Convenient for people to seek medical advice Reflect public service - -Zhang Mao discusses the public hospital reform

Convenient for people to seek medical advice Reflect public service - -Zhang Mao discusses the public hospital reform
Beijing, December 24 (Xinhuanet), (the intersection of reporter and promise Lu) Deepen year not assaulting fortified position in system reform such as medical and health 2011 year, public the intersection of hospital and reform it generally acknowledges to be difficult. In this year, the national public hospital regards patient's demand as the starting point, serve Huimin convenient for people, improve the safe quality of medical care, explore mechanism's comprehensive reform of the system, the ones that annotated the public hospital by the practical action are public beneficial. Which phased achievements has public hospital reform been made over one year? How is the next working direction? Secretary of the leading Party members' group of Ministry of Public Health, Vice Minister Zhang Mao accepted the special visit of Xinhua News Agency's reporter at this point a few days ago. Q: Which measures of Huimin convenient for people are pursued in public hospital reform pilot project? A: Public hospital starting point and standpoint of reform to meet masses, seek medical advice help, the intersection of burden and lighten, requirement that quality promotes. The main measure that we take is to popularize making an appointment to make a diagnosis, launch the clinic on two-day weekend and festivals or holidays, popularize the high-quality care, launch the hospitalization cost and form the newspaper etc. immediately at present. In order to reduce patient waiting time, all parts set up the system of making a diagnosis of making an appointment and divided the period system of going to a doctor, procedure and environment of making a diagnosis optimally. For example, Zhejiang Province, Beijing set up the whole province (market) Make a diagnosis in the platform in unified reservation; 36 tertiary medical organizations in Shanghai all make an appointment and make a diagnosis to serve; Launch in Tianjin " Medicine is meant openly " The community convenient for people registers the platform. By the end of October of 2011, are 9 6 in the whole country. 9 tertiary the hospital ' 1237 families) Book making a diagnosis, clinic on two-day weekend and festivals or holidays. Beijing, Guangdong and other places, the people tertiary hospital concentrated on relatively to seek medical advice make an appointment, go to a doctor the proportion has exceeded 50; As to a batch of departments needing to make a diagnosis for a long time such as woman's producing, oral cavity, have already all made an appointment and registering. If the average daily clinic amount reaches 51 of average daily clinic quantity in workday on two-day weekend in Beijing, clinic quantity is equivalent to increased on two-day weekend by 2 newly to go to 3 houses of large-scale tertiary hospitals in a last year. Reduce patient pay for first, " Run errands " ,All parts launch basic medical treatment ensure, close, serve immediately, the whole country exceed public hospital of 90 ensure closing immediately basic medical treatment. The national medical organization increases by about 15 ten thousand and closes post staff members, ensure handling the organization and networking the informationization with basic medical treatment. 5412 hospitals and nearly 3 ten thousand inpatient areas in the whole country have developed the activity of high-quality care. Q: In order to analyse and explain ordinary people " It is expensive to see the doctor " Difficult problem, what countermeasures have all parts adopted? A: In order to lighten patient's burden, all parts arrange and develop simultaneously more, control the fast rise of the hospitalization cost actively. First, through work such as the management of clinical route, promote the medical worker to make a diagnosis rationally. 9098 clinical departments of 1677 hospitals have launched the clinical route and managed the pilot project, to the medical behavior of the norm, guarantee medical quality, control the medical expenses to play an important role rationally. Second, advance and check the test result to mutually recognize. 7 5 . Second and the above public hospital of 7 participate in checking the test result to mutually recognize in the organization at the same level, have reduced the unnecessary repetition inspection. Some operation that third, actively promote the registered doctor more. 190 piece county ( Municipal or district) Launch the intersection of doctor and some operation more, relieve large hospital make a diagnosis pressure, lighten patient's burden. The data which information center announces according to the statistics of Ministry of Public Health, calculated by constant price, the clinic of public hospital and expenses in hospital are after continuing going up for every year 4 exceeds 5, the clinic expenses go up by 0 in the first half of this year . 3, the expenses drop by 0 in hospital. 1 % . Q: While improving patient's satisfaction, how to further advance the harmony of the relationship between doctors and patients? A: It is served well, high quality that during the public hospital reform, we insist on regarding patient as the centre all the time, launch the health care system in a more cost-effective manner ", medical ethics is good, the masses are satisfied " "three-good satisfied " Activity. We have set up the medical dispute third party has transferred the place mechanism. By October of 2011, have established medical dispute people and mediated and specially organized 1358 in the whole country, medical dispute people mediate the network above district and city level to cover completely, the coverage rate at county level is up to 7 3. 8 % . From January of 2011 to October, national medical dispute people mediate and specially organize adjusting the medical dispute of place together 1 4 9 7 6 Get up, adjust the success rate 8 1 in the place. 6, mediate satisfaction in above 95. Q: In mechanism's reform of great system, how to move forward in the pilot city of the public hospital reform? A: In advancing the government affairs to separate, in charge of doing separating, the country contacts the pilot city to explore that realize the tube and do the concrete mode separated under the great hygiene system. Around paying attention to the duties of Qing Government and public hospital, the selecting Ren He to encourage three respects of completion of tied mechanism to strengthen exploring of the president, entrust and manage the contract or liability statement of comprehensive management by objectives through signing, set up with respects such as public beneficial performance appraisal system as the direction, corporate governance structure taking council as the core of setting-up,etc., strengthen the management of the public hospital of the government. In compensation mechanism reform, the pilot city explores that has formed and reformed the means of payment, reduce or cancel the addition of medicines, manage, set up and is independent of four kinds such as the medicines administrative center outside the hospital two lines of revenue and expenditure " Medicine is separated " Way of realization. In 338 districts and cities in the whole country, 156 districts and cities pay according to number, 94 districts and cities pay according to the number of people, 134 districts and cities prepay total value. Shanghai has adjusted the medical service price in a situation that the patient bears not to increase, have rationalized the price system tentatively; Provincial price departments such as Anhui,etc. transfer the price adjustment authority. At the same time, all parts improve the government and invest the policy progressively, ensuring capital construction and heavy-duty equipment of the hospital to purchase expenses, retired personnel's expenses, policy subsidies, historical debts to dissolve when the respect, have done positive and effective exploration. Q: The comprehensive reform of hospital at county level, the focal point of the pilot project of saying to be and advancing the reform of public hospital. What progress has this job been made at present? A: Omprehensive reform push into at county level the intersection of hospital and personnel, establishment, distribute, price, pay system, medical procurement, the intersection of person who supervise and comprehensive reform with the intersection of compensation mechanism and reform for breakthrough point, strengthen the ability of hospital at county level and build two major focal points that are a comprehensive reform of hospital at county level. The key links of the compensation mechanism reform are abolishing and mending and curing the mechanism with medicine. At present, have already started the hospital comprehensive reform pilot project at county level formally in 18 provinces such as Shaanxi, Hubei, Jiangsu, the pilot hospital adds up to 561. Regard cancelling and mending and curing the mechanism the breach, the way of realization of exploring actively medicine separates with medicine as. Increase the input in government finance in Shaanxi Province, try " two lines of revenue and expenditure " in some pilot counties Manage; A difference rate of hospital medicines at county level of pilot project in Zhejiang Province is sold, improve compensation mechanism through rationalizing the price system. All parts strengthen the ability of hospital at county level taking talents, technology as the core Construction, strive each county basically builds up a public hospital of more than of a second first grade, realize serious disease does not go out of the county. Q: Can the construction and development of the service system of public hospital meet the medical demand that the masses increase day by day at present? A: All in all, the contradiction that medical care supplies the medical demand increased with the people day by day remains as before. All parts strengthen medical resource scientific planning and arrangement adjustment, take measures of newly building, relocating, expanding and combining the public hospital etc., strengthen weak area and weak field ability construction emphatically. Pass the construction of key training, the ability construction of medical center of raised area; The work of training through the coordinated cooperation, key doctor etc. develops the hospital at county level preferably, promote the service ability of the medical service system in urban and rural areas with the regional medical center and hospital at county level as the locomotive. Within service system, run the institute tube, technological cooperation etc. through setting up medical group and medical association, depositing, institute, set up the mechanisms of division of labor and coordination of work of the public hospital and medical health organ of basic unit. Implement ten thousand doctors and support the rural hygiene project, each hospital at county level accredits 5 medical workers in city for a long time. At present, more than 1300 tertiary hospitals and more than 2700 hospitals at county level establish the fitting coordination relation for a long time; 127 military hospitals launch the coordinated cooperation to more than 200 hospitals at county level of areas such as Xinjiang, Tibet,etc. especially, have promoted the service ability at the basic level. All parts issue the preferential policy, encourage the social capital to invest the health care trade. Q: In order to fully arouse medical worker's enthusiasm, which reforms explore all parts have gone on? A: In order to arouse medical worker's enthusiasm, all parts further improve medical worker's performance to examine, and the basis of releasing the result of appraisal as the salary, improve the level of clinical first line medical worker's salary and conditions; Wuhu, Zhenjiang,etc. increase the public hospital strength on the basis of calculating rationally; 8 cities issue the special file trained in resident's standardization, among them Shanghai has already been in line with international standards in institutional improvement, and stipulate clearly that accepts that it is the requirement that a doctor obtains employment to train in standardization; Launch the construction of national clinical key training, create the good job for medical worker and develop the condition. Q: The public hospital reform pilot project has been started over the past two years, what effects are made? A: Through the pilot project over the past two years, as the large quantities of measures of Huimin convenient for people that see accurately with instant effect are pursued, the seeking medical advice of the people is experienced and is improved, begin the material benefit of enjoying the reform and bringing. The resource distribution of the public hospital is optimized progressively, service level and whole performance of the medical service system in urban and rural areas are improved, the too fast and upward momentum of the medical expenses gets preliminary control, the medical service act is being standardized constantly. The exploration of every pilot city reforms the basic way to offer the experience in order to form the public hospital popularized to the whole country. The public hospital reform is a long-term and complicated task, present pilot work is only the beginning of the reform. Have tried the relevant policy of mechanism's reform of the system tentatively in every pilot area, need us to explore actively in larger range, summarize the experience, catch the focal point, popularizing constantly. Q: What plans does next public hospital reform job have? A: First of all, should continue pursuing the high-quality care, measures of Huimin convenient for people such as making a diagnosis, clinic convenient for people,etc. of making an appointment, environment and procedure of going to a doctor optimally, strengthen safe quality control, advance cost accounting and control, shorten average day in hospital, promote service level, raise operational efficiency, control hospitalization cost to be unreasonable to increase. Secondly, should improve compensation mechanism, regard cancelling and mending and curing the mechanism the breach with medicine as, push into mechanism's comprehensive reform of the public hospital system. Devote more efforts to exploring in respects such as input of finance, price adjustment, reform of means of payment,etc., improve the public hospital in the system mechanism of managing, supervising, running etc. at the same time, fully arouse medical worker's enthusiasm. Third, promote the service ability of hospital at county level continuously. Through strengthening the coordinated cooperation in urban and rural areas, advancing key department's ability to build, strengthen the work of talent's building of contingent,etc. and improve ability, make great efforts to realize serious disease does not go out of the county. We will coordinate the relevant department actively, devote more efforts to standing in policy, form the reform with joint efforts. On the basis of summarizing and assessing the pilot effect, the top floor which improves the public hospital reform is designed, discuss and make " Twelve five " The public hospital reform scheme, strengthen the guidance of the local reform, push the public hospital reform open in an all-round way progressively during this time, make great efforts to relieve the masses " The difficulty and high cost of getting medical treatment " . (End)

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