Establish a new pattern of integrated management and a new order of graded diagnosis and treatment of different levels and types of medical and health institutions with clear responsibilities, division of labor and cooperation, and orderly competition, establish the concept of great health and great health, provide all-round and life-cycle health services for the masses, and comprehensively improve people's health level.
Extended data
Judging from the reform of 24 demonstration counties, the integration reform has achieved five initial results:
First, the "three combinations" of medical care and public health, health and family planning, and medical care and old-age care have been realized. The Group has set up a public health management center to organically integrate public health and basic medical services that were separated in the past. More than 60% of the village family planning professionals participated in the contracted service team, and the work content of the family planning professionals was effectively enriched. Health plans are linked with contract services to achieve high integration.
The second is to achieve the "three upgrades" of contracted services, graded diagnosis and treatment, and health poverty alleviation. It has promoted the effective implementation of family doctor contract service, with the contract signing rate of urban and rural residents reaching about 50% and the key population reaching 66%. The skills of rural doctors have been supported by superiors, the treatment has been guaranteed by the group, and the service is more active.
The third is to achieve the "three improvements" in grassroots service volume, service ability and mass satisfaction. The amount of primary medical services has improved, and the average rate of medical treatment in the county is over 80%. According to national requirements, by 2020, the average rate of medical treatment in the county will reach over 90%, and this goal will be achieved as scheduled. The number of emergency visits and hospitalizations increased by 8% and 6% respectively.
Fourth, the average cost, out-of-pocket ratio and medical expenses have been reduced. The average outpatient and emergency expenses of county hospitals decreased by 5% year-on-year, and the out-of-pocket expenses decreased by 6% year-on-year. The indirect cost of medical treatment for families and the masses decreased significantly.
Fifth, the "five transformations" have been realized. The county party secretary and county magistrate changed from macro leadership to "construction captain" of medical reform, medical behavior changed from extensive medical service to economical health management, and health management changed from decentralized medical service to holistic and life-cycle management. The flow of health talents has changed from "siphon" to the direction of sinking talents and serving the grassroots. The people's habit of seeing a doctor has changed from going directly to an expert to asking a family doctor first.
Wenshui county people's government-county and township medical and health institutions integration reform
Shanxi Provincial People's Government-Attach importance to primary health care and promote the integration of county and township medical and health institutions