Zhu Hong, Secretary of the Party Group and Director of the Guangdong Provincial Health and Health Commission: "Guangdong Model" for the high -quality development of public hospitals

From August 27th to 28th, hosted by the "China Health" magazine, health newspaper, and the Guangdong Provincial Health and Health Commission, the 2022 national deepening medical reform experience hosted by the First Affiliated Hospital of Sun Yat -sen University, Guangdong People's Hospital and Southern Medical University Southern Hospital The promotion meeting and the China Health Development Summit Conference were held in Guangzhou City, Guangdong Province.

The meeting brought together nearly a thousand people, researchers, practitioners, and managers from large -scale public hospitals from all over the country, shared the experience of medical reform, deepened the reform of the medical and health system, and promoted the high -quality development of public hospitals. A total of a main forum with a total of 17 sub -forums. The topic involves many hot topics such as "Three Medical" linkage, public hospital performance assessment, disease prevention and control, medical insurance payment method reform, and drug supply guarantee.

Guangdong builds a "top sky" large pattern of the national medical center (regional medical center), provincial regional medical center, high -level hospitals, county -level hospitals, township hospitals, and township health centers. The expected life expectancy has increased to the age of 79.31 ... Since the 18th National Congress of the Communist Party of China, under the correct leadership and decision -making deployment of the Guangdong Provincial Party Committee and Provincial Government, the Guangdong Provincial Health and Health Commission has been working for a long time to promote the reform and development of health and health undertakings according to local conditions. A "centered on people's health" answers, promote the development of public hospitals to improve quality and efficiency, and build a high -quality development policy system, high -level diagnosis and treatment service system, high standard management system system, and high -efficiency emergency treatment system. To ensure the safety of the people and health of the people, it provides a strong support guarantee for the hindrance to win the new crown pneumonia.

Five effects highlight the original intention of medical reform

Guangdong is the largest economic province in China and the forefront of reform and opening up. After these years of continued efforts, Guangdong Province has achieved five aspects of the reform and development of public hospitals.

中心 Starting from the original intention of "people's health", it is consolidated and improved to maintain public welfare, mobilize enthusiasm, and ensure sustainability. The investment in public hospitals at all levels increased from 22.97 billion yuan in 2016 to 37.97 billion yuan in 2021. The proportion of personal health expenditures in total health expenses remained below 26%. optimization.

、 Starting from the concept of "first -level first -level consultation and two -way referral", it has established a scientific and orderly grading diagnosis and treatment order. The hospitalization rates in the province and counties in the province are maintained at about 95%and 85%, respectively, and basically achieve serious illnesses. It ranked among the best in the assessment of hierarchical diagnosis and treatment construction during the "Thirteenth Five -Year Plan" period.

大 Starting from the structure of the "Top Tianli Grand Grand Fair", the formation of the sinking pattern of the national medical center (regional medical center), provincial regional medical center, and high -level hospitals, county -level hospitals, and township health centers. The overall improvement of the service capabilities of public hospitals at all levels. In the performance assessment of the third -level public hospital in 2020, 10 comprehensive hospitals in Guangdong entered the top 100 nationwide. 57 hospital rankings were significantly improved compared to 2019, of which 16 hospitals improved More than 100 are rated A -level hospitals with 48 hospitals, and the number in the country is the largest.

制 From the construction of the management system of modern hospitals, six hospitals have become pilots in the management system of modern hospitals, and two hospitals have become high -quality development pilots in public hospitals. Economic management, quality control, personnel compensation and other systems operating in public hospitals, as well as the continuous innovation and improvement of medical insurance payment, medical service price adjustment, and centralized procurement of drug consumables.

目 Starting from the long -term goal of healthy China, the people's sense of reform has obtained significantly. The diagnosis and treatment process of public hospitals has been continuously optimized. The satisfaction of outpatient and inpatient patients of third -level public hospitals has continued to increase. By the age of 79.31, the mortality rate and infant mortality rate of maternal maternals continued to decline to 998/100,000, 2.13 ‰.

The policy system lays the foundation of high -quality development

In the advancement of Guangdong's medical reform, high standing and high starting points are the basis for high -quality development of public hospitals. Since 2015, Guangdong Province has promulgated a series of policy documents such as building a strong hygienic province, strong foundation excellent, peak planning plan, and strengthening grass -roots service capacity building. The development plan for the development of health and medical pattern of the top of the sky, as well as the implementation path of "strong grassroots, building high grounds, promoting medical reforms, and health care."

The powerful joint efforts provided by the "up and down a game of chess", and the innovative spirit of the reform and opening up of Guangdong Province has made a number of outstanding reform measures emerging in Guangdong Province. Approve and promote nationwide. For example, the policy of implementing the "public welfare first financial security and public welfare two -type performance management" policy of grassroots medical institutions, personnel "county recruiting county management town" and close medical consortia "total prepaid, balance retention, and reasonable sharing of overlook" and other innovative mechanisms And practice. Among them, Shenzhen, Dongguan, Maoming Gaizhou, Guangzhou and other places have implemented the comprehensive reform of public hospitals, and have been reported to the State Council to praise and inspire, forming a good situation of "Hundred Flowers and Spring Garden".

High -level diagnosis and treatment and high standard management

In terms of high -quality resource expansion and quality, Guangdong Province implemented a peak plan, promoted high -level hospitals to build quality improvement and excellent quality, and deployed 50 high -level hospitals to achieve full coverage of prefecture -level cities. At the same time, we actively support the construction of five international medical centers including respiratory, kidney disease, tumor, cardiovascular, and precision medicine, and realize the "existing plateau and peaks" of Guangdong High -level hospitals. A number of tasks such as specialist ability improvement plan, strong foundation and excellent plan, and health bay area plan have further consolidated the discipline construction of hospitals in the province, significantly enhanced the county service capabilities. Elements circulation and measures. Seize the major opportunities for building a national Chinese medicine comprehensive demonstration zone, accelerate the construction of the TCM highland of the Greater Bay Area, and implement the policy of Hong Kong and Macao Medicine and Dharma. Twenty kinds of clinical need for drugs in the Mainland and 12 advanced medical devices are approved. In terms of the reform of public hospitals, Guangdong Province established a "small step fast run" adjustment mechanism for medical services. In 2017, the drug bonus bonuses of public hospitals in the province were completely canceled. Structure, guarantee, adjust the price of medical services, and the overall compensation rate reached 107.7%.

Carry out the reform of the medical insurance payment system innovatively, take the lead in implementing the reform of the disease -based score in the country, and establish a unified disease database library in the province. "Payment", promoting Guangzhou to become a national DIP pilot demonstration city, and Foshan City has become a pilot city of the national DRG reform.

Improve the drug supply guarantee mechanism, establish three platforms: provincial, Guangzhou, and Shenzhen, orderly promoting centralized bidding and procurement of drugs and consumables, implementing management policies for the use of medical insurance funds, strengthening reasonable monitoring of rational use of drugs, establishing shortage of drug supply protection linkage linkage linkage linkage linkage linkages The business mechanism.

Improve the internal system of public hospitals, implement the dean's responsibility system under the leadership of the party committee, and promote the division of party and government in public hospitals. Taking the charter as the lead, standardize the internal governance structure and the rules of power operation, and improve the system of medical quality and safety, finance, assets, performance assessment, and information management. Establish and improve the comprehensive budget management system and general accountant system. Deepen the reform of professional titles, more prominent clinical practice, improve the level of professional technology, and let the high -level titles judge the right to some cities and high -level hospitals, reform the personnel salary system, pilot the employment employment of all employees in Dongguan, etc. Practice to explore experience in national reform.

Accelerate the construction of the "Internet+Medical Health" demonstration province, and create the first "online hospital" and the first "smart Chinese medicine room" in the country. 225 hospitals in the province built an Internet hospital. Smart medical services covered 100%of the third -level hospitals and 90%of the secondary hospitals. Significant improvement.

Construction of public hospitals should be an efficient treatment system

Due to the frequent trade and tourism exchanges between Guangdong and Macao, the emergence of commercial and tourism in Guangdong Province is very complicated. Since the beginning of this year, Guangdong Province has encountered a number of local epidemics. At the same time, actively serving the overall situation of "one game of nationwide" and "controlling integration" to support resistance from all over the country. Since this year, while Guangdong has disposed of local epidemics, 526 medical personnel have sent 526 medical personnel to support Hong Kong, 300 people support Shanghai, 653 people support Macau in Macau, and Macau supports Macau. 1968 people supported Hainan, fully showing Guangdong's responsibility.

Driven by building a strong public health system goal, based on the integration of medical and defense, combining prevention and control, Guangdong Province implements the three -year action plan for public health prevention and control and treatment, establish and improve the mechanism for major epidemic treatment mechanism for hierarchical stratification, and reform and improve the prevention and control of the disease prevention and control. System, accelerate the construction of provincial public health medical centers and major provincial epidemic treatment bases, and build the province's epidemic prevention and control embankment.

In the next step, Guangdong Province will continue to learn from the advanced experience of all parts of the country, firmly grasp the theme of high -quality development, create a "Guangdong model" for high -quality development of public hospitals, and continue to make Guangdong's contribution to the country's deepening medical reform.

Author | Party Secretary and Director of the Party Group of the Guangdong Provincial Health and Health Committee, Zhu Hong, director of the Provincial Medical Reform Office

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Edit | Zhou Yanmei Responsible | Zhang Xiuli

Source | China Health Magazine

Produced by Guangdong Health Online All -Media Team

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