The large hospitals are in a "wartime state", and the medical staff maintains a high-load labor state for a long time. At the same time, the primary medical institutions are arrogant... The reporter learned that in order to reverse this pattern, the graded diagnosis and treatment has been established as the first round of medical reform. Important and important. The Health Planning Commission has recently intensively introduced the experience of multi-level grading diagnosis and treatment. Various localities have introduced a series of measures to limit the over-expansion of large hospitals and enhance the capacity of primary health services, and will further promote them.
Experienced Health Planning Commission intensively promotes grading diagnosis and treatment
The Health Planning Commission recently held a press conference to introduce the experience of medical reform in many places. According to the content of the conference, graded diagnosis and treatment has become the top priority and top priority of this round of medical reform, and a number of typical and highlights emerged in practice exploration.
"Internet + medical" is a hot word in the pharmaceutical industry. With the help of the Internet, Sichuan Province has launched a program of "building a platform, setting up two centers and building three systems". Remote diagnosis and treatment of chronic diseases have become Internet integration. The entry point for graded diagnosis and treatment.
According to the person in charge of the Sichuan Provincial Health Planning Commission, “one platform†is the first in the country to build a “healthy Sichuan†convenience service cloud platform, access 350 hospitals, import 70 million health files, 40 million new rural cooperative files, each More than 900,000 sources are provided in the month. The “two centers†are the establishment of the Sichuan Internet Medical Management Guidance Center, the Sichuan University Huaxi Hospital and the Provincial People’s Hospital. The "three systems" is the establishment of a filing system, a CA certification system, and a system for keeping patient appointments and medical records. Since September last year, the province has registered 4.953 million online appointments, 1.796 million online payments, 3.347 million inspection results, 827,000 remote consultations, imaging and electrocardiogram diagnosis, and 132,000 chronic disease management services.
If the Internet can integrate the medical needs of a city or a province into one platform, then the medical association is an important way for the hospital to implement graded diagnosis and treatment. Yan'an City of Shaanxi Province and Yuzhong County of Henan Province have become typical examples of this.
Yan'an City, with Yan'an University Affiliated Hospital as the general hospital, absorbed the city and county public hospitals as a branch, and established Yan'an Medical Group. Compared with 2014, the total number of outpatient visits, discharges and surgical procedures in the general hospital in 2015 decreased by 12.9%, 6.52% and 10.3%, respectively. In the first quarter of 2016, the number of outpatient visits decreased by 9.8% compared with the same period of the previous year.
The three county-level public hospitals in Suizhong County have established counterpart cooperation and collaborative development cooperation relationships with 13 township-level medical institutions to build a cooperative ward and establish a two-way referral green channel to provide efficient and efficient referral services for patients. Nearly 13,000 patients were referred to the county-level medical institutions by the township-level medical institutions, and 3,150 patients were transferred to the county-level medical institutions.
In addition, in the third quarter of this year, the Health and Family Planning Commission has conducted a number of investigations and selected a number of pilot medical treatment trials in Xiamen, Fujian Province and Huai'an City, Jiangsu Province.
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