By 2025, Sichuan Public Hospital will build such a "net" ...

Author:Chuanguan News Time:2022.06.29

Chuanguan News reporter Shi Xiaohong

By 2025, it is initially constructed to adapt to the level of economic and social development, and match the new needs of residents' health. It is linked to the new needs of residents, regional collaboration, medical defense integration, equal emphasis on traditional Chinese and western medicine, and high -quality and efficient public hospital systems. Assure. Not long ago, the Provincial Health Commission issued the "Sichuan Provincial Public Hospital High -quality Development Promotion Action (2022-2025)", which clarified 8 specific actions to promote the high -quality development of public hospitals in Sichuan Province during the "Fourteenth Five -Year Plan" period, and strive to explore the public. The hospital development method has shifted from scale expansion to quality increase, operating mode from extensive management to refined management, resource allocation from focusing on material elements to more attention to the implementation path of talent technical elements.

The relevant person in charge of the Provincial Health Commission said that in recent years, various public hospitals at all levels have conducted useful explorations in accordance with their own positioning and achieved preliminary results.

Nurses of Huaxi Tianfu Hospital of Sichuan University are registering medical records for patients. Chuanguan News reporter Wu Feng

New system

37 composite medical communities in the county area

On June 10, the experts of the three groups of villagers Zhu Xi, a group of villagers in Yuangen Village, Liziping Township, Shekong County, and the experts of the Public Hospital Group of the Shimon County Public Hospital. She is a chronic disease management patient signed by a family doctor, and regular -door service is the "daily" of team experts.

After the establishment of the Hospital Group, the People's Hospital of Asaima County, incorporated 26 medical institutions in the county into it, to realize the county and townships of medical images and biochemical examinations. At the same time, integrated management in information technology, slow disease management, and professional training allows the masses to enjoy medical services of homogeneous counties and townships.

At present, there are 37 counties in the province with county -tight medical communities like the county hospitals as the county hospital. In addition, 90 county hospitals in Sichuan Province were included in the "Thousand County Projects" by the State Health Commission, ranking third in the country. From 2021 to 2022, Sichuan Province strived to support the central government's key counties, 41 poverty alleviation counties, and 1 central and western medical service capabilities in 25 countries to support the key counties of rural rejuvenation. At present, the presence of more than 90%in the province's county has reached more than 90%.

Unlike the county -level public hospitals, the target is located in the service county. The central government sets the goal on the establishment of national and provincial high -level hospitals in Sichuan and provincial hospitals.

In April of last year, at the second batch of committees of the provincial medical center and the national regional medical center held by the National Health and Health Commission, Sichuan was included in the second batch of provincial pilot provinces. Huaxi Stomatology Hospital of Sichuan University was successfully set up as the National Stomatology Center, and Huaxi Second Hospital of Sichuan University was successfully set up as the National Children's Region (Southwest) Medical Center. At the same time, the Provincial People's Hospital, the Provincial Cancer Hospital, and the Affiliated Hospital of Southwest Medical University have also declared the creation of 8 professional national regional medical centers including infectious diseases, respiratory, trauma, nerves, cancer, and orthopedics.

What is the positioning of municipal public hospitals in the new system? Recently, the Provincial Health and Health Commission and other departments have determined that Chengdu, Zigong, and Panzhihua 3 cities have been used as pilot cities for close urban medical groups. The tight urban medical group is a medical consortium led by the third -level public hospital and a member of the grass -roots medical and health institutions as a member. The gap between the hospital "and the grass -roots hospitals forms the development model of" orderly competition and complementary advantages ".

Chengdu will actively explore the sharing of medical resources, promote the "No. 1" for medical registration, unify the coding of drugs and consumables in the medical consortium, and promote the reasonable flow of the medication catalog and reasonable flow; The Council of the Urban Medical Group regulates the internal governance structure and the rules of power operation, implements its own functional positioning, and promotes complementary functions. The medical institution that treats chronic diseases is included in the scope of the basic medical security.

In the Chengdu Women's and Children's Center Hospital Disinfection Supply Center, the nurse inspected and maintained the medical equipment on the operating platform. Chuanguan News reporter Xiao Yuyang Photo

new trend

88.37%of the third -level public hospital can make appointments for diagnosis and treatment during the time period

It is necessary to let the masses look sick, but also make the masses look good.

This year, the provincial -level financial investment was 131 million yuan, supporting the first batch of 75 provincial clinical key specialty construction projects, of which focusing on strengthening the construction of specialties such as respiratory, cardiovascular, tumors, obstetrics and gynecology, pediatrics, anesthesia, spiritual, rehabilitation, and severe illnesses. Last year, the central government invested 70 million yuan to support the clinical key specialist construction projects in 14 countries in Sichuan Province, and focused on clinical specialties such as severe development, tumors, cardiovascular, respiratory, and pediatrics.

In order to promote the construction of high -level clinical key specialists, measures have followed up one after another. Since 2020, Chengdu has given 10 million yuan/year special fund support for three consecutive years. Each country, provincial, and municipal key specialist project construction units have self -funded funds based on government subsidies. In 2021, the Provincial Clinical Medicine Research Center undertook 361 provincial and ministerial projects with new provincial and ministerial projects, with a total funding of 95.57 million yuan. Since 2022, through major scientific and technological projects and key research and development plans, it supports 1246 science and technology plan projects in the Sichuan Provincial Public Hospital, with a funding for 300 million yuan. Zigong City deepened the construction of famous medical names and names, and successively carried out high -level cooperation with scientific research institutions such as the Academician Zhong Nanshan of Guangzhou Respiratory Health Research Institute, Beijing Union Hospital, and Xiangya Second Hospital of Central South University to build five medical research institutions. The medical service model is also innovating. At present, 88.37%of the province's tertiary public hospitals have carried out reservations for diagnosis and treatment during the time period, and 160 public medical institutions above the second level have implemented a centralized appointment for inspection and inspection, and 287 remote medical cooperation networks were built in the province. With the "cloud image" and "cloud film" as the starting point, actively promote the construction of provincial inspection and inspection and sharing platforms, and initially realize mutual recognition of medical examination and inspection results between three -level medical institutions. 199 Internet hospitals have been completed in the province. Last year, it provided 199,000 online consultations, 720,000 online consultations, and 828,000 electronic prescriptions. At the same time, the construction of the "5G + Medical Health" remote application system was launched, and 55 projects were included in the national "5G + Medical Health" construction pilot pilot.

new motivation

Salary tilt to high -level talents

On June 24, a provincial People's Hospital's recruitment information attracted the attention of the public. Provincial hospitals invite discipline leaders to the world, giving 2 million annual salary, 20 million yuan of scientific research launch funds, 2 million yuan housing subsidies, can apply for corresponding talent projects, and enjoy government affairs, finance, scientific research, residence, medical care, medical care, medical care, medical care, medical care, medical care, medical care, medical care, medical treatment, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, medical treatment, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, and medical treatment,, medical treatment, medical treatment, medical treatment, and medical treatment, and medical treatment, and medical treatment. Children's choice of schools and other all -round talent services.

High -paying recruitment of public hospitals is not a case. Not long ago, Chengdu Seventh People's Hospital also attracted talents to join talents with a generous annual salary. "This not only reflects the hospital's emphasis on talents, but also stimulates the potential of employees." Jiang Yingqiang, the Ministry of Medical Department of the hospital.

Sichuan Province continues to ensure and implement the autonomy of public hospital employment, combined with the medical service level of public hospitals, and strengthen the position and employment management of public hospitals from the aspects of optimizing the proportion of job structure, standardizing employment and contract management. Support public hospitals to dynamically adjust job setting plans to optimize personnel management of public hospitals.

In terms of the salary distribution system, reform measures such as reasonable determination of the total salary, independent internal distribution, determination of the salary level of the main person in charge, and the tilt of high -level talent salary are formed to form a provincial -level deepening public hospital's salary system reform implementation plan. At the same time, deepen the reform of the system of hygiene titles, adhere to stratified classification evaluation, highlight clinical practice orientation, and formulate and improve the requirements of clinical evaluation indicators and performance representatives. Carefully release the authority of the title of the title, and gradually decentralize the evaluation power of the deputy senior titles of the health and the right to the high -level titles of the grass -roots at the grassroots level. The Provincial People's Hospital takes performance reform as a breakthrough, focusing on optimizing the revenue structure, the treatment of difficult diseases, and the target orientation of the cost of control, and the establishment of a monthly performance salary assessment system, which effectively improves the hospital's operating efficiency and service level.

In order to enhance the vitality of county -level public hospitals, the "total payment, balance reserves, and overdue" medical insurance payment methods are implemented in a close medical bodies in the county. Since 2021, led by the Qingshen County Hospital Group, with the support of the County Medical Security Bureau, a "two -disease" personalized health service package has been formulated to innovate and create "one payment once a year, two personalized service packages, and two personalized service packages, and Three free, four follow -up, one at any time ". The implementation of personalized health service packages has reduced per capita medical expenses of "two diseases" patients by more than 10%than before, and can enjoy more inspection and identification services.

New culture

Public hospitals above the third level have network platforms with network platforms

At the 2022 Health Communication Cloud Summit held on June 24, the Provincial Health and Health Commission made experience exchanges and sharing, and Luzhou People's Hospital and Jianyang People's Hospital also exchanged speeches.

Continue to strengthen the cultural construction of hospitals, combine the combination of publicity and online publicity platforms in the hospital, and convey the correct health science knowledge to the society, which has become a new cultural characteristics of various public hospitals at all levels.

At present, the vast majority of comprehensive hospitals above the province have opened online platforms. All public hospitals above the third level have opened network platforms and innovatively explore various publicity methods. A song "I am a doctor is not a god" in Luzhou People's Hospital, telling the doctor's suffering and joy with simple lyrics, and popular all over the country; Teammates encourage each other's emotions of difficult, patriotic and loved patients; popular science propaganda in Weibo, WeChat and APPs of West China Hospital of Sichuan University. During the period, various public hospitals in Sichuan Province used their own network platforms to increase knowledge science and announce the ins also instructions for patients to obtain various types of information as soon as possible.

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