The basic medicine system covers wanting two high point completely
"Implementing the national basic medicine system has two major difficult problems, first, compensation mechanism, second, bid and purchase. " Anhui Province the intersection of department of public health and Room grow tall, turn on flame, say when discussed in groups in national hygiene working conference that yesterday afternoon go on. Realize the basic medicine system is covered completely and listed in the working main point of the hygiene of this year clearly. Two big key nodes while the system advances, become the topic that hygiene heads of department and bureau discuss warmly.
The comprehensive reform becomes the common understanding
"The task covered completely is very heavy. " The chief of department of public health of Xinjiang Uygur Autonomous Regions buys and carries the tooth full of trees and says. In September of 2010, he will take one's own graduate student to investigate the basic medicine system situation to 198 health clinics in towns and townships, the result calculated is that these commune hospitals need to subsidize 96,909,100 yuan in one year. He says, this is just examined and calculated according to 30% of the pilot areas, if the basic medicine system covers all medical organizations at the basic level, number will double at least.
As to financial resources of Xinjiang, the government can only compensate 50%, 50% need to be remedied by the fund of medical insurance. "The medical insurance level of the farming and pastoral area was originally very low, can not compensate the gap of implementing the basic medicine system. " Buy and carry the tooth full of trees and say, without long-efficiency compensation mechanism, the impact bringing the basic medicine system makes the medical organization at the basic level difficult to bear.
"Jiangxi, while calculating and paying the amount of money for the basic medicine system, the medicines addition of the medical organization at the basic level is up to 79%, the amount of money of compensation estimated out needs 600 million yuan. This is enormous to the financial pressure at county level. " Chief of Jiangxi Province department of public health Li Li says, " it is six quarto to usually save the county and share, we specially adjust to save grade and bear 80%, bear 20% in the county. "
But Li Li is found while surveying and studying in the basic unit, even if share 80% of the fund which compensate the task to list in the province in the financial budget, the hygiene president is not still steady and sure in the heart. "They are afraid those 20% have been given this year by the compensation fund that undertook at county level, there will not next year. " Li Li say through diligent, most counties have already listed compensating the fund in the budget at present.
Chief of Heilongjiang Province department of public health Zhao honest and tolerant to say with basic the intersection of medicine and promotion of system, the government compensates and is not only limited to the difference of medicines again. After implementing the basic medicine system, this provincial finance has spent 1,148 million yuan chartering all salary of personnel of health clinics in towns and townships. The average yearly wage of the doctor of commune hospital is 21,000 yuan now, it is equivalent to the level of the section cadre of township government.
The chief of Jilin Province department of public health Sui rearguard introduced Changchun to everybody " 721" Mode. The main content of this mode is to compensate the fund and guarantee the development of the medical organization at the basic level through the government.
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