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深圳社会办医、医生集团政策大揭秘

2017-12-03 韦一笑 “看医界”微信号

事实上,据了解,近年来,从首张“医生集团”字样的营业执照在深圳落地,到200多家医生集团在深圳扎堆注册,深圳在支持医生自由流动、医生集团、社会办医发展方面一直走在全国前列。

深圳近些年出台了哪些鼓励支持社会办医、医生集团发展的重磅政策?《看医界》专访深圳市卫生计生委秘书处(医改办)处长李创,为您揭秘。

据了解,近年来,从首张“医生集团”字样的营业执照在深圳落地,到200多家医生集团在深圳扎堆注册,深圳在支持医生自由流动、医生集团、社会办医发展方面一直走在全国前列。

那么,深圳近些年出台了哪些鼓励支持社会办医、医生集团发展的重磅政策?·专访深圳市卫生计生委秘书处(医改办)处长李创,带大家一览深圳鼓励社会办医、医生集团发展的政策精髓,以及未来的政策走向。


(深圳市卫计委医改办处长李创,资料图来源深圳卫计委微信号)

支持医生集团在深圳落地发展!

·深圳博德嘉联医生集团门诊部近日拿到了医疗机构执业许可证,这张许可证背后的意义是什么?

李创:医生集团主要是为自由执业、多点执业的医生提供市场服务的。我们支持医生集团开办实体医疗服务机构,主要目的是让医生集团搭建更能体现医生职业价值的,能够更好地满足市民更高质量、更高层次医疗健康需求的医疗服务平台,逐步让医生集团能够更好地为医生提供医疗服务平台服务对接、执业注册对接、医疗健康保险对接、医疗执业风险管控、互联网医疗服务对接等综合服务。因为目前,上述这些事务,其法律主体都是医疗机构。同时,支持医生集团开办医疗机构,也是为了更好地规范互联网医疗服务,推动线上线下相互结合,切实依法执业、做实服务。

·关于医生集团在深圳的注册、落地、发展,深圳目前都有哪些鼓励措施或核心竞争力?未来深圳还有可能会有哪些方面的鼓励措施?

李创:我们鼓励医生集团与医疗行业投资主体更好地运用深圳鼓励社会力量办医的政策措施,建设若干家平台化、市场化运作的、具有一定规模水平的医疗机构,为国内外高水平医疗团队提供市场化执业平台。同时,适应分级诊疗制度建设的需要,支持医生集团引导自由执业医生开办综合诊所和名医诊疗中心,促进医疗资源更好地向基层流动。

下一步,我们也鼓励医生集团与商业医疗健康保险机构合作,逐步形成围绕医生这一核心生产力的医疗卫生服务运营模式,比如逐步实现商业健康保险向医生购买服务,向医生购买参保人的健康质量。

深圳医疗市场服务需求巨大!

·深圳简政放权,大力发展医生集团、社会办医业态的主要动力是什么?在这方面有何中远期规划?

李创:深圳医疗卫生资源总量不足,医疗卫生事业、健康产业发展空间很大。广东省给深圳的定位是构建医疗卫生高地,我们的定位是建设国际化医疗中心、打造健康深圳。

为实现这一目标,我们一方面加大公共医疗卫生资源的供给。在“十三五”期间,全市将新增病床2.5万张以上、执业医生1.2万名以上;常住人口***床位数达到4.3张、***医生数达到2.8名;达到三级水平的医院增加到60家以上。

另外,就是推动社会办医加快发展。比如,鼓励社会办医疗机构提高等级档次,对社会办医疗机构创建成为三甲医院、二甲专科医院的,分别一次性奖励2000万元、500万元。

·目前深圳的医疗市场医疗服务需求有多大?

李创:深圳常住人口约1200万,实际管理和服务人口超过2000万。人口的快速增长,导致全市医疗资源相对短缺。目前,全市常住人口***床位数仅3.59张,低于全省(4.23张)、全国(5.37张)平均水平,与北上广的差距更大。

尽管当前深圳人口结构相对年轻,但老龄化速度在加快,加上市民对健康服务需求的快速释放,以及深圳辐射周边的需求,我们预计,未来深圳的医疗健康服务需求仍将处于加速增长期。 按照《全国医疗卫生服务体系规划纲要(2015-2020年),2020年,***床位数达到6.0张,深圳的缺口还是比较大的。

大力支持医生流动、创业!

·在解放医生方面,深圳未来会有怎样的改革愿景?

李创:第一,深圳大力支持医生流动、创业是基于政府强力推进保基本为基础的。未来几年,深圳将进一步完善以基层医疗集团为基本医疗卫生服务保障网、以区域医疗中心为医教研中心的城市医疗为服务体系,医疗卫生服务的根基将更加实在。

第二,加强公立医院人才培养和科学研究功能,提升人才培养能力。鼓励高水平医生开办医生工作室、开办诊所。

第三,我们推动公立医院人事制度改革,转变医院用人机制,让医院与医生之间建立更加权责清晰的全职聘用、兼职服务、医疗协作等关系。同时,建立符合医疗行业特点的医务人员薪酬制度。

第四,支持商业健康保险向医生购买服务,向医生购买参保人的健康质量。

第五,发展互联网健康服务,鼓励医疗专家有序开展多点执业,推动医疗共享平台、远程医学平台、互联网健康管理平台建设,集聚国内外优质医疗人才。

第六,发展多样性的医疗机构执业保险、医生执业保险,增强医生多点执业、自由执业风险管控能力。

·11月1日,深圳出台《深圳市医疗机构执业登记办法(试行)》,大力支持诊所发展,能否解读一下该政策对于诊所业态发展的意义?

李创:我们的整个医疗服务模式正在从“以医院为中心”向“以基层为重点”转变,发展基层、做实基层、做优基层是我们整个改革的重点。从国际经验来看,市民的健康管理和大部分的普通门诊主要在基层医疗卫生机构解决。所以,我们现在大力支持社康中心的建设、诊所的标准化建设。

基层医疗卫生机构,主要完成整个医疗健康服务链的两端工作,也就是预防保健、康复护理服务,中间的临床诊疗,主要在医院解决。因此,我们鼓励诊所向综合型、全科型、预防保健型、康复护理型的方向发展。

《办法》可以更好地动员社会力量参与医疗卫生事业、健康产业的发展;也可以支持综合诊所、全科诊所建设,整合专科力量、优化服务流程,更好地为市民提供全方位全周期的健康服务。

重磅盘点:六年来深圳支持社会力量办医的创新举措

2012年,推行公立医院“政事分开、管办分开”,强化卫生行政部门行业规划、市场准入、标准制定等全行业监管职能;

2013年,开始实施的商事登记制度改革,优化营商环境;

2013年,全面取消了医疗机构的选址距离、数量和医保定点机构数量限制;

2013年,出台鼓励社会资本举办三级医院的若干规定,社会办三级医院将可享受基本医疗服务补贴、市级医学重点学科补助、三级医院等级评审资质奖励和新增基本医疗服务床位奖励等财政补助项目。

2014年,出台“医疗卫生三名工程政策”,支持社会力量开办名医诊疗中心,为境内外名医来深执业提供便利。

2015年,实行医师执业区域注册;

2016年,在商事登记企业名称注册中,允许出现“医生集团”字号;

2016年,颁发全国首张医生集团营业执照;

2016年,实施医疗卫生领域“强区放权”,累计取消转移下放医疗卫生行政职能事项34项;

2016年7月,出台推动社会办医加快发展的若干政策措施,支持社会力量开办社康中心、发展康复护理体系、开办第三方检查检验机构、建设高水平专科医院,鼓励和引导社会力量参与医疗服务模式改革。

2016年7月,建立政府购买基本医疗服务机制,对社会办医疗卫生机构为本市参保人提供的基本医疗服务提供财政补助。

2017年,执行医师执业“业必归会”,医师到深圳执业,不在卫生行政部门备案,必须在深圳市医师协会注册或登记备案;

2017年,简化医疗机构审批,取消设置审批,实行直接执业登记;

2017年,修订社会医疗保险定点医疗机构、零售药店管理办法,放宽申请条件。深圳依法设立的各类医药机构均可自愿向市社保机构提出申请,申请定点的医药机构应具备三项基本条件·一是要具备合法性;二是申请前一年内未被相关部门行政处罚;三是信息化水平满足医保管理要求。

2017年,推行医疗机构的投资者与医疗机构执业者分开,取消只有医师才能开办诊所的规定,允许自然人申办医疗卫生机构;

2017年,执行新的诊所设置标准。取消诊所只能设置1个科目的限制,允许诊所设置4个以内的科目,建设综合诊所。申请5个以上科目的,可申办门诊部;

支持医师协会建立医师执业保险制度,为医生提供执业风险保障。

推进行业诚信体系建设,实施医疗机构、医师不良执业行为记分管理和“黑名单”制度。

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    2017-12-05 bioon3
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    2017-12-04 cscs

    终于把框架去除了一半

    0

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    2017-12-04 杏林一叶

    是未来中国医改的方向!点赞!

    0

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    2017-12-04 明月清辉

    谢谢分享.学习了

    0

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    2017-12-04 飛歌

    学习了很有用不错

    0

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    2017-12-03 清风拂面

    很好的文章.谢谢

    0

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