Health newspaper: Why did the impatients of health clinics in towns and townships reduce?

Health newspaper: Why did the impatients of health clinics in towns and townships reduce?
Hunan Province the intersection of Chen and the intersection of state and the intersection of city and north lake region run, equal to the system while being agricultural while being new, 14 health clinics in towns and townships have got considerable development. Have relieved the difficult, question of seeing the doctor expensively etc. that peasants diagnose the illness in hospital of joining shutting to a certain extent. However, with shutting the promotion thoroughly of the system newly and agriculturally, a kind of abnormal phenomenon causes our introspection run the organization, namely 14 impatients of health clinics in towns and townships have not increased, reduce greatly instead. The newest statistical data shows, 2009, it is ill in the health clinics in towns and townships that join and shut to peasants in the north lake region there are 4045 persons in hospital, account for, in hospital 37.4% of person always the whole year. And there are 2604 the impatients of health clinics in towns and townships in 2010, 26% of the number of people that will account for the whole year and is always in hospital, reduce 1441 people compared with the same period of last year, the rate of descent is 35.6%. The impatient subsidize the amount of money to account for 10% that always subsidize the amount of money in hospital in the health clinics in towns and townships. It is reported, the impatients of health clinics in towns and townships of 11 counties,cities and districts in the whole city have reduction at various degrees. Trace it to its cause: ( 1) The country is put the government utility of health clinics in towns and townships into and strengthen, 15 yuan for each villager per person from last year, used for government utility funds of the immunization campaign, setting up rural resident's health file etc., this sum of funds is increased to 25 yuan for each person in 2011, the health clinics in towns and townships receive a large sum of funds sources, no longer depend on accepting for medical treatment sharing newly and agriculturally the institute patient keeps the hospital running well. ( 2) In the past two years, the local health authorities of counties,cities and districts are general to manage to all health clinics in towns and townships in unison the financial affairs, establish the accountant to check and calculate the centre, almost there is no flexible money in the health clinics in towns and townships, " pair mend promptly " Work launch have difficulty in, add I can't pay for the revolving fund first for all health clinics in towns and townships while being at city level to handle organization, it is the important factor of influencing the in hospitalling rate. ( 3) All medical income of health clinics in towns and townships was few in the past, mainly depended on the medicines income. The health clinics in towns and townships of my district will implement a difference rate of medicines in 2010, have come to the era when made money to already pass by by the medicines income, leave the view patient to increase and make a diagnosis and fee, berth fee, inject the fee etc. through charging clinic more, case that the impatient can also write and in hospital few that reduce. ( 4) In recent years, doctor of high title in the health clinics in towns and townships lack undergraduate course education, have. Because the medical personnel makes a diagnosis and gives treatment competence is limited, initiate the medical dispute to comparatively see more, if the patient causes death and disables, need compensating in the hospital for the economic losses of the family members of the patient, also one of the odjective causes causing the hospital to accept few impatients. In fact, my total impatient in the district will not have reduced in 2010, 1/3 of the patients that should be in hospital in the health clinics in towns and townships flow into the tertiary hospital of urban area two. I think, reach Ministry of Public Health what require shares institute's patient rational flow 136 principle (namely the health clinics in towns and townships of municipal district hospital of hospital county at city level of province) newly and agriculturally ,Will join and shut peasant's common disease and frequently-occurring disease to keep in all health clinics in towns and townships, the more important thing is to keep the professional technician of the hygiene here. In recent years, the health authorities of urban area increase the input into the health clinics in towns and townships, having added a lot of new medical apparatuses and instruments, can do if these are rich, but talents can spend money " Buy " Arrive. Set up a kind of steady just long-efficiency mechanism of the team of person of commune hospital at the basic level, could solve just problems of people of health clinics in towns and townships fundamentally. To the above-mentioned situations, the department of public health of Hunan Province organizes the presidents of health clinics in towns and townships to concentrate on training every year, training takes the form fully released from one's regular work to concentrate on studying, rely mainly on the fact that the theory of the classroom is taught, improve their managerial ability and service level. All health authorities of counties,cities and districts strengthen the training of the on-the-job personnel of commune hospital too, promote talents to flow rationally. Plan from provinces and cities, county meanwhile ' District) The finance provides funds, in 3- 5 years, train 1- 2 medical undergraduates for each of health clinics in towns and townships every year, in order to improve the service ability at the basic level. Pursue the city, on-the-job doctor of district level hospital to the paid service system of health clinics in towns and townships, encourage them to the basic unit " Make excessive money by giving performance " ," sink " Go to the health clinics in towns and townships to diagnose guidance, train talents for the commune hospital in the form of passing on experience, improve the medical engineering level. My district has already included the health clinics in towns and townships in the public institution to work out and manage at present, offer special funds by district finance, solve various insurance treatment such as medical worker's living out one's life in retirement and medical treatment. Remove the worry of the doctors of health clinics in towns and townships, strengthen the attractiveness of the post at the basic level, a series of problem of could solve high-quality hygiene talent introduction difficulty and key hygiene personnel of the basic unit in the rural area and run off completely ing etc., promote the stability of the rural health care personnel's team in the basic unit.

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