The tertiary hospital of suburb county will increase Beijing to

The tertiary hospital of suburb county will increase Beijing to 21 this year
Within this year, the tertiary and accurate tertiary hospital of suburb county will increase to 21, the high-quality medical resources that assembled in the old town originally will be shifted to the suburb. Yesterday, this city held and deepened the system working conference of the medical and health. It shows while giving an interview, these 21 tertiary hospitals include the medical centres of 11 areas of 10 the outer suburbs that the side of chief of Municipal Health Bureau comes to Great Britain, and 10 newly-built, move outside and run large-scale hospitals of the branch, include BJ Univ Hospital, God Temple Hospital, accumulate puddle hospital, international hospitals, long age hospitals of Tsing-Hua University of BJ Stomatological Hospital, Peking University,etc. star's hospital.

The new city of Tongzhou will newly build a children's hospital

Main population, organ's unit of Beijing centred in the district of city four at that time in the past, on beginning of this century so as to reach, the tertiary first rate hospital of Beijing mostly centre in the old town; In the suburb, there are only some second hospitals and health station of villages and towns. As large quantities of in fact citizens lived in city center begin to move outside, a lot of new cities and city's development newly developed areas lack the large-scale general hospital.

"Besides these 21 medical centres of large-scale area, will build the medical centre in the area according to 300,000 to 500,000 people's standard. " And then it says, this city will finish medical organization structuring to plan this year to come to Great Britain. It is reported, this city will guide the rational distribution of resources of the health care actually according to city's development, realize there is a high-level medical centre in each new city, concentrate on solving the large-scale inhabited region, orientation to place the room in the area, insufficient problem of medical resource of outlying mountain area.

It is reported, 10 medical centres of 11 areas of the outer suburbs planning, have already partly finished construction at present. Meanwhile, for make the intersection of this city and medical the intersection of resource and reasonable overall arrangement, God Temple Hospital adjourn to wholly the intersection of Fengtai and district spend township, new God Temple Hospital would finish construction in 2015, will come into operation. BJ Stomatological Hospital plans to move to horse's fort adjacent place of home wholly too. The first hospital in Peking University will build the new institute area in Daxing District. This city accelerate, finish the intersection of Peking University and world, the intersection of Tsing-Hua University and long age, accumulate the intersection of puddle and two institute,etc. in Shangdi, the intersection of it and coherent garden, construction of Huilongguan also this year.

In addition, there are only two children's section hospitals to Beijing at present, it is unable to meet infant's demand. The new city of Tongzhou will newly build a children's hospital.

22 tertiary hospitals " In charge of doing and separating "

It is athletes, it is a referee, this kind of dual identity of the health bureau will be makeovered in the future. Municipal development and reform committee committee member, medicine of market corrected director Han XiaoFang to reveal yesterday, municipal Hospital Authority will be established soon in this city, standardize management to the property of person of the city owned tertiary hospital in unison as the state-run assets contributor. Municipal Health Bureau changes the function, gives full play to trade executive and public health, health promotion function.

"Medicine in charge of the function of the round, to put it briefly, undertake contributors and run the function of the institute, administrate personnel, run affairs, manage the assets. " Han XiaoFang says, in the past, the hospital is the administration on the system, management is more extensive, establish medicine to be in charge of the office this time, run the duty of the institute of the health bureau to separate, managed the office by medicine and strengthened basic management, differentiated control and modern hospital management institutional improvement to the hospital pointedly.

Such respects as medicine will be in charge of the office around the order, cost of the hospital, environmental, safe, push into the promotion of service quality of the hospital and working efficiency, optimize workflow and service procedure of the hospital, realize the standardization, specialized and becoming more meticulous and managing of the medical service act of the hospital.

Han XiaoFang reveals, municipal medicine is in charge of the office being listed in the near future soon, 22 city owned tertiary hospitals will all manage in unison by managing the office in municipal medicine, really do and separate the tube.

"After being in charge of doing separating, the health bureau should strengthen the function of the whole trade possession management, can't like before, public hospital, city owned hospital by all means. In the future, no matter public or private, no matter beg or belong to or the city, the management of the whole trade will be managed by the health bureau. " Han XiaoFang explains, the trade management function of the health bureau includes planning, policy, trade entry, medical treatment behavioral norm and supervision, especially the medical quality which ordinary people care about and using medicine safely,etc. is supervised, and the entry and withdrawing from the mechanism of personnel, organization, technology, apparatus, be responsible for by the health bureau.

It is reported, according to the spirit of medical reform of the State Council, combines local reality, the medical reform of this city will take three steps, the first step is to in charge of doing and separating, will also separate and separate with medicine the government affairs next.

Dialogue

Two major actions are replied " Raise medicine with medicine "

Callee: The committee member of development and reform committee of Beijing, medicine of market correct director Han XiaoFang

Q: " raise medicine with medicine " It is a wide persistent ailment condemned by people, do you think which factors cause?

A: " raise medicine with medicine " Forming,last compensation mechanism first reason unreasonable, government financial inputs public, on one hand it is insufficient to put into, it is the policy-related losses or losses due to poor management that on the other hand not divide, it is indeterminate to invest responsibility, the invests money in developing and controls and lacks reasonable restriction with the costing of the hospital. Secondly it is that a medical service price is too low, a lot of price even deviates from the cost seriously.

Q: Contain and " raise medicine with medicine " ,What actions will be had in Beijing?

A: In the future, will launch a pilot project and set up public hospital corporate governance structure, will explore prices, reasonable compensation mechanism which medical insurance and financial three sides link, the government bears 6 input such as capital construction, apparatus purchasing, policy-related losses of the public hospital. Meanwhile, will also pay the system reform, will solve the problem that the doctor makes great prescription, excessive medical treatment and excessively checks from mechanism.

Q: How will the medical service price be adjusted, how to guarantee the patient's interests?

A: The medical price in the future will rise to drop, checking prices to reduce of empty and high medicines price and heavy-duty equipment, reflect the price of medical personnel's technological excellent service standard should be improved, the policy of improving the medical insurance and submitting an expense account accordingly at the same time, try not to increase burden for ordinary people.

Light spot

Rehabilitation of key word

Large hospital berth" Appear more " One time

Reveal, this city would advance the medical organization to classify and manage at yesterday's medical reform conference, dispose medical treatment, recover, attend to structure and overall arrangement of resource, in hospital on average large hospital day bring 10 days down to from 14 day rationally, the next step, drop to 7 days in two or three years.

It is 13.9 days on day that this city is in hospital on average at present. Come Great Britain introduce, some hospital realize average sun drop about 10 day to in hospital already at present, for example BJ Children's Hospital is 8.6 days on day in hospital on average. In hospital day equally? all of a sudden Pian is young to wish table He of Ti basement goes straight towards Su ? More than 00 days, need through structural adjustment next, come to reduce and is in hospital equally on day.

According to incomplete statistics, this city large hospital in hospital patient of the above account for more than 10% in half a year, these spend critical days, in, recover patient of one, press the bed for a long time because of no recovering in the hospital and receiving already, it is difficult to aggravate and in hospital virtually.

After medicine is in charge of office's tenabling, will burn in some hospitals of handle and change system into and recover hospital and community and attend to the institute. If recover in the institute and receive the more steady patient after surgery, it can receive and need to treat the patient of approaching one's end care for a long time to attend to the institute, then may drop to 7 days in hospital stays on average, the service efficiency of the hospital can be expected to improve by one time, the patient will shorten by a wide margin in time when the large hospital waits to be in hospital.

The tertiary number of people of emergency call of hospital door increased by 11.4% compared with the year before last last year in this city. It is difficult to see the doctor in order to relieve the clinic, this city increases the time of paying a home visit of Specialist Clinic of large hospital, strive to make the Specialist Clinic service supply ability to improve by one time.

The key word makes an appointment and registers

The whole city registers 80% and makes an appointment in 35 years

"Beijing Gynecological and Obstetric Hospital can book registering! " Not long ago, this model appeared on a lot of ready-to-be mother forums. Last November, the subsequent visit of obstetrical department of this city made an appointment about 70%, and the subsequent visit of obstetrical department booked the proportion and up to 92.43% wholly at present, this means, more than 90% of the pregnant women produce and examine and does not need getting up early to register again many times, but finish through making an appointment. In addition, the subsequent visit of stomatology department books the whole proportion and up to 94.02% too. The subsequent visit of tertiary hospital books the proportion and is up to 44.82% wholly.

Future is from 3 to 5, the whole city books the registering rate and is more than 80%. That is to say, 80% of the brass-wind instrument sources of hospital are hung by making an appointment later, but not line up in ways of registering now, seeking medical advice will move towards making an appointment since present registering at will in order.


The tertiary hospital of Beijing pursues and makes an appointment to register for more than one year in an all-round way, is getting more and more through booking this kind of patient whose form registers. By last November, 15% of the patients in the whole city registered and saw the doctor through making an appointment. The newest data that the Ministry of Health announces reveal: In February of this year, 49 tertiary hospitals in the whole city went to a doctor the patient's reservation went to a doctor the proportion has already risen to 21.79%, and, the subsequent visit of obstetrical department exceeds 90% booking the proportion.

This city sets up the medical organization at the basic level and two, tertiary hospitals to change the place of examination and serve in 13 pilot counties at present, change the place of examination and book success rate and is more than 90%. But on the whole, community make an appointment person who change the place of examination to be still relatively low, the next step this city shift the intersection of medical care and weight by large hospital to the community at the basic level, further improve the system of changing the place of examination bidirectionally, set up the mechanisms of division of labor and coordination of work of the public hospital and medical health organ of basic unit, improve community's complete doctor's service ability and level.

The key word is paid and reformed

Explore that pays according to number

Analyse and explain " raise medicine with medicine " Difficult problem

This city will pay the reform pilot project of the system according to number in 2 hospitals and 100 disease groups. Explore and set up medical insurance, price, finance that links the mechanism, change according to the way of paying of the project progressively, many kinds of ways of paying of pursuing according to number actively, prepaying according to the number of people, total value etc., prevent the medical expenses from being unreasonable and rise from mechanism. It says, this city will reform through paying the system that city medicine corrects the relevant persons in charge, let the hospital lower costs voluntarily, does not make the great prescription again, does not do thorough examination, solve " raise medicine with medicine " from mechanism .

The key word society runs medicine

Guide the social capital

Enter the medical field of high side

"So long as the private capital can be run, the governments all encourage doing. " It says, this city will be according to public beneficial, accurate and public beneficial and managing three directions that city medicine corrects the relevant persons in charge, explore the categorised reform of public hospital, issue the policies and measures of encouraging social forces to run the medical organization as soon as possible.

The intersection of city and medicine correct relevant person in charge, say social forces run medicine since government it runs medicine to be beneficial to supplement, also the important respect of meeting multi-level medical care demands of masses. This city will issue the policy of encouraging social forces to run the medical organization, run respects such as medicine serving entry, medical insurance by fixed position, infrastructure construction, price control, environment of choosing the right person,etc. and issue the concrete support policy to the society; Expand medical resources and supply the total amount, form competitive medical care and offer the pattern, promote medical service quality and efficiency to improve.

In addition, this city will also support social forces to run the medical organization in medical resources such as new city, suburb,etc. as to the weak area according to planning. According to the principle treated equally without discrimination, promote social forces to do medicine to develop in a healthy way.

It support government, tax revenue,etc. measures favourable,last medical treatment, keeping healthy, improving looks service markets medicals advanced, meet the multi-level medical care demand.

The key word president is engaged

The director will become the professional administrator

The board of supervisors that often appears in joint-stock company, will appear in the city owned hospital in the future. According to the requirement that the government affairs separate, medicine is in charge of office's accrediting the board of supervisors to the city owned hospital, the board of supervisors carries on supervision with the medical service act to management and administration, financial administration of the hospital.

Han XiaoFang says, the hospital supervises president's under responsibility system in the board of supervisors, medicine is in charge of office's taking charge of engaging the president. Setting up modern corporate governance structure inside the hospital, the president has to hospital people's mix right with sufficient property, and accept medicine is in charge of strict management by objectives and examination of the office.

"In the past, the hospital was mainly managed by the expert. Under the frame of the corporate governance structure in the future, we should promote president's professionalism, become the professional administrator. " Han XiaoFang says.

The masses " Think highly of the disease "

The basic medical insurance system in urban and rural areas is covered completely

Did not have basic medical insurance in the past to 1,400,000 old men and children, saw the doctor the expenses all paid the question for itself, this city takes the lead in setting up " One is always small " The system of medical insurance, have realized the basic medical insurance system in urban and rural areas is covered completely. In the past two years, this city is improving the medical insurance policy constantly, lighten a patient and seek medical advice by about 3,100 million yuan of burden. In 2010, the basic medical insurance of all kinds of of this city will effect an insurance (shut) Rate is average and above 93%.

" social insurance card " It exceeds 8,500,000 to release

Difficult, such questions as the burden of paying first is serious of diagnosing the illness and submitting an expense account to the masses, this city advances " social insurance card " with all strength Construction. At present, the whole city has already released " social insurance card " More than 8,500,000, implement worker's and resident's effecting an insurance in all fixed medical organizations personnel hold the card and seek medical advice, settle account immediately, reduce individuals for the masses every year and pay for the fund of 9,200 million yuan first.

The centralized purchasing of medicines is the same as city and price

In 2010, this city finishes the medicines centralized purchasing of the whole city, realize all above- second -class hospitals unify the price of medicines in the area under one's jurisdiction. The price of medicines is reduced by 16% on average compared with current price on market, lighten expenditure and the masses of medical insurance and bear 3,600 million yuan.

The masses " Can see the doctor "

Clinic in two-day weekend: " change " Over 10 tertiary hospitals appear

In order to solve" Working clan " Difficult to see the doctor and shunt the large hospital and seek medical advice crowd, this city opened the clinic of a whole day on two-day weekend in 26 hospitals last year. This city includes military hospital at present, there are 66 tertiary hospitals in all. The Ministry of Health says, the clinic mode is expected to popularize in 66 hospitals in an all-round way in a whole day on two-day weekend.

The Ministry of Health can be regarded as an account, if 66 tertiary hospitals pay a home visit time all turn from five days into seven days, in other words the clinic amount has been improved by about 25%, just equate with in a situation that the government does not increase the medical infrastructure is put into, have increased a dozen tertiary hospitals in short term.

Electronic case history: Build up and contain the great prescription in five years

This city began in 2011 on the basis of discussing and making technological scheme work of electronic case history, strive to finish resident's electronic case history construction in five years, will play a positive role in containing the big prescription, abusing antibiotic, medical behavior of norm.

Family doctor: The healthy gatekeeper bears forty percent and makes a diagnosis

This city is through setting up resident's health file and family doctor type service mode, make the medical health organ in the basic unit bear progressively " The healthy gatekeeper " Duty. The basic unit makes a diagnosis the person accounts for the proportion of the whole city to improve from 5% to more than 40%.

Change the place of examination bidirectionally: The large hospital is with community's hospital hand in hand

This city pursues the large hospital and makes an appointment and registers, change the place of examination bidirectionally. Set up the medical organization at the basic level and two, tertiary hospitals to change the place of examination and serve in 13 pilot counties, change the place of examination and book success rate and is more than 90%.

The masses " Can take a fancy to the disease " Cure the committee and promote medical resource-sharing for the first time

To the complicated characteristic of medical resource in the capital, in order to strengthen unified planning, information communication and resource-sharing, form the whole resultant of forces of development and reform, capital medical and health Coordination Committee is established in this city, set up high-level management coordinating mechanism.

Encourage the private capital to run the medical organization

This city will be according to public beneficial, accurate and public beneficial and managing three directions, discuss and make and encourage the private capital to run the implementation suggestion of medical organization, so long as the private capital can be done, the governments all encourage doing.

Start health promotion mechanisms of the whole people

This city will set up the health promotion mechanism that government, society, individual participate in together. In line with reducing disease, promoting the health, let the masses have disease few, have disease late, had better not have disease, in 2009, will make " healthy action plans of ten years of the whole people " in the whole country first in Beijing, focusing on the urban idea of development of the health is being worked out at present " Twelve five " Sub-plan of Beijing of the health.

National medical reform requirement and Beijing performance

Country / Beijing

It is shut that new and agricultural per person to raise funds the standard of 120 yuan / 520 yuan

Above 90%/93% of rate of joining insurance of the medical insurance

The government runs the medical organization at the basic level

Implement 60%/100% of basic medicine system (Meng is Fang Fang and Dong ChangQing)


The tertiary hospital of suburb county will increase Beijing to 21 this year