Nanjing deepens medical reform and promotes three steps of graded diagnosis and treatment

As a pilot city for deepening medical reform in China, since 2015, Nanjing has implemented various initiatives such as abolishing drug fare increases and promoting graded diagnosis and treatment, not only to explore the way for the national medical reform, but also to enable ordinary people to enjoy more and more convenient medical services. Reporter 19 from the relevant meeting of the Nanjing municipal government learned that this year, Nanjing City will continue to deepen the comprehensive pilot of medical reform, promote the sinking of high-quality resources, so that more reform measures to benefit the people's livelihood.The signing rate of family doctors has exceeded 60%
Since July 1, 2012, Nanjing has fully implemented family doctors, with an early focus on signing contracts for six groups of people, including chronically ill patients, elderly residents and children under 7 years of age. So far, the contract rate for family doctors has exceeded 60%.
City Medical Reform Office, as an important step of graded diagnosis and treatment, this year, Nanjing City will also further promote the family doctor contract service, establish a family doctor contract service project library, promote the contracted doctor service alliance, attract medical experts and all kinds of related medical and health institutions to join, for the family doctor contract service to provide technical support. During the year, the coverage rate of family doctor contract service reached more than 30%, and the contract rate of key groups was consolidated at 70%. At the same time, the Nanjing area of the second and third-level hospitals 30% of the expert number source, a week in advance to the city's primary medical institutions family doctors open. This also means that patients only need to sign up with a community family doctor to give priority to specialist numbers in level 2 and level 3 hospitals a week in advance.Nearly 600 major hospital experts sank to the grass-roots to see a doctor
as the benchmark of the national medical reform push, Nanjing City has achieved full coverage of the medical association, large and small hospitals "paired" out of 48 medical associations, last year, medical, nursing, rehabilitation and other nearly 600 large hospital experts sank to the grass-roots level to see a doctor, and effectively enhance the service capacity of primary medical institutions.
year, Nanjing will promote the sharing of regional medical resources, with the core hospital of the medical association as the center, and promote the flow of medical resources through the telemedicial information system, according to the Medical Reform Office of the City of Nanjing. At the same time, the backbone physicians of the core hospital of the medical association are encouraged to set up studios in medical institutions such as the grass-roots level, and are not subject to the restrictions of the multi-point practice policy of physicians. Organization of the city's core hospitals and public primary medical institutions to build more than 3 new joint disease areas, the city's "medical association" throughout the year under the send of 400 medical personnel, training with a higher level of community general practitioners 400.Nevery 2019, the city's urban and rural residents' medical insurance treatment unified
In March 2017, the city of Nanjing issued a notice calling for the integration of urban residents' medical insurance and the new agricultural health insurance system into the urban and rural residents' health insurance system, the implementation of coverage, financing policy, security treatment, medical insurance directory, fixed-point management, fund management "six unified."
reporter learned that the Nanjing municipal government clear "two-in-one" three time nodes: by the end of June this year to integrate the management system, january 2018 to establish a unified operating system, from January 2019 to implement the city's unified urban and rural residents medical insurance treatment. At present, this integration work is progressing smoothly.
" At present, we have combed through the differences between urban residents' medical insurance and new agricultural co-financing standards, security treatment, medical insurance catalogue, fund settlement and so on, about six categories of 32 projects, we are referencing and drawing on some experience of other provinces and cities, combined with the actual situation in Nanjing, put forward a preliminary solution. "City People's Social Bureau, in addition to the city's "two-in-one", Nanjing City is actively promoting medical insurance cross-provincial medical network settlement, on April 10, this year, Nanjing City officially through the provincial platform access to the national off-site medical platform, 12, through the insurance site test, selected 15 three-level medical institutions as cross-provincial off-site medical fixed-point hospitals. At present, Nanjing cross-provincial medical personnel registration and record new information has been normally uploaded to the provincial off-site medical platform, the city platform has been able to successfully receive information data uploaded by foreign provinces and cities, the platform has more than 1100 foreign networked hospitals. (Nanjing Municipal People's Government)