It is necessary to set up the standard of jiangxi characteristic in the first diagnosis of TCM

2018-02-08 China jiangxi net - jiangnan metropolis daily newspaper

It is the expectation of the common people and the original intention of medical reform. How do you achieve these goals? On February 7, the reporter learned that, "" much starker choices-and graver consequences-in" deepening the reform of medical health system in jiangxi province plan recently released (hereinafter referred to as "planning"), in view of the "medical care", "expensive", such as focal point, many new measures are given, let residents feeling is growing.

[reform mission]

Public hospitals will eliminate the addition of drugs altogether.

Government and institutions of public hospital comprehensive cancel drug addition (excluding Chinese medicine yinpian), will the hospital expenses for drug storage, safekeeping, loss is compensated for in hospital operation cost.

In 2018, the proportion of drugs in urban public hospitals (excluding traditional Chinese medicine) was reduced to about 30%, and the health materials consumed in 100 yuan medical income (excluding drug income) dropped to less than 20 yuan.

Strict control of public hospital medical expenses unreasonable growth.

Set the target of the growth rate of the medical expenses of the regional and single medical institutions. City divided into districts for the unit price of public hospitals within its jurisdiction to the society, the medical service efficiency, all the information such as medical costs, for medical institutions sorting cost index, the ranking results of the public on a regular basis. We will establish a key monitoring directory for the auxiliary and nutritive drugs with high prices and large clinical dosage, and carry out tracking and monitoring and supernormal warning to standardize the medical personnel's diagnosis and treatment.

Military hospitals are fully integrated into the hierarchical medical system.

Optimize the distribution of medical and health resources. In principle, the number of beds in public hospitals is 2.97 per thousand. In principle, the size of public hospitals is no longer expanded, and public hospitals with less than 85% of beds are no longer expanded. To speed up the construction of system integrity, covering urban and rural system of hierarchical diagnosis and treatment, establish including medical association and counterpart support collaboration model, incorporate the military hospital comprehensive hierarchical diagnosis system.

We will promote reform of the health care payment system.

By 2020, the medicare payment reform gradually cover all medical institutions and medical services, the province within the scope of common implementation to adapt to different diseases and multivariate composite health care payment service characteristics, according to the project payment proportion decreased obviously. We will explore ways to pay for the characteristics of TCM services and encourage the provision and use of appropriate TCM services.

To purchase major diseases and commercial supplementary insurance for the poor people in the province, the capital raising standard is not less than 90 yuan per person per year. Low-income families of the elderly, minors, severely disabled people, seriously ill patients and other low-income patients, as well as patients with poor families with serious diseases are included in the scope of assistance.

We will build 600 county-level clinical key specialties.

We will improve the capacity of community-level medical and health care services, build 600 county-level clinical key specialties, and further reduce the outpatient consultation rate in the county. We will encourage doctors from major hospitals to open clinics, open clinics for retired doctors, and strengthen their support to the public, carry out telemedicine, and promote the establishment of medical unions, so as to transfer the technology of large hospitals to the grass-roots level. We will build 1, 000 standardized medical and health care institutions for traditional Chinese medicine. By 2020, we will strive to equip all community health service institutions, township hospitals and more than 70% of village clinics with TCM services and corresponding medical rehabilitation capabilities.

[main objective]

Life expectancy is one year higher than in 2015.

By 2020, a better public health service system and medical service system will be established. Province residents life expectancy 1 higher than that of 2015 years of age, the maternal mortality rate dropped to 18/10, infant mortality rate dropped to 7.5 ‰, children under the age of five mortality rate control in 9.5 ‰, the main health indicators to achieve more than the national average, personal health spending accounts for the proportion of the total health expenses dropped to 28%.

Realize the remote medical province, city, county, township four levels full coverage.

Promote the building of remote medical service system, in 2018, built to cover public hospitals at the county level of remote medical service system at the grassroots level to 2020 basic implementation telemedicine provincial, municipal, county and township level 4 full coverage.

In 2018, more than 80% of all medical institutions to open for the elderly to provide convenient services such as registration, the green channel, more than 50% of the endowment agencies can be in various forms to provide medical and health services in the elderly.

The family doctor signed the service system full coverage.

The family doctor's contract service system gives priority to elderly, pregnant and pregnant women, children and disabled persons, as well as chronic diseases such as hypertension, diabetes, tuberculosis and severe mental disorders. By 2020, we will strive to expand the contract service to the whole population, and basically realize the full coverage of the family doctor's contract service system.

Preliminary established in 2020, full of vigor and vitality of the GPS system, the basic form a unified, standardized general practitioner training mode and the service mode of "first option" at the grassroots level, urban and rural residents per 10, have 2-3 gp, who qualified general practitioners have a total of more than 10000 people, the population of permanent residents in every thousand grassroots health workers number is 3.5 or more.

[a series of initiatives]

TCM outpatient service is included in the first consultation.

To implement the standardization construction project of traditional Chinese medicine hospital, by 2020, we will strive to achieve the above standards by 95% of TCM hospitals. In the areas where the basic TCM service system is not sound and the capacity is weak, the TCM outpatient service of TCM hospital is included in the first consultation scope. Establish a national accreditation, leading international standard system of jiangxi traditional Chinese medicine characteristics.

Grassroots medical and health institutions increase the proportion of medical insurance payments.

We will promote the participation of public hospitals in graded diagnosis and treatment, and guide third-level public hospitals to treat complicated and critically ill patients, and gradually turn to patients with common diseases, frequent diseases and stable diseases and convalescence. To appropriately increase the proportion of medicare payment for primary medical and health institutions, the payment line can be calculated continuously for patients who are hospitalized in accordance with the regulations.

Explore and establish a long-term care insurance system.

To realize the reasonable medical order of "minor diseases at the base level, the disease to the hospital, the rehabilitation back to the grass roots". A referral channel between a hospital, a primary health care institution, a rehabilitation hospital and a nursing home. It will significantly increase the medical resources of rehabilitation and long-term care services provided by medical institutions of chronic diseases. Gradual implementation of day operations. Explore and establish a long-term care insurance system. We will strengthen the construction of specialized rehabilitation institutions for disabled persons and provide accurate rehabilitation services.

Basic medical insurance nationwide network and long-distance medical treatment direct settlement.

We will establish and improve the mechanism for direct settlement of medical care in different places, and promote the direct settlement of basic medical insurance nationwide and long-distance medical treatment. By 2020, we will set up a balance mechanism for the adjustment of medical insurance funds, gradually realize the provincial pooling of health insurance, and the reimbursement rate within the scope of basic medical insurance policies will be stable at around 75%.

To solve the problem of low price medicine and lifesaving shortage, patients can buy medicine by prescription to retail pharmacy.

We will improve the supply guarantee and early warning mechanism for shortage of drugs, and solve the problem of low price medicines, "lifesaving drugs", "orphan drugs" and the supply of children's medicines. We will support the production and distribution of low-price drugs, formulate and dynamically adjust the inventory list of shortages, set up provincial drug monitoring stations, and accelerate the production of medicines in short supply. We will improve the mechanism for protecting children's medicines and health emergency medicines.

Promote medical separation, and cut off the chain of interests between hospitals and medical personnel and drugs and consumables. Medical institutions should prescribe drugs in accordance with the generic name of the drug and offer them to patients voluntarily, without restricting the flow of prescriptions. To explore the multi-channel drug purchase mode of outpatients in the hospital, patients can buy drugs from the prescription to the retail pharmacy.