Medical network - February 23 countries who planning commission issued by the four kinds of independent setting and management standard, the basic standard of medical institutions "too hard" comments and questions with: whether or not they will replace the corresponding public hospital department? A correct understanding, it seems, is imperative.
At the end of 2016, the national guard in succession planning commission issued by the four kinds of independent setting the basic standard of medical institutions and management practices, including medical imaging diagnostic center, medical test laboratory, blood purification mechanism, pathological diagnosis center. Then, there are media interpreted "too hard", think of the several departments or public hospital will be a large number of disappeared, so worry about to surface, such as emergency patients report but reluctant to do. Hospital to accurately understand the four standards and management norms, seem to be imperative.
origin
Why the 4 kinds of independent setting a basic standard of medical institutions and management specification? In fact, the national health and family planning commission issued on January 25, 2017, has given the answer in the reading.
One reason is that, along with aging, urbanization, such as social economic transition, the rapid growth of the residents' basic health needs present diversified characteristics, supply side structural problems still outstanding. Mainly reflected in the current medical service system is not perfect, high-quality medical resources shortage and the configuration is not reasonable, high quality medical resources are mainly concentrated in the big big hospital, grassroots medical institutions relative lack of medical resources, service ability to ascend.
Is based on the background of the age of the rational allocation of medical resources, and further promulgated by the state council "about several opinions to promote the development of health service, put forward" develop the third party service, guide the development of professional medical inspection center and the image center ". In addition, the general office of the state council on promoting the construction of the grading system of guidance "also explicitly proposed to" explore set up independent regional medical test mechanism, pathology, diagnosis, medical imaging inspection agencies supply mechanism and blood purification, disinfection, realize regional resources sharing ".
Around the country, by the end of 2016, 22 provinces such as Beijing and Shanghai to start the related pilot, forming some preliminary experience and mode. On this, the national health development planning commission on four kinds of independent setting basic standards and management norms of medical institutions, aims to "encourage and regulate the management of medical institutions, independent setting helps to unified thought, unified understanding, as to carry out the task, realize regional medical resources sharing, improve mechanism for the grassroots service ability safeguard."
A concern is that a lot of people, four kinds of independent setting will replace public hospital medical institutions corresponding department?
Zhenjiang health and family planning commission deputy director shao taught that 4 kinds of independent setting the state encourages the medical institutions, aims to explore the rational allocation of resources, effective deposit quantity, increasing the service efficiency of resource allocation of health service system architecture, as a result, its function will distinguish with the corresponding departments of public hospitals, though both have intersection in the service object, but there is a "conflict" difference function.
In his view, the public hospital should reflect the public welfare, continue to bear the interests but wide coverage of basic medical limited, 4 kinds of independent setting and medical institutions will be as a supplementary part of the public hospital, around the urban and rural cooperative medical and health service network, the main service object localization and the special service at the grassroots level.
Hold similar views and ningbo health and family planning commission director of medical administration and KeJiaoChu Wang Chong. He believes that a third party professional institutions to participate, will help to build a hierarchical medical services system. Large hospital is given priority to with difficulty of diagnosis and treatment of severe, is bound to keep the necessary inspection project, in order to meet clinical needs, from the quality and response time for the part of the demand is not big, the high cost of the inspection program will be entrusted to a third party agencies. At the same time, the third party professional organizations in addition to bypass some of the large hospital patients with routine inspection, will to a large number of grassroots medical institutions and clinics also provide strong technical support, small and medium-sized medical institutions in reducing their own equipment and personnel input at the same time, the push test to check quality homogeneity, promote the sharing mutual recognition.
action
Publicly, according to data from the national health and family planning commission by the end of May 2016, 22 provinces such as Beijing, Shanghai set up 323 home medical test laboratory (society for 309, 95.7%), 460 million cases with complete medical test times; In Beijing, zhejiang, jiangxi three provinces set up six pathological diagnosis center (social do 4, 66.7%), 2.05 million cases with complete pathological diagnosis; Five provinces such as Shanghai, zhejiang, jiangxi set up nine medical imaging diagnostic center (social do eight, 88.9%). Five provinces of shandong, hebei, jiangxi set up 57 blood purification mechanism (social do 100%), 247000 cases of blood purification, hemodialysis patients with average cost was reduced by 17.3%.
Based on the multi-point pilot exploration and flowering stage, national health development planning commission identified 4 pilot experience: one is the area of existing medical resource sharing, to further improve the efficient use of medical resources. The second is to promote and guide social forces to do medical, we will further improve the medical service system, and through the high quality resources sharing promote the basic-level medical health agency service ability; Three is gradually established a large hospital and grassroots medical institutions, medical test laboratory and other independent setting the collaboration relationship between medical institutions and promote the establishment of the classification system; Four is hospitalized more convenient, more especially independent blood purification system in the relative shortage of medical resources county, convenient provides patients with medical services, reduce the financial burden on patients and their families.
In fact, has been promoting the pilot seven years of Bethune shao-bo Chen, vice director of public welfare foundation, also has the profound understanding.
He told the health, blood purification mechanism of independent setting, although in developing talent and health care and other bottlenecks, but in recent years many national policies to encourage private medical institutions operate. For example, allowing doctors to practice more and big cities emerging medical training institutions (dialysis room medical skill training, etc.), can alleviate dialysis room have no doctors to the problem of employment; In addition, since October 2015, countries have to cancel the part of the administrative examination and approval procedures, including cancellation of insurance of primary medical treatment that decide a dot qualification of retail pharmacies and medical establishment that decide a dot, on the development of private medical institutions and independent dialysis room is all good.
A pulse sunlight as a "leader" of the domestic independent medical imaging center, its chairman, shih-ho wang believes that independent centers not only in the service of medical institutions, also have the function of the medical resources integration, therefore, they will establish collaboration with public hospitals, ensure the safety of the patients and service in a timely manner. In addition, he also talked about, independent third party image center is always in the service of medical institutions of medical institutions, with the public medical institutions to build the good cooperation, will determine the development of fire.
No rules no fangyuan, facing the vigorous growth of independent setting of medical institutions, to promote already, also want to specification. In fact, this is also the national health and family planning commission issued "four kinds of independent setting basic standards and management norms of medical institutions" in the first place.
Quoted the state development planning commission's official interpretation of "basic standards" has been clear about the independent set up the basic requirement of medical institutions, is the lowest "red line", medical subjects, mainly includes the independent establishment of medical institution setting, personnel department, housing and facilities, partition layout, equipment, rules and regulations and other requirements. "Management norms" internal management has been clear about the independent establishment of medical institution "software" requirements, mainly including organization management, quality management, occupational safety and infection prevention and control, personnel training and safety protection, supervision and management, etc., is a independent setting the internal management of the basic medical institutions to follow.
As for these agencies for examination and approval, the answer is clear. According to the regulations of the state, medical imaging diagnostic center, medical test laboratory, pathological diagnosis by the family planning administrative department of public health and above the level of district-constituted municipalities set for examination and approval. Blood purification institutions set up by family planning administrative department at the provincial level and above health examination and approval.
The way
Around the growth of the independent establishment of medical institution, the national health and family planning commission points out three paths.
First, the independent set up medical institutions shall be submitted to the chaining, collectivization direction. Gradually form large-scale group, forming technology development advantage, improve the ability to resist risk, in the operation of the building standardization, standardization of management and service mode, to ensure medical safety. Around the country health and family planning commission will also be required in the Settings for examination and approval, for priority setting for examination and approval has formed the scale, encourages to develop in the direction of chaining, collectivization.
Second, the independent setting a medical institution shall establish collaborative relationship with area more than secondary general hospital, through collaboration, constantly improve the medical service ability; And first aid in critically ill patients in areas such as establishing the green channel, to ensure the safety of patients.
Third, independent setting a medical institution shall give full play to the high quality resources platform, provide service for regional grassroots medical institutions, let patients at home can enjoy high quality and homogeneity of medical services.
As a pilot practitioners shao-bo Chen pointed out that medical institutions in the development of independent setting a 3 point advantage: talent advantage, in advantage and management advantages, of course, this should rely on independent setting chaining and collectivization development of medical institutions. The reason is very simple, only gradually form large-scale group, forming technology development advantage, to improve the running ability to resist risks.
Another view, independent setting the core of the medical institutions "evergreen" password still is to guarantee the quality. National health and family planning commission, director of the center for clinical laboratory wen-hsiang Chen told health industry, for the independent setting medical institutions, medical quality and patient safety must be a top priority. The agency should establish reasonable working mechanism with medical institutions and procedures, both closely united, for medical institutions and independent center is good.
Actually, to guarantee medical quality between different regions, different organizations "homogeneity", national health and family planning commission has a plan - will strengthen to set up independent establishment of medical institution and its medical services management behavior norms. The core approach includes three aspects:
One is to develop independent setting technical standards of medical institutions. The tertiary general hospital in the corresponding specialized subject will service capacity requirements, formulate standard medical service ability, independent establishment of medical institution from the technical level request, to ensure the medical quality and safety.
The second is to strengthen medical quality control. Set independent medical institutions into regional manage medical quality control system, strengthen the management of medical quality and safety.
Three is to strengthen cooperation with more than secondary hospital independent establishment of medical institution. Requires independent setting and the area above the secondary general hospital medical institutions to establish cooperation relations, in critically ill patients with emergency in areas such as establishing the green channel, to ensure the safety of patients. |
