2017 will be graded diagnosis and treatment to promote the key year


Release time:

2017-01-10

The State Council recently issued the "13th Five-Year Plan" to deepen the reform of the medical and health system (hereinafter referred to as the "Plan"). The plan proposes that by 2017, a more systematic policy framework for the basic medical and health system will be basically formed. The hierarchical diagnosis and treatment policy system has been gradually improved, the construction of modern hospital management system and comprehensive supervision system has been accelerated, the universal medical security system has become more efficient, and the drug production, circulation and use policies have been further improved.

 

The State Council recently issued the "13th Five-Year Plan" to deepen the reform of the medical and health system (hereinafter referred to as the "Plan"). The plan proposes that by 2017, a more systematic policy framework for the basic medical and health system will be basically formed. The hierarchical diagnosis and treatment policy system has been gradually improved, the construction of modern hospital management system and comprehensive supervision system has been accelerated, the universal medical security system has become more efficient, and the drug production, circulation and use policies have been further improved.

It is worth noting that the establishment of a scientific and reasonable hierarchical diagnosis and treatment system is still listed as the first of the key tasks. The plan proposes to adhere to residents' voluntary, grassroots first diagnosis, policy guidance, and innovative mechanisms, and use family doctor contract services as an important means to encourage localities to implement various forms of hierarchical diagnosis and treatment models in accordance with actual conditions, and promote the formation of grassroots first diagnosis, two-way referral, and emergency A new order of medical treatment with slow treatment and upper and lower linkages. By 2017, the hierarchical diagnosis and treatment policy system will be gradually improved, and more than 85% of the cities will carry out pilot projects. By 2020, a hierarchical diagnosis and treatment model will be gradually formed, and a hierarchical diagnosis and treatment system in line with national conditions will be basically established.

In fact, graded diagnosis and treatment has been established as the top priority of this round of medical reform, and 2017 will become the key time node for the promotion of graded diagnosis and treatment. The main characteristics of graded diagnosis and treatment are: first, first diagnosis at the grass-roots level, second, two-way referral, third, up and down linkage, and fourth, urgent and slow triage. Experts interviewed by the "Economic Information Daily" reporter said that only by achieving hierarchical diagnosis and treatment can medical resources be effectively used, and to achieve such a medical pattern, it is required to achieve the first diagnosis at the grassroots level. As of the end of October 2016, 31 provinces and the Xinjiang Production and Construction Corps have issued documents related to hierarchical diagnosis and treatment.

The plan also sets out specific targets in a number of areas. By 2020, the average life expectancy of Chinese residents will be 1 year higher than that in 2015, the maternal mortality rate will drop to 100000, the infant mortality rate will drop to 7.5 ‰, and the mortality rate of children under 5 years old will drop to 9.5 ‰. The main health indicators will be in the forefront of middle-income countries, and the proportion of personal health expenditure in total health expenditure will drop to about 28%.

In the drug and consumable circulation industry, the plan requires deepening the reform of the drug circulation system and promoting the merger and reorganization of drug circulation enterprises.

Specifically, the plan proposes to strengthen structural adjustment, guide the balanced allocation of supply capacity, accelerate the construction of a unified, open, competitive and orderly market pattern for drug circulation, eliminate local protection, and form a new modern circulation system. Promote the merger and reorganization of pharmaceutical distribution enterprises, integrate the storage resources and transportation resources of pharmaceutical distribution enterprises, accelerate the development of modern pharmaceutical logistics, and encourage the integration of urban and rural areas in regional pharmaceutical distribution. Promote the transformation of circulation enterprises to intelligent pharmaceutical service providers, build and improve the supply chain integration system, and support circulation enterprises to extend services to the upstream and downstream of the supply chain. Strive to basically establish a traceability mechanism for drug ex-factory price information by 2020, and form a super-large drug distribution company with annual sales of more than 500 billion yuan. The annual sales of the top 100 drug wholesale companies account for more than 90% of the total wholesale market.

In addition, we should give full play to the long-term investment advantages of commercial health insurance funds, and guide commercial insurance institutions to set up medical, pension, health examination and other health service institutions by means of new investment. At the same time, support primary medical and health institutions to provide contracted medical services for elderly families, establish and improve the cooperation mechanism between medical and health institutions and elderly care institutions, support elderly care institutions to carry out rehabilitation care, geriatric diseases and hospice care services, and support social forces to establish medical and nursing institutions.