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To xizhimen south street, xicheng district building to the British garden route
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
From the capital airport take airport bus to xidan, get off at no.22, take a taxi to xizhimen south street English garden 1 floor.
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
Che zhuang: subway line two
Xizhimen subway: metro line 2
Buses and attempts: 107 road, 118 road, 701 road
Buses and north zhuang: 209 road, 375 road, 392 road
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Mediaviews 媒体观点
2016年04月25日
Classification and treatment appears to be in "points" in the "whole" substance
The 2016-04-25 06:43:15 | source: health | share
Zhu Bulou
Read the note:
As health reform into GongJianQi and deep water area, system mechanism contradictions appeared, all aspects of issue overlay, must focus on synergies. From the reform experience around the world and China's reform objectives and realistic demand, establish the classification system is the "gap", traction and drive to deepen reform is extremely important role. Build the classification system, reconstruction of upper and lower linkage, collaboration medical service system, medical care system, deepen reform, implementing the inherent requirement of everyone will have access to basic medical and health services, is to improve the medical and health service system, improve the utilization ratio of health resources important gripper, cluster is to address the large hospital patients, ease the problem of "difficulty and high cost of the doctor" the effective path.
Only by administrative means strong push
Unable to successfully
Set up the grading system, designed to guide the reasonable flow to go to a doctor, forming orderly diagnosis model. If enforced by administrative means alone, people don't want to go to, can not meet the grassroots agencies, will not succeed. To plan as a whole solution of grassroots organization service ability and service pattern does not adapt, medicare payments and medical price policy don't match, information is not Shared between medical institutions and other issues, many measures simultaneously, to build the "combination".
It is a perfect regional health planning, optimize the distribution of medical resources. To balance urban and rural medical and health service system construction, establish perfect the regional health planning, at the same time in the increase of the total resources, optimize the allocation of resources, promote the medical and health resources to sink, promote the coordinated development between urban and rural, regional. To further define the function orientation of all kinds of medical institutions at all levels and service scope, establish scientific and rational classification collaboration mechanism, advance in medical service system construction. At the same time, optimize the structure of public hospital layout, vigorously develops the shortage of children, spiritual, and transmission resources of specialized subject of medical institutions, accelerate the development of rehabilitation, care, hospice care in long-term care institutions, to strengthen the public hospital's basic functions, for grading diagnosis system construction provide strong medical service support system.
Second, improving the capacity of grassroots medical services, grassroots service mode. Set up a hierarchical diagnosis system's biggest a short board is a grassroots service ability is weak, the crowd to see a doctor at the grass-roots level is not at ease, so serious illness ailment rushed to hospitals. Therefore, to focus on board, increase financial input to the grassroots, do the medical support of social forces, new medical and health resources to focus on rural and urban communities, and to strengthen the construction of grassroots health institutions standardization and normalization. To strengthen the training and grassroots doctors training general practitioners, improving the capacity of grassroots organization medical services, to create conditions for urban and rural residents nearby go to a doctor.
Promoting grassroots organization signing service mode, the establishment of general practitioners with both urban and rural residents in family as the unit of contract service relationship, by the gp and health services team is responsible for signing residents already, triage and two-way referral coordination, and provide convenient and basic medical services and public health service and health management all the way, promote sustainable development of the first option at the grass-roots level, strengthen grass-roots organization of the closeness and attraction of the masses.
Three is to establish a longitudinal medical association between urban and rural areas, open "two-way referral" channel. Actively promote the longitudinal joint of urban and rural medical and health institutions, to a large city medical institutions, with emphasis on the longitudinal medical resources integration, and actively develop regional medical association, with information technology means and reasonable compensation mechanism, medical services in the couplet of medical resource sharing; To a public hospitals at the county level, with people, goods, content, services, information, management integration as the core, the integration of rural medical service system reform, to explore the implementation of county county rural medical and health institutions collaboration mechanism is established. Formulate a two-way referral system specification, reform of public hospitals benefit distribution mechanism, the convenience of the organization of secondary and tertiary hospital and grassroots referral channels. In further perfecting the system of basic drugs, to see a doctor and go to patients at the grass-roots level to provide necessary medicines.
Fourth, pay attention to the policy guidance, give full play to the health care and the price leverage. Perfect and price policies, guide the masses "slight illness to the community, to the hospital, rehabilitation back to the community". Further reform of medicare payment policy, ginseng protect object sound implement the relevant provisions of the first option at the grass-roots level, the reasonable expenses of different level medical establishment that decide a dot gap, medicare payments to tilt at the grass-roots level, further promote the orderly hospitalized patients, improve the efficiency of medical service. At the same time, according to the different grade hospital, reasonably determine the treatment of chronic diseases, rehabilitation and nursing medical service price gradient, attract patients and preference to the nearest clinic at the local level.
Five is to strengthen the construction of health informatization for hierarchical diagnosis and treatment to provide strong support. As soon as possible, realizing a complete coverage of medical and health institutions at various levels and of information system, strengthening health information platform construction, electronic health records and electronic medical records, for hub, integrating various business systems, unicom, support to make an appointment, two-way referral, remote consultation, health care costs and settlement, etc. Speed up the development of telemedicine, actively explore "at the grass-roots level, the superior diagnosis" and other effective mode, promote the interconnectivity between hospital and grassroots medical and health institutions, information sharing.
Solo dash hard work
Mix easy to attack
Hierarchical diagnosis is broad, strong policy, seemingly in "points", the essence in the "whole", solo dash to work. This is a system engineering, must be co-ordinated force, close cooperation and work together, common propulsion, can effectively overcome the difficult.
Must improve the classification diagnosis model, medical reform, health care, medicine linkage. Health care is fundamental, health is the foundation, medicine is the key, have very strong affinity. To establish the classification system, we must stick to the reform of "3 d" linkage and the medical, pharmaceutical, health care each other, promote each other, make medical services to large hospital to put down, grassroots agencies have to live, people trust.
Spotting talent shortage problem at the grassroots level must be multi-channel power and downward move. At present, the principal contradiction is the talent problems affecting grading diagnosis, gp shortage, high levels of gp serious shortage, which is the medical treatment is not assured, the important factor affecting the first option at the grass-roots level. And there is a process of personnel training, as well as how to make a high level talents to retain and did a good question. This needs comprehensive ShiCe, form the effective personnel training, the introduction, use and incentive constraint mechanisms. Through standardized training, job-transfer training and orientation to cultivate a variety of ways, such as speed up the gp team construction, improve the quality of the medical staff at the grass-roots level and skills. We will further improve the policy measures to encourage doctors to more practice at the grassroots level in clinical activities regularly, the more talent to grassroots. Accelerate reform of the personnel salary system and reasonably to improve the medical staff treatment, moderate income distribution gap, stimulate and improve the medical staff loves the hillock professional skills, services, and the enthusiasm of the masses at the grass-roots level.
To implement the whole process of health management, must do change cooperative medical, medicine, medical concept. Build the classification system, it is to change the "heavy medical light", make it become a comprehensive health management system, committed to improve the health level. As the population ages and the change of the modern disease, more and more slow disease categories, population increasing, in urgent need of the implementation of integrating prevention, treatment, rehabilitation and health promotion in the integration of the whole process of health management, which involves both "medical", also involves the "a", needs to do medicine, medical practice, medical treatment and other parties to the joint efforts of the. From the perspective of the government should pay more attention to prevention and cure not ill, promote health "Internet +" management, promote professional public health institutions and grassroots medical institutions and hospital collaboration between, achieve complementary functions, as well as the combination of prevention and control. From the perspective of the basic medical and health institutions to comprehensive health management as the goal, through the way of contract services, provide residents with continuous, safe and effective comprehensive medical and health services, and management of chronic diseases. From the perspective of the patients to promote awareness of disease prevention and control knowledge and medical science, change the traditional habits, reasonable choose medical institutions, to strengthen the self management and promote health. (unit: jiangsu province people's government)