Multi-measures of the health system in Qin City to build a harmonious doctor-patient relationship

Yan Zhao Metropolis Daily, Dong version of the reporter Yan Yunpeng intern Niu Liting in recent years, difficult to see a doctor, the tension between doctors and patients has become a mountain in the hearts of the public, but also let the medical and health system feel a lot of pressure In order to solve this difficult problem and build a harmonious doctor-patient relationship, Qin City Health System has taken a number of effective practical measures to ease the doctor-patient relationship and crack the problem of seeing a doctor, starting with the medical benefit, cracking the illegal practice of medicine, implementing the third-party mediation mechanism of medical disputes, etc "Weimin Hospital" and "Weimin Ward" to facilitate patients to seek medical treatment
in response to the problem of people's difficulty in seeing a doctor, expensive to see a doctor, Qin City Health System first strengthened infrastructure construction, the city's Chinese medicine hospital as a whole into the new site of the development zone, and actively build the city's third hospital key infectious diseases medical treatment center ward building and the city workers hospital inpatient ward building and other projects, started the city mental health center construction project At the same time in the city's second-level or above hospitals to carry out appointment services, a number of hospitals to implement the "one card", hospitals in the outpatient hall to add a guide desk, in the waiting area to add water dispensers, seats, single frame, wheelchairs and other appliances, optimize the patient's medical environment The smart medical project first saw the scale, completed the construction of regional health platform, residents health portal construction, comprehensive medical examination machine, integrated command room construction and other work, there are currently 5 hospitals formally connected to the smart medical platform, will effectively solve the clinical drug supervision, medical reform data analysis, medical quality monitoring and other issues and problems. to solve the problem of "expensive to see a doctor", Qin City, after research, determined that the military hospital for the municipal Huimin hospital, in the city's second-level or above hospitals have all set up a certain number of "Weimin ward", the city's "low-security" residents, rural "five insurance households" and the local government to provide medical assistance for the special hardship people need to provide a certain fee for the basic medical services "Weimin Hospital" and "Weimin Ward" for poor patients to implement the cost of "one free three-minus", that is, free of registration fees, reduced treatment fees (excluding materials), reduced by 10% of the examination fee, reduced 5% of the cost of inpatient beds In addition, the two-level hospital single-disease price limit and test results mutual recognition system was implemented All patients in the secondary hospital, medical units in a certain period of time, for the same purpose, the hospital test results (such as blood, urine, regular, liver function, hepatitis B 5, blood lipids, blood sugar, etc.) image results (such as radiation, CT, nuclear magnetism, etc.) mutual recognition, avoid repeated examination, reduce the burden of the masses At the same time, the second-level hospital drug online procurement and medical supplies and reagents bargaining procurement work, greatly reducing the public's medical burden the "Thunder" operation to crack down on illegal practice of medicine
illegal practice of medicine seriously damage the physical and mental health of the person seeking medical treatment, serious cases may even endanger life To this end, Qin City since October last year, carried out further rectification of the medical order to combat illegal practice of medicine "Thunder" action, in order to crack down on unlicensed practice of medicine, strict investigation of medical and family planning service institutions illegal and illegal activities, serious investigation and punishment of "two non-" behavior, and severely crack down on "medical care" as the focus, and vigorously rectify the medical order. to ensure the effective implementation of the "Thunder" operation, Qin City Health, Family Planning, Public Security, Drug Supervision, Military District Logistics Department, Armed Police Branch Logistics Department and other joint operations, together with the joint management, and achieved phased results Health departments at all levels have re-announced to the community to combat illegal medical reporting telephone, opened the family planning "sunshine service hotline" to accept reports of illegal practice of medicine function, relying on 3652707 reporting telephone platform, seriously accept the public's complaints, so that there must be a case investigation, to ensure that the case is investigated in place The illegal practice of medical practice in the name of health care in the name of health care and the illegal practice of medical practice in individual pharmacies found in the examination was banned on the spot, and administrative penalties were imposed on the medical practitioners who did not obtain the right to prescribe a prescription and the medical practitioners engaged in medical and cosmetic consultation activities did not regulate their practice Up to now, the city has investigated and dealt with 206 cases of illegal practice of medicine, received 68 complaints and reported cases, banned 106 cases of unlicensed practice of medicine, and fined more than 21 million yuan The people's mediation work of medical disputes leading the whole province
from the national perspective, medical disputes are on the rise year by year, the amount of compensation is also increasing, especially the frequent occurrence of medical incidents, seriously interfere with the normal medical order of hospitals To this end, Qin City Health System established and implemented a series of policy measures, such as third-party mediation mechanism for medical disputes, medical liability insurance system and medical accountability system, and achieved remarkable results. according to the Measures for the Administration of the Handling of Medical Disputes in Qinhuangdao City issued by the Qin Municipal Government, the judicial administrative department son-in-law of the city shall be responsible for the unified formation of the Medical Dispute Mediation Committee to carry out the work of people's mediation and handling of medical disputes If, after a medical dispute, the amount of the claim is not more than 10,000 yuan, the medical institution shall negotiate with the patient or the patient's family to settle the dispute; if the claim amount exceeds 10,000 yuan, the parties to the doctor and patient must apply to the medical dispute mediation committee for mediation or bring a suit in a people's court in accordance with the law, and the medical institution shall not resolve the dispute on its own On March 21, 2012, the People's Mediation Committee for Medical Disputes, composed of professionals from law, medicine, letters and visits, was officially established At the same time, the city's medical institutions to participate in the unified medical liability insurance, in 2013 the insured funds of 10.5 million yuan, the insured amount of more than 40 million yuan, that year by the Municipal Medical And Transfer Commission mediated more than 70 medical disputes, a total compensation of 822.67 million yuan In January-May this year, 70 cases have been mediated, patients claimed 18 million yuan, the actual compensation has been more than 4 million yuan. at the same time, the implementation of medical disputes in the city tracking evaluation, accountability and notification system Where the medical disputes mediated by the Municipal Medical Commission, the Municipal Health Bureau again organized experts, one by one on the dispute medical records analysis and evaluation, find the reasons, determine the responsibility, at the same time regularly inform In addition to the hospital leadership, responsible physicians in accordance with the "Medical Practitioners Act", the total amount of compensation 20% by the department to bear, of which the chief of the department and the responsible physician each bear 50% At present, to carry out the people's mediation work of medical disputes, the insurance companies bear the financial compensation for medical disputes, especially after medical treatment disputes, insurance companies timely intervention to participate in compensation mediation, to resolve contradictions and control the development has played a positive role Qin City's medical disputes people's mediation work in the province is also in the leading level.