After Chinese cure changes, service of senile rehabilitation medical services develops a tendency (1)

Medical School Pathology, Chapter 1b

After Chinese cure changes, service of senile rehabilitation medical services develops a tendency

(Chinese rehabilitation medicine develops advanced forum - 08-12 3 inferior the speech stalks of grain)

Changsha thing is contemporary Mu Qiao of Liu of limited company of hospital government service

Introductive

System of our country medical services had arrived to be not change cannot degree, the 3rd times national sanitation serves findings to show:

1, rate of sicken of our country urban and rural dweller is changed as population old age, town is changed increase continuously, disease burden accentuates ceaselessly. Our country year sicken person number is 5.08 billion, increased 710 million person-time than 1993. Number of our country chronic is 160 million, there are 1.3 people to suffer from the chronic that the doctor diagnoses clearly in every 10 people that is to say.

2, the dominant disease that is not contagious disease to had become our country urban and rural resident chronically, but of great infectivity disease prevent accuse to not allow to ignore. Every raise the age 10 years old, chronic sicken rate increases 50% above. Major epidemic (wait like SARS) the potential and dangerous sex of transmission is increased.

3, urban and rural dweller is used to what medical services sanitation serves drop, significant demand produces move. The patient did not see a doctor scale is 48.9% (the city is 57.0% , the country is 45.8% ) . The patient of 36% took the throughout the country ego medical services.

(1) medical services safeguard covers a standard not tall, without any medical services insurance is occupied 79.1% .

(2) medical services cost has raised fast. Townsman year all income level grows 8.9% , the country increased 2.4% , city of year of defray of medical services sanitation, country increased respectively 13.5% with 11.8% .

(3) service of sanitation of dweller of low income crowd, poor country can reach a gender poorer. In the outpatient service patient that did not take any remedy, 38.2% because economy is difficult,be; Should be in hospital and not in patient of be in hospital, 70.0% because economy is difficult,be. Crowd of urban and rural low income should be in hospital and not the scale that be in hospital leads was achieved 41% , outclass is general income crowd.

For the hospital in existing to our country medical services system, hospital supervisor and doctor also are grumble, hospital supervisor thinks, because do not have national investment, want to catch economic benefits every day, it is to force fine is prostitute simply; The doctor thinks, doctor workload is increased, concern of doctors and patients is intense, life safety cannot get safeguard, exhaustion of body and mind.

Deepen medical sanitation system to reform department time to coordinate working party controller to admit, the contradiction that level of progress of facilities of sanitation of medicine of current our country and economic society coordinate development demand and people health demand not to suit is more outstanding, main show is in: Urban and rural with sanitation of area medical services the enterprise develops lopsided, medical services of more fragile; ensures sanitation of medical services of communal sanitation and country, community the system is diseased, cover a range not quite wide still, pull current of inferior; medicines and chemical reagents knows safeguard level order is non-standard, system of management of hospital of price theory tall; is not perfected with moving mechanism, the commonweal property of public medical establishment changes; sanitation infirmly devoted mechanism is diseased, multivariate system running medical service had be notted form, governmental sanitation throws inadequacy, heavier; has not build individual responsibility the system of sanitation of primary medical services that accords with national condition, see a doctor difficult, see a doctor expensive issue has not get effectively settlement, people report is stronger. And, industrialized, town is changed, population change of chart of aged, disease and zoology environment change, bring a series of new grim challenges to medical sanitation job. Accordingly, deepen reform of medical sanitation system, exploration builds the medical sanitation system that accords with national condition, already became current a great and urgent task.

The new medical service that gets attention fully changes plan to was released in national hair to change on October 14 eventually appoint on the website, the name is " the opinion that about deepening medical sanitation system reforms " ask for opinion draft to begin by a definite date the publicity of a month seeks an opinion. Since be to ask for opinion draft, come on stage in plan, posed the whole nation remittent different sound. Basically think, mere of 13000 words seek an opinion draft is too general, too outline is changed, principle language is too much, cannot see more specific end at all.

Nevertheless, we still give the fundamental pattern that cure changes and frame from the ascertain in a few words that seeks opinion draft and relevant scholar, official, the rule of a little wholesome economy won‘t be changed. What we should discuss today is " after Chinese cure changes, service of senile rehabilitation medical services develops a tendency " , my individual thinks, regard a hospital as controller, we want the vision of the look up before having, after realising system of our country medical services is reformed, we are located the development trend of the industry is very important. The rehabilitation medical services of our country starts to compare evening originally, the prospective market that senile rehabilitation medical services is huge, face so huge market, how we should be answered? Those challenges and opportunity await us?

One, Chinese cure changes point and trend to forecast

1.1, Chinese cure changes a point

1.1.1, guiding ideology: Implement scientific progress concept deep, hold to common medical services healthful commonweal property, hold to precaution to give priority to, the guiding principle that pays equal attention to for cure of key, Chinese and Western with the country, departure of active exploration government affairs, canal does apart, medicine departure, seek profits gender and blame seek profits the gender is apart.

1.1.2, basic principle: Insist to be with the person this, safeguard people health rights and interests to be put in the first; to hold to national condition of base oneself upon, build the; of medical sanitation system that has Chinese distinguishing feature to hold to fair efficiency to unite, dominant of solid administration seat of government and; of union of photograph of action of play market mechanism hold to making overall plans and take all factors into consideration, perfect system system and solve union of current and outstanding issue to rise.

1.1.3, overall objective: To 2020, build the system of sanitation of primary medical services that covers urban and rural dweller basically, the medical services sanitation that offers cheap of safe, effective, convenient, price for masses serves, implementation everybody enjoys sanitation of primary medical services to serve.

1.1.4, main task: System of system of the system of communal and wholesome service that construction covers urban and rural dweller, medical services, medical services safeguard and medicines and chemical reagents supply safeguard system, the medical price with the multivariate and wholesome scientific and mechanism, reasonable investment that the medical sanitation orgnaization that builds harmonious and unified medicine sanitation to administer system, efficient standard hard runs dominant of mechanism, government forms strict and mechanism, effective medicine wholesome superintendency system, can, build system of law of perfect medicine sanitation.

1.1.5, the near future reforms 5 times mainly: Accelerate advance enclothe urban and rural primary medical services to ensure system construction, build a nation basic medicines system, sanitation of medical services of perfect basic level serves a system, promote basic and public wholesome service to be changed equably, advance public hospital reform is pilot.

1.2, after cure changes, wholesome industry goes situation

1.2.1, everybody enjoys sanitation of primary medical services to serve is the objective that we pursue: Social development makes the government provides the basiccest service and safeguard for the people necessarily, had become as our country economy exceed big country of economy of tertiary of world of German name exemple, the country should offer nature of basic and healthy service. But, not be to want to invest capital only, everybody can enjoy sanitation of primary medical services to serve, because wholesome resource is finite,this is, so, the country will assume more administrative responsibility.

1.2.2, different wholesome system is having different administrative pattern. We think, after cure changes, system of 3 kinds of medical services will exist at the same time.

Sanitation of rural medical services a system: Sanitation of 3 class medical services the rural area that cure changed report Central Africa to often put forward clearly to be clinic of backbone, village to be a foundation for hospital of bibcock, villages and towns with prefectural class hospital network. Governmental focal point does hospital of good county class to had run a hospital in every villages and towns, adopt a variety of forms to support village clinic construction, improve rural medical services to defend unripe qualification energetically, raise medical services sanitation to serve quality.

Sanitation of urban medical services a system: The sanitation of new-style city medical services that with community sanitation the service is a foundation serves a system. Develop community sanitation to serve energetically, the urban community sanitation that accelerates construction to give priority to body with community sanitation service center serves a network, perfect community sanitation serves a function, it is a center in order to maintain community dweller health, the primary diagnosis and services that provides a disease to prevent the communal and wholesome service such as control and general and common disease, frequently-occurring disease, chronic serves. Change community sanitation serves mode, hold to active service, come to serve, assume health of daily life civilian stage by stage " keep goal person " duty.

Sanitation of civil administration medical services a system: Basically close treat socially the mental person of all sorts of types, 3 without (bring up a person without support of the people of legal provide for, without economic origin, do not have labor ability) mental person, beneficent orgnaization.

1.2.3, the administrative pattern with the governmental existing medical establishment that cost, effectiveness, fair, management will change a country to throw, change present economic competition to be competition of management, brand, hospital dean will assume more administrative responsibility.

1.2.4, public medical establishment will face the share change make, the competitive aggravate of medical services market.

1.2.5, the competition that is not public medical establishment to will share medical services market.