The public hospital reforms to change the social insurance to pay especially next year Develop the county hospital
Nearly, the public hospital reforms the next focal point to basically fix at the end of the year. Recently at annual meeting, director of Chinese, the intersection of Ministry of Public Health and medicine in charge of Zhang Zong, chief of department, say long, the public hospital reforms 7 respects such as the payment that the next focal point mainly lies in changing the social insurance, construction of enhancement county hospital.
Zhang Zong has told " daily economic news " reporter for a long time, the reform pilot work of public hospital has already been launched in a plurality of province and city of the whole country at present, there are 16 among them in pilot cities of the national connection. National pilot city of connection, postpone, make pilot reform scheme because of reason of World Expo except Shanghai, the other pilot cities have already put out the pilot reform scheme.
He says, the public hospital reform of 2011, there is work of 7 respects that remains to strengthen: Adjust the planning overall arrangement of the public hospital rationally; Do a good job of the coordinated cooperation in urban and rural areas, form the tie relation linked from head to foot; Well develop the county hospital preferably; Strengthen the internal management of the hospital; Improve the means of payment of the social insurance; Strengthen resident's standardization to train; Advance information construction of the hospital,etc..
Among them, the county hospital will become the goal of development of having priority. Zhang Zong has introduced for a long time, the county hospital distributes wider in our country, and have advantage of regional medical treatment, it is the leading function in the hospital at county level. According to the statistics of Ministry of Health, county the intersection of hospital and clinic account for whole public the intersection of hospital and 1/3 of clinic, account for in hospital amount public hospital in hospital quantity 47% about, occupancy volume relatively large not merely, and the expenses are relatively low, have greater function in controlling the medical expenditure.
Recently, Ministry of Public Health hold on-the-spot meeting at this point while being special, to the intersection of county and the intersection of hospital and reform, strengthen the work of county hospital, make a series of arrangement. Meanwhile, the hospitals of hospital, county will support to work to fitting in with one's training or speciality of the health clinics in towns and townships to do the urban hospital well to the county, realize the patient changes the place of examination bidirectionally, shunts patients rationally.
Zhang Zong has still shown for a long time, will strengthen the change to the means of payment of the social insurance, will change the settlement way in which the hospital charges, help the social insurance cover the crowd's strange land and settle account, including settling account in the rural worker's strange land, implement the intersection of total value and the intersection of person who prepay and control and management of, control the hospitalization cost, raise the performance of the hospital.
Become the focus that presidents discuss as to the change of the means of payment of the hospital. Pay the system after what our country implemented is at present, pay to the medical organization based on the hospitalization cost happened that namely the payer reported to according to the medical organization after the expenses have happened. And it means before medical treatment begins movably, the government department or medical insurance organization determines for the compensation standard of the medical organization in advance to prepay and make, the excess part will be undertaken by hospital.
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