The public hospital of Beijing will push the system of appointment Hook with writing a prescription of doctor's income
It is reported (reporter Wei MingYan) The public hospital reform of Beijing, will touch and visit the system " core " this year . The conference of medical reform of Beijing held yesterday transmits clear information: It is the undertaking that is worked out originally " A secure job " City owned for hospital medical worker,whole to employ when implementing, sign whether contract last performance salary.
It is employed that the hospital is whole, the contract system is managed
Ding XiangYang, Vice Mayor of Beijing, claims, the public hospital reform of Beijing will take three steps, the first step is to in charge of doing and separating, the second step is separated by government affairs, the third step is that medicine is separated.
In charge of doing and separating, but is in charge of office's running the hospital in the capacity of state-run assets contributor by medicine of Beijing established soon, implement the intersection of people and property and unity run standardize management to city owned 22 tertiary hospital. Municipal Health Bureau should change the function, give full play to trade executive and public health, health promotion function, "however, the material benefit of seeing the doctor of letting the public experience the public hospital reform brings, it is only ' the engine ' to establish medicine to be in charge of the office, the terminal that far from. "
According to the requirement that the government affairs separate, medicine of Beijing corrects the corporate governance structure intending to lead the public hospital to set up corporatization. According to the introduction of Ding XiangYang, it is in charge of office's accrediting the board of supervisors to city owned every hospital after establishing curing. The board of supervisors carries on supervision with the medical service act to management and administration, financial administration of the hospital. The hospital supervises president's under responsibility system in the board of supervisors. Medicine is in charge of office's taking charge of engaging the president, the president has to hospital people's mix right with sufficient property, it is accepted that medicine is in charge of strict management by objectives and examination of the office. Implement whole to employ, have five dangerous one inside the hospital King, contract system manage, professional and technical personnel's professional title is commented and engaging separating. Hospital staff implement the salary of performance, and will reflect the salary and reward " slope key post, a gleam of post " .
Doctor income does not write a prescription quantity get in touch
According to the introduction of relevant person in charge of Municipal Health Bureau, base on the premise that it is basic and public beneficial in medical treatment to guarantee, examine through the performance, doctor's income will meet examining amount, therapeutic effect and patient and appraise the hook with it, but not tie to prescription amount or quantity of writing a prescription, " the more pay for more work, give good recompense to the good labour " ,Enthusiasm of encouraging the medical worker to offer high-quality medical treatment service to the patient on the post of own job.
But engaged in the intersection of hospital and insider of management point out, carry out, make a diagnosis fee, the intersection of operation and fee, attend to fee to be very much cheap in public hospital at present, do not support the cost far, and not adjusted for many years; Existing government finance compensation mechanism is just input of fixed assets, there are few funds of number of people, it is only enough to support the retired ex-employee of the hospital. Develop in order to run, nearly 20 years before this, the public hospital has struggled in " raises medicine with medicine " , " Israel checks and raises medicine " Vicious circle in,cause to be " great prescription" this Expensive the very crux with seeing the doctor.
So, should examine the real performance in the public hospital and await relevant department's cooperation, make the existing medical pricing system in order.
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