The health and Family Planning Commission has made hard recruitment to strengthen the 560 billion market of grassroots gold diggers

Source: since the new medical reform on November 5, 2014, the expansion of the primary medical market is not as expected, but since this year, the health and Family Planning Commission has frequently "hard Recruitment", and the expansion of the primary market is accelerating Recently, the health and Family Planning Commission announced the launch of a training program for grassroots doctors The total investment of the whole training project is 10 million yuan, which is planned to last for 5 years According to the introduction, the project was jointly launched by the national health and Family Planning Commission and Ruike company The project is mainly aimed at 832 counties in 22 provinces and cities in the poverty alleviation plan of the national health and Family Planning Commission The training objects are the heads of county-level health administrative departments, the heads of township hospitals, and the image professional heads of county-level and township medical institutions The training covers national policies, management of primary medical institutions, use of medical equipment, clinical diagnosis skills, telemedicine services and specialized skills At the beginning of the new medical reform, the government's plan was to leave the small problems of headache and brain fever to the grass-roots level, and the large hospitals only looked at the major diseases, so as to ease the difficulty of seeing a doctor However, due to the lack of corresponding supporting measures, the above-mentioned policy planning has not been realized, patients are still rushing to the large hospital, and the patients at the grassroots level are still left in the dark Since this year, the health and Family Planning Commission has launched a series of supporting policies The above training for grassroots personnel is one of them As we all know, advanced medical equipment is an important indicator to measure the hospital's medical level To strengthen the grass-roots level, the state has invested a lot in it However, because the grass-roots medical personnel do not know how to use medical equipment, a large number of medical equipment is idle In addition to medical equipment use training, in February this year, the national health and Family Planning Commission held a meeting on counterpart support for urban and rural hospitals in 2014 Li Bin, director of the national health and Family Planning Commission and Secretary of the Party group, said that the three-year work plan for counterpart support in urban and rural hospitals should be implemented, a new mechanism for urban doctors to work at the grassroots level should be established, and the training of key doctors in county-level hospitals should be strengthened to enhance the diagnosis and treatment level of medical staff in grassroots medical institutions On September 11, the health and Family Planning Commission held a regular press conference Zeng Yixin, academician of the Chinese Academy of Sciences and President of Peking Union Medical University, said that the key to strengthening primary medical care is to establish a primary medical service system, advocate the reform of the salary system, and establish a salary system in line with the characteristics of the industry "The government should guide some qualified general practitioners to work at the grass-roots level through a series of policies Only when the grass-roots level has good hardware and qualified general practitioners can it attract patients to seek medical treatment nearby." Zeng Yixin said Yao Hongwen, spokesman of the national health and Family Planning Commission, also said at the press conference that "No 1 is hard to find" in large hospitals, and that the phenomenon of community hospitals still exists This problem is affected by many factors, such as uneven distribution of medical resources, medical insurance payment system and psychological factors of patients At present, the key to solve this problem is to implement the hierarchical diagnosis and treatment mode Previously, in July, at the 2014 national health and Family Planning Commission Director seminar, Qinghai, Jiangsu Province, Zhejiang and other places shared the experience of hierarchical diagnosis and treatment In August, the health and Family Planning Commission conducted a survey on the classified diagnosis and treatment work in Wuhan In October, at the regular press conference of the health and Family Planning Commission, the spokesman of the health and Family Planning Commission introduced that at present, relevant documents of the hierarchical diagnosis and treatment system are being drafted, and a hierarchical diagnosis and treatment system suitable for the current national conditions will be gradually established At least one public hospital will be selected by each province to reform the urban rate and pilot the hierarchical diagnosis and treatment system With equipment, personnel and systems, the prospects for expansion of the primary drug market are becoming more and more clear So how much room for market growth? According to Nanfang Institute, in 2011, the scale of primary medical market reached 169.9 billion yuan, accounting for 18.7% of the total, with an annual growth rate of 20% According to the report released by BCG in 2012, the primary medical market will become the largest growth point of the pharmaceutical industry In 2020, the market scale of county-level hospitals will reach 560 billion yuan, 1.6 times of that of urban hospitals in 2010 It is worth noting that from the perspective of the implementation effect of the pilot areas, although most of the pilot areas have adopted similar policies, that is, to improve the reimbursement rate of primary medical care and reduce the reimbursement rate of large hospitals, the results are not the same According to the information released by the health and Family Planning Commission, Changshan County in Zhejiang Province has implemented the system of hierarchical diagnosis and treatment and two-way referral since 2009, and the county's medical treatment rate has increased from 53% in 2008 to 62% now After the trial of hierarchical diagnosis and treatment in Yanchi and Haiyuan counties of Ningxia, the number of outpatient services at the grass-roots level increased significantly, and the proportion of the first diagnosis of rural residents in villages and townships reached more than 90%.