High-quality medical resources are allocated and followed crowd

High-quality medical resources are allocated and followed crowd
Staff reporter Yan � was since last year, what Beijing strengthened to population in the old city was discongested, education, medical treatment of old urban area high-quality social public the intersection of service and resource, shift synchronously, realize coordinated development in the input area discongested to population. For this reason, Beijing proposes the high-quality medical resource moving outside, balanced development plan of medical resource, new pattern that common people seek medical advice in order that and realize in the following several years. The common people in the new city see the doctor and meet " The no-man's-land " Will it be 6 o'clock April 11, live coherent the intersection of garden and the intersection of community and the intersection of the west and three Ms. Tan of district take direct the intersection of Ministry of Public Health and 464 Bus No. of Chinese-Japan Friendship Hospital day such as Beijing. She suffer from diabetes, spouse heart have issue too, go to internal medicine department or department of traditional Chinese medicine of Chinese-Japan Friendship Hospital to go to a doctor nearly every other week. It leads to the garden community although there is more than 400,000 permanent resident population, there is not a tertiary hospital nearby, ordinary people called that and saw the doctor " The no-man's-land " . What made Ms. Tan gratified is, the long age hospital of Tsing-Hua University of home gate has already broken ground, hospital of this the first, second and third will allocate more than 1000 berths. In fact not only it leads to the garden community, also here inside including living in the densely populated new city in Wangjing, Huilongguan, Shangdi, Tongzhou,etc., already there is not a tertiary hospital in 10 urbanized the outer suburbs fast in Beijing, because about 80% of high-quality medical resources centre in the central urban district, the residents of surrounding area can only flock together to go to the large hospital inside of urban area to go to a doctor. Plan according to the arrangement of the medical resources of the new edition of Beijing, in the new urban area inside, every 300,000 people needs to set up a medical centre of non-profit-making area which governments holds 500,000 people's area. Have Daxing District about 2 million people as the example with actual resident population, there should be large hospitals at least. "Difficult main reason that it causes ordinary people to see the doctor that medical resources are unbalanced. " A person in charge of Municipal Health Bureau in Beijing says for example, Mentougou District that has 270,000 people, although 4 above- second -class hospitals amount to more than 1700 berths, the levels of these 4 hospitals are not high, residents still run to the large hospital of urban area after falling ill. Offering the first hospital in the lasting development space Peking University for large hospital will set up the new institute area in Daxing District. The intersection of jade and village Liu, president of institute, this say this the intersection of BJ Univ Hospital and one's own need of development. "Population in the central urban district is fewer and fewer, but need common disease case, frequently-occurring disease case to support as the teaching hospital. " The intersection of jade and village Liu say " have, one area that national key laboratory require 2000 square meter 3000 square meter at least, the mirror checks the centre, training center to want 2000 square meters in one. Where let so many land for building support construction in go by central urban district. " The intersection of jade and village Liu both sides each with particular emphasis to thinking that BJ Univ Hospital extend. "The berth of the courtyard district of the centre will be certain to reduce in the future, the function will be adjusted. For example, the south institute district of newly-built city will set up more than 1000 berths in the future, will take woman as the focal point. " The intersection of jade and village Liu say two the intersection of institute and district set up more thanth berth altogether, for BJ Univ Hospital is relatively suitable. " Expanding the street map outside the high-quality medical resources sketched the contours of as to Beijing, association's Deputy Secretary-general of Chinese hospital Zhang BaoKu says, Beijing, as the capital, it is the city where the superior resources of health care comparatively concentrate, permanent resident population, floating population and serious disease patient increase by a wide margin these years, medical care imbalance between supply and demand comparatively outstanding, see the doctor difficult especially the intersection of difficulty and rare disease think expert difficult phenomenon comparatively serious. In addition, with the intersection of suburb and increase of population, large-scale hospital expand to the suburb, on one hand offer the facility that suburbs or new urban residents enjoy tertiary medical care, offer space for sustainable development of the large hospital at the same time, take, develop, establish good foundation proportionally for high-quality medical resource too. According to the introduction of Zhang BaoKu, now, An'shan, Shenzhen, Wuhu, Baoji,etc. are optimizing the overall arrangement to high-quality medical resources. In " about the instruction of the reform pilot project of public hospital ", " construct the intersection of public service and the intersection of goal and clear, rationally distributed, the intersection of scale and appropriate, structure optimization, not well arranged with perfect function rich in public the intersection of hospital and service system of efficiencying " As one of the overall goals of the public hospital reform pilot project; " strengthen regional hygiene, plan, confirm public the intersection of hospital and function, quantity and scale rationally, optimize structure and overall arrangement, improve service system " ,As the main task of the public hospital reform pilot project. In the pilot job placement of the public hospital reform in 2011, " overall arrangement of optimizing the structure of public hospital, strengthen planning management, strengthen the ability construction of weak area and field especially, promote the rational distribution of resources " ,As promoting medical resources to dispose proportionally, relieve one of the difficulty and high cost of getting medical treatment 5 policies and measures of questions of masses effectively. Extend, equal to, expand through medical the intersection of resource and arrangement adjustment blindly, can relieve medical care supply the unbalanced problem originally to a certain extent. But relocate even newly build the hospital intensively like this, besides meeting the equal demand of melting of medical resource, will produce the hidden danger expanded blindly because of meeting one's own development demand of the hospital? Plan to be identical in this and regional hygiene which Beijing will issue soon? Floormanager of Beijing Municipal Health Bureau Deng XiaoHong says, the basic reason that the high-quality medical resources in Beijing move outside, the resource structure of medical care is unreasonable, distribute unbalancedly, has not set up the effective mechanism of division of labor and coordination of work yet. Will adjust overallly through medical service system in Beijing, will lead common people to seek medical advice in order. XiaoHong Deng say frankly though regional hygiene of Beijing plan to fail to fall slowly for various reasons, but the large hospital extends and certainly can't encourage blindly. Deng XiaoHong says, World Health Organization has proposed, guides resource distribution with the berth rate of utilization 90% of medical organization, standard for reference of 10 days of day on average in hospital. So as, calculate, every thousand people have 5 enough berth, Beijing medical resource can satisfy have now person who serve. If can't control the development scale of the general hospital strictly, after national basic medical system will come sound, will appear in the idle hospital, cause the wasting greatly of medical resources. Deng XiaoHong tells reporters, Ministry of Public Health has released " construction criterion of general hospital ", but because is only a recommendatory standard, the large many hospital " dashes " to 2000 berths even more berths . Have expert make, calculate, 900 hospital of sick bed cost performance most reasonable, if exceed this figure, managing the cost will rise at double. So, the expert proposes, the hospital should make an issue of strengthening internal management, raising and serving efficiency and quality while strengthening construction of hardware. "It is not after the large hospital sets up the branch in the outer suburbs, ordinary people are easy to see the doctor, if the management of the hospital can not be done well, even if open at the gate of home, ordinary people will not buy it equally. " Focus on setting up sharing out the work and helping one another machine Make little rainbow Deng, say, build hospital to be different from building the development zone resolutely. It is medical resource adjust,resident enjoy fair after should letting, but and service? ���� smelt Ke of Gui Yuan will �� of �ԭ� Ying the intersection of word and the intersection of Lu and the intersection of Cuo and silk tease � pull out my darling ��� the intersection of fold and the intersection of Cheng and Xi can shaddock waste Yun, cave of bones of the body, which J answers ��all in vain Repair careful ���� Kang and steep Sha Boat Xi Ju � of clump of stepping It navigate by Xi flounder all large bamboo or straw hat with a conical crown and broad brim last speech and Nurse stop �� of �Э� dice tired ��� admire �ǡ� forgive R for read time write �Ϊ�� correct, prolong star hurriedly �� all Yi of sea �� one Good fortune stir persimmon Pu by own to wither and blow the worried proud school �� of paralysis while being crisp Cure �� Hook the intersection of ���� and Kuo stir Pu walk the intersection of mould and the intersection of ���� and gown write large bamboo or straw hat with a conical crown and broad brim shut the intersection of Qu and humiliation � all noon? The hospitals of 000 sick beds, may cause the waste of medical resources. Some hospital put forward, extend application is according to enclose how much come, make plan, but not take according to the medical care demand. Deng XiaoHong says, now, it is that " 1+1 equal 2 " that it is adopted that some general hospitals in Beijing are expanded Mode,that is already keep hospital at urban resource total amounts medical change, newly build a general hospital in the suburb. "In fact, the plan of cooperating with the population in the central urban district of Beijing and moving outside, in the future, the residents of Dongcheng, Xicheng two districts will be fewer and fewer, urban high-quality medical resources should be faded out from gradually. Certainly, accept from operation characteristic and ordinary people of the hospital the intensity is explained, need a long-term course. The hospital of Ministry of Public Health manages Hong Mi, Deputy Director of research institute, and says, if the high-quality medical resources in the city are too centralized, move outside good resource to the outer suburbs, this is not bad thing, but the prerequisite is to need to accord with the regional hygiene to plan, it can let by ordinary people enjoy fair, but and medical care. Meanwhile, will set up the rational medical system of grading, namely confirm the division of labour of the hospitals at all levels rationally, the large hospital solves the critical difficult disease, medium and small hospital and the community, health care service organization of villages and towns are responsible for common diseases, frequently-occurring diseases, thus lead the patient to seek medical advice in order. One participate in scheme of medical reform of Beijing the expert making it says, medical resource distribution should follow people, the plan that every key district of Beijing has already launched population to move outside, according to relevant planning, before 2020 years, the intersection of Beijing and central urban district want, dredge, terminate an agreement 40,000 people every year while being average. If still keep the existing medical resource current situation and does not change, certainly will then cause the result that resources and the demand are unmatched. Plan to have authoritativenesses to prove through the expert in regional hygiene, the mentality of designing of land hygiene planning of urban area of Beijing has already been shaped. Little rainbow Deng explain the planning include, establish medical care, divide the work cooperation mode of changing the place of examination effectively among the resource. Meanwhile, under the new medical service system frame, should be in line with " fairness, whole benefit, accessibility, hierarchical medical treatment and public-owned leading factor " The principle, lead the high-quality medical resources in the urban resource compact district to shift to suburb county and new city; The urban hospital " Do precisely, strengthen " ,Accuse of newly building and extending severely; Promote the middle medical care resources to recover in the institute and attend to the development of the institute promptly; Promote the private training medical organization with good technological resource to develop, demand that the masses who meet the different levels seek medical advice. The medical resources in Beijing should carry on adjustment every 5 years according to the economics and society development of the capital. BaoKu Zhang propose must maintain regional the intersection of hygiene and authoritativeness of planning, " regional the intersection of hygiene and method of planning right away introduce the eighties from last century, but do it after a lot of rounds, solve the balanced problem of not good resource, the reason is lacking scientific appraisal, supply ability and disconnect with medical care. " Zhang BaoKu says, plans to be according to serving relevant factors such as population, disease table,etc. in regional hygiene, confirm the intersection of medical organization and amount that sick bed count, what is key discipline. He says for example, if a certain area intestinal tumour takes place high, should then set up anus intestines discipline; If breathe to send high, should establish and breathe the specialized key training. He says, after planning to issue in regional hygiene, will do the work of propagating well, will let employees, ordinary people include the investment subject, know the area have large development space more, have how loud medical care demands satisfied with, so can avoid making repeated construction. "The financial system of my what country have now is that central authorities, locality at all levels are responsible for in grades. Central departments, committees, running, every army, arm general headquarters can make the investment and run the hospital, Beijing is the capital, the pluralism of financial investment subject, examine and approve the principle such as not following management and trade in the possession, set up and examine and approve not according to planning, will contribute to the losses that the finance is put into. " Deng XiaoHong says. BaoKu Zhang emphasize, promote medical resource take development proportionally, not merely need to plan the overall arrangement still, also need supervising, reform and social supervision of medical means of payment of the government. Among them, reform the means of payment of medical care, prepay and make total value, will standardize a more effective way in which the hospital extends. Chain a five kinds of modes in Beijing and dispose medical resources Some tertiary general hospitals of staff reporter Yan � move at present wholly, Beijing Temple of Earth hospital has already moved from Altar of Earth of N.2nd Ring Road to Chaoyang District Airport Road adjacent place wholly. Temple of Earth hospital after relocating, can offer the comprehensive service of making a diagnosis for north of Chaoyang District, nearly million residents of the area of the southwest of Shunyi District. " twelve five " During this time, Beijing God Temple Hospital will adjourn to Fengtai district and spend the township wholly. New God Temple Hospital covers an area of 29.2 hectares, it is equivalent to 4 times of the area of God Temple Hospital now. After building up, will set up 1500 berths. BJ Stomatological Hospital will move wholly; The second hospital will move wholly to have a southern exposure, will plan to build for the comprehensive medical centre; The third hospital will extend as larger mental hospital after moving wholly to have a southern exposure. The large hospital ran the branch as far back as June 1, 2004, Beijing Tongren Hospital opened the south institute district (namely also district of big house in a village) in the economic and technological development zone of the southern city Comprehensive clinic and emergency call are open. In the past 7 years, clinic amount, berth rate of utilization have soared steadily. In 2010, the door emergency call of colleague's south district is up to 517,000 persons. Open 562 berths at present, sick bed rate of utilization is above 90%. In addition, continue west branch of Beijing Chaoyang hospital Beijing, Beijing Tongren Hospital also after the village branch, the branch of the area was expected to complete and come into operation too recently in Huilongguan that Beijing accumulated the puddle hospital. In the following 5 years, will also newly build Wangjing branch, Chaoyang hospital of Friendship Hospital and often seek the branch, east dam international hospitals and Fa very beginning branches of Traditional Chinese hospital of Beijing in Beijing. Private capital investment builds new institute to it is introduced, Peking University, Tsing-Hua University are in Shangdi, it open center operation general hospital separately. 1500 the intersection of berth and the intersection of Peking University and international hospital of scale, already during the course of fitting up, Tsing-Hua University long age hospital has set up and gone into operation. Hospital of the first, second and third and suburb hospital make pairs It is wide Fit institute of traditional Chinese medicine of the door and Daxing district hospital and manage the hotel type chain. It is reported, Guang'anmen hospital will go on the system and will be trained to the medical worker of the south district of the hospital, send expert to the south district of the hospital and pay a home visit, transplant the management style too over at the same time, implement the unified department? Fei's rancour? It is reported, most of 11 hospitals of 10 the outer suburbs in Beijing have already finished the expanded task. From the following 3 years to 5, the tertiary first rate hospital of Beijing will be in the form of signing the liability statement, make pairs with the suburb hospital, make the hospital of suburb county reach the tertiary hospital level. Build the medical centre in the area Through lead large hospital relocate and famous institute run branch and encourage social capital build high-level general hospital route, guide high-quality medical resource to new city and suburb county " Evacuate " Outside, Beijing Municipal Health Bureau also plans to build the medical centre in the area in there is second hospital foundation now in the suburb county. When the time comes, the tertiary and accurate tertiary hospital of the suburb county of this city will increase to 21. Chain 2 Some city medical service system adjusts the action Shanghai implements " 5+3+1" Project Shanghai proposes, the guarantee at the cost of two grades of municipal or district governments from 2010, newly build 5 tertiary hospitals in the suburb in about three years, promote 3 hospitals of suburb second as the tertiary hospital. After building up, will realize there is a tertiary hospital in each suburb county, the citizens in Shanghai can reach a tertiary hospital to take the public transport within an hour, thus improve suburbanite's fairness and accessibility of enjoying high-quality medical resource. The project has already been started in an all-round way at present, 7 hospitals have already put into operation, management and operational mode of 5 newly-built tertiary hospitals have already been fixed. Combine the resource An'shan of Liaoning Province of the health cares and make the regional hygiene to plan to be planned with medical organization structuring again in An'shan, adopt methods such as similar amalgamating, arrangement adjustment and moving to transform,etc., carry on all-round, multi-level integration to the health care resources in the whole city. First, positioning adjustment, construct the basic framework of public hospital. Second, combine longitudinally, set up the three medical groups. Regard medical group as carriers, combine longitudinally health care resources, make high-quality health care resources pass the finally network system of longitudinal direction, radiation that gradually, sinking to the basic unit. Third, combine horizontally, build a batch of section hospitals. Through the medical integration of the resources, this city has already formed " 3 big medical group, 4 regional comprehensive medical centres, a public health centre, and several characteristic section hospitals " Medical resource new overall arrangement. The group of Wuhu hospital extends towards basic unit in Wuhu of Anhui Province through moving, transforming, newly building etc., plan to set up the medical health organ scientifically. At the end of 2009, Wuhu implements the grouping reform of the hospital. Since September of 2010, explore and set up the grouping reform of the hospital that extends towards district level medical organization in the new mechanism. Set up public hospital, cooperate with division of labour of the medical organization at the basic level mechanism, make great efforts, form, have complementary advantages, benefits-sharing, make a diagnosis in grades, change the place of examination bidirectionally do and curing the pattern, realize " whether light disease, in community, serious disease in hospital, recover, answer community " Goal. Make for ten minutes and seek medical advice and enclose the medical resource overall arrangements of rational planning in Baoji. With the constant enlargement of the area of urban area, in the high and new technology industrial development zone, curl in dragon's newly developed area to each layout 1 tertiary general hospital, recover to the intersection of Baoji and city hospital implement, move wholly, make the transition the intersection of urban area and 8 the intersection of state-owned enterprise and worker's hospital, 9 health clinics in towns and townships as the community health Center, in 20 newly-built hygiene service organizations of newly-increased community of urban area. In the county land, accelerate adjusting the public hospital overall arrangement at county level, and build up 171 standardized health clinics in towns and townships, there are clinics of a village as the goal at least with each administrative village, build up 1833 clinics of standardized village, put forth effort to make for ten minutes medical treatment is enclosed; Combine existing medical resources effectively; Do medicine to reserve enough spaces for social capital. Newly-increased medical organization pay the utmost attention to, hold by social capital, existing medical resource encourage social capital to participate in establishing. Way of optimizing the allocation of resources in Zhenjiang The overall thinking of the medical reform of Zhenjiang of Jiangsu Province is " A core four moves ahead simultaneously " : Namely regard public hospital reform pilot project as the core, four reforms of advancing basic medical treatment to ensure synchronously etc.. Insist on relying mainly on voluntary, regarding assets and technology as the tie, has set up two medical groups taking tertiary first rate hospital as the core in the urban area, hospital, section hospital and all whole organizational system of community health Center incorporate into every second, invest newly-built and reconstructing the medical house nearly 1,200 million yuan. Set up group's hospital to cooperate with division of labour of the community in the mechanism, the hospital signs the agreement of changing the place of examination bidirectionally with health organ of the community, set up the intersection of business and network of cooperating, form, help the mechanism while being relying mainly on technical support. Strengthen the county, town, tertiary medical organizational construction of village, the community health Center is established in the villages and towns, and set up the community health station of the centre village according to serving scale standards of about 5000 people of people, integrate and manage the town village. (the association of Chinese hospital submits the article)

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