Official Ladder [Grassroots Civil Servants]

The next day, I came to the hotel early and had breakfast with the research team.

At 08:30, the research team set off on time and went to the North Hospital, Acupuncture Hospital, and East Hospital of the Hospital of Traditional Chinese Medicine under construction to learn more about the application of Chinese medicine in Yinzhou, the price of Chinese medicine, and the treatment of Chinese medicine dregs. Listen to the opinions and suggestions on the development of traditional Chinese medicine such as Gao Zhi, a famous provincial doctor of traditional Chinese medicine.

With Wang Hongtao's company, Wang Qiang's attitude improved a lot. He affirmed Yinzhou's TCM culture and development mode, and asked Yinzhou to attach great importance to TCM and actively create conditions for the development of TCM.

He pointed out that Chinese medicine is extensive and profound, and it is necessary to train more young Chinese medicine novice to guide clinical practice, so that they can constantly sum up experience and laws while studying diseases, so as to promote the development of Chinese medicine.Not only do basic observation, hearing and asking about patients, but also combine with psychological counseling to win the trust of patients.

Subsequently, the research team came to Yinyang District Hospital and Yinzhou Medical Group to learn about the infrastructure construction of medical institutions, the development of public health services, the establishment and improvement of the organization and management model of medical alliances, etc.

A symposium was also held in Yinyang District. The research team listened to the report on improving the supply structure, establishing the medical consortium system, and fully affirmed the achievements Yinzhou has made in recent years in medical and health care, medical reform and innovative development.

Wang Qiang pointed out that the operation of medical alliances should strengthen the construction of grassroots medical institutions, promote the sinking of high-quality medical resources to grassroots and rural areas, and integrate medical resources to improve service capabilities.Wang Qiang requested accurate positioning, relying on municipal tertiary hospitals, extending the organizational structure of the medical consortium to first-level hospitals and community health service centers, strengthening up-down transport, realizing resource sharing, and comprehensively improving grassroots medical service capabilities, so that ordinary people Enjoy the high-quality medical resources of tertiary hospitals at your doorstep.

After lunch, Wang Qiang said to Wang Hongtao: "Secretary Wang, the trial of free medical care in Shenzhou County has touched the hearts of countless people. Change the research itinerary and go to Shenzhou in the afternoon to have a look!"

Wang Hongtao did not refuse, and said, "Minister Wang, then according to the arrangement of the research team, I will let Shenzhou County prepare."

On the way, Wang Qiang pointedly said: "Hong Tao, we must deeply understand the purpose of medical reform ideologically, study the national medical reform policy carefully, and carry out medical reform work in combination with Yinzhou's actual situation, so as to better serve the masses!"

Wang Hongtao nodded and said: "What the minister said is that Yinzhou City is doing a good job in medical reform from the standpoint of the common people, and Shenzhou County is a pilot project. From the current point of view, the effect is very good!"

"After the implementation of free medical care in China, there were media reports that the seven designated hospitals were overcrowded and finances were tight, which aroused widespread concern across the country. There were also reports that free medical care for all in China has a 'Utopia' and a brain-slapping 'Great Leap Forward'" suspected, and there are loopholes in the system design.”

Wang Hongtao was noncommittal, and said: "Minister, hearing is believing, seeing is believing. We will know the specific situation at a glance! I have not notified the Shenzhou County Party Committee and the county government for the time being. We can investigate openly and secretly."

When they arrived in China, the research team went directly to the Second Hospital of China.

Walking into the ward, he saw an 80-year-old man in a good mood and about to be discharged from the hospital. Wang Qiang walked over and asked, "Auntie, are you going to be discharged?"

"I stayed in the hospital for a month, and I plan to leave the hospital today. This is the first time I have been hospitalized in my life. It cost 8450 yuan, but I only paid 40 yuan. If there is no free medical care, I will not be hospitalized until I die! Now I feel very relaxed, and all the minor problems in my body have been cured!"

Wang Qiang nodded thoughtfully, and chatted a few words with the old man.

Before the implementation of free medical care, Shenzhou thought that the hospital beds would be full, and had already added enough hospital beds as expected.

Wang Qiang found an old man in his 70s who was lying on a hospital bed and had difficulty speaking.After asking her family members, she learned that two days ago, she had just had an operation, and the doctor removed a large tumor weighing 6 catties and 4 taels from her pelvic cavity.

This tumor has been in the old man's body for four or five years, but because he "looks down on patients", he has not had surgery for a long time.After the implementation of the free medical policy, the family members only need to pay four to five hundred yuan for the original treatment fee of six to seven thousand yuan.

Wang Hongtao told Wang Qiang: "After the implementation of the free medical policy in China, people who could afford medical treatment, those who could not see a doctor, and those who had not seen a doctor flocked to the county-level designated hospitals. Indeed, the hospital beds were full, and some designated hospitals had to be placed in corridors. Hospital beds. However, the Shenzhou County Party Committee and the county government immediately studied and solved this problem, vacated some wards, and increased a large number of beds. At the beginning of the policy implementation, that situation was inevitable, but it has improved a lot, and more often There are beds available."

The investigation team came to Shenzhou County People's Hospital again, and Wang Qiang wanted to look for signs of "full beds".However, neither the outpatient building nor the inpatient department is crowded, and there are not many people who come to go through free medical procedures. Observation in the inpatient building shows that there are indeed many vacant beds.

Wang Hongtao said distressedly: "Now it's all comments, and no one has really seriously investigated this matter. The situation in the first month of March was more complicated, but it is much more stable now. We have long expected that the number of patients will increase. Arrived. As for financial constraints? It doesn’t even exist. In the past two months, the expenditure has been 3 million yuan less than in the previous few months. People outside don’t believe that a county in Qinbei can have such a large amount of financial resources to do this. For a while, Shenzhou County’s finances were tight, and Shenzhou’s finances were facing an embarrassing situation... Such claims were rampant, and public opinion began to accuse the government of congenital deficiencies in the design of the system. The original plan was to subsidize at least 800 million yuan a year, but the actual situation is expected to be the whole year Fiscal expenditure will not exceed 1.5 million yuan, China’s fiscal revenue this year will reach more than 1.2 billion yuan, and local fiscal revenue will exceed 160 billion yuan. If you spend a little over 70 million yuan to improve people’s livelihood, do you need to bear such a big notoriety?”

Before Wang Qiang came to Shenzhou County, he did his homework. He knew that compared with the designated hospitals, the life of the few non-designated hospitals in the county is not so easy.

The research team came to Jingmei Hospital again. The director saw the extraordinaryness of this group of people and complained: "The number of patients suddenly decreased by 10 to 3 percent in the first 10 days. In March, we lost more than [-] yuan. Now that they are losing money every month, the hospital has no choice but to adopt promotional measures, starting to lower the price of medicines, and at the same time publicizing that there are free every day and discounts everywhere, but it is still deserted.”

The situation of Guangren Hospital, which is smaller than Clean Coal, is even more dire.

The dean was very anxious, and said: "Basically, there are no patients. I also applied for the qualification of a designated hospital some time ago, but the first batch is definitely useless!"

At present, he is still fighting for it, and joining a designated hospital has become his last straw.

Coming out of Guangren's [-] million yuan, Wang said meaningfully: "It seems that there are still disadvantages. It does not conform to the principle of invigorating the market economy. Many of our private enterprises are facing life and death!"

Wang Hongtao scoffed in his heart, reform must involve the interests of some people, many of these small hospitals are earning black-hearted money, and they should close down if they should close down.

Finally, the research team came to Shenhua Electric Power Hospital in Shenzhou County, which is also a designated [-] million yuan hospital.

In the ward, a patient was lying on his side on the hospital bed, and it was still difficult to speak: "If it wasn't for the free medical treatment, I would definitely be waiting to die at home now."

Simple words touched many people!

Zhang Haisheng, 48, is from Zhongliang Village, Ma Town, Shenmu County.While working in Inner Mongolia last year, he suddenly coughed and vomited blood. A hospital in Baotou found out that he had bronchiectasis and had to undergo surgery.Due to lack of money, Zhang Haisheng did not have an operation, and returned to his hometown after spending more than 1 yuan on treatment to stabilize his condition.Before the Spring Festival this year, he started to cough and vomit blood again. He borrowed 5000 yuan and was admitted to Shenhua Shendong Electric Power Hospital. After only one week of hospitalization, he ran out of money and had to leave the hospital on his own.

Zhang Haiwa is one of the beneficiaries of the "universal free medical care" policy in Shenzhou County. Lying on the hospital bed, he told the research team that he could finally undergo surgery. The Electric Power Hospital invited professional doctors from Chang'an Tangdu Hospital to perform a lobectomy on him. At present, he is almost recovered, and more than 3% of the 95 yuan spent can be reimbursed according to the policy!

The research team also found that the biggest beneficiaries of this policy are farmers. 90% of the patients received by designated hospitals are from rural areas. Among the 2036 patients of the electric power billion yuan, 1832 of them have rural household registration.

Wang Shan, a 71-year-old farmer, suffered from gastric ulcer five years ago. He was reluctant to spend money to see a doctor. In the end, gastric ulcer cancer turned into gastric antrum cancer. Recently, he underwent surgery because of free medical treatment.He said: "Farmers see a doctor, and the government pays for it. We are the same as cadres."

Wang Hongtao said: "Our original intention is very simple, that is, to make medical treatment affordable for ordinary people without money according to their own financial situation!"

Wang Qiang retorted for the first time: "It is undeniable that under the incentive of 'free', both doctors and patients have a tendency to excessively occupy the government's financial resources to enjoy medical services, which will result in poor financial resources and unsustainable resources, which will eventually lead to this project. Policy cannot be sustained.

In the new medical reform plan, the per capita medical subsidy will reach the standard of 120 yuan.As for Shenzhou County, the financial subsidy needs to be 1.2 million to 1.5 million yuan a year, and the per capita subsidy is about 400 yuan, which is far higher than the design standard of the new medical reform plan. It puts a lot of pressure on us to formulate policies. National policies must take care of the majority People, sometimes you have to take care of the overall situation! "

Wang Hongtao said: "However, the national policy is not fixed and does not allow the subsidy standard to be raised. Shenzhou County has ample finances, and there is nothing wrong with doing some livelihood projects that benefit the people. As long as we sincerely do practical things for the people and do our best to solve people's livelihood problems, we will definitely If we can get the support of the people, we will be able to more and more fully mobilize the enthusiasm and creative vitality of the people, thus providing an infinite impetus for the construction of characteristic socialism!"

If we want to talk about policies, the Ministry of Health is just a business unit. Wang Hongtao thinks that only one deputy minister is not enough!