The National Health and Health Commission press conference, Wuhu's typical release!

On July 28, the National Health and Health Commission held a series of press conferences of the "All for the Health of the People -Our Ten Years" (12th) to introduce the effectiveness of deepening medical reform work since the 18th National Congress of the Communist Party of China. Wuhu Municipal Party Committee Deputy Secretary and Mayor Ningbo attended the press conference and answered questions from reporters. He introduced the reform measures and results adopted by Wuhu in recent years, the specific practices of the reform of the public hospital's salary system, and Wuhu as the "National Public Hospital Reform and high -quality development demonstration project cities in the future "in the future of the six major development directions.

Multiple measures and build a hierarchical diagnosis and treatment system

The hierarchical diagnosis and treatment system is one of the five basic systems of medical reform. In recent years, Wuhu City has taken many measures in graded diagnosis and treatment, and has achieved remarkable results.

Wuhu has four aspects of accelerating expansion and balanced high -quality medical resources, continuous improvement of grass -roots health services, in -depth promotion of medical consortia, and exerting the role of information support. Ability, strengthen division of labor cooperation, innovate service model, and promote the establishment of a new pattern of orderly medical treatment and diagnosis and treatment.

In the first half of this year, the proportion of inter -provincial medical treatment decreased by 30%compared with 2019. The number of grass -roots diagnosis and treatment rates in the county increased by 12%and 28%year -on -year, respectively, and achieved "one drop and two liters."

Actively establish a public hospital salary system

The reform of the salary system is an important part of the comprehensive reform of public hospitals. Wuhu City has launched a new round of public hospital salary system reform since 2016. It is specifically through the reform of the total salary of the hospital, guiding the internal salary distribution system, and the scientific determination of the dean's goal. Annual salary, innovative hospital performance management and results use exploration to establish a public hospital salary system that adapts to the characteristics of the medical industry.

In 2021, the medical service revenue of municipal public hospitals accounted for 4.6 percentage points in 2016, and per capita wage income increased by 43%compared with 2016. The sense of belonging and teamwork of medical staff was enhanced, and the enthusiasm was significantly improved.

Realize the high -quality development of public hospitals centered on patients

Recently, the Ministry of Finance and the National Health Commission reached the budget of subsidy funds for the reform and high -quality development demonstration projects of the Central Finance and High -quality Development Demonstration Projects in 2022. Among the 15 cities selected nationwide, Wuhu occupied a place and became the only city selected in Anhui. It is determined to be a national public hospital reform and high -quality development demonstration project city. This is of positive significance for Wuhu's adherence to the development concept of people's health as the centered on people's health.

As one of the 15 central financial support public hospital reform and high -quality development demonstration projects determined this year, in the future, Wuhu will be building a new system, leading new trends, improving new effects, activating new power, building new culture, and party -to -public hospitals to public hospitals. Public hospitals, including comprehensive leadership, promote the reform and high -quality development of public hospitals.

In the future, Wuhu will build a national and provincial regional medical centers, build six major specialty medical centers, guide high -quality resources to sink, strengthen grass -roots medical and health services, promote the collaboration of graded diagnosis and treatment, and select tumors with large demand and more outside the masses. , 17 disciplines such as cardiovascular and cerebrovascular, enhance the ability of specialties, focus on solving difficulties and major illness prevention, promote "less running once, one understanding account", and implement "at most one fee" to build a harmonious doctor -patient relationship. Establish a sensitive and orderly medical service price dynamic adjustment mechanism and the city's intellectual networking medical platform, and build a patient -centered hospital, and strive to achieve the temperature in the city, the hospital has warmth, and the masses have warmth.

Conference of the conference

ask

Wuhu City is one of the 15 central finance supporting public hospital reform and high -quality development demonstration projects determined by this year. What are the plans of Wuhu City in promoting the reform and high -quality development of public hospitals?

Answer: Thank you for your question.

We will promote the reform and high -quality development of public hospitals from six aspects.

The first is to build a new system. Build a national and provincial regional medical centers and build six college medical centers. Build a close medical consortium to enhance the county's capabilities. Guide high -quality resources to sink, strengthen grass -roots medical and health services, and promote hierarchical diagnosis and treatment and medical defense collaboration.

The second is to lead the new trend. Selected 17 disciplines such as tumors, and cardiovascular and cerebral blood vessels with large demand for the masses, and enhanced the ability of specialties, and focused on solving difficulties and major illness prevention and treatment. Establish the city's intelligent networking medical platform, empower the construction of smart hospitals and information standardization, and promote inspection inspection and inspection and video information sharing.

The third is to improve new effects. Give full play to the economic management role of the chief accountant, and improve the operational management capabilities and development effectiveness of public hospitals. Based on a unified modern hospital management system, operation management system, and regional operation big data platform, it will build a city -collaborative public hospital operation management system.

The fourth is to activate new motivation. Improve the establishment of the turnover pool system and establish a dynamic nuclear increase mechanism. Construct a sensitive and orderly medical service price dynamic adjustment mechanism to increase the proportion of medical service revenue. Deepen the reform of the DIP payment method, and promote the purchase of drugs and consumables to procure and balance.

Fifth, in the construction of new culture. Promote "running one less once, understand the account", and implement a "up to one paid once" to build a harmonious doctor -patient relationship. Implement the "one hospital, one brand" project and create a humanistic care hospital. Vigorously promote the spirit of great resistance and lofty occupation, and enhance the sense of professional honor in medical staff.

Sixth is the party's comprehensive leadership on public hospitals. The "Double Leader" system for the leading group of medical reform. The dean under the leadership of the party committee is responsible for the system, select the leadership team of the best hospital, and integrate the party's leadership into the hospital's entire process. Building a patient -centered hospital, strive to achieve the temperature in the city, the hospital has warmth, and the masses have warmth. Thanks!

ask

The reform of the salary system is an important part of the comprehensive reform of public hospitals. Please introduce the specific practices of the paid system reform in the public hospital? What is the wage and satisfaction of medical staff?

Answer: Thank you for your question.

Wuhu City has launched a new round of public hospital salary system reform in 2016 to explore the establishment of a public hospital compensation system that adapts to the characteristics of the medical industry. The specific practice:

The first is to reform the total wages of hospitals. Implement the "two allowances", innovatively design the total amount of salary accounting formula, reasonably determine the total salary and adjust dynamic adjustment. By regulating the overall stability of the salary level, the unreasonable behavior of the restraint is set up to control the unreasonable behavior of the hospital. In 2021, the total salary approved by the municipal public hospital increased by 50%compared with 2016.

The second is to guide the internal salary distribution system. Implement the internal distribution of autonomy within the public hospital, adopt five types of job -blocking performance distribution methods, solve the problem of uneven performance distribution, and reflect the value -oriented of technical labor services. The Municipal Second People's Hospital launched the "CMI -based RBRVS Workwage Performance Management Management" reform in 2020. The hospital's business and income structure were significantly optimized. Essence

The third is to scientifically determine the annual salary of the dean. The annual salary system of hospital leaders is implemented, and the annual salary of the dean and the chief accountant shall be arranged by the government's fiscal budget. The income of hospital leaders is linked to employee income level, hospital comprehensive target assessment and personal assessment results.

Fourth, the performance management and results of innovative hospitals. For 10 consecutive years, the comprehensive target assessment of public hospitals has been carried out, and the results of the assessment results are scientifically accurate and efficient through informatization. The assessment results are linked to the total salary of employees and the annual salary of the dean.

In 2021, the medical service revenue of municipal public hospitals accounted for 4.6 percentage points in 2016, and per capita wage income increased by 43%compared with 2016. The sense of belonging and teamwork of medical staff was enhanced, and the enthusiasm was significantly improved.

Thanks!

ask

The hierarchical diagnosis and treatment system is one of the five basic systems of medical reform. What reform measures have been taken in Wuhu in recent years? How effective is it?

Answer: Thank you for your question.

In recent years, we have actively promoted the construction of the hierarchical diagnosis and treatment system, focusing on optimizing the layout of resources, improving service capabilities, strengthening division of labor cooperation, innovative service models, and promoting a new pattern of orderly medical treatment and diagnosis and treatment.

The first is to accelerate capacity expansion and balanced high -quality medical resources. Create the National Regional Medical Center and Provincial Regional Medical Center of the nervous system, connect the high -quality medical resources of the Yangtze River Delta, improve the level of regional medical services, and reduce inter -provincial and cross -regional medical treatment. Promote the optimized layout, complementary, and difference development of urban three -level public hospitals, guide new resources to tilt towards the New Area, make up for shortcomings such as Jiangbei, Sanshan, and Economic Development Zone, and promote high -quality medical resources to extend to the masses.

The second is to continue to improve the ability of grassroots health services. The provincial and municipal three -level hospitals are stationed in the construction of county -level hospitals, promoting county -level hospitals to carry out the establishment of third -level hospitals, and strive to allow patients to get relatively high -quality medical services within the county area and promote general diseases to resolve in the county. Construction of 5 county medical care centers, promote a number of township center health centers, community health service centers to upgrade to secondary hospitals and community hospitals, give full play to the role of "healthy gatekeepers" at the grassroots level, promote small diseases such as headache and brain heat to solve in towns and villages in the villages and villages. Essence

The third is to further promote the construction of medical consortia. Five tight urban medical federations and 8 tight county medical communities. Realize the use of disinfection supply and image, inspection, and ECG centers, inspection and inspection and mutual recognition, and establish a pharmacy center pharmacy to improve the level of homogeneity of services. Relying on the medical consortium, the grass -roots institutions have signed a contract service team with a specialist physician and a high -year -old nurse to form a family doctor, which has improved the level of signing services. The higher -level hospital reserves 30%of the source of the grassroots, and built a two -way referral "green channel" to provide patients with smooth referral and continuous diagnosis and treatment services.

The fourth is to play an information support. Promote long -range medical cooperation, carry out more than 150,000 cases of remote images and ECG diagnosis; use artificial intelligence technologies such as "smart medicine assistant" to auxiliary diagnosis of more than 6.31 million times, and intelligent follow -up of more than 9.15 million times. Through the "Healthy Wuhu" platform, it has realized the appointment diagnosis and treatment, two -way referral, and the signing of the family doctor.

In the first half of this year, the proportion of inter -provincial medical treatment decreased by 30%compared with 2019. The number of grass -roots diagnosis and treatment rates in the county increased by 12%and 28%year -on -year, respectively, and achieved "one drop and two liters."

Thanks!

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