Beijing: The results of the primary hospital inspection can be directly transmitted to the tertiary hospital
In the near future, Beijing patients will be able to remotely transfer imaging data and laboratory results to tertiary hospitals without having to go to a large hospital in person to get expert consultation. Lei Haichao, director of the Beijing Municipal Health and Family Planning Commission, revealed that Beijing is preparing to build a municipal multi-platform remote consultation center.
10 tertiary hospitals participate in teleconsultation
“Beijing has now begun to establish a municipal multi-platform remote consultation center. After completion, telemedicine technology can help patients solve difficult and serious consultations.†Lei Haichao revealed that the remote consultation center is divided into multi-platform clinical consultations. Center and medical technology consultation center. This year, Beijing will establish a remote clinical consultation center for four key diseases of undergraduate diseases such as chronic diseases, oncology, orthopedics, pediatrics and ophthalmology. At present, through the application, 10 qualified tertiary hospitals (Xiehe Hospital, China-Japan Friendship Hospital, Fuwai Hospital, Peking University First Hospital, Beijing Third Hospital, Anzhen Hospital, Xuanwu Hospital, Tiantan Hospital, Children's Hospital, Capital) The Institute of Pediatrics became the first batch of corresponding remote clinical consultation centers. The multi-platform medical technology consultation center is a telemedicine consultation center focusing on imaging (X-ping, CT, MRI, ultrasound), blood testing, electrocardiogram monitoring and diagnosis, and pathology. At present, the eight tertiary hospitals (Xiehe Hospital, Fuwai Hospital, Beiyi Third Hospital, Xuanwu Hospital, Tiantan Hospital, Maternity Hospital, Children's Hospital, Capital Institute) have been declared to be the first batch of corresponding remotes. Medical technology consultation center.
Lei Haichao explained that the remote consultation center is a collection of opinions between doctors. Patients go to the primary hospital for treatment. If the primary and secondary medical institutions cannot solve the relevant diagnosis and treatment problems, they can go through the imaging data, laboratory examination data and clinical examination. The data is uploaded to the clinical consultation center or medical technology center, and the expert's joint judgment is used to solve the optimization problem of diagnosis and treatment opinions, and finally the treatment opinions are fed back to the patient.
Pilot construction of close medical associations in various districts
By the end of 2016, Beijing has established 53 medical associations consisting of 50 core hospitals and 558 cooperative medical institutions, initially meeting the basic requirements of the full coverage of residents in the service area and the basic requirements for graded diagnosis and treatment. In the future, all public medical institutions in Beijing will participate in the construction of medical associations.
Lei Haichao revealed that Beijing will focus on building a 2.0 version of the medical association, improving the vertical integrated medical association layout, launching the construction of a horizontal specialist medical association and the construction of a close medical association. All districts should re-divide the coverage area of ​​the medical association by combining the distribution of residents in the area and the distribution of medical resources, so that the medical association is more in line with the requirements for promoting graded diagnosis and treatment, and the internal links are closer. Establish a referral channel for patients with difficult and critically ill patients in major hospitals, so that the role of key specialties can be fully utilized. It is expected that in 2017, the specialist medical associations in cardiovascular medicine, respiratory medicine, neurology, gynecology, orthopedics, endocrinology, ophthalmology and pediatrics will be established. Currently, 35 tertiary hospitals that meet the requirements will be identified as specialist medical associations. Body core hospital. Before the end of the year, each district will launch 1 to 3 close-in medical joint venture pilots to explore the integrated management and use of personnel, technology, funds and equipment in the close medical association. In addition, 53 medical core hospitals and cooperative hospitals have carried out remote services between departments as needed.
Basic medical staff performance pay rises by 20%
As basic public health services gradually sink into the community, community medical institutions are responsible for 40% to 50% of the city's medical work, and the allocation of grassroots medical staff is obviously insufficient. Lei Haichao revealed that in order to mobilize the enthusiasm of community medical workers, in terms of remuneration, Beijing urged all districts to step up the implementation of the policy of 20% of the performance of grassroots medical staff. In addition, the treatment of retired senior professional retired doctors in the community has also been raised to no less than 200 yuan per working day, an increase of 80% over the original.
It is understood that Beijing is embarking on a study on the dynamic growth mechanism of performance-based wages for grassroots medical staff. In the future, it will fully consider the factors such as economic development level and workload changes, and dynamically increase the wages of grassroots medical staff, and gradually narrow the gap with other public medical institutions. “Beijing is still formulating a reform plan for the grassroots medical compensation system. It plans to pilot the project in Chaoyang District and then promote it to the whole city.†Lei Haichao said.
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