The key tasks for improving medical services in the new three years are released!



On the afternoon of January 3, the 2018 National Working Conference on Improving Medical Services was held in Beijing. Vice Premier Liu Yandong made important instructions, fully affirming the important role that the implementation of the Action Plan for Further Improvement of Medical Services will play in optimizing medical service processes, innovating medical service models, improving medical quality and safety, and improving the public’s experience of medical treatment. It is hoped that the national health and family planning system will thoroughly implement the spirit of the 19th National Congress of the Communist Party of China, be guided by Xi Jinping’s thoughts on socialism with Chinese characteristics in the new era, adhere to the people-centered approach, and focus on meeting the new requirements of the people for medical and health services in the new era, and improve convenience for the people. Measures, the use of scientific and technological means to support, promote the improvement of medical services to a new level, to enhance the sense of gain, happiness, and security of the people, and to make new contributions to building a well-off society in an all-round way. The meeting carefully studied the spirit of the important instructions of Vice Premier Liu Yandong, comprehensively summarized the improvement of medical services from 2015 to 2017, and studied and deployed relevant work arrangements from 2018 to 2020.

Li Bin, director of the National Health and Family Planning Commission and party secretary, pointed out in his speech that through three years of hard work, significant results have been achieved in improving medical services. Information technologies such as appointments for diagnosis and treatment and mobile payment have been widely used, and medical treatment has been "three long and one short". The situation has been effectively alleviated. The application of innovative service models such as day service and clinical path has been accelerated, and the quality and efficiency of medical services have been rapidly improved. Through the development of the service capacity of county hospitals and the establishment of a remote service system, the acceleration of the sinking of high-quality medical resources is promoted, the accessibility of medical services is further improved, and the public's sense of access to medical treatment is effectively improved.

Li Bin emphasized that it is necessary to accurately grasp the main contradictions and changes in Chinese society in the new era to meet the people's higher-level and more diversified health and health service needs. We must adhere to the people-centered development principle and make full use of new technologies and concepts to promote the high-quality development of medical services. We must always adhere to the simultaneous advancement of reforms and improvements, so that the advancement of comprehensive medical reforms will become a new driving force for improving medical services.

Li Bin requested that the improvement of medical services from 2018 to 2020, on the one hand, must establish and improve five working systems, including appointment diagnosis and treatment, and telemedicine , to form a long-term mechanism. On the other hand, it is necessary to innovate and develop medical services in 10 areas including the promotion of multidisciplinary diagnosis and treatment models, promote the high-quality development of medical services, and continuously improve the public's experience of seeking medical treatment. At the same time, local health and family planning administrative departments should strengthen organization and leadership, fully mobilize the enthusiasm of medical staff, do a good job in policy guarantees and increase publicity to establish models, so as to provide support and guarantee for improving medical services.

Wang Hesheng, deputy director of the National Health and Family Planning Commission and director of the Medical Reform Office of the State Council, presided over the meeting and announced the 2015~2017 advanced model notification documents for improving medical services, and reported to 290 high-quality medical service demonstration hospitals such as Beijing Chaoyang Hospital, and the Stroke Center of Xuanwu Hospital of Capital Medical University 228 high-quality medical service demonstration departments, and 234 high-quality medical service demonstration individuals including Li Yan from Beijing You'an Hospital gave notifications to 8 units including the Liaoning Health and Family Planning Commission, and 15 hospitals including Peking Union Medical College Hospital, which actively organized publicity reports Be promoted by the report.

At the meeting, 6 units including Jiangsu Provincial Health and Family Planning Commission made typical exchange speeches. Peking Union Medical College School of Public Health and National Health and Family Planning Commission Medical Management Service Guidance Center introduced the third-party effect evaluation of improving medical services and online hospital satisfaction survey Happening. The third-party evaluation and satisfaction survey results show that the satisfaction of outpatients and inpatients in tertiary hospitals in my country has been increasing year by year, and the improvement of medical services in three years has achieved positive results.

[Improving Medical Services·Three-year Observation] Changes are happening quietly in major hospitals

In recent years, the expansion and quality improvement of my country's medical insurance system has released a large number of medical needs, but the subsequent difficulties in diversion of people and complex procedures have caused people to criticize the medical environment, service attitudes, and service procedures of large hospitals. . On December 13, 2014, General Secretary Xi Jinping pointed out during an inspection in Zhenjiang City, Jiangsu Province that the people’s desire for equalization of medical services is very urgent. Some major hospitals in big cities are always in a “wartime state” and they are overcrowded and must be resolved. Okay this question.

In order to improve this situation, in January 2015, the National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine launched a three-year "Action Plan for Further Improvement of Medical Services" across the country, focusing on urging large tertiary hospitals in cities to improve their medical service processes. Innovate measures to facilitate the people to see a doctor. When the first phase of the action plan comes to an end, do the people feel more about the medical services? What changes did it bring to the industry? In the future, how will the improvement and perfection of medical services meet the needs of the times and benefit the people seeking medical care?

Patient experience becomes a luxury

One Friday morning, Xu Hua (pseudonym) woke up early and went to the local prestigious large-scale women's and children's specialist hospital for treatment. "I arrived at the hospital at 8 o'clock and queued for 20 minutes. It was number 66."

After waiting for about an hour and a half, it was Xu Hua's turn to see a doctor. As soon as she walked into the clinic, she found that it was full of patients, each with a blue disposable treatment sheet in his hand, waiting for a more private examination. The so-called "examination room" is just an area enclosed by a curtain in the middle of the consulting room. The curtain is sometimes not tightened, and the inspection scene inside is unobstructed. Xu Hua handed the doctor the results of the examination. The doctor did not lift his head, and asked 3 questions loudly, many of which were personal. As he asked, he asked his assistant to open a checklist, and then directed to Xu Hua and said, "Go get a blood test for hormones, do a B-ultrasound, and come again."

When he arrived in the B-ultrasound room, Xu Hua was told by the staff that the appointment was full and he would come back another day. She went to the examination room to line up for almost an hour, and was told that she needed an empty stomach for the blood draw, and stopped taking it after 10:30 in the morning. Depressed and furious, Xu Hua turned back to the doctor's office to ask about the next treatment process, and was told by the doctor that he would need to re-register for the next visit. "After spending more than 3 hours in the hospital, the doctor spoke to me for no more than 30 seconds; none of the two doctors' assistants explained to me that the examination might not be possible; the registration fee was 26 yuan, just for such a few nonsense. A few checklists that can’t be done?” Xu Hua couldn’t help but questioned the doctor. The doctor said, “Why didn’t you look at it? I’ve given you the checklist.”