The universal medical insurance system has been basically established. More than half of the counties have carried out pilot projects at the grassroots level, and the rate of visits within the county has reached more than 80%. Let the people really see the disease at home and see the disease is to resolve the new round of medical reform in China. "The pain point" is where.
Optimize the resource allocation pattern, how to make patients "willing to go", let the grassroots "acceptable", and let the big hospital "willing to let go"? High-quality medical resources, "blood-activating and phlegm-removing" will be seen? Recently, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction and Development of Medical Consortiums", proposing to gradually form various forms of medical associations, improve the coordination mechanism of the medical unions, and promote quality medical resources within the medical associations. Pass up and down. In 2017, the pilot project of medical association construction was fully launched, and by 2020, a relatively complete medical association policy system will be formed.
A new round of medical reform has significantly improved the accessibility of medical services. However, experts pointed out that the shortage of quality medical resources, the unreasonable structure, and the uneven distribution, especially the shortcomings of the lack of grassroots talents, have become an important constraint to protect people's health and deepen medical reform.
The "13th Five-Year Plan for Deepening the Medical and Health System Reform" pointed out that improving the accessibility of quality medical resources and the overall efficiency of medical services, and promoting graded diagnosis and treatment. "The medical association is an important starting point for the establishment of a graded diagnosis and treatment system, and it is also an institutional innovation that will further optimize the service system and amplify the effects of superior medical resources." Li Bin, director of the National Health and Family Planning Commission, said that the construction of the medical association will promote the formation of "small The disease is at the grassroots level, the disease is in the hospital, and the rehabilitation is back to the grassroots.
Horizontal open and vertical linkage, the medical union construction weaving a safety net covering the entire population. The opinion proposes to explore the formation of various forms of medical associations in different regions and sub-levels, to form medical groups mainly in cities, to form medical communities in the county, to form specialist alliances across regions, and to develop telemedicine in remote and impoverished areas with insufficient medical resources. Collaboration network.
It is the basic premise to solve the problem of setting up a medical complex and clearly defining the function of the medical system. The opinion pointed out that the medical association has established a responsibility sharing and benefit distribution mechanism, and grassroots medical and health institutions, professional rehabilitation institutions, nursing homes, etc. provide for the diagnosis of chronic disease patients with stable disease, stable patients, elderly patients, advanced cancer patients, etc. Treatment, rehabilitation, and nursing services.
How to form channels and mechanisms for high-quality medical resources? The opinions are clear. It is necessary to promote the orderly flow of human resources, unify the allocation of medical technology and other resources, and coordinate the distribution of salary within the medical association to fully mobilize the enthusiasm of medical personnel. Give full play to the leading role of the three-level public hospitals, promote the sharing of quality medical resources and subsidize the grassroots, and enhance the ability of primary medical services.
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