State Council Executive Meeting Determines Key Points of Medical Reform in 2016

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The executive meeting of the State Council on the 6th determined the focus of deepening the reform of the medical and health system in 2016. Experts believe that deepening the reform of public hospitals, advancing the construction of hierarchical diagnosis and treatment, and promoting the "transparency" of drug prices, etc., focus on the reform ideas of deepening reform and innovation, which is conducive to making the dividends of medical reform more beneficial to the people.
Wang Hufeng, director of the Medical Reform Research Center of Renmin University of China, believes that this year is the first year of the "13th Five-Year Plan". It is necessary to continue to deepen the medical reform policy since 2009, but also focus on reform and innovation in the new era. Comprehensively deepening the reform of public hospitals and accelerating the promotion of hierarchical diagnosis and treatment are the key to deepening reform and innovation, and also laid the main tone of this year's medical reform.
The executive meeting of the State Council determined that the number of pilot cities for the comprehensive reform of urban public hospitals should be expanded from 100 to 200. Carry out comprehensive reform demonstration of county-level public hospitals. At the same time, about 70% of the prefectures and cities across the country will carry out pilot trials of graded diagnosis and treatment, and public hospitals will carry out pilot trials of in-service or retired doctors or above to practice in primary medical institutions or set up studios. By the end of the year, the coverage of contracted services for urban family doctors will be expanded to more than 15 per cent. Strive for all tertiary hospitals and more than 80% of secondary hospitals to carry out clinical pathway management.
In this regard, Wang Hufeng believes that after several years of exploration, the reform of public hospitals has formed a set of relatively mature reform paths and policy measures. This year, the direction of public hospital reform is clear, with the expansion of quantity and the further increase of pilot cities for comprehensive reform of urban public hospitals. At the same time, there are also qualitative requirements, and it is proposed to carry out comprehensive reform demonstration of county-level public hospitals. At the same time, from the perspective of supporting policies, it also puts forward supporting requirements for the reform of the management system, including personnel distribution, establishment, and salary. For example, it is required to improve the performance salary system of primary medical institutions, encourage pilot cities to formulate methods for determining the total performance salary of public hospitals, establish a distribution incentive mechanism related to job responsibilities and performance, and highlight the value of medical personnel's technical services.
Regarding the meeting's clear promotion of the hierarchical diagnosis and treatment pilot, Wang Hufeng believes that hierarchical diagnosis and treatment is an important part of my country's current medical reform. The solid and orderly promotion of the hierarchical diagnosis and treatment system indicates that my country's medical reform has entered a new stage and the medical service development model has begun to transform. In the past few years, we have focused on establishing and improving the medical security system, strengthening the patient cost protection mechanism, and simultaneously attaching importance to refined management services; from emphasizing system reforms including public hospital reforms to simultaneously attaching importance to the allocation and use of medical resources, hierarchical diagnosis and treatment will The supplier and the demander are organically connected, reform and development are unified, and management and services are combined.
He suggested that the promotion of graded diagnosis and treatment in China can neither copy certain foreign methods and implement a compulsory "one size fits all" approach, nor can it wait until all problems are solved before implementing it. It is more feasible to study and formulate local graded diagnosis and treatment diseases, one by one, and find a graded diagnosis and treatment method that is not only in line with the national conditions, but also acceptable to the people.
The executive meeting of the State Council proposed to comprehensively promote the centralized procurement of drugs in public hospitals, establish a traceability mechanism for drug ex-factory price information, and implement the "two-invoice system" from production to circulation and from circulation to medical institutions to make the intermediate link price increase transparent. Patients can choose to purchase drugs at hospitals or retail pharmacies. Establish a reserve system for drugs in normal shortage, increase the free supply of special drugs such as AIDS, and strengthen the supervision of medical care and drug quality. We will promote the national network of basic medical insurance and the settlement of medical treatment in different places. Raise the per capita subsidy for basic medical insurance and basic public health services. 70000 residents were newly trained in standardized training, including 5000 pediatricians.
Gu Xuefei, deputy director of the Medical Security Research Office of the Health Development Research Center of the National Health and Family Planning Commission, believes that this year's medical reform focuses more on the three-medical linkage of "medical care, medicine, and medical insurance", and medical insurance will play a more important role in the reform. To consolidate and improve the universal medical insurance system is simply to integrate medical insurance for urban and rural residents, fully implement critical illness insurance, increase medical assistance, and develop commercial health insurance. Improve the efficiency of the use of medical insurance funds, increase revenue and reduce expenditure, and at the same time strengthen the connection of various systems, give full play to the joint force of the system, improve the level of security, and give priority to the protection of groups in need. Integrate the medical insurance system for urban and rural residents, accelerate the promotion of the national network of medical insurance and the settlement of medical treatment in different places, so that the "portability" of medical insurance benefits is stronger, and it is more convenient for the masses to see a doctor. This also requires the promotion of supporting policies, such as improving the way of insurance, strengthening the combination with graded diagnosis and treatment, and so on.