Many problem in the development of medical rehabilitation services

□ newspaper Reporter Sun Dream -


February 17, Medical Administrative DepartmENT of the Ministry of Health medical rehabilitation service system hierarchy of medical pilot seminars held in Xiamen City, Fujian Province, Harbin, Heilongjiang Province and six cities have been identified to contact the city of grading for the rehabilitation of medical priorities.Ministry of Health, Medical Administration, Deputy Director Zhao steel at the meeting that as the Medical and Health system continued to deepen, China will build a pyramid, the coexistence of multi-ownership form, the upper and lower linkage, reasonable layout, efficient functioning of the Health care system.Rehabilitation of the health care system as an important part of the medical service system should be fully play its role to implement the urgent chronic disease divide and conquer, the hierarchy of medical services and two-way referral, improve the overall health care resources use efficiency and effectiveness.

within hospitals, rehabilitation medicine how to do early intervENTion, so that patients from the clinical departments as soon as possible turn out? How to establish a referral mechanism between the large general hospitals and rehabilitation hospitals, community? What are the main obstacles in the process of implementation of the rehabilitation hierarchy of medical? At the meeting, the relevant responsible person, and rehabilitation medicine specialist in-depth discussions.

rehabilitation referral of patiENTs have a policy to guide

medical resources concENTrated to large hospitals, formation of apical dominance of the medical, rehabilitation medical service system is no exception.Therefore, the rehabilitation patients down turn has become a problem.The party secretary of Shandong Province, Taian Central Hospital, vice president of Niqing Bin, so that hospitals turn patients through policy guidance, can not rely on administrative instructions."At present, a lower level of Health insurance to pay the costs, regardless of the severity of the disease and the stage of rehabilitation patients, and reimbursement.Next, the health insurance and new rural cooperative should be adjusted payment and reimbursement, so that hospital rehabilitation patients to be transferred out of the.Huang Peng, director, Wuxi City, Jiangsu Province,

colleagues Rehabilitation Hospital had worked in three general hospitals in his view, policy adjustmENTs, hospital rehabilitation patients, the shorter length of stay, hospitals have been the higher the relative costs, then the patient will become a reality next turn.

"to develop norms and standards of rehabilitation medical referral is also a pilot should do the job.Baoshan City, Yunnan Province, Deputy Secretary of Health, the Jinchang De, the province has introduced referral advice for the 13 DepartmENT of Rehabilitation disease and to establish a scoring system, a clear referral opportunity.

Harbin City, Heilongjiang Province, Health Bureau, Bureau of Medical Affairs Director of Ke Yunnan, the average length of stay on rehabilitation agencies at all levels proposed evaluation also helps the patiENT to the next turn.Example, the same disease, a large general hospital rehabilitation average length of stay may provide for six days to eight days, the provisions of the specialist rehabilitation hospital for a month to three months.

rehabilitation in the process of building two-way referral system for medical rehabilitation, the patiENT how smoothly transferred from the clinical departments of rehabilitation in a comprehensive Health care institutions should be early intervention clinical

Branch, the experts of the discussion.

Ministry of Health DevelopmENT Research Center, an assistant researcher Xiao told reporters involved in rehabilitation medicine emphasizes the early rehabilitation of the acute patients.Fracture patients, for example, should immediately consider the muscle function recovery after the end of the clinical treatment, or rehabilitation costs will be higher, the effect of rehabilitation is difficult to achieve the best.

Niqing Bin introduced, Tai'an CENTral Hospital and Rehabilitation Center"binding" of neurology, neuroSurgery, orthopedics and acupuncture, massage and other departments, and transferred to the rehabilitation of patients from these sections, the performance can be included in the two departments.Clinical departments take the initiative to transfer the patient, the hospital will be rewarded.Now, the rehabilitation of early intervention has been the formation of conventional rehabilitation physician in the first two days after admission, the patient will be deep into the patient's bedside."Now, our hospital rehabilitation centers, day clinics journeys over 500 people, this is entirely thanks to the rehabilitation Early Intervention.

TalENT gap is the urgent filled

discussion, a number of experts and managers expressed concern about the talENT bottleneck of the rehabilitation disciplines.

Xinjiang Uygur Autonomous Region Rehabilitation Quality Control CENTre conducted a survey, According to incomplete statistics, 1018 people of Xinjiang's total rehabilitation staff, including rehabilitation physicians accounted for 68.1%, only 31.9% of rehabilitation therapists, and most of them to switch from.

Harbin City hospital director, said Fan Xiaohong, rehabilitation physicians is a bridge and link between the clinicians and therapists.Rehabilitation should go to consultation by the rehabilitation physician to the clinical departmENTs, to assess the patient to develop rehabilitation programs for treatment, rehabilitation therapists, rehabilitation and then the effect of feedback to clinical.But many of the medical units are directly manipulated by rehabilitation therapists, the lack of clinical experience, patient disease and vital signs do not have easily lead to security risks.

Jiangsu Province Health DepartmENT Bureau of Medical Affairs Director of Shao winter, rehabilitation medicine, education should be included in the overall medical education to take into consideration.Jin Changde, Baoshan City intends to take to help in the form of higher hospital rehabilitation doctor normalized tracking and guidance on community physicians, and public health funds to provide subsidies to

strengthening sectoral cooperation can do more with less

medical rehabilitation system involving Health, personnel, PICC, education, disabled persons, and civil affairs departmENTs, especially at the grassroots level, these sector in line with the existence of no small difficulty."Ni Qingbin said.

Rehabilitation Hospital in Wuxi City, formerly known as General Hospital for a two.Party Yingjie, dean, the hospital to the successful transformation can not do without the help of the local federations.Transformation, the CDPF in Wuxi City, 10 million yuan worth of equipmENT to take the form of leasing to help the development of the hospital.Now, the hospital rehabilitation patients of average daily service to nearly 300 people."In the past, the hospital is to survive, it is now seeking development.

Shao winter that, in the construction of rehabilitation classification system, the Health sector should focus on fighting for social security, the support of the price departmENT, jointly introduced the policy in favor of a two-way referral, and fees to expand.

Ke Yunnan recommendations abroad can be modeled by the social security departmENT in accordance with the community Health service centers under the jurisdiction of the population of Medicare funds allocated to the community by the community to guide the patient flow in the major hospitals and community agencies.