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Medical reform under social transformation: family doctor or gold key
Release time: 2016-12-09 & nbsp & nbsp & nbsp Source: Anonymous
  & ldquo; Although medical reform is a specific field,But in China, it is a question of social transformation and public governance transformation & rdquo;,Zhu Hengpeng, director of the Public Policy Research Center of the Academy of Social Sciences,Medical reform should allow doctors to flow through public governance or inject new vitality into medical reform。
 
  The new medical reform is carried out to the seventh year,There are still many problems to be solved。The market economy brings an increase in wealth,But there is also class solidification in the society、Gaps such as the rich and poor,Zhu Hengpeng thinks,Economic growth brings benefits at the same time,Social layers bring potential social conflicts,There stake sports betting appis Stake Sports Bettinga game of various interests in the medical reform,This process requires public governance to be transformed。
 
  How to alleviate the pressure of people's flow of large hospitals、Let the community hospital play a grassroots role,Deputy Director of the Public Policy Research Center of the Academy of Social Sciences Wang Zhen believes that the doctor should flow,Let public hospital doctors go from the unit to society,Among them, family doctors or golden keys to become medical reform。
 
  The process of population aging accelerates,changes in the disease spectrum,Health Management,such as slow disease treatment,It will become the focus of future development in the medical field。Wang Zhen pointed out,Family doctors and community medical institutions should become the main body of health management services。and the reason for hindering the function of the current community medical institutions is,Under the allocation system of administrative resource allocation,Twisted incentive mechanism of medical institutions,Resource continuously gather up,Three -level Hospital Rainbow Doctor、Patients、Bed,Limited natural competitiveness of community institutions。So,He thinks,Put the core resource of the doctor's medical industry,Make it from the unit from the unit to the society。
 
  Wang Zhen thinks,The characteristic of the modern community is network,Liquidity,Administrative and institutionalized community medical and health services difficult to meet demand。To build a people -oriented modern governance mode,Adjust the supply structure centered My stake betting appon stake online sports bettingresidential needs。Reconstruction community medical and health services with a doctor as the center。Health services that meet the characteristics of this junior health care service should be an individualized rather than institutionalization,To establish a new talent evaluation mechanism,To achieve social talent flow。There must be a generous social layer between the government and the market,This society is composed of social organizations,Many contradictions can be resolved here。
 
  June this year,The Medical Reform Office of the State Council、The National Health and Family Planning Commission and other seven ministries and commissions issued the "Guiding Opinions on Promoting the Signing Services of Family Doctors",Opinions point out,This year, a family doctor signing service will be carried out in the pilot cities of the comprehensive reform of public hospitals this year; the coverage rate of family doctors will reach more than 30%next year;。Before that,There are many pilots,For example, Shanghai launched & ldquo; 1+1+1 & rdquo; signing service system,That is, the residents are signed on the basis of voluntary selection of the family doctor of the community health service center,Select a district -level medical institution、A city -level medical institution to sign a contract,Form & ldquo; 1+1+1 & rdquo;。
 
  Pilot initial line,Shanghai residents have many objections,Think that this is a limiting local people to see a doctor to go to the Trina Hospital,Give more resources to foreigners。
 
  To ensure the quality of the family doctor's service,Director of the Changning District Health and Family Planning Commission stake betting appGe Min stake sports betting apponce introduced,In addition to arranging family doctors to go abroad for training,It is also required to get a nutritionist for family doctors within five years、Health Manager、Psychological counselor and other qualification certificates,Cultivate their various skills,There must be a communication ability that a specialist does not have。For example,When the health manager manages the patient,In addition to guiding some particularly serious patients with high blood pressure, should you go to see the general doctor,What exercise will be recommended for patients、Diet、Mood to ensure the stability of the disease。More health management outside the treatment,is one of the responsibilities of family doctors。
 
  Member of the Shanghai Decision Committee、Deputy Director of the Shanghai Medical Reform Office Xu Su, when the main lecture on the health point of the Caixin Summit on December 2,Open the community comprehensive reform on your mobile phone & ldquo; cloud management & rdquo; in real time, you can see the comprehensive medical data of all community hospitals in Shanghai,Mobile phone display event On the day of Shanghai family doctor 1+1+1 referral service relationship, the number of signing services exceeded one million。
 
  Xu Su thinks,Big data can quantify macro problems,Provide a reference for micro -solution。Evaluation mechanism was established through big data,Total amount of standardization,A financial compensation mechanism formed。At the same time,For family doctors salary,According to the Stake Sports Bettingoverall Stake Sports Bettingworkload structure、Single price per workload,Annual income of quantitative family doctors。Seeing execution in quantification,It is conducive to the promotion of family doctors' signing system。
 
   & ldquo; Family doctor may be the key to medical reform,Making doctors flowing more conducive to the effective allocation of resources & rdquo;,Wang Zhen's summary channel。