Wednesday, April 17, 2013

The current situation of using medicine at the basic level: 10 400 million infusion bottles refract the excessive administration to endanger

The current situation of using medicine at the basic level: 10,400 million infusion bottles refract the excessive administration to endanger
The insider says, hospital medicines include 30% and come from the antibiotic
" can take medicine and does not have an injection, can have an injection and does not infuse " ,This one treats the principle, but been abandoned by some hospitals and doctors gradually.
"The leucocyte is higher, the infusion recovers quickly, it is slowly good to take medicine. " Recently, a cold patient in Beijing hears that chose the infusion after such a suggestion of the doctor.
Perhaps, can fully recover at fastest speed, but choose he of such a therapeutic way in health of this patient, except not being ask whether it is allergic or not, have not had since the doctor get and use antibiotic there, other bad consequences that may appear, for example bring out and is able to bear the medicine question.
A group of data are enough to explain the extant question of excessively using medicine in our country.
National development and reform committee Deputy Director Zhu Zhixin says at the joint group meeting that the 18th meeting of the 11th Standing Committee of the National People's Congress holds on the 24th, 10,400 million bottles of medical infusion of our country of 2009, in other words each of 1,300 million people loses 8 bottles of liquid, well-above 2.5 in the world to 3.3 bottles of levels, such excessive administration is endangering the people's health and life security.
Zhu Zhixin says, going over because " raise medicine with medicine " This bad system, the situation that the medical health organ in the basic unit excessively uses medicine is very serious, especially the abuse of antibiotic, hormone, vitamin and infusion, " soup of three dishes one " which everybody often says .
"The medicines income of our hospital accounts for more than 60% of the hospital income, among them antibiotic accounts for over half. " A doctor of local community health Center tells " the first finance and economics daily " reporter.
The direct influence that the excessive administration brings is not merely the waste of medicines and bad reaction that antibiotic bring, also include being able to bear the appearance of the medicine fungus.

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The person who supervises food at the basic level exposes to the sun the food and examines shady deal: Survive and think of checking that looks into by fining

The person who supervises food at the basic level exposes to the sun the food and examines shady deal: Survive and think of checking that looks into by fining
" clenobuterol hydrochloride " The dust has not fallen, has " dyed the steamed bun " " melt down bread " " lotion of beef " Come one after another
Why food security supervise mostly " The belated action " The local food examiner exposes to the sun by oneself - -
" clenobuterol hydrochloride " The incident dust has not fallen, has " dyed the steamed bun " " melt down bread " " lotion of beef " Come one after another again. The food security is concerning the major issue of the people's vital interests, but the malignant incident appears again and again. Why is the food security barrier broken through repeatedly? Where to really lack to supervise? Hold " entry " Which are there safely to break through?
The food is supervised " The belated action " : Expose to the sun out to check, can not expose to the sun out let it be
The newest data from authoritative department reveal, in 2010, the related departments will check all kinds of edible agricultural product, food and relevant each of production operating unit 35,520,000 together, investigate and prosecute 130,000 every link unlawful practices, arrest 248 suspects, ban and stop production in more than 100,000 enterprise's units in violation of rules and regulations. Rectification of food security may well be big in efforts, but why food security incident be still frequently now?
The reporter combs finding, from " dyed the steamed bun " that was exposed recently " melt down bread " " clenobuterol hydrochloride " Pork, " The lotion of beef " The incident, " gathered cyanogen amine three times " that revealed before arriving Milk power, " The doll with big head " Milk power, " The false wine " The incident, " belated action " exposed among them Supervise, not rare.
Emergence of 2008 " Gather cyanogen amine three times " Milk power incident, three deer group, related departments receive consumer's reflection successively from March in the same year, in as long as four or five months earlier staging, the check organizations at all levels successively examined three deer milk power many times, have not " discovered the problems " . Until exposed by the media in September, local government and enterprise begin " thorough to consult " .
Hebei at the end of 2010 " The incident of making the fake of wine of Changli " China, local false wine industry deposit, in for many years, form " make the fake solo " ,Even the tape makes local alcohol, food additive brisky and makes and emits the label producer of famous-brand wine false, and local supervision department unexpectedly " Do not know completely " . Until being exposed, did not begin " immediately " Get involved
In the misgivings clouding mind has not been scattered " The clenobuterol hydrochloride " In the incident, the related departments fit to external world after arrange and checking, " clenobuterol hydrochloride " confirmed The positive live pig mainly centres in peripheral four counties and cities in Jiyuan of Henan. And " coincidence " ,media expose,too for these four counties and citieses. "Does the media investigated grasp so accurately? Have the ones that have not been exposed all let people rest assured? " While interviewing, some common people still suspect.
Researcher of Shandong University social concern Ma GuangHai Professor think, " check on people " as common people's food security ,A few staff members of supervision department come day, expose to the sun out and look into, can not expose to the sun out let it be, in this way how could the food security incident happen?
The person who supervises food at the basic level: Our welfare comes from and " fines "
By the look of food security incident already exposed, some supervision departments have " seen samples in the office " " it is used to supervising " to become ; " clenobuterol hydrochloride " In the incident, expose " to let to raise the pig one and take a sample to inspect by ready samples by oneself " Awkward,what is more,a few supervision department and staff member regard it as whether can create income and in charge of and leave alone choice standard, the corruption of enforcing the law even exists, supervise the back that the duty is thrown.
The reporter knows in the investigation, under the current system, the official working funds and personnel's salaries of some local supervision departments, rely on the charge and fine that higher authorities returned to come " Solve " ,This has caused some departments and staff members more or less " Enforce the law for the profit " .
One a food examiner of county Department of Qulity Supervision in Shandong has reflected to the reporter the basic unit supervises the issue many times: "Present finance it supports mechanisms to be to obey very much, the intersection of charge and fine and the intersection of province and office, municipal office buckle a part, about 80% are ' one's own ', all people's salary welfare appears from charging, fining, is not there loophole in such supervision? If before Shanghai taxi exposed run not to be ' fish, let's enforce the law ',now turn into ' if you can't breed fish, enforce the law ' to us, the performance goal of every day is to think how to finish ' creates income ' the task. "
This food examiner says, even can't fine to die to make the fake either to discover while enforcing the law for example, fine too getting ruthless, let next year who go to charge the money? Actually fined fining 10,000 now of 100,000 yuan, enterprises paid " protection fee " ,How to have reason not put? A such one, under being rather alike, the supervisor has become ' interests community ' with the enterprises in violation of rules and regulations quickly.
It is reported, such a phenomenon is not an example. The reporter is here " The quality technical supervision personage's network home " --" hot news of China's quality " See on the net, some models say " our salary come from the unlawful gains of enterprises " ,"So long as has paid the bill, has set up horses to turn into a muskmelon face. Whether could eat meals a bit more importantly than to have face " .
In addition, the pressure of coming from some local governments, has weakened supervision. A local quality supervises the department head to complain to the reporter, government's cardinal task develops economy, if supervision department manage small enterprise, fight the fly, mind even just, if to the place" Have made important contribution " Food enterprise, trade " Impartial and incorruptible " ,The leader will look for you " The talk " .
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Tuesday, April 16, 2013

The hospital at the basic level calls and loses Three channels compensate the government " Reveal all the details "

The hospital at the basic level calls and loses Three channels compensate the government " Reveal all the details "


Three channels compensate the hospital at the basic level P>Purchase etc. and develop and construct the expenditure, is arranged in full amount according to planning by the government in capital construction and apparatus, personnel's funds are subsidized by government's reasonable arrangement P>Will further raise basic public health service funds on the basis that per person is not lower than 15 yuan in 2010 next year P>After implementing the government and subsidizing and adjusting the service charge, the difference of regular revenue and expenditure of the medical health organ in the basic unit, arranged in the annual budget in full amount by the government P>After implementing the basic medicine system, the hospitals at the basic level of all parts fall sharply because of the medicines income, it is unable to make ends meet to close to. In calling again and again, corresponding compensation scheme yesterday (December 6) Issued at last. P>Premier of the State Council Wen Jiabao held the standing meeting of the State Council yesterday, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit. " the daily economic news " reporter learn at the basic level hospital compensate channel, rely mainly on the fact that the government subsidizes and the service charge is compensated, the difference between other regular revenue and expenditure, will be checked fully by the government. P>
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The organization at the basic level compensates three major focuses of the new policies

The organization at the basic level compensates three major focuses of the new policies
Focus one 3 channels compensate the difference of the regular revenue and expenditure
It is clear to " set up and amplify the opinion of the medical compensation mechanism of health organ in the basic unit ", basic unit medical health organ appear regular the intersection of revenue and expenditure and difference, until " whether task of authorizing, authorize revenue and expenditure, performance examine subsidize " The principle is subsidized by the finance. Include 3 channels specifically: Implement the project subsidy funds medical and existing in health organ to the basic unit of the government; Adjust medical medical care charging item, expenses standard and medical insurance of health organ in the basic unit to pay the policy, increase the medical insurance to pay; After subsidizing and adjusting the service charge specially in implementing the government, the medical regular income of health organ of the basic unit is not enough to remedy the difference part of the running expenses, arranged in the annual budget in full amount by the government, set aside in advance first, settle account.
After implementing the basic medicine system, often developing the better, larger medical organization at the basic level before of larger revenue and expenditure shortfall appears. " opinion " has offered special concern to this colony, require regional government go beyond basic medical care and medical health organ of basic unit that public health serve already service ability, especially some service population more reaching second the intersection of hospital and health clinics in towns and townships of standard already by service ability, can transfer public hospital to it, to the hospital at county level integration of the resources to go beyond functional demand it, can serve, take way served to buy compensate to basic medical care and public health that he bear. Encourage the medical health organ in the basic unit to offer suitable technology such as traditional Chinese medicine and service.
Focus two The basic unit not merely has the thing fee of medicine
In " opinion ", adjusting medical charging item, expenses standard and medical insurance of health organ in the basic unit to pay the policy of the most attractive eyeball. Among them, basic unit medical health organ, in the charging item, existing registration fee, examine, check fee, inject fee (including intravenous the intersection of infusion and fee, do not include the fee of medicines) And medicine the intersection of thing and service cost merge into, make a diagnosis fee generally, no longer have the medicine thing service charge only.
The multi-type charges to unify, not merely have the thing fee of medicine, what changes will the medical service income of the medical organization have?
At a community health station of Chaoyang District of Beijing, the doctor on duty tells reporters, must pay 3 yuan while registering. In 3 these, include yuan of registration fee and 2.5s make a diagnosis fee in fact. In addition, if the condition needs injecting, will collect and inject the fee alone. For example, inject for 0.5 yuan for every person under the cover. And " the instruction " point out according to calculate, many kinds of the intersection of expenses and making a diagnosis fee generally amalgamate, concrete expenses standard 10 yuan about in national average.

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Monday, April 15, 2013

The medical operating cost of health organ of the basic unit is subsidized by the government and the service charge is compensated

The medical operating cost of health organ of the basic unit is subsidized by the government and the service charge is compensated
Capital construction and apparatus purchase the expenditure government and arrange in full amount
The medical service charge is increased to pay partly by the medical insurance
Ensure medical worker's rational income level not to reduce
Government buy it is government that it runs organizations to be common to defend, serve
Beijing, December 6 (Xinhua) Premier of the State Council Wen Jiabao holds the standing meeting of the State Council on the 6th, study and dispose the policies and measures of setting up and amplifying medical compensation mechanism of health organ in the basic unit.
The meeting points out, since last August, already over 50% of the medical health organs of basic unit implemented the basic medicine system in the whole country, sell a difference rate of medicines, has obviously lightened person's administration burden, but larger revenue and expenditure shortfall has appeared in the medical health organ in the basic unit at the same time. So, must implement the compensation policy synchronously and set up steady compensation channel and compensate the way, guarantee the medical health organ in the basic unit runs and develops steadily, arouses medical health organ and medical worker enthusiasm in the basic unit, guarantee the basic medicine system is implemented smoothly.
The meeting is confirmed: (1) After implementing the basic medicine system, the operating cost of the health clinics in towns and townships which the government holds, urban community hygiene service organization is subsidized through the government and the service charge is compensated. Capital construction, and apparatus purchase develop and construct the expenditure, arrange for in full amount according to planning by the government, personnel's funds are arranged and subsidized rationally by the government. In 2010, the government will implement basic public health service funds according to per person's at least 15 yuan standard, further improved from 2011 years. The medical service price is made and adjusted in the right place progressively according to the service cost after deducting the government to subsidize, the medical service charge is increased to pay partly by the medical insurance, does not increase the masses to bear. Difference of regular revenue and expenditure of the medical health organ in the basic unit after implementing the government and subsidizing and adjusting the service charge, arranged in the annual budget in full amount by the government. (2) Advance the medical comprehensive reform of health organ of the basic unit in a more cost-effective manner. The medical health organ in the basic unit mainly offers basic public health service and basic medical care, it makes a diagnosis subject, berth quantity, personnel and apparatus should accommodate functional demand when being allocated etc.. Improve the distribution system of the personnel, implement it in order to compete for the contract on duty and manage for the employ systems and post management systems of the main content. Advance the clinic pool of the basic medical insurance and way of paying of medical insurance to reform. Set up the medical examination incentive mechanism of health organ in the basic unit, insist on the more pay for more work, excellent good performance reward, ensure the rational income level of medical worker at the basic level not to reduce. (3) Strengthen the subsidy to the rural doctor through many channels. Mainly buy the way to serve and pay subsidizing to the village clinic rationally through the government, arranging for a proportion of basic public health is serve and undertaken and implemented corresponding funds by the village clinic. Will accord with the clinic of the clinic of terms village to serve and include in submitting an expense account in the range newly and agriculturally jointly. It is sure to support to encourage all parts to offer the village clinic in such aspects as building construction, apparatus purchasing and staff training. (4) To the intersection of basic unit and public health that medical health organ bear that government hold serve and subsidize rationally in the way that the government buys serving, and include the eligible organization in the fixed range of the medical insurance and carry out and run the basic unit with the government medically the same medical insurance of health organ is paid and submitted an expense account the policy.
The meeting requires, every area, all related departments should pay close attention to, strengthen the organization leadership and supervise and urge, make the concrete compensation method, compensate responsibility clearly, do a good job of implementing conscientiously. Have also studied other items at the meeting.
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The doctor at the basic level investigates in current situation: The professional skill is not high Wish eagerly to train

The doctor at the basic level investigates in current situation: The professional skill is not high Wish eagerly to train
"Compared with large hospital doctor, our certain level is relatively low. However, nobody does not want to become a well-known doctor, just we lack the chance of study. " Doctor from steel hospital of Gansu Province wine Wang Ting, " came into the west - -Ten thousand training projects of hospital doctor at county level " The students of the second issue. Her blunt words say all students' heartfelt wishes. From medicine 16, this is graceful first professional training that participated in of king.
At present, the medical care task that the hospital at county level undertakes is strenuous day by day. Take impatient of Baoji of Shaanxi Province as examples, in 2008, the health clinics in towns and townships account for 36.22%, the hospital at county level accounts for 46.09%; In 2009, the health clinics in towns and townships are 35.51%, the hospital at county level is 45.14%; From January to September this year, the health clinics in towns and townships account for 29.9%, the hospital at county level has already accounted for 50.42%. The patient's fast growth with going to a doctor, the doctor hand is nervous, there are few chances of study that walk out, medical knowledge is unable to upgrade in time, medical method, technological idea lag behind, cause the medical skill to promote slowly, medical quality, medical treatment can not get the effective guarantee safely, doctors and patients' dispute takes place occasionally. "Overall qualities are relatively bad, the professional skill is not high, it is the general current situation of the hospital doctor at county level in the west. " The department of public health of Shaanxi Province cures the policy Ma FuChun, vice section chief of and says.
Vice President of Lanzhou university Professor He XiaoDong says: "Last year, we visit several the intersection of county and hospital of poor county, first of undergraduate that medical college graduate, president with supreme education, or the one that taught oneself upgraded from junior college student to university student. "
In order to improve the medical engineering level of the hospital doctor at county level in the west, relieve peasant " difficult to diagnose the illness " The question, from 2007, Ministry of Public Health launched five - year long " comes into the westing - -Ten thousand training projects of hospital doctor at county level " ,Improving a doctor will treat ability to rural common disease, diagnosis of the frequently-occurring disease and difficult disease especially, build one " Can leave, use " Doctor team,can in treating and curing in time by hospital when lasting common diseasing and frequently-occurring diseasing, reduce the financial burden of seeking medical advice and bringing in peasant's strange land. Meanwhile, this project gets the funds support of 20 million yuan of Bayer medicines and health protection Co., Ltd.. At present, the training project has already been launched in 12 provinces of the whole country such as Gansu, Yunnan, Shaanxi successively, 44 over 2600 doctors in all have accepted training free.
" this practicability of training is strong, the theory is combined with practice in the change in a diagnosis report, the doctor can show the skill quickly after going back. " Military piece, Vice President of county people's hospital, Governor of Shaanxi, select accepted theory, " such as one month such as teaching such as theory, less than childing, other womanning, curing the three basic specialities of the skill is the main fact, famous expert and pace-setter in scientific research in the province give lessons, diagnosis of stressing that of explaining relevant disease newly and treats the guide, the difficulty is not high, easy to understand; Pay attention to practice in the last two months, the handle fingers of experts of the affiliated hospital of medical college of Xi'an are led, really ' quench one's thirst '! "

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Sunday, April 14, 2013

The gene is measured Will enter into common people's life

The gene is measured Will enter into common people's life
Red network Changsha report on August 30 ' Reporter of deep and clear morning paper of Hunan Xie GongMei) The genetic test looks like the manual of the human body, if can do a genetic test for oneself, a lot of diseases can be delayed or avoided. Yesterday, by national the intersection of stem cell and the intersection of genetic engineering and the intersection of industrialization and base, coordinate the intersection of genetic test and the intersection of health and administrative center, unite the intersection of Hunan and medical trade department, hold in Changsha " Gene and protein detection technique scientific seminar " . Have also discussed the cooperative space in the domain of preventive medicine of our province of genetic technology in seminar.
Coordinate the health academic department director Dr. Dong ZhiHong of administrative center of genetic test and introduce, there are close relations between emergence and gene of the human disease. Everybody has a genetic defect at various degrees, namely carry the apt perceptual gene of disease, it is apt to suffer from some diseases. Take tumour as examples, everybody carries the original cancer gene, as the external factor induces the original cancer gene to activate, the canceration will take place in cells. If early tumour is found and treated in time, more than 80% can effect a radical cure. In the developed country, the genetic test is praised highly. Just as genetic test does a detailed manual for the human body, make us delay disease to the greatest extent or avoid.
At the seminar, base of industrialization of national stem cell's genetic engineering, the organization is further measuring clinically stem cell and genetic technology to coordinate the health administrative center of genetic test and still involved in our province, respects such as application,etc. have reached preliminary cooperation intention.

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