"Doctors" raised in the medical combination of effective sink

January 28, 2016

Source: China youth daily

Vision China for figure

Along with our country aging degree deepening, pension and diseases prevention and control problems began to emerge. According to statistics, China's old people over 60 Yu Shou two-thirds of time is in a state of being, "survival but not health; The two week prevalence rate of old people is 2.9 times of the total population, the number of hospital about a third of the total population. How to make more old people easily to see a doctor, become the whole society. To this end, China youth daily, middle online journalists, director of the department of Beijing hospital hospital ward, deputy director of the training base in general medicine, chief physician JiHaiMei conduct the interview.

, the popular newspaper supplement middle online reporter: last year, the state council has issued "about promoting the construction of the grading system guidance" "about promoting health and pension service of combining the guidance", and puts forward to the 2017 high quality medical resources orderly subsidence effectively. High quality medical resources sinking, while including the advanced medical equipment and technology, but more important is the "doctor" team down. Could you tell me why need "doctor" sinking?

JiHaiMei: currently, the medical resources of our country is inverted triangle, the main medical resources in big hospitals, such as 3 armour hospital, elderly medical service technology at the grass-roots level is very weak, old physician with general knowledge and ability to a serious shortage of total amount, the overall level is not high, leading doctors and control the disease more multidisciplinary backbone doctor is scarce, primary care team in both technically and in number are serious shortage, which leads to the old ailment of a serious illness are ran large hospital, "an old sick, the whole family mobilization" "sick panic, medical care, cure" phenomenon can be seen everywhere. And health status in the face of such groups, both medical and pension, not only do they need to be advanced and convenient medical care, more important is to want to be familiar with characteristics of geriatrics, general and specialized skills of doctors came to them.

Classification and treatment focuses on basic first option, two-way referral, acute slow partition, the upper and lower linkage mode, focus on solving the patient a doctor difficult problem; D a combination refers to the health and pension resources combination, let the old man can enjoy the medical resources in life convenient services and medical care into all aspects of the pension, emphasize particularly on solve the problem of the elderly health and pension.

"Doctor" is the ordinary people of skilled, smashing senior doctors addressed. Big team doctor sinks and is headed by a big doctor many advanced medical team, deep into the grassroots, help to carry out medical pension system and the ability of construction work.

, the popular newspaper supplement middle online reporter: big doctor sink what are the main tasks:

JiHaiMei: big doctor sinking to primary care pension system and capacity building as an important task. One is that big to help form a primary care doctor pension system thinking ability construction and facilitate the implementation. As the sink on the doctor, to help solve the problems existing in the aspect of medical pension in local, in the process, to explore and build new health pension system framework.

Second, to help build grassroots medical endowment talent team. Primary care pension system, talent is the fundamental. Big doctor subsidence mainly has two kinds of circumstances: one kind is transferred from the hospital, to the hospital; A is the same work. Specifically, primary care pension talent team construction mainly includes according to the advanced ideas to help set up scientific and meets the needs of local talent structure, in accordance with the standards of various and of all kinds talent selection and the introduction of a large number of talents, according to the requirements of each post to the talent quality and ability training of personnel to be used for the evaluation and selection. At the same time, actively mobilize, guide and organization system of medical institutions and professionals to attend to the construction of medical pension system, the system inside and outside the medical pension unprecedented force strength.

Once again, to help build medical each rules and regulations of the pension management of. Including in accordance with the law to establish and perfect the work of medical and pension programs, establish and improve based on grid into, go deep into the family contract responsibility system of division of labor, establishing and perfecting the coordinate is given priority to with expectations of consultation system, establish and improve the medical and pension inspection system, establish a two-way referral of couplet of upper and lower linkage win-win cooperation medical system, set up a regular examination evaluation and cash reward incentive system, and the majority of patients and family members regularly consult opinion suggestion and serious rectification and feedback system, and so on.

In addition, also be a good big hospital and primary care endowment institutions of the bridge and the link. Big doctor team sinking, is not just about primary care pension reforms, and to carry out the classification itself is a big hospital diagnosis and treatment of an important measure. On the one hand, to the quality of big hospital resources combination to release, on the one hand, the basic requirements and issues and practice experience of feedback to large hospital, for its research and absorb, deepen the reform of powerful effectively promote large hospital, thus advancing the classification diagnosis and high quality medical resources reasonable sinking.

, the popular newspaper supplement middle online reporter: as you said, in the process of big doctor sinking, talent is the key. How to attract more great doctor "sink", and remove the trouble back at home?

JiHaiMei: I think, first of all should do well sinking team organization and people as a whole. Talent as a whole are mainly concentrated in two aspects, one is the reasonable collocation of sinking personnel. Light that is a great doctor no, must also have the right amount of general practitioners and specialists, as well as Kang Fushi, dietitians, pharmacists, therapists, nurses and so on, reasonable structure of the medical team, powerful ability of medical service team can be organized by the hospital, also may authorize a special big doctor to form a government building. Team members as well as send hospital selection, introduced from outside the system of professional qualification of doctors to participate in the society. On the other hand, due to the sink is not a one-off act, but a new normal, is a continuous reform and working process, which requires a crop rotation to replace another crop of talent groups. In order not to affect the ability of large hospital original, big hospital should be sufficient talent pool and timely supplement adjustment and redistribution. Gp of supplement is the most important, can actively introduced, but the hospitals at all levels of general practitioners are in short supply, therefore, can be in the for a long time and have the ability to general selection of specialized subject doctor. Of these transfers of specialized subject doctor, can be preparatory backbone even sinking team leader. At the same time, need to get down personnel training work.

In the process of lead big doctor sinking, also must have the corresponding incentive policy. One is freeing more practice and pay. Simplified multipoint practicing application procedures and to expand its more the scope of the examination and approval system to records and make more practicing big doctor sinks and legalization of reward. The second is the sinking scores as vital to assess the title. Sinking if left in practice, is bound to affect some specialized subject of academic research, to sink, to develop special scientific research standard, will be in a line crack problem of theory and practice, the convert quantity of research achievements, especially can add cent. Three is the positive selection using performance excellent talents in the sink. The sinking as a training exercise medical talents and management cadres, especially the important way of backup medical backbone.

To strengthen the follow-up of sinking team support and guidance is also very important. To keep big hospitals and primary care pension institutions and orderly. Big hospital to like they treat their subordinate units, and primary care endowment institutions remain the most direct, most often, the most in-depth contacts, communication and cooperation. Help them to solve difficulties and problems.

, the popular newspaper supplement middle online reporter: in the process of implementing medical a combination of, and what is the relationship between young people?

JiHaiMei: not only the elderly various diseases will be followed, and the condition of a lot of people will be more and more heavy, more and more complex, go to the hospital is becoming more and more not easy, so, elderly patients would prefer to have high quality and even the authority of the elderly gp to send, to the community, pension rehabilitation institutions even hospital to home. After the big doctor sinking, can make the elderly health and pension gradually to the social and professional, the youth of the heavy burden eased, greatly liberating the productivity of youth. And grassroots medical and pension services would be a huge market, a large number of youth can be the third industry in the related employment.

, the popular newspaper supplement middle online reporter: after d raise to the grassroots, youth support responsibility will have what change?

JiHaiMei: for youth will have great changes, mainly to the refinement and scientific transformation. For example, to collect and gather the elderly health information; Learning and old man body and disease related knowledge, master the necessary aid ability; Found in disease prevention and early treatment play a role; To create green convenient and safe home environment, provide a good material life conditions, and so on. More important, is to strengthen the psychological care for the elderly, to create green affection friendship environment for old people.