China's rehabilitation medical care into a short board rehabilitation division gap of hundreds of thousands

Rehabilitation medicine has always been an important part of modern medicine. With the continuous influence of the development experience of foreign rehabilitation medical care, the continuous improvement and opening up of domestic policies, new models and new technologies for rehabilitation medical care are emerging, bringing important development opportunities for rehabilitation.

The World Health Organization has pointed out that disability is not destined to happen, nor is it uncontrollable. With the prior art, at least 50% of the disability can be controlled or delayed. Rehabilitation has played an important role in developed countries. But in China, rehabilitation medicine has always been an unavoidable shortcoming in the development of medicine.

Compared with other forms of medical behavior, the threshold for rehabilitation medical care is lower, and the scope of business is wider, which is more suitable for private capital to enter. Experts suggest that attention should be paid to the construction of specialist rehabilitation hospitals, and to paying attention to the rational guidance of private capital into the rehabilitation medical industry, and to focus on the development of rehabilitation therapy specialist education.

The contradiction between supply and demand of domestic rehabilitation medical

The concept of rehabilitation medicine was born in the middle of the 20th century. It is a medical discipline that eliminates and alleviates human dysfunction, compensates for and reconstructs human dysfunction, and tries to improve and improve all aspects of human functions. It involves prevention and diagnosis of dysfunction. , assessment, treatment, training and management.

China has a large population, and the number of elderly, disabled, and chronically ill patients is increasing year by year, and the demand for rehabilitation medical care is increasing. In sharp contrast to the potential for rehabilitation, the supply side is relatively bleak.

Due to the late development, the supply of rehabilitation medical institutions and beds in China is in short supply. According to the data of the China Research and Development Center's “2017-2022 China Rehabilitation Medical Industry Market Prospect and Investment Strategic Planning Analysis Report”, in 2015, the number of rehabilitation departments and rehabilitation specialists in general hospitals in China was about 4,000, accounting for 14.50% of the total number of hospitals; The number of beds was 129,300, accounting for 2.43% of the number of hospital beds. On the whole, China has not yet formed a systematic, complete and sufficient rehabilitation medical supply system.

Yu Haiting, deputy director of the Eighth People's Hospital of Zhengzhou, pointed out that rehabilitation medicine is not only the responsibility of general hospitals, except for critically ill patients, patients cannot and should not live in general hospitals for a long time. Patients after the acute clinical rehabilitation period should be transferred to the rehabilitation center, nursing home, community, family and other units as soon as possible for further rehabilitation. However, how to connect and whether the personnel of the rehabilitation institution have sufficient qualifications are all problems that need to be solved.

In terms of status and importance, modern medicine is a kind of natural science that maintains health by the "four in one" of preventive medicine-health medicine-therapeutic medicine-rehabilitation medicine. This concept reverses the old view that "medicine" is simply "the science of healing" and also expands the meaning of "health". Therefore, rehabilitation medicine is an important part of modern medicine. However, people's lack of awareness of rehabilitation medicine has made the development of rehabilitation medicine in China a circle of vicious circle. Patients do not understand, doctors do not say, rehabilitation medical institutions are seriously inadequate, rehabilitation propaganda is weak, patients do not understand...

The lack of professionals also hinders the development of rehabilitation medicine. The most "new" national survey of the Chinese Association of Rehabilitation Medicine was completed in 2009. At that time, the data showed that the total number of professional rehabilitation technicians in the country was less than 14,000, with an average of one technician per 100,000 population. The average number of rehabilitation therapists in developed countries is 60 per 100,000 population. According to international standards, 8 rehabilitation therapists per 100,000 population estimate that there are hundreds of thousands of gaps in rehabilitation medical staff and therapists in China.

In addition to the extremely imbalance between supply and demand, most of the rehabilitation therapists in China are transferred from other departments and are less trained in systematic rehabilitation. Hou Baoyan, director of the Department of Rehabilitation Medicine, Henan Provincial People's Hospital explained, “Reference to the development and setting of foreign rehabilitation medicine departments, rehabilitation therapists should be a group of people, including physiotherapists, occupational therapists, speech therapists, etc. But in China, there is no very Detailed professional division."

Rehabilitation medical development has broad prospects

Rehabilitation medicine is the fourth type of medicine alongside preventive medicine, clinical medicine and health care. It is an important part of the modern medical "prevention, clinical treatment and rehabilitation". With the advent of an aging society, rehabilitation medicine has become the fastest growing market in the medical industry.

Medical practice shows that rehabilitation medicine has obvious application value in general hospitals, such as fracture, craniocerebral injury, cerebrovascular events, diabetes, cardiovascular disease, rheumatoid arthritis, cervical spondylosis, low back leg disease, etc. More effective in accelerating the patient's recovery process, improving the recovery effect, significantly reducing disability and mortality, and playing a significant role in improving the overall clinical efficacy.

At present, the demand for rehabilitation medical care in China mainly comes from three groups: first, the elderly population. According to the latest data released by the National Bureau of Statistics, in 2016, China's population aged 60 and over was 230.86 million, accounting for 16.7% of the total population; the population aged 65 and over 15.003 million people, accounting for 10.8% of the total population. Hypertension, diabetes, arthritis, cardiovascular and cerebrovascular diseases, and respiratory diseases among the elderly population are the main diseases requiring rehabilitation. Secondly, the disabled group, according to the sixth national census and the second national sample survey of disabled people, at the end of 2010, the number of disabled people in China has reached 85.02 million, of which more than 50 million have rehabilitation needs. Finally, patients with chronic diseases and sub-health populations are also among those who need rehabilitation. It is estimated that by 2030, the prevalence of chronic diseases in China will be as high as 65.7%, and 80% of patients with chronic diseases need rehabilitation.

In recent years, the incidence of chronic diseases among residents in China has continued to rise, especially hypertension, heart disease and diabetes. According to the fifth national health service survey data, the prevalence of chronic diseases increases with age, the spectrum of diseases caused by aging changes, the high-risk rate of the elderly themselves and the need for chronic disease disability. It will continue to expand the demand space for the rehabilitation medical industry. As China's rehabilitation medical care is still in the initial stage of development, the market potential is huge, and the rehabilitation medical industry still has a large room for growth.

Recently, the Industrial Securities Research Institute estimated that China's market size and growth rate in the next few years show that in 2013, China's domestic rehabilitation medical market is only 20 billion yuan (15 yuan per capita), far lower than the US's 100 billion US dollars (per capita 80 dollars). According to the level of basically meeting the needs of China's rehabilitation, by 2023, the scale of China's rehabilitation medical industry is expected to reach 103.8 billion yuan, and the compound annual growth rate is expected to be no less than 18%.

Social capital or an important driving force

In the face of the serious problems facing the development of the rehabilitation medical market, the government is constantly looking for solutions. In 2011, the “Notice on Carrying out the Pilot Work of Establishing and Improving the Rehabilitation Medical Service System” clearly stated that the developed countries should be established and a comprehensive three-level rehabilitation medical system should be established. On March 9, 2016, the Ministry of Human Resources and Social Security, the State Health Planning Commission, the Ministry of Civil Affairs, the Ministry of Finance, and the China Disabled Persons' Federation jointly issued a Notice on the Incorporation of New Medical Rehabilitation Projects into the Scope of Payment of Basic Medical Insurance, and paid for medical insurance. The rehabilitation program has expanded by 20 items.

Hou Baoyan pointed out that these policies also reflect the country's further understanding of the status and importance of rehabilitation medical institutions. The collaboration of rehabilitation medical institutions with upstream general hospitals will greatly improve the operational efficiency of the entire medical system. For large general hospitals, referral of stable patients to downstream rehabilitation hospitals can improve the bed turnover rate of large comprehensive hospitals and ensure the treatment of patients with acute and severe diseases on the premise of ensuring patients receive professional and effective follow-up treatment. Space and resources.

However, China’s decades of history of rehabilitation therapy have been owed, and there are still many difficulties in reserving it in the short term. In addition to hardware and health care standards, more important is the shortage of investment.

In fact, in the past years, with the joint advocacy and support of upstream disciplines and professionals in the field of rehabilitation medicine, more and more social capital is concentrating on the field of rehabilitation medicine, and actively promotes the development of related industries such as rehabilitation, pension, and nursing in China.

Although the development momentum is booming, there are also problems of blind investment. Hou Baoyan believes that the development of China's rehabilitation medical market should find out the changes in market demand and gradually increase investment. If you don't have the corresponding qualifications and strengths, you can't get the corresponding return, and it may disrupt the market.

For the development of domestic rehabilitation medical care, the experts interviewed are still worried when they are optimistic. There is a huge gap in the number of domestic rehabilitation medicine professionals. If measured according to international standards, there are hundreds of thousands of gaps in Chinese rehabilitation therapists. In China, there are less than 100 undergraduate colleges offering rehabilitation therapy. The number of graduates of rehabilitation departments (including doctors and therapists) is about 10,000 per year. According to this training rate, it takes at least several decades to catch up with the international average. .

In addition to the unusually prominent contradiction between supply and demand of talents, China's current rehabilitation medical education generally has problems of small scale, poor systemicity, and weak clinical practice and research capabilities. How to expand the talent team while strengthening the existing talent team and continuously improve the professional level is not only a problem that the government has to solve, but also a major responsibility shared by many practitioners and investors.

"The development of domestic rehabilitation medicine can be promoted by several institutions and several experts," Hou Baoyan said. "This requires the joint efforts of the entire society, and the progress of domestic rehabilitation medicine will surely benefit the whole society."

Source: Economic Information

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