State Council: To achieve full coverage of medical institutions by 2020


Release time:

2017-01-10

Recently, the State Council issued the "13th Five-Year Plan" to deepen the reform of the medical and health system (hereinafter referred to as the plan). The plan requires that by 2020, a super-large drug distribution enterprise with annual sales of more than 500 billion yuan will be formed, and 100 coverage will be achieved for the supervision and inspection of medical and health institutions at all levels and types.

 

Recently, the State Council issued the "13th Five-Year Plan" to deepen the reform of the medical and health system (hereinafter referred to as the plan). The plan requires that by 2020, a super-large drug distribution enterprise with annual sales of more than 500 billion yuan will be formed, and 100 coverage will be achieved for the supervision and inspection of medical and health institutions at all levels and types.

hierarchical diagnosis and treatment

By 2020, we will strive for full coverage of family doctors.

The plan requires that 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 areas where the grassroots Chinese medicine service system is not sound and the ability is weak, the Chinese medicine outpatient diagnosis and treatment services of Chinese medicine hospitals will be included in the scope of the first consultation. By 2020, strive to have all community health service institutions, township health centers and 70% of village clinics with traditional Chinese medicine service capabilities, as well as corresponding medical rehabilitation capabilities.

At the same time, guide the third-level public hospitals to treat difficult, complex and critical patients, and gradually turn to common diseases, frequently-occurring diseases, stable and recovery patients. Encourage the breaking of administrative regional restrictions, promote the construction of medical consortia, combine with medical insurance, telemedicine, etc., and realize the organic combination of medical resources and the connection between the top and bottom.

Establish and improve the family doctor contract service system. By 2017, the coverage rate of contracted services for family doctors will reach more than 30%, and the coverage rate of contracted services for key groups will reach more than 60%. By 2020, we will strive to expand the contracted service to the entire population and basically achieve full coverage of the family doctor contracted service system.

Drug supply

Retail pharmacies will become an important channel for drug supply.

In terms of drug supply, which has attracted much attention, planning requires the establishment of a standardized and orderly drug supply guarantee system. We should eliminate the use of drugs to supplement medicine, promote the comprehensive allocation of medical institutions at all levels and give priority to the use of essential drugs, build a national drug policy system in line with national conditions, and straighten out drug prices.

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.

Promote the separation of medicines and take comprehensive measures to cut off the chain of interests between hospitals and medical staff and medicines and consumables. Medical institutions shall issue prescriptions in accordance with the generic names of drugs and provide them to patients on their own initiative, and shall not restrict the outflow of prescriptions. Explore the hospital outpatient multi-channel drug purchase mode, patients can purchase drugs with prescriptions to retail pharmacies. Promote full competition and mergers and reorganizations of enterprises, increase market concentration, and achieve large-scale, intensive and modern operations. Adjust the market structure, so that retail pharmacies gradually become an important channel to sell drugs to patients and provide pharmaceutical services.

Explore the establishment of hospital chief pharmacist system, improve the management system of pharmacists in medical institutions and retail pharmacies, and reflect the value of pharmaceutical services in combination with the reform of medical service prices. Establish a comprehensive clinical evaluation system for drugs and a comprehensive clinical evaluation mechanism for children's medication to improve the level of rational drug use.

Operation supervision

Establishing a "blacklist" system for violations of law and discipline

In terms of supervision, planning requirements, to carry out comprehensive supervision pilot. We will carry out "double random" spot checks of randomly selecting inspection objects and randomly selecting law enforcement inspectors, investigate and deal with violations of laws and regulations in accordance with the law, and disclose the results of spot checks and investigation to the public in a timely manner. Establish a "blacklist" system for violations of laws and disciplines, and severely deal with institutions and personnel who enter the "blacklist" in accordance with laws and regulations, and resolutely expose serious circumstances. By 2020, the supervision and inspection of medical and health institutions at all levels and types will cover 100 per cent of the total.

The plan proposes that by 2020, a vigorous and energetic general practitioner system will be initially established, and a unified and standardized general practitioner training model will be basically formed. There will be 2-3 qualified general practitioners for every 10,000 residents in urban and rural areas. The total number has reached more than 300000. (Reporter Yue Feifei)