The new requirements of the Health Commission affect a large number of secondary hospitals!

Medical Network News on March 23　

 

The construction of a large number of secondary hospitals' spiritual (psychological) disciplines has entered the sprint stage

 

Recently, the National Health Commission issued the "Key Tasks for 2021 of the Pilot Project of the National Social Psychological Service System" (hereinafter referred to as the "Tasks").
The "Task" clarified that, in order to improve the mental health service capabilities of medical institutions, 100% psychiatric hospitals in the pilot area have set up mental outpatient clinics, and 40% of general hospitals above the second level open mental (psychological) outpatient clinics.

 

According to the released pilot list, this move will affect 32 provinces, municipalities and autonomous regions across the country.
(See below for the list of pilot regions)

 

In order to achieve the goal, the original pilot program requires that the pilot areas should pass the establishment of safe hospitals and grade hospital review, etc.
, to promote the general establishment of psychiatric (psychological) departments in general hospitals.

 

"General hospitals are increasingly inseparable from psychiatry.
" According to industry insiders, an industry survey found that among non-psychiatric inpatients in general hospitals, about half of the patients are accompanied by depression and anxiety and require intervention.
Doctors in departments of plastic surgery, major chronic diseases, and acute and severe diseases have gradually realized that the mental and psychological diseases of patients in these departments will bring higher risks.
Moreover, patients with severe mental and psychological problems admitted to the psychiatric department are reluctant to be referred to a psychiatric hospital for treatment.

 

International experience also shows that the development of mental (psychological clinics) in general hospitals is the general trend.
Insiders pointed out that in the future, there will be fewer and fewer truly large psychiatric hospitals.
According to data, Australia began to gradually close psychiatric hospitals at the end of the last century, and closed all psychiatric hospitals in the late 1990s.
A large number of patients with mental disorders have been transferred to general hospitals.
Internationally, the psychiatric departments of the world's top ten university hospitals such as Harvard University and Yale University are all very good.

 

　　The opening of mental health or clinical psychological clinics is the basic requirement of county hospitals.
County-level hospitals can determine whether to set up inpatient beds according to their needs.

 

　　How does a general hospital do a good job of psychological outpatient service? The pilot program requirements provide a good idea: provide mental health assessment for patients with physical diseases, and provide humanistic care, psychological counseling and other services for people with mental behavior problems.

 

　　In fact, the practice of well-known top three hospitals in China has indeed verified this point.
Since 2012, West China Hospital of Sichuan University has launched a spiritual and humanistic care project covering the whole hospital-"Sunshine Hospital".
In the absence of localized patient screening tools in China, the project screens and evaluates inpatients in various departments in West China, researches and compiles West China Mood Index, and realizes hierarchical management for patients of different levels.

 

　　In principle, the "Sunshine Hospital" project does not force each department to conduct screening and evaluation of patients.
And some clinical departments, such as oncology, gastroenterology, endocrinology, burns, etc.
pay more attention to them, and more and more departments actively join the project.

 

　　At present, the "Sunshine Hospital" has been fully integrated into the HIS evaluation system of West China Hospital , and has become the sixth vital sign of patients in West China Hospital after the fifth life index of pain.

 

　　Link: The "Mission" also made it clear that this year is the final year of the pilot work.
During the year, all districts and counties will carry out science popularization and education at least once a month.
Carry out surveys on the mental health promotion activities related to the mental health literacy of residents in the jurisdiction , depression, anxiety disorders, insomnia, and Alzheimer's.

 

　　By the end of 2021, the reported prevalence of patients with severe mental disorders will reach 4.
5‰, the standardized management rate will reach 80%, the regular medication rate will reach 60%, the medication use rate for schizophrenia will reach 80%, and the community rehabilitation participation rate for home patients will reach 60%.
Take depression and senile dementia as the pilot special projects, and do a good job of organizing and implementing them.
All provinces (autonomous regions and municipalities) regard the pilot work as an important starting point to promote the construction of a safe and healthy China, and incorporate it into the overall deployment of the prevention and control of the new crown pneumonia epidemic, strengthen organizational leadership and communication and coordination, and further guide the pilot areas to strictly follow the national pilot program And the annual key tasks require relevant work to be carried out to ensure that all localities complete the pilot tasks on time.

 

　　The pilot program requires that the pilot area should also make innovative explorations in the following aspects:

 

　　1.
Mental health medical institutions shall open psychological outpatient clinics to provide patients with a combination of medication and psychotherapy services.

 

　　2, maternal and child health agencies want to mental health services into pre-pregnancy check, maternal health work, child health, adolescent health, health care in menopause.

 

　　3.
Encourage TCM medical institutions to open TCM psychology and other departments, and support TCM physicians to provide TCM mental health diagnosis and treatment, consultation and intervention services in medical institutions.

 

　　4.
Primary medical and health institutions should strengthen cooperation with pharmnet.
com.
cn/pharmnet/200610/mental/" target="_blank">mental health medical institutions, combine family doctors with contracted services, carry out popularization of common mental disorders and mental behavior problems such as depression and anxiety, conduct mental health assessments for residents in their jurisdictions, and promote appropriate prevention and treatment technologies for Alzheimer’s .
The key task of 2021 is to establish a grassroots psychological service platform.

 

　　5.
Encourage medical and health institutions to use Internet and other information technologies to expand the space and content of mental health and mental health services.

 

　　6.
Encourage medical consortiums to use Internet technology to realize the up-and-down connection of medical resources, the sharing of information, and the convenient provision of appointment diagnosis and treatment, two-way referral, and telemedicine services to improve service quality.

 

　　7.
Encourage medical institutions at all levels and various types to cultivate medical social workers, give full play to their advantages in doctor-patient communication, psychological counseling, and social support, and strengthen humanistic care in medical services.

Medical Network News on March 23　

 

　　The construction of a large number of secondary hospitals' spiritual (psychological) disciplines has entered the sprint stage

 

　　Recently, the National Health Commission issued the "Key Tasks for 2021 of the Pilot Project of the National Social Psychological Service System" (hereinafter referred to as the "Tasks").
The "Task" clarified that, in order to improve the mental health service capabilities of medical institutions, 100% psychiatric hospitals in the pilot area have set up mental outpatient clinics, and 40% of general hospitals above the second level open mental (psychological) outpatient clinics.

 

　　According to the released pilot list, this move will affect 32 provinces, municipalities and autonomous regions across the country.
(See below for the list of pilot regions)

 

　　In order to achieve the goal, the original pilot program requires that the pilot areas should pass the establishment of safe hospitals and grade hospital review, etc.
, to promote the general establishment of psychiatric (psychological) departments in general hospitals.

 

　　"General hospitals are increasingly inseparable from psychiatry.
" According to industry insiders, an industry survey found that among non-psychiatric inpatients in general hospitals, about half of the patients are accompanied by depression and anxiety and require intervention.
Doctors in departments of plastic surgery, major chronic diseases, and acute and severe diseases have gradually realized that the mental and psychological diseases of patients in these departments will bring higher risks.
Moreover, patients with severe mental and psychological problems admitted to the psychiatric department are reluctant to be referred to a psychiatric hospital for treatment.

 

　　International experience also shows that the development of mental (psychological clinics) in general hospitals is the general trend.
Insiders pointed out that in the future, there will be fewer and fewer truly large psychiatric hospitals.
According to data, Australia began to gradually close psychiatric hospitals at the end of the last century, and closed all psychiatric hospitals in the late 1990s.
A large number of patients with mental disorders have been transferred to general hospitals.
Internationally, the psychiatric departments of the world's top ten university hospitals such as Harvard University and Yale University are all very good.

 

　　The opening of mental health or clinical psychological clinics is the basic requirement of county hospitals.
County-level hospitals can determine whether to set up inpatient beds according to their needs.

 

　　How does a general hospital do a good job of psychological outpatient service? The pilot program requirements provide a good idea: provide mental health assessment for patients with physical diseases, and provide humanistic care, psychological counseling and other services for people with mental behavior problems.

 

　　In fact, the practice of well-known top three hospitals in China has indeed verified this point.
Since 2012, West China Hospital of Sichuan University has launched a spiritual and humanistic care project covering the whole hospital-"Sunshine Hospital".
In the absence of localized patient screening tools in China, the project screens and evaluates inpatients in various departments in West China, researches and compiles West China Mood Index, and realizes hierarchical management for patients of different levels.

 

　　In principle, the "Sunshine Hospital" project does not force each department to conduct screening and evaluation of patients.
And some clinical departments, such as oncology, gastroenterology, endocrinology, burns, etc.
pay more attention to them, and more and more departments actively join the project.

 

　　At present, the "Sunshine Hospital" has been fully integrated into the HIS evaluation system of West China Hospital , and has become the sixth vital sign of patients in West China Hospital after the fifth life index of pain.

 

　　Link: The "Mission" also made it clear that this year is the final year of the pilot work.
During the year, all districts and counties will carry out science popularization and education at least once a month.
Carry out surveys on the mental health promotion activities related to the mental health literacy of residents in the jurisdiction , depression, anxiety disorders, insomnia, and Alzheimer's.

 

　　By the end of 2021, the reported prevalence of patients with severe mental disorders will reach 4.
5‰, the standardized management rate will reach 80%, the regular medication rate will reach 60%, the medication use rate for schizophrenia will reach 80%, and the community rehabilitation participation rate for home patients will reach 60%.
Take depression and senile dementia as the pilot special projects, and do a good job of organizing and implementing them.
All provinces (autonomous regions and municipalities) regard the pilot work as an important starting point to promote the construction of a safe and healthy China, and incorporate it into the overall deployment of the prevention and control of the new crown pneumonia epidemic, strengthen organizational leadership and communication and coordination, and further guide the pilot areas to strictly follow the national pilot program And the annual key tasks require relevant work to be carried out to ensure that all localities complete the pilot tasks on time.

 

　　The pilot program requires that the pilot area should also make innovative explorations in the following aspects:

 

　　1.
Mental health medical institutions shall open psychological outpatient clinics to provide patients with a combination of medication and psychotherapy services.

 

　　2, maternal and child health agencies want to mental health services into pre-pregnancy check, maternal health work, child health, adolescent health, health care in menopause.

 

　　3.
Encourage TCM medical institutions to open TCM psychology and other departments, and support TCM physicians to provide TCM mental health diagnosis and treatment, consultation and intervention services in medical institutions.

 

　　4.
Primary medical and health institutions should strengthen cooperation with pharmnet.
com.
cn/pharmnet/200610/mental/" target="_blank">mental health medical institutions, combine family doctors with contracted services, carry out popularization of common mental disorders and mental behavior problems such as depression and anxiety, conduct mental health assessments for residents in their jurisdictions, and promote appropriate prevention and treatment technologies for Alzheimer’s .
The key task of 2021 is to establish a grassroots psychological service platform.

 

　　5.
Encourage medical and health institutions to use Internet and other information technologies to expand the space and content of mental health and mental health services.

 

　　6.
Encourage medical consortiums to use Internet technology to realize the up-and-down connection of medical resources, the sharing of information, and the convenient provision of appointment diagnosis and treatment, two-way referral, and telemedicine services to improve service quality.

 

　　7.
Encourage medical institutions at all levels and various types to cultivate medical social workers, give full play to their advantages in doctor-patient communication, psychological counseling, and social support, and strengthen humanistic care in medical services.