yesterday, Shandong Province promulgated Shandong Province medical service system planning (2016-2020 years), publish our province medical and health care The current situation of service system, as at the end of last year, the average life expectancy of the whole province is 78 years old, which is higher than the national average life expectancy. Reporter Zheng Xinru
1000 people have medical beds 5.27
by the end of 2015, there were 77435 medical and health institutions in the whole province, including 1926 hospitals, 73164 grass-roots medical institutions, 2140 specialized public health institutions, and other 2140. There were 205 medical and health institutions and 856 thousand and 400 health personnel in the province. Among them, 618 thousand and 600 health technicians, 237 thousand and 100 practicing (Assistant) doctors, 254 thousand and 200 registered nurses, 519 thousand and 300 beds.
from 2010 to 2015, every thousand resident population in the province had medical institutions bed, practicing (Assistant) doctors and registered nurses from 3.99, 1.93 and 1.63 to 5.27, 2.41 and 2.58. Financial support has been strengthened continuously. From 2010 to 2014, the total health cost of our province increased from 134 billion 530 million yuan to 248 billion 416 million yuan, and increased by 84.65%. Among them, the proportion of personal cash health expenditure to the total health cost decreased from 38.72% to 33.21%, down by 5.51 percentage points. In 2015, the total housing area of medical and health institutions in our province was 49 million 284 thousand and 500 square meters, and there were about 366 thousand units with more than 10000 yuan, with a total value of 59 billion 440 million yuan.
the infant mortality rate fell to 4.77 per thousand
2010 to 2015. The total number of medical and health care institutions in the province increased from 480 million to 616 million, with an annual increase of 5.11%; the number of hospitalized hospitals increased from 11 million 66 thousand and 700 to 15 million 216 thousand and 400, with an average annual increase of 6.58%. Effective control of communicable diseases, the reported incidence and mortality of notifiable infectious diseases in the province are at a relatively low level nationwide. The advantages of traditional Chinese medicine have been further developed. By the end of 2015, the life expectancy of the province was 78 years old, which was higher than the life expectancy of the country. Infant mortality, maternal mortality and children under 5 years of age were reduced to 4.77 per thousand, 13.04/10 million and 6.03 per thousand, respectively, 8.1 per thousand, 20.1/10 million and 10.7 per 1000 respectively, respectively, and the main health indicators were in the forefront of the country.
grading diagnosis and treatment
Planning outlook
the basic realization of the disease is not a county difficult miscellaneous disease to go to the provincial hospital
"planning" proposed, to improve the classification of diagnosis and treatment service system, strengthen the grass-roots general practitioners and other personnel training, to promote the basic realization of the major diseases can not be out of the county.
provincial hospitals mainly provide emergency and difficult medical treatment and specialist medical services to the residents in the provincial area, accept the referral of the lower level hospitals, and undertake the task of personnel training, medical scientific research, corresponding public health and emergency medical rescue tasks.
municipal hospitals mainly provide local residents with high level of comprehensive or specialist medical services in the region, accept lower hospital referral, and undertake training and scientific research tasks as well as emergency medical rescue tasks for public health and emergencies.
County hospitals mainly undertake the common diseases, multiple diseases diagnosis and treatment of residents in the county area, emergency and severe emergency treatment and referral of difficult and difficult diseases, training and guiding the personnel of grass-roots medical and health institutions, the corresponding public health service functions and emergency medical rescue work, which is the government to the county residents. An important carrier of basic medical and health services.
control the general outpatient scale of the public hospitals, support and guide the patients to take priority to the medical institutions at the grass-roots level, and the grass-roots medical institutions will gradually undertake the general out-patient, rehabilitation and nursing services of the public hospitals. It is reasonable to draw up the difference between the payment line and payment proportion of medical insurance in different levels of medical institutions, and encourage patients with common diseases and frequently occurring diseases to go to primary health care institutions first.
integrate and share medical resources such as inspection, disinfection and supply, and promote mutual recognition of inspection results. To promote the orderly referral between different levels and categories of medical institutions, higher hospitals provide services such as priority consultation, inspection, and hospitalization for patients with referral. To encourage the elderly, children, pregnant and lying in women, chronic patients and so on, on a voluntary basis, with grass-roots general practitioners and rural doctors, to accept basic medical, public health and health management services, and encourage more than two hospitals to participate in the contract, so that the residents can obtain more convenient and high quality medical services.
to allow social capital to participate in the restructuring of public hospitals to restructure
to encourage physicians to go to the grass-roots multipoint practice of
"planning" to further encourage diversification. By 2020, there is no less than 1.6 beds per thousand permanent residents to reserve planning space for the social hospital, and the setting of medical treatment subjects and the space for large medical equipment configuration are synchronized. We strive to build 1-2 three level social medical institutions in each city.
in accordance with the idea of "developing a batch, supporting a batch and transforming a batch", the social capital is actively supported by social capital to hold high level, scale and specialized medical institutions and to give priority to non-profit medical institutions. Encourage doctors to practise at the grass-roots level. Support the two tier hospitals in cities to cooperate with social capital in the form of trusteeship and cooperation.
allows social capital to participate in the restructuring and restructuring of some public hospitals (including state-owned enterprises hospitals) in the form of joint, share, merger, acquisition, and trusteeship. We actively encourage social forces to develop medical institutions of traditional Chinese medicine, encourage social capital to hold specialist hospitals in traditional Chinese medicine, encourage drug management enterprises to hold traditional Chinese medicine sitting clinics, and encourage qualified Chinese medicine professionals, especially old Chinese medicine, to set up traditional Chinese medicine clinics. By 2020, the number of beds and services reached by the public has reached 25% of the total.