People's Daily Online, Beijing, April 27 (Reporter Shen Jiaping) At present, many places, especially the central and western provinces, have weak medical resources and more outflows of patients.
Recently, in order to expand the construction of national regional medical centers in an orderly manner, promote the expansion of high-quality medical resources and regional balanced distribution, and accelerate the realization of serious illnesses without saving the province, the National Development and Reform Commission, the National Health and Health Commission, and the State Administration of Traditional Chinese Medicine issued the "Orderly Expanding National Regions". The Notice of the Work Plan for the Construction of Medical Centers (hereinafter referred to as the “Notice”), proposed that by the end of the “14th Five-Year Plan”, cross-provincial and cross-regional medical treatment for key diseases nationwide will be greatly reduced.
"The contradiction between the people's beautiful expectation of enjoying fair, high-quality and convenient medical services nearby and the unbalanced and insufficient development of high-quality medical resources has not been fundamentally alleviated." Targetedly make up for shortcomings, strengths and weaknesses, and improve quality, accelerate the formation of regional medical service "highlands", and minimize remote medical treatment.
Encourage localities to choose existing medical institutions with a certain foundation to cooperate with the introduced high-level hospitals, make full use of existing facilities, equipment and talent teams, and directionally enlarge the country's top-level high-quality medical resources.
The National Regional Medical Center implements more flexible policies in terms of price, medication, and talent, and explores ways and experiences to establish a modern hospital management system that mobilizes enthusiasm and guarantees sustainability.
The "Notice" specifically proposes that by the end of 2022, the nationwide planning and layout will be basically completed, and the construction of national regional medical centers will cover all provinces in the country.
By the end of the "14th Five-Year Plan", the construction of national regional medical centers will be basically completed, and a number of high-level clinical diagnosis and treatment centers, high-level talent training bases, and high-level scientific research innovation and transformation platforms will be built in areas where high-quality medical resources are scarce. A group of medical groups with obvious brand advantages and cross-regional high-level services have created a group of "Internet + medical and health" collaboration platforms based on high-level hospitals, and formed a group of specialist alliances with national and regional medical centers as the core.
The gap between the treatment level of key diseases in areas with relatively weak high-quality medical resources and the national advanced level has been significantly narrowed, the expansion of high-quality medical resources and the balanced distribution of regions have achieved remarkable results, and the cross-provincial and cross-regional medical treatment of key diseases nationwide has been greatly reduced.
In terms of the scope of construction, the "Notice" requires that the construction of national regional medical centers be actively promoted from the pilot project to the general promotion.
On the basis of the first batch of pilot provinces and exporting hospitals, continue to select hospitals according to key diseases and regions according to needs, adhere to hospital-local cooperation and joint construction between provinces and ministries, orderly expand the construction of national regional medical centers to cover provinces, and expand key diseases Coverage, strengthen the construction of national regional medical centers, and strengthen the export reserve of high-quality medical resources.
It is understood that in 2021, on the basis of the first batch of 8 pilot provinces, comprehensively considering factors such as work enthusiasm, the current situation of medical resources, and the proportion of referrals for medical treatment, strengthen the layout of the southwest, northwest, north China, and central regions, expand participating provinces, and add new 12 provinces of Inner Mongolia, Jilin, Heilongjiang, Jiangxi, Guangxi, Hainan, Chongqing, Guizhou, Tibet, Gansu, Qinghai, Ningxia, and the Xinjiang Production and Construction Corps are included in the scope of the construction of national regional medical centers, which basically cover the major exporting provinces of patients and relative medical resources. weak provinces.
In terms of the coverage of key diseases, the "Notice" proposes to focus on diseases with high mortality, heavy disease burden, concentrated transfer of medical care abroad, and serious harm to people's health, focusing on cancer, neurology, cardiovascular, pediatrics, respiratory, trauma, and women's health. National regional medical centers in the professional categories of obstetrics, orthopedics, infectious diseases, oral cavity, ophthalmology, and mental health.
According to the actual needs of the masses for the diagnosis and treatment of major diseases, support the construction of national and regional medical centers with multiple professional categories and strong comprehensiveness in places where conditions permit.
In order to establish a mechanism for generating high-quality medical resources in exporting hospitals, the "Notice" proposes to encourage exporting hospitals to cultivate and export high-level medical talents and subject leaders for national regional medical centers, and appropriately increase the talent settlement index of relevant exporting hospitals according to the output of medical resources.
The government supports the medical personnel sent by the exporting hospital in terms of settlement, housing, relocation of spouses, children's schooling, incentives and subsidies, etc., guarantees the salary and treatment of the personnel sent by the exporting hospital, and encourages the salary level of the personnel sent from the exporting hospital to be reasonably higher than that of the unit. The average level of people with the same conditions.
Support output hospitals with outstanding achievements in the construction of national regional medical centers, and give priority to applying for national medical center construction projects.