Total solutions of child medical care in 2020, thousands of children beds 2.2
NET finance, China, May 19 (reporter Wu Qi long) national health planning, national development and Reform Commission, Ministry of finance and other six departments 18th jointly issued the Declaration on strengthening child health services reform and development (hereinafter "opinion"), to deepen the reform of medical care, to alleviate the shortages of health care resources for children issues, promote the sustained and healthy development of the child health.
Clearly, by 2020, establish clear function, reasonable layout, size, efficient children's medical and health service system, number of beds increased to 2.2 per thousand children. Strengthening the construction of pediatric medical staff per thousand children in pediatric practice (Assistant) number of physicians to 0.69, each township and community health service institutions at least 1 specification for general practitioners to provide basic medical services for children.
Raising pay and equal treatment training and develop pediatric medical team
Comments pointed out that promoting reforms in the area of medical and health services for children, to improve treatment for pediatric medical staff to enhance pediatric medical staff positions attractive. Improve the service quality, quantity and patient satisfaction as the core of the internal distribution mechanism, and merit pay, equal pay for equal work. Personal income and medical personnel is strictly prohibited drugs in medical institutions, supplies, examinations and laboratory tests income. In the distribution of medical institutions, to fully consider the characteristics of Pediatrics, rational determination of pediatric medical staff wages, income is not less than the paediatric medical units medical personnel at the same level of income average.
Clearly, the "Thirteen-Five" period, to make pediatric medical staff development planning through the "training, transfer, promotion", increasing the number of pediatric medical staff, improve the overall quality. First, we need to promote pediatric medical personnel training in colleges and universities. Reform of Pediatrics professional education, development of common pediatric specialty training program in colleges and universities, pediatric medical shortage areas could be conducted in conditions of university undergraduate education in Pediatrics. Organized by 2016 in 39 "5+3" integrated medical education University of integrative pediatrician training. According to the teaching resources and jobs, expanded graduate enrollment in Pediatrics and medical institutions give priority to the recruitment of Pediatrics undergraduates and graduate students. Continue to promote rural orders directed medical students free training, "Thirteen-Five" per year for training basic medical and health institutions to recruit about 5,000 in diagnosis and treatment of common diseases in pediatric subjects, such as general medical service personnel.
Secondly, expand the scale of pediatric specialty residency training. Based on the number of graduates of clinical medicine, paediatrics and position requirements, admissions to pediatric resident standardization training tilt today by 2020 to recruit more than 30,000 residents in training Pediatric professional. Strengthening the management of the training system and training, focus on cultivating ability of clinical diagnosis and treatment to improve clinical skills, to train qualified pediatric specialty resident independent Pediatric Clinical working ability. Integrated using standard training of resident doctors around financial aid funds, in the living allowance appropriate to pediatric tilt encourages ways to search for order-type training. Encourage and attract a standard training of resident doctors of traditional Chinese medicine and Western medicine combined with professional resident in Pediatric Clinic.
Meanwhile, pediatricians transfer training to be carried out. Through financial grants and hospital self broaden sources of funding, increase strength pediatrician transfer training. Pediatricians have been transferred to other positions, encouraging and guiding them to return Pediatrics jobs. City and County Pediatric transfer training of the specialists of medical institutions, their master Pediatric seasonal diseases, common diseases and frequently-occurring diseases of etiology, pathogenesis, clinical features, diagnosis and differential diagnosis, treatment, rehabilitation and prevention of professional knowledge and skills. Transfer training qualified and eligible, in the original specialist practice on the basis of the increase in pediatric practice, and incorporated into the relevant professional and pediatric physician assessment on a regular basis.
In addition, the opinion also pointed out that to promote professional development, giving priority to children of medical staff family contracted services, in order to promote quality child care resource sink. Meanwhile, through deepening the reform of institutional mechanisms and establish policies to promote the development of children's health system and incentive mechanism, and mobilize the enthusiasm of pediatric medical staff.
Adjust prices reduce poverty caused by disease, pediatric medical services
Opinion said current pediatric medical service fees are higher than charges for medical services for adults, so adjust the pediatric medical service prices. In accordance with the "global budget and structure adjustment, rises and falls, and gradually put in place the" principle of invasive biopsy in diagnosis of children with probes, surgical treatment of embodied technology paediatric medical service features and value of medical services, fees for reasonable adjustments. Medical expenses, adjusted according to the provisions included in the scope of Medicare payment and avoid increasing the burden on patients.
Calls, all localities should carry out medical aid children from poor families. Full implementation of the neonatal screening programs in poor areas, improving the rural cooperative medical care system, increase the intensity of medical assistance for children from poor families, urban and rural residents with basic health care, catastrophic illness, disease emergency rescue system of cohesion, further improve the children's critical illness treatment expenses level, reduce child poverty family poverty caused by disease and poverty due to illness.
Also do children's medicine supply. Establishing Pediatric drug review and approval of specialized channels, give policy support to children's medicine prices, giving priority to support the production of children's medicine product upgrade, technological transformation of enterprises. Establish and improve the shortage of drugs supply warning mechanism, grasp the shortage of children's medicine production, and actively coordinate and solve production problems and difficulties, improve production and supply capacity.
Also, encourage social forces to organize specialized medical institutions for children. Guide and encourage the social organization of children's hospitals, pediatric clinics, form the pattern of multiple medical and satisfy the diverse health care needs of children. Through purchase of services or any other means, support specialist children's medical institutions providing basic health services for children, in line with the conditions of medical institutions and the scope of provisions in health care point. Encourages public and private cooperation children's hospitals, pediatric clinics, ensure medical safety and meet the core functions of the medical condition, medical imaging, medical testing, such as sharing of resources.
In addition, the opinion also points out that, to improve children's health services system, optimize the regional distribution of quality children's medical resources, contributing to children's medical services network. Among them, the setting of 1 children's Hospital, the provincial capital, prefecture-level cities can also set 1 of the resident population of more than 3 million children's Hospital. For student holidays and seasonal periods of high disease, children health care shortage problem, clear, according to the health care needs of children, reasonable allocation of pediatric medical staff, out-patient and emergency effectively connect, meet peak in children with medical needs.
(Editors: Xu Yonggang UN006)
2016-05-19 14:57:04
Authorities wide nets
多部门共解儿童医疗困境 2020年千名儿童床位2.2张
中国网财经5月19日讯 (记者 吴起龙) 国家卫计委、发改委、财政部等六部门18日联合印发《关于加强儿童医疗卫生服务改革与发展的意见》(以下简称“意见”)，以深化医药卫生体制改革，缓解我国儿童医疗卫生服务资源短缺问题，促进儿童医疗卫生事业持续健康发展。
意见明确，到2020年，建立健全功能明确、布局合理、规模适当、富有效率的儿童医疗卫生服务体系，每千名儿童床位数增加到2.2张。加强儿科医务人员队伍建设，每千名儿童儿科执业(助理)医师数达到0.69 名，每个乡镇卫生院和社区卫生服务机构至少有1名全科医生提供规范的儿童基本医疗服务。
提高薪酬等待遇 培养壮大儿科医务人员队伍
意见指出，推进儿童医疗卫生服务领域改革，要提高儿科医务人员薪酬待遇，以提升儿科医务人员岗位吸引力。健全以服务质量、数量和患者满意度为核心的内部分配机制，做到优绩优酬、同工同酬。严禁把医务人员个人收入与医疗机构药品、耗材、检查和化验收入挂钩。在医疗机构内部分配中，要充分考虑儿科工作特点，合理确定儿科医务人员工资水平，儿科医务人员收入不低于本单位同级别医务人员收入平均水平。
意见明确，“十三五”期间，要制定实施儿科医务人员培养规划，通过 “培养一批、转岗一批、提升一批”，增加儿科医务人员数量，提高队伍整体素质。首先，要推进高等院校儿科医学人才培养。改革儿科学专业化教育，制定普通高校开展儿科学专业人才培训规划，儿科医疗资源短缺的地区可在有条件的高校举办儿科学本科专业教育。2016年起在39所举办“5+3”一体化医学教育的高校开展一体化儿科医生培养。根据教学资源和岗位需求，扩大儿科学专业研究生招生规模，医疗机构优先招聘儿科学专业本科生和研究生。继续推进农村订单定向医学生免费培养工作，“十三五”期间每年为基层医疗卫生机构招收培养约5000名从事儿科等各科常见疾病诊疗服务的全科医学人才。
其次，扩大儿科专业住院医师规范化培训规模。根据临床医学、儿科学毕业生数量和岗位需求，住院医师规范化培训招生向儿科倾斜，到2020年累计招收培训儿科专业住院医师3万名以上。加强培训体系建设及培训过程管理，注重培养临床诊疗能力，提高临床技能水平，使培训合格的儿科专业住院医师具备独立从事儿科临床工作的能力。各地统筹使用住院医师规范化培训财政补助资金时，在生活补助等方面适当向儿科倾斜，鼓励各地探索订单式培养的有效途径。鼓励和吸引经过住院医师规范化培训的中医、中西医结合专业住院医师从事中医儿科诊疗工作。
同时，要开展儿科医师转岗培训。通过财政补助和医院自筹等方式拓宽经费来源，加大儿科医师转岗培训力度。对已转到其他岗位的儿科医师，鼓励和引导他们返回儿科岗位。开展市、县级医疗机构相关专业医师的儿科转岗培训，使其系统掌握儿科季节性疾病、常见病、多发病的病因、发病机理、临床表现、诊断及鉴别诊断、治疗、康复与预防等专业知识和技能。经转岗培训考核合格且符合条件的，在原专科执业范围的基础上增加儿科执业范围，并纳入相关专业和儿科专业医师定期考核。
另外，意见还指出，要促进儿科医务人员职业发展、优先开展儿童家庭签约服务，以推进优质儿童医疗资源下沉。同时，通过深化体制机制改革，建立完善促进儿童医疗卫生事业发展的政策体系和激励机制，调动儿科医务人员积极性。
合理调整儿科医疗服务价格 减少因病致贫等发生
意见称，目前儿科医疗服务收费标准要高于成人医疗服务收费，因此要合理调整儿科医疗服务价格。按照“总量控制、结构调整、有升有降、逐步到位”的原则，对儿童临床诊断中有创活检和探查、临床手术治疗等体现儿科医务人员技术劳务特点和价值的医疗服务项目，收费标准进行合理调整。调整后的医疗费用按规定纳入医保支付范围，避免增加患者就医负担。
意见要求，各地要开展贫困家庭儿童医疗救助。全面实施贫困地区新生儿疾病筛查项目，完善城乡医疗救助制度，加大贫困家庭儿童医疗救助力度，做好与城乡居民基本医保、大病保险、疾病应急救助等制度的衔接，进一步提高儿童重大疾病救治费用保障水平，减少贫困儿童家庭因病致贫、因病返贫。
各地还要做好儿童用药供应保障。建立儿童用药审评审批专门通道，对儿童用药价格给予政策扶持，优先支持儿童用药生产企业产品升级、技术改造。建立健全短缺药品供应保障预警机制，及时掌握短缺儿童用药生产动态，积极协调解决生产企业突出问题和困难，提高生产供应保障能力。
同时，鼓励社会力量举办儿童专科医疗机构。引导和鼓励社会力量举办儿童医院、儿科诊所，形成多元办医格局，满足多样化儿童医疗卫生服务需求。各地可通过政府购买服务等方式，支持社会办儿童专科医疗机构为儿童提供基本医疗卫生服务，符合条件的医疗机构按规定纳入医保定点范围。鼓励公立医院与社会办儿童医院、儿科诊所开展合作，在确保医疗安全和满足医疗核心功能的前提下，实现医学影像、医学检验等资源共享。
此外，意见还指出，要完善儿童医疗卫生服务体系、优化优质儿童医疗资源区域布局、推动形成儿童医疗服务网络。其中，省会城市设置1所儿童医院，其他常住人口超过300万的地级市也可设置1所儿童医院。对于在学生假期和季节性疾病高发期，出现儿童医疗卫生服务资源短缺的问题时，意见明确，要根据儿童医疗服务需求，合理调配儿科医务人员力量，做好门诊和急诊的有效衔接，满足高峰期儿童患者医疗需求。
(责任编辑：徐永刚 UN006)
2016-05-19 14:57:04
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