Medical network, June 7, recently, as an international metropolis of Shanghai government has issued "Shanghai" much starker choices-and graver consequences-in planning of the establishment of medical institutions "(hereinafter referred to as the" planning "), in the medical establishment layout has been not to make very large scale of hospitals and appear the "alternative", "much starker choices-and graver consequences-in" planning "and" what is the "alternative", worthy of attention. 

 

The function location is clearer 

 

Do the "plan" put forward the municipal medical center, make whole regional medical center, and stronger grassroots medical institutions, the overall plan of lively social do medical organizations, encouraging. To be the focus of the municipal medical center on improving clinical skills, clinical quality and clinical science and technology innovation capability; We will make full regional medical centers to meet the needs of basic medical services for regional residents. We will strengthen community-level medical and health care institutions to improve service capacity and quality. We will work for a living and social medical institution to meet the needs of the multi-tiered and diversified medical services of the people. 

 

In the face of turbulent aging, long-term nursing beds will increase dramatically 

 

"Planning", points out that by 2020, Shanghai hukou old people aged over 60 is expected to reach 5.31 million people, accounted for 23% of urban resident population ageing will need large amount of chronic diseases such as rehabilitation and nursing bed. Therefore, the plan puts forward the goal of "the orderly development of bed". This goal requires the implementation of a bed classification registration, a strict treatment for the number of beds, and a hospital bed with no more than a thousand people. In addition to the short plate resources, there are no new beds for treatment. The number of people treated with a thousand people is in the area of 2.8 to 3.8, which can increase the number of beds. The number of patients treated with the number of beds in the area of less than or equal to 2.8 is 2.8. Strict control of the increase of hospital beds in public hospitals, and no new public hospital beds for thousands of people in public hospitals. In principle, the urban area will not open new public hospitals, and will not increase the number of public hospital beds. Long-term nursing beds will be encouraged to develop, and long-term nursing beds will be allocated at 0.75 percent of the registered elderly population (about 1.6 per 1000 people). 

 

The development of pediatrics, rehabilitation, and psychiatry will be great 

 

For aged care, pediatric, rehabilitation, mental health, such as the obvious contradiction between supply and demand situation, "the plan" will develop the transmission, obstetrics, pediatrics, emergency treatment, pathological, rehabilitation, aged care, mental health, anesthesia, first aid, etc., by the end of much starker choices-and graver consequences-in pediatric beds to thousands of children are 2.2 (0 to 14 years of age), the secondary general hospital pediatric emergency services must be provided, and setting up beds in pediatrics, 5% of the data approved in principle for hospital beds, lowest not less than 30; Rehabilitation to 0.25 per thousand population beds, rehabilitation beds per thousand population 0.25 set, each area at least configuration of a 200 - bed rehabilitation hospital, encourage existing secondary b hospital functions such as transformation, support the rehabilitation hospital run by social forces, conditional area rehabilitation hospital should be set near the regional medical center and the municipal medical center; The number of psychiatric beds is 18,000, with 9,000 beds and 9,000 beds. We will increase the number of mental health beds in each district, and encourage the government to build or expand psychiatric hospitals in areas with inadequate beds. Encourage the social establishment of mental health institutions. 

 

We will continue to maintain a consistent, non-large hospital, and set up a regional medical center for 30 to 500,000 people 

 

Shanghai layout difference in medical institutions in other parts of one of the most remarkable characteristic is not very large scale hospitals, the 12th five-year period, Shanghai adhere to the implementation of "5 + 3 + 1" project, the birth of a large number of 3 armour hospital branch, realizing a complete coverage of suburban tertiary hospital. The layout of community-level medical institutions continued to improve. Complete 102 demonstration community health service centers. Shanghai residents will be able to walk 1.5 kilometers (15 minutes) to a medical spot. 

 

The 13th five-year plan, Shanghai, continues to adhere to the idea of a balanced allocation of space. Strict control of the size of hospital beds is an unreasonable expansion, linking the evaluation of medical service output to the size of hospital beds. The number of beds for the newly installed municipal general hospital will be 600 to 1000 beds, with no more than 1,500 principles. The new district general hospital has no more than 1,000 beds. More than 1, 500 public hospitals will be reported to the national health and family planning commission. 

 

Perfect quality medical resources layout adjustment, strengthen the weak rural health resource allocation, according to every 30-500000 population configuration at a regional medical center, the service radius of 30 to 45 minutes. Regional medical center must be equipped with emergency, internal medicine, surgery, obstetrics and gynecology, pediatrics, regions, and infectious diseases (infection), psychiatric, rehabilitation medicine and geriatrics, provide hemodialysis 17 each department of medical services, such as conditional shall establish a geriatric ward. 

 

Social health care will be further improved 

 

According to the plan, in late 2015, the Shanghai community medical institution was a total of 1972, accounting for 39.31 percent of the city's medical institutions. 14356 beds, accounts for 12.26% of the beds, visits to 10.6251 million, accounts for 5.55% of the visits, discharges of 90500 people, accounted for 3.60% of the discharges in the city, according to this number, you can see the Shanghai social do medical scale, or the services and the development of the country for social do medical requirements and gaps. During the period of "planning" is put forward, therefore, much starker choices-and graver consequences-in, to introduce high quality social do medical resources, to enhance social do medical quality and medical scale, increase social do medical social credibility as a whole. We will play the role of two international medical parks and accelerate the development of a modern medical service industry with an international, marketable and high-end nature. The number of medical institutions in the community has reached more than 1.5 (including treatment and long-term nursing beds). City, district two levels of health administrative departments of family planning according to the total beds (including treatment and long-term care beds) and new beds in the treatment of 25% set aside space for social do medical institutions, all new beds should be preferred to meet social do medical needs.