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| The state council ordered a major outbreak of the medic |
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| Author：中國銘鉉 企劃部 Release Time：2017-8-8 10:49:25 Number Browse：621 |
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Medical network on August 8 - national health and family planning commission, construction experimental unit of medical association, the national total of more than 321 of l7 cities pilot, covers an area of more than 94.7% of the total number of city.
In April, the general office of the state council issued a guideline on promoting the construction and development of the medical consortium.
The medical consortium is usually composed of a tertiary hospital and a number of secondary hospitals and community health service centres. The information exchange and resource sharing in the medical association, the doctor's turnover, the patient's two - way referral, change the situation that the primary medical resource utilization is insufficient, the big hospital overcrowding.
This year, according to the requirements, tertiary public hospital will all participate in medical association construction, resources sharing and talent sinking oriented, to build up the medical association "community of interests, responsibility, community and development community", tertiary public hospital more difficult critically ill patients, were gradually under the common disease, frequently-occurring disease and rehabilitation patients.
Reform of the state council office, deputy director of the full-time Liang Wannian: we want to put the whole medical and health service system, from the past disorderly competition, partaking of different types of different level hospitals gradually integrate, forming a respective function as the core, work together with integrated service system. One day, 80% or 90% of the common diseases are at the grassroots level, so we can achieve the goal of reform.
Medical resources are sinking to facilitate medical treatment
We will form a medical consortium through medical groups, medical communities, specialized federations, telemedicine and other forms to promote the flow of quality medical resources to the grass-roots level.
Shanxi promote county hospital and township hospitals, community health service institutions set up medical group, "unified" administrative, personnel, capital, business management, performance, YaoXie, sinking through high quality medical resources channels. Zhang was suffering from heart disease and cerebral infarction more than 10 years ago. She needed to go to the city by coach to see a doctor, and now the experts in the city regularly come to the town hospital for more convenience.
Zhang jirong, a villager of gongcun, hexi town, gaoping city: (turns out) we have a lot of trouble to go up. I can't afford to go to a bus on a trip, but it's much more convenient now.
First affiliated hospital of chongqing medical university respiratory medicine clinical key specialty advantages, give full play to the country and 41 district hospitals to establish subject union, breathing through clinical teaching, remote consultation platform, enhance the level of primary care.
First affiliated hospital of chongqing medical university professor of respiratory medicine Guo Shuliang: our department also sent a lot of doctors, to the couplet of medical hospital, as a temporary department director, or resident there.
With the help of the first hospital affiliated with chongqing medical university, qijiang county people's hospital has significantly improved the level of interventional surgery and imaging diagnosis. The patient suffered from sudden pulmonary embolism and difficulty breathing. Pulmonary embolism is one of the three main causes of emergency death. Before it can be treated in chongqing, the county hospital can do minimally invasive surgery for him.
Patient: it's almost done now, no hemoptysis.
Shanxi: medical insurance leverage helps the construction of medical medias
Shanxi plays the role of medical insurance, guiding patients to seek medical treatment at the grass-roots level; We will reform the way to pay for medical insurance and promote the formation of a community of Shared interests, community of responsibility and development community.
Shanxi gaoping people's hospital and township hospitals and community health service organizations form a medical group to jointly take charge of the disease prevention and treatment of the residents of the district. The health insurance department pays the health insurance fund to the medical group in advance, under the precondition that the reimbursement treatment of the district residents is unchanged, the total amount is controlled.
Over the course of a year, if there is a balance in the health care fund, it will be in the hands of the medical group, which will be covered by the medical group itself. To save money, medical groups try to keep patients at the grassroots level.
Hexi branch director of shanxi gaoping city people's hospital NiuSuWen: before we are not a grab each other patients, our patient is not willing to turn up, they don't come down (county hospital) patients, to eliminate this problem now.
After a sudden cerebral infarction in the people's hospital of gaoping, the doctor consulted with him and returned to the township health hospital with a treatment plan.
Group set up rather gaoping city people's hospital branch director Liu Xiaoge: you spend 6000 dollars in county hospital for ten days, you spend 2000 dollars, let's here starting line were low, at 90% reimbursement, probably live 10 days to spend 2000 dollars, their burden of 200 dollars.
In order to save medical expenses, the medical institutions will take the initiative to manage the residents' disease prevention and chronic diseases.
Feng lizhong, deputy director of the health and family planning commission of Shanxi Province, finally made the people less sick and sick, early detection, early diagnosis and early treatment.
2. The state council ordered a major outbreak of the medical association
As early as April 26, the general office of the state council issued a guideline on promoting the construction and development of the medical consortium (hereinafter referred to as the opinion).
Policy is coming fast. At a state council executive meeting on April 12, premier li keqiang stressed the need to push forward the development of ias as a major step forward in healthcare reform. And policy briefing on April 14, the state council, reform of the state council office director, deputy director of the national health and family planning commission Wang Hesheng introduces the strengthening the construction of medical association and development guidance about it; The documents were officially released yesterday (26 April).
3, for the medical equipment manufacturer, or will usher in a shock!
In the opinion, issued by the state council, it is clear that regional resources should be Shared. Medical imaging center, inspection and inspection center, disinfection supply center and logistic service center can be established in the medical association to provide integrated services for medical institutions in the medical community. On the basis of strengthening the quality control of medical treatment, the medical institutions of the medical association should check the results of inspection. In this case, it will be another shock to our medical device manufacturers.
Note that the various centres that encourage the establishment of the ias are very different from the various independent centres that have been encouraged by the state. Co-construction and sharing between public medical institutions should not from the category attributes of the public medical institutions, and the many vendors in the testing room is set up by the policy incentives, hemodialysis center, etc., is an independent legal person and the existence of non-profit medical institutions.
With the deepening of the medical association construction, will the public medical institutions jointly build and share the various centers that will result in the survival of the social medical institutions? In the "opinions" to organize the implementation of the state council on, insist on problem oriented, prevent and crack big hospital monopoly resources, "their" and "siphon" grass-roots problems such as resources, squeezing social do medical space. But what is ultimately going to happen is yet to be tested. But there are pros and cons. If a manufacturer can manage a medical center in a managed way, it will be able to sell a lot of products.
The implementation of medical medias nationwide:
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