11 provincial medical status summary, affecting the sales of medical equipment business

Medical Network January 18 hearing since last year, the medical establishment of power.

This pattern of tremor, is the direct result of changes in the market.

In particular, the medical unit of the joint mining, the second bargain, equipment sharing, direct medical supplies, diagnostic reagents, medical equipment, hospital and the amount of impact.

We know ourselves, know yourself .About strategy, winning a thousand miles.We will have a look, the State Council announced the medical reform office 11 provinces and cities of the latest developments.

Shanghai municipal level to improve the medical organization structure, a clear functional positioning of member units, the construction of regional information platform, the joint medical contract residents and two-way referral system made a useful exploration, there are 3 '2 +1' (ie, three Level general hospitals, secondary general hospitals and several community health centers) and regional medicine of the '3 + 1' or '2 + 1' (ie tertiary or secondary general hospitals and several community health centers) Confederation and to the specialist collaboration as a link to form a specialist body.

As of September 2017, Shanghai City has established 47 regional medical associations and has relied on tertiary children's special hospitals or prestigious hospitals such as Fudan University's Pediatric Hospital, Shanghai Children's Medical Center, Shanghai Children's Hospital, Xinhua Hospital and Ruijin Hospital, In the city to build 'East, South, West, North, Central' five pediatric medical association.

In Jiangsu Province, a clear regional medical service system framework, the total amount of resources and structural layout requirements in the county, focusing on the implementation of integrated reform of county and village health care, people, money, materials, services, information, management integration as the core, the establishment of county hospitals Division of labor with grass-roots medical institutions and two-way referral cooperation green channel.

In the city, with technology, talent, management, interest as a link, to develop medical joint body.One is the vertical integration of urban integration.Mainly four modes:

The group mode with the assets or the management as the link; the medical cooperation model with the technical cooperation as the mainstay; the overall merger mode with the merging of the assets of both the medical institutions and the medical institutions and the merging of the medical institutions; Right and management decision-making entrusted management entrusted management mode.

Second, the vertical integration of county-level medical institutions with human, financial, material, service, information and management as the core.

Third, technology cooperation and resource-based urban hospitals and county-level hospital counterparts.

Fourth, technology, service, management and other factors as the link of loose provincial medical institutions alliance.

As of July 2017, there are 126 urban regional medical groups in the province, 144 county-level medical service integration groups and 37 specialist alliances.

Zhejiang Province has achieved the goal of fully participating in the medical and hospital federation construction of tertiary-level public hospitals, with a focus on promoting the integrated vertical integration of provinces (cities), counties and townships.

First, to strengthen the construction of compact medical units and to build a close medical joint body of 122 county-level hospitals and 54 first-class hospitals at provincial and municipal levels based on comprehensive trusteeship, key trusteeship and specialist trusteeship.

The other is to set up 218 counties in the county with co-ordination of staff deployment, remuneration distribution, resource sharing and medical insurance payment.

The third is to build 158 medical conjunctions of the city '1 + X' (that is, a number of urban secondary hospitals, rehabilitation hospitals, nursing homes and community health service centers with 1 tertiary public hospital as its core).

The establishment of Zhejiang University Quzhou medical reform demonstration area, Zhejiang University School of Medicine 6 Affiliated Hospital as a leader, combined Quzhou 16 municipal and county level two public hospitals and related township hospitals (community health service center), the establishment of a close Medical Association body.

526 medical affiliated bodies of different types have been built, covering 130 provincial third-level public hospitals, 122 county-level hospitals and township hospitals.

In Anhui Province, there are mainly formed medical joint bodies mainly based on technical cooperation and county-based medical bodies dominated by the unified management and allocation of people, money and materials, specifically:

One is to take tertiary hospitals or regional medical center hospitals as the lead unit, and to combine the secondary hospitals and community health service agencies to set up 193 medical and hospital affiliated cities.

Second, the city tertiary hospitals as a leader, the United county-level hospitals set up urban and rural medical body, 17 provincial hospitals and 43 tertiary hospitals, 127 secondary hospitals, 75 primary hospitals to establish a collaborative relationship.

Thirdly, it actively promotes the practice of medical community in Tianchang City and has implemented medical community building in 90% of the counties (districts), covering 96% of the participating population.

Fourth, make full use of high-quality nursing resources and innovate the construction of city medical association, take the high-grade nurses as the link, take "three groups of people" (elderly, pregnant women, infants and young children) , Diabetes Mellitus, Psychosis and Stroke Rehabilitation), focusing on family physician signing, community first visit, appointment referral, two-way referral continuous service flow, establishment of urban hospital and community health service Center shared responsibility, benefit-sharing mechanism.

Starting from October 2015, Fujian Province piloted the construction of medical units in three levels of the province, city and county level, and actively explored the implementation of county-level integration of county and township management, Body mode.

Sanming City Lele County, Youxi County has basically formed a general hospital organizational construction, personnel and department integration and other work.

Fuzhou, Xiamen, Ningde, Putian, and Longyan are all under the jurisdiction of "3 + 1" (ie 1 tertiary hospital + 1 community health service center) or '3 + 2 + 1' Home tertiary hospital +1 district-level hospital +1 community health service center) set up medical joint body.

Longyan City, the construction of more than 10 million yuan to build 'Internet + grading clinic' project in the city's 30 center hospitals to establish municipal, county and township three network clinic.

Putian City, relying on three top three hospitals to establish three municipal medical diagnostic imaging centers, all township hospitals medical imaging and tertiary hospitals to achieve remote reading consultation function.

By the end of June 2017, the province has constructed 302 medical and hospital affiliated organizations of various levels, including 21 medical groups, 9 medical community, 10 specialist federations and 23 telemedicine cooperative networks.

Hunan Province launched a comprehensive multi-form, multi-type medical unit construction.

First, through the establishment of counterparts to help, homogeneous training, telemedicine three platforms to promote the linkage mechanism between medical institutions at all levels .City tertiary hospital 'Branch to Branch' accurate help 40 key county-level hospitals in poor counties 200 clinical specialties, establishing 94 telemedicine cooperative networks covering more than 1,000 primary health care units.

The second is to promote the deep cooperation among medical institutions at all levels through the establishment of three systems of city medical association, county medical community and specialist alliance, and seven municipal hospitals in Changsha and 29 grassroots medical and health institutions to establish a close medical association Body, city finance for each medical subsidies 300,000 yuan.

Third, Taojiang County explored the practice of building the medical community with the core of "sharing three, three and sharing" (that is, systematization of personnel training, precision technical development, integration of management modes, sharing of resources, sharing of brands and sharing of culture).

A total of 194 medical joint bodies were established in the province, including 7 medical groups, 68 county medical communities, 25 specialist federations and 94 telemedicine cooperative networks.

Chongqing achieved the full coverage of medical and hospital construction in districts (counties) and paid attention to the participation of non-public medical institutions. Through the establishment of medical internal linkage, resource sharing and talent flow, three kinds of medical-medical integration models were initially formed.

First, the formation of a medical group formed by the First Affiliated Hospital of Chongqing Medical University as the representative of the '1 +3 +11' (that is, the hospital headquarters +3 subordinate branch +11 District Hospital) urban compact medical group.

The second is to set up a medical community.The district (county) People's Hospital (Chinese medicine hospital), community health service centers and township hospitals form a county medical community, and a total of 100 medical communities are established.

The third is the establishment of a specialist alliance, and a "Western Pediatric Union" covering 10 western provinces and cities as represented by the Children's Hospital affiliated to Chongqing Medical University was established. There are 118 member hospitals of the alliance.

Fourth, the development of long-distance medical cooperation network to the Second Affiliated Hospital of Chongqing Medical University and Wushan County People's Hospital, represented by the telemedicine collaboration, on-line and run the remote radiotherapy planning system and the first remote consultation system in Chongqing City. 160 types of remote cooperative hospitals at all levels (level 2 and above 34) covering 36 districts (counties) in the city and radiating to the provinces of Qiong, Chuan, Qian, Tibet and Shannxi.

The city has completed all kinds of medical joint body 134, county visits over 85%.

Since 2015, Sichuan Province has carried out the construction of medical and hospital medical systems in four modes: urban medical group, county medical community, specialist league and telemedicine cooperation network.

16 provincial and ministerial-level leading hospitals signed a medical joint body with 983 medical institutions, and 23 municipal-level leading hospitals signed a contract with 1150 medical institutions to form a medical joint body.

Utilizing the leading role of Huaxi Hospital and other large-scale public hospitals in the construction of regional medical association, the goal of medical institution's functional orientation and clear definition of division of labor within the Medical Alliance, upward and downward mobility of talents, sharing of resources, and grading of diagnosis and treatment services have been achieved.

Shaanxi Province has pushed forward the construction of various forms of medical and health care units in an all-round way. In the rural areas, with the county-level hospitals as the leader, the medical and health institutions in the towns and villages are united to build a medical community on the basis of the integration of medical and health care in the towns and villages.

In the city, a medical joint body that is led by a tertiary hospital, a secondary hospital, and a community health service center is set up. Yan'an Medical Group, through establishing a close integration of 'five operating mechanisms' (that is, a compact and integrated management and operation mechanism, Management mechanism of separation of operation, sustainable operation support mechanism, personnel training and mobility mechanism, scientific distribution mechanism) to promote the quality of medical resources sink.

In accordance with the principle of "Five Invariants, Three Unifications, Three Enhancements" (that is, the functional orientation of community health service centers is unchanged, the nature of public welfare is unchanged, the institution is set up, the organizational structure is established, and the identity of personnel is unchanged , The same channels of revenue and expenditure, the same government regulatory power; personnel, finance, business unified management;

Community health service center has been strengthened public health work, basic medical services have been strengthened, residents close to enjoy the quality of medical services have been strengthened) principle, overall responsibility for community health service center management, a general practitioner, a public health physician, 1 Full-name nurse +1 expert team mode Actively carry out family doctor service contract and chronic disease management.

First Affiliated Hospital of Xi'an Jiaotong University Yanta District, to take the medical body + general practitioners approach, through the presence of experts, technical assistance, information sharing, etc., for the Yantaqu masses to provide quality and convenient medical services.

The province has 101 medical joint bodies, including 65 medical groups, 12 medical community, 21 specialized medical associations and 3 medical cooperative networks, achieving the goal of all tertiary public hospitals participating in the medical and medical establishment.

Qinghai province set up a province of Chinese medicine and medical association, the provincial level three hospitals have all been involved in the construction of medical association .To establish provincial-level regional medical medical examination, imaging, tumor, pathology, ECG network of five treatment centers and two Specialist Union, Xining City, in accordance with the 'General Hospital - Branch - Township Health Center (Community Health Service Center) - Village Health Room' four management model for the construction of the First Medical Group.

Hercynian actively promote close medical joint body work, choose Dulan County, Golmud City set up medical community, the implementation of personnel, business, finance, drug purchase , Asset and equipment integration management.

19 provincial-level medical joint bodies or medical institutions led by municipal (state) hospitals or county-level hospitals have been set up in the province, 4 provincial-level medical units and 5 professional subject alliances have been set up at the provincial level, and 5 provincial-level medical clinics center.

Ningxia Hui Autonomous Region have established the General Hospital of Ningxia Medical University Medical Group and Autonomous Region People's Hospital Medical Group, the construction of Ningxia chest pain Union and Ningxia Urology Union.

Among them, the General Hospital of Ningxia Medical University Medical Group consists of 32 medical units, 5 non-medical units, formed a combination of public and private, with the development of the same district and outside, both comprehensive and specialist hospitals and enterprise Together, 'cross-regional, multi-attribute, comprehensive framework model.

As of July 2017, the region 100% of the three hospital , 90% of tertiary hospitals, 64% of community health service agencies, 35% of township hospitals have been included in the scope of the Medical Association.

Respectively, involved in the construction of the four models of the medical unit, the regional medical establishment and management of the body gradually standardized, the basic coverage of grass-roots medical and health The service system has been further compacted. As of the end of July 2017, there are 50 cities and towns in the whole city.