Rural hygiene It is still a hot topic

Rural hygiene It is still a hot topic
Staff reporter Cao Zheng
At the national hygiene working conference held on January 5, it is still one of the focal points of the exposition in the conference reports minister Chen Zhu that the rural hygiene works. How to improve and shut the system newly and agriculturally, how to strengthen the rural doctor to replenish, how to strengthen the construction of system at the basic level, also become the hot topic that hygiene heads of department and bureau pay close attention to.
Shut center to turn newly and agriculturally to the institutional improvement
As last year, though the hygiene work is complicated, Chen Zhu, minister of Ministry of Public Health is while assigning a new year to work, will still put newly and agriculturally in the first place jointly. The hygiene heads of department and bureau from all parts of the country say when being interviewed by reporter, after realizing and expanding the Taxi goal newly and agriculturally jointly, the center of the work has already been turned to the institutional improvement now.
Chief of Jiangxi Province department of public health Li Li says, to shutting the completion of the system newly and agriculturally at first, mostly consider how to facilitate peasants, simplify and submit an expense account the procedure. But found later, the institutional improvement brought greater advantage: To it handles organizations, supervision of fund to be stricter jointly while being agricultural while being new, prevent excessive medical treatment from even defrauding of the emergence protecting.
Jiangxi pilot project shut fixed hospital, pay first, mend direct while being agricultural while being new since 2009. Join, it shuts peasants to be even to get large hospital on the province diagnose the illness, can window get, wipe out style directly in hospital too. "Because the original intention mended directly sees peasants rush about holding the invoice in order to submit an expense account, very troublesome, want to simplify the procedure. " Li Li says, according to the statistics of theirs, after mending directly and implementing, because has crowded and done " moisture " ,The actual compensation proportion that peasants obtained has been raised by 4%.
The new agricultural development that shuts is ripe day by day, make hygiene heads of department and bureau's sight begin to pay close attention to ensuring the content not including the system. Chief of Inner Mongolia Autonomous Region department of public health Yang ChengWang thinks, wants the benign development newly and agriculturally jointly, the intersection of key and input to lie in medical treatment, lie in, put prevention first real implementation of the policy.
The prairie of the Inner Mongol is with a small population in a large area, though local economy is not very very developed, but raise funds newly and agriculturally jointly the level is still higher than the national average line. In the area with sparsely populated population, with more arduous condition, the government has specially increased and replenished. Yang ChengWang finds while surveying and studying in the basic unit, " puts prevention first " The place that is carried out well, the morbidity has been reduced, there are less patients, the fund risks of cooperative medical service fund and other medical insurance will be smaller. On the contrary, the morbidity soars successively, there are more and more patients, fund pressures and risks will be strengthened. He says: "The Inner Mongol peasants and herdsmen are badly paid, the ability to resist the serious disease risk is weak, it is not relaxed that the government should especially catch the principle of putting prevention first. "
The rural doctor subsidizes and implements progressively
At the 2009 rural hygiene working conference of the whole country, Chen Zhu once " requested " excitedly Regional hygiene administrative leader, must implement and subsidize the policy to the public health of the rural doctor, network bottom of the steady hygiene at the basic level. With start of the basic medicine system of the basic unit, how to ensure the interests of the rural doctor to become the topic that hygiene heads of department and bureau pay close attention to too.
"After selling a difference rate of basic medicines, the income of the medical health organ in the basic unit is reduced by a relatively large margin, the government compensates uncompletely, the medical organization at the basic level must close. " Li Li thinks, it is a direction to strengthen to the rural doctor's subsidy. He admits, the basic medicine system is implemented, can not really influence small the rural doctor having it, especially the village clinic with better operation. However, the actual conditions of the basic unit determine the rural doctor's seat is indispensable. Li Li finds while surveying and studying in the basic unit, because the traffic cost is too high, a lot of peasants will not seek something far and wide when it is within reach, but still go to the village clinic to see the doctor. More important, rural doctor disease prevent and control first line of defence of public health, this team is stable and essential. The whole country in 2009 " Two Conferences " Have, Li Li has referred to the motion of " improving the rural doctor's treatment and setting up and supporting parents and ensuring " as the deputy to the National People's Congress, specially pay close attention to the problem of how to ensure rural doctor's interests.
In 2009, Jiangxi will start the basic medicine system reform pilot project in 491 central commune hospitals of villages and towns of the whole province, bear for the medical expenses not aggravating peasants, does not set up medicine thing service charge in Jiangxi, wouldn't improve the technological expenses standard of labor service either. This pair of governments have put forward higher requirement. For this reason, raise the fund of 300 million yuan, subsidize a difference rate to the medical organization at the basic level in two grades of finance of Jiangxi Province, county. On this basis, the provincial finance of Jiangxi implements the guarantee in full to the basic wage of health clinics in towns and townships of the whole province, and then invest 60 million yuan to subsidize rural doctor. In 2010, Jiangxi will also increase and subsidize 200 yuan the rural doctor for each person every year, will increase and subsidize 800 yuan to the rural doctors of the villages and towns of the central commune hospital. "Goal of us to let rural the intersection of subsidy and rise progressively of doctor from 4000 yuan to 5000 yuan for each person every year. "
The rural doctor should subsidize, this nearly becomes hygiene heads of department and bureau's common understanding. It is suitable how much is mended, everybody has one's own criterion in the heart. Chief of Gansu Province department of public health Liu WeiZhong says, he finds when the basic unit surveys and studies, the expecting much of rural doctor, annual income so long as and annual income of peasant going out to work as a temporary labourer in the locality are fair.
Gansu is that the subsidy standard which a rural doctor makes is basic salary of 300 yuan and performance salary of 200 yuan for each person every month this year. Totalling, a rural doctor can obtain the subsidy of 6000 yuan every year. In addition, still offer the income that services obtained of the public health. This standard was not confirmed at will. In Gansu, one go out annual income of temporary worker 6000 yuan on average.
The duke defends and controls wanting to sink to the basic unit
In 2009, brothers' mouth disease epidemic situation will expose the deficiency of the system of prevention and control at the basic level. How to strengthen the sensitivity of the public health system at the basic level and ability of prevention and control, concern peasants' vital interests directly.
Chief of Gansu Province department of public health Liu WeiZhong thinks, the management of the system at the basic level is a big problem. A lot of places are medical health organs of all villages of intra-area of county under the overall leadership of county hospital now. "Just a dozen people altogether of a health bureau, can not be in charge of over at all, especially the first class organization in the village, the health bureau can not be in charge of over, the commune hospital in the township can not be in charge of either, has caused a lot of supervision blanks. " Liu WeiZhong says, he goes to the countryside to find, the public health responsibility that the rural doctor bears is heavier and heavier now while surveying and studying. For example vaccine inoculated, it was 5 kinds originally, expand to 13 kinds now. The input of the government is increasing constantly, but the result has finally reached expectancy, but nobody comes to supervise. If really meet the major event, it is still unable to be replied.
In order to solve this problem, try to supervise and guide and sink the control of the public health to the basic unit in Gansu. Liu WeiZhong summarizes it into three sentences: "The lower village of management organization, disease accuses of the organization in hospital, the health education enters the family. " Set up the hygiene office in the villages and towns in Gansu Province, taken charge of work such as the supervision and inspection after rural medical organization and the medical worker management, rural food safety supervision management and vaccine injection by special messenger; Set up public health department in the hospital of above township, besides responsible for the public healthing, patient and disease table carry on statistical analysis to going to a doctor every day, find that investigates epidemiology in time in abnormal condition; Cooperate with the health education taking rural medical organization as action main body at the same time, explore that sets up and regards family as the unit health educational pattern.
WeiZhong Liu say, supervise hygiene and disease accuse of professional organization sink to basic unit, the most direct function is to strengthen the reaction ability to all kinds of public health events in the basic unit. "One of our goals of setting up this set of systems is, discharge disease tables of the provincial hospital in 2 months, discharge the disease tables of the hospital at city level in 4 months, discharge the disease tables of the hospital at county level in half a year, discharge the disease tables of the whole province in one year. " Liu WeiZhong says, after this plan is finished, Gansu can be except existing epidemic situation straight newspaper system, it set up every one it is reporting system of infectious disease,before the public health crisis come can prewarning in time, should be to the burst of crisis in time.
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