Put up " bridge " Move towards a difference rate

Put up " bridge " Move towards a difference rate
Staff reporter Feng LiZhong Hu Ling
This is a succinct curve graph, that revealed is to continue the result after managing two lines of revenue and expenditure of health organ at village level of Qingzhen of the money of revitalizing the city to continue and make the county prosperous in Zhejiang Province. The arrowhead labelling the clinic expenses on the picture presents the downward trend suddenly from 2006 to 2008.
" after implementing two lines of revenue and expenditure, in 2008, will stand in hygiene of 22 villages of the whole town (room) Per person clinic expenses,it is only it is previous 39%! Moreover, stand in hygiene of village (room) Clinic quantity rises by a wide margin, the masses seek medical advice and bear dropping by a wide margin. " Qingzhen commune hospital president Yuan RongMing of the money is instructing the curve to illustrate, " nowadays, we are only one step away to a difference rate of medicines. "
Since 2007, continue and revitalize the reform pilot project that the city starts the rural government's compensation mechanism of health organ at the basic level. What they took are ways of two lines of revenue and expenditure, stand in namely the hygiene of village (room) Business income turn over press down finance; Town government compensates the hygiene to stand ' Room) Personnel funds, capital construction and apparatus purchase fee, village committee run by fee at ordinary times compensating. " according to operation situation in 2008, the town government probably needs to compensate the hygiene and stand (room) About one time of the net income of the business. " Xu PeiJuan, vice chief of of the money town of Qingzhen tells reporters.
Peasantry have really received material benefit
Continue, revitalize city, carry on rural the intersection of community and hygiene serve reform a few years ago, accord with health organ at village level of qualification, become the community health station, not in accordance with condition to still call the village clinics. There are community health stations of 12 villages, 10 villages clinics at present in the money Qingzhen. Village hygiene stands ' Room) With the commune hospital in the town ' Also call the community health Center) Having managed integratively, rural residents can enjoy the health care service when walking for 10 minutes - 15 minutes. The original township of village clinic cures the identity and does not change, but the government buys its service through two lines of revenue and expenditure.
Reform of two lines of revenue and expenditure has been tried since the second half of 2007. The town government arranges according to salary of 1000 yuan, bonus of 2000 yuan for each person every month " Prop up " Part; Give every township medicine to buy " Ensure the five metals " ,Nearly need 4000 yuan in one year. In this way, each township cures " the funds of number of people " that the government arranges in one year Reach 40,000 yuan. Each of government stand to each the intersection of village and hygiene month ' Room) Set aside 100,000 yuan in advance, settle account in unison at the end of the year. In addition, the daily expenditure including water rate, electric rate, telephone rate, is undertaken by the village committee of village where one stays, it is 2500 yuan - 5000 yuan every year.
It is introduced, in the money Qingzhen, peasants stand in the hygiene of village (room) See the doctor, it is free to take blood pressure, examine the body temperature even examine blood glucose, medicines are sold along the price addition 15%. "Medicines expenses peasants can be wiped out 30% newly and agriculturally jointly, people stayed temporarily such as the rural worker,etc. can submit an expense account 15%. In this way we calculate, medicines at 100 yuan, so long as household register peasants spend 81 yuan buying. " Continue and revitalize the woman of base of Municipal Health Bureau Ruan BoJin, division chief of and say.
"Originally, have many complaints in the village, think that has added to theyed bearing. Try to see the effect one year later, especially get peasantry's extensive support, the enthusiasm in the village is very high now. " Yuan RongMing says.
It was a very convincing report form that let the village committee change the attitude. 2006, the hygiene station of Qingzhen village of the money (room) Provide service 72,000 persons, the service income is 4,830,000 yuan, peasants stand in the hygiene of village (room) It costs 67.5 yuan on average to see a disease; After beginning to try two lines of revenue and expenditure in 2007, the service amount rose to 113,000 persons that year, service income 5,200,000, time expense bring 45.5 yuan down to; After two lines of revenue and expenditure will be pursued in an all-round way in 2008, the serving amount is up to 150,000 persons, the business income drops to 3,930,000 yuan, second-class the expenses drop to 26.3 yuan. The figure indicates, peasantry have really received material benefit from this reform.
Turn back " raise medicine with medicine " Pattern
"It is difficult to implement a difference forthright and sincerely! " Ruan BoJin says with deep feeling. Think, fill 15% of the price differential that government stipulate, just, find at the time of practical operation originally, the bad rate of medicines of all parts is not the same, but far exceeds 15%. "The result that we investigate reveals, difference rate is in 50%- 60%. Especially the village clinic, the income mainly depends on the price differential of medicines. But will only encourage using medicine more in simple rate to make up the difference, implementing a difference rate must open up the path separately. "
Continued and revitalized Shao TianTian, chief of Municipal Health Bureau, and said, continued and revitalized the compensation mechanism reform pilot project of service organization of rural hygiene issued, the purpose is to guarantee the rural hygiene serves the funds and " includes one cage and pays a hole " ,Solve the rural health organ at the basic level for a long time fundamentally " Raise medicine, raise and defend with the disease with medicine " Issues systematic,it is to is it rural to reflect health organ public service property and government responsibility.
In 2008, will stand in hygiene of Qingzhen 22 villages of the money (room) The net income is 1,526,000 yuan, total expenditure is 2,980,000 yuan, after making ends meet, the government has compensated 1,500,000 yuan.
PeiJuan Xu say township cure, diagnose the illness, abuse medicine to be very much serious in the past, cold should have an intravenous drip, costing more than 100 yuan easily, peasantry have many complaints. "Economy is developed quickly in the town now, the money made should work for the interests of masses. Originally, we prepared 3 million yuan for this reform. The result reveals, together with acquiring the apparatus, only cost more than 2 million yuan to run actually. This proves expense expenditure is still in controllable state. "
Xu PeiJuan tells reporters, drip the town and is boarded by in the residential district of Qingzhen China of the money and desolate mountain area melon of Hangzhou. In the past, the ordinary people in the residential district of China all reached melons to drip the town and see the doctor. Behind implementing two lines of revenue and expenditure in the money Qingzhen, the stream of people seeing the doctor was turned around, the melon has dripped the ordinary people in the town to come to residential district of China to see the doctor. "If the whole country can realize medicines zero the intersection of difference and rate after the 3 year, nonnative come pressure that here diagnose the illness just natural no then. "
The more important thing is to implement commonly and defend the task
Reporter have one the intersection of money and Qingzhen implement hygiene of village stand behind the two lines of revenue and expenditure ' Room) Examination specification,it is that specification stipulate for examination content 13 items. Except basic medical treatment, other 12 content of public health, such as health education, health control, the intersection of children and health care, great disease manage etc.. Basic medical treatment is 16 fen, other 84 fen is given public health project.
"We will organize the performance to examine each month, the result examined is got in touch with the bonus of medicine of township directly. In the project examined, besides serving second-class rigid indexes of people, soft indexes such as masses' satisfaction,etc. account for 25%. The scores of these indexes are organized by village committee peasantry and commented directly, let peasantry participate in the income distribution of medicine of township directly. " Continue and revitalize Ma GuoYong, Deputy Bureau Director of county hospital, and say.
Swing the hygiene station of the village at the Gu 's,
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