What’s next in health and wellness? The latest meeting of the National Health Council revealed a number of information.
01
Focus on Strengthening Capacity Building of County Hospitals
Building a scientific hierarchical diagnosis and treatment pattern
On February 28, the National Health Commission (NHC) held a press conference to introduce information on the effectiveness of health progress.
It was pointed out at the meeting that in 2024, the high-quality development of health care will be comprehensively promoted, and the people’s sense of health gain will be continuously enhanced. In terms of deepening healthcare reform, it will promote the construction of healthcare consortia, coordinate the construction of national medical centers, national regional medical centers and clinical specialties, continue to promote the high-quality development of public hospitals, and promote the synergistic development and governance of “healthcare, health insurance and medicine”. In terms of upgrading service capacity, the focus will be on strengthening the capacity building of county hospitals, enhancing the level of disease prevention and treatment and health management at the grassroots level, comprehensively improving the quality of medical services, and improving medical care services and patients’ experience of medical treatment.
The hierarchical diagnosis and treatment system is one of the important contents of deepening medical reform.
Jiao Yahui, director of the Department of Medical Affairs of the National Health and Health Commission, pointed out in the conference that by the end of 2023, more than 18,000 medical associations of various forms had been built nationwide, and the number of two-way referrals nationwide had reached 30,321,700, an increase of 9.7% compared with that of 2022, of which the number of upward referrals had reached 15,599,700, a decrease of 4.4% compared with that of 2022, and the number of downward referrals had reached 14,722,000, an increase of 29.9% compared with that of 2022, an increase of 29.9%.
As a next step, the Commission will continue to take the construction of a hierarchical diagnosis and treatment system as an important means of solving the problem of the public’s access to medical care. First, it will actively carry out a pilot project for the construction of close-knit urban medical groups, and push forward the formation of a scientifically organized pattern of access to medical care and a systematic and continuous pattern of diagnosis and treatment. The construction of close-knit county medical communities has been comprehensively promoted to enhance the capacity of primary medical and healthcare services.
Secondly, it will continue to push forward the improvement of the comprehensive service capacity of county hospitals, drive the further improvement of grass-roots capacity, and gradually establish a continuous medical service system supported by institutions, with the community as the platform and the home as the basis.
Third, giving full play to the supporting role of information technology, building remote medical collaboration networks for remote and less developed areas, and promoting connectivity between cities and counties, as well as between counties and townships. Localities are encouraged to explore the construction of “intelligent medical associations,” promoting information interoperability, data sharing, intelligent interconnection and mutual recognition of results among medical institutions within medical associations, so as to improve the continuity of medical services.
According to the Guiding Opinions on Comprehensively Promoting the Construction of Close-knit County Medical and Healthcare Communities issued by the National Healthcare Commission and nine other departments in December last year, the construction of close-knit county medical communities will be comprehensively pushed forward on a provincial basis by the end of June 2024, with the aim of promoting the construction of close-knit county medical communities nationwide by the end of 2025. By the end of 2025, it is striving that more than 90% of the counties (county-level cities, and municipal districts with conditions may refer to the same hereinafter) nationwide will have basically built a county medical community with reasonable layout, unified management of human and financial resources, clear powers and responsibilities, efficient operation, division of labor and coordination, continuity of services, and information sharing. By the end of 2027, close-knit county medical communities will basically realize full coverage.
It is proposed in the above Opinions that the internal economic operation analysis of county medical communities should be strengthened, internal audit management should be strictly carried out, and costs should be reasonably controlled. The management of drugs and consumables will be strengthened, and a unified medication catalog, unified procurement and distribution will be implemented.
County medical care will enter a new phase of more efficient, high-quality development.
02
These hospital construction projects are fast-tracked
It was reported that the National Health Commission has taken the planning and layout construction of the setting up of national medical centers and national regional medical centers as a key step to continuously enrich the total amount of high-quality medical resources and improve the balance of regional layout.
The meeting pointed out that up to now, 13 categories of national medical centers and children’s categories of national regional medical centers have been set up, and at the same time, in conjunction with the National Development and Reform Commission and other departments, 125 national regional medical center construction projects have been approved, more than 18,000 medical associations have been constructed, and 961 national key clinical specialties construction projects have been supported, nearly 5,600 provincial-level and 14,000 municipal and county-level clinical specialty construction projects, 1,163 county hospitals have reached the service capacity of tertiary hospitals, 30 provinces have built provincial-level Internet medical supervision platforms, and more than 2,700 Internet hospitals have been approved and set up nationwide.
According to the “Thousand Counties Project” County Hospital Comprehensive Capacity Enhancement Work Program (2021-2025), by 2025, at least 1,000 county hospitals nationwide will reach the level of tertiary hospital medical service capacity. According to the data disclosed at the meeting, this goal has been accomplished ahead of schedule.
The meeting also noted that the next step will be to further promote the expansion of high-quality medical resources and regional balanced layout.
The meeting pointed out that a number of national medical centers and national regional medical centers should be set up, and at the same time, for these dual centers, including 125 national regional medical center construction projects jointly approved with the National Development and Reform Commission, to establish and improve the tracking mechanism, and guide these “dual centers” to further play a role.
The “One Million” project for key clinical specialties will be carried out to expand the resources of high-quality clinical specialties and balance the layout of specialty resources. In-depth promotion of tertiary hospitals to help county hospitals, “10,000 physicians to support rural health projects”, the national medical team traveling medical team, “thousands of counties project” and so on, and constantly improve the comprehensive service capacity of county hospitals and management level.
In terms of high-quality development of public hospitals, the meeting pointed out that in recent years, the National Health Commission has strengthened the systematic integration of reforms and promoted reforms in a combination of point and surface. First, at the hospital level, it has guided 14 high-level hospitals to carry out high-quality development pilots, making breakthroughs in disciplines, technology, services, management innovation and talent training, and making significant progress in key indicators such as the CMI value and the percentage of fourth-level surgeries.
Second, at the city level, reform demonstrations have been implemented in 30 cities to incentivize the exploration of reform experiences in high-quality development of public hospitals at the city and county levels. Third, at the provincial level, focusing on the 11 pilot provinces for comprehensive medical reform, it has guided the provinces to formulate timetables, roadmaps and construction plans to promote the high-quality development of public hospitals according to local conditions.
At a press conference held by the State Council Information Office last year, it was made clear that during the 14th Five-Year Plan period, the state, provinces, cities and counties will support the construction of no fewer than 750, 5,000 and 10,000 key clinical specialties, respectively. It is striving to enable medical institutions in cities with large populations to reach the level of third-rate hospitals. At least 1,000 county-level hospitals nationwide will reach the medical service capacity and level of third-level hospitals. It will focus on promoting 1,000 central township health centers to reach the level of second-level hospital service capacity and capability.
With the upgrading of hospitals at all levels and in all parts of the country, the level of diagnosis and treatment will be further improved, and the market for medicines and medical devices will continue to thrive.
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Post time: Mar-04-2024