Shencheng introduced 9 measures to alleviate outstanding problems in medical treatment, and it is strictly forbidden to limit the number of days in hospital by simple machinery

This year, the city’s tertiary hospitals will be included in the appointment platform, the promotion of 'one-stop paymentThe office, the Municipal Development and Reform Commission, the Municipal Food and Drug Administration, and the Shanghai Shenkang Hospital Development Center jointly issued 9 opinions yesterday to alleviate the current prominent problems of the people in medical treatment. According to reports, the specific measures are as follows: ① In order to further strengthen the allocation of hospital outpatient strength, the weekly outpatient visits for experts with sub-high level and above in third and second-level hospitals in this city should be no less than two and a half days, and ordinary outpatient clinics should be checked by experts above sub-high. ②Promote outpatient appointment diagnosis and treatment services. In 2011, an outpatient appointment service platform covering the city’s tertiary hospitals was established to provide patients with online, telephone, and on-site appointment services; in 2012, it strives to be extended to all hospitals in the city. Gradually increase the appointment rate of expert outpatient clinics, and strive to reach more than 50% of expert outpatient appointment rates in tertiary hospitals in 2012. ③Optimize the hospital treatment process. Promote the 'one-stop payment' with pre-stored value in the city's tertiary hospitals, and pilot the 'first diagnosis and treatment, settlement later' model for patients in some secondary hospitals and community health service centers. Promote online inspection reports. In 2011, patients can query their own inspection reports in tertiary hospitals through the 'medical network'; in 2012, patients can query their own inspection reports in all medical institutions in the city through the city's health network. ④Further convenience for residents to seek medical treatment in the community. In principle, all community health service centers in the city should open Saturday morning outpatient clinics; there are no community health service centers within 5 kilometers of secondary and tertiary hospitals. If residents really need it, in principle, they should open weekend outpatient clinics. ⑤It is convenient for patients with chronic diseases to dispense medicines. For chronically ill patients with a clear diagnosis, stable condition, and long-term medication, medical institutions should prescribe the dosage for 2 to 4 weeks, and relevant specific regulations will be issued separately. The health administrative departments, medical insurance management departments, and medical entities at all levels in this Municipality shall adjust the assessment requirements for the average cost of internal medicine, geriatrics, and general outpatient clinics and the proportion of medicines accordingly. ⑥ Strengthen the management of self-funded medical expenses. Medical insurance designated hospitals shall ensure to provide and give priority to the use of medicines, diagnosis and treatment items (including medical equipment, medical equipment, the same below), and service facilities within the scope of medical insurance; Inform in advance and obtain written consent from the patient or family member. It is strictly forbidden to require insured persons to pay for drugs, diagnosis and treatment items, and service facilities within the scope of medical insurance at their own expense. The medicines, diagnosis and treatment items, and service facilities used by the hospital must all be provided by the hospital and entered into the hospital’s financial accounts. It is strictly forbidden for medical personnel to purchase and use without authorization or require patients to purchase outside the hospital. Relevant specific regulations will be issued separately. ⑦ 'False discharge' behavior is strictly prohibited. Medical institutions at all levels must strictly follow the diagnosis and treatment standards, provide reasonable and effective diagnosis and treatment services for the insured persons, and guarantee the reasonable hospitalization needs of the people. It is strictly forbidden for medical institutions at all levels to use methods such as 'false discharge' to decompose hospitalizations or simply mechanically limit the number of hospitalization days for patients. The municipal health and medical insurance departments will carry out joint law enforcement and list violations such as “fake discharge” from hospitals as key inspection contents. Relevant specific regulations will be issued separately. ⑧Improve emergency services in hospitals. Medical institutions at all levels should standardize the emergency treatment process, keep the 'green channel' unblocked, pick up the ambulance promptly after arrival, properly arrange the patient, and strictly prohibit the detention of the ambulance stretcher bed to ensure that the ambulance leaves the hospital quickly. In principle, general diseases are first sent to the nearest hospital with emergency department, and each receiving hospital must implement the first consultation responsibility system. ⑨Improve medical and nursing services. In the city’s medical institutions to carry out the 'three songs' (the first sentence uses polite language, the first sentence uses Mandarin, and the implementation of the first consultation responsibility system), the 'four light' (light walking, light speaking, light operation, light movement), 'five one '(A little more eye contact, a little more listening, a little more communication, a little more common language, a little more comforting language) activities. Carry out the 'Quality Nursing Service Demonstration Project'. In 2011, pilots of high-quality nursing services were carried out in all tertiary hospitals, 50% district central hospitals, and 30% district secondary hospitals in the city. At the same time, the municipal health and medical insurance departments set up a joint complaint hotline (021-33976100) to accept patients' reports and complaints; medical institutions at all levels must also set up and publish complaint hotlines to unblock the channels for patient complaints. Health administrative departments at all levels and all medical entities should incorporate the 'emergency, difficulty, and worry' problems of the masses into the assessment of medical institutions, and deal with the units that are not effective in implementation.