Anhui to promote the construction of medical complex, large hospital expert number can be hung in the community

Recently, our province issued the "guidance on promoting the construction of medical complexes ( draft for comments)" (hereinafter referred to as "opinion draft"), according to the "opinion draft", by 2020, the formation of a more perfect policy system of medical associations, the proportion of residents at the grass-roots level of the first consultation reached 70%, the county-level consultation rate increased to 90%. In addition, not less than 5% of the corresponding specialist numbers should be placed in the community.the proportion of primary care for residents will reach 70% by 2020
The Opinion Draft makes it clear that in 2017, all hospitals in the province will have at least one medical complex that meets their own professional characteristics. Explore the mode of division of labor and cooperation to implement the total amount of medical insurance payment and other ways to guide the formation of division of labor and cooperation mechanism and smooth referral mechanism.
2018, our province will gradually form a clear authority and responsibility, clear functions, the masses benefit from the operation of the medical union system. The proportion of primary care has increased significantly, the proportion of diagnosis and treatment in the total number of consultations and treatments has been strived to reach 65%, the rate of county visits has increased significantly, and some counties have reached about 90%. By 2020, the comprehensive guarantee mechanism of medical insurance, price, personnel and funds related to the medical association will be established and perfected, and a more perfect policy system of the medical association will be formed. The proportion of primary health care institutions preferred for residents with diseases reached more than 70%, and the rate of medical visits in the county area increased to about 90%.The medicial community and the medical association form a hierarchical diagnosis and treatment system
the main purpose of the formation of the medical association, the main purpose is to guide the graded diagnosis and treatment, so that patients "big disease into the big hospital, small disease in the community", and the city three-level hospitals will be combined with a number of cities Second-level hospitals, rehabilitation hospitals, nursing homes and community health service centers, the formation of "1 plus X" urban medical complex;
county-level hospital joint township hospital, village health room set up by the "county medical community", will be effectively connected with the city and county medical association, forming a complete hierarchical diagnosis and treatment system.Contracted family doctors can first make an appointment expert number
In order to guide reasonable medical treatment, our province will promote the signing of medical treatment, residents can choose household registration or residence in the medical association of the primary medical institutions for family doctors to sign up, enjoy the first treatment of minor diseases, screening treatment of major diseases, diagnosis and treatment of difficult diseases throughout the signing of medical services, but also enjoy a number of medical benefits.
The higher-level hospitals in the medical association, according to the common diseases and frequent cases contracted by the community, will not less than 5% of the corresponding specialist number source to the community for the contracted service group to use first;Explore medical insurance to the medical association "pay by head
For the medical association, our province will establish medical insurance, drug supply and funds and other security policies, explore the medical insurance to the medical association pay by head, guide the second-level hospitals mainly bear difficult and complex critical patients diagnosis and treatment services, stable chronic patients down referral, the balance of medical insurance funds by the medical association member units independent distribution and use.
for the same disease in the medical association up and down referral, according to the hospital transfer treatment, not as a re-entry, only charge a threshold fee, simplify medical insurance referral, reimbursement procedures. Explore the out-of-hospital consultation fees, telemedic medical consultation fees, family beds into the scope of medical insurance reimbursement. (Zhong'an Online)