On September 4, the medical network was actively promoting the construction of the medical consortium. What are the characteristics? How's it going? The reporter visited the construction site of the national medical association building in shenzhen, Japan.
Medical resources are "linked" up and down
Li bin, director of the national health and family planning commission, said at the meeting that there are four main ways for China's medical association to be built:
First, the establishment of urban medical groups to explore the management mode of resource sharing and division of labor cooperation. Shenzhen set up 11 primary care group, for example, from strengthening clubs sign health center construction, and optimize the family doctor service more links such as, promote the medical and health resources through up and down, let residents shunt to the diagnosis and treatment; Jiangsu zhenjiang city has established a rehabilitation medical group to establish nine medical resource centers and build a close medical center with business, technology, management and assets as the link.
Second, county medical community to implement the county integrated management, construct the three-level coordinated county medical service system. For example, in 18 counties, Shanxi Province initiated the construction of a medical community centered on the integration of county and township, and realized the administrative, personnel, capital, business, performance and drug "vi unity" of the medical staff. In tianchang city, anhui province, yuxi county, fujian province, is the leading hospital for the management and management of human property resources.
Third, the establishment of a junior college to supplement the weak discipline short board, play a role of radiation. , for example, tianjin chest hospital and 126 secondary and tertiary hospitals and grassroots medical institutions of couplet of medical cooperation agreement, a junior coalition, chest pain built heart disease treatment network covering the 50% area in the city. In addition, the academy of pediatrics, led by Beijing children's hospital, affiliated pediatric hospital of fudan university and Shanghai children's medical center, has covered more than 80 percent of the country's pediatric medical resources.
Fourth, expand the coverage of the telemedicine collaboration network and promote the promotion of grass-roots capacity. Such as zhejiang zhoushan integration of city and county (district), villages and towns, community (village) level 4 medical resources, building covering the telemedicine network of zhoushan islands, to make the residents to enjoy to the nearest hospital medical service; The Peking union hospital, through the remote medical network, helps to help the Tibetan county-level medical institutions.
Building a "hospital on your doorstep"
Chen bo, 82, who lives in dongmen street, luohu district, shenzhen, has suffered from high blood pressure, diabetes and cerebral infarction. He had to go to a big hospital with his family on his back. Now he has signed a family doctor with the nearby dongmen social security centre, not so far away.
Reporter 1 day in luohu district dongmen social security center sees, the hall is clean and tidy, come to see a lot of people. It is originally a social health center of a clinic, and now it is mainly specialized in general diagnosis and treatment, and it also increases the integration of medical care, family doctor and family bed service.
In shenzhen, there are now 588 social centres, and 2,651 family doctors provide services to nearly 3 million community residents. "The disease in the community first diagnosis, the big disease into the hospital treatment, rehabilitation back to the community" has become the common people's new medical habits.
Jia yan huang, a professor at the school of public health, fudan university, said in luohu, for example, through a variety of policies to guide doctors, experts in two tertiary hospitals in the center of the club, open studios, community medical treatment service and hospital is the same, let common people have a sense of trust, which would tap to the patients.
"The medical association has broken through the urban and rural areas and regions and so on. It has really achieved the classification and treatment, and has built a hospital in front of the door for the common people." Says shu-guang shen, director of the social security research center of sun yat-sen university medical couplet body is to promote health service from "focusing on the hospital" to "focusing on grass-roots", from "cure centered" to "on health as the center".
A total of 1,764 tertiary hospitals have been constructed
Printing of the general office of the state council on promoting the development of the construction of medical association and guidelines "requirements, all tertiary public hospital before the end of October this year to start the couplet of medical construction, comprehensive reform pilot province each place and grading treatment pilot cities built at least one has obvious effect of medicine.
Statistics show that as of the end of June 2017, there are 1,764 third-level hospitals in China in various forms, accounting for 80% of the three tertiary hospitals in China. More than 90% of the tertiary hospitals in eight provinces, including jiangsu, chongqing, sichuan and shaanxi, have participated in the establishment of a medical association.
State who the relevant person in charge of development planning commission pointed out, however, medical couplet body construction in China is still in the preliminary stage, and work to promote strength is not enough, there are some local medical couplet body is in a state of "union".
"Around to combined with the actual, willing to put in 'big hospital, at the grass-roots level to, patients are willing to, form a complete set of policies to' four key problems, the unreal, efforts to create a number of distinctive, couplet of the approved medical classic, with models and advanced power drive seeding medical couplet body construction, drive branch leaf." The head of the national health and family planning commission said.
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