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| The implementation of the 13th five-year plan for medical and health care reform in shaanxi province |
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| Author：中国铭铉 企划部 Release Time：2017-9-8 15:27:07 Number Browse：901 |
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Medical website September 8
In 2020, the whole province will realize the basic medical and health services for all people. The life expectancy of residents in the whole province will increase by one year to 76.7 years by 2020 compared with 2015
On September 5, the reporter learned from the provincial health and family planning commission that the 13th five-year plan for deepening the reform of the medical and health care system was issued. The plan proposes that by 2020, the province will build a basic medical and health system covering both urban and rural residents and realize basic medical and health services for all. The per capita life expectancy of residents is 76.7 years compared with 2015, and the maternal mortality rate has dropped to 14/100,000, the infant mortality rate has decreased to 6 ‰, and the under-5 mortality rate has decreased to 7 ‰.
Create 15 minutes of health care
In the future, the functions of various types of medical and health institutions will be gradually clarified. To strengthen the professional public health institutions and grassroots medical institutions and hospitals, the collaboration between the basic set up rational layout, function complementary, distinct, collaboration and strong health service network. We will build a 15-minute medical service circle to achieve equitable medical service and close medical treatment.
We will promote the development of the medical consortium
The cities mainly organize medical groups to cooperate on the ties of talents sharing, technical support, mutual recognition, prescription flow and service connection. The county mainly forms medical community and promotes the integrated management of medical and health service in county town. We will form a specialized alliance across the region and work together as a link in technical cooperation, with a focus on improving the treatment capacity of major diseases. Remote area development of telemedicine network, carry out remote consultation, distance learning, remote training, and use informationization to promote the longitudinal flow of resources.
Doctors can practice more
The full implementation of doctors' multi-point practice, qualified physicians can choose 2-3 medical institutions to practice and encourage priority to the multi-point practice of community-level medical and health institutions. To promote the registration of medical institutions, medical institutions, doctors and nurses.
Establish a two-way referral mechanism
Clear medical institutions in slow partition service process, establish a sound mechanism of collaboration, smooth hospital, grassroots medical and health institutions, chronic disease rehabilitation hospitals and nursing homes referral channels between medical institutions, the formation of "slight illness at the grassroots level, to the hospital, rehabilitation back to basic" reasonable medical pattern. Through the use of information technology and other means, the orderly transfer between different levels and categories of medical institutions is realized, and the key points of the referral channel are unimpeded.
The family doctor signed up for full coverage
We will carry out a comprehensive family doctor contract service, and gradually expand to the general population in the elderly, chronic and severe mental disorders, maternal, children, and disabled people. In 2017, the number of key crowd signing service coverage reached more than 60%. In the countryside comprehensive promotion ankang responsibility physician team contract mode, comprehensive promotion in the city of xi 'an "medical couplet body + gp" mode, development including signing of TCM service, service pack, explore provide differentiated services, classification, paid contract signing and other signing service, meet the demand of residents multi-level services. By 2020, the family doctor's contract service will cover all the services and realize grid management and team service.
Control of medical expenses unreasonable growth
We will gradually improve the monitoring and assessment mechanism of medical expenses in public hospitals. We will play a more important role in the control of medical costs. In 2017, the medical expenses of public hospitals in the province will be reduced to below 10% under the same scale. By 2020, the growth rate will be stable at a reasonable level.
We should establish a hospital internal separation system, carry out one-stop service of outpatient service, optimize the medical service process and improve the experience of public medical treatment. To realize the direct settlement of basic medical insurance and national networking, provincial and foreign medical treatment, and facilitate the reimbursement of medical treatment.
We will encourage the provision of TCM services
Encouraged to provide for and use of services of traditional Chinese medicine, reimbursement ratio increasing, the implementation of health care provision of medical rehabilitation projects included in the basic medical insurance to pay limits, gradually expanding into the medical insurance payment of medical institutions of traditional Chinese medicine preparation and acupuncture, therapeutic massage and other non-drug treatment technology in TCM.
We will improve the insurance system for major diseases
In the full implementation of a serious illness insurance system on the basis of urban and rural residents, and to reduce the starting line, improve the proportion of reimbursement, reasonable compliance measures such as the scope of medical expense, raise a serious illness insurance with the precision of payment. Overall shift and medical relief work, the disease such as low object, strands personnel based on medical aid, low-income families of elderly, minors, severely disabled, seriously ill patients such as low-income salvage object and because of sickness poor family illness into relief scope, play a role of the palm guarantee.
We will accelerate the promotion of social services
We will encourage social forces to invest in medical industries in various forms, including building new ones and participating in restructuring, to increase the supply of medical services and provide multi-level and diversified medical services. The maximum relaxation will be to relax the planning restrictions on social services, and social capital will be held in institutions such as rehabilitation, medical care and nursing, nursing homes and other institutions. We will actively develop health services and support social forces in hosting TCM medical institutions. In the event of the establishment of a TCM clinic, the relevant information shall be reported to the local Chinese medicine management department at the local county level for the record of the practice. (reporter che rhymes)
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