Medical network on Feb. 9 - the four documents has been issued, all future county hospital medical imaging, pathology examination, blood purification, four major departments will be a large number of death!
Late last year, the national health development planning commission have all the four documents issued by:
1. The national health and family planning commission about basic standards and regulations issued by the medical imaging diagnostic center (trial)
2. The national health and family planning commission basic standards and management norms about print and distribute medical test laboratory (trial)
3. The national health and family planning commission basic standards and management norms about print and distribute the pathological diagnosis center (trial)
4. The national health and family planning commission about basic standards and regulations issued by the hemodialysis center (trial)
Because not released at the same time, so didn't attract the attention of medical circle too many people, but at the beginning of 2017 national health development planning commission made specifically for these four documents again, see sample images, medical examination, blood purification, pathological diagnosis to independent construction of medical institution's reform direction, it is imperative, and the department of health care have to go?
On January 25th, the national health development planning commission notice on the medical imaging diagnostic center, independent set interpretation basic standards and management norms of medical institution ", once again confirmed that the four departments of medical staff has been concern is likely to happen.
▍ first: clear center of medical imaging, pathology examination, blood purification, as independent medical institutions is inevitable
The normative interpretation, made clear that, at present, the main medical imaging diagnostic center, medical test laboratory, 4 kinds of independent blood purification mechanism, pathological diagnosis center set up medical institutions. In setting up medical institutions internal departments, independent setting of medical institutions is independent legal person unit, independent bear the corresponding legal responsibility. And will these four types of independent medical institutions into medical quality control system, local strengthen medical quality control and regulation of medical services, to ensure medical quality and medical safety.
▍ second, pilot province achieved good results, the next step up efforts to open these four types of independent establishment of medical institution
According to preliminary statistics, as of the end of May 2016, 22 provinces such as Beijing, Shanghai set up 323 home medical test laboratory (society for 309, 95.7%), 460 million cases with complete medical test. In Beijing, zhejiang, jiangxi three provinces set up six pathological diagnosis center (social do 4, 66.7%), 2.05 million cases with complete pathological diagnosis. Five provinces such as Shanghai, zhejiang, jiangxi set up nine medical imaging diagnostic center (social do eight, 88.9%). Five provinces of shandong, hebei, jiangxi set up 57 blood purification mechanism (social do 100%), 247000 cases of blood purification, hemodialysis patients with average cost was reduced by 17.3%.
Who planning commission said around pilot work achieve good results, accumulated a good experience, the next step is to encourage active participation in social forces, establish independent set of medical institutions, and to develop in the direction of collectivization, chaining, introducing social forces, to increase the number of high quality resources.
▍ third, medical imaging, inspection at or above the county level, blood purification, pathological center, or the "merger", the doctor became "social person"
Test case we can see from above, as the center of the medical institutions are mostly independent social do medical, private institutions, it is also a country to encourage social do medical. And national health and family planning commission said it would also everywhere in the Settings for examination and approval, for priority setting for examination and approval has formed the scale, the essence of which is in accelerating the pace of the big four center independent, speed up the pace and fastest way is "m&a" department from the hospital and then assembled into a new center.
This is not alarmist, some time ago, who in tonglu county, zhejiang province statistics bureau will county, county hospital, maternal and child care hospital clinical laboratory with the third party cooperation, jointly established the county medical inspection center, all clinical laboratory medical care will become the new inspection center of the employees. But will these four documents completely after the issuance of the future more county hospital medical imaging, pathology, the first test, blood purification, will gradually weaken, the division will be merged, the part will be independent of collectivization, the medical institution under the chaining.
At present, the high quality medical resources are mainly concentrated in the big big hospital, grassroots medical resources relative lack of medical institutions, it is to run one of the reasons for the large hospital patients, and in order to promote grading diagnosis and treatment, the regional medical resource sharing, the country is under the cruel to make more medical imaging diagnostic center, the medical test laboratory, blood purification mechanism and pathological diagnosis center, an independent medical institutions.
Reform is always a weakness, area to establish a center, mutual recognition of test results the hospital for patients with less expenses, but the doctor is faced with running around; For hospital that is a word "pain", drug is zero spread across the country without profit, and the most profitable inspection, diagnosis, the department is to be cut, really love dearly; For the four big families, medical staff, medical students, as more and more social set up independent medical center, or they will be the first batch of leave system, become a social person. |
