Make "healthy background" show "happiness"

The Third People's Hospital of Fujian University of Traditional Chinese Medicine University of Traditional Chinese Medicine is at Shishi City Hospital of Traditional Chinese Medicine Hospital.

The medical reform carried the expectations of the people's livelihood that solved the "difficult to see a doctor and expensive to see a doctor", and has always attracted much attention. Since the 18th National Congress of the Communist Party of China, the Shishi Municipal Party Committee and Municipal Government put the health of the masses in the strategic position of priority development, focus on the people's urgency and expectation, deepen the reform of the medical and health system, make up for the shortcomings, strengthen the grassroots, and build mechanisms, establish a covering urban and rural areas. The medical and health service system, "Little illness does not go out of the village, the common disease does not get out of the town, and the big illness does not go out of the market" gradually becomes a reality ...

For ten years, the "medical reform" of Shishi has taken out a road to reform and development of the characteristics of the characteristic health and health undertakings in line with Shishi. It has surrendered an excellent transcript, and the sense of gain, happiness, and security of the masses have been continuously enhanced.

Cracking "difficult to see a doctor":

There is a people around

"8 -minute medical and health service circle"

"In the village health center, an electrocardiogram can achieve remote consultation of experts. When you go to the township health centers, experts from provincial and municipal hospitals often come to the clinic. The villager Lao Lin went out from the house. It only took 8 minutes to reach the medical service institution to obtain a high -quality grass -roots diagnosis and treatment services. He clearly felt that the villagers watched the "minor illness" and were more willing to stay at the grassroots level, and the recognition of the "House Hospital" was getting higher and higher.

Statistics show that since the "Village -level Inspection and Municipal Diagnosis" model of "Village and Village of ECG", the city's village health center (room) has screened 375 suspected cases, and a total of 139 patients with heart abnormalities have been treated in a timely manner.

This change is closely related to the "city, town, village" three -level hierarchical diagnosis and treatment system under the "medical community" model. In recent years, Shishi has formed a tight "medical community" composed of Shishi City Hospital as the leader, two specialized municipal hospitals and nine primary medical and health institutions, and extended the "strong grassroots" to the village level and broke the level. Medical barriers between medical institutions. Everyone no longer competes for resources and equipment, but instead realizes the common improvement of medical services in the city, town, and village through resource sharing and transmission belts, and becomes a responsibility, sharing of interests, mutual assistance, and referring to each other. "Family": Speaking critical illnesses and difficult diseases stay at the first -level diagnosis and treatment of the city. In this way, the masses can choose different medical institutions in accordance with the difficulty of the disease and the difficulty of treatment, thereby forming a reasonable medical and diagnosis and treatment pattern, which is conducive to solving the problem of "difficulty in seeing a doctor".

Based on the expectations of the masses for high -quality medical resources, these years, Shishi has continued to grafted the "national team" and high -quality medical resources at all levels in Fujian and Quanzhou, strengthened the construction of key specialty specialists, and realized "the hospital has a strong science and a well -known doctor". The original intention of the serious illness "is not out of the county" has gradually been fulfilled: 9 famous medical studios such as Chen Chunmei Surgery, Chen Chunmei Surgery of Xiehe Hospital Affiliated to Fujian Medical University, and Quanzhou 910 Hospital Zhangcheng Huapu Surgery. In Shishi City, there is a relatively fixed "fan base"; the standardization construction of six major treatment centers including chest pain, stroke, trauma, and respiratory has improved the ability of the city's urgency and critical illness. Through national certification, the Stroke Center became the first batch of "stroke emergency map hospitals" units in Quanzhou; the expert team sent by Fujian Provincial Hospital and Quanzhou Maternal and Child Health Hospital to achieve co -construction with the gynecology department of Shishi Maternal and Child Health Hospital and Newborn Department, so that the masses "Home Door" has directly connected the "Expert"; since the opening of the Shishi Hospital of Traditional Chinese Medicine, a group of high -quality TCM projects have been promoted to the "Traditional Chinese Medicine Standard Conducting Center" and "Traditional Chinese Medicine Health Management (Treatment of the disease) centers". The Chinese Medicine Hospital formed a medical consortium to share the achievements and resources of its key specialty, and provides a high -end traditional Chinese medicine expert service that is difficult to get in contact with the people of Shishi ... For grassroots people, this is not only difficult to solve the doctor, but also the precious treatment. At least a lot of expenses for medical treatment and round trip.

The launch of smart medical care has also opened a dose of good recipes to crack the masses. At present, Shishi has continuously improved the process of medical treatment with the help of intelligent and informatization methods to launch "Palm Smart Hospital", which solves the "pain points" of the mass registration time, long payment time, and long time of medication. "Information running" effectively promoted the operation of the hierarchical referral mode.

Express the doctor's expensive:

Reform

Promoting medical expenses significantly declined

"The price is reduced! It was 184 yuan before the price reduction, and the price was 72 yuan after the price was reduced. It was really cheaper!" Beneficial.

Starting from May 9, 2022, all public medical institutions in Fujian Province will uniformly implement the results of the sixth batch of national organizational drugs (insulin special). It can save about 4,000 yuan each year.

This is of great significance for patients, saving a large amount of medical expenses, and undoubtedly brings new hope to families with heavy drug costs. In 2019, the country has started drug collection. Over the past three years, from chronic diseases such as hypertension, diabetes, to major diseases such as lung cancer and pancreatic cancer, and then to medical consumables such as coronary stents and artificial joints, Shishi City is normalized, and drugs and medical consumables are purchased. At present, in terms of pharmaceutical collection, Shishi has implemented 6 batches of national collection, 2 batches of provincial -level collection, and 1 batch of inter -provincial alliance collection. A total of 356 drugs are reduced to reduce the burden of mass medicine costs about 43 million yuan ; In terms of medical consumables, 2 batches of national collection, 2 batches of provincial -level collection, and 3 batches of inter -provincial alliance collection have been implemented. There are 15 categories in total. The sense of gain, happiness and security.

In order to continue to reduce the cost of medical treatment, Shishi comprehensively implemented the reform of the total payment of medical insurance funds and the reform of the multi -composite medical insurance payment method based on the type of disease.

In other words, the medical insurance department clearly stipulates how much a certain disease should spend to prevent medical institutions from abused medical services, duplicate projects, and decomposition projects to prevent the hospital's minor disease.

Taking the appendix resection of acute purulent appendicitis as an example, the medical insurance institution stipulates that the maximum treatment cost of the appendix resection at the municipal general hospital is 8,000 yuan, that is, the patient's hospitalization cost is settled at 8,000 yuan. The average of 10,000 yuan will be 10,000 yuan if the previous charging method (according to the project). Today, each patient saves 2,000 yuan. If the cost of medical treatment exceeds the cost of the disease, the hospital will be borne by the hospital by themselves, forcing the hospital to improve the diagnosis and treatment technology, control the medical expenses, and cure patients with the least money.

At present, the number of pilot diseases paid by the city has increased from 270 to 506. The burden of medical insurance insured personnel has been further reduced, and the sense of gain is effectively improved. (Reporter Xie Yan)

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