The Beijing Medical Reform Plan was officially released on March 22. According to the plan, all public medical institutions in Beijing will cancel the drug additions on April 8th, and implement the medical sunshine procurement and set up medical service fees. The reform involved more than 3,600 medical institutions. Prior to this, the problem of “difficulty in seeing a doctor and expensive medical treatment†has long been swayed between doctors and patients, and the “medical treatment of medicine†was used to “maintain medical careâ€. Fundamental interests. Up to now, the medical reform in Beijing has been implemented for 108 days. In the past 100 days, what happened to the third-level medical institutions, down to the community clinics, and whether the medical reforms have actually been implemented, this has become a persistent concern for the health of the blue whales.
Third-grade hospital patients
With doubts, the blue whale health went into the Third Hospital of Peking University. At this time, it was at 7:00 am. The large screen in the lobby of the first floor scrolled the remaining amount of the experts in each department, and it was clear at a glance. From ordinary clinics to well-known experts, medical service fees range from 50 to 100 yuan. According to the new policy, go to a tertiary hospital to see a well-known expert, you need to pay 60 yuan from your own pocket, and go to a primary medical institution to see the general clinic, only need to pay 1 Yuan, so many common diseases are classified into community hospitals.
One patient told the blue whales that “the number of registered people is now greatly reduced, because it can be registered by phone, website and WeChat, and some patients have completed the triage of common and chronic diseases in community hospitals†. Take the WeChat public account “Beijing 114 Appointment Registration†as an example. The blue whale health landing found that the registration interface is divided into “by hospitalâ€, “by department†and “by diseaseâ€. Through this registration platform, patients can complete registration on their mobile phones seven days in advance. As for the patients who were registered on the same day, a large part of them were unidentified foreign patients and patients who did not have an appointment on the Internet and wanted to see the doctor on the same day.
Some hospitals have compiled data on the implementation of policies. According to the data of the Aviation General Hospital of Beijing Medical University, the sales amount of drugs from April 8 to May 31, 2017 decreased by 6.72% compared with the sales amount of drugs in the same period of 2016. The amount of prescription decreased compared with the amount of prescriptions in the same period. 14.0%, the inspection income decreased by 13.25% year-on-year, and the total number of emergency treatments decreased by 16.31%. A large part of the reason for the decline in the amount of drug sales and inspection income is the implementation of grading diagnosis and treatment, and reducing the price of large equipment inspection items such as CT and nuclear magnetic is also one of the reasons.
Community hospital patients increase
Then the number of patients in the tertiary hospitals declines. Will these patients choose community hospitals? The blue whale health randomly entered the Shuangshu Community Health Service Center. At this time, at three o'clock in the afternoon, there were more than ten patients sitting in the waiting position of the visit hall. One patient told the blue whale that he was healthy. "I came to the hospital in the morning and have been waiting until now. Many patients are close to seeing a doctor, plus a summer vacation, and there are more people."
"Now the top three hospital experts have medical service fees, the price is much more expensive, I will come directly to the community to open the antihypertensive drugs." A patient surnamed cattle explained this.
“We have established a convenient two-way referral channel with Haidian Hospital. Haidian Hospital has reserved some sources for appointment referrals.†Wu Yuechuan, director of the medical department of Shuangshushu Community Health Service Center, explained. He introduced that in 2016, the hospital referred 1,107 person-times to the core hospital through the medical association. In 2017, the hospital and Haidian Hospital carried out two-way referral information construction. At present, the referral platform has been completed, and the two-way referral system can be used. Online referral, patient medical data sharing and mutual recognition of test results.
The medical reform operation has achieved initial results in 100 days.
Lei Haichao, director of the Beijing Municipal Health Planning Commission, introduced the relevant situation of the medical reform for 100 days on the 23rd.
After 100 days of medical reform, the city completed 60 million medical services, and 3,100 medical institutions participating in the medical reform were running smoothly. Daily monitoring information shows that the number of outpatients in tertiary hospitals has decreased by 12.7%, “the highest time has been reduced to 16%.†Lei Haichao said that secondary hospitals have also declined, while primary and secondary medical institutions and primary hospitals The amount has increased significantly, with an increase of 10%.
In the tertiary hospitals, the number of doctors at different ranks has also changed. Overall, after the reform, the number of outpatients of deputy chief physicians fell by 10%, the number of chief physicians dropped by 22.7%, and the number of outpatients of well-known experts fell by 15.2%.
"It can be seen that everyone is more rational when they visit the clinic, and they do not blindly pursue the expert number. This also alleviates the problem of patients who really need the expert number to register, making our expert resources more suitable for the treatment of difficult and serious diseases. Instead of our experts to see common diseases and common diseases.†Lei Haichao explained at the meeting.
The average length of hospital stay was reduced by 1.6 days in 100 days. Lei Haichao said that in March, the average hospital stay in Beijing was 8.1 days, and it has been stable for 6.5 days. "If there is no reform, it will take about 10 years for the average hospitalization rate to be shortened by 1.6 days. The shortening of the hospitalization rate will help strengthen tertiary hospitals to pay attention to difficult and serious treatment and improve inpatient medical services."
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