In the future, medical care should be developed as a modern industry. That is to say, the government guarantees basics and gives the basic supplements to the market.

- Member of the Shanghai Decision-making Advisory Committee and the founder of the Minhang Model of Shanghai Medical Reform

This year, Shanghai's health industry has introduced a very important plan, which is “50 health services in Shanghai health service industry”, and the national top-level design has been released.

What is our goal? From 2017, the added value of our city's health industry is only more than 15 billion yuan, accounting for 5.2% of the total GDP of Shanghai; by 2020, the added value should reach 6%; by 2030, it should reach 7. 5% makes Shanghai a global city of excellence.

How to do it based on this goal? It is necessary to follow the international standards to make the three main contents of health care, health services and health insurance a new one.

How to establish a world-class industrial cluster of health services in Shanghai? In the planning, we put forward a cluster of 5+X health industry services, and build 6 large platforms (genetic industry platform, major industrial technology basic laboratory, drug and device public service platform, medical artificial intelligence research and development platform, clinical Experimental sharing platform, medical science and technology innovation demonstration base).

At the same time, based on the commercial insurance trading hub type and functional platform, the Shanghai Insurance Trading Center was established, which is a pivotal functional platform for health insurance and health industry.

Through this platform, integrate financial, social capital, and insurance. Relying on big data to achieve the integration of commercial insurance, medical and health services and other resources, promote the innovation of insurance products, improve the level of health insurance services, and promote the transformation of the overall health insurance system and health industry.

New mode of social medical treatment

From the point of view of the agglomeration area, it is necessary to develop a group of internationalized, specialized and high-level social comprehensive medical institutions or medical centers. Shanghai now has five leading health industry clusters.

First, Shanghai International Medical Park. The core location in the Greater Pudong area has now opened, and the output value has exceeded 10 billion.

In terms of medical care, it is centered on Shanghai's Proton Heavy Ion Hospital and Shanghai International Medical Center. Recently, the Cancer Hospital has been basically completed and will open next year. Therefore, it is characterized by the creation of a distinctive medical service industry chain.

Second, the New Hongqiao International Medical Center. It is centered on the construction of a national health tourism base. It is one of 13 healthy tourism bases including Boao, Hainan, and is a gathering area featuring tourism and medical care.

Third, Jiading Precision Medical and Health Service Cluster. It mainly features tumor precision medicine, cellular immune technology and Chinese medicine health services.

Fourth, Putuo Taopu International Health Industry Innovation Park. Featuring cross-border integration, we will create an insurance + health + finance + Internet health service ecosystem. Without commercial health insurance, it is difficult to promote the development of the health industry.

Fifth, Xuhui Fenglin Life Health Service Park. It is characterized by the development of health science and technology and the transformation of results, and accelerates the development of health science and technology innovation enterprises. This park is the longest in Shanghai, and there are many pharmaceutical platforms.

At the same time, there are a number of health service clusters, and several health medical service clusters are built in Yangpu, Fengxian, Jinshan, Chongming and Songjiang.

Based on “5+X” as the core, Shanghai Health Care Service System will be formed by integrating industries and businesses.

The conditions in the park are good, the service is good, but the technical strength is not enough. In the park, a mixed-run social medical model should be formed. How to integrate resources flow, how to divide the operating costs, how to return in capital investment, we have already considered.

According to the guidance of the State Council's modern hospital management system, the proportion of providing high-end services in the form of special needs does not exceed 10%. But society's demand for special needs services greatly exceeds this ratio.

More than 10% of the parts were transferred to the park for pilot projects, and five parks should consider how to integrate with high-end hospitals in the future. Public hospitals set up special needs department and international department in the park. In this way, a new development model is formed in the social medical institutions.

Multi-medical pattern

There is demand, and few people will go to the park. Where is the problem? The resources are not enough. A large number of high-quality resources are concentrated in tertiary medical institutions. How can these doctors form a linkage with these institutions?

In the future, tertiary hospitals must be stratified, divided into clinical medical institutions, clinical and research-oriented medical institutions, and research-based medical institutions.

Community health care is mainly for basic medical services and for providing more health management.

We so much body mass, the final output is single, not conducive to the overall development of medicine, medical innovation is not conducive to structural adjustment resources, to separate the medical and clinical research and basic cut, the more space Let the society run a doctor.

The overall direction is to increase the resources of tertiary medical institutions and social medical resources to form a resource sharing mechanism.

In the future, medical care should be developed as a modern industry. That is to say, the government guarantees basics, and the basic supplements are to be given to the market.

How to maximize the role of social capital to run a doctor, planning policies have been introduced, but it is still difficult to land.

At present, there are many social doctors in Shanghai, but the amount is small. It is a fact that the volume of services and the amount of work that can be carried out by many international agencies is not large.

What are we going to do? Health management and health promotion, health insurance and related services, including medicines, medical equipment, health care products, health foods, health products, etc.

In addition to the five major parks, we have seven bio-manufacturing bases, three biomedical R&D outsourcing service bases, and three biomedical commercial bases, including Oriental Meigu and Healthy Town.

Shanghai encourages the cultivation of a number of high-level, distinctive and internationalized brands for social medical treatment, and forms a pattern in which public medical institutions and non-public medical institutions work together to develop multiple medical treatments.

Comprehensive medical center.

A medical group with specialist characteristics.

“Medical doctors and famous doctors” are the core, and encourage the development of various doctor groups and specialty clinics.

Develop a family doctor service market supported by international standards and commercial health insurance.

At the same time, some third-party inspection centers and testing centers can be formed.

Now, we have made many breakthroughs in our policies, including the family doctor's clinic, the filing system, 100-bed and above social medical institutions, general clinics and Chinese medicine clinics, two certificates, and nurses' regional registration. Let go all.

With the advancement of medical reform, the future development of the hospital must consider positioning and function and output to be compatible. The future development of Shanghai is to integrate public medical institutions with social medical institutions.

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Edit|Yang Huilin

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