Health newspaper: The basic unit advances the medical reform and should be got hold of " Six "

Health newspaper: The basic unit advances the medical reform and should be got hold of " Six "
As the reform is entered " The deep water " ,The medical reform at the basic level realizes it has already been the task of top priority that the new or old mechanism changed steadily. All parts should adhering to the principle of suiting measures to local conditions, launch, suit local the intersection of basic unit and medical actual conditions and basic medicine of health organ, implement the comprehensive reform of the terms. I think I should put forth effort to get hold of " Six " . First, it is public beneficial and public beneficial to guarantee it is the starting point and standpoint of the medical reform. All parts should strengthen management conscientiously, plan, unify the entry in unison, supervise in unison, strengthening medical basic public health service and duty of the basic medical care of health organ in the basic unit constantly, polarize the government to hold to the function, task, strength, range and standard of the health clinics in towns and townships, community hygiene service organization, set up the high-efficient long-range mechanism which accords with the public beneficial direction, check and ratify the strength rationally, implement overall control, pool authorize use, set up, adjust mechanism dynamically, guarantee organization run vigor. Second, strengthen the flexibility Insist " the personnel allocation determines a post and fixes people " Core this, take, compete for on duty whole to employ and place and shunt measures such as person,etc. properly, advance the reform of personnel system actively and reliably. Set up coming in as well as get out, ready to accept a higher or a lower post employing mechanism, it is on duty that all personnel compete for, employ according to the hillock, the contract is managed, strengthen responsibility. Personnel determine a post want, direct the intersection of post and characteristic and actual need of work against, in not checking and ratifying, making, guarantee the post of professional technique accounts for more than 85% of the total post. Third, arouse enthusiasm The focal point is outstanding " Two are examined, two hooks " ,Namely set up the examination mechanism taking quantity of service, quality, result and masses' satisfaction as major indicator, subsidize the hook to result of appraisal and funds of the medical health organ in the basic unit; Set up and make rewards, distribute encouraging and performance examination mechanism in inside that the working achievement gets wages according to the hillock, the result of appraisal is tied to personal income. Meanwhile, accelerate implementing and improving the wage system of the performance constantly, keep in the administrative division at county level under the balanced prerequisite on the whole, encourage exploring various forms, effectual reward measure and method, fully arouse the enthusiasm of medical worker, especially business backbone. Fourth, reflect Huimin this is key of a medical reform. By 2011, set up national basic medicine system tentatively, the medical health organ of basic unit that all governments hold implements the national basic medicine system, and sell, guarantee the production of the basic medicine is supplied and used rationally a difference rate, the price of medicines gets reasonable and effective control, reduce the basic administration of urban and rural residents to bear, it is empty and high and abusing medicines etc. to change and raise medicine, medicine price with medicine progressively. It is the implementation of financial compensation that five is the key to strengthening ensuring medical reform. Capital construction, apparatus purchasing, personnel's funds and their public health service item funds born that the government is responsible for authorizing according to the national regulation, ensure its normal operation. Further strengthen the medical revenue and expenditure budget management of health organ in the basic unit, raise the service efficiency of the fund. The task that to the compensation of the medical health organ in the basic unit, " to authorize, authorizing revenue and expenditure, performance to examine and reward " Way and " Buy to the mechanism, spend money building the mechanism " Thinking combine with,urge because basic unit is medical health organ, can't compensate by being last high-efficient services reasonable. Strengthen the connecting rationally of the salary of medical worker at the basic level and local wage level of public institution, guarantee conscientiously its income level is not lower than before the reform. Sixth, insist the clinic of sustainability village is that peasant's common disease, first-selection of frequently-occurring disease go to a doctor in the organization, giving play to the very important one " The bottom of the network " Function. Basic public health service born to the clinic of administrative village of integrated management and selling a difference rate of medicines, the subsidy standard that the government can authorize according to the agricultural household register numbers of people of administrative village is subsidized, the subsidy fund can be arranged to the county in unison by the provincial finance, and then implemented to the village clinic by the county, all counties,cities and districts can also according to reality, arrange subsidy fund while being appropriate, promote integrated the intersection of village and the intersection of clinic and sustainable development of management, the ones that make the vast rural doctor become and bear the basic medical treatment and public health service of the basic unit " The gatekeeper " , the peasants of guarantee are healthy " The persons who nurse " .

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