The advent of the first textile machine from the 18th century marked the beginning of the world's first industrial revolution. With the development of the times, the industrial revolution has developed to the present, and has entered the 4.0 era. The fourth revolution is an intelligent era with three distinct characteristics: the integration of digital and refined management; the integration of the Internet and the Internet of Things; and the sharing of information. At the 2016 Digital Medical Health and Ecology Conference, Wang Jingming, Executive Director of China Health Group Co., Ltd., delivered a speech entitled "Building an Intelligent Health Service System to Achieve Medical Reform Breakthrough". He said that the medical reform must take the industry 4.0 ride, and it is necessary to link the health service system to be successful.
The medical informatization has evolved from the development of electronic and digital development. It has completely copied the fragmented, point-based, and island-based work modes of manual mode. Hospital informationization has evolved from outpatient fees and nurse workstations. Later, There are clinical information systems such as doctor workstations, PACS, LIS and other workstations. This digital rolling development method lacking top-level design is destined to fail to achieve clinical pathways and artificial intelligence-assisted diagnosis and treatment.
"Only the health service system can be successfully linked to medical reform." Wang Jingming said that the three medical linkages can't solve the fundamental problem. The medical reform needs to start from the top-level design and top-level promotion, and put the stakeholders in the health care reform, such as the price bureau, the National Development and Reform Commission, and the people. Social organizations and other health care systems are included as good athletes, and they cannot be used as coaches, referees, and commentators outside the health service system. Wang Jingming said that by providing the health care service industry and stakeholders with an intelligent health service system construction model, the health service supply side (medical staff, health planning committee), demand side (patient, insurance company), and supervision side (person) The Ministry of Social Affairs, the National Development and Reform Commission, and the Price Bureau have coordinated the health service system, enabling all stakeholders to change from the interest level game of past hospital grade review, drug recruitment, price formulation, and medical fund payment to information sharing and benefits. Sharing; disconnecting past medical prevention, mutual suspicion of doctors and patients, etc. into a health service-friendly system.
Executive Director of China Health Group Co., Ltd., Wang Jingming, General Manager of Beijing Zhongwei Kangrong Hospital Management Co., Ltd.
Intelligent health service system promotes medical reform and development
First, encourage medical institutions to compete on an equal footing. Wang Jingming said that at present, the National Development and Reform Commission and the Ministry of Finance have issued a series of documents stating that health care belongs to the public service category purchased by the government. The government can provide services to the public, including object-oriented services and people-oriented services. Based on the government's purchase service, the Ministry of Human Resources and Social Security has clearly stipulated at the end of last year that the basic medical insurance designated medical institution qualification examination and basic medical insurance designated retail pharmacy qualification examination will be completely abolished, and various types of medical institutions and pharmacies will provide public. Service qualification.
Second, decoup the hospital level from medical charges. Although the hospital is invested by the state, it is in fact also of a nature of interest. Wang Jingming pointed out that if you want to be of a public nature, you must decouple the hospital's grade from the hospital's medical charges. After decoupling, it is conducive to the balanced development of different types of hospitals, reducing the pressure on large hospitals and promoting the development of primary health care, and promoting the family doctor system; it is also conducive to inviting large experts to small hospitals to promote the development of primary and secondary hospitals. Promote the realization of graded treatment, thus promoting the hospital to be administrative and full contractualization; it can also curb the blind expansion of small hospitals, blindly purchase equipment, blindly declare the level of hospitals to assess the impulse; curb large hospitals blindly expand the scale of siphon small Injury of small diseases monopolizes the market and forms a community, first, second and third-level hospital treatment system.
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