Research Report Of Medical Reform In Xintai City

The reform of grassroots medical and health institutions as the reform of the starting point, is a very important link, after several years of operation, has accumulated certain experience, for the future reform is a guidance and reference significance. Based on the investigation of grass-roots health care reform as the main task, Through the investigation, accurately reflect the primary health care in the implementation process, steps, measures and effect, Objective evaluation of government departments in the process of reform in the policy measures, government role, the supply of medical reform of the medical and health of the public product changes, analysis on some problems existing in the basic health care, and put forward the way of solving the problem.This research adopts investigation, access to information, interviews and questionnaires to communicate in the way of the combination of. Through visiting the city related department, basic medical and health institutions, village health room, to understand the basic medical advance, patients and random interviews, questionnaires, investigate the basic views on medical patients. This paper uses the combination of system analysis, comparative analysis method and combination of qualitative analysis and quantitative analysis, practice of grassroots medical reform in Xintai city are summarized.To promote the reform work, working mechanism of the establishment of the Xintai city hall, the integrated use of administrative, economic and other means of the policy adjustment in different degrees on the city public health, social security, human resources, public health security and other fields. In2010, in the basic medical and health institutions and implement the national basic drug system, the implementation of the personnel system, performance appraisal, financial compensation, medical security and other supporting reform measures,2012after the reform to expand the scope of the village health room.Through three years of reform, has obtained some achievements:Drug costs decreased by patients with medical treatment; basic medical security to raise the general level; to establish a basic medical and health institutions employing new mechanism; financial investment in health care and further increase. At the same time, there exist some problems:the basic drug less variety, supply distribution store is not timely; Township hospital medical service level is still very low. village health room management should be further improved; the ability to support the county finance for health care reform is limited. Proposed to adjust the increase of basic drugs directory, strengthen the drug supply and distribution enterprises supervision, to explore the scientific and reasonable drug price formation mechanism, meet people demand for drugs; to further clarify the functions of township health centers, strengthen the construction of medical, mobilize grass-roots medical staff enthusiasm, stable level health workers; As soon as possible on the policy of rural doctors, mobilize their enthusiasm, development and expansion of basic health services; should handle the relationship between government and market in the process of reform, accurately grasp the role orientation of the government, the best combination of government guidance and market operation.