First, efforts should be made to promote the construction of medical associations and improve the service capacity of county hospitals.
County hospitals are an important link in the construction of medical communities and play a key role in the construction of medical communities. It is necessary to strengthen the comprehensive service capacity of county-level hospitals, better complete the work of up-and-down connection and two-way referral, and straighten out the relationship between the higher and lower levels of medical institutions.
Moreover, in the latest Notice on Printing and Distributing the Implementation Plan of Three-year Action for Health Poverty Alleviation, it is required to promote the construction of county-level medical institutions, explore the implementation of county-level rural integrated management with county-level hospitals as the leader, township hospitals as the hub and village clinics as the foundation, and build a three-level linkage county-level medical service system.
With the comprehensive promotion of county-level medical institutions, the service capacity of county-level hospitals will be further improved and play a leading role.
Second, vigorously develop telemedicine.
Internet hospitals are officially on the track, and telemedicine will become a brand-new and popular diagnosis and treatment method, which will be widely promoted, greatly reducing the waste of medical resources and allowing ordinary people to find experts at home.
Third, do a real family doctor contract service.
"Implementing family doctor contract service" is no longer just a simple slogan. In June, 5438+last year 10, the state issued the Guiding Opinions on Standardizing the Management of Family Doctors' Contract Service, and announced eleven contracts signed by family doctors. The content of the contract was clearly refined, and the content and implementation were "practical and meticulous" to improve the people's sense of gain.
From the national level, in the past year, family doctors have stopped blindly pursuing the signing rate, removed the suppression of various indicators, paid more attention to the signing of service quality, and realized the "appointment signing".
Fourth, strengthen the linkage reform of the three hospitals to solve the problem of expensive medical treatment.
Three-medicine linkage is the linkage of medical insurance system reform, health system reform and drug circulation system reform, that is, the linkage of medical care, medical insurance and medical reform, that is, the linkage of three medicines.
Sanming, Anhui, Shanghai and other places in Fujian have achieved the goal of maximizing the efficiency of capital use and optimizing the quality of medical services to a certain extent. 20 19, the linkage mode of the three medical institutions will surely go to more places, making the cooperation between medical institutions more consistent, unified and efficient.
Five, improve the national system of essential drugs
The meeting mentioned that the national essential drug system should be improved and the centralized procurement and use policy should be further improved.
A new version of the essential drugs list has been released, and a dynamic adjustment mechanism has been established. In the future, the catalogue will be dynamically adjusted, and the adjustment period will not exceed 3 years in principle. Adhere to both import and export, and constantly improve the variety structure and quantity to meet the needs of disease prevention and control.
Six, co-ordinate the promotion of medical price adjustment and performance appraisal of public hospitals.
Improve the management level of public hospitals, promote the overall medical price adjustment and performance appraisal of public hospitals, and cooperate with the reform of medical insurance payment methods to promote direct medical settlement in various places.
Not long ago, the state named 148 Hospital as a pilot hospital to establish and improve the modern hospital management system. With the implementation of contract management, the contract era of medical staff in public hospitals is coming, and the management level of public hospitals will change greatly in 20 19 years.
At the same time, medical insurance payment methods will also cover more fields. On February 29th, the State 12 and 12 jointly issued the Notice on Printing and Distributing the Work Plan for Accelerating the Implementation of the Policy on the Supply and Use of Generic Drugs, demanding that the reform of medical insurance payment methods be accelerated, the establishment of multiple compound medical insurance payment methods based on disease types be comprehensively promoted, and the payment by project be gradually reduced.
Seven, strengthen the training of Chinese medicine talents
Promote the development of Chinese medicine, further develop Chinese medicine services, and strengthen scientific and technological innovation and personnel training of Chinese medicine.
Last year, the professional skills assessment of traditional Chinese medicine was carried out one after another, and a large number of folk Chinese medicine practitioners passed or were about to pass the assessment. What is certain is that there will be a large number of Chinese medicine clinics in 20 19 years, and the cause of Chinese medicine will flourish.
Eight, strengthen the construction of health personnel.
Strengthen the construction of health talents, improve the relevant policies of standardized training for residents, and improve the evaluation measures for professional titles.
In the past two years, the state has fully supported the evaluation of grassroots professional titles, especially the evaluation of general practitioners, improved the development prospects of grassroots doctors, and encouraged medical talents to stay at the grassroots level.
Nine, to further improve the policy system to promote the development of social medical services.
Promote the modernization of health governance system and governance capacity, strengthen the construction of the rule of law, further improve the policy system, and encourage the development of social medical undertakings. Strengthen policy interpretation, do typical propaganda, implement comprehensive supervision system, strengthen scientific and technological innovation, and participate in global health governance.
X. Oppose bureaucracy and formalism and leave more time and space for grass-roots work.
It is necessary to temper the work style of seeking truth from facts, grasping to the end and serving the people, persistently oppose the "four winds", especially bureaucracy and formalism, and strive to reduce formalism such as layer-by-layer inspection, layer-by-layer reporting and layer-by-layer marking, so as to leave more time and space for grassroots work.
This requirement can be said to meet the requirements of junior doctors. Grass-roots health work is not a formal support, but depends on practical actions and less formality, so grass-roots medical staff can do more practical things for the people.
Eleven, build a more mature and stereotyped grading diagnosis and treatment system.
Establish a more mature and standardized grading diagnosis and treatment system, promote the separation of urban and rural areas, the combination of up and down, and the combination of speed and speed, and guide the sinking of high-quality medical resources.
Twelve, the full implementation of health poverty alleviation project.
It is necessary to implement the system-wide poverty alleviation project, further improve the long-term mechanism for the capacity building of primary health care services, improve the medical security system in poverty-stricken areas, and strengthen the prevention and control of health risk factors in poverty-stricken areas.
Thirteen, do a good job in public health, adhere to prevention first, and move on.
The meeting demanded that we should do a good job in the prevention and control of major diseases and public health, adhere to prevention first, do a good job in immunization planning, and strengthen the prevention and control of infectious diseases, endemic diseases, chronic diseases and occupational diseases.
The establishment of the concept of "great health" has made public health work more perfect and important this year, focusing on prevention and combining prevention with treatment, and shifting the focus of work from "treating diseases as the center" to "taking health as the center".
Fourteen, to further promote the combination of medical care.
Strictly implement the five systems of maternal and child safety, build a pension system, and further promote the combination of medical care and nursing.