Some time，
For example, 2020,
What will the hospital look like?
What changes will be taken to see a doctor?
The common people's visit to the doctor has been a deep concern for Premier Li Keqiang. He explicitly asked, "deepening medical reform from the people most concerned about the breakthrough."". Public hospitals are the main battlefield for deepening medical reform". The day before, the State Office issued the "guidance" on the establishment of a modern hospital management system, put forward in 2020 to form a modern hospital management system. What changes will be taken in the future for doctors and patients? What bonus reforms will the medical staff receive? Chinese government network (WeChat ID:zhengfu), the State Council client to take you to see -
Medical quality safety problems with the first responsible person!
Dean is the first person responsible for medical practice and medical quality safety in hospital, and implements the two level responsibility system of Medical Quality Safety Institute and department.
The establishment of full participation, covering the whole process of clinical diagnosis and treatment of medical service quality management and control system, and strictly implement the initial diagnosis in three rounds, grading nursing, operation grading management, hierarchical management of antimicrobial drugs, clinical use of blood safety and medical quality safety core system.
Strictly enforce the hospital infection management system, medical quality, internal publicity system, etc..
The performance appraisal system will be perfect, and your satisfaction will affect the income of medical staff!
Establish a sound performance appraisal index system, the direction of running the hospital personnel, medical services, social benefit, economic management, training, sustainable development, highlighting the job duties, work, service quality, behavior, quality and safety of medical and medical expenses control, medical ethics and patient satisfaction index. The examination result is linked with medical staff post recruitment, job title promotion and personal salary.
There are also city doctors in the grass roots hospitals, and the doctors are at the door!
City doctors are promoted to doctors at the grassroots level or to their counterparts in the medical institutions before or after the promotion of the attending doctor or the title of deputy chief physician. The cumulative service is not less than 1 years.
Many of these convenient service in the hospital, is to make you satisfied!
• three level public hospitals should all participate in the construction of medical unions and play a leading role.
To further improve the medical service, optimize the medical procedure, rationally arrange the facilities in the diagnosis area, carry out the appointment and treatment scientifically, carry out the day surgery, telemedicine and multidisciplinary joint diagnosis and treatment mode.
Strengthen emergency first aid and expedite the green passage in front yard of hospital. To carry out medical guidance, inter room settlement, inspection, examination results push, remote medical settlement and other information convenience services.
• developing quality care services to enhance social work and volunteer services.
To promote the construction of the "three mediation and one insurance" mechanism, which is an organic combination of mediation within the hospital, people's mediation, judicial mediation and medical risk sharing mechanism, and properly resolve medical disputes and build a harmonious relationship between doctors and patients.
These exclusive medical staff reform envelopes, quick demolition!
Medical staff salaries shall not be linked to such revenues as pharmaceuticals, sanitary materials, examinations and laboratory tests. Prohibit the establishment of income indicators for medical staff.
Improve the democratic management system based on the workers' Congress as the basic form. For the major problems in the study, operation, management and development of hospitals, the opinions of workers and staff members should be fully heard, and meetings to discuss the vital interests of employees shall be convened, and representatives of trade unions must be represented.
To establish and improve personnel recruitment management, post management, title management, practitioner management, nursing staff management, income distribution management and other systems. In the post setting, income distribution, job title assessment, management and use, the preparation of internal and external personnel overall consideration.
To establish a salary system adapted to the medical profession, and to embody the value of medical workers' technical services. The government, the main body of the implementation of the performance appraisal of the hospital to the Department and medical staff, for different posts, different levels of medical personnel classification assessment.
The public hospitals own allocation in total compensation approved, embodies the position difference, both balance, do hard work and excellent merit pay. In accordance with the relevant provisions of the hospital can explore the implementation of the target annual salary system and agreement salary.
Establish evaluation mechanism to public welfare oriented, regularly organize public hospital performance appraisal and the dean of the year and the term target responsibility assessment, examination results and financial subsidies, medical insurance payment, the total amount of pay for performance and Dean pay, appointment, rewards and punishment hook.
Establish a comprehensive supervision system, strengthen the focus on the quality of various hospitals at all levels of medical security, medical care and prescription fraud, potentially fraudulent, kickbacks and other acts of supervision, to establish "blacklist" system, the formation of long-term supervision mechanism of the whole industry, diversified.
- on charges, poor professional behavior resulting in significant social impact, causing major medical accidents, major accidents, serious violations, serious violations of construction behavior, to establish accountability mechanisms.
Strengthen the supervision function of health care administration department, improve the access and exit mechanism of institution, personnel, technology and equipment.
The deepening of the reform of the medical insurance payment, give full play to health care regulation on medical service behavior and the cost of the guiding role of restriction and supervision, medical insurance for medical institutions will be gradually extended to the service and supervision of medical service behavior of the medical personnel supervision.
• strictly control the size of public hospital beds, construction standards and large medical equipment, strictly prohibited construction and luxury decoration, the scale of the excess to gradually compress beds. Control of public hospitals, special service scale, provide the special service ratio does not exceed 10%.
To formulate regional health planning and medical institutions planning, and rationally control the number and scale of public comprehensive hospitals.
The full implementation of the regional health planning with public hospital investment policy, to refine the implementation of the hospital of traditional Chinese medicine (including National Hospital) investment policy, and gradually repay the qualified public hospitals to resolve the long-term debt.
• gradually abolish the administrative level of public hospitals, and the heads of health administrative departments at all levels (including the departments of traditional Chinese medicine administration) are not allowed to serve as leading posts in public hospitals.
To implement the autonomy of the public hospitals, in the preparation of the total amount, in accordance with the needs of the business, to face the society, to recruit medical personnel openly and independently, and to recruit the people who are in short supply and with high-level talents according to the regulations.
To further improve the recruitment of staff in public hospitals in hard and remote areas, reasonably set up recruitment conditions, improve recruitment methods and improve incentive and support measures.
