On May 10, the State Health Planning Commission held a regular press conference to introduce the contract service and nursing work of family doctors.
High-quality nursing service has achieved full coverage of tertiary hospitals and gradually extended to communities and families.
Guo Yanhong, deputy director of the medical administration of the state health planning commission, pointed out that by the end of 2016, the total number of registered nurses in China had reached 3.507 million, accounting for 42 percent of the professional and technical personnel of Health and Family Planning, an increase of 71.2 percent compared with 2010, the number of nurses per thousand population increased from 1.52 in 2010 to 2.54 in 2016. The ratio of medical care in hospitals nationwide increased from 1:1.16 in 2010 to 1:1.45 in 2016. In 2016, the number of nurses engaged in nursing work in primary medical and health institutions reached 696000. Nurses with a college degree or above account for of the total.
Guo Yanhong pointed out that the nursing service in our country has been continuously improved, which is closer to the needs of the society and the masses. By the end of 2016, high-quality nursing services had achieved full coverage of tertiary hospitals, and of secondary hospitals had carried out high-quality nursing services.
Medical institutions strive to create a good career development environment for nurses by setting up special nursing post allowance, increasing nursing overtime pay, improving the salary and treatment of front-line nurses, improving the working conditions of nurses and other measures. The income distribution, job title promotion, reward and evaluation of nurses are tilted to the clinical front line, more work, more good performance and better pay, stabilize the clinical front-line nurse team, and mobilize the enthusiasm of nurses.
In order to actively adapt to the change of disease spectrum and the process of population aging, medical institutions gradually extend nursing services to communities and families, actively innovate service methods, and provide elderly care, chronic disease management, long-term care, rehabilitation promotion, peaceful treatment and care and other services to further meet the diverse and multi-level health service needs of the people.
According to the National Nursing Career Development Plan (2016-2020), the total number of registered nurses nationwide will reach 4.45 million in 2020. The ratio of nurses in tertiary hospitals to the actual open beds cannot be less than 0.8: 1. The ratio of nurses in the whole hospital to the actual open beds in the secondary hospital shall not be less than 0.7: 1. Recently, the National Health Planning Commission plans to draft “Opinions on Promoting the reform and development of nursing”, from the education and training of nurses, salary and treatment, nursing price, title promotion, strive for policy support for career development and other aspects to build a platform for policy support for the stability and development of nurses.
27 provinces have issued guidance documents or implementation plans to promote family doctor signing services.
Liu Liqun, deputy inspector of the basic level Department of the State Health Planning Commission, pointed out that at present, the contract service of family doctors nationwide is progressing in an orderly manner, with 27 provinces (autonomous regions and municipalities) the guidance document or implementation plan for promoting family doctor contract service has been issued, and the overall work has achieved initial results.
First, the contract service policy system of family doctors has been initially established. Relevant departments and local governments have formulated a series of policy documents, forming a family doctor signing service system with Chinese characteristics.
Second, the family doctor signing service platform has been continuously improved. The construction of primary medical and health service system in urban and rural areas has been strengthened. It has basically realized that there are clinics in villages, health centers in villages and townships, and one community health service center in each street. The masses can obtain medical and health services nearby.
Thirdly, the service ability of family doctors has been strengthened. All regions vigorously strengthen the standardized training of “5+3” general practitioners and the training of “3+2” assistant general practitioners, implement the rural targeted free medical student project, and carry out the pilot program of special post for general practitioners, promoting the examination of assistant doctors in rural general practice and promoting multi-point practice of doctors have effectively enriched the team of family doctors.
Fourth, the sense of acquisition of the masses has been improved. In areas where the contract service of family doctors has been carried out well, the sinking effect of medical treatment for urban and rural residents has gradually emerged, and the benefits of health management have gradually improved. The concept of “family doctor friends” and the service mode of “caring people” are deeply rooted in people’s hearts.
Liu Liqun pointed out that the goal of family doctor signing service in 2017 was to carry out family doctor signing service in more than 85% of the cities nationwide, with the population coverage rate reaching more than 30%, the contracted service coverage rate of key groups reached more than 60%, striving to achieve full coverage of the poor population and family planning special families. To promote the contract service of family doctors, we should focus on solving the problem of “two positivity.
The first is to mobilize the enthusiasm of the masses to participate in signing services. All regions are encouraged to provide differentiated service measures such as appointment outpatient service, priority referral, prescription for chronic diseases, family care, health management, etc. for contracted residents in combination with the actual situation. In terms of medical insurance, residents are guided to sign contracts voluntarily through preferential medical insurance measures such as increasing the reimbursement ratio and continuously calculating the starting line. At the same time, it is necessary to continuously improve the service conditions at the grassroots level, strengthen the linkage between the grassroots level and the hospital, and let the contracted residents enjoy high-quality medical services nearby.
The second is to mobilize the enthusiasm of medical staff to carry out contracted services. Improve the performance-based wage system, allow medical and health institutions to break through the current wage regulation level of public institutions, allow medical service income to deduct costs and extract various funds according to regulations, which are mainly used for personnel rewards, give full play to the positive guiding role of performance distribution system. In terms of establishment, personnel employment, on-the-job training, award promotion, title promotion and other aspects, the focus is inclined to the personnel who undertake the contracted service work, creating a good development environment for family doctors.
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on May 10, the State Health Planning Commission held a regular press conference to introduce the contracted services of family doctors and the nursing work. High-quality nursing service has achieved full coverage of tertiary hospitals, gradually extending to the deputy bureau of medical administration and hospital administration of community and family National Health Planning Commission