In the country's 16-word principle of grading diagnosis and treatment, "primary diagnosis, two-way referral, rapid division, and linkage", primary care is undoubtedly responsible for the first diagnosis, referral, diagnosis and treatment of chronic diseases, health management, etc. In the process of rapid advancement of graded diagnosis and treatment in the next few years, the country will have a very broad opportunity for venture capital investment. This article reviews the latest grading diagnosis and treatment policies of the central and some local provinces and cities, explores the opportunities for primary care, the specific opportunities, and how Internet medical companies can better share this feast.
The central policy system establishes the entry status of primary medical institutions
According to the “National Health Service System Planning Outline (2015-2020)†issued in March 2015, primary health care institutions mainly include township health centers, community health service centers (stations), village clinics, clinics, and outpatient departments. (s) and military primary health institutions. From the perspective of market or capital, it can be divided into state-owned primary medical institutions, private clinics, Hong Kong, Macao and Taiwan and foreign-funded clinics.
In line with the "National Health Service System Planning Outline (2015-2020)", the central government's main policy on primary health care is also the "Guiding Opinions of the General Office of the State Council on Promoting the Construction of Graded Medical Treatment System" issued in September 2015, 2015 “Guiding Opinions on Further Regulating Community Health Service Management and Improving Service Quality†published in November, “2016 Key Tasks for Deepening Medical and Health System Reform in 2016†announced in April 2016. On the whole, the policy intentions and development orientation of primary health care are mainly:
Orientation 1: Primary medical institutions assume the responsibility of the first visit to the clinic
The National Medical Health Service System Planning Outline (2015-2020) proposes to control the scale of general outpatient clinics in public hospitals, support and guide patients to priority access to primary health care institutions, and gradually undertake the general outpatient and rehabilitation of public hospitals by primary health care institutions. And services such as care;
The "Guiding Opinions of the General Office of the State Council on Promoting the Construction of Graded Diagnosis and Treatment System" proposes that the construction of grassroots medical and health personnel with a focus on general practitioners is strengthened, and the proportion of primary and secondary medical and health institutions in total medical treatment is significantly increased.
Orientation 2: Comprehensively improve the service level of primary medical institutions
The "Guiding Opinions of the General Office of the State Council on Promoting the Construction of Graded Diagnosis and Treatment System" proposes to improve the grading diagnosis and treatment service system with a strong focus on the grassroots level;
The National Health Service System Planning Outline (2015-2020) proposes to promote the decline of quality medical resources to the grassroots level; "Deepening the Medical and Health System Reform 2016 Key Work" proposes to improve grassroots service capabilities and continue to strengthen primary health care institutions. And county-level hospital capacity building. Promote the flow of medical resources to the grassroots and rural areas.
Orientation 3: Encourage grassroots medical institutions to establish a division of labor and cooperation system with public hospitals
The Outline of the National Medical and Health Service System (2015-2020) proposes to establish and improve the grading diagnosis and treatment model, and establish a division of labor and cooperation mechanism between hospitals at different levels, between hospitals and primary health care institutions, and connected medical institutions. The operation mechanism of networked urban and rural grassroots medical and health services will gradually realize the first diagnosis, two-way referral, up and down linkage, and rapid division and treatment.
Public hospitals should support and guide grassroots medical and health institutions with which they have established a division of labor and cooperation through technical support, personnel training, management guidance, etc., to improve their service capabilities and levels;
Establish a regional online appointment registration platform, public hospitals provide referral appointment registration services to grassroots medical and health institutions, and prioritize diagnosis and hospitalization for referrals to primary health care institutions.
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