New trends! A number of health facilities have resumed or new operations have been performed

Recently, the relevant departments of the state have been meeting to promote the typical experience of local medical reform, but also a return on investment.
these experiences are highlighting a common result: the primary health care services are strong, can do surgery, medical services revenue up.
data from Zhejiang Kaihua's experience are: in 2019, the number of emergency departments and discharges from township hospitals increased by 12.4% and 11.3%, respectively, and 170 hospitals resumed or carried out new type 1 or 2 operations.
Shanshan "Lanshan experience" also pointed out that: there are 3 primary health hospitals set up a thousand-level stratum operating room, can independently carry out hip replacement, tumor intervention and other large-scale surgery, there are 5 primary health hospitals can carry out level 4 surgery.
, at this point, people seem to think that the grass-roots level, which is likely to see a doctor, is the grass-roots level that the Government wants.
so what is the "change" of this concept from the beginning of medical reform to the present? Once upon a time, being able to see a doctor was considered a "bad job" For a long time, we had some more habits about what primary health care institutions needed to do, that is, the grass-roots level only needed to do a good job of basic public health services, do not need to see a doctor.
in some local documents, or in the leader's speech, has always criticized the grass-roots "heavy medical care and prevention."
under this concept, medical reform for 10 years, it can be said that primary health care services have been weakened for 10 years.
In our policy, we do do a lot of things that are not conducive to the strong grass-roots level, such as the strict basic drug system, the continuous expansion of basic public health services, changed taste of family doctors contracted services, harm than the benefits of the two lines of income and expenditure, grasping the construction of rural doctors, and there are not many supporting measures of the general practitioner system, although some policy deviations are constantly being adjusted and perfected, but due to the lack of courage to scrape bone therapy, the grass-roots level has actually been shrinking in the wrong idea.
basic requirements for strengthening the grass-roots level? On May 21, 2010, at the conclusion of the national working meeting on deepening the reform of the medical and health system and the seminar on deepening the reform of the medical and health system for leading cadres at the provincial and ministerial levels, Comrade Li Keqiang, then head of the leading group of the State Council on deepening the reform of the medical and health system, pointed out that primary health care institutions are important carriers of basic medical and public health services.
We should increase the reform and construction of primary health care institutions in urban and rural areas, accelerate the construction of primary health care teams focusing on the training of general practitioners, so that more urban and rural residents can see a doctor without a community, without going to the countryside, and gradually make primary health care institutions the first choice for the masses to see a doctor.
this discussion, not only clearly pointed out why the grass-roots, but also pointed out how strong grass-roots, but also said clearly strong grass-roots to achieve the goal.
the construction of the graded diagnosis and treatment system proposed in 2015, it will improve the service capacity of primary medical institutions as the core and key.
health in the new era proposed by the 2016 National Health and Wellness Congress also clearly "focus on the grass-roots level."
the prevention and control of the new crown pneumonia epidemic, one of Shanghai's experience is to have a sound and strong primary health care service system.
turned around and returned to the grass-roots level to have the ability to provide medical services on October 18, 2017, the 19th National Congress of the Communist Party of China was held.
conference held that socialism with Chinese characteristics has entered a new era, and the main contradictions in our society have been transformed into contradictions between the people's growing need for a better life and the uneven and inadequate development.
particularly acute contradiction in the field of health care and health, which brings new challenges to health care.
, especially at the grass-roots level, remains a serious problem.
18, 2018, the 7th Cross-Strait Hospital Deans Forum on the theme of "Towards Value Medical Care" was held in Hangzhou.
Jiahui, deputy director of the National Health And Wellness Commission's Medical and Political Administration, said that the tendency of primary health care institutions to focus too much on public health services should be corrected. On August 27, 2018, the leading group of the State Council on medical reform held a teleconsem of the 2018 national medical reform work, and Lin Shaochun, a member of the Standing Committee of the Guangdong Provincial Committee and executive vice-governor, made an exchange of experiences.
Lin Shaochun's exchange of speeches is the main practice of Guangdong Province at the grass-roots level to allow medical and health institutions to break through the current level of wage control, allow medical service income to deduct costs and withdraw funds according to regulations, which are mainly used for personnel incentives.
September 2018, the Notice of the National Health And Wellness Commission and the State Administration of Traditional Chinese Medicine on the Activities of "Quality Service Grassroots Line" (National Health Basic Letter (2018) No. 195) was issued.
through the activities, and gradually set up in line with the characteristics of China's primary health care institutions service capacity standards and evaluation system.
Strive to make the service capacity of township hospitals and community health service centers meet the basic standards, and some township hospitals and community health service centers with strong service capacity meet the recommended standards in order to continuously improve the capacity of primary services and improve the quality of services.
March 15, 2019, the General Office of the National Health and Safety Commission issued a circular on the pilot work of community hospital construction (National Health Office Grassroots Letter (2019) No. 210).
"Notice" decided to carry out community hospital construction pilot in 20 provinces to enhance the capacity of primary health care services.
the pilot should improve the clinical department settings and equipment, complement the short board, to enhance the capacity of basic medical services as the focus, focus on institutional mechanism innovation.
kind of grass-roots level is what the masses want? Now it seems that there is no good medical service capacity, that is, can see a doctor can be optimistic about the grass-roots, the people will certainly not be satisfied.
doctors who will not see a doctor to carry out health education for the masses, to tell the masses how to prevent disease, the masses can only be suspicious of faith.
practice has proved and will prove time and again that a doctor who can't see a doctor must not do a good job of basic public health services, that is, although prevention, treatment, health have their own focus, but in fact is unified.
now, it seems that more places have realized that the capacity of primary health care is a must and a short board at the grass-roots level.
this, a doctor can do surgery at the grass-roots level will become the local government's medical reform "achievements."
But here, the author also wants to remind that in the strong grass-roots issues, we must adhere to the grass-roots heart, this "basic health care and health promotion law" has made it very clear: the people's government at or above the county level through the organization of professional public health institutions, primary health care institutions and hospitals, or from other medical and health institutions to buy services to provide basic public health services.
Basic medical and health services refer to the prevention, diagnosis, treatment, nursing and rehabilitation of diseases provided by appropriate drugs, appropriate technology and appropriate equipment, which are necessary for the maintenance of human health, in keeping with the level of economic and social development and are fairly accessed by citizens.
we need to do or adhere to the law, good grass-roots is to be able to see