Cure changed plan part province 2013 the pilot go to a doctor that cross a province is instant settle accounts
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Cure changed plan part province 2013 the pilot go to a doctor that cross a province is instant settle accounts
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Cure is protected, medical treatment, medicine continues linkage reform will be in partial province is pilot the go to a doctor that cross a province is instant settle accounts
[core is read]
Change working arrangement according to cure, cure is protected, medical treatment, medicine continues linkage reform, cure protects systematic construction to make the largest window.
Basic medical service protects standard of allowance of average per capita to raise 280 yuan, implementation grows 5 years continuously, the system such as deliverance of lash-up of safeguard of a serious illness, disease is advanced steadily carry out, 3 big medical science protect administrative function conformity to wait.
Continue to encourage medical treatment of commercial insurance agency to ensure management
On July 24, " deepen medical sanitation system to reform main 2013 job to arrange " announce.
According to arrangement, in ginseng protect (close) rate stability is on the foundation of 95% , town dweller cure is protected this year and new farming add up to governmental allowance standard to raise everybody annual 280 yuan, increased 40 yuan than last year, rose 16.7% , predicting average per capita raises fund achieve 300 yuan of above; Town dweller cure is protected and new farming add up to charge of the be in hospital inside policy limits to pay scale to rise to be mixed to 70% above respectively 75% the left and right sides, outpatient service medical treatment ensures pay to also can rise appropriately.
In respect of safeguard of a serious illness and disease lash-up deliverance, advance a serious illness of urban and rural dweller safe and pilot, continue to begin 20 kinds of major diseases such as children leukaemia to guarantee pilot job, perfect system of deliverance of urban and rural medical treatment, strengthen of all kinds safeguard between the system join. Fulfil what announce at the beginning of this year " the directive opinion that general office of the State Council helps a system about building disease lash-up to save " , make fund of disease lash-up deliverance administer relevant document and the weigh danger injury urgently level that require urgent cure and emergency treatment standard.
The management that cure keeps and service respect also will continue to reform:
Deepen cure to protect pay a system reform, urge the negotiation that builds cure to protect supplier of agency orgnaization and medical establishment, medicines and chemical reagents the mechanism pays cost the mechanism with what purchase a service, build perfect assessment to evaluate control a system with quality, prevent to decompose the forehead simply to spend the way of index, prevent to decompose medical treatment patient of service, shuffle, reduce service quality;
Unite a program, advance standardization of insurance of primary medical treatment and information system construction. The choice is in partial province is pilot, exploration builds go to a doctor of ground of the different that cross a province mechanism of instant settle accounts;
Continue to encourage the kind that purchases a service with the government, entrust the medical treatment offree modern dining chairs agency of commercial insurance device that has aptitude to ensure administrative service. At present the whole nation already had many areas to begin agency of commercial insurance device what basic medical service protects is pilot;
Integrated worker doctor is protected, town dweller cure is protected and new farming the administrative responsibility that combine, during doing good conformity, the job joins, ensure the system moves smoothly. "3 protect " administrative responsibility is integrated, put which branch after all, before this much already time discuss. And before paragraph the wholesome family planning that time announces appoint 3 calm plan also did not give out the answer, 3 calm plan put forward this ministries and commissions, responsible and harmonious advance reform of medical sanitation system and medical treatment safeguard. Current, new farming add up to administrative responsibility to still be born in sanitation plan appoint.
Cure of the State Council changes academician of committee member of expert advisory committee, the Chinese Academy of Sciences, Beijing assist think with Ceng Yixin of president of college of medicine, the devoted year after year that a few this years cure keeps increases, medical treatment puts in in local government finance (include the field such as insurance and hospital construction) the proportion that fund place holds government spending rises greatly, some local government try to use governmental finance to carry out the whole people even free medical treatment. This is tremendous progress.
Drive build shortage medicines and chemical reagents to normalize reserve mechanism
At the beginning of this year, general office of the State Council is released " the opinion that perfects basic medicines system and basic level to run new mechanism about consolidating " , working arrangement is definite, will implement measure specificly at was being made before the end of the year 2013.
Edition country is basic 2012 medicaments catalog, also will enclothe all governments to do orgnaization of sanitation of basic level medical treatment before the end of the year. Dosage of wh some of which the seldom production, drug that supplies shortage will have not affirmatory, company information collect, drive further build normalization shortage medicines and chemical reagents to lay in a mechanism, the key does good contagion to treat medicines and chemical reagents and emergency treatment kind basic medicines supplies safeguard to work.
Defend life form to be not a government to manage basic level medical treatment, the government implements basic medicines system through buying the means such as the service to encourage; Implement fee of diagnosis and treatment in the round; Construction of dormitory of have enough to meet need of hospital of the villages and towns that start is pilot.
The basic level medical treatment thamodern dining chairst pays close attention to relatively to everybody defends income of unripe orgnaization medical personnel, arrangement is definite, raise scale of wage of promotive sex performance appropriately; The income of village cure and pay are more clethe best selling north face shirtsar, "Jobs of 40% basic and public wholesome service hand in principle admiral to be assumed by village clinic. Sufficient play is new farming the compensation function that combines pair of village clinics. " drive policy of pay of rustic doctor provide for the aged to fulfil even.
To lack ofthe most popular selling norton internet antivirus talent of basic level medical treatment, working arrangement points out will continue to begin whole family doctor to turn hillock grooms the job. Continue to support standardization of whole family doctor construction of clinical education base. Carry out whole family project of doctor spy hillock. Push whole family doctor steadily hold industry pattern and service mode reform are pilot. At present the country serves mode 10 times to reform pilot city to undertaking.
The country that by sanitation of basic level medical treatment the orgnaization offers is basic and common wholesome service project continues to carry out, year standard of allowance of average per capita raises 30 yuan, raised 5 yuan again than having a level. Electron of standardization of archives of health of urban and rural dweller builds grade ratio to achieve 65% above, strength of management of standardization of hypertensive, diabetic is achieved respectively 70 million with 20 million above, crowd of old people and target of government of health of medicine of children traditional Chinese medical science is enclothed rate all achieve 30% brass faucetabove. Above data all rises somewhat than last year.
"Whole family doctor is ' person of healthy be on duty at the door or gate ' . Threw 6.2 billion yuan 3 this years to groom with Yu Quanke's doctor the construction of base. If go up to make great efforts again in incentive mechanism, can attract the basic level below whole family doctor, common people will have doctor of his domestic whole family, this will from go up at all the pattern of go to a doctor that changes the past, the key that works medical treatment sanitation truly turns to precaution to come up from cure. " Ceng Yixin says.
Guide social capital to participate in public hospital to change make recombine
Will start class of the 2nd batch of counties this year public hospital reforms pilotfree norton internet antivirus job integratedly. Key of public hospital reform is establishing prefectural level mechanism of compensation length effect, build perfect legal person to administer structure, drive medical price reform, deepen human affairs allocation in order to of medical expenses of system reform, control and the proportion that increase personnel funds defray to occupy business expenses, .
The respect is reformed in relevant form a complete set, will enlarge the capital outside the condition in order solely invested the pilot range that holds medical establishment. The city with public resourceful hospital can guide social capital to share the share that includes state-owned company place to run a hospital inside with a variety of means public hospital changes make recombine.
Current, hong Kong, Macao and Taiwan examines and approve attributive in what inland installs solely invested hospital, already was born by sanitation plan appoint transfer to a lower level is mixed to provincial sanitation family planning branch.
Drug price forms a mechanism to continue to perfect. Reform medicines and chemical reagents purchases way centrally, ensure medical character is measured, choose clinical the partial medicines and chemical reagents with use larger amount, cost of referenced dominant company, and medicines and chemical reagents purchases the market such as the price and retail drugstore sale price to trade centrally the price establishs governmental guidance price, trade according to the market the element such as price change is timely adjust. In investigating purchase and sale of medicines and chemical reagents stoutly dark buckle behavior.
In safeguard capital respect, want place of Wu of change to another post of year medical service capital to bring into finance budget, and on time appropriate of full specified amount reachs the designated position. Ensure implementation " 925 " during governmental medical service changes devoted strength and 2009—2011 of intensity prep above year cure changes devoted end.
Ceng Yixin thinks, a few this years a large number of capital throw the government to basically be versed in to the rural population of relatively low income, farmer with medical treatment resource in short supply urban and rural basic level tilts, alleviated greatly the appearance that enjoys favoritism of medical treatment resource. What be worth commend particularly is, average per capita is communal and wholesome of funds rise substantially make everybody has equal fair defend resource, of fund of deliverance of a serious illness establish, build from another link again rose to prevent to deliver deficient and the defense line that return deficient due to illness due to illness together. This a series of measure, promoted Chinese sanitation the fair sex of resource althe most popular north face shirtslocation greatly.
Cennorton internet antivirusg Yixin thinks, cure changes should continue to seek solution problem of a few deep administrative levels. He suggests, establish wholesome standard as soon as possible, healthy career in extended program, raise fund, communal sanitation, medical treatment serves and superintend harmonious rise; Next, should have duty the administrative system with consistent advantageous position; The 3rd, those who make wholesome career is medium develop a program for a long time, have scientific and sound program to realizing the way of these targets.
" People's Daily " (on July 25, 2013 13 edition) (people net - People's Daily)
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