On the afternoon of the 9th, held in the hospital management theme conference, experts and scholars from Huizhou, Shenzhen, Hong Kong, and Macao shared the status and development of hospital management in their respective regions.
Medical workers do not need to worry about unemployment
The theme shared by Yuan Xiangdong, deputy dean of Guangdong Provincial People's Hospital, is “To lead the future with artificial intelligence for medical health and managementâ€. He believes that artificial intelligence will assist the hospital in its fine management, artificial intelligence can only assist people and will not replace medical personnel.
Yuan Xiangdong said that the application of artificial intelligence in the medical industry still has problems such as lack of quality medical and health resources, uneven distribution, and hidden problems in medical quality and safety. “At present, artificial intelligence is mainly used in health and hospital management, diagnosis and treatment methods and experience, and medical supply industries in the medical field.†Yuan Xiangdong said that the development of medical artificial intelligence is broad, but if artificial intelligence is to better serve the medical industry, Should solve the technical development and big data management policy specification, the medical big data quality demand, the medical personnel idea needs to change and so on the question. "Medical personnel do not need to worry about unemployment, but should use long-term accumulated experience and data to improve work efficiency."
Cancer patients treated for free in public hospitals in Macau
According to Zhong Jianli, the administrative director of the North District Hospital of the Hong Kong Hospital Authority, before the establishment of the Hospital Authority, Hong Kong adopts a dual system of government and subvented hospitals. At present, the medical system in Hong Kong is a two-track system—public (government highly subsidized) and private (patient self-paid).
The medical policy adopted by the Hong Kong SAR Government is: There will not be any public lack of proper medical care for economic reasons. Each year, the public recurrent expenditure of the Hong Kong Special Administrative Region Government focuses on the investment in health. According to the annual budget for 2017-2018, the total budgeted expenditure is HK$371 billion, while the investment in health is approximately HK$61.9 billion, accounting for 16.7% of the total. Second only to education (21.2%) and social welfare (19.8%).
According to Li Weicheng, medical director of the Renhe Grand Hospital in Macau, the medical system in Macao is composed of government medical institutions and private medical institutions. Public hospitals also rely on government investment. The primary medical care in Macao is relatively mature. Residents can visit the health center within 5 km. Urgent cases can be seen in public hospitals for emergency treatment. Residents of Macao enjoy 100% free medical care at the health center, and the health center turns to the public hospital to check for 100% free of charge. Cancer patients enjoy free medical care in public hospitals, which also increases the survival rate of cancer in Macao.
Shenzhen Explores New Mode of Public Hospital Management
Hong Kong University Shenzhen Hospital is a large-scale comprehensive public hospital funded by the Shenzhen Municipal Government, which has been fully invested by the Shenzhen Municipal Government and has introduced the modern management model of the University of Hong Kong. The dean of this institute, Lu Chongmao, introduced that based on the background of Shenzhen-Hong Kong integration and the actual situation of the hospital, the hospital is now operating The reforms were carried out in four aspects: management, medical treatment, practice of medicine, and medical care, and new management models for public hospitals were explored.
In the field of medical treatment, the hospital adopts the separation of powers, the implementation of the full appointment system, the team diagnosis and treatment mode, the first post-general specialist, and the innovative package fees; in the aspect of medical management, the decommissioning is performed, the posts are determined by the posts, and the posts are paid by the posts. The reform has zero tolerance for red envelopes and rebates, and attaches importance to employee training exchanges. In practicing medicine, it has taken the lead in canceling outpatient emergency infusions and other measures to prevent over-examination and drug use. At the same time, by reducing the use of disposable high-value consumables, green surgery reduces patient costs by up to seven. In the aspect of medical treatment, it is based on mutual trust between doctors and patients to build a green foundation.
Another Shenzhen hospital that was shared at the conference that day was Shenzhen Luohu Hospital Group. Dean of the hospital, Sun Xiyu, introduced the August 2016 Luohu District subspecialty and general hospitals, and the community health center was fully integrated, coordinating to a hospital group. Manage it. These medical institutions only have one legal representative, one financial center, and one human resources department, which achieves a high concentration of people, finances and goods.
After the establishment of the hospital group, under the principle of integration of staffing, integration of operation and management, and integration of medical services, specialists within the group have achieved free flow and solved the problem of lack of medical services at the grassroots level. At the same time, in light of the problem of less drugs, the Luohu District has a long-term configuration for more than 3,000 commonly used drugs. Once there is a shortage, it can be delivered to residents within 24 hours.
Medical reform needs to establish a classification and treatment system
Zhang Jian, dean of the Guangdong Modern Health Industry Research Institute, believes that the main reasons for the difficulty in seeing a doctor and the expensive medical care are the large population base in China, the aging population and the increase in the number of chronic patients, the uneven distribution of medical resources, and the lack of a correct concept for people to seek medical treatment.
Zhang Jian believes that the reform of the medical system is imperative. The way out for medical reform is to establish a sound system of grading diagnosis and treatment. It is recommended to strengthen the recommendation of signing services for family doctors and the training of general practitioners, and encourage and guide residents to the first visit to the grassroots level in the body of the Medical Association.
Hui Anzhou, member of the Standing Committee of the Huizhou Municipal People’s Congress and president of the Huizhou Medical Association, believes that communicable diseases are an important part of the health and medical cooperation in Guangdong, Hong Kong, and Macao in the Greater Bay Area. He described in detail Huizhou’s response to MERS, dengue fever, and hand, foot and mouth disease. Experience and shared information on maternal health and child health care systems.
As for the medical reform of public hospitals, Xuan Gao believes that it is necessary to clarify the public hospital’s own reform motivation and risks. "When driving medical services to speed up, we must also pay attention to the speed of medical payments, medical information, and medical pricing, and ensure that they match each other."
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