Public Power Reform in Li County

â–¡ reporter Ge Yunfeng special correspondent Jiao Xiaoning â–¡

“Selecting a breakthrough point is the key.” Facing the reporter’s question on how to solve the reform problem in public hospitals, Liu Shaoming, director of the Shaanxi Provincial Department of Health, answered the door openly. “Our idea is to make it easy to learn from the grassroots and start from the grassroots level. The reform of public hospitals is a breakthrough point, and it seems that this path is on the right track. At the beginning of November this year, the Ministry of Health fully affirmed our approach at the county hospital reform and development site held in Zichang County, Shaanxi Province.”

Let people feel the results of medical reform as soon as possible Liu Shaoming served as a doctor, served as president of the medical school, president of the hospital, has a deep feeling for the hospital and the patient, and now personally "fencing" the county public hospital reform, naturally have endless talk .

He believes that the use of public hospitals at the county level as a breakthrough point for reform has three major advantages: First, there is no resistance to urban public hospitals, and it also meets the requirements of the "strong grassroots." Second, "the boat is better off," even if the pilot fails, because It involves a small scope, little impact, easy to "turn around"; Third, the county public hospitals generally bear the task of diagnosis and treatment of more than half of the local patients, the most contact with the masses, but also the most people can feel the results of medical reform. "This is the original intention of my determination to do a good job in the reform of county public hospitals." Liu Shaoming said.

It is critical to develop grass-roots officials and officials to emphasize the importance of grass-roots party and government officials for medical reform. Liu Shaoming said that what he is most worried about is the attitude of county leaders to medical reform. Because county-level medical reform must first ensure investment, personnel distribution system reforms, and institutional and institutional reforms must be formulated in accordance with local realities, and it is difficult for county leaders to pay attention and support. Liu Shaoming said with a finger to the reporter that he has spent half of this year at the grassroots level and that more than 90 counties (districts) across the province have already run. In every county, he must meet with the principal party and government leaders to publicize the medical reform policy and strive for their attention and support for medical reform. He once spoke to the chief officials of several counties (districts) about late at night. “Of course, not every county (district) needs to develop leadership. The high enthusiasm for medical reform helps guide the design of a good reform program. When the plan is mature, it encourages bold practice. With good practice, it can be summed up in a timely manner and the site will be promoted. In the second half of this year, we held a medical reform conference in Zichang County and Taibai County. Now it seems that the situation is much better than expected. The key is that the county (district) officials play a role. At present, Shaanxi has more than 30 The counties (districts) initiated the reform of county-level public hospitals, which accounted for about one-third of the counties (districts) in the entire province. Here, Liu Shao is obviously a little excited.

To encourage innovation according to local conditions Shaanxi Province is a western province of agriculture, which is an economically underdeveloped region. The economic conditions and the level of medical and health development in various regions are extremely uneven. Reforms according to one model obviously do not work.

Liu Shaoming has his own view: "There is no successful experience in medical reform to learn from. We have no rules to ensure that we embody the public welfare nature of county-level hospitals, reduce the burden on people's medicine, mobilize the enthusiasm of medical personnel, and strengthen the internal driving force of hospital reform and development." Encourage the grassroots to let go of their hands and feet, adjust measures to local conditions, encourage innovation, and actively practice. The ultimate goal is to make the people see and feel the results brought about by the medical reform.” Under the guidance of this concept, localities proceed from their own reality. Profound exploration and innovation were carried out, and the highlights of the reform focused on county breakthroughs were frequent.

Shenmu County implemented the “free medical care for the entire people”, basically fulfilled the goal of providing comprehensive coverage and protection for the masses in the counties, and better solved the problem of the high cost of visiting the people, with obvious “responsibility” features; The county initiated the pilot reform of public hospitals with the focus on creating “affordable hospitals,” and focusing on increasing government input, lowering drug prices, innovating hospital operation and management mechanisms, improving medical security, and promoting equalization of public health services. The characteristics of “supplementing suppliers”; Fugu County public hospitals reform pilots borrowed from the successful experience of Shenmu County and Zichang County, implemented the “two-fold double-four-in-one combination” general reform of medical reform, and made up for the medical service institutions in terms of reform investment. It supplemented urban and rural residents; Yanliang District and Qianyang County took the lead in carrying out the county-town integrated medical and health management pilot project in the province; Zhen’an County, Qinba Mountain Region, implemented county-level public hospital comprehensive reforms and achieved remarkable results; economic development is lagging behind. Luochuan County and Taibai County have seized the opportunity of the National Sanitary Support Project for Agriculture, and the large urban hospitals have implemented county hospitals as a whole. Tube. Liu Shaoming said: "These reforms highlight the wisdom and innovation of the health care workers at the grass-roots level. They are like a powerful catalyst that has injected vitality into the reform."

Liu Shaoming disclosed that based on summarizing the experience of public hospital reforms in counties across the province, the provincial government has recently formulated the Guiding Opinions on the Reform and Development of County-level Public Hospitals in Shaanxi Province and the Guiding Opinions on the Integration of County-level Towns in Shaanxi Province for Health Management Reform. The measures will be further refined, which will effectively promote the reform of the public hospitals in the province to the “deep water area”.