On January 4, 2018, the "Notice on Printing and Distributing the Action Plan for Further Improvement of Medical Services (2018-2020)" (hereinafter referred to as the "Notice") was officially released on the official website of the National Health and Family Planning Commission. System construction and innovative medical services put forward clear requirements.
Beginning in 2018, medical institutions must establish an appointment diagnosis and treatment system, a telemedicine system, a clinical path management system, a system for mutual recognition of inspection results, and a system for medical social workers and volunteers.
(1) Appointment diagnosis and treatment system. Tertiary hospitals have further increased the proportion of appointments for diagnosis and treatment services, and vigorously promoted appointments for diagnosis and treatment and centralized appointments for examination and inspection, and the appointment time was accurate to one hour. The tertiary hospitals give priority to reserve the source of appointment diagnosis and treatment numbers to the primary medical and health institutions in the medical association. Priority treatment, examination, and hospitalization are implemented for reserved patients and reserved referral patients to guide the first consultation and two-way referral at the grassroots level. Hospitals with conditions have gradually improved inpatient beds, day surgery appointment services, and explored the provision of extended services such as reserved parking.
(2) Telemedicine system. All medical consortia across the country have achieved full coverage of telemedicine. The Medical Consortium takes the lead in establishing a telemedicine center in the hospital to provide services such as remote consultation, remote imaging, remote ultrasound, remote ECG, remote pathology, remote rounds, remote monitoring, and remote training to medical institutions within the medical consortium. Grassroots medical and health institutions gradually expand the scope of telemedicine services, so that more suitable patients can obtain diagnosis and treatment services from higher-level hospitals at their doorsteps. Primary-level medical and health institutions can explore to provide appropriate services such as telemedicine, remote health monitoring, and remote health education for contracted patients.
(3) Clinical path management system. Medical institutions realize the informatization of clinical path management, gradually incorporate pharmaceutical services, inspection and inspection services, etc. into clinical path management, increase the proportion of inpatient clinical path management, realize the integration of clinical path "medicine, nursing, and patient", and enhance the standard of clinical diagnosis and treatment behavior And transparency. Conditional medical unions can explore the establishment of integrated clinical pathways, and medical institutions at all levels can divide labor and collaborate to provide patients with smooth referral and continuous diagnosis and treatment services.
(4) The system of mutual recognition of inspection results. Realize full coverage of professional medical quality control in medical inspection, medical imaging, pathology, etc. everywhere. Medical institutions that pass the provincial, municipal and other relevant professional medical quality control qualifications shall implement mutual recognition of inspection and inspection results in the corresponding administrative areas. The medical association realizes the sharing of medical imaging, medical examination, pathological examination and other data and information, and implements mutual recognition of examination and test results.
(5) Medical social worker and volunteer system. Medical institutions set up medical social workers positions, responsible for assisting in the communication between doctors and patients, and providing patient support services such as diagnosis and treatment, life, legal affairs, and assistance. A tertiary hospital with conditions can set up a medical social work department, be equipped with full-time medical social workers, open a patient service call center, and coordinate and solve the relevant needs of patients. Medical institutions vigorously promote volunteer services and encourage medical staff, medical students, and caring members of the community to provide volunteer services to patients after training.
The 2018-2020 Action Plan for Improving Medical Services focuses on innovative medical services in the following 10 areas
(1) Taking the patient as the center and promoting the multidisciplinary diagnosis and treatment model. For tumors, difficult and complex diseases, and multi-system and multi-organ diseases, medical institutions can open multi-disciplinary outpatient clinics to provide patients with "one-stop" diagnosis and treatment services. For inpatients, we can explore evidence-based medicine as the basis for formulating single-disease multi-disciplinary diagnosis and treatment standards, and establish a single-dise multi-disciplinary case discussion and joint ward round system to provide inpatients with multidisciplinary diagnosis and treatment services. Encourage qualified medical institutions to include professional and technical personnel in anesthesia, medical laboratory, medical imaging, pathology, pharmacy, etc. into the multidisciplinary diagnosis and treatment team, promote the coordinated and coordinated development of various professions, and improve the comprehensive diagnosis and treatment of diseases and the comfort of patient medical services. TCM medical institutions should continue to explore the establishment of TCM comprehensive treatment and multi-specialty combined diagnosis and treatment models that conform to the characteristics of TCM techniques, which are conducive to giving play to the characteristics of TCM and improving the clinical efficacy of TCM, and are convenient for the masses to see a doctor.
(2) Innovate emergency and first-aid services, focusing on critical and critical illnesses. In prefecture-level cities and counties, eligible medical institutions have established chest pain centers, stroke centers, trauma centers, critically ill maternal care centers, critically ill children and newborn care centers. The medical institution realizes the overall coordination of relevant majors of each center, provides patients with green channels for medical treatment and integrated comprehensive treatment services, and improves the quality and efficiency of medical treatment for major acute diseases. Pre-hospital medical emergency institutions and centers form a network to realize the sharing of patient information in the pre-hospital and build a fast, efficient, and full-coverage emergency and critical medical treatment system. Where conditions permit, we can explore the establishment of land and air three-dimensional rescue modes.
From the interpretation of the above five major systems and ten major innovation directions, it is not difficult to find that in the next three years, the supporting role of informatization construction for improving medical services will become more prominent.