Medical network - Feb. 13, continue to deepen reform of public hospitals at the county level comprehensive, comprehensively promote urban public hospital reform, comprehensively promote the reform of township health service integration management... In 2017, nanning into deep waters and GongJianQi pharmaceutical and health care system reform, is a matter of how the city's medical and health resources integration optimization, such as how to build urban and rural medical and health services system. Reporter recently learned that the city health development planning commission this year we will deepen reform of the medical and health system from six directions, solve common people see a problem.
To speed up to establish modern hospital management system
Want to solve the problem of people hospital is difficult, we will accelerate the establishment of a modern hospital management system is necessary and it is to speed up, and this among them, can be divided into public hospitals at the county level comprehensive reform and two large urban public hospital reform.
Low: the county level to further promote the hospital cost reduction efficiency
Pays special attention to the nanning city at the county level public hospital performance appraisal implementation plan implementation, through to strengthen the supervision to the reform of public hospitals at the county level comprehensive evaluation, to further promote the hospital to reduce operating costs and improve operational efficiency, further improve the medical service, the maintenance of public hospital public welfare. Support Wu Ming area, shanglin guidelines to create autonomous region, nanning municipal public hospital reform demonstration county, to further implement the leadership responsibility, the security responsibilities of government responsibility, supervision, management responsibility, to establish maintain the public welfare, to mobilize enthusiasm, ensuring the sustainable operation mechanism. In the management system, operation mechanism, price adjustment, personnel, income distribution, classification results were made in reform of the diagnosis and treatment, medical insurance payment, etc. Form can be copied by the end of 2017, the typical experience, which can be promoted for the in-depth development of municipal public hospital comprehensive reform at the county level for reference.
Low cities: the end of march this year in public hospitals to cancel drug addition
According to the autonomous region deployed before the end of March 2017 sets on nanning city public hospital reform, nanning prefecture in all urban public hospitals to cancel the drug addition, synchronization to establish financial compensation mechanism and the adjustment of medical service price. To take this opportunity to improve the urban public hospital medical services price adjustment and reform of management system reform, personnel management, personnel, performance appraisal system, salary system reform by administrative management, technical specifications and health control, guidance, and supervision the comprehensive medical institutions to strengthen connotation construction, regulate the internal management, enhance core competitiveness.
Promoting the construction of hierarchical diagnosis system four aspects
In the aspect of promoting the construction of the grading system, the city health development planning commission efforts from four aspects, to achieve "first option at the grass-roots level, a two-way referral, slow triage, linkage" up and down.
Low integration: to improve diagnosis and treatment capacity and service levels at the grass-roots level
Counties and townships will guide counties deepening medical service management, actively explore closer, broader integration management model, further integration optimization of county and township government health resources, to promote the sink of high quality resources, promote grass-roots diagnosis ability and service level, to achieve collaboration of medical institutions at all levels, the reasonable utilization of health resources, gradually build a reasonable and orderly pattern of diagnosis and treatment, to gradually solve the problem of difficulty and high cost of the crowd to see a doctor.
Low medical couplet: urged liang to accelerate the process of forming a big hospital
In the city's first people's hospital medical couplet, city maternal and child health care medical conjoined running, on the basis of urged city second people's hospital, city hospital of traditional Chinese medicine, etc. To accelerate the process of couplet of medical form. According to the national requirements to promote close couplet of medical (medical group) construction, through the medicare payment reform and medical service price adjustment, guidance of couplet of medical (medical group) improve internal collaboration mechanism, promote the hospital and the hospital at a lower level, the formation of interests community, responsibility, community and development community. Couplet of establishing and perfecting the assessment index system, promote the medical sinking, grassroots medical resources in the diagnosis and treatment, improve the capacity to implement good grading diagnosis and treatment, etc., for urban and rural residents to provide safe, effective, convenient and continuous basic medical services.
When the family doctor: would the doctor window from the villages and towns forward to CunTun
By conducting "public satisfaction in towns and townships" create and start increasing engineering community health service, relying on the grassroots medical institutions and the general practitioners team, priority to key people and special groups to carry out the contract services, village and household, from the villages and towns forward to CunTun initiative will see a doctor the window, in a more convenient way and more efficient way to service the grassroots, lay foundation for the classification diagnosis and treatment, the first option at the grass-roots level.
Low coverage: perfect health care medical institutions pay policy differentiation
To improve health care medical institutions pay policy differentiation, pull open different level medical institutions and to the outside of the city, city medical institutions of starting line and the proportion of pay gap, to meet the prescribed level referral hospitalized patients can continuous computing starting line. Not in accordance with the referral program for medical treatment to reduce medical insurance payment ratio or not by the regulation pay, guide the reasonable choice of medical institutions. Explore the head paying is carried out for diseases such as chronic diseases and rehabilitation methods such as, promote the patient to the doctor at the local level. Support to medical association medicare pay the total amount control for the unit, promote medical association internal establish two-way referral system. |
