Community's hygiene service coverage rate needs raising badly
(reporter Liu Ping'an) It launches key connections to be the past 3 years our country advance the intersection of community and the intersection of hygiene and services main measure in urban work. Contact the urban base-line census data to reveal in 28 focal points of the whole country that hospital Professor Lu ZuXun of Tongji University of Central China University of Science and Technology takes the lead in organizing, the health organ of the community builds up and counts and counts 1/4 more than planning, and 1/3 of the community health Centers, business house of 1/2 of the community health stations lease, average each doctor's annual clinic quantity is about 2000 persons, the proportion of services is small outside the courtyard. The seminar thinks, strengthen the organizational construction of the hygiene, the coverage rate of improving community's hygiene service is extremely urgent.
On the 2009 when Beijing is held training class of administrative staff of the national community's hygiene service a few days ago, Lu ZuXun has reported this situation of investigation which has contained 1870 centres, 4963 stations. This training class is defended the training center of medical technology to hold by complete medical training center and pair of Ministry of Public Health. Investigate in order to contact the organizational construction of the working scheme in the city especially, personnel training, fund input, performance examine management, use medicine rationally and medical insurance it stocks 10 contents such as the community to be frames. The result reveals, 28 focal points were contacted in the city, 58 districts have implemented the financial management system of two lines of revenue and expenditure, accounts for 30.37% of the total number of areas under one's jurisdiction. Medicines of every hygiene service organization of community of area under one's jurisdiction of 5 cities such as Beijing, Yinchuan have implemented government's purchasing, concentrating on providing and delivering the system in unison. 67 districts have launched the pilot project of a price differential of medicines, every district implements a price differential medicines of medicines it is 200 kinds on average. 67 districts have made community's hygiene and served the catalogue of basically using medicine, medicines are 779.82 kinds that average each community basically uses medicine. Implement medicine separate and dispensary it deposits cities of pilot project to be more, average each district implement medicine separate and organization that dispensary deposit it counts to be 4.74. It is relatively tall in proportion that the community health Center sets up the Chinese medicine department, the proportion is 78.92%.
Lu ZuXun thinks, community's medicines reform policy has been paid attention to, but pay attention to the result, because of the income large proportion of medicines, the satisfaction to medicine price of the serivce object is not high. The pilot range of two lines of revenue and expenditure is not big, but transfer to the hospital case and count little bidirectionally, examine and lack the planned pilot project in the community for the first time. Still have clinic of 194 community health Centers and not include in the fixed organization of the medical insurance in hospital, the favorable policy efforts of the medical insurance is not big.
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