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L airport line 1
Take the airport shuttle from the airport, the dongzhimen station transfer to metro line 2 to xizhimen direction and get off at xizhimen station, from C outbound, go straight to the east 100 meters on the right side to xizhimen south street, north to walk to the t-junction namely to the British garden 1 floor downstairs.
L airport line 2
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L bus subway near:
106 bus GuanYuan: 107 road, express way
Bus: xizhimen south road 387, 44 road, inner ring 800, 816 road, inner ring 820, 845 road
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2015年09月17日
Promoting the construction of the classification system of the state council general office on the guidance
The 2015-09-14 national health and population and family planning commission of the People's Republic of China
Countries do hair [2015] no. 70
The provinces, autonomous regions and municipalities directly under the central government, ministries under the state council, directly affiliated institutions:
Is to establish the classification system, rational allocation of medical resources, promoting the important measures to ensure equal access to basic medical and health services, medical care system, deepen reform, establish an important content of basic medical and health care system with Chinese characteristics, to promote the long-term healthy development of medical health care, improve the level of the people's health, ensuring and improving people's livelihood is of great significance. For implementation of the central committee of the communist party of China on comprehensively deepen reform certain major issue decision "and" the central committee of the communist party of the opinions of the state council on deepening the reform of medical health system "spirit, promoting the construction of the grading system provide guidance, agreed to by the state council, we put forward the following opinions.
First, general requirements
(a) the guiding ideology. Fully implement the party's 18 large and 18 fourth plenary session of 2, 3, spirit, earnestly implement the CPC central committee and the state council decisions and, based on China's economic and social development and medical health care practice, follow the rules of medical science, according to the people-oriented, the principle of voluntary, balance urban and rural, innovation mechanism, focusing on improve the basic medical service ability, with common disease, frequently-occurring disease, chronic disease classification diagnosis and treatment for breach, perfect service network, operation mechanism and incentive mechanism, guide the high quality medical resources sinking, form a scientific and rational medical order, and gradually establish the classification system of accord with national conditions, to promote fair and basic medical and health services.
(2) the target task.
By 2017, gradually improve the policy system of hierarchical diagnosis and treatment, medical and health institutions collaboration mechanism is basically in place, high quality medical resources orderly subsidence effectively, with emphasis on the general practitioner, grassroots health talent team construction is strengthened and medical resource utilization efficiency and further improve the overall benefit, grassroots health institutions ZhenLiaoLiang total ZhenLiaoLiang ratio improved significantly, more reasonable medical order specification.
By 2020, the classification ability comprehensive medical services, safeguard mechanism gradually perfect, rational layout, appropriate scale and hierarchy optimization, responsibilities clear, fully functional, efficient medical service system of basic building, first option at the grass-roots level, two-way referral, acute slow partition, the fluctuation of hierarchical diagnosis model gradually formed, the classification system of basic establishment conforms to the national conditions.
- the first option at the grass-roots level. , policy guidance, adhere to the wishes of the masses to encourage and gradually standardize common disease, frequently-occurring disease patients see a doctor to grassroots health institutions first of all, for beyond the grassroots health institutions function orientation and service ability of the disease, the basic medical and health institutions shall provide patients with referral services.
- two-way referral. Adhere to the scientific, convenient to the masses, improve efficiency, improve the two-way referral program, establishing and perfecting the referral guidance catalogue, key open chronic phase, recovery period patient referral channel down, gradually achieve different levels and different categories orderly referral between medical institutions.
- hurry slowly partition. Clear and carry out the medical institutions at various levels and slow disease diagnosis and the service function, improve the treatment, rehabilitation, long-term care service chain, providing scientific, appropriate, continuity of diagnosis and treatment for patients with service. The critical patients can be directly to the second class above hospital.
- the upper and lower linkage. Guide the different levels, different categories of medical institutions to establish specific goals and responsibilities clear division of labor cooperation mechanism, focus on the promotion of high quality medical resources sinking, promote rational allocation of medical resources and the longitudinal flow.
Second, with an emphasis on strong grassroots perfect grading medical service system
(a) clear medical institutions at various levels and of medical service function orientation. Urban tertiary hospital mainly provide the critical and difficult complex diseases diagnosis and treatment services. Urban tertiary hospital of traditional Chinese medicine to make full use of traditional Chinese medicine (including national medicine, similarly hereinafter) technique and the modern science and technology, provide the critical and difficult complex disease of traditional Chinese medicine services and the advantages of traditional Chinese medicine of traditional Chinese medicine diagnosis and treatment of diseases outpatient medical services. City secondary hospital mainly receive tertiary hospital referral of patients with acute disease recovery, recovery and critically ill patients with postoperative stabilization patients. County-level hospitals mainly provide local common disease, frequently-occurring disease diagnosis and treatment, as well as the critical patients rescue difficult and complicated diseases up referral services. Grassroots medical institutions and rehabilitation hospitals, nursing homes (hereinafter generally referred to as chronic medical institutions) for the diagnosis of clear and stable condition of patients with chronic disease, rehabilitation period, geriatrics patients and patients with adanced tumor treatment, rehabilitation and nursing service.
(2) to strengthen the construction of basic medical and health personnel. Through on-the-job doctor job-transfer training at the grass-roots level, GPS orientation training, promote on-the-job doctor degree level at the grass-roots level, multi-channel cultivation of general practitioners, and gradually transition to the standardization training general practitioners, to realize urban and rural per million residents have 2-3 qualified general practitioners. To strengthen the standardization training general practitioners and base construction and management, standard training content and method, improve the gp basic medical and public health service ability, give play to the role of the residents of the gp health "gatekeeper". Establish a gp incentive mechanism, in the performance salary allocation, post setting, the respect such as education and training to the gp. Strengthen rehabilitation therapists, nurses and other professional personnel training, meet the demand of people's multi-level, diversified health services.
(3) improve the basic medical and health service capacity. Held by the government or purchase services, scientific layout of grassroots medical institutions, rationally divided into service areas, to strengthen the construction of standardized and realizing a complete coverage of urban and rural residents. By forming medical association, counterpart support, physician practice, more cities to level 2 above hospitals practitioners to grassroots health institutions more, or regular visits, visits, enhance the service ability. Reasonable basic medical and health institutions with use of the drug varieties and quantity, strengthening hospital medicine with grassroots health institutions above the secondary cohesion, meet the demand of patients. To strengthen the basic medical service function in towns and townships, improve the emergency rescue, second class the following routine operation, normal childbirth and high risk of maternal screening and pediatric medical service ability. Vigorously promote social do medical, simplify examination and approval procedures for individual access to medicine, and encourage qualified physician to open individual clinic, for grassroots service on the spot or in the vicinity. Improving the capacity of grassroots medical and health institutions of traditional Chinese medicine services and medical rehabilitation service ability, strengthening the construction of characteristic of traditional Chinese medicine diagnosis and treatment area, promote comprehensive service mode of traditional Chinese medicine, give full play to the traditional Chinese medicine in the role of common disease, frequently-occurring disease and chronic disease prevention and control. In ethnic areas to give full play to the special role of minority medicine in service to the masses of all nationalities.
(4) improve public hospitals at the county level comprehensive ability. According to the service demand factors such as population, disease, diagnosis and treatment, reasonably determine the number of public hospitals at the county level and scale. In accordance with the principle of "TianPingBuJi", to strengthen the construction of public hospital clinical specialist at the county level, the key to strengthen the county within the common disease, frequently-occurring disease related, and infectious diseases, mental illness, emergency first aid and intensive medicine, kidney internal medicine (hemodialysis), obstetrics and gynecology, pediatrics, and rehabilitation of TCM clinical subject construction, promote public hospitals at the county level comprehensive service ability. In ability and guarantee under the premise of safety, proper release at the county level public hospital medical technology clinical application restrictions. County hospital of traditional Chinese medicine at the same time focus on strengthening the internal medicine, surgery, gynecology, pediatrics, acupuncture and moxibustion, massage, fractures, and tumor characteristics of traditional Chinese medicine specialty and weak clinical specialty, department of medical construction, improve the advantages of traditional Chinese medicine disease diagnosis and treatment and comprehensive service ability. JiuZhenLv within through the above measures, the county will be increased to 90%, the basic elements of a serious illness county.
(5) integration of regional medical resource sharing. Integration of the second class above hospital existing inspection, disinfection supply center, such as resources, open to the grassroots medical institutions and chronic medical institutions. Explore set up independent regional medical test mechanism, pathology, diagnosis, medical imaging inspection agencies supply mechanism and blood purification, disinfection, realize regional resources sharing. Strengthen medical quality control, to promote peer between medical institutions and medical agencies and independent inspection institution between the mutual recognition of test results.
(6) accelerate the medical and health information construction. To speed up the national health security informatization construction, the establishment of regional health information platform, realize electronic health records and electronic medical records is continuous and different levels, information sharing between different categories of medical institution, ensure smooth referral information. Improving the capacity of remote medical service, the use of information technology means to promote the medical resources in longitudinal flow, improve the high quality medical resources accessibility and efficiency of medical service as a whole, to encourage secondary and tertiary hospitals to basic medical and health institutions to provide pathological diagnosis, remote diagnosis, remote remote image diagnosis, remote ecg diagnosis, remote training and other services, encourage conditional place to explore "at the grass-roots level, the superior diagnosis" effective model. Promote cross-regional, medical information sharing across agencies. Development of medical and health services based on Internet, make full use of the Internet, data, etc. The role of information technology in the classification diagnosis and treatment.
Third, establish and improve the classification diagnosis and guarantee mechanism
(a) perfect medical treatment allocation of resources reasonable mechanism. Strengthen the regional health planning and planning of the establishment of medical institutions in guidance and constraint of configuration of medical resources. Set different levels, different categories of medical institution service standards, through the administrative management, financial investment, performance appraisal, medicare payment incentive constraint measures, such as guide medical institutions to carry out the function orientation of all types and at all levels. Key control level 3 general hospital in quantity and scale, establish a disease to plant structure, service scope of radiation, function of task completion, personnel training, work efficiency as the core regulatory mechanism of public hospital beds, unreasonable strict controls of hospital beds scale expansion. Tertiary hospitals key play in medical science, technology, innovation and leading role in aspects of personnel training, gradually reduce the common disease, frequently-occurring disease assessment and diagnosis of clear and stable condition of chronic diseases such as ordinary outpatient, shunt chronic diseases patients, shorten the average such confinement, improve operation efficiency. For grassroots service capacity is insufficient and weak areas of traditional Chinese medicine hospital of traditional Chinese medicine should be treated differently. Support the development of chronic diseases, medical institutions, encourage medical resources rich area of a part of the secondary hospital transition to chronic medical institutions.
(2) set up a sign at the grassroots level service system. Through policy guidance, promote residents or family with doctors and team to sign the service agreement signed voluntarily. Signing team by the second class above hospital physicians and grassroots medical institutions of medical personnel, to explore the individual clinic to carry out the contract signing. Signed a service to the elderly, severe chronic diseases and mental disorders, maternal and children, the disabled for the focus groups, gradually extended to the general population. Clear sign service content and the conditions of contract, determine the responsibilities, rights, obligations and other relevant matters. According to service radius and the population, reasonable division of signing the doctor team responsibility area, the grid management. Signing the doctor agreed in the team is responsible for providing basic health care, public health and the health management service. Specification signed service charge, perfect the contract service incentive constraint mechanism. Signing contract service fee is mainly composed of medical insurance fund, residents pay channel such as basic public health services and funds is solved. Signing his doctor or signing team to provide agreed to basic medical and health services in the contract, except in accordance with the provisions, a service charge of signing and shall not charge other fees separately. To explore the difference service sign, classification, paid signing contract service in the form, meet the demand of residents multi-level services. Patients with chronic diseases can be caused by signing the doctor prescribe chronic drug for a long time, meet the demands of patients with medication to explore a variety of forms.
(3) the reform of medical insurance payment system. In accordance with requirements of the classification diagnosis and treatment work, timely adjustment of perfect medical insurance policy. Play all kinds of medical insurance for medical service supply and demand both sides of the guide and control function of health care costs. Promote the reform of medical insurance payment methods, strengthen the medical insurance fund budget, set up mainly by macro-reforms, capitation payment, pay by service units, such as compound payment method, to explore grassroots health institutions with a chronic illness per head pay package. We will continue to improve the residents' health clinic as a whole and related policies. Improve the level of different medical institutions differentiation to pay for health care policy, raise the grassroots health institutions medicare payment proportion, to conform to the provisions of the referral hospitalized patients can continuous computing starting line, promote the orderly flow. Will conform to the conditions of grassroots medical institutions and medical institutions in accordance with the provisions, chronic diseases included in the basic medical insurance fixed-point range.
(4) improve the medical service price formation mechanism. Reasonable formulation and adjustment of medical service prices, reasonable choice in patients with medical institutions to carry out the function orientation, to form effective incentive to guide medical institutions. According to the price overall level control situation, according to the total amount control, structural adjustment, the principle of mixed, gradually in place, in reducing drug and medical consumables cost, large medical equipment inspection treatment on the basis of price, to improve the value of medical personnel technical services project price. The relationship between the medical service price comparison, the establishment of medical service price dynamic adjustment mechanism.
(5) establish and improve benefit distribution mechanism. Through reform measures of the medical insurance payment methods, strengthening the cost control, guide the second class above hospital referral down clear diagnosis, patients with chronic diseases in a stable condition, take the initiative to undertake difficult complex disease diagnosis and treatment services. Improve the basic medical and health institutions performance salary allocation mechanism, leaning to contract service of medical staff.
(6) collaboration mechanism construction of medical and health institutions. Guided by improving the capacity of grassroots medical and health services, such as business, technology, management, assets, to establish a variety of division of labor, including medical association, counterpart support cooperative mode, perfect management mechanism. The superior hospitals for referral of patients to provide priority accepts, priority services such as checking, priority was in the hospital. Encourage the superior issued by the hospital drug treatment in hospital or therapy to grass-roots medical institutions at a lower level. In patients with critical patients requiring hospital treatment, surgical patients, through the formulation and implementation, discharge standard and the principle of two-way referral and achieve smooth referral between medical institutions at all levels. Grassroots medical institutions can with chronic level 2 above hospitals, medical institutions, and so on, to provide patients with chronic diseases and aging, aged care, home care, community care, mutual care, domestic sickbed, medical rehabilitation services. Give full play to the different medical institutions held subject role in collaboration mechanism.
Four, organize the implementation
(a) to strengthen organization and leadership. Grading diagnosis and treatment work is broad, the policy is strong, has a long-term and complexity, the local governments at all levels and relevant departments should be based on the principle of persistence, perseverance, strengthen organization and leadership, as a core task in their overall arrangements we will deepen reform of the medical and health system work, establish relevant coordination mechanism, a clear division of tasks, combined with local practice, study and formulate the feasible implementing scheme.
(2) clear the responsibilities. The family planning administrative department of public health (including the management of traditional Chinese medicine) to strengthen the medical institution for examination and approval of planning, setting, and regulation of medical services and two-way referral system, optimize the referral process, lead to develop common diseases in hospital, and two-way referral standards, improve the new rural cooperative medical system payment policy, guiding the learning (association) to formulate relevant disease diagnosis and treatment guidelines and clinical pathway. Department of development and reform (price) to improve the pharmaceutical price policy, the implementation of tiered pricing measures. Human resources and social security departments to strengthen supervision, improve the health care payment policy, promote the reform of medical insurance payment methods, improve the performance salary allocation mechanism. Financial department to implement the financial aid policies. Other relevant departments shall, according to the division of responsibilities, timely supporting policies, pays special attention to the implementation.
(3) safely ahead pilot. Local governments at all levels must proceed from actual, adjust measures to local conditions, promote grading diagnosis and treatment of pilot work with a variety of forms. In 2015, all public hospital reform pilot city and comprehensive reform pilot provinces should carry out classification diagnosis and treatment of pilot, encourage conditional provinces (autonomous regions and municipalities) increase classification treatment pilot areas. With high blood pressure, diabetes, cancer, chronic disease of heart head blood-vessel, etc as the breakthrough point, to carry out the classification diagnosis and treatment of pilot work, focus on high blood pressure, diabetes, 2015 hierarchical diagnosis and treatment of pilot work. To explore tuberculosis patients with chronic infectious disease diagnosis and comprehensive management services such as pattern. National health and family planning commission will jointly with the relevant departments for grading for the experimental diagnosis and guidance, to sum up experience in time and report progress.
(4) strengthen the publicity and guide. To carry out the policies towards administrative personnel and the medical staff training, establish the classification system as to perform the social responsibility, inevitable requirement to promote the development of business, further unified thought, build consensus, strengthen the initiative, improve the enthusiasm. Give full play to the role of public media, widely spread knowledge of disease prevention and control, establish a scientific concept, promote patients improve the ability of medical science, reasonable choose clinic medical institutions. Strengthen the basic-level medical health agency services, and improve the capacity classification and treatment work of propaganda, guide the masses to improve the basic medical and health institutions and the awareness of diagnosis and classification and recognition, change ideas and habits, nearby, give preference to basic medical and health institutions.
Attachment: classification assessment of diagnosis and treatment of pilot work evaluation standard
The state council general office
On September 8, 2015
The attachment
Hierarchical diagnosis and treatment of pilot work assessment evaluation standard
By 2017, the hierarchical diagnosis and treatment of pilot work should meet the following criteria:
One, the construction of medical and health institutions success rate 95% or higher, grassroots health institutions ZhenLiaoLiang accounts for 65% or higher total ZhenLiaoLiang;
Second, the pilot areas of the county more than 300000 people have at least a level 2 grade a comprehensive hospital and a level 2 grade a hospital of traditional Chinese medicine, local JiuZhenLv increased to 90%, basic implementation could not a serious illness county;
Three, each urban residents have two more general practitioners, each towns and townships have more than 1 gp, city gp signed service coverage rate to 30% or higher;
4, 2 weeks sick residents preferred grassroots health institutions the proportion of 70% or more;
The trial of five, remote medical service coverage area more than 50% of the county (city, area);
Six, integrating the existing healthcare information system, perfecting the classification diagnosis and information management functions, the basic cover all secondary and tertiary hospitals and more than 80% of rural hospitals and community health service center;
Seven, the secondary and tertiary hospitals to basic medical and health institutions, chronic diseases, medical institutions, referral annual growth in the number of more than 10%;
Eight, all community health service center, in towns and townships and the secondary and tertiary hospitals to establish a stable technical support and collaboration relationship;
Nine, pilot areas city standardized diagnosis and treatment, and high blood pressure, diabetes patients GuanLiLv above 40%;
Ten, provide service of community health service center of Chinese medicine, in towns and townships, community health centers, village clinics of similar institutions than reached 100%, 100%, 85% and 100%, respectively, grassroots health institutions 30% or greater proportion ZhenLiaoLiang accounted for similar institutions of traditional Chinese medicine diagnosis and treatment.