Standardized system, continuous improvement of quality supply, continuous increase of diagnosis and treatment services and accelerated optimization.
China’s medical technology and medical quality have improved significantly.
Recently, The Lancet, an international authoritative medical journal, published the latest ranking of global medical quality and accessibility. China’s HAQ (medical quality and accessibility) ranking has increased from the 60th in the world in 2015 to the 48th in 2016, and it is one of the most advanced countries in the medium SDI (socio-demographic index).
The ability of medical technology and the level of medical quality are directly related to the people’s sense of acquisition and are an important guarantee for people’s health. In recent years, the National Health and Wellness Committee has always regarded improving the medical technical ability and medical quality level as a key task, strengthened industry management and policy guarantee, and China’s medical technical ability and medical quality level have been continuously improved.
Institutionalization and standardization
Make medical care safer and more convenient.
"The Measures for the Management of Medical Quality promulgated and implemented in the form of departmental regulations provide institutional guarantee for the management of medical quality in China." A few days ago, Guo Yanhong, deputy director of the Medical Administration and Hospital Authority of the National Health and Wellness Committee, told the reporter that through continuous improvement of the medical quality management and clinical diagnosis and treatment related normative system, it has covered the clinical pathways of 1212 diseases in more than 30 majors and the clinical application management norms of key medical technologies.
Since the promulgation of China’s "Blood Donation Law" for 20 years, the rate of unpaid blood donation has continued to rise. In 2015, the central government funded the full coverage of blood nucleic acid testing nationwide, which greatly shortened the monitoring window period of blood-borne diseases such as AIDS and further improved the blood safety level.
It is understood that in 2017, China’s medical quality showed a trend of "four liters and one drop"-the supply of medical resources continued to increase, the efficiency of medical services improved, the quality of some specialties, key diseases and surgical diagnosis and treatment increased steadily, and the level of clinical rational drug use continued to improve, and the mortality rate of hospitalized patients continued to decline and stabilized at a low level.
According to the latest World Health Statistics 2018 released by the World Health Organization, China’s healthy life expectancy at birth exceeds that of the United States for the first time.
Moreover, in recent years, with the deepening of the "streamline administration, delegate power, strengthen regulation and improve services" reform, the supply-side structural reform in the field of medical services has been accelerated. By the end of 2017, there were 987,000 medical and health institutions in China, with 3.386 million doctors and 3.8 million nurses. With the steady growth of the registration number of medical institutions, doctors and nurses, the existing registration management model needs to be reformed urgently.
In order to promote the informatization construction of medical service management and practice supervision, National Health Commission initiated the reform of electronic registration management of medical institutions, doctors and nurses. Applicants for registration of medical institutions, doctors and nurses submit registration application materials to the health administrative department through the Internet, and the acceptance, review, certification, archiving and inquiry are all completed online.
The medical service informatization measures being promoted in various places have given patients more sense of gain. Taking Beijing as an example, municipal hospitals uniformly issue Beijing Medical Card for non-medical insurance patients, and patients can handle the whole process of medical services such as appointment registration with a Beijing Medical Card.
Specialized refinement
Make medical care more quality.
At 14: 00 on May 23rd, a message appeared on the WeChat platform of the multidisciplinary team of the Trauma Treatment Center of Peking University People’s Hospital: "Boy, 6 years old, car accident, traumatic subarachnoid hemorrhage, lung contusion, respiratory distress …" "Severe trauma first aid mechanism" was launched immediately, and relevant departments immediately entered the state of "preparing for war".
This is a 6-year-old boy from Cangzhou, Hebei Province, who was injured by a speeding motorcycle. The local hospital diagnosed him with severe multiple injuries and decided to transfer him to Peking University People’s Hospital for treatment. The 999 emergency center sent the children to Peking University People’s Hospital by aviation medical rescue helicopter. Multi-disciplinary expert emergency teams, such as trauma orthopedics, emergency department and neurosurgery, have already been waiting in the emergency room. The expert team will evaluate and consult the injury together and make a treatment plan. The Beijing-Hebei relay for life Tournament ended with the safe discharge of children.
The "closed-loop regional trauma treatment system with general hospitals as the core" led by Peking University People’s Hospital has effectively improved the treatment rate of patients with severe trauma. This innovative medical service model is benefiting more patients and is recognized as the "China model" for trauma treatment by peers at home and abroad.
"At present, China has produced a number of superior medical technologies that have reached or led the international advanced level and have a demonstration and driving role in the international arena, which has promoted the improvement of China’s ability to diagnose and treat major diseases." Guo Yanhong said that the ventricular assist device independently developed by Fuwai Hospital of China Academy of Medical Sciences has filled the technical gap in the field of ventricular assist research and development in China; The related research results of Renji Hospital of Shanghai Jiaotong University on gastrointestinal vascular diseases became the only basis for the relevant guidelines of the American Gastroenterology Association in 2015.
According to statistics, in 2017, China completed more than 16,000 organ transplants, accounting for 12.3% of the total organ transplants in the world in 2017, ranking second in the world. Quality indicators such as the survival rate of transplant recipients are also among the highest in the world.
The obvious improvement of medical institutions’ diagnosis and treatment ability is inseparable from the establishment and improvement of the national medical quality management and control system. At present, China has gradually improved the quality control organization system at the national, provincial and municipal levels. At the national level, 35 quality control centers have been established for disciplines such as anesthesia, pathology, clinical examination and nursing, and key diseases such as cardiovascular diseases, nervous system diseases and tumors. Provincial health administrative departments have also set up provincial quality control centers for related majors, and promoted the vertical extension of quality control organizations for key specialties such as hospital sensation and nursing to districts and counties.
Promoting continuous improvement of medical quality and safety through publicity
"Since 2015, we have organized and compiled the National Medical Service and Quality and Safety Report for three consecutive years, in which the 2015 and 2016 annual reports were released in the industry, and the 2017 annual report will be released to the whole society in the near future." Guo Yanhong introduced.
It is understood that the 2017 annual report covers the medical data of 107 million inpatients in nearly 7,000 medical institutions, and the data volume is 4.9 times higher than that in 2015 and 1.3 times higher than that in 2016. The number of inpatients sampled reached about 61% of inpatients in hospitals nationwide in 2016, which provided an important data base for scientifically and objectively reflecting the medical quality and safety situation in China.
Guo Yanhong said that the report comprehensively and objectively shows the current situation and status quo of medical services and quality and safety in China, and strengthens comparative analysis among regions, providing evidence-based basis for promoting the continuous improvement of medical services and quality and safety, as well as policy formulation and strengthening management.
"At present, there is still a certain gap between the ability and quality of medical technology in China and the growing health needs of the people; Due to the unbalanced economic and social development between regions, the differences in medical technology level and quality and safety between different regions still exist. " Guo Yanhong said that in the next step, the National Health and Health Commission will continue to take expanding the supply of high-quality medical resources, improving medical technology capabilities and promoting the continuous improvement of medical quality as its core tasks, increase counterpart support and assistance to provinces and provinces in the central and western regions, continuously improve the national medical quality management and control system, promote the wider application of modern medical technology in clinic, and continuously improve the scientific and refined level of medical quality and safety supervision. (Reporter Li Wanxiang)