Five departments including the Municipal Health Commission and the Municipal Development and Reform Commission recently jointly released the "2023 Beijing Grassroots Medical and Health Service Capacity Improvement Work Plan". According to the plan, 22 municipal tertiary hospitals will implement the placement of referral number sources to community health service institutions throughout the city through grassroots appointment referral platforms within the year; Strive to achieve a coverage rate of 41% for contracted services provided by family doctors among the permanent population; The satisfaction rate with the contracted services of family doctors remains above 85%. To improve the construction of departments in grassroots medical and health institutions, this city encourages community health service institutions to set up departments such as internal medicine, surgery, pediatrics, geriatrics, rehabilitation, and psychiatry according to the needs of surrounding residents. Community health service institutions with conditions are encouraged to open inpatient wards and set up beds, and township community health service centers are encouraged to improve their surgical service capabilities and carry out routine surgeries in accordance with relevant diagnostic and treatment standards. This city will increase the supply of pediatric services to community health service institutions by introducing pediatric talents, strengthening pediatric physician transfer training, and promoting the practice of pediatric professional physicians in multiple institutions. The city will expand the construction scope of special disease departments at the grass-roots level. On the basis of seven special diseases, including hypertension, type 2 diabetes, coronary heart disease, stroke, chronic obstructive pulmonary disease, rehabilitation and osteoporosis, the city will formulate standards for the construction of special disease departments such as pediatrics, stomatology, and traditional Chinese medicine, and complete the construction of at least 50 special disease departments within the year. Promote the establishment of rehabilitation medicine departments (rehabilitation areas) in community health service centers, and grassroots medical and health institutions with conditions can set up and increase rehabilitation medical service beds. This city will expand the supply of continuous services such as elderly care and hospice care, promote the standardization of elderly health services and the construction of elderly friendly medical institutions, establish and improve the corresponding relationship between elderly care institutions and community health service institutions, and do a good job in daily diagnosis and treatment, health monitoring, referral, and other work. Encourage qualified medical institutions to provide home based medical care services for the elderly through on-site visits and home beds, and extend medical care services from medical institutions to home based care. Relevant departments will formulate referral standards and standards for medical consortia, regulate referral behavior, and achieve the placement of referral number sources by 22 municipal tertiary hospitals to community health service institutions throughout the city through grassroots appointment referral platforms. Promote mutual recognition of inspection results among various levels and types of medical institutions. In addition, the city will also optimize the guiding mechanism of medical insurance for primary medical and health services, try to implement capitation based payment for outpatient services for chronic diseases such as diabetes and hypertension in some close medical associations, promote the transformation from "treatment centered" to "health centered", and continue to implement the differentiated medical insurance reimbursement policy for contracted patients and transferred patients. (Reporter Sun Leqi)
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