Yini okulandelayo kwezempilo nokuphila kahle? Umhlangano wakamuva woMkhandlu Kazwelonke Wezempilo uveze imininingwane eminingi.
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Gxila ekuqiniseni amandla okwakha izibhedlela ze-County
Ukwakha Ukuxilongwa Kwama-Hierarchical Nesilinganiso Sokwelashwa
NgoFebhuwari 28, i-National Health Commission (NHC) ibambe umhlangano
Kuboniswe emhlanganweni ukuthi ngo-2024, ukuthuthukiswa kwekhwalithi ephezulu yokunakekelwa kwempilo kuzothuthukiswa ngokuphelele, futhi umuzwa wokuzuza wezempilo uzothuthukiswa ngokuqhubekayo. Mayelana nokukhulisa ukuguqulwa kwezempilo, kuzothuthukisa ukwakhiwa kwe-Healthcare Consortia, ukuhlanganisa ukwakhiwa kwezikhungo zikazwelonke zezokwelapha, izikhungo zezokwelapha zesifunda zikazwelonke kanye nobuhlakani obusezingeni lomtholampilo, nokukhuthaza ukuthuthukiswa kwekhwalithi ephezulu kanye Ukulawulwa kwe- "Healthcare, umshuwalense wezempilo kanye nemithi". Ngokuya ngenqubo yokuthuthukisa umthamo wensizakalo, okuzogxilwe kuyo ngokuqinisa ukwakhiwa kwamakhono wezibhedlela ze-County kanye nokwelashwa kanye nokuphathwa kwezempilo ezingeni lamaphethelo, kanye nokwenza ngcono izinsizakalo zokunakekelwa kwezokwelapha kanye isipiliyoni seziguli sokwelashwa.
Ukuxilongwa kwe-hierarchical kanye nokwelashwa kungokokuqukethwe okubalulekile kokujula kwezokwelapha.
UJiao Yahui, umqondisi woMnyango Wezokwelapha weKhomishini Yezempilo Kazwelonke Nezempilo, waveza engqungqutheleni yokuthi ngasekupheleni kuka-2023, izinhlangano ezingaphezu kuka-18,000 zezokwelapha zamafomu ahlukahlukene zase zazakhiwe ezweni lonke, nenombolo yendlela emibili Ukudluliselwa ezweni lonke kufinyelele kuma-30,321,700, ukukhuphuka kwe-9.7% uma kuqhathaniswa ne-2022, lapho inani lokudluliselwa okuphezulu lifinyelele ku-2022% uma liqhathaniswa nelika-20,722,000 lifinyelele ku-14 722,000, a Ukwanda kwama-29.9% aqhathaniswa ne-2022, ukukhuphuka kwama-29.9%.
Njengesinyathelo esilandelayo, iKhomishini izoqhubeka nokuthatha ukwakhiwa kohlelo lokuxilongwa okuphezulu kanye nokwelashwa njengendlela ebalulekile yokuxazulula inkinga yokuthola umphakathi. Okokuqala, kuzokwenza ngentshiseko iphrojekthi yokushayela umshayeli wezokwakhiwa kwamaqembu ezenhlangano amadolobha asondelene, futhi aqhubekele phambili ekwakhekeni kwephethini ehlelwe ngokwesayensi yokuthola usizo lwezokwelapha kanye nephethini ehlelekile neqhubekayo yokuxilongwa nokwelashwa. Ukwakhiwa kwemiphakathi yezokwelapha esondelana ye-County sekuthuthukiswe kabanzi ukukhulisa umthamo wezinsizakalo zokufunda zezokwelapha nezokunakekelwa kwempilo.
Okwesibili, kuzoqhubeka nokuqhubekela phambili ukuthuthukiswa kwamandla wensizakalo ephelele yezibhedlela ze-County, shayela ukuthuthuka okwengeziwe kwezimo zotshani, futhi kancane kancane qala uhlelo oluqhubekayo lwezokwelapha olusekelwa yizikhungo, nomphakathi njengeplatifomu nekhaya njengesisekelo.
Okwesithathu, ukujabulisa okugcwele endimeni ephansi yobuchwepheshe bolwazi, ukwakha amanethiwekhi wokusebenzisana kude kwezokwelapha ezindawo ezikude nezikhuliwe, futhi athuthukise ukuxhumana phakathi kwamadolobha nezifunda, kanye naphakathi kwezifunda kanye namalokishi. Izindawo ziyakhuthazeka ukuthi zihlole ukwakhiwa "kwezinto ezisebenza kahle zezokwelapha," ukuthuthukisa ukusebenzisana kolwazi, ukwabiwa kwedatha, ukubonwa kwedatha, ukuqashelwa kwezokwelapha phakathi kwezikhungo zezokwelapha ngaphakathi kwezokwelapha.
Ngokwemibono ekhombisa ukuthuthukisa ukwakhiwa kwemiphakathi esondelene yezokwelapha ephakeme nezempilo ekhishwe yi-National Healtivity Commission kanye neminye iminyango eyisishiyagalolunye ngoDisemba nyakenye ngonyaka odlule, kwakhiwa ukwakhiwa kwemiphakathi yezokwelapha esondelana ngoDisemba kuzoqhutshwa phambili ku-a isifundazwe ngasekupheleni kukaJuni 2024, ngenhloso yokuqhakambisa ukwakhiwa kwemiphakathi yezokwelapha esondele kakhulu yezokwelapha ezweni lonke ngasekupheleni kuka-2025. Ekupheleni kuka-90% wezifunda (County- amadolobha ezingeni lezinga, kanye nezifunda zikamasipala ezinezimo zingabhekisela kulowo lapha lapha) ezweni lonke zizokwakhele umphakathi wezokwelapha onezezimali, ukuphathwa okuhlangene kwezinsizakusebenza zabantu kanye nezimali, ukuhlukaniswa okusebenzayo, ukuhlukaniswa kwabasebenzi kanye nokuxhumana, ukuqhubeka kwezinsizakalo, nokwabelana ngolwazi. Ekupheleni kwemiphakathi engama-2027, imiphakathi yezokwelapha esondelanayo yasekuqaleni izobona ukumbozwa okugcwele.
Kuphakanyiswa ngemibono engenhla yokuthi ukuhlaziywa kwangaphakathi komnotho kwemiphakathi ye-County Medical kufanele kuqiniswe, ukuphathwa kwamabhuku kwangaphakathi kufanele kwenziwe ngokuqinile, futhi izindleko kufanele zilawulwe ngokuqinile. Ukuphathwa kwezidakamizwa nokudla kuzoqiniswa, futhi ikhathalogu yemithi ehlanganisiwe, ukuthengwa okuhlangene kanye nokusatshalaliswa kuzosetshenziswa.
I-County Medical Care izongena esigabeni esisha sokuthuthuka okusebenzayo, okuphezulu kakhulu.
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Le misebenzi yokwakha esibhedlela ilandelwa ngokushesha
Kubikwa ukuthi IKhomishini Yezempilo Kazwelonke ithathe ukuhlela nokwakhiwa kokuhlelwa kokubekwa kwezikhungo zezwe lonke kanye nezikhungo zezokwelapha zesifunda zikazwelonke njengokuthuthuka kwezinsizakusebenza ezisezingeni eliphakeme futhi zithuthukise ibhalansi yesifunda ukwakheka.
Lo mhlangano uveze ukuthi kuze kube manje, izigaba eziyi-13 zezikhungo zezokwelapha zikazwelonke kanye nezigaba zezingane zezikhungo zezokwelapha zesifunda zikazwelonke ziye zasungulwa, futhi ngasikhathi sinye, ngokubambisana neKhomishini Yezokuthuthukiswa Kazwelonke kanye Neminye imisebenzi, ku-125 National Regional Amaphrojekthi wokwakha izikhungo zezokwelapha avunyiwe, kwakhiwe izinhlangano zezokwelapha ezingaphezu kuka-18,000, kanti amaphrojekthi wokwakha amakhono angu-961 asekelwayo, cishe amaphrojekthi wokwakha wesifundazwe acishe abe ngu-5,6,000 wezokwakha akhethekile kanye nama-14,000, izibhedlela ze-1,163 County Kufinyelelwe umthamo wensizakalo yezibhedlela eziphakeme, izifundazwe ezingama-30 ziye zakha amapulatifomu we-Intanethi okuqashwa kwe-Intanethi ezifundazweni, futhi izibhedlela ezingaphezu kuka-2 700 ze-Intanethi zivunyiwe zaze zabekwa ezweni lonke.
Ngokusho kwe- "nkulungwane Counties Project" County Hospital ephelele yohlelo lokusebenza lomsebenzi (2021-2025), ngo-2025, okungenani izibhedlela zase County ezweni lonke zizofinyelela ezingeni lesevisi yezokwelapha yezokwelapha. Ngokwemininingwane evezwe emhlanganweni, le nhloso yenziwe ngaphambi koHlelo.
Umhlangano ubuye waphawula ukuthi isinyathelo esilandelayo kuzoba ukuqhubekisela phambili ukwanda kwezinsizakusebenza zezokwelapha ezisezingeni eliphakeme kanye nokwakheka okulinganiselayo.
Lo mhlangano uveze ukuthi inqwaba yezikhungo zezokwelapha zikazwelonke kanye nezikhungo zezokwelapha zesifunda zikazwelonke kufanele zimiswe, futhi ngasikhathi sinye, kwalezi zikhungo ezimbili, kufaka phakathi amaphrojekthi wokwakha ama-125 wezokwelapha ezifundazweni lonke asezingeni likazwelonke avunyelwe ngeKhomishini Yezokuthuthukiswa Nokuvuselelwa Kwezwe kanye Nezinguquko, Ukusungula futhi kuthuthukise inqubo yokulandela umkhondo, futhi kuqondise lezi "zikhungo ezimbili" ukuze ziqhube iqhaza iqhaza.
Iphrojekthi "eyisigidi" yezinqubomgomo ezikhethekile zemitholampilo izokwenziwa ukuze yandise izinsizakusebenza zekhwalithi ephezulu yemitholampilo futhi ilinganise ukwakheka kwezinsiza ezikhethekile. Ukugqugquzelwa okujulile kwezibhedlela zemfundo ephakeme ukusiza izibhedlela ze-County, "odokotela abangu-10 000 wokuxhasa amaphrojekthi wezempilo zasemakhaya", ithimba lezokwelapha elijikelezayo eqenjini lezokwelapha, "izinkulungwane zama-projekthi ezifunda" nokunye, futhi zithuthukisa njalo umthamo wensizakalo ephelele yezibhedlela ze-County ezibhedlela nezinga lokuphatha.
Mayelana nokuthuthukiswa kwekhwalithi ephezulu yezibhedlela zikahulumeni, umhlangano waveza ukuthi eminyakeni yamuva, iKhomishini Yezempilo Kazwelonke iqinise ukuhlanganiswa okuhlelekile kwezinguquko nezinguquko ezithuthukisiwe ngokuhlanganiswa kwephuzu nangaphezulu. Okokuqala, ezingeni lesibhedlela, kuqondise izibhedlela ezisezingeni eliphakeme eziphakeme zokuthola izindiza, ukwenza izinsizakusebenza ezifundweni, ezobuchwepheshe, izinsizakalo, ukuqeqeshwa kwamathalente kanye nenqubekela phambili ebalulekile kwizinkomba ezibalulekile njenge-CMI inani kanye namaphesenti wokuhlinzwa kwezinga lesine.
Okwesibili, ezingeni ledolobha, kusetshenziswe imiboniso yamadolobha angama-30 emadolobheni angama-30 ukuze kukhuphuke ngokuhlolwa kokuhlangenwe nakho kwezinguquko ekuthuthukisweni okuseqophelweni eliphezulu kwezibhedlela zomphakathi emazingeni kahulumeni emazingeni kahulumeni namazinga edolobha. Okwesithathu, ezingeni lesifundazwe, kugxile ezifundazweni eziyi-11 zokushayela izinguquko zezokwelapha eziphelele, kuqondise izifundazwe ukwakha amathayimitha, imigwaqo nezinhlelo zokwakha ukukhuthaza ukuthuthukiswa okuphezulu kwezibhedlela zomphakathi ngokuya ngezimo zasendaweni.
Engqungqutheleni yabezindaba ephethwe yiHhovisi Lemininingwane Yezwe LoMbuso Ngonyaka odlule, kwacaciswa ukuthi ngesikhathi seminyaka engu-14 ubudala, uMbuso, izifundazwe, amadolobha nezifunda zizosekela ukhiye ongaphansi kuka-750, 5,000 no-10,000 amakhono emitholampilo, ngokulandelana. Kuyalwela ukunika amandla izikhungo zezokwelapha emadolobheni anezinga elikhulu ukufinyelela ezibhedlela zesithathu. Okungenani izibhedlela eziyi-1 000 zezindawo ezifundazwe ezweni lonke zizofinyelela umthamo wensizakalo yezokwelapha kanye nezinga lezibhedlela ezivela ezingeni lesithathu. Kuzogxila ekuthuthukiseni izikhungo zezempilo ezisezingeni eliphakeme zelokishi ukuze zifinyelele ezingeni lomthamo wesevisi yesibhedlela lesibhedlela kanye namandla.
Ngokuthuthuka kwezibhedlela kuwo wonke amazinga nakuzo zonke izingxenye zezwe, izinga lokuxilongwa nokwelashwa lizothuthukiswa, futhi imakethe yemithi namadivaysi ezokwelapha azoqhubeka nokuchuma.
Ukunakekelwa kweHongguan ngempilo yakho.
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Isikhathi Sokuthumela: Mar-04-2024