Communal sanitation and primary medical services the country price level system

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The country is common sanitation and Wang Hong of system of level of price of service of primary medical services one, the country is made unified buying primary medical services to serve the price to pay a level is the major step that our country cure changes
No matter why be planted,the medical establishment of wholesome economic system is a country communal product, must make sure they run normally. The country must be made buy primary medical services unifiedly to serve price level to run in order to make sure the hospital is normal.
No matter be a developed country,be being returned is a developing country on international, the fee of primary medical services that pays to need has formed unified understanding: To the lowermost compensation of medical establishment and medical personnel, cannot under medical services charge 20% , if cannot be maintained normally under 20% hospitals. This is the consensus that sanitation of medical services of whole world each country serves controller.
But, general now deficit runs our country medical establishment, medical services income is hanged basically move. Pay scale is as follows: Total wages occupies 30%-40% ; Medical services is immediate cost: 55%-68% ; Hospital year develops gold: 12%-18% . Other do not calculate inside. Such situation had maintained 30 years, now is us when be determined to revise primary medical services to serve the price to pay a level. 2, the value that the country purchases communal sanitation and service of primary medical services pays a level
Referenced international is communal the disbursement of sanitation and service of primary medical services and medical services charge standard, the primary medical services that makes our country according to the state of affairs of specific economy progress of our country serves a country to pay a level:
1, purchase communal and wholesome service by age structure
With was 2008 exemple, population projection 1.322 billion, sanitation of average medical services 27 yuan / year. Budget of funds of sanitation of medical services of person, year should be in: Thirty-five billion six hundred and ninety-four million yuan. This share charge includes to be in general budget of national sanitation funds. Express 1 communal and wholesome funds to classify use scale standard by population structureFunds of prevention and cure of contagion of communal and wholesome funds plans year of classification of structure of serial number age slow disease of funds of health of immune funds woman prevents health of funds of funds spirit sanitation to publicize budget of funds lash-up funds 10 years old - 14 years old 30 yuan / year person 20%30%0%15%5%20%10%215 year old - 44 years old 20 yuan / year person 15%15%10%25%5%20%10%345 year old -　
Afore-mentioned funds budgets differentiate by the age again for 6 grade, every grade differentiates all right according to circumstance reentry. Funds of sudden incident lash-up: Belong to cannot foreknow cost, year is OK carry forward.
2, buying primary medical services to serve a country to unite the premise that buy primary medical services to serve and pays by medical establishment grade by medical establishment grade is: Disease of rate of unified and primary medical services, unified sheet is planted primary medical services rate, unified disease is planted time of be in hospital of service of primary medical services. 3, the country unites primary medical services to serve rate
The country must unite primary medical services to serve rate, this is a when cure changes main component, in unified and primary medical services rate respect should note a few problems:
1, the problem that registration expends: Registration fee is the first window that reflects value of medical worker oneself, standard of fee of our country registration is country of first of whole world reciprocal. Solve this problem the compensation in buying communal sanitation and charge of service of primary medical services.
2, medicines and chemical reagents collects fees problem: Active medicines and chemical reagents depreciates policy existence problem, out of stock of many now practical drug must establish drug cost concept, medicines and chemical reagents is medical services requisite, drug price is to matter to hospital cost directly, the profit of medicines and chemical reagents that enters a hospital is in surely 20% advisable.
3, medical services technology collects fees problem: It is advisable to should be calculated by cost 120%-135% .
4, the wage issue of medical personnel: The salary of medical personnel presses an area to classify, by our region classy level is made in average wage. Specific see a table 2 watches 2 countries unite the value that purchases service of primary medical services to pay a standard the watchSerial number classification buys service of primary medical services to pay a basis by total outlay of medical services charge pay time 1 3 class are integrated single defect of rate of as primary as state of specialized subject hospital medical services is planted rate 135% pay 2 2 level by season integrated single defect of rate of as primary as state of specialized subject hospital medical services is planted rate 130%　
Be like: Some hospital is 2 armour medical establishment, 2007 service revenue of primary first quarter medical services is 2.67 million, the state pays government of the first season to buy fare of primary medical services to this hospital to some hospital in the 2nd quarter 2.67 million yuan of ×130%=347.10 10 thousand yuan namely the government pays to this courtyard service of primary first quarter medical services expended 3.471 million yuan 2007.
Unit of income examine and verify and paying an unit is bureau of local social security. Pay money to contain: , medical services is fund of maintenance of expenses of direct cost, government cost, drug cost, personnel, equipment, financial charge. Do not contain: Infrastructure and transform expense.
The price level system that communal sanitation and primary medical services the country, must build in fairness reasonable, below the premise that can safeguard medical establishment to run normally, compensation mechanism of the country must consider the country is common in the round of sanitation and orgnaization of service of primary medical services live basically base, meet otherwise the severe prime increase that affects people. Cure of 30 years revises the specification with medium medical services sufficient phenomenon this, of the price level system that communal sanitation and primary medical services the country building is the important and crucial step that our country cure changes, this measure is to matter to the big question of happiness and benefit of 1.3 billion people to must assign policy cautiously.