Medical reform " wooden case of the spirit " Description: Free medical care revenue and expenditure accounts of the whole people

Medical reform " wooden case of the spirit " Description: Free medical care revenue and expenditure accounts of the whole people
Free medical care policies of the whole people of the supernatural wood, undoubtedly attract people's attention in new medical reform most.
March 1 this year, the wooden county of the spirit>Pursue formally after demonstration of more than one year. In the implementing method, every participate in the intersection of urban and rural residents and cooperative medical service and basic medical insurance, urban residents with household register of wooden county of the spirit of the worker, favour the ones that enjoy free medical care the pool.
On June 5, the reporter knows while visiting in the locality, as to the free medical care which the external world passed different judgements on, supernatural wood experience pressure is on the contrary relevant to responsible for, call, " reach our anticipated level yet " .
Current situation of free medical care
There are 14 all kinds of hospitals in all in god's wooden county, there are 7 to include in fixed hospitals of free medical care at county level this time, distributed in the area not big of county town. In these 7 hospitals, except that the hospital of wooden county of spirit launched recently belong to the public hospital, the others belong to the non-profit-making private hospital reformed system.
It is a committee of work of rehabilitation that god's wooden county is responsible for the principal organ implemented in free medical care. Director, Deputy Bureau Director of county hospital, Zhang Bo of the committee say when being interviewed by staff reporter that recover: "14 hospitals all signed up by fixed position free originally. Give a mark through the expert's quantization, has just chosen these 7 families. Hospital these person who count respect more outstanding in personnel, facility, berth. "
The reporter sees in two institutes of spirit wood one of the fixed hospitals, the case of participating in submitting an expense account in April is all listed on the table, wipe out amount of money above a thousand yuan more, the highest one is close to 20,000 yuan. According to supernatural the intersection of wood and current policy, impatient implement, get up pairs of line wipe out system, at county level hospital get up, pay 400 of line for every person, get up, pay line the above-mentioned expense to submit an expense account, for each person every year to submit an expense account totally the medical fee does not exceed 300,000 yuan.
Since the god implemented wooden free medical care, the amount of money is 9,600,000 yuan that the whole county submits an expense account in March, it is 12,700,000 yuan in April, the newest data are 11,700,000 yuan in May. Taking two institutes of supernatural wood as examples, Vice President Zong Xue Wang introduces: "Third, peak in hospital in April, the disease number increased by 15%-20% compared with the same period of last year, but the situation has already been relieved now. Hospital wipe out amount of money, exceed 2 million last two month. "
Bo Zhang introduce, god wooden the intersection of county and population close to 400,000, according to standard this, " figure that calculate at that time to wipe out 150 million - 180 million the whole year. It seems now that it is so tense that there is no what we imagined in the actual conditions. "
And according to the national current standard, the rural cooperative medical service fund gross income of supernatural wood will be 24,980,000 yuan in 2008, the urban cooperative medical service fund gains 5,050,000 yuan. According to this, the guarantee amount that the locality expects is 5 times that of national standard.
As the birthplace of large county, supernatural group of China of coal, nonferrous metals resource, the financial capability of wooden county of the spirit is surprising. The general financial revenue of the county is 7,227 million yuan in 2008, list Shaanxi Province at county level and rank the 1st. Local officers reveal to the staff reporter, the wooden fiscal revenues of the spirit will certainly exceed 10 billion this year. So, Zhang Bo says: "Support the whole people's free medical care for a long time, will not bring very large pressure to county finance. "
However, the great amount of expenses submit an expense account and ensure not extending to the clinic in hospital. According to the local regulation, what the out patient enjoyed are medical card systems of the whole people, the amount of submitting an expense account for each person every year is only 100 yuan.
In the local famous Specialist Clinic of blood vessel of heart brain of two institutes of supernatural wood, the reporter sees that a patient goes to a doctor successively, attending physician require patient make X-ray wait for, measure project in order to assist, treat generally. A doctor tells reporters: Because of clinic, these cheap expenses can only include yuan of clinics in submit an expense account, the overage needs patients to pay for itself.
However, the wooden county of the spirit has designed some supplementary policies for this, for instance improve the limit of submitting an expense account to clinic of chronic disease, however, it could be still the threshold submitting an expense account in hospital.
Profit mode of the hospital
God's wooden medicine has been transformed into the polarization of the local hospital. The precise coal worker's hospital by the bus stop of the county can describe through the way that there are very few callers, love of president's ox shows: "If does not obtain the qualification of fixed hospital, basically it is very difficult to keep going down. " Some other families are not fixed hospitals too roughly so. Fixed hospital another a scene, Zong Xue Wang tells reporters: "There are 200 berths in all in two institutes, also there are 20 in vain now. "
Though medical treatment is free, that the camp of fixed hospital accepts not influenced. Policies and regulations, implement patient's paying for all expenses first in advance in hospital, submit an expense account after leaving hospital. Compare, get up, wipe out route through medical insurance, shut while being agricultural while being new in the past, hospital returned money further more convenient. Xue Zong Wang introduce, will it be 5 every month, county will to wipe out style, distribute to patient last month, some such patients borrowing money and seeing the doctor just have no worry. And the expenses taking place in the clinic are very low because of the proportion, so cooperative medical service fund and settlement route of the hospital are very unobstructed.
But the reporter finds in the investigation, the phenomenon that excessively submits an expense account remains as before. The amount of money in order to control submitting an expense account of county, stipulate and is in hospital the all-inclusive cost, the proportion of the total expenses for medicine is controlled below 50%, the proportion of medicines at one's own expense is controlled below 10%. But in actual operation, many hospitals all exceed this limit. Zong Xue Wang says: "The expenses for medicine are a bit high in proportion in two courtyards of March, control to 53% in April. "
The statistical data that Ministry of Public Health announces at the beginning of this year reveal, in the past 3 quarters of 2008, it is about 44% that the national county belongs to the proportion of hospital impatient's expenses for medicine. By contrast, the expenses for medicine of wooden fixed hospital of the spirit are obviously a bit high in proportion. It is this main reason a bit high in proportion that the hospital writes a prescription.
It is reported, the standard is a medicine catalogue of medical insurance of Shaanxi Province that supernatural wood submits an expense account, involve 991 kinds of Western medicine together, 622 kinds of traditional Chinese medicine. Except a few nutritive medicines, most medicines can submit an expense account.
Zhang Bo says frankly: "The proportion of the expenses for medicine is too high to relate to catalogue of using medicine. Country issue basic medicine after the catalogue, we will with practicability, the intersection of practicality and as the foundation better basic medicine, some imported medicine, high price medicine will be controlled. "
On June 5, choose forest of the elm, Baoji as the pilot area in Shaanxi Province, try to cancel 15% of the addition of expenses for medicine, instead of the medicine thing service charge. But the reporter knows from local official side, school, this policy has not been pursued in the god wooden county administered by forest of elm yet. " raise medicine with medicine " Profit mode,at spirit it is break through effectively to have county more wooden.
Another part of incomes namely governments of the hospital are replenished, Zhang Bo says that will last. He thinks, " the public hospital is as the fixed hospital, the income increases to some extent compared with the past, the profit may be higher, but the public hospital bears some duties of public health, the cost of operation should be higher than the private hospital, can't reach the ability to support oneself yet. "
In fact, only there are hospitals of wooden county of spirit costing 150 million yuan that can enjoy and replenish. As to fixed hospital and can't private hospital replenished to enjoy also, except expand input, try to divide the cup custard which eats free medical care, day is unwell.
A local director says: One day the meeting pointed out clearly, will not include other non- fixed medical organizations in the range of free medical care through depositing etc. on the county. "If find that treats the insufficient situation of resource in practice, the government will pass and improve the input of existing hospital. " Zhang Bo says too: "Have not seen now that have the tendency to deposit. "
Make peripheral free medical care that counties and cities admire very much limit in the intersection of god and wooden the intersection of household register and resident strictly still so far, the local government has been claiming all the time too " The god does not quite popularize the meaning in wooden free medical care " . But Zhang Bo reveals, the health bureau of Chengdu investigates in the locality, attempts to duplicate this mode.
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