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院长年薪制来了!安徽2018医改重点工作出炉

2018-05-08 陈玲 凤凰网安徽综合

5月8日,安徽省人民政府办公厅印发“关于2018年综合医改重点工作及任务清单的通知”,从规范家庭医生签约服务、完善药品供应保障制度、巩固临床路径管理+按病种付费、实施“双十双百”工程等方面持续深化安徽医药卫生体制改革,为人民群众提供全方位全周期健康服务。提升县域医共体建设水平,构建安徽特色的农村分级诊疗新模式通知明确推广县域医共体建设天长模式,实行医保基金按人头总额预算包干支付,实现全省县(市

5月8日,安徽省人民政府办公厅印发“关于2018年综合医改重点工作及任务清单的通知”,从规范家庭医生签约服务、完善药品供应保障制度、巩固临床路径管理+按病种付费、实施“双十双百”工程等方面持续深化安徽医药卫生体制改革,为人民群众提供全方位全周期健康服务。

提升县域医共体建设水平,构建安徽特色的农村分级诊疗新模式

通知明确推广县域医共体建设天长模式,实行医保基金按人头总额预算包干支付,实现全省县(市、区)全覆盖;前三批试点县每县至少建成1个人财物统一管理的紧密型县域医共体。支持社会办医疗机构参与医共体建设。

并整合县乡两级药品采购平台,建设医共体中心药房,完善县乡村一体化药品供应保障体系;建设县域健康信息平台,确保实现紧密型医共体内诊疗信息联通共享。

规范家庭医生签约服务,发挥居民健康“守门人”作用

精心组织实施家庭医生签约服务民生工程项目,推广定远县农村家庭医生签约服务模式。根据群众健康需求,科学设计服务包,合理确定价格,将符合规定的家庭医生有偿签约服务费纳入医保报销。落实家庭医生有偿签约服务收入分配不计入绩效工资总额的政策。加强管理与督查考核,不断提升家庭医生签约服务履约率和服务质量。

完善药品供应保障制度,让人民群众得实惠

完善药品集中采购机制和药品耗材采购“两票制”,实施新一轮药品集中招标采购,继续开展联合带量采购,积极参与“沪苏浙皖闽”四省一市药品耗材联合采购,进一步降低药品耗材价格。制定公立医疗机构药品货款第三方统一支付办法,优化医保资金结付流程,减少药品流通企业财务成本,保障药品供应及群众用药需求。

巩固临床路径管理+按病种付费,实现公立医院有效控费提质

巩固县级公立医院临床路径管理成效,覆盖150个以上病种;继续推进二级及以上公立医院按病种付费,扩大病种范围,提高执行率,其中:新农合达到150个病种50%执行率,职工医保和城镇居民医保达到100个病种30%执行率,合肥、蚌埠、滁州3个试点市达到150个病种40%执行率。

实施“双十双百”工程,构筑学科人才高地

建立高层次医学人才引进激励机制,引进培养10名具有国内先进技术水平的“领军人才”。培养医术精湛、医德高尚、服务优质、群众赞扬的高端人才,评选100名“江淮名医”。培养扎根农村、医术精良的乡镇卫生院骨干医师,评选100名“徽乡名医”。

深化医保管理体制改革,加快形成成熟模式

督导合肥、蚌埠、滁州市加快推进医保管理体制改革试点工作,尽快形成成熟模式。制定全省统一的医保业务系统平台建设方案,统筹推进合肥、蚌埠、滁州市医保业务系统建设。

整合城乡居民基本医保制度,推进商业保险机构经办基本医保业务试点

统一城乡居民基本医疗保险目录,制定基本医疗保险药品目录、医疗服务项目目录。统一城乡居民基本医疗保险保障待遇,制定城乡居民基本医疗保险统筹补偿指导方案。鼓励其他有条件的地区引入商业保险机构经办基本医保业务,探索建立基本医保经办管理新机制。

完善高年资护士转岗社区试点,打造可复制可推广样板

总结推广合肥、蚌埠、芜湖市试点经验,完善执业、价格和医保等配套政策,选派高年资护士到社区工作,重点围绕“三人”(老年人、孕产妇、儿童)、“四病”(高血压糖尿病、精神病、脑卒中康复),转变服务模式,拓展护士职业空间。

完善“县管乡用”机制,解决基层医疗卫生机构基础设施薄弱和人才匮乏问题

强化编制、人力资源社会保障、财政、卫生计生等部门政策协同,全面推行“县管乡用”人才管理机制。鼓励有条件地区探索实行基层医务人员“乡聘村用”。实施村医培训培养计划,优先培养贫困县村医。制定我省改革完善全科医生培养与使用激励机制的实施意见,培养1000名全科医生。

完善公立医院“编制周转池”制度,深化人事薪酬制度改革

全面推开“编制周转池”制度,核定符合条件的公立医院周转池编制。落实养老保险、岗位设置、职称评审等配套政策。加快推行公立医院院长年薪制,探索实行高层次人才协议工资制、项目工资制等,形成有效的激励约束机制。

加强三方合作共建,推进中国科大附一院建设与发展

落实省政府、国家卫生健康委、中国科学院三方合作共建意见,全力支持中国科大附一院(安徽省立医院)发展,努力探索科学高效的合作模式和运行机制,积极创建国家级区域医疗中心。

持续推进智慧医疗建设,提升智能化水平

制定安徽省智慧医院建设规划、实施方案、建设规范和评价标准,成立人工智能研究院。搭建全省远程医疗信息系统,开展远程医疗服务,实现县乡远程医疗全覆盖。加快推进全民健康信息平台建设,指导督促合肥市“国家健康医疗大数据区域中心”项目建设。

推进人工智能辅助诊断系统(智医助手)实施,开展县域智慧医疗建设试点,适时总结推广。依托安徽医疗便民服务平台,提供智能导诊、预约挂号、网上支付、双向转诊、慢病管理等全省统一的“互联网+健康”服务。

促进中医药事业发展,全面提升中医药服务能力

推进中医药传承创新工程,强化项目跟踪和资金配套,打造国家级中医药传承创新发展平台。探索建立中医药健康产业发展新模式,打造“十大皖药”品牌。支持亳州市打造中药之都,推进九华山健康旅游示范基地建设。

实施世界银行医改促进项目,助力综合医改新突破

用好世行医改促进项目贷款,借鉴国际先进理念,探索新的服务模式,建成一批世行贷款医改示范项目。实施高血压防治综合管理项目,建立慢病防控新模式。

此外,通知针对当前普遍存在的共性突出问题,积极探索创新,力求打造全省可推广、全国可借鉴新模式。探索建立紧密型城市医联体,实现医联体建设新突破;探索建立对公共卫生机构的考核激励新机制,盘活医疗卫生资源;探索药师下临床,促进临床合理用药;探索建立综合监管体系,促进医疗机构管理合法合理。

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    2018-06-07 w984454tii
  4. [GetPortalCommentsPageByObjectIdResponse(id=1774716, encodeId=5ac11e7471617, content=<a href='/topic/show?id=ce9e48959ac' target=_blank style='color:#2F92EE;'>#年薪制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48959, encryptionId=ce9e48959ac, topicName=年薪制)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=633738672104, createdName=linagood, createdTime=Fri Sep 14 12:54:00 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1945506, encodeId=2dc31945506ab, content=<a href='/topic/show?id=f7cb9588e49' target=_blank style='color:#2F92EE;'>#重点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95887, encryptionId=f7cb9588e49, topicName=重点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d58a435, createdName=sjq027, createdTime=Thu Aug 02 10:54:00 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684333, encodeId=65a91684333cd, content=<a href='/topic/show?id=884d48958fb' target=_blank style='color:#2F92EE;'>#年薪#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48958, encryptionId=884d48958fb, topicName=年薪)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=027228078077, createdName=w984454tii, createdTime=Thu Jun 07 02:54:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286991, encodeId=948112869911c, content=<a href='/topic/show?id=ebac3442063' target=_blank style='color:#2F92EE;'>#医改#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34420, encryptionId=ebac3442063, topicName=医改)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3e9205, createdName=tidiq, createdTime=Thu May 10 12:54:00 CST 2018, time=2018-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313254, encodeId=5bda31325479, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Tue May 08 22:35:29 CST 2018, time=2018-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313248, encodeId=3e9a31324842, content=不错的文章值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue May 08 22:15:30 CST 2018, time=2018-05-08, status=1, ipAttribution=)]
    2018-05-10 tidiq
  5. [GetPortalCommentsPageByObjectIdResponse(id=1774716, encodeId=5ac11e7471617, content=<a href='/topic/show?id=ce9e48959ac' target=_blank style='color:#2F92EE;'>#年薪制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48959, encryptionId=ce9e48959ac, topicName=年薪制)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=633738672104, createdName=linagood, createdTime=Fri Sep 14 12:54:00 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1945506, encodeId=2dc31945506ab, content=<a href='/topic/show?id=f7cb9588e49' target=_blank style='color:#2F92EE;'>#重点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95887, encryptionId=f7cb9588e49, topicName=重点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d58a435, createdName=sjq027, createdTime=Thu Aug 02 10:54:00 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684333, encodeId=65a91684333cd, content=<a href='/topic/show?id=884d48958fb' target=_blank style='color:#2F92EE;'>#年薪#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48958, encryptionId=884d48958fb, topicName=年薪)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=027228078077, createdName=w984454tii, createdTime=Thu Jun 07 02:54:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286991, encodeId=948112869911c, content=<a href='/topic/show?id=ebac3442063' target=_blank style='color:#2F92EE;'>#医改#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34420, encryptionId=ebac3442063, topicName=医改)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3e9205, createdName=tidiq, createdTime=Thu May 10 12:54:00 CST 2018, time=2018-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313254, encodeId=5bda31325479, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Tue May 08 22:35:29 CST 2018, time=2018-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313248, encodeId=3e9a31324842, content=不错的文章值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue May 08 22:15:30 CST 2018, time=2018-05-08, status=1, ipAttribution=)]
    2018-05-08 131****2916

    不错的文章值得推荐

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1774716, encodeId=5ac11e7471617, content=<a href='/topic/show?id=ce9e48959ac' target=_blank style='color:#2F92EE;'>#年薪制#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48959, encryptionId=ce9e48959ac, topicName=年薪制)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=633738672104, createdName=linagood, createdTime=Fri Sep 14 12:54:00 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1945506, encodeId=2dc31945506ab, content=<a href='/topic/show?id=f7cb9588e49' target=_blank style='color:#2F92EE;'>#重点工作#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=95887, encryptionId=f7cb9588e49, topicName=重点工作)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d58a435, createdName=sjq027, createdTime=Thu Aug 02 10:54:00 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684333, encodeId=65a91684333cd, content=<a href='/topic/show?id=884d48958fb' target=_blank style='color:#2F92EE;'>#年薪#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48958, encryptionId=884d48958fb, topicName=年薪)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=027228078077, createdName=w984454tii, createdTime=Thu Jun 07 02:54:00 CST 2018, time=2018-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286991, encodeId=948112869911c, content=<a href='/topic/show?id=ebac3442063' target=_blank style='color:#2F92EE;'>#医改#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34420, encryptionId=ebac3442063, topicName=医改)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b3e9205, createdName=tidiq, createdTime=Thu May 10 12:54:00 CST 2018, time=2018-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313254, encodeId=5bda31325479, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Tue May 08 22:35:29 CST 2018, time=2018-05-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=313248, encodeId=3e9a31324842, content=不错的文章值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue May 08 22:15:30 CST 2018, time=2018-05-08, status=1, ipAttribution=)]
    2018-05-08 1e1b8538m79(暂无匿称)

    不错的文章值得拥有

    0

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