There are still 299 county-level hospitalmedical service "grades" inthe country.

Medical Network July 10, July 8, the official website of the Hospital Of Health and Safety Issued "The National Health And Health Administration Office on the 2019 county-level hospital service capacity assessment of the briefing" (hereinafter referred to as the "Circular"), the evaluation of 1837 county-level hospital medical service capacity results show that 83.7% of the county-level hospitals meet the basic standard of medical service capacity requirements, but there are still 299 county-level hospitals "failure."County hospital report card: 80% of the standard, 299unqualified2019, the National Health and Care Commission through the network data direct reporting, on-site research and other forms of the country's 1837 county-level comprehensivehospitals
the 2018 year service capacity of the third-party assessmentThere were 193 more hospitals with a coverage rate of 97.8 per cent compared to 2018Data analysis of 1837 county-level hospitals showed that 581 county-level hospitals were excellent, accounting for 31.6%, 502 were good, accounting for 27.3%, 455 qualified, accounting for 24.8%, and 299, or 16.3%83.7% of county-level hospitals have met the basicstandard supdemandstandards for medical service capacity, and the proportion of county-level hospitals with good and above has increased by 2.5 percentage points over the previous yearIt is worth mentioning that of the 299 hospitals that failed, 222 (73.4 per cent) were concentrated in poor areasThe proportion of hospitals in poor counties that meet the basic standardof of medical service capacity is 72.3%, which is lower than the overall level of county-level hospitalsSubject setting is not balanced, the two departments into a weakin specific disciplines, the notification shows that, in addition to pathology and psychiatry, almost all county-level hospitals can meet the basic standards of 60% and above the requirementsIn the first-level departments, more than 80% of county-level hospitals in internal medicine, obstetrics and gynecology, pediatrics, more than 90% of county-level hospitals in emergency medicine, anesthesiology, medical examination and pharmacy departments can meet the basic standard s60% requirements;In the second-level department, more than 90% of the county-level hospitals in obstetrics, imaging diagnosis, cardiovascular medicine can meet the basic standard 60% requirements, but the level of chest surgery and hematology service capacity is relatively low, the proportion of hospitals to meet the basic standard requirements are 52.0% and 43.0%, respectivelyIn addition, the report shows that compared with other specialties, the establishment rate of the department of intensive medicine, rehabilitation medicine and infectious disease department in county hospitals was 78.4%, 79.9% and 84,8%, respectively, with a relatively low set rateAt the same time, the proportion of psychiatric departments in county-level hospitals nationwide was 42.5%Although 86.0% of county-level hospitals set up pathology departments, but its service clinical capacity is relatively low, seriously affecting the development of related departmentsFour outstanding problems need to be solved
the Circular points out four outstanding problems in the development of county-level hospitals:(i) the phenomenon of inadequate development still existsAlthough the county-level hospitals in the western region are gradually narrowing the gap with the east and central in terms of medical service capacity, the gap is still large, both in the department setting sitcom and personnel distribution, are showing the characteristics of the east better than the central region than the westIn addition to geographical differences, the internal differences in the service capacity of county-level hospitals are also large, showing more obvious two-level differentiation characteristics, more obvious in the eastern region(ii) The capacity of medical services needs to be further strengthenedFirst, the setting of the clinic department needs to be perfected, the second is the weak capacity of some departments, and the third is that somediseases
diagnosis and treatment and clinical technology need to be further strengthened(3) The capacity ofhealthservices in poor areas needs to be further strengthened The circular shows that 27.7% of poor county hospitals fail to meet the basic standard of service capacity, about 5% of poor county hospitals can only meet the basic standard requirements of less than 20%, of which otolaryngology, psychiatry, ophthalmology, pathology, etc failed to meet the basic standard requirements 　　In addition, the shortage of talent
s in county-level hospitals is also very serious, the Circular notes that about a quarter of the western poor county-level hospitals practice (assistant) the number of doctors less than 34, the number of registered nurses less than 66 people The proportion of county-level hospitals with the number of practicing (assistant) physicians and registered nurses with fewer than 10 persons is about 10% and 15%, respectively, and the shortage of talents and weak follow-up in poor county hospitals in the western region has become a common phenomenon 　　(4) Inadequate capacity to deal with public health emergencies There are different degrees of setting-up in specialized areas such as respiratory medicine, infection, critical medicine, emergency department and examination department for emergency treatment of public health events Among them, the infection and intensive care unit setting rate of hospitals in poor counties in the east is relatively lower, less than 75% and 62%, and the emergency response capacity is not enough 　　Health and Well-being Commission: increase grass-roots investment, strengthen the training of talents
the National Health and Health Commission said, the next will further strengthen the county-level hospital comprehensive capacity-building, focus on complementing the short board of specialized capacity, in order to meet the needs of common diseases, multi-incidence diagnosis and treatment of acute and critical treatment and difficult and complex diseases on the basis of the promotion of diagnosis and treatment capacity, reduce cross-regional patients 　　At the same time, we should improve the ability of county-level hospitals to respond to public health emergencies, increase investment in county-level hospitals, improve the function of independent infectious disease scoping areas, improve the ability of inspection and testing, image examination, and improve the ability of county-level hospitals to switch to war Relying on county-level hospitals to build county-level emergency centers, strengthening the construction of emergency departments in county-level hospitals, establishing and perfecting the mechanism and process of connecting hospitals in front of hospitals, and establishing and perfecting the county 120 emergency network by relying on conditional township hospitals 　　At the same time, we should continue to promote the construction of close-knit medical associations such as county medical community, explore the use of total pre-paid DRG payment, medical community under the total package payment and other payment methods, cake for the hospital scientific configuration and fine management, effectively improve medical, teaching, scientific research and other core business supply efficiency 　　In addition, the construction of grass-roots talents is also a top priority, "Circular" pointed out that according to the county-level hospital clinical specialist capacity-building needs, to encourage qualified county-level hospitals to select qualified business backbone to participate in standardized training of specialized physicians, reserve high-level clinical specialists Strengthen the training of key clinical physicians at the county level, actively carry out training in pediatrics, psychiatrist transfer and training of obstetricians and midwives, and focus on solving the shortage of pediatrics and obstetricians Establish and improve the mechanism for the introduction of talents, and increase the introduction of professional and technical personnel in key areas, shortage of professional and key positions Give county-level hospitals greater autonomy in hiring, improve job employment, income distribution, job title assessment, management and use of policies