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    Home > Medical News > Latest Medical News > Under the dilemma, "medical combination" or the transformation direction of the second-level hospital

    Under the dilemma, "medical combination" or the transformation direction of the second-level hospital

    • Last Update: 2020-05-28
    • Source: Internet
    • Author: User
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    Medicine network May 27th, one side is the large hospital overcrowded, on the other hand is the primary medical institutions without patients, the survival of primary medical institutions has been a topic of concernAt this year's two sessions of the National Committee of the Chinese People's Political Consultative Conference (CPPCC), Huang Chengrong, director of the Department of Geriatrics at Henan Provincial People's Hospital, proposed to promote the transition to "healthy old-age care" in secondary medical institutions below the levelHuang, in an interview with the Zhengzhou Evening News, said that there are problems such as fewer patients, insufficient workload and deviation of benefits in hospitals at the second and lower levels in ChinaCombined with the deepening of Aging in China, the status quo of the increasing demand for old-age beds, Huang suggested accelerating the transformation of secondary and sub-hospitals to help the development of the elderlyHuang, suggested that the second-level hospital to the prevention and treatment of common diseases, nutrition adjustment, rehabilitation physiotherapy and other advantages, the organization of medical personnel to participate in the combination of medical care, "can be led by the hospital's administrative region of the government and health care committee, inventory of the district's various elderly needs, integration of hospital site resources, transformation of long-term idle beds, add aging facilities." "
    " proposed to take the transformation of secondary hospitals as the leader, co-ordinate community public health services, improve service capacity, do a good job in chronic disease scare and pharmacist services, establish and improve the community jurisdiction of thefilesHuang said that if the community public records and auxiliary examination is perfect, patients in critical condition sit after referral can not repeat the routine examination, to a certain extent will alleviate the cost of seeing a doctorWith the expansion of large hospitals, the life of primary medical institutions is generally difficult, in which the second-level hospitals in the sandwich layer are in a more awkward situation, facing many survival dilemmasone of theis the awkward locationAlthough living in a downtown, compared with community health service centers, still belong sit until the people are far away from the health care servicesthe second is the functional positioning is very awkwardCompared with community hospitals, it does not have "contracted services" and so on can approach (into) the intimate service inside the homes of ordinary peopleThere is also a lack of support for basic public health services such as these, so if it is not transformed, it will become a chicken ribthree is the ability to serve is very embarrassing Compared with the surrounding star-studded Big Three Hospital, the technical service capacity of the city's second-level hospitals can not be recognized and recognized by the masses four is an embarrassment to the operating system Compared with private hospitals with relatively free management, there is a lack of flexible institutional mechanisms Not to mention attracting good , retaining talent is also a problem face the above situation, local governments are also not interested in urban secondary hospitals more investment, many hospitals in the survival dilemma, more difficult to talk about development   In recent years, many secondary hospitals have begun to take the initiative to transform With the arrival of aging population, "medical combination" has become a popular choice for the transformation of many primary medical institutions take Shanghai Yangpu District Hospital for the Elderly as an example, once as a of comprehensive secondary hospital, after operating difficulties, seeking transformational rehabilitation hospital, has been successfully renamed the first rehabilitation hospital in Shanghai Its rehabilitation features in the rehabilitation resources are scarce in Shanghai more and more sought after the needs of society, coupled with government policy support, have brought opportunities for the "glamorous" transformation of secondary hospitals in recent years, the state level to strengthen the medical care combination top-level design, medical care integration work into the "Healthy China 2030" planning outline" "13th Five-Year Plan" national aging career development and pension system construction plan, and increase efforts to organize the implementation of medical care combination pilot, has achieved remarkable results in fact, as early as 2016, the Beijing Health and Planning Commission and other 9 departments jointly issued guidance on strengthening the construction of the rehabilitation medical service system in Beijing, since 2016, a total of 19 public hospitals in four batches of transformation to rehabilitation institutions ; at a regular briefing on the State Council's policy on September 17 last year, said that as of September 2019, there were nearly 4,000 medical and nursing institutions in the country, and more than 20,000 medical institutions and pension institutions had signed contracts of cooperation During the 13th Five-Year Plan period, national policy support and financial input were tilted towards homes and communities, with a focus on the role of urban and rural health care institutions predictably, under the pressure of reality, a group of sandwich layer secondary will transform the health care hospital and other market shortage of medical services, otherwise or will face the situation of restructuring, mergers and acquisitions or even closed down.
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