Medical network on April 13 - the official deployment of the state council, couplet of medical springing up across the country, is related to medical imaging and inspection center will also thoroughly. 

 

On April 12, prime minister li keqiang chaired a state council executive meeting, the deployment of promoting the construction of medical association. Meeting the four specific measures are put forward, including: 

 

One to break the administrative area, financial investment, health care payments, personnel management, as well as the barriers to full launch pilot couplet of various kinds of medical construction, adjust measures to local conditions to explore by tertiary public hospital or business ability strong, county hospital, hospital, set up different levels, different types of urban and rural medical institutions or specialized subject of complementary advantages, collaboration between medical couplet, vigorously develop for telemedicine network and outlying and poverty-stricken areas at the grass-roots level. 

 

Second, we must promote high quality medical resources sharing and sink at the grass-roots level, by sending experts, specialized subject to build, enhance the level of primary care business guidance, etc. Implementation within the couplet of medical health records, medical records, such as connectivity, implement results mutual recognition, prescription drugs, sharing. Based on medical image, inspection center, such as integration services in the couplet of medical. Also must strengthen the cooperation between different medical couplet body. 

 

Third, we need to speed up the implementation of hierarchical diagnosis mechanism. Demand oriented old-age signing the family doctor service, all the poor into the scope of services during the year. Encourage and guide the residents to the first option, the superior hospital signed a contract to provide priority accepts, examination, hospitalization and other services, and postoperative recovery time, such as severe plateau patient referral down channel. Encourage nursing center, professional to join the medical rehabilitation institutions. 

 

Fourth, we need to increase policy support. Explore the incentive mechanism is advantageous to the up and down through the allocation of health resource. Total of vertical cooperation medical couplet of medicare pay pay for a variety of ways. The grassroots ZhenLiaoLiang percentage than, two-way referral, residents health improvement indicators into the performance appraisal, etc. Medical staff in medical couplet body flow in practice generally do not need to deal with relevant formalities. To reform and innovation better satisfy the crowd disease prevention, convenient for medical treatment and nursing, rehabilitation, etc. 

 

Four medical couplet body form, tertiary hospital years full participation 

 

Deployment according to the meeting, the national, the wave of couplet of comprehensive medical building will be coming soon. 

 

For the details of couplet of medical pilot form, li bin, director of the national health development planning commission during the two sessions this year said publicly: 

 

"In primary exploration practice, there are several kinds of forms: first, the city's medical couplet body, have a plenty of close, some relatively loose. Mainly led by tertiary hospitals as a unit, absorbing and grassroots medical institutions to take part in the secondary hospital, forming a couplet of medical. Second, within the scope of the county, is now a good a form called" medical body together ". The medicare payment reform and medical combining the construction of the body, from the prevention, treatment, rehabilitation, integration service, the county, township and village. Third, the federation is an alliance of specialty in specialty. Junior coalition is often across regions, such as some eye specialist alliances, pediatrics, gynecology and obstetrics,. Fourth, in remote areas, we carry out the remote medical treatment, telemedicine network is established." 

 

Li also said that this year all of the tertiary hospitals have to take the lead to participate in the construction of couplet of medical. 

 

D of couplet is effective integration of medical resources, the future trend and direction. Clearly put forward in the deployment of the state council, to "establish medical imaging, inspection center, such as in medical couplet body to provide integrated service", as the construction of couplet of medical wave propulsion, across the country in spring is also the images and inspection center. 

 

Within the big change, couplet of medical health care package to pay 

 

Among them, li bin mentioned, and that good body "medical" this one form, is the most typical representative of tianchang, anhui province. This is like the sanming city, fujian province and a large health star. Shortly before the national health conference, tianchang is also a public appearance, is introduced in the medical body practice. 

 

And tianchang medical body, not just have a hierarchical diagnosis and treatment, mutual confirmation of inspection, etc., and unified management of large medical equipment, the common use, and have a medical body as a whole shall practise a system of total pay for health care, reversed transmission medical body in all medical institutions to control the unreasonable expenses. One effect is that of tianchang medicine would have dropped below 30%, material proportion has dropped to 9%. 

 

This time, also clearly put forward in the deployment of the state council, to "total medicare pay for longitudinal cooperation medical couplet body" wait for a variety of payment methods. This means that for a long time in China, each at the hospital for a single total health way will be a significant change in advance. 

 

Encouraged within the couplet of medical health care package to pay of the state council, or various medical institutions to control costs, beyond the part not to submit an expense account, extra balance part is made up of various medical institutions sharing benefits together. 

 

This pattern in the charged fees at the same time, should also exacerbate "choose" patients, reduce medical institutions essential services. , of course, for the enterprise, is also has a direct impact on, up and down the medical institutions all dare not, also don't want to spend more money, but hard to control drug, consumables, equipment procurement costs.