With the acceleration of population aging
the number of chronically ill population increases
people’s demand for rehabilitation care
also getting taller
The scope of pilot implementation: There are 16 administrative districts and various medical institutions at all levels in the city.
implementation time: throughout 2022.
Pilot goal: After a year of pilot exploration, a relatively complete rehabilitation Medical service system, diversified rehabilitation medical service models, policies and measures conducive to the development of rehabilitation medical services and other beneficial practices and typical experiences have accelerated the development of rehabilitation medical services in Tianjin and achieved practical results.
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The specific tasks of the pilot are as follows↓
01
Increase the number of medical institutions and beds providing rehabilitation services
The health administrative departments of each district should clearly sort out the rehabilitation medical service resources within their jurisdiction, scientifically evaluate the number of rehabilitation medical institutions and beds in their jurisdiction, and Number of physicians and therapists, rehabilitation medical needs, etc. Coordinate the requirements of the “14th Five-Year Plan” medical and health service system planning and medical institution setting planning requirements in the jurisdiction, and continuously improve the rehabilitation medical service system. Strengthen the construction of rehabilitation wards in the Department of Rehabilitation Medicine in general hospitals, adhere to the development of increments and adjust the stock, and effectively improve the supply and efficiency of rehabilitation medical service resources in the jurisdiction. Guide the primary and secondary medical institutions with a certain foundation in the jurisdiction to transform into rehabilitation hospitals. Encourage and support social forces to hold large-scale and chain-based rehabilitation medical centers, and increase the number of medical institutions that provide rehabilitation medical services in our city. All secondary and tertiary general medical institutions shall implement the “Basic Standards for Rehabilitation Medicine Department of General Hospitals (Trial)”, and the number of beds in rehabilitation medicine departments of tertiary general hospitals shall not be less than the total number of beds in the hospital. 2%, and the number of beds in the rehabilitation medicine department of a secondary hospital is at least 2% of the number of beds in the hospital, and no less than 10 beds. Encourage qualified primary medical and health institutions to set up and increase beds for rehabilitation medical services as needed.
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Strengthening Rehabilitation Medical Capacity
The health administrative departments and medical institutions of all districts should combine the requirements of high-quality development of public hospitals, strengthen rehabilitation medicine as a key subject area to make up for weaknesses, and support the construction of software and hardware in rehabilitation medicine. Improve the capacity of rehabilitation medical services. Municipal and regional rehabilitation guidance and training base cities should actively play a leading role in radiation, and some medical institutions with obvious professional characteristics should further improve the technical level of rehabilitation medical subspecialties, and actively promote neurorehabilitation, orthopedics and orthopedics. Rehabilitation, Cardiopulmonary Rehabilitation, Child Rehabilitation, Elderly Rehabilitation, etc.Medical subspecialty capacity building. Each guidance and training base holds professional rehabilitation training programs at least once a year, and takes the form of urban medical groups, county medical associations, specialist alliances, and telemedicine to drive the city’s rehabilitation medical service capabilities to a new level.
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Strengthen the education and training of rehabilitation medical personnel
Strengthen on-the-job training for rehabilitation medical professionals, and training for on-the-job rehabilitation physicians and therapists in the city. According to the functional orientation of each medical institution and the clinical needs of rehabilitation medicine, training is carried out in a planned and hierarchical manner for the personnel who are engaged in and plan to engage in rehabilitation medical work in the medical institution. The number of physicians working in rehabilitation medical care, improving the ability of rehabilitation medical services. Encourage and support rehabilitation physicians and rehabilitation therapists to advance to health technical titles. Strengthen the training of the basic knowledge of rehabilitation medicine for all medical staff, enhance the awareness of early intervention and the whole process of rehabilitation medicine, and apply the concept of rehabilitation throughout the whole process of disease prevention, diagnosis and treatment, and rehabilitation.
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Promoting the multidisciplinary cooperation model of rehabilitation and clinical practice
Promote rehabilitation treatment in various clinical disciplines, and strengthen early intervention in rehabilitation. The rehabilitation medicine departments of all tertiary general hospitals and tertiary traditional Chinese medicine hospitals should focus on strengthening the ability of early rehabilitation intervention, multidisciplinary cooperation, and rehabilitation medical services for difficult and critically ill patients. Increase the number of diseases involved in early rehabilitation, and encourage municipal rehabilitation centers and qualified regional rehabilitation centers to carry out rehabilitation medicine and neurosurgery, neurology, trauma surgery, orthopedics, cardiology, thoracic Surgery, Pulmonology, Urology, General Surgery, Gynecology, Pediatrics, Critical Care and Traditional Chinese Medicine and other clinical departments have formed a rehabilitation collaboration group. Taking the patient as the center, it provides professional clinical and treatment units to form specialized units. Promote the development of enhanced recovery surgery in our city, integrate rehabilitation throughout the entire process of disease diagnosis and treatment, improve medical effects, and promote rapid recovery and functional recovery of patients.
5
Actively develop community and home rehabilitation care
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Encourage qualified medical institutions to extend rehabilitation medical services in institutions to Community and home, provide home-based rehabilitation medical treatment, day-time rehabilitation training, rehabilitation guidance, etc. Services. Encourage the addition of “Traditional Chinese Medicine Rehabilitation Service Package” to the contracted services of family physicians. At least one rehabilitation guidance and training base in each region shall be established to establish a close medical consortium, and the rehabilitation guidance and training shall be carried out at the grassroots level.
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06
Actively promote the integration of rehabilitation medicine and other services
Relying on Tianjin University of Traditional Chinese MedicineThe Second Affiliated Hospital strengthens the construction of municipal TCM rehabilitation centers, establishes district TCM rehabilitation centers, and selects municipal TCM rehabilitation key specialties. Strengthen the training and team building of Chinese medicine rehabilitation professionals, carry out research on Chinese medicine rehabilitation programs and technical specifications, actively develop traditional Chinese medicine rehabilitation services, increase the supply of grassroots Chinese medicine rehabilitation services, and effectively improve Chinese medicine rehabilitation services ability and level. Rehabilitation medicine departments of various medical institutions shall, in accordance with relevant requirements, reasonably allocate rehabilitation aids and adaptation equipment and facilities. Strengthen the training of relevant personnel, establish a teamwork mechanism for rehabilitation physicians, rehabilitation therapists and rehabilitation assistive device configuration personnel, and improve professional skills and service capabilities.
07
Explore and improve rehabilitation medical service prices and medical insurance payment management
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Further implement 29 medical rehabilitation projects including comprehensive assessment of rehabilitation determined by the state, and strengthen the payment management of medical rehabilitation projects. According to regulations, make timely payment of rehabilitation medical expenses for insured patients.
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edit | Gu YingSource | Tianjin Municipal Health Commission website