Dr. G: Medical Examiner: Car Accident Victims
Chinese cure changes successful assurance-----Medical services of congratulant Ministry of Public Health serves superintendency department to hold water
Liu Muqiao
All trades and professions changed plan to have a result eventually in the Chinese cure that await. On January 21, standing conference discusses the State Council and the principle is passed " the opinion that about deepening medical sanitation system reforms " and " 2009 ~ deepened medical sanitation system to reform executive scheme 2011 " . Conference decision, the key has caught primary medical services to ensure system, country sanitation of medical services of basic medicines system, basic level is service system, public hospital reform and basic and public wholesome service are changed equably stage by stage wait for 5 reform, predict 3 years inside various government will invest 850 billion yuan of capital for this.
The focus that media pays close attention to is in the investment of 850 billion yuan of capital, this is a very large number. True perhaps medical services reform is too difficult, so, what come on stage actually this is the scheme that wholesome system of 3 years reformed 2009 ~ 2011 only, even if be plan of 5 years,cannot calculate. Make a move calculates one pace, perhaps be Chinese characteristic, but, so grand plan, still have the ill will that act too hastily. If do not have clear strategy and direction, any clever people are possible also of go wrong. World Health Organization thinks, the responsibility of the wholesome system of a country depends on leader force of the country. The reform of our country had gone 30 years, those heavy lessons and experience are worth us to sum up. Now, state-owned company is reformed before we were not necessary completely to resemble 30 years in that way, the years that feeling stone to cross a river should have gone.
A very ordinary thing causes what make a person exclusively glad, medical services of Ministry of Public Health served superintendency department to hold water! ! My individual thinks, this is a when our country cure changes to assure successfully very strong step. We say for " this new medical service changes " now, that is to say, before this, the medical service that we still had had for many times changes, basic theory is likewise special and inviting, but, often carry out no less than going to, perhaps carry out without method. Eventually, medical services is superintended, medical services quality is evaluated, risk of technology of calm medical services is on guard waited the job with very main hospital a moment to have a management department eventually.
Medical services superintends department main responsibility is: Medical services of responsible medical establishment serves superintendency job. The organization makes medical establishment medical services superintendency method is organized with executive plan carry out, build, service of perfect medical services superintends a system; Build quality of medical services of countrywide medical establishment to evaluate a system, the relevant regulations system that makes assessment of medical services quality, integrated performance evaluates method and quota system, organize carry out; Be in charge of building safety of medical services quality to superintend a system, the administrative provision that makes risk of medical services technology be on guard, method is organized carry out; Be in charge of establishing superintendency lasting effect mechanism, the evaluation that the organization develops the field such as medical services quality, safe, service, financial management is checked and superintend the job; The policy that drafts urban medical services to assist rural medical services to work is organized carry out; Undertake " medical services, science and technology, wholesome " the harmonious organization of 3 go to the countryside works; Research builds the public hospital that is a center with the patient to control a system; Participate in reform of medical sanitation system, advance public hospital to manage system to reform the job.
The key that the medical services of almost all country reforms is controlling medical services cost, china is the burgeoning country of a few, not only did not control medical services cost, extensive instead investment. But, we still want to be known soberly, as a result of medical services resource finite, serious ground uses finite resource, letting limited natural resources produce the biggest effect is the enormous challenge that institute of our country government faces. We think, as a result of the characteristic of medical services industry, the rule of its oneself is different from the rule of complete planned economy again unlike the rule of market economy already, the system of medical services sanitation of wh whichever country, the government wants the role with take on important.
If want to be executed truly,as the " like Hong Kong the canal does detached " , so, on the base that serves superintendency department in medical services of Ministry of Public Health, the " medical services that establishs an elephant France evaluates bureau " , although it is subject French Ministry of Public Health, allocate funds by the country, but decision-making independence, the member is medicine the famous expert of each domain. Press a regulation, each hospital accepts France 4 every years to examine attestation, evaluate a result to be released on hospital website, offer major to media reports and be analysed. Evaluate of the bureau examine involve each aspect, run individual business of the doctor from the whole of the hospital, be like quality of use medical apparatus and instruments eligible, rate and operation operation are normative, its major specialty whether be worthy of the name. Recently, to the doctor‘s profession and the assessment with safe medical services
Just like wave child character of elder brother place, if want cure of the whole people to protect, the investment of 850 billion yuan of capital is insufficient. So, the management of these capital, the guiding of the market appears what kind is important! If we still use outmoded administrative system, plant just like single defect government is same, rely on to patted a head to make policy completely, understand characteristic of medical services industry to perhaps undertake blindly according to industry authority far from by those decision-making, the black hole of the industry is us he is uncontrollable. If go to 850 billion yuan of allocation of funds simply in 5 reform, do not need assessment word, everybody knows such subtration do.
Since last year October " the opinion that about deepening medical sanitation system reforms " since seeking an opinion, we discussed a lot of, argued a lot of, looked forward to a lot of, expected a lot of... now, what we need is the method that uses science, hardheaded carry out correctly, avoid the error that should avoid, the system of the innovation like building an economy that resembles us to fly, achieve fairness, make public and just, make common people true get material benefit.
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