve equal to take, invest 90 billion yuan together, accounts for 20%; Fourth, slope to the Midwest, narrow the disparity of health care service among the areas, subsidy in Midwest account for state revenue, subsidize local the intersection of fund and more than 80% of total value 3 year. Among them, in strengthening the hardware at the basic level and investing, the apparatus that the state revenue arranges is purchased and subsidized etc., up to more than 53 billion yuan. In advancing the process of the medical reform, some difficult areas may face the financial pressure. The financial inferior officer implements six actions, relieve the financial pressure in the basic unit: First, devote more efforts to investing; Mend the policy in award that second, implement to the hospital of the reform at the basic level " " ,Arranged 12 billion yuan in 3; Third, adjust the sharing system of the special fund of the health care, for this reason the state revenue invests 14,100 million yuan this year; Fourth, give the food " low insurance " to the difficult county of the finance ,If this county can not reach the security system of the lowest people's livelihood demand, state revenue and provincial finance are subsidized, the state revenue will invest 77,500 million yuan this year; The fifth, devote more efforts to local general transfer payment, increase by 18.5% this year, reach more than 1,000 billion yuan; The sixth, reform the creative service platform, supervision and management system, try every means to guarantee the promotion of the medical reform. Wipe out, strive to make 70% Damien to be about in hospital this year In medical insurance, Hu XiaoYi says, submits an expense account and strives to be up to about 70% in policy range in hospital this year, and the one that improved and submitted an expense account bound the line, the city, rural resident all can reach per person 6 times of budgeting, net income, and is not " lower than 50,000 yuan " . Launch the intersection of clinic and pool generally also this year, make benefited piece more than 50%, masses the intersection of burden and heavier frequently-occurring disease, chronic disease can also include basic medical guarantee in. Hu XiaoYi says, medical insurance of worker in the 2009 cities and towns and resident's medical insurance raise an increase of 63 billion yuan, raised an increase of 58,600 million yuan again last year, used mainly for expanding coverage rate of medical insurance, improve, ensure competence, 8 million person state-run shutting off the intersection of bankrupt enterprise and retired person, all including in three things such as basic medical security system while being other. Hu XiaoYi emphasizes, will strengthen the management of the medical insurance fund. Carry out every financial rule strictly, deposit all funds into the special family of fund finance of the social security, manage two lines of revenue and expenditure. Strengthen the control to that the medical insurance fund uses at the same time, prevent extracting the behavior of swindling etc.. Succour the respect at serious disease, Chen Zhu says, the children " the second disease " of this year (leukemia, congenital heart disease) Pilot projects will be generally pushed away to the whole country, will submit an expense account the proportion is more than 90%. Expand pilot number that serious disease will be ensured at the same time. The women that mention in the government work report " Second cancer " Sift, consult, treat and cure, work with serious disease, has already checked the early sieve at present, the expenses can get very good control. The difficult very large reason is that the medical condition of health organ in the basic unit is bad that the basic unit all allocate the complete doctor and diagnose the illness in two years. Sun Zhigang say, in the medical reform invest the first two years, the central authorities arranged for the fund to improve the condition of seeking medical advice of the medical organization at the basic level, will still continue making the investment this year, will finish the task in an all-round way. Meanwhile, strive all medical health organs of basic unit allocate the qualified complete doctor in the whole country through two years. In addition, will also start the information construction of medical organization at the basic level, will strengthen construction and management of the village clinic, improve the treatment of medicine of village. Sun Zhigang says, 60% of the medical organizations at the basic level implement the basic medicine system in the whole country now, the medicine price drops by about 30% on average. The medical organization at the basic level resumes for the public beneficial public institution, the development expense is born by government, the difference part of the running cost is compensated through many channels by the government too. County hospital key the intersection of reform and target too this year. Chen Zhu says, about 80% of the diseases of peasant can be solved in the county hospital, if can accomplish 90% of the diseases at present, include some difficult and complicated cases can be solved in the county hospital too, realize serious disease does not basically go out of the county, the new agricultural benefit shut can perform better. (Li HongMei)

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