The general outpatient department of family medicine undertakes the first consultation task of "general practice first and then specialty" in the hospital. General practice has a wide range of diagnosis and treatment. Please make an appointment for the first consultation of common diseases, frequently-occurring diseases and early health problems. General practitioners can solve more than 85% of patients' health problems. If you encounter a complex and serious disease, the general practitioner will refer you to the corresponding specialist in time. In developed countries such as Europe and America, residents choose general practitioners first when they are sick, and general practitioners are the guardians of residents' health.
Medical appointment
Except for emergency, all patients who come to HKU Shenzhen Hospital need to make an appointment in advance. The hospital does not accept any patients without an appointment.
During the trial operation, the hospital was in good order, and the daily outpatient volume of 300 people was all "full". The reservation mode is different from the subway-like crowded queue in many hospitals in Chinese mainland, which improves the comfort, saves the waiting time and is more efficient.
"packaging" fee
In view of the public's greatest concern about consultation fees, HKU Shenzhen Hospital has implemented a "packaged" charging system for general outpatient services, with a charge of 130 yuan each time, including registration fees, consultation fees, medicines not exceeding 7 days, routine standard examinations, sanitary consumables, etc. This fee is calculated with reference to the basic outpatient data of three 3A hospitals in Shenzhen. The trial period is 1 year, after which it will be evaluated and adjusted according to the implementation effect. Specialist fees do not use the "package" system, and the specific charging rules will be finalized in September.
Professional liability insurance
The hospital also made reference to the practice of some hospitals in Hong Kong, creating the first case in the Mainland, purchasing "occupational liability insurance" for all doctors, and transferring the responsibility for medical accidents to a third party to ensure that doctors treat more attentively and improve the doctor-patient relationship.
Medical system reform
The hospital implements the triage mode of "general practice first, then specialty". First-time patients need the treatment of general practitioners, and then transfer to specialist clinics if necessary.
A person in charge of the hospital said that all general practitioners have been trained in general medicine and have comprehensive medical knowledge. They are versatile in dealing with common diseases, frequently-occurring diseases and general emergencies. "Headache is not necessarily a brain problem, or it may be that other internal organs have failed. It is not appropriate to find a specialist directly. In fact, 90% of patients can solve it in general clinics. "
Full employment system
HKU Shenzhen Hospital broke the doctor's "iron rice bowl" and attracted the attention of all parties. Different from the existing personnel system of public hospitals, Shenzhen Hospital of HKU implements a full-time employment contract system, and employees sign a three-year employment contract with the hospital. After the contract expires, the hospital will decide whether to renew it according to the evaluation. In terms of salary, the highest annual salary can reach one million.
As of July 20th, 20 12, there were 48 mainland doctors, 30 nurses, 56 medical technicians, 48 administrators and 54 staff registered in HKU Shenzhen Hospital.
Get fired with a red envelope.
HKU Shenzhen Hospital has a zero tolerance attitude towards the gray income of medical staff such as red envelopes and kickbacks. On the one hand, the system of "packaging" charges makes doctors' gray income have no "gap". On the other hand, the "no red envelopes" clause is clearly written into the contract, and once it violates the rules, it will be dismissed. The results of medical ethics examination of medical staff will be used as an important index for reappointment, salary, promotion and selection of advanced workers.