Details of the new policy of medical reform
career objective
In the past three years, efforts have been made to achieve safer and more convenient diagnosis and treatment, more effective communication and more comfortable experience, and gradually form a new era medical service pattern of regional coordination, information sharing, service integration and multidisciplinary integration, promote the high-quality development of medical services, significantly improve the quality of primary medical services, continuously improve social satisfaction, and further enhance the people's sense of obtaining medical treatment.
The plan proposes that, on the basis of summarizing the experience and effectiveness of the action plan to improve medical services from 20 15 to 20 17, medical institutions should establish appointment diagnosis and treatment system, telemedicine system, clinical pathway management system, mutual recognition system of examination results, medical social workers and volunteer system from now on.
Appointment treatment system
In the past two years, tertiary hospitals in China have largely cancelled window registration and changed to non-emergency comprehensive appointments. For example, at the end of 20 16, all hospitals in Beijing cancelled on-site registration. We can all feel that it is the general trend for large hospitals to cancel window registration, but we didn't expect this day to come so quickly.
The plan requires the establishment of an appointment diagnosis and treatment system from now on. Third-level hospitals further increase the proportion of appointment services, vigorously promote the appointment of diagnosis and treatment in different periods and centralized appointment examination, and the appointment period is accurate to 1 hour. Third-level hospitals give priority to reserve the source of appointment diagnosis and treatment to the primary medical and health institutions in the medical association.
For patients who have made an appointment and have made an appointment for referral, priority should be given to medical treatment, priority should be given to examination, priority should be given to hospitalization, and primary consultation and two-way referral should be guided.
In the past, large hospitals implemented window registration, which was overcrowded. The main reason is that most patients come to the hospital to see common diseases and frequently-occurring diseases. However, as more tertiary hospitals cancel the general outpatient service, many minor hospitals do not accept it, but the primary hospitals accept it; Tertiary hospitals only provide services for acute and critical diseases and incurable diseases. In this way, the number of pathogens in large hospitals will drop significantly, and the appointment system is completely feasible.
Telemedicine system
It is mentioned in the plan that all medical associations in the country will achieve full coverage of telemedicine. The medical association leads the hospital to establish a telemedicine center, and provides services such as remote consultation, remote imaging, remote ultrasound, remote electrocardiogram, remote pathology, remote rounds, remote monitoring and remote training to medical institutions in the medical association.
Grassroots medical and health institutions gradually expand the scope of telemedicine services, so that more suitable patients can get medical services from higher-level hospitals at their doorsteps. Grassroots medical and health institutions can explore the provision of appropriate telemedicine, tele-health monitoring, tele-health education and other services for contracted patients.
Clinical pathway management system
Medical institutions realize the informationization of clinical pathway management, gradually incorporate pharmaceutical services and laboratory services into clinical pathway management, improve the proportion of clinical pathway management of inpatients, realize the integration of "doctor, nurse and patient" in clinical pathway, and enhance the standardization and transparency of clinical diagnosis and treatment.
Conditional medical associations can explore the establishment of an integrated clinical path, and medical institutions at all levels can work together to provide patients with smooth referral and continuous diagnosis and treatment services.
Mutual recognition system of test results
From then on, the film taken by A hospital and the phenomenon that B hospital does not admit it will be greatly reduced until it disappears.
The Plan proposes to achieve full coverage of medical quality control such as medical examination, medical imaging and pathology. Medical institutions that control the medical quality of relevant majors at the provincial and municipal levels shall implement mutual recognition of inspection results within the administrative area at the corresponding level.
In the medical association, data and information such as medical images, medical examinations and pathological examinations can be shared to realize mutual recognition of examination results.
System of medical social workers and volunteers
Medical institutions set up medical social worker posts, which are responsible for assisting doctor-patient communication and providing patient support services such as diagnosis and treatment, life, legal affairs and assistance. Conditional tertiary hospitals can set up medical social work departments, equipped with full-time medical social workers, and set up patient service call centers to coordinate and solve patients' related needs.
Medical institutions vigorously promote voluntary service and encourage medical staff, medical students and caring social people. And provide voluntary service for patients after training.
In addition to these five systems, the plan also puts forward 10 innovative medical services to further enhance people's sense of acquisition, so I won't introduce them one by one here.
The establishment of these five systems will be implemented one after another throughout the country this year, eventually forming a hospital work system, which will be implemented by our national medical staff. By then, China's medical pattern is about to undergo major changes, and our medical staff should adapt and patients should adapt.
Among them, we should pay attention to the following points: the plan puts forward for the first time that the national medical institutions should establish "five systems", each of which affects the diagnosis and treatment habits of each of us and subverts the previous pattern of medical treatment.