The number of outpatients in the top three hospitals will drop by a million people!

How to let famous doctors really sink the grassroots level, how can Internet technology help the development of medical and health care , and how should medical reforms mobilize the enthusiasm of doctors? Three representatives from the National People's Congress in Guangdong's medical field, Duan Yufei, director of the Provincial Health and Family Planning Commission, Song Erwei, president of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, and Zhuang Jian, president of the Provincial People's Hospital, expressed their views on the hot issues of medical reform.

When talking about how to exert force in the next step of Guangdong medical reform, the delegates all said that they must fully mobilize the enthusiasm of the main doctors in the medical reform, and stressed that the president of public hospitals should not have to worry about "chaim rice salt."

Hot spot 1: How has the number of outpatient clinics dropped?

Patient needs are met at the grassroots level

Looking at the disease at the door of the house is the expectation of many grassroots people. Previously, due to the weak service capacity of primary medical institutions, many people still rushed to large hospitals.

However, Zhuang Jian said that with the advancement of medical reform, the number of outpatients in Guangdong Provincial People's Hospital has declined. “The highest number of outpatient visits reached 4.4 million in the peak year, and fell to 3.7 million in 2017. It is expected to drop below 3.5 million this year.”

How did the outpatient volume of the Guangdong Provincial People's Hospital come down? This triggered the reporter's curiosity. “This is due to the fact that we have built various forms of medical associations over the years and promoted graded diagnosis and treatment. Especially for strong subjects like cardiovascular, we have established a cardiovascular medical network covering 79 hospitals at all levels. The hospital will transport patients with intractable diseases, and they can also catch patients who have been turned down. Many patients can be 'resolved' at the grassroots level through remote diagnosis and treatment. This way, doctors in the top three hospitals can see common diseases and more. Liberation of the disease work, focusing on the diagnosis and treatment of scientific research and innovation, "Zhuang Jian said.

The data shows that there are currently 349 medical associations in Guangdong. However, Duan Yufei also admitted that at present he only "set up a framework." "The construction of medical associations is mainly to make high-quality resources sink. This is not long-term support by morality or responsibility. We must build a community of responsibility and a community of interests within the medical association through the system. We are currently developing a medical association. Body construction assessment index system, further rationalization from the system." Duan Yufei said.

Hot spot 2: Can the medical insurance in different places be settled?

Foreign patients do not need to pay first

At present, Guangdong has established a direct settlement system for medical treatment in different places in the province, and has opened up a medical treatment settlement platform with more than ten provinces across the country. What is the situation of such convenience and people's measures in the hospital?

Song Erwei said that since the middle of last year, the hospital has opened a nationwide medical insurance settlement network. So far, patients in different places have no need to pay for the first time. "This aspect solves their problem of expensive medical treatment, and it can attract more provinces for hospitals. The patients with difficult diseases come to the hospital." Song Erwei revealed that after the service was opened last year, inpatients who came to the hospital from outside the province increased by more than 600 people within six months.

Internet technology has enabled the masses to improve their medical experience, especially in terms of registration and payment, which has reduced the hassle and saved time. In addition, Internet technology has also brought the distance between provincial and provincial doctors and grassroots people.

"Relying on the Internet platform, the top three hospitals can provide real-time guidance for the diagnosis and treatment of the primary hospitals and the later rehabilitation, improve the service capacity of the primary medical institutions, and also facilitate the masses." Song Erwei said.

Hotspot 3: How to change the Guangdong medical reform?

Establish a long-term and stable investment mechanism for financial health care

With the continuous advancement of medical reform, many problems and challenges have emerged. How to go for the medical reform in Guangdong?

Duan Yufei first emphasized the importance of implementing the main responsibilities of governments at all levels. "The most important thing is to increase investment and establish a long-term and stable investment mechanism for government health care." He also said that public hospitals must have public welfare and take the people as the center and bear relevant responsibilities and obligations.

For the medical reform, which involves multi-sectoral system engineering, Duan Yufei said that he should fully mobilize the enthusiasm of the majority of medical personnel. "They are the main force of medical reform, and they must be actively involved."

“As a dean of a public hospital, there is no need to worry about 'chaim rice salt and salt', which is our expectation and dream.” Song Erwei said that public hospitals can return to public welfare, and medical staff can focus on how to better provide patients with better quality. On the medical service.

Zhuang Jian is concerned about how to establish a modern hospital management system. He believes that one of the core of the modern hospital management system is to formulate hospital regulations, and hope that governments at all levels will issue guidance opinions on the medical institutions under their jurisdiction.

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