To improve medical services, the National Health Planning Commission will push ten initiatives.



Recently, the National Health and Family Planning Commission held a regular press conference to introduce the situation of national health informatization to improve the effectiveness of medical services, and lay out the second three-year action plan to improve medical services.

Jiao Yahui, deputy director of the Medical Administration and Hospital Administration of the National Health and Family Planning Commission, said at the meeting that since 2015, the National Health and Family Planning Commission has organized a three-year plan to improve medical services. Over the past three years, China has achieved remarkable results in improving medical services. Online data commissioned by a third-party assessment show that the overall satisfaction rate of outpatients and inpatients in tertiary hospitals in China is above 85% and 95%. The satisfaction rate of patients with online appointment registration was 89%, and the satisfaction rate of strengthening outpatient information construction such as appointment diagnosis and treatment reached 94%, which was the most satisfactory job for outpatients. This paper analyzes 28.83 million pieces of medical service-related information on the Internet, 11.36 million of which are related to "giving full play to the advantages of information technology and improving patients' medical experience". The attention ranks second, and the emotional preference of public opinion is mainly positive and neutral, which fully reflects that the use of information technology to improve medical services is more in line with the needs of the people.

Jiao Yahui also said that at present, all tertiary hospitals in our country have carried out appointment diagnosis and treatment and high-quality nursing services, and 86% of hospitals have realized mutual recognition of examination and test results at the same level. Medical resources have further sunk. At present, telemedicine has covered 13000 medical institutions and all poverty-stricken counties in the country. 342 regional medical imaging diagnosis centers, 689 regional medical examination laboratories and 185 regional pathological diagnosis centers have been built nationwide, further providing patients with high-quality and homogeneous medical services.

In response to the next three-year action plan to improve medical services, Jiao Yahui revealed that according to the results of satisfaction survey and third-party evaluation, logistics service will be a breakthrough to comprehensively improve patient satisfaction and solve problems such as dietary quality, toilet cleaning and parking difficulties.

Jiao Yahui said that the State Health Planning Commission is studying and formulating the second three-year action plan for improving medical services from 2018 to 2020. The first three-year action plan is systematically summarized and solidified into five hospital work systems: appointment diagnosis and treatment system, telemedicine system, clinical path management system, mutual recognition system of inspection and test results, medical social workers and volunteer system, requiring hospitals to continue to carry out.

In addition, in response to the main social contradictions in the new era, the National Health and Family Planning Commission has initially proposed ten pioneering measures for the next three-year action plan, and is soliciting opinions.

First, take the patient as the center and promote multidisciplinary diagnosis and treatment mode in outpatient and inpatient. The multidisciplinary diagnosis and treatment model is particularly suitable for patients with tumors and difficult and complex diseases involving multiple organs and multiple systems.

Second, focus on major diseases and innovate emergency first aid services. Focus on five types of serious life-threatening major diseases or key groups that race against time, and promote the construction of chest pain centers, stroke centers, trauma centers, critically ill pregnant women treatment centers, and critically ill children treatment centers.

The third is to provide all-round and full-cycle services with the medical union as the carrier. Through the medical consortium, patients are provided with continuous and integrated services of health education, prevention, diagnosis, treatment, nursing and rehabilitation of diseases.

Fourth, take daytime service as the starting point to promote the division of urgent and slow. Acute and slow division is an important part of the graded diagnosis and treatment system, we are prepared to day surgery, day services as the starting point to promote the urgent and slow division.

Fifth, use internet plus as a means to build a smart hospital. In the future, the hospital will build a smart hospital and use the means of Internet + to serve patients on the one hand and improve the feeling of seeing a doctor. On the other hand, it also serves medical staff to improve the efficiency and level of diagnosis and treatment.

Sixth, with one card as the goal, breaking the information barrier of medical institutions. Just now, Director Zhang Ping introduced the situation of the all-in-one card in Taizhou, Zhejiang Province, which is now being explored in many places. The goal in the future is to achieve medical treatment between hospitals with a medical card within a prefecture and city, and further use electronic cards to achieve medical treatment.

The seventh is to extend the provision of high-quality nursing services based on the new needs of the society.

Eighth, relying on contracted services, expand new areas of pharmaceutical services. The key population of contracted services is patients with chronic diseases who need long-term medication and need clinical and medication guidance from pharmaceutical staff.

Ninth, take humanistic service as the medium to build a harmonious doctor-patient relationship. Medical science is not only a natural science, but also a humanities science. It is necessary to further change the concept of service and build a more harmonious doctor-patient relationship with humanistic service.

Tenth, logistics service is a breakthrough to comprehensively improve patient satisfaction. The National Health and Family Planning Commission commissioned a third party to evaluate the effectiveness of improving medical services for three consecutive years, and found that the most dissatisfied part of the hospital was not the diagnosis and treatment services, but the hospital's diet. The next three-year action plan will be based on the results of the satisfaction survey and third-party evaluation, and the logistics service will be a breakthrough to comprehensively improve patient satisfaction, and solve problems such as meal quality, toilet cleaning, and parking difficulties. The ideas for the above action plan for the next three years are in the process of being consulted.