On June 20th, this morning, the National Health and Health Commission held a press conference to introduce the main measures to promote the reform of the “distribution service†in the medical field and the progress of the electronic registration management reform of medical institutions, doctors and nurses. Zhao Chenxi, deputy director of the National Development and Reform Commission's Political Research Office and spokesperson, presided over the meeting. Guo Yanhong, deputy director of the Medical and Hospital Authority, and Fu Qiang, researcher of the Hospital Management Research Institute, attended the conference and answered questions from reporters. At the press conference, Guo Yanhong mentioned that China has promulgated laws and regulations such as the Practitioners Law, the Regulations on Medical Institutions, and the Nurses Regulations. From the aspects of access management, practice management and supervision of institutions and personnel, Strengthen the construction of medical staff and the system construction of medical institutions, and continuously expand the effective supply of medical service resources to improve the quality of medical technology and medical quality and meet the growing health service needs of the people. Our country's medical service system is the world's largest medical service system. By the end of 2017, there were 987,000 medical and health institutions nationwide, with a total of 3.39 million physicians and 3.8 million nurses. Residents operate efficient medical resource supply and service systems. She pointed out that since the 18th National Congress of the Communist Party of China, the National Health and Health Commission has accelerated the structural reform of the supply side of the medical sector, focusing on deepening the administration of decentralization, combining management, and optimizing service reform, taking the lead in the management of medical institutions, physicians, and nurses. In terms of exploration and innovation, positive progress has been made. Specifically, the National Health and Health Commission recently promoted the reform of the “distribution service†in the medical field. There are four main measures: 1. Using information technology to promote the convenience of examination and approval services; Second, speed up the sharing of information on medical resources and serve the public to see a doctor for medical treatment; Third, deepen the administration of decentralization and decentralization, and stimulate the development of the medical industry ; Fourth, foster new modes of new business and enrich the supply of medical resources. Guo Yanhong pointed out: "In the next step, we will further intensify reform and innovation. First, we will guide all localities to implement various reform measures, promote the examination and approval of service concepts, systems, and work styles in all aspects, and strive to create "wide-in, fast-run." The second is to further improve the work level of “Internet + government servicesâ€. Accelerate the horizontal integration of electronic registration systems and achieve functional integration and build an integrated Internet government service platform. At a deeper level and in a wider range, we will realize functional integration, so that more things can be done “one network through†and “one in the endâ€, and strive to ensure that applicants only work in one door, run at most once, or even not run; third is to strengthen the typical The experience is summarized and promoted. Encourage all localities to learn from each other and promote the reform of “distribution service†to a new level and serve the construction of healthy China.†Fu Qiang introduced the functions and features of the electronic registration system. He mentioned that the electronic registration system consists of three subsystems: interrelated medical institutions, physicians, and nurses. There are four login ports, namely, physician and nurse personal, medical institution, administrative approval, and social publicity. The functional design of the electronic registration system is closely related to the concept and requirements of the “distribution service†reform, and has the characteristics of convenient operation, dynamic and timely, and open sharing. After the press conference, the media interviewed the relevant person in charge of the Health and Welfare Committee, and the Q&A of the conference was organized as follows: 1. Reporter of China Health Magazine: What specific conveniences can be provided to the clerk or applicant after the electronic registration is implemented? Gao Xiaojun, member of the Beijing Municipal Health and Family Planning Committee and spokesperson: In November 2015, Beijing Chaoyang District took the lead in implementing the electronic pilot of practicing doctors. From the pilot to the current comprehensive implementation of the city, full implementation, there are the following conveniences to the masses: First, reduce the cost of doing things; Second, master the progress of the process; Third, self-management; Fourth, simplify the processing materials. 2. Southern Metropolis Daily reporter: How can the electronic registration system help the regulatory authorities to supervise? Just now a director mentioned that there will be a distribution map of the national medical institutions. What plans are there for this work? Guo Yanhong: The information platform has increased the supervision of the matter and afterwards. Throughout the approval process, we can see the registration process of the organization and personnel in real time through the service platform updated every ten seconds, including registration subjects and registration locations. For us to master medical resources and strengthen the supervision of things in and after the event, especially to coordinate the allocation of these resources, it provides a means of supervision for multi-agency practice. Without such a regulatory platform, it is difficult to do one-person and one-time supervision of multiple institutions. When can I promote the issue of electronic maps to the whole country? We also have a timetable and will also communicate with relevant departments. Because it involves the use of the entire map, we will also communicate with relevant departments, and strive to make the national medical resource allocation map available online as soon as possible, just like This map of Beijing is the same. 3, China Hospital Dean magazine reporter: Just now the teachers also said that the doctor's multi-point practice, I would like to ask how the doctor Guo doctor practice more? What role did it play? Guo Yanhong: The original intention of the physician's multi-point practice system is to promote the rational flow and scientific allocation of physician resources, especially these high-quality physician resources and expert resources. On the one hand, it is to stimulate the vitality of doctors' practice, on the other hand, it is to improve the accessibility of quality medical resources, so that we can provide medical services to the public in many institutions, and also provide services for grassroots medical institutions and social medical development. An important talent support. Since the implementation of the regional registration system, there have been 110,000 physicians in the country who have practiced in multiple institutions. In 2017, they increased by 79% compared with 2016, and the main flow is to flow to grassroots medical and health institutions and social medical institutions. With a good result, the people in the primary medical institutions can also let the experts of the big hospitals see the doctors. The shortage of talents in the social medical treatment has also been alleviated to a certain extent. It should be said that the doctors' regional registration system is constantly improving. We originally designed to promote the rational flow of physician resources and to allow the accessibility of quality physician resources to continue to expand, so that a goal is basically achieved. 4. Tianjin TV reporter: I just saw a lot of electronic information in it. How to ensure information security? The second is a brief introduction to the progress of digitization in the Beijing-Tianjin-Hebei region during the past two years. Fu Qiang: Information security is an important part of this electronic registration reform. From the beginning of this reform, information security has been arranged as a very important content. The National Health and Health Commission has long required local governments to establish a responsibility system for data security management, conduct regular safety assessments and risk assessments, and strengthen data security monitoring and early warning. At present, this system is composed of two levels of electronic registration systems at the national and provincial levels. Therefore, the two-level electronic registration system adopts a three-level security system. In the software technology, the "U shield + mobile phone binding" method is used to securely authenticate the user identity information to ensure the legality of the user identity. For the important level departments, his information security adopts the VPN private network intervention method, which basically achieves logical isolation. For the data stored in the database, a special encryption algorithm is used to confirm each piece of data to prevent the data from being illegally tampered with. At the same time, it is equipped with a complete network operation maintenance system and data security management system. Therefore, through the establishment of such systems and the adoption of technical measures, we can ensure our network security and ensure that sensitive data is not lost or leaked. This system has been running so far and it should be said that it has been relatively safe in terms of security. 5, Health News reporter: I would like to ask Fu Qiang researcher, when you mentioned the characteristics of the electronic registration system, it is open, shared, dynamic and timely. How to realize the dynamic allocation of our medical resources? Fu Qiang: The electronic registration system includes registration of medical institutions, including registration information for physicians and nurses. In particular, it is emphasized that at the national level, it is a summary of information, but from the source of information, it is not a simple summary, but is formed by the health and health administrative departments that handle the functions of examination and approval. It is real, effective, and traceable data. In the data in this system, each piece of data can be restored to specific institutions and individuals, including the specific processing time and the application. And these processes will record his real-time system in the system, which is a continuous dynamic information. Such information is aggregated one by one, and finally a situation in which a medical resource is configured in real time in different regions is formed. The government can grasp the allocation of medical resources through such a system, as well as the use and flow of these resources. Then, it provides some data support for the planning of the medical service system in our country and all over the country.
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