On the morning of February 8, the National Health and Family Planning Commission held a press conference in Beijing to introduce the "further improvement of the medical service action plan".
Since 2015, with the approval of the State Council, the National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine jointly launched the “Action Plan for Further Improvement of Medical Servicesâ€, proposing to use the three-year period in 2015-2017 to make the people convenient for medical treatment and safety. Seek medical treatment, seek medical treatment effectively, understand medical treatment, and improve the level of medical services. The people's experience in seeing a doctor has improved significantly, social satisfaction has improved markedly, and efforts have been made to build a harmonious relationship between doctors and patients.
According to the National Health and Family Planning Commission, as of the end of 2016, the average rate of appointments for tertiary hospitals nationwide reached 38.6%, an increase of 6.5%. Mainly reflected in the following three aspects:
In terms of optimizing service processes, as of the end of 2016, 1,378 medical institutions provided mobile payment settlement methods, an increase of more than 710 cases; 1445 third-level hospitals established information bases to provide information inquiry and push services for patients, an increase of more than 200 cases; The average rate of appointments for tertiary hospitals reached 38.6%, an increase of 6.5% year-on-year, and 3,329 medical institutions achieved scheduled appointments and treatments, effectively reducing the waiting time for patients.
In terms of medical quality improvement, as of the end of 2016, more than 7,700 medical institutions implemented clinical pathway management, including 1,953 tertiary hospitals and 5,792 secondary hospitals, an increase of 354 and 1,229 respectively; all tertiary hospitals and more than 6,000 The secondary hospitals carried out quality nursing services; 1507 tertiary hospitals used information technology to carry out clinical rational drug use guidance.
In the grassroots medical innovation service model, as of the end of 2016, 396 medical institutions set up day surgery centers, an increase of nearly 300, compared with 11% of day surgery, and more than 6,800 medical institutions to carry out telemedicine services. 1330 counties.
All localities actively respond to policies and implement
In Henan, on February 4, the reporter learned from the Henan Provincial Government that the provincial government office recently issued the “13th Five-Year Plan for Health and Health Development in Henan Provinceâ€. Henan will continue to improve the health service system and the health of residents. Further improve.
The "Plan" pointed out that Henan will continue to create health towns. By 2020, the proportion of national health cities will increase to 50%, and the proportion of national health towns (counties) will increase to 7%; provincial health cities will achieve full coverage, provincial and The proportion of health towns above reached 75%, and the proportion of health towns at or above the provincial level reached 15%.
In addition, Henan will actively explore the inclusion of day surgery costs, special disease outpatient expenses, etc. into health care. We will comprehensively promote the reform of medical insurance payment methods, establish a payment method based on disease types, and combine the eligible medical rehabilitation programs for persons with disabilities into the scope of medical insurance payment according to the combination of heads and service units, and explore the cost of day surgery and special diseases. The expenses of outpatient clinics and the outpatient clinics of specialties of traditional Chinese medicine are included in the scope of medical insurance payment.
In Shenzhen, many tertiary hospitals agree that day surgery centers play an important role in improving hospital management, medical service efficiency, and controlling medical expenses. Specialized in the proposal of "Trial hospitals for trial day surgery". According to reports, day surgery is a surgical procedure that is planned to be hospitalized, operated, and discharged after 24 hours of postoperative rehabilitation. It starts early in the country and receives a high degree of patient acceptance.
According to the proposal, Shanghai, Jiangxi, and Jiangsu have also implemented this model. In domestic practice, its advantages can be summarized as “multiple, fast, good, and provincialâ€: effective use of bed resources, short appointment time, and surgery High qualifications and reduced medical expenses. The proposal proposes that pilot-level day-to-day trials of third-tier hospitals can be piloted. “By 2018, at least three tertiary hospitals will be piloted for day-to-day surgery, and a daytime surgical organization management model will be established to improve the day surgery management system and Medical treatment standard system."
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