Ten years of continuous attack, Shishi? Medical reform? It has embarked on a road of reform and development of characteristic health undertakings that conforms to the reality of Shishi. Medical institutions? What? Pass? , ease the difficulty of seeing a doctor at the grassroots level? Difficult? , see a doctor? Is it expensive? Excellent transcripts have been handed over, and the people's sense of gain, happiness and security have been continuously enhanced.
Chinese medicine experts from the Third People's Hospital affiliated to Fujian University of Traditional Chinese Medicine sit in shishi city Chinese Medicine Hospital.
Crack? Difficult to see a doctor? ：
People have it around them.
? 8-minute medical and health service circle?
? Doing electrocardiogram in village health center can realize expert remote consultation. Go to township hospitals, and experts from provincial and municipal hospitals often come to see you, so you don't have to come all the way to see a doctor? Nowadays, Lao Lin, a villager in Lianzhong Village, Qijiang Town, goes out from home, and it takes only 8 minutes to reach the medical service institution and get high-quality primary medical services. He obviously felt it. Did the villagers see it? A minor illness? Would rather stay at the grassroots level, right? Family hospital? The recognition of is also getting higher and higher.
Statistics show? Electrocardiogram serves every village? Realize? Village-level inspection and municipal diagnosis? Since the establishment of the model, 375 suspected cases have been screened by village health centers in the city, and patients with abnormal heart have been treated in time 139 cases.
This change, with Shishi? Medical institutions? In mode? Cities, towns and villages? The three-level diagnosis and treatment system is closely related. In recent years, Shishi has established a compact type with shishi city Hospital as the leader, 2 municipal specialized hospitals and 9 primary medical and health institutions. Medical institutions? Where's will? Strong grassroots? Extend to the village level and break the medical barriers between medical institutions. Instead of competing for resources and equipment, we can realize the simultaneous improvement of medical service capabilities at the city, town and village levels through sharing and mentoring resources, and become responsible for each other, benefiting each other, helping each other and referring each other? A family? Critical and difficult diseases remain at the city level for diagnosis and treatment, while minor and common diseases sink to the town and village level. In this way, people can choose different medical institutions according to the priority of diseases and the difficulty of treatment, thus forming a reasonable medical diagnosis and treatment pattern, which is conducive to solving problems? Difficult to see a doctor? question
Based on people's expectation for high-quality medical resources, Shishi has been continuously grafted upward in recent years? National team? As well as high-quality medical resources at all levels in Fujian and Quanzhou, strengthen the construction of key specialties and realize? Is there a strong department and famous doctor in the hospital? , the masses? Serious illness never leaves the county? The original intention has been gradually realized: nine famous doctors' studios, including Chen Chunmei Spinal Surgery, Affiliated Union Medical College Hospital of Fujian Medical University, and Zhangcheng Huapu Surgery, Quanzhou 9 10 Hospital, landed in Shishi, and the team of experts regularly sank to shishi city General Hospital, with a relatively fixed position in shishi city? Fan base? ; The standardized construction of six treatment centers for chest pain, stroke, trauma and respiration has improved the ability of emergency treatment in our city. At present, the basic version of the chest pain center in our city has passed the national certification, and the stroke center has become the first batch in Quanzhou? Stroke emergency map hospital? Unit; The team of experts sent by Fujian Provincial Hospital and Quanzhou Maternal and Child Health Hospital, and the Gynecology and Neonatal Department of shishi city Maternal and Child Health Hospital have been established. Are you home? Through? Expert number? ; Since the opening of shishi city Hospital of Traditional Chinese Medicine for one year, it has promoted? Chinese medicine constitution conditioning center? Chinese medicine health management center? A number of high-quality Chinese medicine projects have successively landed, forming a medical association with Quanzhou Hospital of Traditional Chinese Medicine, enjoying the achievements and resources of its key specialties, and providing high-end Chinese medicine expert services for Shishi people who are difficult to reach every day? For the grassroots, this not only solves the problem of difficulty in seeing a doctor, but also solves the problem of expensive medical treatment, at least saving a lot of expenses for going back and forth to see a doctor in different places.
And the introduction of smart medical care is also to crack the masses? Difficult to see a doctor? Write a good prescription. At present, Shishi has continuously improved the medical treatment process by means of intelligence and information, and launched? Pocket wisdom hospital? Solve the problems of long registration time, long payment time and long time to get medicine? Pain point? , let? The patient ran away? Become? Information operation? Effectively promoted the operation of the graded referral model.
Relieve the expensive medical treatment:
Reform of quantity purchase and payment method
The cost of medical promotion has dropped significantly.
? The price has been reduced! Before the price reduction, it was 184 yuan, and after the price reduction, it was 72 yuan, which was really much cheaper! ? Mr. Cai, who has a history of diabetes for many years, has enjoyed the benefits brought by the centralized procurement of drugs by the state this year.
Since May 9, 2022, all public medical institutions in Fujian Province have uniformly implemented the results of the sixth batch of centralized drug procurement (insulin special) organized by the state, and the average price of the selected products has been reduced by 48%. Taking insulin glargine used by Mr. Cai as an example, it can save about 4000 yuan a year.
This is of great significance to patients, which saves a lot of medical expenses and undoubtedly brings new hope to some families with heavy medical expenses. 20 19, the state has started to collect medicines in a centralized way. In the past three years, shishi city has regularly promoted centralized procurement of drugs and medical consumables, from drugs for chronic diseases such as hypertension and diabetes, drugs for major diseases such as lung cancer and pancreatic cancer, and medical consumables such as coronary stents and artificial joints.
At present, in terms of centralized drug procurement, Shishi has implemented 6 batches of national centralized procurement, 2 batches of provincial centralized procurement, inter-provincial centralized procurement 1 batch, and ***356 kinds of drugs, reducing the burden of people's drug expenses by about 43 million yuan; In terms of centralized procurement of medical consumables, two batches of national centralized procurement, two batches of provincial centralized procurement and three batches of inter-provincial alliance centralized procurement were implemented, which effectively reduced the burden of medical treatment for the people and gave them a real sense of acquisition, happiness and security.
In order to continuously reduce the cost of medical treatment for the masses, Shishi has comprehensively implemented the reform of the total payment of medical insurance funds and the multi-component composite medical insurance payment method based on disease. Is it similar? Packing? Pay, clearly mark the price, and implement the maximum price management.
In other words, the medical insurance department clearly stipulates how much a certain disease costs, to prevent medical institutions from abusing medical service items, duplicating items and decomposing items, and to prevent minor illnesses from being treated in hospitals.
Take appendectomy for acute suppurative appendicitis as an example. The medical insurance institution stipulates that the maximum treatment cost of appendectomy for this disease in the city's general hospital is 8,000 yuan, which means that the hospitalization cost of the patient is 8,000 yuan. According to the previous charging method (charging by project), the average cost is 10000 yuan. Now each patient saves an average of 2000 yuan. If the medical expenses exceed the cost limit of the disease, the hospital will bear the excess, forcing the hospital to improve the diagnosis and treatment technology, control the medical expenses and cure the patients with the least money.