Medical reform five Q: public hospitals tend to gain clear how surname "public"?

Life, there is no life who can not illness, life does not deal with the medical and health institutions. The more economic and social development, people's health needs of the more strongly. Therefore continue to improve medical and health conditions, medical treatment to resolve the masses of problems, improve the health level, the Government and social responsibility.

In the new medical reform program introduced before the public voice of medical reform and recommendations that deserve serious consideration all sectors of the community. National health work conference has just ended, and the current science and technology magazine published comments from all kinds of people, with a view to arousing attention to the issue of medical reform and to explore further attention.

- Editor's Note

Zhao Yong-fun graphics

Medical Reform Events

● 1985, the State Council approved the Ministry of Health "on health reform and the report of a number of policy issues," and proposed the implementation of the decentralization of health care institutions, let enliven. Medical institutions as a result of stronger income-generating momentum, the residents a rapid increase in medical costs

● 1997, the CPC Central Committee and State Council promulgated the "on health reform and development of the decision," clearly the nature of public health undertakings in our country is the cause of social welfare

● 2003 onwards, the national organizations in rural areas throughout the country to establish a new rural cooperative medical system

● 2006, the State Council to deepen the medical and health system set up inter-ministerial coordination working group to put forward opinions about the reforms and

● 2007, the State Council to start the basic medical insurance for urban residents pilot

How public hospitals named "public"?

User: I think the loss of public service in public hospitals, doctors rely on multiple medications, multi-check rewarded with virtually increase the burden of ordinary people. The state invested less, the hospital in order to survive, doctors want to live, how do you say?

Beijing vice-president of Ahn Jung-week hospital born: Let the public hospital named "public", we must first define the public hospital owners and managers responsible for the right to explore the establishment of hospital management committee as the core corporate governance structure of public hospitals. At the same time, health authorities, the establishment of a hospital regulatory bodies, the establishment of public welfare as the core of the public hospital performance evaluation management system.

The Ministry of Health: the future of public hospitals to reform the compensation mechanism. Government is responsible for infrastructure and large-scale purchase of medical equipment, focusing on the development of academic disciplines, residency training, retired personnel, costs and policy-related subsidies for public hospitals to assume the task of public health services to give special subsidies to protect the public hospitals for emergency treatment, foreign aid, support farmers, extension edge, Huimin services and government-designated funds for other public services.

How to protect food safety?

Netizen: melamine, Sudan, malachite green ... ... These are all eating it? Hunger breeds, food to security first, now people are not eating a sense of security, how should I do?

China Disease Prevention and Control Center, nutrition and food safety researcher at the Institute of Chen Junshi: Food security is produced not by the regulators. This does not mean that the Government's regulatory inaction, but rather the promotion of enterprises to strengthen self-discipline.

Tsinghua University School of Law, Associate Professor of Shanghai Satellite: on illegal enterprises to punishment, but punishment is not an end, as an administrative penalty is limited. Only by improving the production of food safety awareness, people can eat more at ease.

The Ministry of Health: This year will focus on technical support to strengthen food safety capacity-building to form a nationwide food contaminants and food-borne disease surveillance network.

Community Health how Huimin?

User: my family near the community health stations in poor conditions, the doctor is not high level, who would be willing to go to such places where a doctor?

Daqing oilfield in Heilongjiang General Hospital Group, general manager of Sun Ximing: Community health services and distance relationship, of course, is that the closer the more convenient. But more crucial is the quality of community doctors and technical levels. Community health service is not only patients, but also the health of populations and sub-health crowd, it needs real GP, rather than "one size fits all" doctors.

Administered by the Institute of Tsinghua University Professor Bai Chong-En: Some local communities to implement the first consultation system, by reducing the price of services and increase the proportion of their claims to attract triage. In fact, patients with more care about the quality of medical services, service price concessions to some extent the choice will not affect the patients. Community Health to give priority to the use of appropriate technology, equipment and essential drugs, as a result of door-to-door services and take the initiative to reflect the convenience of services.

The Ministry of Health: the future of community health agencies to reform the mechanism for a remedy. Government held responsible for its community health sector infrastructure, equipment, personnel and its commitment to funding for the operational requirements of public health services. At the same time, community health agencies to actively promote the separation of revenue and expenditure management, to implement a unified drug tender, unified distribution and sale of zero-gap.

How to strengthen rural health?

Netizen: quality medical resources are concentrated in big cities, rural areas lack of medical treatment, the farmers see the doctor difficult. When will this situation be changed?

Shanxi Provincial Health Department director of high Guoshun: Rural Health prominent problem is the "four missing": lack of institutions, lack of housing, lack of equipment, lack of qualified personnel, poor treatment of rural health workers, a serious loss. Many patients have an influx of big city hospitals see a doctor, resulting in overcrowded hospitals and increased the burden on the masses of the cost of medicines.

Zhengzhou City, Henan Province People's Hospital president Chen Liusheng: To resolve the issue of rural health care, optical hardware to improve the level of medical institutions can not, the key is to nurture talent. By feelings keep people on the cause of keeping and, more importantly, keep people on treatment.

The Ministry of Health: This year will further strengthen the standardization of the construction of the county hospital, and effectively play a county hospital in the rural three-level medical and health service network in the leading role. Three years, the central focus of support around 2000 county hospital building, so that each county at least one county-level hospital has basically reached the level of standardization. Three hospitals in each city with about three county hospital counterparts to establish long-term collaborative relationship.

Government shall be responsible for public township hospitals in the capital, equipment purchase, personnel and its commitment to funding for the operational requirements of public health services. The wage level of medical personnel, to local institutions and staff between the average wage level.

High prices how to solve?

User: Some drugs cost only a few dollars, after increases at various levels, to the hospital was sold on the hundred dollars. Drug prices in the water, how can we squeeze clean?

Tongcheng, Anhui Province People's Hospital, president of the new汪革: Addition of China's implementation of drug policy, has the right prescription of doctors tend to select high-priced drugs, cheap drugs increasingly not the classic market. This resulted in a considerable number of patients with excessive use of expensive but not necessarily very good efficacy of drugs. Medicine collusion is an important reason for drug prices High.

China Center for Economic Research, Peking University professor Li Ling: the establishment of a national essential drug system is the international practice. Many people in the basic drug equivalent to cheap medicines, is not true. World Health Organization stressed that the essential drugs are those that satisfy the majority of the people's health care needs, at any time have a sufficient number and appropriate dosage forms, the price of individuals and communities to affordable drugs.

The Ministry of Health: In the future, medical institutions should give priority to the use of essential drugs. Part of the government's primary health care in principle, all health institutions with the use of essential drugs. (Reporter白剑峰王君平)

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