Establish three mechanism hospital service ability. Ascending county

- JingAn county, jiangxi province HuXin born hospital

    As the basic unit of TCM hospital county level leading units, will be and comprehensive hospital to realize "together in a village, slight illness out township, a serious illness out county" targets, so, improve the service ability county hospital is very important.

    Actually the breakthrough to public hospital reform is to promote its service capability, crack medical service system of the weak link, the people really benefit, medical personnel enthusiasm and fully mobilize grass-roots whether medical and health institutions development power and vigor enhanced obviously as whether the important standard medical achievements inspection. The author thinks that county hospital reform should focus on establishing and perfecting three mechanisms:

    One is to establish reasonable compensation mechanism. This is a key to the reform of public hospital, is difficult. According to understand, now most county hospital financial allocation severity shortage, personnel on wages, allowances, etc totally by medical business income profits to pay by controversy, hospitals charge to maintain normal operation. The basic construction such as hospital housing, medical equipment to acquire by own hospital also solve. The hospital in order to survive and development, the corresponding enacted some incentive mechanism and promote hospital income increase, this undoubtedly aggravating the patient's burden.

    To solve this problem, the government must be increasing financial investment, guarantee a worker wages, allowances, etc normal income stability. The author suggest, financial burden retiree shall fully pay his share of on-the-job personnel, 70 percent. Meanwhile the hospital building construction, investment in equipment should also large-scale instrument of government investment primarily. This hospital can catch income to catch by medical quality, Chinese characteristics and patient satisfaction.

    Two is to establish unified drug distribution mechanism. At present, hospital drugs supply channel by a dozen or more suppliers for the supply of the drug, in order to sell their medicines, part by kickbacks to promote pharmaceutical suppliers drug sales, so that the Chinese medicine yinpian quality not beautiful or not rational drug use problems occur frequently. Therefore, establishing a uniform drug distribution center, can cut off from the source of interests between drug dealer and personal chain, improve the drug quality, eliminate DaChuFang. Meanwhile to prevent prices empty tall, suggest relevant departments should reasonably priced, hospital of drug use drug although implemented public bidding, but some of the drugs are still can manipulate space.

    Three is to establish a level supporting mechanism. From the country's medical resources distribution look, high quality medical resources excessive concentration in the big city and big hospitals, but big hospital treated ability is limited after all, can't let patients have to big a hospital. Accordingly, the proposal is formed for secondary hospital, hospitals for rural hospitals and secondary hospital one-year mechanism, village clinic to the advantage of resources, provincial hospital diagnosis expert wisdom real "sink", thus improving the county hospital service capability. Meanwhile county hospital should assume for township and village of medical institution, the guidance of primary health personnel training, makes the countryside (community) have a lot of qualified TCM doctor, only in this way can we truly achieve the medical health system, the ultimate goal: traditional Chinese medicine "Jane, they play, check and cheap" features, effectively relieve difficulties in getting expensive and doctor.