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Be brave in to explore charge new way -- write down courtyard of public traditional Chinese medical science pilot reform
"Simple test cheap " how does medicine of doctor of traditional Chinese medicine add a brick to add tile for common people health? By April, the 7 branches such as province sanitation hall come on stage jointly " reform pilot executive opinion about hospital of public traditional Chinese medical science " , my province holds his head high began not to have precedent in the whole nation but the courtyard of public traditional Chinese medical science of abide is reformed " the brigade of broken ice " . "Broken problem " close already 5 months, does reform make progress how? The reporter undertakes be interviewinged deep to this.
The passion of reform and confidence, very big one part comes from number of a group of statistic: In visitting all omnibus hospitals completely, personnel of courtyard of doctor of traditional Chinese medicine holds sum total 10% , bed is occupied 10% [link widoczny dla zalogowanych], inpatient person-time is occupied 10% , but 20% what outpatient service quantity has gross however, diagnosis and treatment of average per capita is expended more 80% what be equivalent to Western medicine courtyard only. "These a few numbers if every increase 5 percent, the aux will be able to of cost of outpatient service medical treatment that saves a patient completely reduces 3 100 million! " chief of bureau of traditional Chinese medical science of province sanitation hall says.
As we have learned, although my province already realized every county to a government handles the end of hospital of doctor of traditional Chinese medicine, but widespread presence dimensions deficient of lag of small, development, instability, talent, equipment is pallet wait for a feature. And these, also be the problem that reform of courtyard of this public traditional Chinese medical science tries hard to solve. Reform at the polyclinic relatively for, courtyard of public traditional Chinese medical science is reformed not only should solve " raise cure with medicine " chronic illness, should solve more " with in be being raised on the west " difficult problem. Say from this angle, courtyard of public traditional Chinese medical science reforms " solution is inscribed " difficulty is greater.
"Reform of courtyard of public traditional Chinese medical science is desirable without off-the-peg experience, can active active, dare be a person first, dry middle school, in learning, work. " on the reform of courtyard of public traditional Chinese medical science that held in June and development informal discussion, deans of courtyard of each district traditional Chinese medical science reach consensus: We must walk out of a way that accords with province affection to come, let common people already can have a good opinion of is ill, let a government be assumed again have reform cost.
The basis comes on stage by April " reform pilot executive opinion about hospital of public traditional Chinese medical science " , my province is in pilot in exploration is executed encourage medicine of use traditional Chinese medical science to tilt policy, the preparation inside breed and courtyard brings into the item of diagnosis and treatment of doctor of traditional Chinese medicine that includes to will accord with a condition, Chinese traditional medicine primary medical treatment submits an expense account limits; The hospital in reducing submits an expense account a Fu Biao is accurate, the medicine in rising submits an expense account scale, increase differentiate card to apply control cost, inside area under administration the preparation inside general courtyard, its purpose is changed namely " with in be being raised on the west " the current situation,
Mention reform, what deans of courtyard of doctor of traditional Chinese medicine worry most is compensation mechanism problem, fear little or allowance is accessorial do not reach the designated position, affect working enthusiasm of the worker.
This reform is pilot in the classification that roll out compensates a mechanism, ate a sth capable of comforting sb to worker of medicine of various traditional Chinese medical science. Classified compensation mechanism basically tilts from devoted policy, special funds allowance and face of tripartite of compensation of characteristic of medicine of doctor of traditional Chinese medicine are built, in order to remove the trouble back at home of personnel of medicine of doctor of traditional Chinese medicine. In addition, diagnosis and treatment of doctor of traditional Chinese medicine still will increase to serve an item in reform, perfect adjust its price to form a mechanism.
Lake of overgrown with weeds very good attempt was made in this respect. This city is passed build " with award era fills " compensation means, collect fees to hospital of public traditional Chinese medical science load of charge of medical treatment of behavior [link widoczny dla zalogowanych], society and economic benefits undertake budgetary performance is evaluated, reduce finance allowance and hospital of doctor of traditional Chinese medicine charge link up with, guide, hospital of normative and public traditional Chinese medical science offers cost the medicine of doctor of traditional Chinese medicine with low, good effect serves. The communal and wholesome service that assumes to its grants special allowance, prevention and cure of safeguard occupational disease, urgent cure, provide disaster relief, foreign aids, support agriculture and raise the public service funds such as the edge. "Build new hospital, the country is accessorial 12 million yuan, local government is one-time accessorial 70 million yuan, offer new courtyard freely still to use the land 110 mus. After cure changes, drug-store personnel, extend by the government from retiree salary, the charge such as the people's air defense of a few original provisions, building also is avoided completely. " Wang Xiaoshun of dean of courtyard of city traditional Chinese medical science calculated brushstroke Zhang so.
Of system of service of the medicine in restricting a country and ability construction " bottleneck " it is talent problem [link widoczny dla zalogowanych], rise 45 months this year, I save the medicine in the country that starts in county of Huai Yuan, short for the Jinghe River, Naling in succession to serve prefectural countryside unifinication to supervise pilot work, its original intention is talent of the medicine in settling a country " fall not to go, do not stay, do not use on " problem.
In reform, each are pilot division of traditional Chinese medical science of hospital of prefectural general villages and towns and construction of ability of service of drug of village clinic traditional Chinese medical science bring into courtyard of prefectural traditional Chinese medical science to consolidate management, execute unified recruit, alone row to make up, the standard grooms, issue clique, fixed assessment, reasonable flow respectively, must go below talent of the medicine in making, stay so that live, use, plan construction of standardization of the medical courses in general in the hospital of villages and towns of 3 pilot counties inside 2 years and service of drug of village clinic traditional Chinese medical science come true 100% enclothe.
"The near future, we still will sum up experience in time, search inadequacy, ensure change policy measure, change measure the action, turn the operation into effect, for next comprehensive reform ready-made. " province sanitation hall expresses about chief. Relevant Information：

[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]

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