Medical reform experts screamed: To be a good medical community, package payment, and re-engineer the mechanism, one cannot be less!

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75em;box-sizing:border-box ;overflow-wrap:break-word ;'> Recently, the director of medical reform Center of Renmin University of China, chief expert of public health cross-discipline innovation platform Renmin University of China Wang Hu Jiaoshou peak in the "Chinese New Year Medical Reform Forum" pointed out that the county health ECOWAS is to be effective, to achieve "for therapeutic center "In the transition from "health-centric", "medical insurance package payment" is one of the prerequisites, and the more critical one is "reengineering the operating mechanism.
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Recently, the director of medical reform Center of Renmin University of China, chief expert of public health cross-discipline innovation platform Renmin University of China Wang Hu Jiaoshou peak in the "Chinese New Year Medical Reform Forum" pointed out that the county health ECOWAS is to be effective, to achieve "for therapeutic center "In the transition from "health-centric", "medical insurance package payment" is one of the prerequisites, and the more critical one is "reengineering the operating mechanism.
"544px;white-space:normal;background-color:#FFFFFF;font-size:medium;line-height:1.
75em;box-sizing:border-box ;overflow-wrap:break-word ;'>"In the past, the focus was often on treatment.
Now, prevention and rehabilitation should be added to create an integrated and continuous medical-prevention service model that combines prevention, treatment, and rehabilitation.
" Wang Hufeng said in one sentence the direction of reengineering the operating mechanism.
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"In the past, the focus was often on treatment.
Now, prevention and rehabilitation should be added to create an integrated and continuous medical-prevention service model that combines prevention, treatment, and rehabilitation.
" Wang Hufeng said in one sentence the direction of reengineering the operating mechanism.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>Medical and prevention integration has always been emphasized, but where should we start?Medical and prevention integration has always been emphasized, but where should we start?544px;white-space:normal;background-color:#FFFFFF;font-size:medium;line-height:1.
75em;box-sizing:border-box ;overflow-wrap:break-word ;'>Wang Hufeng pointed out that pioneering work requires path design.
The first thing to be clarified is the type of disease for medical-prevention integration intervention.
Wang Hufeng pointed out that pioneering work requires path design.
The first thing to be clarified is the type of disease for medical-prevention integration intervention.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>He concluded from his rich practical experience that the selection of intervention diseases generally refers to 5 principles.
The morbidity rate is high; medical resources and medical insurance funds are consumed.
For example, in many places, high blood pressure, diabetes, medical insurance funds account for 20%, 30% or even higher; the pathogenic factors are clear, and the key links are clear, and the effect can be expected ; There is a clear intervention path; the clinical technology is mature.
He concluded from his rich practical experience that the selection of intervention diseases generally refers to 5 principles.
The morbidity rate is high; medical resources and medical insurance funds are consumed.
For example, in many places, high blood pressure, diabetes, medical insurance funds account for 20%, 30% or even higher; the pathogenic factors are clear, and the key links are clear, and the effect can be expected ; There is a clear intervention path; the clinical technology is mature.
544px;white-space:normal;background-color:#FFFFFF;font-size:medium;line-height:1.
75em;box-sizing:border-box ;overflow-wrap:break-word ;'>"According to these principles, select the most high blood pressure, diabetes, and several malignant tumors.
" Wang Hufeng said, after screening out the disease types, the type, age, gender, and possible complications of the disease must be selected.
Wait for the situation to be grouped.
The grouped diseases are included in the management reform plan that integrates prevention, treatment, and rehabilitation.
"According to these principles, select the most high blood pressure, diabetes, and several malignant tumors.
" Wang Hufeng said, after screening out the disease types, the type, age, gender, and possible complications of the disease must be selected.
Wait for the situation to be grouped.
The grouped diseases are included in the management reform plan that integrates prevention, treatment, and rehabilitation.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>In the design of the scheme, it is necessary to carry out an integrated management, service, evaluation and assessment design for the participating institutions and personnel.
In the design of the scheme, it is necessary to carry out an integrated management, service, evaluation and assessment design for the participating institutions and personnel.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>"In the past, we managed to manage each section and each made their own affairs very clear, but when everyone did it together, it was not clear.
Now we need to redesign the process.
" Wang Hufeng said.
"In the past, we managed to manage each section and each made their own affairs very clear, but when everyone did it together, it was not clear.
Now we need to redesign the process.
" Wang Hufeng said.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>Wang Hufeng pointed out that in reality, my country has issued many policies and standards for different links and fields of prevention, treatment, and rehabilitation.
Some policy requirements are more specific.
Although they are applicable to a single point, because the requirements on a line are not uniform and do not match each other, it is difficult to form a continuous service.
This is a problem that the integrated design should focus on.
For example, many disease countries have standardized treatment standards, but there are no management standards and assessment standards.
The lack of the latter makes it difficult for the former to land.
Wang Hufeng pointed out that in reality, my country has issued many policies and standards for different links and fields of prevention, treatment, and rehabilitation.
Some policy requirements are more specific.
Although they are applicable to a single point, because the requirements on a line are not uniform and do not match each other, it is difficult to form a continuous service.
This is a problem that the integrated design should focus on.
For example, many disease countries have standardized treatment standards, but there are no management standards and assessment standards.
The lack of the latter makes it difficult for the former to land.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>To change the status quo, in the integrated program design, great attention was paid to disease baseline survey, cost accounting and intervention comparison.
Investigate and calculate to figure out the baseline prevalence, number of outpatient visits, hospitalizations, expenditures, etc.
of the intervention diseases, and on this basis, clarify the content of integrated services, objectives, team division, responsibilities, service procedures, etc.
Perform disease calculations at regular intervals (preferably more than 3-6 months).
In the accounting process, the necessary charging items, non-charging items, prevention items, and management items are uniformly accounted for as the basis for performance distribution and continuous improvement of performance appraisal.
To change the status quo, in the integrated program design, great attention was paid to disease baseline survey, cost accounting and intervention comparison.
Investigate and calculate to figure out the baseline prevalence, number of outpatient visits, hospitalizations, expenditures, etc.
of the intervention diseases, and on this basis, clarify the content of integrated services, objectives, team division, responsibilities, service procedures, etc.
Perform disease calculations at regular intervals (preferably more than 3-6 months).
In the accounting process, the necessary charging items, non-charging items, prevention items, and management items are uniformly accounted for as the basis for performance distribution and continuous improvement of performance appraisal.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>Wang Hufeng emphasized that since the improvement of health results takes a certain period of time to appear, the dynamic assessment concept must be established in the evaluation and assessment.
The benefit distribution mechanism must ensure the enthusiasm of all participating medical staff.
For example, after the effect is achieved, the allocation mechanism will not only focus on the lead unit, but also the medical personnel of the disease control and primary medical institutions participating in the joint participation.
Wang Hufeng emphasized that since the improvement of health results takes a certain period of time to appear, the dynamic assessment concept must be established in the evaluation and assessment.
The benefit distribution mechanism must ensure the enthusiasm of all participating medical staff.
For example, after the effect is achieved, the allocation mechanism will not only focus on the lead unit, but also the medical personnel of the disease control and primary medical institutions participating in the joint participation.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>Wang Hufeng also said that the reconstruction of an integrated medical-prevention fusion mechanism particularly requires the confidence, patience and pattern of leading hospital managers.
"In the initial stage of health intervention, a lot of human and material inputs should be increased.
Within a certain period of time, some evaluation indicators may seem "ugly".
During the period of model transition, the indicators need to be structurally adjusted according to the latest policy orientation.
To achieve structural change, the process and result indicators will be equally emphasized.
If the assessment is based on the past indicators, the transformation will not be successful.
"Wang Hufeng also said that the reconstruction of an integrated medical-prevention fusion mechanism particularly requires the confidence, patience and pattern of leading hospital managers.
"In the initial stage of health intervention, a lot of human and material inputs should be increased.
Within a certain period of time, some evaluation indicators may seem "ugly".
During the period of model transition, the indicators need to be structurally adjusted according to the latest policy orientation.
To achieve structural change, the process and result indicators will be equally emphasized.
If the assessment is based on the past indicators, the transformation will not be successful.
"544px;white-space:normal;background-color:#FFFFFF;font-size:medium;line-height:1.
75em;box-sizing:border-box ;overflow-wrap:break-word ;'>In fact, if the preliminary design is more thorough and the work is done properly, the medical-prevention fusion effect can be effective within half a year at the earliest.
In fact, if the preliminary design is more thorough and the work is done properly, the medical-prevention fusion effect can be effective within half a year at the earliest.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'>In Wang Hufeng's view, to establish a coherent service operation mechanism, it is also necessary to complete the transformation of the service population and the focus of work.
The service population has shifted from focusing on the population with the disease to the sub-healthy population and the nearby high-risk population.
Integrate health education and health promotion for the whole population to change the separation of health education from sub-health services and disease treatment.
In Wang Hufeng's view, to establish a coherent service operation mechanism, it is also necessary to complete the transformation of the service population and the focus of work.
The service population has shifted from focusing on the population with the disease to the sub-healthy population and the nearby high-risk population.
Integrate health education and health promotion for the whole population to change the separation of health education from sub-health services and disease treatment.
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75em;box-sizing:border-box ;overflow-wrap:break-word ;'> 5px;font-size:15px;letter-spacing:1px;color:#7B0C00;text-decoration-line:underline;box-sizing:border-box ;overflow-wrap:break-word ;">In order to celebrate the 100th anniversary of the founding of the Communist Party of China, China County Health Bureau hereby launched the "Party Building Leading Hospital High-quality Development Outstanding Case" selection activity.
For details, please scan the QR code of the poster below.

5px;font-size:15px;letter-spacing:1px;color:#7B0C00;text-decoration-line:underline;box-sizing:border-box ;overflow-wrap:break-word ;">In order to celebrate the 100th anniversary of the founding of the Communist Party of China, China County Health Bureau hereby launched the "Party Building Leading Hospital High-quality Development Outstanding Case" selection activity.
For details, please scan the QR code of the poster below.
5px;font-size:15px;letter-spacing:1px;color:#7B0C00;text-decoration-line:underline;box-sizing:border-box ;overflow-wrap:break-word ;">In order to celebrate the 100th anniversary of the founding of the Communist Party of China, China County Health Bureau hereby launched the "Party Building Leading Hospital High-quality Development Outstanding Case" selection activity.
For details, please scan the QR code of the poster below.