the child can't often and mother contact, the home of nanny and frequent change of, can make they to produce the insecurity and cause certain psychological harm.
Psychologists suggest, the child the best by mother to the child to bring their own, the psychological development of more beneficial. Please look after children babysitter once appeared cheap designer handbags psychological problems, the children and their parents were all for psychological experts for a period of psychological counselling, learn how parents from nanny there to take care of the children, took over parents and children to psychological interaction between, such ability gradually cure the child of psychological problems. After a 10 dec medical director of health service hospitals run everywhere today ZhongDongBo supervision long basic drugs in the use of public hospital reporters points out, the health ministry will through the trial reform of public hospitals, summarizing the experience, in the national push medicine apart.
The health ministry held a regular press conference today, presents the basic drugs system work progress and promote secondary and public hospital medical costs more than in the first half of analysis.
ZhongDongBo points out, the basic public hospital drugs have been attention. He said, medicine cheap designer clothes is cure means, so the hospital the use of drug range depends on the hospital function orientation. Different levels of medical institution assumes the function, it is not the same as the task of the limits using drug that will be different.
"From this point, at the time of the 307 formulated basic drugs, because is mainly for the basic unit, is that when we are at or above the county level to regulation, hospital equipped with fair use is basic drugs, in accordance with the function orientation, should priority in use drugs, as basic basic drugs cost is the best medicine, as long as the result is applicable range all discount designer handbags medical institutions should use." At the same time, ZhongDongBo said, the situation is different, all shall be determined by the local administrative department of public health in the local situation reasonably determine the proportion of drugs.
"Public hospital reform the basic problem or mechanism of change." ZhongDongBo said, a medicine, in a separate breaking medicine is public hospital medical reform system reform of mechanism of special important aspect. The health ministry to through the trial reform of public hospitals, summarizing the experience, the next step in the national push medicine apart.
According to introducing, at present, there are basically four separate medical model, ZhongDongBo said, is a payment reform, namely "about public hospital reform pilot guidance" proposes the advance press disease to pay, pay in advance the total head and reform, the change of the payment, from profit source into a drug costs, the hospital itself to have incentives to regulate the drug wholesale designer handbags use, good behavior in disease, as close as possible to control costs.
ZhongDongBo for example, "a few do more outstanding, like zhenjiang to implement head pay for basic ways of paying for reform, Beijing launched DRG press disease to pay for reform of the group, Shanghai total of carrying out the reform. We know in advance from the situation, the effect is good.
2 it is income and expenses two line management. "In income and expenses two line management, the cost of drugs with institutions themselves interest income it's okay, it is an incentive neuter mechanism. In this case, hospital began, according to the medical routine, the patient's condition to use drugs. Like the gansu province qingyang, shaanxi, Shanghai songjiang and smaller, and so on are doing this pattern." ZhongDongBo said.
Three of the hospital pharmacy is independent, the difference between the drugs by the government as a whole to income also supplies hospital, wuhu, zhuzhou, use the city such as xining practice, wuhu recently have new adjust and perfect.
Four is zero, cancel sales rate differential drug drug addition, in this case, the use of drugs to the income of the hospital, with no relationship to the original drug addition make up for discount designer clothes medical services, through the pricing or losses of the financial aid to make up for, like the liaoning anshan, henan university of science and technology in jiangxi province, the second affiliated hospital of luxi, etc.
According to the four models, ZhongDongBo points out, "we have to do a the work is of different pattern, advantages and disadvantages, applicable conditions, launched in the national assessment summary relative a feasible way. Our country difference is very big, difficult to the national push fits a pattern, should be allowed to DuoZhong mode, implement medicine there are a few basic ideas to separate out."
One is the more important medical separate is divided between medicine, cut off the mechanism of interests, and not the institution apart.
2 it is medicine separate, but not equal to zero, the drug bonus "income and expenses two line management can achieve the medicine separate effect."
3 it is medicine separate, "the 'd' is not only the medical institutions, there is a doctor, all womens clothes online medical behavior to land on each end on the organization's doctor, incentive mechanism to straighten out, after the doctor motivation mechanism to straighten out is also very important." ZhongDongBo points out, the doctor's salary system, evaluation system, the behavior of the supervision of prescription medicine also is critical to separate.