Integrated reform is to integrate healthcare resources in counties and form medical groups on the basis of adherence to government-led, integrated planning, reform and innovation, and linkage of the three healthcare systems, adherence to basic protection, strengthening of the grassroots, and establishment of a mechanism, adherence to the principle of prevention, and equal emphasis on both traditional Chinese and Western medicine;
To establish an integrated management system in which the responsibilities of healthcare institutions at different levels and in different categories are clearly defined, and in which there is division of labor and collaboration, and orderly competition, and a new pattern and a new order of graded diagnosis and treatment. A new pattern of integrated management and a new order of hierarchical diagnosis and treatment has been established, the concept of big health and big health has been set up, and all-round, life-cycle health services have been provided to the public, so as to comprehensively improve the people's health.
Expanded Information
From the reform of the 24 demonstration counties, the integration reform has achieved initial results in five areas:
One is the realization of the medical treatment and public health, health and family planning, medical treatment and old age "three integration". The group set up public health management center, the past separation of public health and basic medical services organic integration. More than 60% of the village family planning specialists are involved in the contract service team, the work of the family planning specialists is effectively enriched, and the health care to contract service as a link to achieve a high degree of integration.
The second is the realization of the signing service, hierarchical diagnosis and treatment, health poverty alleviation "three promotion". Promoted the effective landing of family doctor contracting services, urban and rural residents contracting rate of about 50%, the focus of the population up to 66%. Rural doctor technology has the support of the upper level, treatment has the group to ensure that the service is more motivated.
Three, is the realization of the grass-roots service volume, service capacity, public satisfaction "three enhancement". The volume of primary medical services to improve, the average rate of consultation within the county more than 80%, according to the national requirements, by 2020 the average rate of consultation within the county more than 90%, this goal will be realized on schedule. Annual outpatient emergency visits and hospitalizations have increased by 8% and 6% respectively.
Fourth, is to realize the average cost, out-of-pocket ratio, the cost of care "three declines". The average cost of outpatient and emergency treatment in county hospitals has dropped by 5% year-on-year, and the out-of-pocket payment ratio has dropped by 6% year-on-year, so that the indirect cost of medical treatment at the doorsteps of the public has dropped significantly.
Fifth, is the realization of the "five changes". County party secretary, county governor by the macro leadership to the medical reform "construction team leader" change, medical behavior by the rough medical services to the saving health management change, health management by the health care decentralized services to the overall, whole life cycle management change, health talent flow from upward "siphon" to the talent sinking, the whole life cycle management change, health talent flow from upward "siphon" to the talent sinking, the whole life cycle management change.
The government has also changed the direction of "siphoning" talents to sinking talents and serving the grassroots, and the people's habit of seeing a doctor has changed from running directly upwards to looking for specialists to first looking for a family doctor to ask for an understanding.
Wenshui County People's Government - Reform of integration of county and township medical and health institutions
Shanxi Provincial People's Government - Focusing on primary health care Promoting integration of county and township medical and health institutions