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| Medical reform should streamline administration and delegate power to the new layout |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-14 10:53:51 Number Browse：692 |
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The medical network on August 14, the health and family planning committee press conference, medical reform should streamline administration and delegate power, the medical pattern will usher in a new layout!
On August 10, national health development planning commission held a press conference, the national health and family planning commission several leaders attended the conference, together of recently issued "on deepening the reform of" pipes "arouse the vigour of health investment notice" (hereinafter referred to as "notice"), and did further analysis.
Here involves a term called "pipes", there may be some strange friend, here under the simple explanation: the so-called "pipes" is one of the important spirit of the central reform is to promote and decentralization, combined the pipes, optimization services.
So what are the departments involved in the deepening of health care reform that have been approved for greater liberalisation and greater regulation of those practices?
During the meeting, we mentioned the reform measures in the field of health and family planning, mainly ten items. We have compiled a number of topics to share:
"Notice"
There is no need for approval for a nursing home
In the context of the country's promotion of the combination of medical care, it is also a great deal to take care of the elderly. The notice mentioned the abolition of the approval of the internal clinics of pension institutions and the preparation of the system of preparation. The health and family planning departments at all levels should supervise the implementation of relevant policies and strengthen the post-mortem regulation to promote the development of the health care service industry.
Add 5 more categories of independent Settings
National health and family planning commission in the center of the existing medical imaging diagnostic center, pathology, diagnosis, blood dialysis centers, medical test laboratory, hospice care center, five kinds of independent institutions, on the basis of the basic standards and management norms, to develop independent setting rehabilitation medical center, nursing center, disinfection supply center, physical examination center, small and medium-sized ophthalmic hospital institutions such as the basic standards and management norms, expand social investment, promoting the development of health services in new formats.
We will accelerate the process of electronic registration of medical institutions, physicians and nurses
On July 1, 2017 cities start electronic online registration management, on the basis of the national 3715 opening, physicians, nurses, medical institutions registered administrative service hall all connected to the Internet, for the registration of practice of a medical institutions and physicians, nurses, practice registration provides a quick and convenient services.
The establishment and approval of the establishment of secondary and the following medical institutions
Further simplification of the approval procedures for medical institutions. The establishment and approval of the establishment of the secondary and the following medical institutions shall be "two certificates and one", which will further simplify the examination and approval of the third grade hospital. The health and family planning departments at all levels actively cooperate with relevant departments to establish a cooperative mechanism for the approval of medical institutions and promote the sharing of approval information.
Through the above policy's opening up, in combination with the meeting content, we find that our existing medical pattern is changing step by step, and we can simply summarize the three trends in our medical impact:
Trend 1: clinics and private hospitals are about to blossom, far outnumbering public hospitals
In recent years, the state has been strongly supporting the practice of medical care, and this notice is once again stimulating investment in the medical field. Mentioned, then, in addition to meeting the pension institutions clinics don't need approval to let go of the policy, then social do medical is a bright future, past "checkpoint" were rooting out one by one, under the combined meeting content we comb, various social do medical big open:
1. Eliminate the restriction on the number and location of social medical institutions.
According to the state issued by the national health service system planning outline (2015-2020) "overall request, who planning department to make the" planning and guiding principles of the establishment of medical institutions (2016-2020) ", accelerate the social do medical scale, the level of development. It is required to integrate social health care into relevant planning, and to eliminate the restriction on the number and location of social medical institutions in accordance with the total planning amount and structure.
2. Eligible social medical doctors shall be included in the new rural areas
The meeting mentioned: in the construction of the medical association, encourage the participation of social medical institutions through technical support and personnel training. In the field of new rural areas, the requirements will be given to the eligible social doctors to be included in the designated areas, as well as the public medical institutions.
3. Employees can apply for opening hospitals and clinics
In February, the health development planning commission revised the "detailed rules for the implementation regulations of medical institution" part of the terms and conditions, on the one hand cancelled "on-the-job, resign due to illness or medical staff shall not leave the" apply for establishment of medical institution of the limit, give full play to the professional advantages of medical staff, arouse the enthusiasm of medical personnel clerkstarts, for the health care industry development of energy;
Three of the above policies, almost will start medical institution to resolve the difficulties, the number of limit was cancelled, human released, health care support, for the social do medical do have very strong temptation.
In terms of data, the speed of social medical development has been staggering. At the end of April 2017, there are 1.69 million hospitals, accounting for 57.2% of the total number of hospitals. Since 2011, the number of public hospitals has been basically flat, and the number of social hospitals has increased by 100 percent. And that's the number of health care policies that take root.
As the above three policy open, pension institutions set up clinics without examination and approval, the implementation of the clinic records of traditional Chinese medicine, the five independent medical institutions chaining, so it is conceivable that do hospital medical institutions on the number of society in the future will be far more than public hospitals.
What kind of new situation is going to bloom in private hospitals, clinics and doctors' groups? We have a chance to get a taste of it.
Trend 2: a large number of physicians practice more than one
In February, the national health and family planning commission (NHFPC) issued the "administrative measures on the practice of doctors' practice", which provided valuable personnel support for the medical doctors. As of now, there are more than 66,000 doctors in the country, and 69.6 percent of them are in the community.
For the time being, private hospitals offer far less treatment than public hospitals. So many private hospitals also have high salaries to go to public hospitals, but for various reasons, many doctors are reluctant to leave public hospitals.
On the one hand, I have high attachment to the public hospital, and I am afraid to leave the platform of the public hospital and lose the support of the brand, so I dare not take this step. On the other hand, it is not suitable for the "corporate culture" of some private hospitals.
But the high salary does have the temptation, so part-time (more practice) to the private hospital is the choice of many physicians, namely can guarantee the platform, also have certain legal income.
From the data, the majority of the multi-point practitioners choose the social medical institutions, so many people have stepped out of this step, then there will be followers. As time goes on, the hospital will accept this model and will not impose any further intervention. Therefore, in the future, more and more doctors will choose to practice more and make the best use of medical resources.
Trend 3: hospital inspection, image, pathology and other departments are affected
In order to promote the sharing of medical resources such as inspection, especially the basic hospital inspection, image and pathology department, the professional personnel are not enough. The "notice" the national center for health development planning commission in medical imaging diagnosis, pathological diagnosis center, hemodialysis center, the medical test laboratory, hospice care center, five kinds of independent institutions, on the basis of the basic standards and management norms, to develop independent setting rehabilitation medical center, nursing center, disinfection supply center, physical examination center, small and medium-sized ophthalmic hospital institutions such as the basic standards and management norms.
Moreover, the state encourages these independent centers to link and collectivize, which is bound to impact the inspection, imaging and other departments in the hospital, and these departments are the main profit departments of hospitals.
In the context of drug zero price difference, large compression of inspection fee and the imminent rise of social medical treatment, the days of public hospitals in the first place are about to be formed.
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