In the next five years, where will all kinds of medical institutions be established and how big will they be? On 30th, the head of the State Council Medical Reform Office interpreted the planning outline.
Q: The shortage of medical and health service resources is an important reason for the difficulty in seeing a doctor. In 2020, what standard should the total medical and health resources in China reach?
A: Bed is the core resource element of the medical and health service system, and it is the main universal index to measure the health resources and service capacity of all countries in the world.
Considering the total population, aging, urbanization and other factors, combined with the historical trend of the number of beds in China and drawing lessons from relevant international experience, the planning outline puts forward that by 2020, the number of beds per thousand population in China will reach the development goal of 6.
This is the first time that China has put forward a quantitative index for the development of beds in medical institutions, which has adapted to the people's growing demand for health services and the new situation of economic and social development.
Q: At present, there are some problems in China's health resources, such as unreasonable layout structure and no reasonable division of labor and cooperation mechanism. How to rationally arrange all kinds of medical and health institutions at all levels in the planning outline?
A: In March 2009, the central government issued guiding opinions on deepening the reform of the medical and health system, pointing out that it is necessary to further improve the medical service system and adhere to the principle of public medical institutions leading and non-public medical institutions developing together. However, there is no clear plan for how much to do and how to do it.
The planning outline fully considers the level of economic and social development and the present situation of medical and health resources, and coordinates the quantity and layout of medical and health resources in different regions, types and levels. For the first time, the number and scale of public medical institutions at all levels were defined, that is, each administrative village should have 1 village clinic.
Each township runs 1 standardized township health center, and 1 community health service center is set up within each street office or every 30,000 to 65,438+10,000 residents.
In principle, county-level general hospitals are 1, and Chinese medicine hospitals are 1. According to the resident population, there are 1 to 2 million people with 1 to 2 municipal general hospitals, including Chinese medicine hospitals, with a service radius of about 50 kilometers. The population size of sparsely populated areas can be appropriately relaxed.
According to the number of permanent residents, two provincial general hospitals are planned for every 1 00000 people. Beijing-Tianjin-Hebei, Yangtze River Delta, Pearl River Delta and other regions explore the establishment of cross-regional medical and health institutions. At the same time, according to the principle of overall planning, upgrading energy level and radiation-driven, several departments are set up in the national planning layout to run hospitals.
Q: What ideas does the planning outline put forward for the development of non-public medical institutions?
A: Promoting social medical services is an important measure to meet people's diversified medical and health service needs. The central government attaches great importance to it. After the start of the new round of medical reform, the State Council has issued two special documents to encourage the society to run medical services, but the society has always reflected that it is difficult for private capital to enter the field of medical and health services.