北京新一轮医改实施一月余:中医院患者增、次

伊人久久高清 · 2019-08-02 12:23
北京新一轮医改实施一月余:中医院患者增、次均费用降

  中新網北京7月26日電 (記者 杜燕)北京啟動醫耗聯動綜合改革一個多月來,北京市中醫系統醫療機構總體平穩有序,改革符合預期,初見成效。北京市中醫管理局相關負責人今天表示,一個多月來,公立中醫醫院門急診人次和出院人次“雙增長”,門急診和出院患者次均費用呈“雙下降”趨勢。

資料圖:北京一醫院自助服務機具能夠為患者提供從購買病歷本、建卡、取號,到打印檢查檢驗結果、繳費、打印發票等門診全流程服務。杜燕 攝

  公立中醫醫院門急診人次和出院人次“雙增長”

  負責人在今天舉行的發佈會上表示,此次改革規范瞭中醫診療技術的服務價格,破除瞭醫院追求醫用耗材收入的逐利機制,推動中醫醫療機構更註重運用體現勞務價值的中醫診療技術。

  據介紹,北京市二級以上公立中醫醫院日均出院手術患者圍手術期應用中醫藥治療人次數同比增長70%。總出院手術患者圍手術期應用中醫藥治療人次數占比比去年同期增長瞭4.9個百分點。

  二級以上公立中醫醫院日均門急診人次同比增長9.3%。其中,二級醫院同比增長11.1%,三級醫院增長8.8%;日均出院人次比去年同期增長4%。其中,二級醫院同比增長6.4%,三級醫院增長3.7%。

  除病理檢查人次數保持穩定之外,各類檢查服務量也有所增長。如日均CT檢查人次數同比增長18.7%,日均核磁檢查人次數同比增長34.8%。

  門急診和出院患者次均費用呈“雙下降”

  與此同時,北京市39傢二級以上公立中醫醫院門急診次均費用同比降低1.7%,其中三級醫院同比降低1.8%;出院例均費用同比降低5.8%,三級醫院同比降低6.7%。二級以上公立中醫醫院門急診次均費用較全市二級以上公立醫院平均水平低16.2元,出院例均費用較全市平均水平低3693.7元,且降幅均大於全市平均水平。

  門急診和出院患者次均費用中的衛生材料費明顯低於全市平均水平。二級以上公立中醫醫院門急診次均衛生材料費同比降低9.5%,其中,三級醫院門急診次均衛生材料費同比降低9%。中醫類醫院門急診次均衛生材料費和出院例均衛生材料費均隻是全市醫院平均水平的50%。中醫類醫院總衛生材料收入占比僅為8.2%,其中高值耗材收入占總衛生材料收入的比為52.4%,比全市平均水平低16.8個百分點。

  推動中醫藥健康服務模式日趨完善

  負責人表示,北京市各二級以上公立中醫醫療機構按照改革與改善相結合的原則,做好中醫特色的改善醫療服務舉措。比如,設置專病或專癥門診,加強中醫藥急診急救技術和中藥飲片在急診科、重癥醫學科的臨床應用;著力改善中藥飲片服務,開展中藥飲片煎煮、物流配送等服務,設立代煎劑取藥專區,配置冷藏櫃對當日未取代煎劑進行冷藏保存,同時積極利用醫院微信公眾號推送煎藥取藥信息。

  各醫院還合理調配專傢出診單元,增加下午出診專傢數量,緩解上午就診患者眾多、交通擁堵、人員擁擠的現狀;方便患者咨詢,及時回應患者訴求,三級中醫醫院均按要求設置瞭一站式投訴中心,落實首問、首接負責制,部分醫院設立社工部或社工崗為患者提供各類助醫支持服務。

  推動優質中醫藥資源下沉

  在醫耗聯動綜合改革中,負責人表示,北京不斷推動優質中醫藥資源下沉,推進“北京中醫健康鄉村(社區)試點建設工作”“北京中醫藥健康養老示范工程”“北京中醫藥治未病健康促進工程”“北京名中醫身邊工程”四大工程的深入開展,引導全市二級以上公立中醫醫院將優質服務延伸至鄉村、社區,滿足廣大群眾的中醫藥服務需求,有效改善基層中醫藥服務。

  推進醫療服務改善向縱深發展

  負責人表示,下一步,北京市中醫局將推進中醫醫療機構落實改善醫療服務舉措,在公立中醫醫療機構做到五個統一實現”的要求,即實現100%專傢門診(含特需)上下午出門診比達到1:1,實現100%復診患者診間預約,實現100%自助繳費機運行良好,實現100%的患者通過叫號系統引導到診室門口候診,實現100%窗口排隊不超過15人。(完)

In new network Beijing on July 26 report (reporter Du Yan) linkage of bad news of the Beijing cure that start reforms a many month integratedly to come, medical establishment of system of Beijing traditional Chinese medical science is overall and smooth orderly, reform is accorded with anticipate, effect sees first. Relevant controller expresses management board of Beijing traditional Chinese medical science today, a many month comes, person-time of emergency call of door of hospital of public traditional Chinese medical science and leave hospital person-time " double growth " , door emergency call and leave hospital patient second all charge is shown " double drop " trend.

Data chart: Machines and tools of one hospital self-help service can be offerred for the patient from buy medical record this, build card, take order, examine to the examination that print the outpatient service whole technological process such as the cost of result, pay, bill that print serves. Prevent swallow is photographed

Person-time of emergency call of door of hospital of public traditional Chinese medical science and leave hospital person-time " double growth "

Chief expresses on the news briefing that holds today, this reform is normative the service price of technology of diagnosis and treatment of doctor of traditional Chinese medicine, did away with a hospital pursuit is medical the mechanism pursueing interest of income of bad news material,

According to introducing, beijing 2 class above is public day of hospital of doctor of traditional Chinese medicine all leaves hospital operation patient surrounds operation period to apply medicine of doctor of traditional Chinese medicine to treat person-time number to grow 70% compared to the same period.

2 class above is public day of hospital of doctor of traditional Chinese medicine all person-time of door emergency call grows 9.3% compared to the same period. Among them, 2 class hospital grows 11.1% compared to the same period, 3 class hospital grows 8.8% Day all leaves hospital person-time is compared the corresponding period grew 4% last year. Among them, 2 class hospital grows 6.4% compared to the same period, 3 class hospital grows 3.7% .

Except pathology examination person number keeps stable besides, volume of service of of all kinds inspection also rises somewhat. Like day all number of CT examination person rises 18.7% compared to the same period, day all number of person of nuclear magnetism examination rises 34.8% compared to the same period.

Door emergency call and leave hospital patient second all charge is shown " double drop "

Meanwhile, beijing above of 39 2 class is public emergency call of door of hospital of doctor of traditional Chinese medicine second all charge is reduced compared to the same period 1.7% , among them 3 class hospital is reduced compared to the same period 1.8% Leave hospital exemple all charge is reduced compared to the same period 5.8% , 3 class hospital is reduced compared to the same period 6.7% . 2 class above is public emergency call of door of hospital of doctor of traditional Chinese medicine second all cost is totaller 2 class above of city are public the hospital is average the level is low 16.2 yuan, leave hospital exemple all cost is totaller city average level is low 3693.7 yuan, and fall all be more than whole town average level.

Door emergency call and leave hospital patient second all the wholesome cost of raw materials in charge is apparent under whole town average level. 2 class above is public emergency call of door of hospital of doctor of traditional Chinese medicine second all wholesome cost of raw materials is reduced compared to the same period 9.5% , among them, emergency call of door of 3 class hospital second all wholesome cost of raw materials is reduced compared to the same period 9% . Doctor of traditional Chinese medicine kind hospital door emergency call second all wholesome cost of raw materials and leave hospital exemple all wholesome cost of raw materials all is whole town hospital only 50% of average level. Doctor of traditional Chinese medicine kind income of total wholesome data takes the hospital than be only 8.2% , be worth what income of bad news material takes income of total wholesome data high to compare among them for 52.4% , more average than whole town level is low 16.8 percent.

Health of the medicine in driving serves mode to be perfected with each passing day

Chief expresses, beijing above of each 2 class is public the principle that medical establishment of doctor of traditional Chinese medicine integrates according to reform and improvement, the improvement that makes distinguishing feature of good traditional Chinese medical science medical treatment serves act. For instance, install only ill or only disease outpatient service, prepared herbal medicine in small pieces ready of decoction is in technology of emergency treatment of emergency call of the medicine in strengthening and Chinese traditional medicine the clinical application of division of emergency call division, serious illness medicine; Exert oneself improves Chinese traditional medicine prepared herbal medicine in small pieces ready of decoction serves, begin Chinese traditional medicine decoction of prepared herbal medicine in small pieces ready of decoction, content shedding deserves to send wait for a service, establish acting decoct agent to take medical special administrative area,

Each hospital is reasonable still allocate unit of expert visit a patient at home, increase afternoon amount of expert of visit a patient at home, alleviate see a doctor in the morning numerous, traffic has the patient, personnel congested current situation; Convenient patient seeks advice, timely response patient appeals to beg, hospital of 3 class traditional Chinese medical science all was installed by the requirement one-stop complain a center, fulfil head ask, head receive be in charge of making, partial hospital establishs company the Ministry of Works in feudal China or company project hillock provides service of the of all kinds support that help medical service for the patient.

Drive resource of medicine of high grade traditional Chinese medical science to sink

Reform integratedly in linkage of cure bad news in, chief expresses, beijing drives resource of medicine of high grade traditional Chinese medical science to sink ceaselessly, advance " countryside of health of Beijing traditional Chinese medical science (community) pilot construction works " " demonstrative project of provide for the aged of health of medicine of Beijing traditional Chinese medical science " " medicine of Beijing traditional Chinese medical science manages not ill healthy stimulative project " " beside Beijing renown traditional Chinese medical science project " the development of 4 big projects is begun, guide 2 class above of whole town hospital of public traditional Chinese medical science will be high grade the service is outspread to countryside, community, the medicine of doctor of traditional Chinese medicine of contented and broad masses serves demand, the medicine in improving basic level effectively serves.

Advance medical treatment to serve improvement to develop to depth

Chief expresses, next, bureau of Beijing traditional Chinese medical science will advance medical establishment of doctor of traditional Chinese medicine to fulfil improvement medical treatment serves act, 5 unified implementation are accomplished in medical establishment of public traditional Chinese medical science " requirement, realize 100% experts outpatient service namely (contain need especially) fluctuation midday gives outpatient service comparing to achieve 1:1, implementation makes an appointment between examine of patient of 100% further consultation with a doctor, realize 100% self-help capture to expend accident travel is good, implementation the patient of 100% guides wait to see a doctor of consulting room doorway through calling date the system, realize 100% windows to queue up not to exceed 15 people. (Be over)

上一篇:王毅将出席东亚合作系列外长会并访问泰国
下一篇:没有了

文章推荐:

美国根深蒂固的种族歧视问题凸显

北京新一轮医改实施一月余:中医