Chinese official: As of the end of 2020, a total of 4,028 county medical communities have been established nationwide
China News Agency, Beijing, November 30 (Reporter Li Chun) Nie Chunlei, Director of the Grassroots Department of the National Health Commission of China, stated in Beijing on the 30th that as of the end of 2020, a total of 4,028 county medical communities have been established across the country.
The construction of the county medical community has reached a consensus in most provinces, showing a trend of full promotion.
The National Health Commission held a press conference on the same day to introduce the progress of the pilot construction of the compact county medical community.
Nie Chunlei made the above introduction at the press conference.
Nie Chunlei said that in 2019, the National Health Commission of China launched a pilot project for the construction of a compact county-level medical community nationwide, and identified two provinces in Shanxi and Zhejiang, and 567 counties (cities, districts, the same below) in other provinces as pilots. County; In 2021, the Xinjiang Uygur Autonomous Region will be added as a pilot province.
In the past two years, the pilot areas have been based on "strengthening the county and the grassroots", deepening reforms and detailed measures in the management system, operation mechanism, and service mode of the medical community, and achieved positive progress and results.
According to Nie Chunlei, in 2020, among the 754 pilot counties, 535 will meet the standards of the compact county medical community, accounting for 71%.
As of the end of 2020, a total of 4,028 county medical communities have been established nationwide.
The construction of the county medical community has reached a consensus in most provinces, showing a trend of full promotion.
Nie Chunlei also mentioned that in 2020, the medical community will take the lead in the hospital to further strengthen the specialty, and the proportion of discharged patients with third and fourth grade operations will reach 42%, an increase of about 3.5 percentage points from 2019.
In the pilot area, 78% of inpatients were hospitalized in counties, and 90% of medical visits in counties, an increase of 2.5 and 6 percentage points from 2019 respectively, which is in sharp contrast with the continuous outflow of patients from non-pilot counties in the same period.
In addition, the overall decline in the proportion of medical visits in primary institutions in the pilot areas has been reversed. The proportion of outpatient and emergency care in primary medical and health institutions in the county and the grassroots management rate of chronic disease patients reached 55% and 77%, an increase of about 2.3 and 2.2 respectively from 2019. Percentage points.
Compared with the non-pilot counties in the same period and the proportion of the medical community's grassroots business volume that did not meet the "close-type" standard, it is more in line with policy expectations.
Nie Chunlei also said that with the improvement of medical service capabilities and through the guidance of medical insurance payment policies, the proportion of medical service income of medical community-led hospitals and primary medical and health institutions in total medical income has gradually increased, from 63% and 64.5 in 2019 respectively. % Increased to 66.8% and 70.7% in 2020.
Talking about how the "close type" is embodied, Nie Chunlei pointed out that, unlike the previous county medical community, the compact county medical community focuses on building a community of responsibility, management, service, and interest to form a game of chess and management for the county. Account and serve the family.
"Promoting the construction of the county medical community is a specific measure to implement the hierarchical diagnosis and treatment system. The most fundamental starting point and goal is to enable the people to obtain higher quality, more convenient and more economical medical and health services." (End)