Medical network - on July 14, since this year, the national post, policy space to relax individual clinics. Recently, the national health development planning commission release a positive signal, individual clinics are expected to participate in the basic public health services. A number of industry insiders said, this policy is very subtle, is expected to increase the basic public health services in the service main body, promote the industry competition, the development of individual clinic at the same time, also can let people get real benefit.
Policy for frequent clinic bucks
On July 10, deputy director general of national health development planning commission of grassroots health division guang-ming gao in Beijing, points out that in order to increase the number of service main body, grassroots medical institutions are expected to get money under the premise of providing basic public health services. Guang-ming gao in response to "individual clinics would it be possible to apply for public health services in the future," said that on the direction, all at the grass-roots level of qualified doctors, all should be able to use the national basic public health service project funds, to provide satisfactory, qualified service for the people.
Not only that, the national open clinic related positive policy frequently recently. National health development planning commission in February 2017 issued by the "detailed rules for the implementation regulations of medical institution", issued by the June in the clinic of TCM for the record management interim measures (draft) ", are referred to open individual clinic set up limit. May issued by the general office of the state council about support social forces to provide diverse medical service opinion "clearly put forward that" the development, operation of high level general clinic run by social forces ".
In fact, in recent years, our country clinic quantity has been rising slowly. (delete the previous sentence because policy is this year, but the following data is in the past) countries who planning department statistics show that by the end of June 2016, our country clinic (medical) close to 200000, accounted for about 21.5%, and medical and health institutions at the grassroots level decline in the overall number of cases a gain.
Screenshots source: the state development planning commission website
Clinic: eight was far from assured
Capital medical optimal combined clinic is a just based on the comprehensive clinic in Beijing in 2016, mainly to provide children inside and outside of traditional Chinese medicine (TCM), oral cavity, the aspects of medical services. Optimal combined clinic vice chairman ChengBei told health industry, although not reject one day in the future to provide public health services, but the distance finally "landing" seemed to be "eight words haven't a pie".
"Optimal clinic, apply to the relevant departments to start at the time of the application by the health service project, there is no public health services, clinics and public community health service centers was originally two different things." ChengBei said that for small clinic, you can provide his, vaccines, slow disease management, and other aspects of the basic public health services, will be a very good business, and is also the development direction of clinic right, but because from the beginning does not intend to provide these services, so in the clinic department and related personnel on the echelon building, never had any preparation.
"Health care is also a" threshold ", at present, for the people of the basic public health services that are included in the health care or free, but the basic medical insurance will not bear the medical expenses in private clinics." ChengBei said that if the clinic can provide basic public health services in the future, the way of the fiscal appropriation, the people enjoy the service form, all need to consider.
Increase service main body won praise "important progress"
Although the objective difficulties, but there are still in the industry is optimistic, believe that relevant departments about clinic to participate in the basic public health services to release a positive signal.
Beijing chaoyang district panjiayuan second community health service center of doctor of vice director of general medicine Ma Yan thinks, guang-ming gao this announcement is very subtle, which shows the progress of the policy is extremely important. This means that the government should pay for the people to buy health services, and the main body of public health service is no longer limited to the designated personnel and organization, but the introduction of the size of the public and private, etc. Various medical resources.
Grassroots medical staff shortages in China, the need to introduce more resources, increase the public health service main body. At present our country 210000 less than the total number of gp, you need to increase to 300000 by 2020. Ma Yan said: "who want to do, who will do. Who did, the government give you money. As long as there is a grassroots organization, just one more service principal." Ma Yan said, the country only encourage, not importune. Hospitals at all levels (clinic) if the heavy work, personnel tight, should not be forced to carry out the public health service; If the agency has spare capacity, it is possible to respond to a nation called on.
Other critics said, as long as the clinic attract resources, allows to carry out the basic public health services. All along, the basic public health is the sole government investment, the government's resources are limited, and public institutions to avoid waste of resources. Sources of resources, in contrast, private institutions, can drive the pharmaceutical industry, private equity funds, risk investment and many resources, are expected to do big market.
Introduction of competition, public or private Or let the people benefit
The personage inside course of study thinks, the introduction of social capital open clinic, participate in the basic public health, which can increase the service main body, also can promote the competition of the industry.
Ma Yan said: "in the same area, the secondary hospitals and community health center, private hospitals and private clinics can provide public health, people the choice of more." In the form of "residents vote with their feet", to further promote the improvement of the public health service quality. Ma Yan mentioned at the same time, as long as after a standard training and certification, to master relevant medical skills of doctors, can become the main body of public health service, believe that the authorities will have relevant arrangement.
"Private clinics as long as the corresponding national call to provide public health service, also can obtain the national public health fund grants support." Ma Yan believes that, although the national in grassroots medical institutions to apply for repeatedly mentioned do not set limits, and come up with encouraging measures.
But the New Deal still need a reasonable supporting measures, and it will be constantly break-in, strict quality control and reasonable performance evaluation scheme can work step by step. "General medical enterprise can be successful, the next key depends on the leadership of the grass-roots and the doctor himself." Ma Yan said.
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