Sharing of Guangdong Province's classic cases under the reform of primary health care

On September 10, 2019, the routine press conference of the national health and Health Commission introduced typical experiences and practices of Guangdong Province in strengthening primary health and deepening county-level medical reform At the conference, leaders continued to make efforts to solve a series of reform measures and major stages achieved since the deepening of medical reform in 2009 in order to solve the problems of "seeing the doctor, seeing the doctor well and seeing the doctor" at the grassroots level The sexual effect was introduced Deputy director general Zhuang Ning also introduced the situation of deepening the basic medical reform and ensuring the health of the masses Combined with the actual situation, it can be summarized as four changes First, during 2012-2018, the central government invested more than 90 billion yuan in the infrastructure construction of primary medical and health institutions The service capacity of county hospitals has been significantly improved, and more than 80% of residents can reach the nearest medical point within 15 minutes Second, focus on service capacity, and promote grass-roots "see disease well" In 2018, the total number of primary medical and health personnel reached 3.965 million, and the number of licensed (Assistant) doctors reached 1.305 million, an increase of 7.1% and 30% respectively compared with 2012 The number of diagnosis and treatment in primary medical and health institutions reached 4.429 billion Since 2016, 17450 "3 + 2" assistant general practitioners have been recruited and trained, and 82877 of them have obtained the qualification of assistant general practitioners in rural areas, further expanding the human resources of medical and health services in rural areas, especially in the underdeveloped areas At the same time, through the high-quality service activities of grassroots banks and the pilot construction of community hospitals, the service capacity and service quality of grassroots medical institutions are constantly improved Third, we will focus on improving the quality and efficiency of medical insurance to ensure that the masses "can afford to see the doctor." The basic medical insurance system has been continuously improved, and the integration of urban and rural medical insurance systems has been promoted The coverage rate of basic medical insurance in urban and rural areas is over 98%, and the number of urban and rural residents is over 1.35 billion at present In 2019, the national financial subsidies and individual contributions at all levels will reach 520 yuan and 250 yuan per person per year respectively, and the overall financing level is 5.9 times of that at the beginning of the establishment of the system in 2009 The establishment and improvement of the national medical insurance system provides economic guarantee for the grass-roots people to see a doctor Fourth, we should focus on health and promote the masses to "get sick less and get sick later" Adhere to prevention first, implement national basic public health services and major public health service projects, and increase the per capita subsidy standard for basic public health services from 15 yuan in 2009 to 69 yuan in 2019 The service content continues to expand and the service projects gradually enrich We will steadily promote family doctors' signing services, constantly enrich the connotation of signing contracts, and provide integrated services integrating basic medical treatment, public health and health management for the masses In addition, director Duan Yufei introduced the experience of basic medical reform in Guangdong Province, Deputy Secretary General Ma Shu introduced the typical experience and practice of basic medical reform in Guangzhou, and ye Zhiliang introduced the typical experience and practice of basic medical reform in Huadu District of Guangzhou At the same time, the deputy director general Zhuang Ning asked the reporters which areas of Guangdong's experience in deepening medical reform can be used for reference by other provinces Deputy director Zhuang Ning pointed out that Guangdong Province had made a great attempt in this medical reform, creatively put forward "one type of security, two types of management", and implemented "two permits" Generally speaking, we should start from four key aspects: first, we should promote at a high level and break through the key links of institutional reform Second, respect the law and deepen the reform of compensation mechanism at the grass-roots level Third, reform the salary distribution mechanism with human as the core Fourth, integrate the medical and health service system around health In addition, director Duan Yufei clearly proposed "the connection between the city's tertiary hospitals and the county medical community" in the notice on the implementation plan of comprehensively improving the comprehensive capacity of county hospitals (2019-2021) Introduce the path assistance mechanism of this mode in the connection process It is emphasized that hierarchical diagnosis and treatment should be taken as the starting point to further deepen the reform of the medical and health system The key to the implementation of hierarchical diagnosis and treatment is to strengthen the grass-roots level, and the key to the grass-roots level is to strengthen the talents The meeting also achieved perfect results in the continuous questioning of journalists Excerpted from the transcript of the conference, this article is the content reprinted by yaozhi.com, and the copyright belongs to the original author The purpose of reprinting is to transmit more information, which does not represent the view of this platform If the content of the work, copyright and other issues are involved, please contact our website message, we will delete the content in the first time.