Every reporter Li Biao, intern reporter Li Mingming, Beijing Photo Report, every editor Chen Xing
July 23,National Health CommissionA press conference was held to introduce my country’s hierarchical diagnosis and treatment system and system construction, and the coordinated development of Chinese and Western medicine in general hospitals.
The “Daily Business News” reporter learned at the press conference that the signing rate of family doctors in key groups in my country has increased from 28.33% in 2015 to 75.46% in 2020, and the rate of consultations in counties nationwide has reached 94%, an increase over the same period in 2015. 10 percentage points.
Hierarchical diagnosis and treatment achieved staged results
Guo Yanhong, Inspector of Medical Administration and Hospital Administration of the National Health CommissionAccording to the introduction, during the “Thirteenth Five-Year Plan” period, my country has made great efforts to promote the formation of a hierarchical diagnosis and treatment system, and promote the establishment of a hierarchical diagnosis and treatment pattern of “primary-level diagnosis, two-way referral, emergency and slow treatment, and upper and lower linkages”.
First, gradually build a relatively complete hierarchical diagnosis and treatment system, focusing on improving the capacity of primary medical services, and improving the relevant system foundation for primary diagnosis at the primary level. Established a family doctor contract service and telemedicine system to strengthen the construction of community hospitals. Establish a working mechanism for division of labor and collaboration between medical institutions at all levels to promote and improve the related systems of two-way referral and upper-lower linkage. Establish a new model of medical service, and promote the formation of a system related to rapid and slow separation and treatment.
The second is to strengthen the construction of the system and promote the implementation of the hierarchical diagnosis and treatment system. A number of national medical centers and national regional medical centers have been set up at the national level, representing the advanced level and technological frontier of the country’s medical technology. At the same time, we will work with the National Development and Reform Commission to carry out a pilot project for the construction of regional medical centers, and establish regional medical centers through high-level hospitals in some provinces with more patients to fill up the shortcomings of regional high-quality medical resources.
In addition, standardize the construction of medical consortia, promote telemedicine services, and enhance the comprehensive service capabilities of county-level hospitals. Support Chinese hospitals to take the lead in forming urban medical groups and county medical communities.
Staged results have been achieved in graded diagnosis and treatment.Guo YanhongAccording to the introduction, as of the end of 2020, the signing rate of family doctors in key populations has increased from 28.33% in 2015 to 75.46% in 2020, and the rate of consultation in counties nationwide has reached 94%, an increase of 10% over the same period in 2015. Two-way referrals are more orderly, especially the number of transfers of patients has increased year by year, with an average annual growth rate of 38.4%. Initial results have been achieved in the treatment of rapid and slow treatment, and the number of pilot diseases for day surgery has reached 120. The linkage between upper and lower levels has been continuously enhanced, and there are currently more than 15,000 medical consortia of various modes.
In the next step, we will accelerate the improvement of the hierarchical diagnosis and treatment system, promote the expansion of high-quality medical resources and the balanced distribution of regions, and build an integrated hierarchical diagnosis and treatment system with the focus on the construction of medical consortia, so as to provide patients with fair, accessible, systematic, continuous, high-quality and efficient health care. service.
By the end of 2020, there are 36,300 grassroots Chinese medicine centers nationwide
In the construction of the hierarchical diagnosis and treatment system and system, how to make use of the unique advantages and functions of traditional Chinese medicine of “simplicity, convenience, inspection and integrity”?
Yan Huaguo, Deputy Director of the Medical Administration Department of the State Administration of Traditional Chinese MedicineIn response, Chinese medicine has a broad mass base at the grassroots level. As of the end of last year, the total number of grassroots TCM clinics nationwide has reached 36,300, and 85.4% of community health service centers and 80.1% of township health centers have set up TCM clinics. The amount of diagnosis and treatment of Chinese medicine in some primary medical and health institutions has accounted for more than 40%.
“During the ’14th Five-Year Plan’ period, we will further strengthen the construction, and strive to realize that all community health service centers and township health centers set up TCM clinics, so that the people can smell the taste of TCM at home, feel the culture of TCM, and accept it. High-quality Chinese medicine medical and health services.”Yan HuaguoSay.
In terms of forming a medical consortium,Yan HuaguoSaid that it encourages and supports traditional Chinese medicine hospitals to take the lead in forming county medical communities, urban medical groups, and traditional Chinese medicine specialist alliances, to give full play to the characteristic advantages of traditional Chinese medicine in “simplification, convenience, inspection, and cleanliness” and prevention of diseases, and to promote “treatment as the center.” Turn to “health-centered”.
In addition, it is necessary to gradually realize that every family doctor team can provide traditional Chinese medicine services and carry out traditional Chinese medicine diagnosis and treatment of common and frequently-occurring diseases. Support TCM physicians to take the lead in forming a family doctor team, and encourage qualified TCM clinics to form a team to carry out family doctor contract services.
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