City public big hospital reform how to the first breakthrough

People's Daily

    City public big hospital is the bibcock of public hospital, is to treat difficulty for emergency and severe, is also the base of the populace reflects "difficulty and high cost of" the most prominent place problems. In recent years, with the work order to promote the gradual, city public big hospital "difficulty and high cost of" get a degree of relief, but compared with the masses, expectations still has the gap. Based on improving the medical service level, better service for the populace, city public big hospital reform can be the first breakthrough in three aspects.

    Reform the management system, explore the management office politics separate, separate. City public big hospital held by the government, has the distinct public welfare and welfare. Do good, manage public large hospital, where it is the duty of the government. A separate management office, the purpose is to scientific definition of urban public big hospital owners and management, and promote the management efficiency of the ZeQuan. Should through the reform, the public health administrative department for a hospital management department, on behalf of the government in medical industry management, planning, regulations and standards; The new set up special organizations for a hospital held responsible for medical institutions, department, to plan as a whole the assets being put into hospital asset management. A separate politics, the purpose is to improve the city public governance structure of a large hospital, and establish and improve the management of hospital council under the corporate governance. Should through the reform, the council was established by the government, the hospital leadership as chairman of the medical institutions, medical do represent, the medical industry association, the hospital management experts and scholars, well-known social public welfare personage etc, as director, exercise on city public big hospital main person in charge of the performance appraisal, decided to power, the hospital function, development plan, important investment and management compensation, etc. The council is a nonprofit organization hospital, members appointed by the government, and the medical institutions without economic interest. At the same time, to carry out the city public big hospital independent legal status and management, strengthen management responsibility autonomy.

    Reform compensation mechanism of medicine, explore separate. "Medicine" is a medical city public big hospital is widely reviled as a problem. Do good city public big hospital is the people's livelihood engineering, popular project, the purpose is to meet the needs of the masses of medical service. City public hospitals of public welfare nature and the current economic bear ability show that the improved by pharmaceutical price, medical service prices to increase the income of the big city public hospital is not realistic, also is not advisable. This requires a separate, change medicine explore medical organizations rely on drug sales keep running situation. In the city public hospitals to both sustain normal operation and want to reflect the public welfare, the government should establish a reasonable compensation mechanism, to ensure that the city public hospitals provide a powerful guarantee. Public welfare The government compensation in accordance with the provisions include: from retiree costs; Basic construction, large equipment purchase, key subject development and policy losses allowance; Take on the public health task by project give special allowance. As long as to set up a reasonable compensation mechanism of medicine, separate, cancel drugs will not only affect the city public bonus to the normal operation of large hospital, and can promote hospital to strengthen management, improve the quality of medical treatment, standardizing medical activities, control not rational drug use.

    Reform internal operation mechanism, explore the new personnel, distribution system. On one hand, will be DingGang allocation and hired for the main mount guard personnel system reform as a big city public hospital internal reform of the key. At present, the city public hospitals are common position of expanding, medical personnel flow no exports, medical personnel and medical space however, higher, which has resulted in big experts to ailment, many doctors rob patients wait for a phenomenon, cause serious waste of medical resources. This is "the difficulty and high cost of one of the roots of". Through the reform of personnel system of DingGang personnel allocation, hired after work, can put out in appropriate post lubricious, improve work efficiency; And the public big city can from the medical personnel of hospital shunted out full to level 2 hospital, community health service center, the medical establishment, speed up the basic-level medical institutions of qualified personnel. To adapt to this, can push public hospitals, 2 class hospital, community health service center integration reform mode (level 3 hospital management 2-3 home level 2 hospital and several community health service center), to level 3 hospital for leading, 2 class hospital as the link, community health service center to rely on, form the join each regional medical group, the medical health resources can be fully used. On the other hand, will cost accounting and reform of the income distribution system as improving hospital management level and mobilize the enthusiasm of the medical staff effective means. At present, the city public big hospitals lack reasonable cost accounting method, operation cost is higher, the impact of the income of workers and staff. Should calculate, reduce hospital through accurate operation cost, worked out the medical staff income distribution plan, will the medical staff income and medical service quantity, quality, technical difficulties, patient satisfaction, etc, do work, excellent link for optimal performance, reasonable raise the income level of medical personnel, let the medical staff to benefit.

    (the author for china-japan friendship hospital assistant dean)