Community's hygiene: There are many difficult problems

Community's hygiene: There are many difficult problems
Plural strength run the intersection of community and hygiene, serve, it is national the intersection of community and hygiene that serve, contact city second slices of common pattern of district especially. That public hospital run community health Center ' Stand) And accounts for more than half of from the organization of clinic's transition of the industrial enterprise hospital. Under this kind of pattern, how play a leading role local government, guarantee various organization that strength run get the fair opportunity for development at the intersection of system and construction, compensation mechanism? How does medical insurance enter the predicament that the community faces to solve? Where does complete doctor train the way? From June 4 to 5, national the intersection of community and the intersection of hygiene and service system on the intersection of Baotou and city hold build, contact city at the second scenes of the intersection of district and exchanging meeting especially in Inner Mongolia Autonomous Region, the representatives of 7 cities have got togather in order to canvass the scheme that is analysed and explained.
How does the community health organ in plural pattern survive
Hebei mentions, Hebei is like other cities in a district on behalf of Yin YaPing, the community holds pattern in pluralism. Efforts that the government holds is not enough on one hand to build and rely on the existing resource foundation in community's hygiene service system, the public medical resources of industrial enterprise are abundant on one hand, do not utilize and waste, there are resources to include in the choice that the system is realistic. Community's hygiene of last year of market of Shijiazhuang serves the total person of emergency call of the door and was up to 2,710,000, accounts for 15.2% of the total amount of the an emergency call of this market. However, in the organizations of 217 communities of this city, 152 rent house and carry on the work with current price on market, half that the rent expenditure almost accounts for the business income, the burden is very heavy.
Shanxi representatives mention, should save in the hygiene service organizations of 47 communities of Yangquan, a part is set up by the public medical organization, a part is to strip making the transition from enterprise's hospital, there is no independent status of a legal person, personnel, salary, income are decided by affiliated organization, the difficulty in management is very great. All parts because make and appropriate, short of money, have, employ temporary personnel or use the intersection of affiliated unit and professional personnel.
Harbin city represent Ying Mu introduce, city this belong to old industrial base, enterprise hospital bottom thick, and the norm is sturdy, under the background of the medical reform, all make the transition for the enthusiasm of the hygiene service organization of the community. The properties of these enterprises are public too, assets are the country too. However, after they worry pursuing a difference rate of two lines of revenue and expenditure and medicines, the district level government does not replenish for these some organizations. "The prerequisite of management of two lines of revenue and expenditure and medicines, a difference rate, is putting into needing in place, put it into uncompletely, only a difference of medicines can let these organizations collapse when leading. If the government does not replenish this part of organizations, these reform measures are all difficult to pursue " . The health organ of community of Harbin employs personnel to account for 24.31% temporarily, personnel's flowability is great, , steady service environment that the shape does not grow up far. The intersection of community and service system it builds to be to want, move forward, pull by project, but system the intersection of treasury bond and event of construction only limited to the community hygiene service organization that the government held at present, the organization that state-run factories and mines, enterprises and institutions and social forces hold does not include among them.
Chief of Baotou Municipal Health Bureau beautiful to say this city the intersection of community and the intersection of hygiene and service organization take out, sell a difference rate by 50 kinds of common medicines last year De Sun, there will be complaints to the organization comes down in one year. "The business scale of the community of Israel, if the government can't mend in time, does not allow profits, can insist to serve it is false in community's hygiene, can't insist it is true. "
"Policy demand, ensure public the intersection of health organ and the intersection of salary and income of personnel, but finance to protect organization that the government run at present, what if the organization that other different fields hold? " How is community's hygiene pluralism under the direction of government holds surviving in pattern, big problem that is all thinking that this is regional representatives.
Shenyang city represent Zhao say noon: "The policy obstacle restricts the development of the hygiene service organization of the community, such as impact on him of the medical insurance being extremely important. Which large hospital leaves worker's medical insurance and lives now? The hygiene service organization of the community is the same in reliance on the medical insurance. The medical insurance is a lever which adjusts patient's flow, if the medical insurance policy slopes to the community, leading one to examine in the community, the complete doctor needn't train by oneself, patient's flow increases, doctor's quality will be promoted. "
The medical insurance pays by credit card and attracts a patient to go to a doctor, welcome community's organization to join too in some local medical insurance. But the intersection of threshold and fee and maintain expenses, let the intersection of economic strength and weak little station hang back. Representatives have calculated accounts: "The software of medical insurance costs 6000 yuan, must often upgrade, upgrade needs of one or two thousand yuan each time. The large hospital of this sum of expenses does not mind, the small community but can't bear. Rented special data broadband, the rental even took as many as ten thousand yuan in one year. "
Meanwhile, line of three or four pieces of medical insurance, there is medical insurance of provinces, cities and autonomous regions, there is medical insurance of industrial enterprise, the small community installs a all unable to do what one wishes system, can only be " deeply aware of one's own helplessness when faced with a great task " even more in the face of so many different systems .
The building of contingent can't repeat the old road of the rural hygiene
"The house has been built, the apparatus has been put in place, but appropriate doctor does not handle villagers' disease. This is the road where rural hygiene passed by, all of us watch with the tail of one's eye. Now, some city community's hygiene service system is going on this old road of the rural hygiene, centre and station newly build, expand vigorous, after central authorities, the intersection of provinces, cities and autonomous regions and 4 grade financial public health of community serve the funds to set aside, the governments at all levels are waiting to want the result; The hygiene is served after appearing on the stage in policy of melting, the urbanite looks forward to being be enjoyed as soon as possible by oneself constantly too; The hygiene service organization of the community is making great efforts to change and serve the idea too, improve and serve quality, it is satisfied to strive for letting from head to foot. But one can't make bricks without straw, without qualified complete doctor, there is no source of steady talent's team, who comes to turn the good policy of the country into resident's satisfactory service? This restrain the intersection of community and hygiene from serve bottleneck of development all the time. " In the discussion at the meeting of one scene of districts, from department of public health of Shanxi Guo's profound Great Britain's first speech, the ones that came straight to the point and said are " People " .
Guo profound Great Britain says, the popular science mouth only does training, but not getting the certificate through training, because cure the policy mouth and go back on one's word. We worry and have no way. In addition, a lot of doctors work on one job but long for another, after worrying about the registered complete doctor, can't transfer to getting back to a training doctor any more. "So, the complete doctor of Shanxi trained and invested 2,390,000 yuan last year, but there are only a person's registered complete doctors finally, because the registered complete doctor should follow the voluntary principle. "
Meanwhile, the training of the popular science mouth should be combined with the real work together closely. The one that train the complete doctor is all training doctors, some come up and say how to use the conduit, perhaps the complete doctor has no chance to use the conduit too all one's life. A lot of doctors reflect the thing none of them of training Think
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