On the 26th, the website of the Guangdong Provincial Government issued the “Implementation Plan for Accelerating the Construction of Graded Diagnosis and Treatment System in Guangdong Province†(referred to as the “Programâ€). The plan proposes that by 2017, the rate of medical treatment in the county will increase to about 90%, and primary health care will be provided. Institutional diagnosis and treatment accounted for more than 65% of the total diagnosis and treatment volume, and a rational and orderly medical treatment pattern was basically formed. The following is the full text of the program:
Notice of the General Office of the People's Government of Guangdong Province on Printing and Distributing the Implementation Plan for Accelerating the Construction of the Graded Diagnosis and Treatment System in Guangdong Province
Guangdong Office Letter [2016] No. 232
The local people's governments at various levels, the people's governments of counties (cities, districts), the various departments of the provincial government, and the directly affiliated institutions:
The Implementation Plan for Accelerating the Construction of Graded Diagnosis and Treatment System in Guangdong Province has been approved by the provincial people's government and is now printed and distributed to you. Please organize and implement it carefully. The problems encountered during the implementation process should be reflected by the Provincial Health and Family Planning Commission.
Provincial Office
May 16, 2016
Guangdong Province accelerates the implementation of the grading diagnosis and treatment system
In order to implement the "Guiding Opinions of the General Office of the State Council on Promoting the Construction of a Graded Diagnosis and Treatment System" (Guo Ban Fa [2015] No. 70) and the "Decision of the Guangdong Provincial People's Government of the Guangdong Provincial Committee on Building a Strong Health Province" (Yuefa [2015] 〕 No. 15) spirit, accelerate the construction of the graded diagnosis and treatment system, and develop this implementation plan based on the actual situation of our province.
I. Guiding ideology and target tasks
(1) Guiding ideology. Fully implement the spirit of the Party's 18th National Congress and the 18th Central Committee, the Fourth Middle School, and the Fifth Plenary Session, thoroughly study and implement the spirit of General Secretary Xi Jinping's series of important speeches, conscientiously implement the decision-making arrangements of the Party Central Committee, the State Council, the provincial party committee, and the provincial government, and build on the foundation. The province is strong in health, adheres to the principle of people-oriented, the masses voluntarily, coordinating urban and rural areas, and the mechanism of innovation, taking the family doctors' contract service as the entry point, taking the common disease, frequently-occurring disease, chronic disease classification and treatment as a breakthrough, and constantly improving the service network, operation mechanism and incentive mechanism. Promote the sinking of medical talents and urban hospital resources, vigorously improve the basic medical and health service capabilities and the satisfaction of the masses, form a scientific and rational medical treatment order, establish a graded diagnosis and treatment system in line with the actual situation in Guangdong, and effectively promote the fairness and accessibility of basic medical and health services.
(2) Target tasks.
——In 2016, the province comprehensively carried out grading diagnosis and treatment.
——In 2017, the grading diagnosis and treatment policy system was gradually improved, the functional orientation of medical and health institutions at all levels was more clear, the division of labor and cooperation mechanism was basically formed, the quality medical resources were effectively sunk, and the construction of grassroots medical and health personnel with emphasis on general practitioners was strengthened. The coverage rate of GPs has been steadily increasing. The rate of visits in the county has increased to about 90%. The proportion of medical treatment in primary health care institutions has reached more than 65%. The rational and orderly medical treatment pattern has basically taken shape.
——In 2020, the basic coverage of GPs is fully covered, the grading diagnosis and treatment services are comprehensively improved, the guarantee mechanism is gradually improved, the layout is reasonable, the scale is appropriate, the level is optimized, the responsibilities are clear, the functions are perfect, and the efficient medical service system is basically constructed. The first-level diagnosis, the two-way referral, the rapid division of treatment, and the hierarchical diagnosis and treatment system of the upper and lower levels were established.
Second, the main measures
(1) Accelerate the construction of an integrated medical and health service system.
1. Identify the functional positioning of various types of medical institutions at all levels. The city's tertiary hospitals mainly provide diagnosis and treatment services for critically ill and difficult and complex diseases, receive subordinate referrals, and undertake tasks such as personnel training, medical research and public health, and emergency medical rescue. The city's third-level Chinese medicine hospital makes full use of the traditional Chinese medicine (including ethnic medicine, the same below) technical methods and modern science and technology, providing Chinese medicine diagnosis and treatment services for critically ill and difficult diseases and outpatient treatment services for dominant diseases of traditional Chinese medicine. The city's secondary hospitals are mainly responsible for patients with acute disease recovery during the referral of tertiary hospitals, patients with postoperative recovery and patients with stable critical illness. The county-level hospitals mainly provide common diseases, frequently-occurring diseases and treatments for residents in the county, as well as emergency referral services for critically ill and difficult diseases. Primary health care institutions, rehabilitation hospitals, nursing homes, etc. (hereinafter collectively referred to as chronic disease medical institutions) provide treatment, rehabilitation, nursing and hospice services for patients with chronic diseases, stable patients, elderly patients, advanced cancer patients, etc. . Primary medical institutions should also undertake diagnosis and treatment services for common diseases and frequently-occurring diseases, refer to common diseases, frequently-occurring diseases and critically ill and critically ill patients who are beyond their own service capacity, and provide basic public health care, health education, family planning and other basic public. Health services. (The Provincial Health and Family Planning Commission, the Chinese Medicine Bureau is responsible for, the first department is the lead department, the same below)
2. Improve the rational allocation mechanism of medical resources. Formulate plans for medical and health service systems in Guangdong Province and plans for setting up medical and health institutions, and strengthen the guidance and restraint role of regional medical and health resources allocation. Determine the service capacity standards of medical institutions of different levels and different categories, and guide the medical institutions at all levels to implement functional positioning through incentives and constraints such as administrative management, financial input, performance appraisal, and medical insurance payment. Focus on controlling the number and scale of tertiary comprehensive hospitals, and establish a public hospital bed regulation mechanism with disease structure, service radiation range, functional task completion, personnel training, and work efficiency as the core, and strictly control the unreasonable expansion of hospital bed size. The tertiary hospital focuses on the leading role in medical science, technological innovation and personnel training, and gradually reduces the common outpatients of chronic diseases with common diseases, frequently-occurring diagnosis and diagnosis, and stable disease, diverting patients with chronic diseases, shortening the average hospitalization days, and improving operational efficiency. . Insufficient service capacity for basic Chinese medicine and Chinese medicine hospitals in weak areas should be treated differently. Support the development of medical institutions for chronic diseases, and encourage some secondary hospitals in areas with rich medical resources to transform into chronic disease medical institutions. (The Provincial Health and Family Planning Commission is responsible for the Provincial Development and Reform Commission, the Department of Finance, the Human Resources and Social Security Department, and the Chinese Medicine Bureau.)
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