Recently, the General Office of the State Council issued the "Guiding Opinions on Promoting the Construction and Development of Medical Consortiums". The "Opinions" clarify that before the end of June 2017, all provinces (autonomous regions and municipalities) must clearly promote the work plan for the construction of medical associations, before the end of October. All tertiary public hospitals must start the construction of medical associations.
In response to different regional characteristics of provinces, cities, counties, etc., the Opinions propose:
(1) Establishing medical groups mainly in cities. In the cities above the city level, the three-level public hospitals or hospitals with strong business capabilities will lead the community health service agencies, nursing homes, and professional rehabilitation institutions to form a management model of resource sharing and division of labor. In the medical association, cooperation is carried out with talent sharing, technical support, inspection and mutual recognition, prescription flow, and service convergence.
(2) Establishing a medical community mainly in the county. Focus on the county-level hospitals as the leader, township hospitals as the hub, village clinics based on the integration of county and township management, and the integration of rural integration management. Give full play to the role of county-level hospitals in urban and rural areas and the leading role of the county, form a division of labor coordination mechanism between county and village three-level medical and health institutions, and build a three-level county-level medical service system.
(3) Establishing a specialist alliance across regions. According to the special resources of medical institutions in different regions, with the support of the specialized technical strengths of several medical institutions, the role of the National Medical Center, the National Clinical Medical Research Center and its collaborative network will be fully utilized, and the special cooperation will be used as a link to establish some characteristics among the regions. Specialist alliances form a complementary development model with a focus on improving the ability to treat major diseases.
(4) Developing telemedicine collaboration networks in remote and poverty-stricken areas. Vigorously develop telemedicine collaboration networks for grassroots, remote and underdeveloped regions, and encourage public hospitals to provide telemedicine, distance learning, and distance training services to grassroots medical and health institutions, and use information technology to promote vertical resource flows and improve quality medical resources. And the overall efficiency of medical services.
Between the city and the rural area, the city's three-level public hospitals can be used as the main unit. On the basis of the established long-term stable counterpart support relationship, the medical associations can be established through various forms such as county-level hospitals in the custody area. The hospitals are stationed in the management team and expert teams to focus on helping to improve the medical service capacity and level of county hospitals. In addition to participating in the local medical associations, national and provincial public hospitals can establish cooperative relationships with a number of medical associations across regions, form high-level and complementary medical associations, and carry out innovative collaborative research, technology popularization and talent cultivation. Radiation drives regional medical service capacity.
At the same time, improve the part-work cooperation mechanism in the medical association and implement the functional positioning of medical institutions. The medical association establishes a responsibility sharing and benefit distribution mechanism, mobilizes the enthusiasm of various medical institutions in the medical association, implements functional positioning, and solidly promotes family doctor signing services.
Promote the integration of high-quality medical resources within the medical association, and encourage medical institutions in the medical association to coordinate the deployment of personnel, salary distribution, resource sharing, etc., and to allocate resources such as medical technology, while maintaining administrative affiliation and financial input channels. Leverage the maximum efficiency of existing resources. Encourage medical institutions in the medical association to send professional technical and management personnel to grassroots medical and health institutions. In the medical association (including cross-regional medical associations), medical personnel are practising in medical institutions that sign assistance or custody agreements, and there is no need to go through the change of practice locations and the filing procedures of the practice agencies.
Strengthening assessment and institutional constraints, establishing a medical evaluation system for medical institutions, focusing on assessing the radiation-driven situation of medical associations and the sinking of medical resources, etc., not simply assessing the amount of business, it is necessary to sink the medical resources of tertiary hospitals, and the grassroots The cooperation of medical and health institutions, as well as the proportion of primary and secondary medical treatment, the proportion of two-way referrals, and the improvement of residents' health, are included in the assessment system, guiding the tertiary hospitals to fulfill their responsibilities and improving measures, actively assisting the grassroots, giving play to the leading role, and guiding all levels. Class medical institutions are actively involved. The evaluation results are used as an important basis for personnel appointment and dismissal, evaluation and evaluation, etc., and are linked to the performance salary, training, promotion, etc. of medical personnel.
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