The directory based medicine tube expansion, primary chronic diseases

[Ma Xiaowei]:...... Grading clinics have four main features: one is the grassroots first diagnosed, two is a two-way referral, three is linked up and down, four is the acute and chronic triage. The key is the grassroots first diagnosed....... To solve the first primary diagnosis problem is the problem of talent, talent is the problem of policy issues, policy issues are two problems, one is treatment, one is the future of occupation. The doctor training of general practitioners, some of the best doctors at the grassroots level, to solve the two problems.

The treatment we do, is a government investment, we have made great achievements in the past five years, the government gave a lot of investment in basic medical and health institutions operating expenses, personnel expenses. Two is the price reform, improve the level of medical diagnosis and treatment fee. The three is the equalization of public health services, this year is 45 dollars per capita, can be packaged to the doctor. The four is the performance salary of this one, a considerable part of income as the performance salary, funding for staff. From Shanghai general practitioners in the situation of the grass-roots see, per capita income reached 12 million yuan, in Beijing by the end of this year to grant funds to increase by 30%, all for the primary doctor's income, so that effectively solve grassroots doctors treatment.

The second is career problems, Shanghai city is also considering, we also in consideration, brewing primary doctor's evaluation of professional title question, to separate the primary doctor's professional title appraisal standard and large medical institutions, so that he have prospects for career development. Base to expand the basic drug list, the medication and hospital is the primary medication. Beijing at the end of this year to the basic drug list and tertiary hospital drug catalogue for the merger, such people go to a doctor to see a doctor to take medicine, especially the common disease, frequently occurring disease, large hospital opened good medicine, you can to the grassroots level to get the medicine, don't again to the hospital to get the medicine.

To allow patients to have a willingness to go to the grassroots level of policy, that is, at the grassroots level, in the above reimbursement is less. At the grassroots level to read the disease, to referral, cancel the pay line. Patients from the top down, the medical income is not included in the base of basic medical of lump sum payment, the doctors have the enthusiasm to pick the transfer of patients, the patients also had positive went up to solve the first primary diagnosis and referral. Grassroots first diagnosis of the problem, the problem is expected to break through the classification of diagnosis and treatment.

According to Director Li said, summarized as four words: Regional Medical Center as the starting point, to focus on the subject as the support, solve problems of divided regions, do not have to north, on, see a doctor, each region has medical center; to the county hospital construction as the starting point, solve problem of urban and rural separate, sick people in the city, 90% to resolved in the county hospital; diseases as the starting point, chronic diseases, common diseases, frequently occurring disease, including acute diseases, separate the disease, above the hospital in a hurry, below the hospital to see slow, implementation of acute and chronic separately; solved simultaneously on separate.

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