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The author:(作者)delvpublished in(发表于) 2014/1/20 9:15:39 Jiangsu strive for next year， all communities have a family doctor
In 2015, all communities have a family doctor
Director-read the report
Interview hot:
1 diagnosis and treatment, grading mode
2, reform public hospitals "by building up one ' s health with tonics" mechanism
3, to create "intelligent health"
Interviewee:
Provincial health department director Wang Yonghong
In the Government work report referred to by health care topics, emphasis on deepening health system reform and improve the medical and health service system, and efforts to build "health in Jiangsu Province", in promoting the reform of public hospitals at county level, improve Government of new rural cooperative medical assistance standards, implementation of urban and rural residents on the work of social concern, such as serious illness insurance, proposed a new specific requirements. Press interview last provincial health department director Wang Yonghong, asked her detailed explanation in 2014, new highlights of medical and health work.
Yangtse evening post reporter Yu Dandan
Original text of the report
Deepening health reform, promoting reform of public hospitals at county level, consolidation and improvement medicine system and operational mechanism of basic medical and health institutions, encouraging social medicine. Improve the medical and health service system, strengthen the construction of grass-roots health personnel and information technology. Strengthening the prevention and control of major diseases, efforts to build health in Jiangsu Province.
This year to fully implement disease insurance system
Wang Yonghong said, the next step, to reform public hospitals "by building up one ' s health with tonics" mechanism that allows public hospitals ' real last name "public" at the same time, medical protective cover on the basis of, and continuously improve the standards of government subsidies. Current actual reimbursement 20 kinds of major diseases in rural areas has reached 70%, on a pilot basis in full swing this year serious illness insurance system. Key of the current health care reform, is to address the health needs of the masses erupted like a blowout and the contradiction of insufficient medical resources. That will require the Government and the market, "two-wheeled" formula in one hand and increase government input in one hand and encouraged all kinds of social capital to enter the medical field, by 2015 social 20% of the total number of beds and services are up to.
2015 community residents have family doctors
Wang Yonghong Director said that currently the focus of health care reform was to build "small communities, serious illness in the hospital, rehabilitation back into the community," hierarchical modes of diagnosis and treatment. While stronger base. We are striving to introduce a number of policy measures to further strengthen the construction of grass-roots health personnel, improving the grass-roots level. On the establishment of community physicians and the public contract services. We have been spearheading the creation of a system of family doctors working in the country, to increase its efforts, by 2015, all urban community health service centers of family doctor system, Contracting people to have their own "family doctor", when the masses ' health gatekeepers.
Full implementation of the zero rate of drugs in public hospitals at the county level sales
Reporting requirements, "pushing forward reform of public hospitals at county level". Wang Yonghong said that 2013 comprehensive reform of public hospitals at county level in Jiangxi province started on a pilot basis, get rid of "building up one ' s health with tonics" to achieve a breakthrough. In healthcare research center of Renmin University publishing in the public hospital reform pilot evaluation report, "health care policy index" to measure national pilot city reform, ranked first in Zhenjiang. In 2014, will continue to improve reforms in public hospitals at the county level. All counties (cities, districts) full implementation of public medical institutions at county level zero rate sales of medicines, adjust prices for medical services, increase government spending.
Large hospital average length shortened to 10 days
Wang Yonghong said, we will continue to implement the "quality care demonstration project", the pilot business process reengineering in hospitals, tertiary hospitals are encouraged to establish integrated health care team, establishing disease-oriented medical service model or system. This year, the tertiary public hospital to further expansion of day surgery pilot, striving for average length of about for about 9 days and 10 days respectively. To deepen peace hospital to create a work, vigorously carry out third-party mediation mechanism of medical disputes and medical liability insurance system, deepen the mutual aid system pilot medical risks, actively promote the medical disputes under the legislative process, safeguard the legitimate rights and interests between doctors and patients, to promote more harmonious doctor-patient relationship.
During the basic realization of telemedicine services
Wang Yonghong said that 2014 will continue to advance efforts to speed up the building "intellectual health." At all levels, promoting the health information platform construction. Cities and counties across the province almost complete regional platform construction tasks and achieve interoperability information system for medical and health institutions in the region; platform to accelerate with around of docking at the provincial level, to provide management and decision support services for efficient and convenient to the parties. Accelerating the construction of telemedicine and health cards. Relying on information platforms and hospital resources, speed up the establishment of regional centres for inspection check year basic realization of telemedicine services, promotion of regional health resources shares, driven grassroots health institutions servicing capacity improve.
(Original title: in 2015, all communities have a family doctor)
2015年，所有社区都有家庭医生
厅长读报告
采访热点：
1、分级诊疗模式
2、改革公立医院“以药补医”机制
3、打造“智慧健康”
采访对象：
省卫生厅厅长王咏红
政府工作报告中多处提及医疗卫生的热点话题，强调要进一步深化医药卫生体制改革，健全医疗卫生服务体系，努力建设“健康江苏”，在推进县级公立医院改革、提高新农合政府补助标准、实施城乡居民大病保险等社会高度关注的工作上，提出了新的具体要求。记者昨采访省卫生厅厅长王咏红，请她详细解读2014年医药卫生工作新亮点。
扬子晚报记者 于丹丹
报告原文
深化卫生体制改革，全面推进县级公立医院改革，巩固完善药物制度和基层医疗卫生机构运行机制，鼓励社会办医。健全医疗卫生服务体系，加强基层卫生人才队伍和信息化建设。强化重大疾病防控，努力建设健康江苏。
今年全面推行大病保险制度
王咏红说，下一步，要改革公立医院的“以药补医”机制，让公立医院真正姓“公”；同时，要在医保全覆盖的基础上，不断提高政府补助标准。目前农村20种重大疾病患者实际报销比例已经达到70%，今年还要在试点的基础上全面推开大病保险制度。当前医改的关键，是要解决群众健康需求像井喷一样爆发与医疗资源不足的矛盾。这就需要采取政府和市场“双轮驱动”的办法，一手加大政府投入，一手鼓励各类社会资本进入医疗领域，力争到2015年使社会办医的床位数和服务量都达到总量的20%。
2015年社区居民都有家庭医生
王咏红厅长说，目前医改的重点，是要构建“小病在社区，大病进医院，康复回社区”的分级诊疗模式。一方面要把基层做强。我们正力争出台一批政策措施，进一步加强基层卫生人才队伍建设，提高基层的水平。另一方面建立社区医生与群众契约服务关系。我们已经在全国率先开展了建立家庭医生制度工作，要加大力度，力争到2015年，所有的城市社区卫生服务中心实施家庭医生制度，让签约群众有自己的“家庭医生”，当好群众健康守门人。
县级公立医院全部实施药品零差率销售
报告中要求，“全面推进县级公立医院改革”。王咏红说，2013年我省县级公立医院综合改革在试点的基础上全面启动，破除“以药补医”取得突破。在中国人民大学医改研究中心发布的《公立医院改革试点评估报告》中，用“医改政策指数”衡量国家试点城市改革情况，镇江市位列第一。2014年，将继续完善县级公立医院改革措施。所有县(市、区)的县级公立医疗机构全部实施药品零差率销售，同步调整医疗服务价格、加大政府投入。
大医院平均住院日缩短至10天
王咏红说，要继续组织实施“优质护理服务示范工程”，开展医院业务流程重组试点，鼓励二、三级医院建立整合型医疗团队，探索建立以疾病或系统为导向的医疗服务模式。今年，二、三级公立综合医院要进一步扩大日间手术试点，力争平均住院日分别达9天左右、10天左右。要深化平安医院创建工作，大力推行医疗纠纷第三方调解机制和医疗责任保险制度，深化医疗风险互助金制度试点，积极推进医疗纠纷处理条例立法进程，保障医患双方合法权益，促进医患关系更加和谐。
年内基本实现远程医疗服务
王咏红说，2014年将继续加大推进力度，加快打造“智慧健康”。 着力推进各级卫生信息平台建设。全省各市、县基本完成区域平台建设任务，实现区域内医疗卫生机构信息系统的互联互通；省级平台要加快与各地平台的对接，为各方提供高效便捷的管理与辅助决策服务。加快远程医疗系统和居民健康卡建设。依托信息平台和大医院资源优势，加快建立区域检验检查中心，年内基本实现远程医疗服务，促进区域医疗资源共享，带动基层医疗卫生机构服务能力的提升。
(原标题：2015年，所有社区都有家庭医生)
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