At the press conference of the municipal government held on the afternoon of March 29, Ji Jinglei, director of the Municipal Health and Family Planning Commission, revealed that the effects of Shencheng's pediatric consultation and the accumulation of specialty advantages have begun to appear. During the year, medical institutions at all levels will further tap the potential to expand capacity, expand the supply of pediatric services, and achieve 400 new pediatric beds in the city. By the end of the year, all pediatric and general hospitals will resume pediatric outpatient services.
According to reports, at present, there are 179 medical institutions providing pediatric diagnosis and treatment services in the city, 68 medical institutions providing pediatric beds, 141 medical institutions providing pediatric outpatient services, 76 emergency services, and a total of 4,000 beds. Zhang is a pediatrician (assistant) physician with more than 3,200 people. At the same time, the city established 6 critically ill neonatal consultation and rescue centers to implement segmented docking with 16 districts to form a safety guarantee network that "covers the city, responds in a timely manner, and provides effective treatment" to ensure timely and effective treatment of children.
At the same time, Shencheng continues to explore the improvement of the level of pediatric diagnosis and treatment services, and is the first in the country to introduce the first domestic provincial child health service capacity special plan, while innovating the pediatric medical operation model, building a pediatric joint team in the five major regions in the southeast and northwest, and promoting the vertical extension of high-quality resources. , To improve the level of homogeneity of pediatric services, effectively alleviate the difficulties of children to see a doctor. According to statistics, the annual increase in the number of outpatient and emergency departments of the five children's specialist hospitals and pediatric superior hospitals in the city decreased from 7.3% in 2015 to 1.0% in 2016. The increase in the number of discharges throughout the year increased from 9.4% in 2015 to 2016. Of 11.3%.
To cope with the needs of the common people and further alleviate the problems of seeing a child, the Municipal Health and Family Planning Commission will also "find the gap and fill the shortcomings." According to reports, this year medical institutions will continue to tap the potential to expand capacity and continue to expand the supply of pediatric services. The third-level general hospital and the second-level general hospital undertaking the tasks of the regional medical center shall establish or resume the establishment of pediatric beds in accordance with the standard. In principle, the number of beds shall be 5% of the approved beds in the hospital, and the minimum shall not be less than 30. This year, the city will achieve an increase of 400 pediatric beds and 1,900 during the "13th Five-Year Plan" period. By the end of the year, pediatric outpatient services will be resumed at all level 2 and above general hospitals. Level 3 general hospitals and level 2 general hospitals undertaking the tasks of regional medical centers will provide pediatric outpatient emergency services, while guiding and encouraging qualified social medical institutions to provide pediatric outpatient services.
In order to effectively respond to seasonal peak medical needs, the Municipal Health and Family Planning Commission will also start the construction of standardized demonstration pediatric outpatient emergency projects in 20 general hospitals this year, optimize the pediatric outpatient emergency service process, and provide children in the region with pediatric common diseases and homogeneous diseases. At the same time, we will accelerate the improvement of internal management, two-way referrals, training, flexible personnel flow, and informatization of the pediatric joint team, and gradually reduce the diagnosis and treatment of children's common diseases to the grassroots.
Director of Shanghai Health and Family Planning Commission: Encourage private funds to run pediatric hospitals
"According to statistics, the annual increase in the number of outpatient and emergency departments at five children's specialist hospitals and pediatric superior hospitals in Shanghai dropped from 7.3% in 2015 to 1.0% in 2016. The increase in the number of discharges throughout the year rose from 9.4% in 2015 to 2016. 11.3% of the year. "On March 29, at the press conference on" Promotion of pediatric construction in Shanghai ", Wu Jinglei, director of the Shanghai Municipal Health and Family Planning Commission, said that the effects of pediatric consultations in Shanghai and the accumulation of specialty advantages have begun to appear. .
In recent years, Shanghai has actively overcome the pressures and challenges such as the release of fertility needs caused by the two children, the increase in the birth population, and the increased risk of pregnancy outcomes for older mothers, and strive to improve the quality and level of child health services.
At the end of 2016, the "Shanghai Children's Health Service Capacity Building Special Plan (2016-2020)" was officially launched, which is the first provincial-level child health service capacity special plan in China.
At present, Shanghai has established a relatively complete pediatric service system, with a total of 179 medical institutions providing pediatric diagnosis and treatment services. Among them, 16 municipal general hospitals and 52 district general hospitals provide pediatric diagnosis and treatment services, while community health service centers generally provide child health care and vaccination services, and some community health service centers also provide pediatric common diseases treatment and rehabilitation services. .
"Improving the ability of pediatric services of general practitioners in community health service centers is the focus of strong grassroots. If common diseases can be resolved at the grassroots level, pediatric services will be much more convenient." Wu Jinglei said that improving the ability of pediatric services of community GPs, which It may be a slow process, but it is slowly recovering under the training of several leading pediatric specialist hospitals. For example, there are 13 community health service centers in Minhang. Now, 1-2 general practitioners in each community are gradually focusing on pediatric services. Under the guidance of Shanghai Children's Medical Center in Pudong, community general departments Doctors' ability to treat common diseases is also increasing.
At present, Shanghai's pediatric medical operation model is also constantly innovating. Based on the active exploration of Shanghai Children's Hospital and Fudan University Affiliated Pediatric Hospital, Shanghai relies on the tertiary children's specialist hospital and pediatric superior hospital to build a joint team of pediatrics in the five major regions of Southeast, Northwest, and Middle East to promote the vertical extension of high-quality resources and improve the homogeneity of pediatric services化 LEVEL. For example, 17 general hospitals of pediatric hospitals have signed contracts with 62 community health service centers; Children's Medical Center of Shanghai Jiaotong University School of Medicine has united 54 member units to promote the sinking of common diseases.
Shanghai has also established 6 consultation and rescue centers for critically ill newborns, which are connected to 16 districts in segments, forming a safety guarantee network that "covers the city, responds in a timely manner, and provides effective treatment." In 2016, the infant mortality rate in Shanghai was 3.76 ‰, maintaining the level of developed countries and regions in the world for more than ten years.
For pediatric privately run doctors, Shanghai offers an attitude of encouragement and support. Tong Jinglei said, "Shanghai has been encouraging private-owned medical institutions, such as United Family, Meihua, Aibejia, etc. In terms of the increase in beds, it also provides some space for private medical institutions, especially pediatrics."
Regarding how to regulate the medical qualifications and over-examination problems that may exist in some privately-funded medical institutions, Xu Jinglei told First Financial and Economics reporter that Shanghai privately-owned medical institutions now pay more and more attention to its reputation, service quality and service safety. Is the big trend. "From the perspective of government regulators, the qualifications of doctors and the registration of doctors are the focus of our daily supervision. Regarding the registration of doctors, we are now slowly pushing electronic registration, and the supervision will be very real-time."
"For the problem of over-examination, we mainly regulate it through more standardized disease diagnosis and treatment guidelines, and supervise implementation through quality control inspections. At present, we have incorporated all privately-owned medical institutions into the Shanghai Pediatric Quality Control System. Next, we plan to The information system allows the patient information of private institutions to be incorporated into the real-time supervision of the entire industry. "Ji Jinglei said.
In the training of pediatric medical personnel, Shanghai has also increased its strength in recent years. In 2012, Shanghai Jiaotong University Medical College resumed clinical medicine (pediatrics) enrollment. In 2016, Fudan University newly opened clinical medicine (pediatrics), with a total of 236 students. Currently, 923 pediatric resident and 322 pediatric resident doctors have been recruited for standardized training. Through the "strong pediatric grassroots" continuing medical education program and special training for pediatric abilities of general practitioners, the pediatric service capabilities of community GPs are continuously improved.
In terms of the allocation of child health services resources, Shanghai has added nearly 1,000 pediatric beds in recent years. Among them, Shanghai added 579 pediatric beds during the "Twelfth Five-Year Plan" period, and another 400 pediatric beds were added in 2016.