Yini elandelayo empilweni nasempilweni?Umhlangano wakamuva weNational Health Council uveze imininingwane eminingi.
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Gxila Ekuqiniseni Ukwakhiwa Kwamandla Ezibhedlela Zesifunda
Ukwakha uhlelo lwesayensi lokuhlonza kanye nephethini yokwelapha
Mhla zingama-28 kuNhlolanja, Ikhomishana Yezempilo Kazwelonke (i-NHC) yabamba umhlangano nabezindaba ukuze yethule ulwazi ngokusebenza ngempumelelo kwenqubekelaphambili yezempilo.
Emhlanganweni kwavezwa ukuthi ngo-2024, kuzothuthukiswa izinga eliphezulu lokunakekelwa kwezempilo, futhi umuzwa wabantu wokuzuza kwezempilo uzoqhubeka uthuthukiswa.Mayelana nokujula kwezinguquko zokunakekelwa kwezempilo, kuzothuthukisa ukwakhiwa kwe-consortia yokunakekelwa kwezempilo, ukuxhumanisa ukwakhiwa kwezikhungo zezokwelapha zikazwelonke, izikhungo zezokwelapha zesifunda zikazwelonke kanye nobuchwepheshe bezokwelapha, ukuqhubeka nokukhuthaza ukuthuthukiswa kwekhwalithi ephezulu yezibhedlela zikahulumeni, futhi kukhuthaze ukuthuthukiswa kwe-synergistic kanye ukubusa "kokunakekelwa kwezempilo, umshuwalense wezempilo kanye nemithi".Mayelana nokuthuthukiswa kwamandla ezinsiza, kuzogxilwa kakhulu ekuqiniseni ukwakhiwa kwamakhono ezibhedlela zesifunda, ukuthuthukisa izinga lokuvinjelwa kwezifo nokwelashwa kanye nokulawulwa kwezempilo emazingeni aphansi, ukwenza ngcono ngokuphelele izinga lezinsizakalo zezokwelapha, kanye nokwenza ngcono izinsizakalo zokunakekelwa kwezokwelapha kanye ulwazi lweziguli lokwelashwa.
I-hierarchical diagnostic and treatment system ingenye yezinto ezibalulekile ekujuleni kwezinguquko zezokwelapha.
UJiao Yahui, umqondisi woMnyango Wezindaba Zezokwelapha weKhomishini Kazwelonke Yezempilo Nezempilo, waveza engqungqutheleni ukuthi ekupheleni kuka-2023, izinhlangano zezokwelapha ezingaphezu kuka-18,000 zamafomu ahlukahlukene zase zakhiwe ezweni lonke, kanye nenani lezindlela ezimbili. Ukudluliselwa ezweni lonke sekufinyelele ku-30,321,700, okukhuphuke ngo-9.7% uma kuqhathaniswa nango-2022, lapho isibalo sabadluliselwe phezulu sifinyelele ku-15,599,700, ukwehla ngo-4.4% uma kuqhathaniswa nesango-2022, futhi isibalo sabadluliselwe phansi sifinyelele ku-100002 inyuke ngo-29.9% uma iqhathaniswa neyango-2022, inyuke ngo-29.9%.
Njengesinyathelo esilandelayo, iKhomishana izoqhubeka nokuthatha ukwakhiwa kohlelo lokuhlolwa kwezifo kanye nokwelashwa okulandelanayo njengendlela ebalulekile yokuxazulula inkinga yokufinyelela komphakathi ekunakekelweni kwezempilo.Okokuqala, izokwenza ngenkuthalo iphrojekthi yokuhlola yokwakhiwa kwamaqembu ezokwelapha asemadolobheni asondelene, futhi iqhubekisele phambili ukwakheka kwephethini ehlelwe ngokwesayensi yokufinyelela ekunakekelweni kwezokwelapha kanye nephethini ehlelekile neqhubekayo yokuxilongwa nokwelashwa.Ukwakhiwa kwemiphakathi yezokwelapha yesifunda ebumbene kuye kwakhuthazwa ngokuphelele ukuze kuthuthukiswe amandla ezinsiza eziyisisekelo zezokwelapha nezokunakekelwa kwezempilo.
Okwesibili, izoqhubeka nokuqhubekisela phambili ukuthuthukiswa kwamandla okusebenza ezibhedlela zesifunda, iqhubekisele phambili ukuthuthukiswa kwamakhono asezingeni eliphansi, futhi kancane kancane isungule uhlelo lwenkonzo yezokwelapha oluqhubekayo olusekelwa izikhungo, umphakathi ube yinkundla nekhaya. njengesisekelo.
Okwesithathu, ukunikeza ukudlala okugcwele endimeni esekelayo yobuchwepheshe bolwazi, ukwakha amanethiwekhi okusebenzisana kwezokwelapha ezindaweni ezikude nezingathuthukisiwe, kanye nokukhuthaza ukuxhumana phakathi kwamadolobha nezifunda, kanye naphakathi kwezifunda namalokishi.Izindawo zikhuthazwa ukuthi zihlole ukwakhiwa “kwezinhlangano zezokwelapha ezihlakaniphile,” ezikhuthaza ukusebenzisana kolwazi, ukwabelana ngedatha, ukuxhumana okuhlakaniphile nokuqashelwa okufanayo kwemiphumela phakathi kwezikhungo zezokwelapha ngaphakathi kwezinhlangano zezokwelapha, ukuze kuthuthukiswe ukuqhubeka kwezinsizakalo zezokwelapha.
Ngokwemibono Eqondisayo Ekukhuthazeni Ngokuphelele Ukwakhiwa Kwemiphakathi Ehlangene Yezokwelapha Nezempilo Yesifunda ekhishwe yiKhomishana Kazwelonke Yezokunakekelwa Kwezempilo kanye neminye iminyango eyisishiyagalolunye ngoDisemba nyakenye, ukwakhiwa kwemiphakathi yezempilo yesifunda ebumbene kuzoqhutshekelwa phambili ngokuphelele. ngokwesisekelo sesifundazwe ekupheleni kukaJuni 2024, ngenhloso yokukhuthaza ukwakhiwa kwemiphakathi yezokwelapha yesifunda ebumbene ezweni lonke ekupheleni kuka-2025. Ekupheleni kuka-2025, izama ukuthi ngaphezu kuka-90% wezifunda (isifunda- amadolobha asezingeni, kanye nezifunda zomasipala ezinezimo ezingase zibhekisele kokufanayo emva kwalokhu) ezweni lonke ngokuyisisekelo bayobe bakhe umphakathi wezokwelapha wesifunda onesakhiwo esinengqondo, ukuphathwa okuhlangene kwemithombo yabantu kanye nezezimali, amandla acacile nezibopho, ukusebenza kahle, ukuhlukaniswa kwabasebenzi kanye nokuxhumana, ukuqhubeka kwezinsizakalo, nokwabelana ngolwazi.Ekupheleni kuka-2027, imiphakathi yezokwelapha yesifunda ebumbene izokwazi ukuhlinzekwa ngokugcwele.
Kuphakanyiswa emibonweni engenhla ukuthi ukuhlaziya ukusebenza komnotho kwangaphakathi kwemiphakathi yezokwelapha yesifunda kufanele kuqiniswe, ukuphathwa kocwaningo lwangaphakathi kufanele kwenziwe ngokuqinile, futhi izindleko kufanele zilawulwe ngokunengqondo.Ukuphathwa kwezidakamizwa nezinto ezisetshenziswayo kuzoqiniswa, futhi ikhathalogi yemithi ebumbene, ukuthengwa nokusatshalaliswa okuhlangene kuzoqaliswa.
Ukunakekelwa kwezokwelapha kwesifunda kuzongena esigabeni esisha sokuthuthukiswa okuphumelelayo, okusezingeni eliphezulu.
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Lezi zinhlelo zokwakha izibhedlela ziyashesha
Kubikwe ukuthi iKhomishana Yezempilo Kazwelonke ithathe ukuhlela nokuhlela ukwakhiwa kokumiswa kwezikhungo zezokwelapha zikazwelonke kanye nezikhungo zezokwelapha zesifunda zikazwelonke njengesinyathelo esibalulekile sokunothisa ngokuqhubekayo inani eliphelele lezinsiza zezokwelapha ezisezingeni eliphezulu kanye nokwenza ngcono ibhalansi yesifunda. isakhiwo.
Umhlangano waveza ukuthi kuze kube manje, izigaba ezingu-13 zezikhungo zezokwelapha zikazwelonke kanye nezigaba zezingane zezikhungo zezokwelapha zesifunda zikazwelonke sezimisiwe, futhi ngesikhathi esifanayo, ngokubambisana neKhomishana Yezokuthuthukiswa Nezinguquko Kazwelonke kanye neminye iminyango, izifunda zesifunda eziyi-125. amaphrojekthi okwakha izikhungo zezokwelapha avunyiwe, kwakhiwe izinhlangano zezokwelapha ezingaphezu kuka-18,000, futhi kwasekelwa amaphrojekthi wokwakha amakhono abalulekile kazwelonke angu-961, acishe abe yizi-5,600 ezingeni lesifundazwe kanye namaphrojekthi wokwakha akhethekile kamasipala neziyi-14,000, izibhedlela zesifunda eziyi-1,163 sezinawo. zifinyelele umthamo wosizo ezibhedlela zemfundo ephakeme, izifundazwe ezingama-30 zakha izinkundla ze-inthanethi zokuqondisa ukwelashwa kwezokwelapha, futhi izibhedlela eziku-inthanethi ezingaphezu kwezi-2,700 sezivunyiwe futhi zamiswa ezweni lonke.
Ngokohlelo lwe-“Thousand Counties Project” County Hospital Comprehensive Capacity Enhancement Work Programme (2021-2025), ngo-2025, okungenani izibhedlela zezifunda eziyi-1,000 ezweni lonke zizofinyelela ezingeni lomthamo wenkonzo yezokwelapha ezibhedlela zemfundo ephakeme.Ngokwedatha edalulwe emhlanganweni, lo mgomo ufezwe ngaphambi kwesikhathi esimisiwe.
Umhlangano uphinde waphawula ukuthi isinyathelo esilandelayo kuzoba ukuqhubekisela phambili ukunwetshwa kwezinsiza zezokwelapha ezisezingeni eliphezulu kanye nesakhiwo esilinganiselwe sesifunda.
Umhlangano wabonisa ukuthi izikhungo eziningi zezokwelapha zikazwelonke kanye nezikhungo zezokwelapha zesifunda zikazwelonke kufanele zisungulwe, futhi ngesikhathi esifanayo, kulezi zikhungo ezimbili, kuhlanganise namaphrojekthi wokwakha isikhungo sezokwelapha sesifunda se-125 esivunywe ngokuhlanganyela neKhomishana Yokuthuthukiswa Nezinguquko Kazwelonke, ukusungula kanye nokwenza ngcono indlela yokulandela umkhondo, kanye nokuqondisa lezi “zikhungo ezimbili” ukuze ziqhubeke zidlala indima.
Iphrojekthi ye-“One Million” yezici ezibalulekile zemitholampilo izokwenziwa ukuze kwandiswe izinsiza zobuchwepheshe obuphezulu bezempilo nokulinganisela ukuhlelwa kwezinsiza ezikhethekile.Ukukhuthazwa okujulile kwezibhedlela zemfundo ephakeme ukusiza izibhedlela zesifunda, "odokotela abangu-10,000 basekele amaphrojekthi ezempilo asemaphandleni", ithimba lezokwelapha elihambayo likazwelonke, "iphrojekthi yezinkulungwane zezifunda" njalonjalo, futhi njalo ithuthukisa umthamo obanzi wenkonzo yezibhedlela zesifunda. kanye nezinga lokuphatha.
Mayelana nokuthuthukiswa kwekhwalithi ephezulu yezibhedlela zikahulumeni, umhlangano wabonisa ukuthi eminyakeni yamuva, iKhomishana Yezempilo Kazwelonke iqinise ukuhlanganiswa okuhlelekile kwezinguquko kanye nokuthuthukiswa kwezinguquko ngokuhlanganiswa kwephuzu kanye nendawo.Okokuqala, ezingeni lesibhedlela, liqondise izibhedlela ezisezingeni eliphezulu ze-14 ukuba zenze abashayeli bezindiza bezokuthuthukiswa kwekhwalithi ephezulu, okwenza ukuthuthukiswa kwezemfundo, ubuchwepheshe, izinsizakalo, ukuthuthukiswa kokuphatha kanye nokuqeqeshwa kwethalenta, nokwenza inqubekelaphambili ebalulekile ezinkomba ezibalulekile ezifana ne-CMI. inani kanye nephesenti lokuhlinza kwezinga lesine.
Okwesibili, ezingeni ledolobha, imibhikisho yezinguquko iye yasetshenziswa emadolobheni angama-30 ukuze kugqugquzelwe ukuhlolwa kokuhlangenwe nakho kwezinguquko ekuthuthukisweni kwekhwalithi ephezulu kwezibhedlela zikahulumeni emazingeni edolobha nezifunda.Okwesithathu, ezingeni lezifundazwe, kugxilwe ezifundazweni eziyi-11 okulingwa kuzo uguquko olunzulu lwezempilo, seliqondise izifundazwe ukuthi zenze amathayimithebula, amamephu emigwaqo kanye nezinhlelo zokwakha ukuze kuthuthukiswe intuthuko yezinga eliphezulu yezibhedlela zikahulumeni ngokwezimo zendawo.
Esithangamini sabezindaba esasibanjwe yiHhovisi Lolwazi LoMkhandlu Wombuso ngonyaka odlule, kwacaciswa ukuthi ngesikhathi soHlelo Lweminyaka Emihlanu lwe-14, umbuso, izifundazwe, amadolobha kanye nezifunda zizokweseka ukwakhiwa kwezihluthulelo ezingekho ngaphansi kuka-750, 5,000 kanye ne-10,000. amakhono emitholampilo, ngokulandelana.Izama ukwenza izikhungo zezokwelapha emadolobheni anabantu abaningi zifinyelele izinga lezibhedlela ezisezingeni lesithathu.Okungenani izibhedlela ezisezingeni lesifunda eziyi-1,000 ezweni lonke zizofinyelela umthamo wenkonzo yezokwelapha kanye nezinga lezibhedlela ezisezingeni lesithathu.Izogxila ekukhuthazeni izikhungo zezempilo zasemalokishini eziyi-1 000 ukuze zifinyelele ezingeni lezinga lesibili lomthamo wezinsiza zezibhedlela kanye namandla.
Ngokuthuthukiswa kwezibhedlela kuwo wonke amazinga nakuzo zonke izingxenye zezwe, izinga lokuxilongwa nokwelashwa lizothuthukiswa, futhi imakethe yemithi kanye nemishini yezokwelapha izoqhubeka nokuchuma.
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Isikhathi sokuthumela: Mar-04-2024