Hope that the new medical hospital to return to the adverse human
At 8:27 on April 7, 2009
Source: Great River
Li Jing

Hearing big river, "the CPC Central Committee and State Council on Deepening the views of the medical and health system reform," April 6 finally released.


For the "views of health reform," my hands are in favor of this. This is the CPC Central Committee and a major decision of the State Council for the broad masses of the people, especially low-income rural farmers, including a Gospel. At the same time, new medical reform can be implemented whether or not, I still have two concerns.

As we all know, at the founding of New China a century ago, the Chinese war of imperialism, feudalism and bureaucrat-capitalism, torn. People's Republic of China inherited the mess of an economic slump, crisis-ridden society, the people in the infectious diseases, parasitic diseases, malnutrition and other diseases, the average life expectancy of less than 35 years old, the infant mortality rate up to 250/1000.少的可怜the total number of medical and health practitioners, the people can not resolve the many health problems. Engaged in medical services is the main doctor of traditional Chinese medicine and herbal medicine, and many lack the necessary training and exercise, can not cope with and deal with epidemic disease and epidemic. At that time, a national prevention plan and the system does not exist.

After 1949, the Chinese people in the improvement of health status in the world for all to see: a lot of epidemic diseases such as smallpox, cholera, sexually transmitted diseases, such as the elimination of a more thorough, and parasitic diseases such as schistosomiasis and malaria has been substantial reduction. The average life expectancy in 1949 from about 35 to 80 of the 70-year-old early. Birth the infant mortality rate estimated in 1950 from about 250/1000 in 1981 reduced to less than 50/1000. In 1980, China's average life expectancy is higher than a lot of high income levels of the country than the Chinese. The People from 1960 to 1980 the growth rate of the average life expectancy of more than all other countries.

New China is one of the few Western medical model is different from that select one of the countries, it developed a significant innovation of the public health system: the major after a very short period of time can depend on trained health care workers with lower skills; development of the labor intensive rather than capital-intensive medical technology; emphasize prevention and primary health care; to concentrate on the implementation of public health plan, rather than individual health concerns.

A World Bank report for the Chinese part of the hygiene direct call to discuss the success of China as "China's first health care revolution." However, the need to note that the Chinese health care at the success of the health status of the people is not the only reason for rapid improvement. Increase the level of education, adequate food supply and the average distribution, water supply and sanitation have made to improve the contribution. Indeed, the Chinese health and medical care at the work done by the whole of China is only part of the transformation of society - although some are very important.

"The views of medical reform," pointed out that upholding the public health of the public good nature, insist prevention to focus on rural areas, both Chinese and Western medicine approach, the implementation of the conduct of public affairs separate, the management do separate, medicine separate, for-profit and non-profit separate and strengthening governmental responsibility and input, and improve national health policies, a sound system, and strengthen supervision and management, innovation and institutional mechanisms to encourage community participation, construction of urban and rural residents covered by basic medical and health system, and continuously improve the level of national health, promote social harmony.

The CPC Central Committee and State Council attached great importance to "uphold the public health of the public good nature, insist prevention to focus on rural areas, both Chinese and Western medicine approach," This shows that the new Chinese medical reform for the new set up the first three decades of public health job are positive, but at "the views of medical reform" after paragraph, I do not see the "prevention first" specialized expositions are not "the implementation of the program" has a special section in the current do not know.

If there is no "prevention" is devoted to how to practice, not of "prevention first" all related matters such as the definition of the scope of measures to make special arrangements, "persist in public health of the public good nature, insist prevention to rural areas emphasis on both Chinese and Western medicine approach ", it would not have been fully implemented, there is a new medical reform is missing, incomplete. This is my first concern.

"The views of medical reform", said the cause of the relationship between the medical and health of hundreds of millions of people's health, the relationship between the well-being of millions of households, people's livelihood are the major problem. Deepening of the medical and health system reform, speed up the development of medicine and public health to meet the people's growing demand for medical and health, and continuously improve the quality of people's health, is to implement the scientific concept of development, and promote comprehensive, coordinated and sustainable economic and social development, an inevitable requirement for maintaining social equity and justice, improve the quality of life of the people of the important initiatives are well-off society and building a harmonious socialist society, a major task.

"The views of medical reform," pointed out that since the founding of new China, especially since the reform and opening, China's medical and health has made remarkable achievements in the cause, covering urban and rural areas of the medical and health service system has basically taken shape, has continuously increased its ability for Disease Control and Prevention, health insurance coverage gradually expanded population , health science and technology level of the rapid increase in the level of people's health improved, the residents of developing countries mainly in the forefront of health indicators. In particular, are a major win against SARS has been increasing at all levels of government investment, public health, rural health and community health development to speed up the city, the new rural cooperative medical care and basic medical insurance for urban residents achieve a breakthrough by the medical and health institutions to deepen reform has laid a good foundation. At the same time, it should be noted that the current development of China's medical and health levels and health needs of the masses of the people and coordinated economic and social contradictions not meet the requirements of the development are still quite prominent. Urban and regional imbalances in the development of medical and health, unreasonable allocation of resources, public health and rural, community medical and health work is relatively weak, health care systems, pharmaceutical production and circulation order of non-standardized, hospital management systems and operational mechanisms are imperfect, inadequate investment in government health, medical costs rose too fast, too heavy a burden, and strong resentment among the people.

A short span of a few, even on the past three decades the medical and health system summary of lessons learned吗? I also have reservations.

After the reform the reform of the past, because some types of man-made pollution, including pollution of air pollution in particular medical devices are contaminated blood disease are numerous cases painful death, AIDS caused the village to sell blood, blood transfusion, including HIV infection such as leukemia can be fear of the disease, hospital use of a lot of tricks to deceive the masses of the people, in the physical examination tests on false, exaggerated or even fabricated, so that people do not become sick disease so that people in small lesions of a major illness, the "disease" can be included in the "Healthy demand "in it?

We have thoroughly examined the blood bank inventory of blood products and the reliability of the safety吗? Really voluntary voluntary blood donors (non-blood donors) innocent increasing cases of infection, the normal, healthy people who donate blood are afraid, "blood head" back country with a lot of blood has long been the original "reform" has become "corporate blood", for "management" of the sick and many were forced to return or professional blood donors who make our security situation is extremely serious medical. Some "Blood's" innocent of that "blood components", "blood components" on infectious diseases to avoid infection and to relax or ignore the need for the implementation of the necessary inspection and prohibition of laws and regulations, including the use of disinfection equipment requirements. People really need a blood transfusion and the fear of disease transmission into the blood, including blood transfusion components. People see a doctor on tenterhooks. Blood donation is a glorious thing, blood in the "Blood's" eyes are only a "slurry for" that law also required to donate blood as "blood" "Secret", which give the green light to more illegal blood collection, which normal? These circumstances the central know? That is why I call on the village stage a comeback against the causes of HIV.

"The views of medical reform," said the deepening of the State Council Leading Group for the medical and health system is responsible for formulating the principles and policy framework for the pilot, co-ordination, guidance throughout the pilot. Provinces, regions, and municipalities to develop specific implementation of pilot programs and organizations. Local governments in accordance with this opinion and want to implement the requirements of the program, according to local conditions to develop specific and effective measures to implement the program, careful organization, the reform process in an orderly way to ensure that the results of the reform to benefit all the people.

Historical experience shows that if we do not say in front of a fundamental reversal of the medical and health situation of chaos, not the history of AIDS on the village of complete accountability, blind pilot, blind resources reorganization will not only cause people to become more concerned about health care, because disease infected the innocent more不好找retrospective hospital duty, and the country is in fact the money of the National People's money is likely to be falling into a bottomless pit, the result of the new country and a great loss to the people. This is my second concern.

To this end, I suggest that the preparation of pilot hospital restructuring or institutions or companies should be restructured before the media at all on the published list, including a list of key management and employees to receive at least three months to check the complaints, there is no stain on the system before they can , questions of doubt as to the dispute and must be the elimination of people's concerns, resolve disputes, deal with the problem better, this process must also be publicized to the public, it is necessary to carry out hearing the words can be to no troubles.

I do not want heaven hospital, the doctor does not want an "angel", of course, are hell more do not want to hospitals, blood banks do not want to魔窟into.

Whether or not a new medical reform to implement the most critical. Hope that the new hospital doctors return to the bad human!