A few days ago, Guangdong Province issued the "Guangdong Province Further Improvement of Medical Service Action Plan Implementation Plan (2018-2020)", proposing to form a new concept, new technology, and new model "three new" medical service pattern in three years.
The "Proposal" proposes a cure appointment diagnosis and treatment system, a telemedicine system, a clinical pathway management system, a mutual recognition system for inspection and test results, a medical social worker and a volunteer system. All localities and medical institutions should make full use of new ideas and technologies to innovate medical services in the following 10 areas: patient-centered, multi-disciplinary diagnosis and treatment; focus on critical and critical diseases, and innovate emergency first-aid services; Carriers provide continuous medical services; use day-to-day services as an entry point to promote rapid division and treatment; use "Internet +" as a means to build smart hospitals; use "one card" as a goal to achieve medical information connectivity; Demand-oriented, extending the provision of quality care services; relying on contracted services to expand new areas of pharmaceutical services; using humanities services as a medium to build a harmonious relationship between doctors and patients; taking the "toilet revolution" as a breakthrough to comprehensively improve the satisfaction of doctors and patients.
The "Program" requires that by the end of 2020, the tertiary general hospitals should provide multidisciplinary clinics and inpatient services. The prefecture-level cities should establish chest pain centers, stroke centers, and traumas in the corresponding areas in counties (cities, districts). Center, Critical Maternity Treatment Center, Critical Children and Newborn Rescue Center. Within the medical institutions, it is necessary to realize the overall coordination of the relevant departments of each center, provide patients with green channels for medical treatment and integrated comprehensive treatment services, and improve the quality and efficiency of medical treatment for major acute diseases. Medical institutions should promote the deep integration of medical treatment technology, artificial intelligence technology and medical equipment, promote the application of clinical assistant decision-making systems and intelligent medical equipment, and realize the rapid, convenient, accurate and intelligent medical services; by the end of 2020, realize the prefecture-level city jurisdiction. More than 80% of public hospitals visit “one card”.
The "Proposal" pointed out that the tertiary hospitals and medical associations leading hospitals should generally carry out the subsidy work of high-quality nursing services before the end of 2020, and establish the nursing joint team and the gang band to adopt the elderly care, rehabilitation care and hospice treatment. Services such as care extend to primary health care institutions. More than two levels of hospitals achieve full coverage of pharmaceutical services, and clinical pharmacists use information technology to provide personalized and rational medication guidance for outpatients and inpatients. The tertiary hospitals should carry out collaborations between clinical departments related to chronic diseases such as cardiovascular diseases, tumor diseases, and diabetes, as well as psychiatric and psychological departments, and provide medical services and psychological guidance for patients. Guarantee the basic rights and interests of the volunteers according to law. By the end of 2018, medical liability insurance covers all public hospitals above the second level in the province. (Special correspondent He Liping)