Heavy! Health China 2030's seven major impacts on doctors

Release date: 2016-10-28

Recently, the State Council issued the "Healthy China 2030" Planning Outline. Through this national health plan for the next 15 years, Xiaobian will take you through the interpretation of the plan or the seven major impacts on the Chinese doctor community!

First, the doctor's free practice is really coming!

The words "doctors are free to practice" should be the first time they appear in the document of the national font, and the significance of it is imaginable.

It is reported that before the official "free practice" basically avoided talking, but to mention "multiple points of practice."

Nowadays, the "Planning" clearly puts forward the mode of using, flowing and providing services for innovative medical personnel, and actively explores the free practice of physicians, the contracting services of individual physicians and medical institutions, or the formation of doctor groups.

It can be seen that the official has at least had the courage to dare to face the real liberation of doctors. In other words, in the next decade or so, doctors will be free to form a group of doctors, establish a clinic, and hope to achieve free practice in the region.

Second, the medical insurance will be more and more strict to the doctors!

For a long time, China's medical insurance management ability is at a low level. The "Planning" clearly states that the medical insurance fund budget management will be strictly implemented; and it is clearly stated that the medical insurance intelligent monitoring will be fully implemented, and the medical insurance supervision of medical institutions will be extended to Medical staff.

In other words, the diagnosis and treatment behavior of Chinese doctors will enter the era of medical insurance monitoring and strict management. The means to be used is intelligent. Through the medical insurance monitoring system, the doctor can just enter the prescription in the computer, then the medical insurance has been monitored.

Although some provinces have also implemented medical insurance intelligent monitoring systems, the real strong supervision of Chinese medical insurance must start from the Sanming medical insurance model created by Zhan Jifu, the founder of Sanming Medical Reform.

In order to realize medical insurance control fees, Sanming Medical Reform has strictly regulated the price of medicines, and has also strictly regulated the prescriptions of doctors. For some medicines that are mainly monitored, once the doctor's prescription is abnormal, it will be held accountable by medical insurance.

Under the Sanming medical insurance model, Sanming City Medical Security Administration (Fund Management Center) has a powerful power to supervise and manage the hospital and doctor's diagnosis and treatment.

Now Sanming's medical insurance model has been copied to the entire province of Fujian, and has a great potential for the whole country. According to official disclosures, the Fujian Provincial Health Planning Commission, the Provincial Civil Affairs Department, the Provincial Department of Finance, the Provincial People's Office, the Provincial Department of Commerce, the Provincial Price Bureau and other departments and medical and health-related functions and powers are uniformly included in the provincial medical insurance office. It has become the leader of medical reform.

Zhan Jifu, director of the Fujian Provincial Medical Insurance Office and deputy director of the Department of Finance, told the "vismed" that "the establishment of the provincial medical security administration and the medical security fund management center in Fujian Province is highlighted by the integration of medical security management elements. It is the first major reform of the medical security management system in the country. It is a major integration of health care as the center of health care. If other provinces and cities are only managed by the three guarantees, then it can be said that Fujian Province is already High school graduates are preparing to go to the college entrance examination with health as the center, while other provinces and cities are only in elementary school!"

Zhan Jifu also said that "Fujian Medical Insurance will give full play to the foundation and leverage of medical insurance, thereby forcing and promoting the reform of the operating mechanism of medical institutions; it will force the current medical institutions to make money-centered mechanisms; guide the people to seek medical treatment reasonably; The reform of water control in Kowloon is now difficult."

For the majority of medical personnel, the behavior in clinical diagnosis and treatment, in addition to the total amount of medical insurance prepaid, will be increasingly regulated and restricted by medical insurance.

Third, the doctors in these departments will be dug a lot!

As we all know, the development of private hospitals and individual clinics is very dependent on the development of third-party medical testing and imaging diagnostic institutions, because it is unrealistic for these large-scale equipment to be purchased by every social medical institution.

The "Planning" also clearly proposes to guide the development of professional medical testing centers, medical imaging centers, pathological diagnosis centers and hemodialysis centers.

Not only that, recently, the Health Planning Commission has continuously issued basic standards and management specifications for medical imaging diagnostic centers and medical testing laboratories, and clearly stated that medical imaging diagnostic centers and medical testing laboratories belong to separate medical institutions, which are independent. The legal entity shall independently assume the corresponding legal responsibilities and shall be examined and approved by the provincial health and family planning administrative department. China's third-party medical testing and imaging diagnostic institutions are expected to usher in the spring of development.

According to "Seeing Medical Circles", although some third-party medical imaging diagnostic centers are advanced in equipment, excellent talents are extremely scarce and the diagnostic level is low.

In the future, the imaging, ultrasound, and laboratory departments of large hospitals may not be independent, but at least, doctors in these departments will become the sought-after talents of third-party medical testing and imaging diagnostic institutions, and will be excavated by a large number of high-paying employees.

Fourth, the individual clinic will be completely released!

Following the "National Medical and Health Service System Planning Outline (2015-2020)", the establishment of other primary health care institutions such as individual clinics is proposed, which is not subject to the planning and layout restrictions, and after the implementation of market-adjusted management methods;

Now that the Healthy China 2030 plan is released, it is clearly stated that the individual clinic settings are not restricted by the planning layout.

In other words, in the future, whether it is a Chinese medicine clinic or a Western medicine clinic, the future will no longer be strictly restricted by regional planning.

This is great for the majority of doctors, doctors and doctors who want to open clinics, as well as social capital dedicated to chain clinics.

Because, if this policy is not liberalized, it is difficult for doctors to open a clinic. Some of the ideas for starting a thousand and 10,000 clinics can only be a bubble.

According to the analysis of "vistamed", the background of this policy is precisely the current stage of the grading diagnosis and treatment system. The senior level should have fully realized that the grassroots clinic is actually the main force of future medical services, 60%- 80% of the medical services can actually be completed by the general practitioners in the primary clinics. There is no access to the primary clinics. The graded treatment can only be in the mirror and in the water.

Not only that, but the plan also proposes that doctors will be encouraged to use their spare time, retired physicians to practice in grassroots medical and health institutions or to open studios.

It is foreseeable that future doctors' personal clinics and studios will be located at the grassroots level.

Fifth, the general practitioner will become the focus of medical education!

The "Plan" said that it will strengthen the coordination of medical education and establish a mechanism for balancing the supply and demand of medical personnel. We will reform the medical education system and accelerate the establishment of a medical personnel training system that integrates the three stages of college education, post-graduate education, and continuing education.

What is the establishment of a sound medical talent training supply and demand balance mechanism? To put it bluntly, it is the kind of talents that are most needed in the market. The "Planning" clearly stated that it will focus on general practitioners and strengthen the construction of grassroots talents.

The realization of grading diagnosis and treatment relies heavily on the general practitioners as the goalkeeper of the whole nation. At present, the gap of general practitioners in China is nearly 200,000. That is to say, the training of general practitioners in the future will become the focus of medical education.

According to "vistamed", the newly established Shanghai Health Medical College has focused on the training of general practitioners. It is foreseeable that more and more medical colleges and universities will enroll students in the direction of general medicine in the future.

In addition, the "Planning" also clearly proposes that the quality assurance mechanism for medical education will be improved and a medical professional certification system equivalent to international medical education will be established. It can be said that medical education will become more and more strict in the future, and it will become more and more difficult for doctors.

Sixth, the era of comprehensive clinical path management is coming!

The "Planning" stated that it will establish a medical quality management and control system that is in line with international standards and reflects Chinese characteristics, and basically completes national, provincial and municipal medical quality control organizations covering major majors and introduces a number of international standardization norms.

Specific measures will build a medical quality management and control information platform to achieve all-round accurate, real-time management and control of the industry, continuous improvement of medical quality and medical safety, improvement of medical service homogeneity, re-hospitalization rate, use of antibiotics The main medical service quality indicators such as rate reach or approach the world advanced level. The clinical path management will be fully implemented to standardize the diagnosis and treatment behavior.

In the face of the clinical path, a well-known senior doctor said that the clinical path is not prepared for the doctor? Big doctors do not need to follow the clinical path.

In fact, when China's medical quality control is informatized, the doctor's diagnosis and treatment will be included in the clinical path management in the future, including the big doctor.

Seven, the evaluation criteria for medical personnel must be changed!

The "Plan" clearly stated that it will dock the international mode of communication and further optimize and improve the evaluation standards for personnel in nursing, midwifery, medical auxiliary services, and medical and health technologies.

It is foreseeable that the evaluation criteria of doctors will be internationalized, and there is no international evaluation of doctors according to papers and titles, so we must change them!

The document emphasizes that the innovative talent evaluation mechanism will not use papers, foreign languages, scientific research, etc. as the hard requirements for the evaluation of the titles of grassroots health professionals, and improve the talent evaluation mechanism that meets the characteristics of general practitioners.

Therefore, the pain of the papers of primary medical talents will be abolished first, and the situation in which doctors are forced to make fake research papers will be alleviated. The era of clinical heroes is opening!

Source: see the medical community (micro signal vistamed)

Medical Instruments And Equipment

Medical Instruments And Equipment,Nucleic Acid Extraction Robo,Nucleic Acid Extraction Instrument,Viral Nucleic Acid Extraction Method,Urine Analyzer

Jilin Sinoscience Technology Co. LTD , https://www.jilinsinoscience.com