Social medical treatment will reduce policy obstacles. Ten pilot cities do not need approval to open clinics.

The state policy has been further liberalized for the society to run medical services.

On May 22, the executive meeting of the State Council proposed to further expand the space for social medical treatment, and the government did not make planning restrictions on the total amount and spatial layout of social medical treatment areas; Allow on-the-job or unpaid medical personnel to apply for medical institutions; To improve the efficiency of examination and approval, all localities should establish a cross-departmental linkage examination and approval mechanism for social medical services before the end of the year. This year and next, we will carry out pilot projects of clinic filing management in 10 cities including Beijing, Shanghai and Shenyang to further promote the sustainable, healthy and standardized development of social medical services, increase the supply of medical services and improve people’s livelihood.

The meeting pointed out that social doctors can obtain land use rights through allocation, agreement transfer, leasing, etc., and can enjoy tax incentives for small and micro enterprises and high-tech enterprises according to regulations, and enjoy the same treatment as public hospitals in terms of hospital grade evaluation and professional and technical personnel title evaluation. Support social medical institutions to cooperate with public medical institutions to develop "Internet+medical health", carry out telemedicine cooperation, and share medical inspection, imaging and other services. Support the society to run medical services and give priority to undertaking rehabilitation and nursing services in tertiary public hospitals.

The reason why people frequently help the society to run medical services is related to the uneven distribution of medical resources in China, and the accessibility of medical resources is still problematic. In order to solve the problem of difficult medical treatment, social medical treatment is expected to become a powerful supplement.

It is understood that at present, there are nearly 220,000 clinics registered and actually operating in China, with an average of more than 7,000 clinics in each province. The average number of practitioners in the clinic is 2.6, including 1.4 doctors and 1.2 nurses. The diagnosis and treatment of common diseases and frequently-occurring diseases in internal medicine, stomatology, internal medicine of traditional Chinese medicine, surgery of traditional Chinese medicine, orthopedics and gynecology account for more than 90% of the clinic business, and play an important role in primary medical services.

However, the development of clinics is facing major problems such as shortage of human resources, low medical service capacity and difficulties in industry supervision.

"The document stipulates that you can only apply for a clinic if you are above the intermediate level and have been practicing in a medical institution for five years. This condition is challenging in itself. First of all, doctors in big hospitals have no motivation to run clinics. It is normal to go out for a clinic and give a lecture. But once they go out to run clinics and practice more, not only the dean is unwilling, but also they take risks, not to mention the doctors in big hospitals have better income and insufficient motivation to come out. Most of the people who want to run clinics are hospitals below the second level, and the places with great demand for clinics are mostly areas at or below the county level. However, this condition is also harsh for them. Many doctors in township hospitals have few doctor qualification certificates. " A doctor at a local clinic said.

According to the above-mentioned clinic doctors, at present, the clinic’s medical information can’t be docked with township hospitals and county hospitals, and only the patient’s information exists in their own computers. However, there are also problems in the transfer level, which can only be transferred through the 120 system, and cannot be directly transferred from the clinic to the higher-level hospital.

In order to further clarify the role and functional orientation of clinics and give play to the important role of clinics in the medical service system, National Health Commission recently issued the Guiding Opinions on Promoting the Development of Clinics (hereinafter referred to as the Guiding Opinions). It is planned to use two years to carry out the pilot work of clinic construction in 10 cities including Beijing, Shenyang, Shanghai, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu and Xi ‘an, and improve the clinics according to the pilot experience.

The above Guiding Opinions simplified the access procedures of clinics, canceled the planning restrictions on setting up clinics, and changed the clinics from practicing licenses to filing management. Revise the basic standards of the clinic, and adjust it from focusing on the examination of equipment and facilities to the examination of doctors’ qualifications and abilities. At the same time, doctors who have been practicing in medical institutions for five years and obtained intermediate or above titles are encouraged to set up specialized clinics full-time or part-time. Encourage the inclusion of clinics in the construction of medical associations, support the large-scale and group development of clinics, and form a standardized and standardized management and service model. Put forward clear requirements for information supervision of clinics. At the same time, the clinic is required to establish an electronic medical record system, standardize the writing and management of medical documents, and ensure the medical quality and safety of the clinic. (Ma Xiaohua)