Huimin mechanism, initially established on health reform--reform of the State Council Office in charge of top ten results on primary healthcare reform implementation two years yielded what? what to change next? reporter interviewed the Deputy Director of the national development and Reform Commission, the State Department Office of health reform Director Sun Zhi-gang. Basic health units run the initial establishment of the new mechanism is already in the Government-run primary medical institutions to achieve zero differential rates of basic drugs sales of complete coverage. systems and fulfillment of basic drugs, implementation of the comprehensive reform of primary medical institutions, is one of the 2011 focuses on health reform, aims to break the old mechanisms and the establishment of new mechanisms. Sun Zhi-gang said, "grass-roots reform main answer the 3 questions: the old mechanism in which? establishing what kind of a new mechanism replaces the old mechanism? in what way the establishment of new mechanisms and the old and new mechanisms for smooth conversion?" Old drug mechanisms primarily to raise medical. due to lack of government investment, basic medical institutions
Mainly by selling drugs to survive, exacerbating the burden of the people, hurt people's health, corrosion doctors, tensed relationship between doctor and patient. " Massive high medicine through government financial investment in primary health care claims, this is extremely unreasonable, is also a waste. " How to change? by promoting the comprehensive reform of primary medical institutions, including management, personnel, and distribution, drug distribution and logistics systems reform, building a maintaining the Commonwealth, new mechanisms for mobilizing the initiative and ensure sustainable. While vigorously promoting universal health care system, expanding, and advancing the Equalization of basic public health services, improve the health service system, and so on. The end of the year, comprehensive reform in all provinces of the country can complete a task. Today, primary healthcare reform has achieved a top ten success: people benefit – expansion of universal health care, basic drug prices have fallen sharply, the country declined by about 30%, "rose drop" let the hundred
Surname doctor less pay; service ability upgrade--national 70% of area has compliance of County, and Township, and community medical health institutions; run efficiency improve--personnel distribution system reform, financial compensation ability improve, medical personnel structure optimization, vitality enhanced, treatment improve. grass-roots medical personnel average monthly wage increased has 600 Yuan around, has 15 a provinces grass-roots medical personnel income level over has local civil service income; patient suing a team are strengthened--village health room into basic drug system, and new agricultural-in implementation areas, Increased patient suing a subsidy to ensure patient suing a treatment, stabilize a patient suing team; Equalization of levels of public health--increased annual funding to $ 25. by the end of October, country undergoing standardization management of chronic diseases in patients with hypertension and diabetes mellitus 6800yuwanming. health record documentation over urban and rural residents and 222 million; primary health care model
--Classification clinic bi-directional referral and full branch doctor system implementation, many doctor active-site provides service, medical suffering from contradictions gradually reduced, medical suffering from relationship are improve; promoting drug production circulation reform--grass-roots medical health institutions buy drug way changed, raises drug production circulation reform, promoting industry structure adjustment and resources optimization integration; for County above public hospital reform accumulation has experience; training has group of familiar healthcare, and promoting healthcare of cadres; added has national promoting healthcare storming grams difficult of confidence. Surveys show that urban and rural residents ' rise to the satisfaction of primary healthcare with healthcare reform process, in which rural residents ' satisfaction higher than urban residents. The nearest doctor, less than in the past, many old people have experienced life physical examination for the first time in Sth This year, Sun Zhigang to 28 provinces, autonomous regions and research, who might have witnessed the elderly receive free physical examination of the Township by a car moving scenes, have intervened personally to hear people talk about in
Hospital and community health service center buy the same medicine costs huge differences of the facts, and many medical staff face-to-face. many people wrote back to the State Council Office for health reform, welcomed and supported the reforms. " Millions of people benefit from grass-roots health reform. grassroots medical workers also benefit from them. " Sun Zhi-gang says. The results of the reform will extend to why start from grass-roots reform of public hospitals at and above County? the results will be extended to City University Hospital? Reform and opening up 30 years to, in China medicine health system experience has repeatedly reform, development more fast. Ministry of Health announced of Statistics Bulletin display, 2010 late, national medical health institutions new definitions today, up 937,000 a, which, hospital 20,918 a, community health service center (station) 33,000 a, township hospitals 38,000 a, village health room 648,000 a. health personnel new definitions today, up 8.208 million people. village doctor and health worker 1.092 million people. in China urban and rural medical service
Network formed. But currently, in China urban and rural and regional Zhijian basic public service also does not balance. to basic medical health system as public products to universal provides, must changed "grass-roots does not strong, and small disease large see" of status. Sun Zhi-gang said: "grass-roots institutions rammed has, people health has has goalkeeping people, doctor difficult, and doctor your problem on can significantly mitigation. grass-roots institutions is medical service system in grass-roots of extends, grass-roots healthcare completed has, large hospital of pressure on will reduces." In accordance with the "insurance basic, and strong grass-roots, and built mechanism" of basic principles and "and manpower arrangements, and highlight focus, and step by step" of reform path, grass-roots became 3 years healthcare of focus. While, inputs tens of billions of Yuan, focus on improve barren areas area and rural medical health service conditions, let social vulnerable groups doctor doctor basic demand are priority meet, effective mitigation has due to disease caused by poverty of situation, promoting social fair justice. Numerous facts have proven that grass-roots health reform
Still not fully completed, the new mechanism also some room for improvement, such as the distribution system reform in some places, financial compensation is not in place, talent shortage has remained fairly prominent, and so on. " However, the path of reform is already very clear. next will continue to consolidate and improve the basic medical and health institutions of the new mechanisms. " He said. Primary medical institutions are also important components of the system of public medical services, their ownership is organized by the Government in public medical institutions, except on the construction scale and City University Hospital, service features different. in this sense, public medical institutions from the grass-roots level starts, the "Twelve-Five" period extending to the large and medium cities expand. " Because of the drug in public medical institutions to raise medical, profit, gradually deviated from the direction of the public, so grass-roots health reform promote the success of the new mechanism established, provided for the reform of public hospitals at and above County experience. " Sun Zhi-gang says. He said, from the grass-roots public
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