Efforts to make "water" articles

In the opening year of 2010, China’s Medical Improvement Exhibition was successful with obvious results: Basic public health services benefited both urban and rural residents, the construction of basic medical and health care systems was significantly accelerated, the basic medical insurance system was basically covered, the national basic drug system was steadily promoted, and the public hospital reform pilot broke ice. . The State Council's three-year target for medical reform has successfully passed the “examination” and the medical reform has begun to enter the “deepwater area”.

The more difficult and arduous the task of reform, the more fearless pathfinders are needed. In the coming 2010, as the trader of the great cause of medical reform, what did the local health bureaus experience? What did you harvest? Faced with the many problems still to be solved in the medical reform, what are their expectations and confusion? A few days ago, this reporter went to various places to listen to their voices.

“Dean Jiaohong is a Shandong native who is bold and straightforward and dares to speak out about many issues.” On November 30th, the reporter went to the Hubei Provincial Department of Health to interview Jiao Hong. Some colleagues in the office described their top bosses. At the appointed time, Jiao Hong came to the conference room with a stack of documents.

Jiao Hong said that there are two great things in Hubei, one is flood prevention and the other is schistosomiasis control. Behind all are related to water. The Yangtze River crosses Hubei and there are many main streams, tributaries and lakes. In 1998, the Yangtze River encountered rare flood peaks. Hubei's sensation was especially dangerous. The devastating floods flooded a large number of farmland villages and also drowned out the achievements of Hubei schistosomiasis over the years. After defeating the 1998 floods, the state and the province increased their investment in flood prevention, consolidated their infrastructure, and launched a large number of projects. Anti-mite has its roots, so blood prevention has seen historical opportunities.

Jiao Hong said: “In March 2008, I embarked on this position; on July 1, the provincial party committee and the provincial government heard schistosomiasis work reports; on July 19, three provincial leaders of Hubei Province went to Beijing and ministers of the Ministry of Health. Chen Yu discussed the initiation of the joint defense mechanism of the province of schistosomiasis.'The National schistosomiasis prevention system sees two lakes (Hunan and Hubei) and the two lakes schistosomiasis control sees four lakes (four lakes in Hubei province)'. The Ministry of Health and Hubei province immediately decided to establish a joint defense mechanism of the schistosomiasis provincial government to jointly control At the end of October of that year, the Ministry of Health, the Ministry of Agriculture, and the Hubei Provincial Government jointly established the first joint defense point in the hardest-hit area of ​​Jingzhou. At that time, the health department seized this opportunity to propose the strategy of 'delivery for ten years.' 3 steps: The first step is to reach the end of 2008, initially reaching the target of the epidemic control; the second step is to reach the dissemination control standard from 2009 to 2013; and the third step is to reach the transmission blockade by 2018.”

“In Hubei, the number of schistosomiasis gathered was counted. This year, Hubei once again faced a severe flood peak. After entering the flood season in June and July, the sensation spread throughout all counties in Hubei Province and serious guilt was formed. 63 counties related to schistosomiasis were flooded. However, this sensation did not lead to secondary epidemic of schistosomiasis and did not spread the epidemic, which was due to the basic skills that had been plunged into hard work in the past few years. In order to really put schistosomiasis into practice, Hubei Province implemented a one-vote veto ban system. Li Changzhong (current secretary of the provincial Party Committee) and Li Hongzhong, the county magistrate of each county, signed a statement of responsibility and laid a solid foundation for the strategy of 'delivering blasphemy for ten years.'

Jiao Hong said: “After the introduction of medical reform, the pressure from the Director of the Department of Health is even greater. Both the government and the people hope that the reform will soon see results. This feeling is understandable, but we do need time to complete a lot of basic work.”

She said that Hubei is a large agricultural province and the focus of medical reforms is mainly in rural areas. First of all, Hubei increased the coverage of the new rural cooperative reimbursement cap and expanded outpatient coordination. In the next year, we will also implement a card in the province, which will gradually allow participating farmers to see the doctor in the city and the province. Second, the counter-supporting county hospitals were included in the evaluation index of the major city hospitals, and the province took money to support this work. With limited financial resources and limited health investment, Hubei cannot wait until its medical capacity is reached before it can be prevented. “We proposed the slogan of 'Healthy Hubei', which should be launched in the province under the name of the provincial government. All levels of government should participate in this effort. We must combine the equalization of public health to do medical, prevention, patriotic health, and health education. Change the social philosophy, change lifestyle, raise health awareness, and improve health."

Jiao Hong said that the health system is a knowledge-intensive industry, but the level of standardized management lags far behind systems such as banks. Therefore, in addition to completing the prescribed actions of the national medical reform, the one thing that Hubei itself has to do with great efforts is to promote the standardization of management and informationization of services. "In this regard, we already have some detailed ideas. The next step will be to push forward."