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1 试行“一体化管理”的做法1·1 选好试点,以点带面 选点的原则一是当地群众、乡村医生对推行一体化管理有积极性,并可以筹措到一定的资金;二是管区干部对一体化管理认识充分;三是人口较集中,经济基础居中等水平。根据上述原则选定了坑头、新地两个管区作为第一批先行试点。首先将管区原有的医疗点进行了全面清理整顿,只保留1间卫生站作为卫生院与管区联办站。然后由管区负责解决联办站所需的房屋,卫生院、管区、乡村医生按2:1:1的比例筹集资金,购买医疗器械以及所需的药品。工作人员的劳务报酬,从诊疗费和药品利润中按一定的比例提成解决。通过几经上下,反复调整,使各项管理制度和分配制
1 Trial Implementation of “Integrated Management” 1.1.1 Selection of Pilot Projects: The principle of selecting pilot projects with points and areas First, the local people and village doctors are motivated to implement integrated management, and can raise certain funds; second is the integration of cadres in the district. Full understanding of management; Third, the population is more concentrated, the economic base is middle level. According to the above principles, the first two pilot districts, Hangtou and Xindi, were selected as the first pilot. First, the original medical sites in the district have been completely cleaned up and rectified, and only one health station has been retained as a joint office of the hospital and the district. Then the district will be responsible for resolving the housing needs of the joint office, health centers, districts, and rural doctors to raise funds at a ratio of 2:1:1 to purchase medical devices and the required drugs. The staff’s remuneration for labor is deducted from the medical treatment fees and the profits of the drugs at a certain percentage. Through repeated adjustments, the management system and the distribution system