Academy of Social Sciences: the number of referrals of medical consortia in 3 years only accounts for 1 / 3000!

Source: in the past three years since the promotion of Beijing Youth Daily Medical Association on July 7, 2016, the number of referral accounts for only 1 / 3000 of the total number of outpatient and emergency departments in the city Beijing Academy of Social Sciences and Social Science Literature Publishing House yesterday released the Beijing blue book report on social development (2015-2016) (hereinafter referred to as the report), which was compiled by experts who believed that residents should be allowed to sign contracts with more than two medical consortia and pay for the total amount of medical insurance targeted at medical consortia The report points out that the main contradiction in the development of Beijing's medical and health services during the 12th Five Year Plan period is the mismatch between the improvement of medical quality and medical experience and the high growth of investment Generally speaking, the problem of difficult to see a doctor has not been effectively alleviated, and the problem of expensive to see a doctor is becoming more and more prominent A prominent problem is that in the five years since the new medical reform, the expenditure of tertiary medical institutions has more than doubled; the proportion of expenditure of secondary institutions to tertiary institutions has dropped sharply from 2:5 to about 1:4; the proportion of expenditure of community health centers to tertiary institutions has basically remained unchanged - the inverted pyramid structure of medical resources investment has not changed, but has intensified In the ternary structure of government expenditure, social expenditure and personal cash expenditure of total health expenditure, the proportion of social expenditure is increasing, and the proportion of government and personal cash expenditure is decreasing - but the absolute number of these two has not decreased, and the personal cash expenditure increased from 21 billion to 30.5 billion in 2010-2014 At the same time, the absolute amount of social expenditure mainly from medical insurance premiums of employees has grown rapidly, from 40.5 billion to nearly 90 billion, which has brought great pressure to the sustainable operation of medical insurance funds The report also pointed out that by the end of last year, the number of medical consortia in the city had reached 43 However, from 2013 to 2015, only about 1 / 3000 of the total number of outpatient and emergency departments in the city were transferred through medical association According to the report, the relevant departments of the city did not give specific guidance on the key links of the promotion and operation of the Medical Association, only the district and county governments were listed as the main body of responsibility, and the main assessment was the "signing rate" reflecting the number of Medical Association, and no assessment requirements were put forward for the specific indicators of the first diagnosis rate and referral rate reflecting the actual operation degree of the Medical Association Experts in the report suggest that each resident can choose to sign a contract in two or more community health service institutions and corresponding medical consortia, and community health institutions can also choose the medical consortia to join on a regular basis, so as to form moderate competition at two levels.