The hospital is planned!

Promoting the high-quality development of public hospitals has become the focus of medical reform work, and relevant policies around the construction of public hospitals have been released one after another
.
Large public hospitals have always been the leaders of public hospitals in China, which also means that the focus of future competition for hospital-related drugs, consumables and equipment will still be large public hospitals.
Therefore, pharmaceutical companies should also continue to pay attention to this "main battlefield": 2025 The proportion of geriatric medicine departments in second-level and above general hospitals shall not be less than 60%
.
Each province (autonomous region, city) shall set up at least 1 provincial-level TCM regional medical center, and basically achieve full coverage of county-run TCM medical institutions in public hospitals with no more than 50 beds in each ward.
By the end of 2025, eligible public hospitals will hold branches No more than 3 days ago, the National Health and Health Commission issued the "Guiding Principles for the Planning of Medical Institutions (2021-2025)", which pointed out: We must adhere to people's health as the center, high-quality development as the theme, and supply-side structural reforms.
The main line is to promote the expansion of high-quality resources and the balanced layout of regions, focusing on the combination of emergency and emergency, medical and prevention coordination, regional cooperation, medical and elderly care, both Chinese and Western medicine, and diversified development.
Community construction, actively develop continuous medical institutions and Internet hospitals, speed up the construction of a hierarchical diagnosis and treatment system, improve the ability to treat major epidemics, and protect the health rights and interests of the people
.
The establishment of medical institutions is subject to macro-control based on major indicators such as medical service demand, medical service capacity, number of beds per thousand population (number of TCM beds per thousand population), number of physicians per thousand population (number of TCM physicians per thousand population), and number of nurses per thousand population.
The index value is determined by the provinces, autonomous regions and municipalities directly under the Central Government according to the actual situation
.
At the same time, five basic principles for setting up medical institutions were clarified: adhere to the principle of demand orientation, the principle of regional overall planning, the principle of scientific layout, the principle of collaborative innovation, and the principle of equal emphasis on traditional Chinese and Western medicine
.
Improve the traditional Chinese medicine service system and basically achieve full coverage of county-run traditional Chinese medicine medical institutions.
The guiding principles are clear.
Among the main indicators of the national medical institution establishment plan in 2025, the proportion of geriatric medicine departments in second-level and above general hospitals should not be less than 60%
.
It is necessary to deepen the integration of medical care and elderly care, strengthen the establishment of geriatric medicine departments in second-level and above general hospitals, encourage qualified second-level and above traditional Chinese medicine hospitals to set up geriatrics departments, and guide some first- and second-level public medical institutions to transform into long-term care institutions
.
At the same time, it is necessary to improve the traditional Chinese medicine service system, clearly adhere to the principle of equal emphasis on traditional Chinese and Western medicine, ensure the rational distribution and resource allocation of traditional Chinese medicine, integrated traditional Chinese and Western medicine, and minority medical medical institutions, and set up at least one provincial TCM area in each province (autonomous region, city).
Medical centers, basically achieving full coverage of county-run TCM medical institutions
.
The number of public hospitals should be reasonably set; the number of beds in each ward of a public hospital should not exceed 50.
The guiding principle points out that the number of public hospitals at the provincial, city and county levels should be set reasonably: In provincial areas, 1 per 10 million to 15 million population is planned to be set.
There are provincial-level regional medical centers, and at the same time, special hospitals and traditional Chinese medicine hospitals for children, tumors, mental diseases, infectious diseases, etc.
, can be planned and distributed according to needs
.
In prefecture-level areas, 1 to 2 prefecture-level tertiary general hospitals (including traditional Chinese medicine hospitals, and the population size in areas with large areas and sparsely populated areas can be appropriately relaxed) for every 1 million to 2 million population, and children, spiritual , Obstetrics and Gynecology, Tumor, Infectious Diseases, Rehabilitation and other municipal specialized hospitals (including TCM specialized hospitals)
.
In county-level areas, based on the number of permanent residents, in principle, one county-run general hospital and one county-run traditional Chinese medicine hospital (including traditional Chinese medicine, integrated traditional Chinese and Western medicine, and ethnic minority medical hospitals, etc.
) will be set up.
Priority is given to setting up ethnic minority medical hospitals in county-level regions
.
The plan is clear, and the bed size of a single (single practice site) public hospital is reasonably determined, and the size of each ward should not exceed 50 beds
.
The number of beds in the newly established county-run general hospitals is generally about 600 to 1,000; the number of beds in the newly established prefecture-run general hospitals is generally about 1,000 to 1,500; the newly established provincial-run and above general hospitals The number of beds is generally around 1500 to 3000
.
Those undertaking the tasks of regional medical centers may appropriately increase the size of beds according to the needs of medical services
.
When setting up and approving tertiary general hospitals, guide tertiary general hospitals to increase the size and proportion of beds in intensive care medicine, and rationally allocate clinical department resources
.
The newly added tertiary general hospitals and their beds shall comprehensively consider factors such as the utilization rate of hospital beds, the average hospitalization days, and the difficulty of receiving and treating diseases.
In principle, the average hospitalization days shall not be added
.
By the end of 2025, eligible public hospitals will have no more than 3 branch campuses.
In addition, the guidelines clarify the concept of “branch campuses” for public hospitals for the first time
.
The branch campus is a non-independent legal person, and its personal, financial, property and other assets are all owned by the main campus
.
The "branch area" of a public hospital refers to a hospital area with a certain bed size that is established by a public hospital at another address other than the original hospital area (main hospital area) by means of new establishment or mergers and acquisitions
.
By the end of 2025, eligible public hospitals will have no more than three branch districts, and the total number of beds in each branch district will not exceed 80% of the number of beds in the main hospital district by the end of 2020
.
Primary medical service extension points, outpatient departments, and health check-up centers without beds organized by public hospitals, as well as cooperative medical institutions such as medical consortia, hospital trusteeship, cooperative organization, agreement cooperation, and counterpart support, do not belong to branch campuses
.