By the end of 2025, the number of critical care beds in China will reach 15/100000

Make up for the shortage of medical resources in critical care (policy interpretation)

By the end of 2025, the number of critical care beds in China will reach 15/100000

The report to the Twentieth National Congress of the Communist Party of China stressed that we should strengthen the system of prevention, control and treatment of major epidemics and the construction of emergency response capacity. Practice has proved that strengthening the construction of medical service capacity for critical care is an important measure to improve the rescue capacity for major public health emergencies, and is of great significance for maintaining people's life safety and health.

In order to effectively expand the medical resources of severe medicine and optimize the structure and layout of medical resources, the National Health Commission and other eight departments recently issued the Opinions on Strengthening the Capacity Building of Medical Services for Severe Medicine (hereinafter referred to as the Opinions), which aims to continuously improve the medical service network of severe medicine, focus on strengthening the capacity building of specialty of severe medicine We will effectively expand the team of professionals in critical care, and continue to promote the reform of medical services in critical care, so as to comprehensively promote the high-quality development of critical care specialties.

The Opinions put forward that by the end of 2025, the number of critical care beds in China will reach 15/100000, the number of transferable critical care beds will reach 10/100000, the ratio of beds to doctors in comprehensive ICUs of relevant medical institutions will reach 1:0.8, and the ratio of beds to nurses will reach 1:3. By the end of 2027, the number of critical care medical beds in China will reach 18/100000, and the number of transferable critical care medical beds will reach 12/100000. The capacity of critical care medical service resources will be effectively expanded, the regional layout will be more balanced, and the specialized service capacity will be significantly improved.

Improve the ability of severe medical specialty

The Opinion requires that the National Critical Care Medical Center and the National Critical Care Regional Medical Center should be set up based on high-level hospitals to play a leading role in "medicine, education, research and prevention". Establish a regional resource coordination and coordination mechanism to improve the ability of centralized treatment and regional coordination of critical patients in major emergencies. By the end of 2025, strive to have at least one general hospital in each province reach or close to the capacity and level of the national severe regional medical center.

Qiu Haibo, chief physician of the Central University Hospital affiliated to Southeast University, believed that the construction of medical service capacity for critical care was promoted as the key content of the construction of the medical and health service system during the "14th Five Year Plan", which reflected the country's continuous efforts in key links and fields of high-quality health development, and promoted the continuous improvement of medical service capacity for critical care, Make up for the shortage of medical resources in critical care. We will focus on complementing the weak points of severe medical resources in the western region and counties to achieve balanced development of regional severe medical resources.

Qiu Haibo said that the treatment level of severe patients in medical institutions depends on the critical medical department. The treatment level of critical care medicine is the embodiment of the hospital's comprehensive medical ability. It is necessary to make overall planning and layout of medical resources for critical care, and set up independent departments of critical care in general hospitals above Grade II and TCM hospitals where conditions permit. At the same time, the resources of critical care beds must be expandable. In addition to the intensive care beds of the Intensive Care Department, medical institutions should also be equipped with the monitoring and treatment equipment needed for comprehensive critical care, so that in the face of major emergencies, they can quickly put patients in critical care. At the same time, in accordance with the principle of "combining emergency treatment with emergency treatment" and the requirements of infection prevention and control, a batch of convertible critical medical beds with basic critical treatment equipment should be reserved, so that the critical medical resources of medical institutions have sufficient extensibility to meet the emergency needs of major emergencies.

The Opinions proposed to improve the capacity of severe medical services in the county. Promote the "Thousand County Project" to improve the comprehensive capacity of county-level hospitals, carry out in-depth three-level hospital counterpart assistance to county-level hospitals, medical talents "group type" assistance, etc., and complement the short board of county critical medical service capacity. We will continue to promote the construction of county medical community, improve the mechanism of linkage and division of labor and cooperation, strengthen the emergency response and standardized referral capacity of grass-roots medical institutions, and comprehensively improve the medical treatment capacity of major emergencies in the county. By the end of 2025, we will strive to make at least one hospital in each county reach the level of Grade II general hospitals, and promote a number of county hospitals to reach the level of Grade III general hospitals.

Qiu Haibo said that we should strengthen medical quality management and hold the bottom line of medical quality and safety of critical care. Grasp every element of medical quality and safety of critical care, establish and improve the quality control system of critical care, and make critical care more standardized and effective. On the basis of actively strengthening and consolidating the critical care medicine, we will further improve the management system of "severe care prevention - standardized treatment - early rehabilitation" for peri critical care medicine, and strengthen the care of peri critical care patients throughout their life cycle.

Expand the talent team of critical care medicine

The Opinions proposed to effectively expand the team of critical care professionals, including strengthening the training of critical care professionals, improving the proportion of critical care professionals, strengthening the training of critical care professionals, and strengthening the construction of critical care professionals.

The medical service capacity of severe medicine is the basic support for the high-quality development of medical institutions, and is the "bottom line" to protect the people's life and health. In recent years, the medical resources of severe medicine in China have increased significantly, and the quality of medical services has improved significantly. The National Health Commission has accelerated the construction of a standardized system of resident doctors, and has included critical care medicine.

Du Bin, Vice President of Peking Union Medical College Hospital, believes that medical institutions at all levels should reserve a number of convertible critical care medical beds in accordance with the principle of "combining emergency and emergency", so as to meet the needs of large-scale emergency treatment in the face of major emergencies. In addition to the medical staff of the Intensive Care Department, the medical staff of other special care units should also participate in the medical work as the rescue force of critical medicine. Specifically, doctors in specialized care units of tertiary general hospitals can be required to receive systematic training for no less than 6 months in the department of intensive medicine, to make up for their shortcomings in knowledge structure. It can also be considered to arrange young doctors from specialized care units to receive training in the Intensive Care Department regularly to understand the latest progress in critical medicine. After the training is completed, it can be used as a reserve of professionals in critical medicine in the hospital. In the face of major emergencies, a mixed team of medical staff from the Intensive Care Department and specialized care units can be formed to ensure medical safety to the greatest extent while giving full play to the role of reserve talents in critical care.

The Opinion requires to enhance the attraction of the major of critical care medicine. Improve the internal distribution mechanism with medical quality, efficiency and patient satisfaction as the core, reflect the value of knowledge, technology, management and other elements, achieve good performance pay, equal pay for equal work, and reasonably guarantee the salary and treatment of medical personnel in the department of critical care. Fully consider the characteristics of the work and the value of technical services in the Department of Critical Care Medicine, and give a moderate preference to the medical staff in the Department of Critical Care Medicine in terms of professional title promotion, post employment, merit evaluation, etc. To provide good learning and working conditions for medical staff in the department of critical care, relieve the pressure of medical staff and fully mobilize their enthusiasm.

Qiu Haibo believes that strengthening the attractiveness of disciplines and bringing together more excellent critical care doctors are the key elements to improve the specialized ability. The social demand for critical care is huge, and more excellent doctors are urgently needed to join the critical care team. Only by making doctors have career prospects, promotion space and good salary, can we attract more high-quality medical talents to join the team of severe medicine and ensure the high-quality development of the discipline.

Du Bin said that both in daily work and in major emergencies, medical staff of critical care have played an active role. The professional talent team of severe medicine in China still needs to be strengthened. Medical institutions should improve the training of severe medicine talents based on their own reality, so as to lay a solid foundation for the high-quality development of the discipline of severe medicine. (Reporter Bai Jianfeng)