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Medical network monthly news medical association in the body of medical institutions should strictly implement their own functional positioning to implement the requirements of rapid and slow partition treatmentIn order to speed up the construction of medical unions (hereinafter referred to as medical unions) to standardize the construction and management of the operation and management of medical associations to help build a hierarchical diagnosis and treatment system, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine jointly issued the "Measures for the Management of Medical Unions (Trial) " (the National Health Medical Development Agency noThe medical unions mentioned in the Measures include, but are not limited to, urban medical groups, county medical communities (or county medical communities referred to as county medical communities), specialized alliances and telemedicine collaboration networksThe Measures require that the construction of medical associations should fully mobilize the enthusiasm of the participation of medical practitioners in the society to guide the medical association to establish a perfect mechanism of division of labor and cooperation and benefit-sharing to promote the sustained and healthy development of medical unionsTo promote mutual recognition of the results of invivial examination and examination of medical associations encourages Chinese medicine hospitals to take the lead in the formation of various forms of medical associationsIn the construction of urban medical groups and county medical community, we should strengthen the construction of Chinese medicine hospitals to implement their functional orientation to retain their independent legal person status, and encourage infectious diseases and psychiatric hospitals to be integrated into the medical union grid management to give full play to the overall advantages of medical resources to promote the ability to treat infectious diseases and mental illness in the regionSocial forces are encouraged to organize medical and health institutions to participate in the medical union in accordance with the voluntary principleThe Measures propose that urban medical groups and county medical communities should strengthen the sharing of resources in the medical associations by setting up centers such as medical imaging, examination and examination, pathological diagnosis and disinfection supply to provide homogenization services to all medical and health institutions in the medical associationsUnder the premise of ensuring the quality of medical care, we will promote mutual recognition of the results of the medical and health inter-agency examination of different levels in the medical unionUrban medical groups and county medical communities should strengthen the standardization of information platforms, standardize construction and gradually rely on the regional health information platform to promote the interconnection of information systems of all types of medical and health institutions at all levels in the medical unionAll medical and health institutions in the medical union body shall strictly implement their own functional orientation and implement the requirements of rapid and slow partitionThe leading hospital of the medical union shall strengthen the construction of emergency rescue team to establish and perfect the emergency material reserve system in the medical union body and organize the emergency drill to improve the emergency response capacity of public health emergenciesThe specialty alliance should strengthen the sharing of data information resources and the measures for the safe management of the Measures to encourage the formation of regional coalitions of maternal and child health institutions headed by county-level maternal and child health institutions at the provincial and municipal levelsThe construction of specialized alliances should focus on promoting the construction of major diseases with great health hazards and the need for medical treatment, key disciplines, and promoting the construction of specialized alliances with shortages of medical resources such as pediatrics, obstetrics and gynecology, anesthesiology, pathology and psychiatryThe Measures require the specialized alliance to strengthen the sharing and security management of data information under the premise of ensuring data securityWe can fully tap clinical data information to play a positive role in multi-center and big data by standardizing the establishment of clinical case databases and bio-sample banks to carry out multi-center clinical researchThe lead unit of the specialized alliance shall strengthen the medical quality management and refine the medical quality management standard and ask the member units to strengthen the medical quality management work to improve the level of homogenization of medical services The Measures for the reasonable charging of fees for tele-medical services in accordance with relevant provisions require health administrative departments at all levels and the competent departments of Chinese medicine to promote the development of tele-medical services in conjunction with the construction of regional health information platforms for the whole people, with the commission's affiliated hospitals, university-affiliated hospitals, provincial hospitals directly under the province and maternal and child health hospitals as the main lead units focusing on the development of telemedicine collaboration networks for remote and poor areas to improve the five-level telemedicine network in the provinces, cities and counties The Measures refer to the need for medical and health institutions to strictly abide by the measures for the administration of Internet diagnosis and treatment (trial) and the measures for the administration of Internet hospitals (trial) and the regulations on the management of telemedicine services (trial) to ensure the quality of medical care and medical safety when carrying out Internet diagnosis and treatment and telemedicine services Medical and health institutions may reasonably charge fees for Internet diagnosis and treatment and telemedicine services in accordance with relevant regulations The official interpretation of the National Health And Health Administration came up with a, why the introduction of the "Measures"? In accordance with the decision-making and deployment of the CPC Central Committee and the State Council, the Commission took the construction of the medical union as an important grasper in building a hierarchical diagnosis and treatment system to accelerate the acceleration of the construction of urban medical associations and county medical community in conjunction with the State Administration of Traditional Chinese Medicine to promote the construction of close-knit medical unions and medical community construction gradually realize the management of the grid layout of medical associations in cities and counties throughout the country By the end of the year, the country set up a city medical group county medical community cross-regional specialty alliance for remote and poor areas of the telemedicine collaboration network and another social medical institutions to join the medical union According to the data of the sixth health service survey, the referral of patients in two-way referrals was higher than in other referralmethods The total number of leading hospitals guiding the grass-roots level to carry out new technologies and new projects increased from the end of the year The lead hospital sent professional and technical and management personnel to the grass-roots level, increasing from the end of the year A number of typical experiences have emerged from active exploration around the country Zhejiang Huzhou, Shandong Rizhao, Guangzhou Huadu, Liaoning Dalian to promote the urban medical union grid layout management to achieve high-quality medical resources sinking and regional resource sharing Zhejiang Deqing and Fujian Yuxi promote the construction of close-knit county medical community to effectively improve the county medical service capacity The National Health and Health Commission combed the pilot work of the construction of the medical union to summarize and refine the typical experience of various places to form the normative document of the management of the medical union is of great significance to promote the continuous normative development of the medical union and construct the hierarchical diagnosis and treatment system What are the basic principles of the construction of the medical union? The construction of the medical union should adhere to the following basic principles: First, adhere to the government-led The construction of urban medical groups and county medical community should insist that the government-led implementation of grid management according to the layout of regional medical resources structure and the health needs of the masses Second, adhere to the government's responsibility to do medical care unchanged to effectively safeguard and protect the public welfare of basic medical and health services Third, adhere to the health care, medical insurance, medical joint reform to guide the health care union to establish a perfect division of labor and cooperation and benefit-sharing mechanism Fourth, we should adhere to the people's health as the center to guide the sinking of high-quality medical resources to promote disease prevention, treatment, management combined to gradually realize the quality of medical quality homogenization management Third, grid layout management of the basic principles of the medical union? Urban medical groups and county medical community to implement grid layout management in accordance with the "planning and development, zoning package segments, prevention and control combination, industry supervision" principle of planning, layout, construction To play the leading role of municipal and county hospitals and hospitals representing regional medical level, while encouraging Chinese medicine hospitals to take the lead in the formation of various forms of medical associations Fourth, how to play the leading role of the government? How does the Health Federation implement "partition package segment" management? The district-level municipal and county-level health administrative departments formulate plans for the construction of medical associations in the region according to geographical relations, population distribution, public medical needs, distribution of medical and health resources and other factors to divide the service area into several grids of integrated medical and health resources to form medical associations led by three-level public hospitals or hospitals representing the medical level of the district, as members of several other hospitals, primary health care institutions, public health institutions, etc In principle, each grid is the responsibility of a medical group or the Medical Community to provide integrated and continuous health services such as disease prevention, diagnosis, treatment, nutrition, rehabilitation, nursing, health management, etc to the population within the grid 5 Are social medical institutions encouraged to participate in the medical association? The Measures clearly require that the enthusiasm of fully mobilizing the participation of medical practitioners in the society should be fully mobilized to encourage social forces to organize medical institutions to participate in medical associations in accordance with the voluntary principle 6 How can the urban medical group and the county medical community strengthen the internal management? Urban medical groups and county medical community swells shall set up specialized medical organizations for the management of medical associations to coordinate the planning and construction of medical associations, input guarantee, project implementation, personnel arrangements, salary distribution and assessment and supervision of major matters The constitution of the Medical Association should be formulated to establish a benefit-sharing mechanism for the responsibilities, rights and obligations of the leading hospital and other member units At the same time, we should strengthen the leading role of the Party Committee in its direction, overall management, decision-making, promoting reform and safeguarding implementation 7 How can the urban medical group and the county medical community achieve unified management? Urban medical groups and county medical community shall, in accordance with the principle of streamlining and efficiency, set up public health, finance, human resources, information and logistics management centers to gradually realize the operation costs of medical union internal administration, medical operations, public health services, logistics services, unified management of information systems and integrated medical system, material procurement and equipment configuration 8 How can the Medical Association implement the requirements for rapid and slow partition? All medical institutions in the medical union shall strictly implement their own functional positioning and implement the requirements of rapid and slow partition The lead hospital should gradually reduce the proportion of patients with chronic diseases with common diseases, multiple morbidity and stable conditions to proactively refer patients with acute disease recovery period, patients in postoperative recovery period and patients in the stable period of critical illness to lower-level medical institutions in a timely manner to continue treatment and rehabilitation to provide patients with disease diagnosis and treatment - rehabilitation - long-term nursing continuity services IX How can the medical union implement the combined requirements for prevention and control? Urban medical groups and county medical community should implement the combination of prevention and control requirements to achieve prevention and control services The hospital snort sit with the public health institutions to guide the primary health care institutions to carry out the public health function and pay attention to the role of promoting the prevention and continuous management of diseases in the middle of the treatment of diseases and the continuous management of diseases to do a good job in disease prevention, health management and health education Ten, how can the medical union play a leading role in the grass-roots level? First, the establishment of two-way referral channel and platform between the leading hospital and member units to establish a sound two-way referral standard two-way referral procedure for patients to provide smooth referral and continuous diagnosis and treatment services The second is to form a general department and specialty linkage, contracted doctors and team coordination, medical and anti-organic integration of the service mechanism by the medical union in vivo primary health care institutions general practitioners and hospital specialists to form a team to provide team signing services for residents in the grid Third, strengthen the guidance of member units through the professional construction, education and training cooperation, scientific research projects and other ways to focus on helping to improve the medical service capacity and management level of member units Xi How to build a specialty alliance? According to the patient's cross-regional treatment of diseases and technical needs of the situation of targeted co-ordination of the construction of specialized alliances Aiming at the major diseases with great health hazards and the high demand for medical treatment, the construction of key disciplines should focus on promoting the construction of specialized alliances with shortages of medical resources such as pediatrics, obstetrics and gynecology, anesthesiology, pathology and psychiatry Actively promote the construction of specialty alliances such as respiratory, critical medicine and infectious diseases to enhance the ability of major epidemic prevention and treatment Focus on the commission of the (management) hospitals, university-affiliated hospitals, provincial direct hospitals and maternal and child health care hospitals of the professional advantages of radiation and drive the region's capacity to improve medical services How does the specialist alliance work? The specialized union shall formulate the constitution of the union to clarify the form of management and cooperation of the organization and cooperation of the specialized union The lead unit and the member unit shall sign a cooperation agreement that stipulates the responsibilities, rights and obligations of each unit Focus on several tasks: First, we should give full play to the leading hospital's technical radiation-driven role through specialized co-construction, education and training cooperation, scientific research and project collaboration and other ways to improve the medical service capacity and management level of member units Second, under the premise of ensuring data security, we should strengthen the sharing and security management of data information resources Third, strengthen medical quality management to refine medical quality management standards and requirements to guide member units to strengthen medical quality management to improve the level of homogenization of medical services Thirteen, how to build a telemedicine collaboration network? It is necessary to focus on the development of telemedicine collaboration network for remote and poor areas to improve the five-level telemedicine network in the provinces, cities, counties and villages with the construction of regional health information platforms, which are headed by affiliated (management) hospitals, university-affiliated hospitals, provincial direct hospitals and maternal and child health hospitals as the main lead units Fourteen, telemedicine collaboration network how to work? The lead unit and the member unit shall sign a cooperation agreement on telemedicine services to clarify the rights and obligations of both parties to safeguard the legitimate rights and interests of both doctors and patients The lead unit shall give full play to the role of technical radiation in promoting the ability of high-quality medical services to enhance the accessibility of high-quality medical services through telemedicine, remote consultation, remote room inspection, distance learning, tele-e-electrocardiogram, remote monitoring, etc How to carry out the evaluation of the medical union? The health administration department, the competent department of Chinese medicine and the lead unit of the medical association shall strengthen the comprehensive performance appraisal of the medical union in accordance with the requirements of the Work Programme for Comprehensive Performance Evaluation of Medical Unions (Trial) and the performance appraisal of public hospitals At the same time, the comprehensive performance appraisal and dynamic adjustment mechanism of the medical union is established to carry out the performance appraisal and publish the relevant situation of the construction of the medical union in the medical union of the jurisdiction every year Sixteen, what is the focus of the performance appraisal of the medical union? The urban medical group and the county medical community as the main assessment of the operation mechanism of the medical union, the division of labor and cooperation in the medical association, the regional resource sharing and sinking situation, the play of the role of technical radiation, the sustainable development of the medical union and the improvement of public health and residents' health At the same time, the professional alliance and telemedicine collaboration network focus on the assessment of the lead unit technical radiation play and improve the health of residents