Our country will arrange for the hospital apparatus at the basic level to be purchased in full amount
News of December 7 of www.eastday.com: Yesterday, Premier of the State Council Wen Jiabao held the standing meeting of the State Council, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit.
The meeting points out, since last August, already over 50% of the medical health organs of basic unit implemented the basic medicine system in the whole country, sell a difference rate of medicines, has obviously lightened person's administration burden, but larger revenue and expenditure shortfall has appeared in the medical health organ in the basic unit at the same time. So, must implement the compensation policy synchronously and set up steady compensation channel and compensate the way, guarantee the medical health organ in the basic unit runs and develops steadily, arouses medical health organ and medical worker enthusiasm in the basic unit.
Compensation policy
The government arranges for the apparatus to be purchased in full amount
Measure: After implementing the basic medicine system, the operating cost of the health clinics in towns and townships which the government holds, urban community hygiene service organization is subsidized through the government and the service charge is compensated. Capital construction, and apparatus purchase develop and construct the expenditure, arrange for in full amount according to planning by the government, personnel's funds are arranged and subsidized rationally by the government. The government will implement basic public health service funds according to per person's at least 15 yuan standard in 2010, further improved from 2011 years. The medical service price is made and adjusted in the right place progressively according to the service cost after deducting the government to subsidize, the medical service charge is increased to pay partly by the medical insurance, does not increase the masses to bear. Difference of regular revenue and expenditure of the medical health organ in the basic unit after implementing the government and subsidizing and adjusting the service charge, arranged in the annual budget in full amount by the government.
[Understand ] the intersection of Chinese and the intersection of community and hygiene Wang Wei, Deputy Secretary-general of association say, at present, besides realizing some cities of two lines of revenue and expenditure, the community hygiene service organizations of a lot of areas in the Midwest are not still that the government allocate funds fully, the government will compensate with 15% of medicines income of service organization of community's hygiene, but not adjusted in the past 20 years in view of the medical service price of our country, so 15% of the financial compensation can't remedy the expenditure of the medical organization at the basic level, also unable to change it " Raise medicine with medicine " Situation,namely it is at the basic level without being cut off doctor and relation between representatives medical,be public beneficial when lasting one that serving reallied.
Wang Wei thinks, under the situation of the medical service price not in conformity with value at present, 9 the intersection of big class and 21 service that community bear give play to while being difficult. So, the medical pricing system demands urgently to adjust, and the medical insurance fund that precipitates at present needs to be used rationally, but meeting once can be seen from then on, the country will pay by submitting an expense account in medical insurance, but not increase the patient to bear.
It is on duty to improve the personnel to assign and compete for
Measure: Advance the medical comprehensive reform of health organ of the basic unit in a more cost-effective manner. The medical health organ in the basic unit mainly offers basic public health service and basic medical care, it makes a diagnosis subject, berth quantity, personnel and apparatus should accommodate functional demand when being allocated etc.. Improve the distribution system of the personnel, implement it in order to compete for the contract on duty and manage for the employ systems and post management systems of the main content. Advance the clinic pool of the basic medical insurance and way of paying of medical insurance to reform. Set up the medical examination incentive mechanism of health organ in the basic unit, insist on the more pay for more work, excellent good performance reward, ensure the rational income level of medical worker at the basic level not to reduce.
[Understand ] Wei Wang say, include Beijing, Jiangsu and other places realize the intersection of community and the intersection of hygiene and the intersection of service organization and operation mode of two lines of revenue and expenditure at present, but " the income is turned over, buried singly in the government " Way but enthusiasm it is of unfavorable to improvinging medical worker and working,easy to be lead to the fact whether " everybody eats from the same big pot " will appear Psychology,last performance feedback last this situation. In order to realize " The community examines, the level visit for the first time " Seek medical advice pattern,our country it last processes working of medical insurance for to promote by community hygiene service organization too, when the time comes, the residents going to a doctor in the community not merely can buy a lower than the large hospital price a bad rate medicines, and can enjoy " Hold the card and seek medical advice and settle account in real time " Convenient service.
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