标签： 上海后花园 上海419

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)

　　Time has carved a solid step, and history has witnessed a magnificent March.

　　Since its founding, the Communist Party of China (CPC) has United and led all the struggles of the people of China in order to build China into a modern power and realize the great rejuvenation of the Chinese nation. Through the continuous struggle of the party and the people, we have achieved the first century-long goal and are moving forward to the second century-long goal of building a socialist modern power in an all-round way.

　　At the critical moment of building a socialist modern country in an all-round way, our party will hold the 20th National Congress soon, and make a macro outlook on the two-step strategic arrangement of building a socialist modern power in an all-round way, focusing on the strategic tasks and major initiatives in the next five years.

　　In the new era and new journey, what kind of modernization we are advancing, how to take the road to a powerful socialist modernization country, and how to make a good start are major issues that the Supreme Leader General Secretary has been thinking and planning. Recently, Qiushi magazine published the important speech delivered by the Supreme Leader General Secretary at the Second Plenary Session of the Fifth Plenary Session of the 19th CPC Central Committee on October 29th, 2020, which said that implementing the new development concept in the new development stage will inevitably require building a new development pattern. In this important speech, the general secretary put forward clear requirements for implementing the spirit of the plenary session from the following five aspects, and expounded a series of directional, fundamental and strategic major issues in building a socialist modern country in an all-round way.

　　— — "correctly understand the international and domestic situation."The world’s unprecedented great change has entered an accelerated evolution period, and the international environment is becoming increasingly complicated. China’s continued development has many advantages and conditions, but it also faces many difficulties and challenges. At present and in the future, China’s development is still in an important period of strategic opportunities, but there are new developments and changes in opportunities and challenges; Crisis and opportunity coexist, crisis is organic, crisis can turn around, opportunities are more strategic and plastic, challenges are more complex and overall, challenges are unprecedented, and opportunities are unprecedented if we deal with them well. Facing the complicated and severe international and domestic situation, we should strengthen our awareness of opportunities and risks, accurately recognize changes, respond scientifically, take the initiative to seek changes, be brave in sailing against the wind, be good at turning crises into opportunities, and make a good start for building a socialist modern country in an all-round way.

　　— — "Fully grasp the new stage of development".The new development stage is the stage of building a socialist modern country in an all-round way and marching towards the goal of the second century. This is a milestone in the development of our country. Entering a new stage of development is a great leap in the historical process of the great rejuvenation of the Chinese nation. China has built a well-off society in an all-round way as scheduled and won the battle against poverty, which has created favorable conditions for building a socialist modern country in an all-round way. China’s socialist modernization has many important characteristics, such as the huge population, the common prosperity of all people, the coordination of material civilization and spiritual civilization, the harmonious coexistence between man and nature and the peaceful development. Practice shows that Chinese-style modernization not only conforms to the reality of China, but also embodies the law of socialist construction and the law of human social development. China should unswervingly promote Chinese modernization, promote the great rejuvenation of the Chinese nation with Chinese modernization, and constantly make new and greater contributions to mankind.

　　— — "Focus on building a new development pattern".Building a new development pattern with domestic macro-cycle as the main body and domestic and international dual-cycle promoting each other is an important decision made according to the changes of China’s development stage, environment and conditions, especially based on the changes of China’s comparative advantage. It is a systematic and deep-seated change that concerns the overall situation and a strategic plan based on the present and with a long-term perspective. It is necessary to accurately grasp the strategic concept of accelerating the construction of a new development pattern from the overall situation and strategic height: building a new development pattern is a first move to grasp the initiative of development, not a forced move and a stopgap measure; It is an open domestic and international double cycle, not a closed domestic single cycle; It is based on the domestic big cycle on the basis of the national unified big market, and not all localities engage in small self-cycles.

　　— — "To build a new development pattern, we must grasp several important points".Building a new development pattern is a systematic project. It is necessary to "focus on the top", strengthen strategic planning and top-level design, and "divide it into details" to grasp the focus of work. It is necessary to speed up the cultivation of a complete domestic demand system, smooth the national economic cycle, and enhance the main position of the domestic big cycle; It is necessary to speed up the self-reliance of science and technology, ensure the smooth flow of domestic circulation, and shape China’s new advantages in the international circulation; It is necessary to promote the optimization and upgrading of the supply chain of the industrial chain, stabilize the dominant position of the domestic big cycle, and enhance the driving ability in the international big cycle; It is necessary to promote the modernization of agriculture and rural areas and ensure the healthy relationship between domestic and international cycles; It is necessary to improve people’s quality of life and constantly enhance people’s sense of acquisition, happiness and security; We must firmly hold the bottom line of safe development and better promote China’s economic and social development in a complex environment.

　　— — "improve the ability and level of party leaders to implement the new development concept and build a new development pattern."In the face of the complicated and severe domestic and international environment and the arduous task of building a socialist modern country in an all-round way, we must ensure that the decision-making arrangements of the CPC Central Committee are effectively implemented and the orders are prohibited. It is necessary to implement the centralized and unified leadership of the CPC Central Committee to promote the overall layout of the "five in one" and coordinate the promotion of all aspects of the "four comprehensive" strategic layout, uphold and improve the institutional mechanism for the party to lead economic and social development, and provide a fundamental guarantee for achieving high-quality development. It is necessary to strengthen strategic thinking, maintain strategic strength and firmly grasp the strategic initiative; We must adhere to the people-centered development thought, adhere to the people’s dominant position, and ensure that development is for the people, development depends on the people, and development results are shared by the people; It is necessary to build a contingent of cadres with excellent political skills and the ability to lead the modernization drive; It is extremely important to prevent and resolve major risks, and we must not slack off; We must clearly understand the long-term, complex and arduous nature of the great struggle on the road ahead, adhere to the bottom line thinking, enhance our sense of hardship, carry forward the spirit of struggle and improve our struggle skills.

　　The next five years will be a crucial period for building a socialist modern country in an all-round way, and doing a good job in these five years is very important for realizing the goal of the second century. In the strong atmosphere of the whole party and the whole country welcoming the 20th Party Congress victory, revisiting the important speech of the Supreme Leader General Secretary and thoroughly studying and understanding the spirit of the important speech of the General Secretary at the special seminar will surely further unite the majestic power of the whole party and the people of all ethnic groups to forge ahead with one heart and one mind, and forge ahead courageously in the new journey of building a socialist modern country in an all-round way!

　　(Editor: Yin Xia, Zhang Shuhong)