The State Council issued a document: promote Sanming medical reform!

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Recently, the State Council approved and forwarded the notice of the National Development and Reform Commission on the key work opinions of deepening the reform of the economic system in 2016, which involves the following parts of medicine:
promotion of sanming medical reform:
Coordinate and promote the joint reform of medical care, medical insurance and medicine. We will consolidate and improve the comprehensive reform of county-level public hospitals, increase the number of pilot cities for comprehensive reform of public hospitals to 200, expand the scope of pilot provinces for comprehensive medical reform, and speed up the establishment of a modern hospital management system. Promote medical reform practices and experiences in Sanming City, Fujian Province, in some pilot provinces of comprehensive medical reform.
The number of pilot provinces for medical reform increased by 4 to 8, that is, from the four pilot provinces of Jiangsu, Anhui, Fujian, and Qinghai to 8 provinces of Shaanxi, Shanghai, Zhejiang and Sichuan. The number of pilot cities for public hospital reform will increase to 200, and the number of pilot cities and pilot provinces will definitely be busier for medical professionals. How many people are on their way to public relations in various provinces and cities. Busy anyway.
Although everyone knows the practice of promoting Sanming medical reform, it is mainly a policy judgment. Now the government has issued a clear document. Shanghai should not promote the practice of Sanming City in some pilot provinces of medical reform. Now, volume procurement and GPO procurement are in the pilot and promotion, and Sanming should not be promoted. The other three provinces will have to look at their policy trends. What are the core of Sanming's medical reform?
At a recent symposium hosted by Liu Yandong, Vice Premier of the State Council, and Liu Yandong, leader of the State Council's Medical Reform Leading Group, Ma Xiaowei, deputy director of the State Council's Medical Reform Office and deputy director of the National Health and Family Planning Commission, pointed out in his report that from the first batch of comprehensive medical reform pilot provinces Judging from the experience of the province, "8 must" must be achieved in the future reform process ".
1. The comprehensive medical reform must be personally responsible by the "top leader" of the party and government, and a leader is in charge of the "three medical" work;
2, the basic medical insurance management must achieve the "three guarantees" in one;
3. The reform in the field of circulation must implement the "two-vote system" to further reduce the "moisture" of inflated drug prices ";
4, public hospital reform must adhere to the "cage for birds", the establishment of scientific operation of the new mechanism;
5, to mobilize the enthusiasm of medical staff must reform the personnel compensation system, the implementation of the establishment of the record system;
6, to improve the overall efficiency of the health system must accelerate the promotion of hierarchical diagnosis and treatment;
7, to play the role of medical insurance incentives and constraints must increase efforts to promote the reform of payment methods;
8, adhere to the public welfare of public hospitals must implement the responsibility of the government.
70% of places to carry out graded diagnosis and treatment pilot
Promote the reform of the salary system for medical staff in public hospitals, and establish a new mechanism for maintaining public welfare, mobilizing enthusiasm, and ensuring sustainable operation. Deepen the comprehensive reform of primary medical and health institutions, accelerate the construction of a hierarchical diagnosis and treatment system, and carry out pilot projects in about 70% of prefectures and cities.
The target set by the State Council is that serious diseases will not leave the county in 2017, and it is imperative to promote graded diagnosis and treatment rapidly. Some provinces and cities have begun to pilot some diseases that can only be treated at the grass-roots level. Will this really expand in the future?
medical insurance system reform
We will improve the basic medical insurance system, integrate the basic medical insurance system for urban and rural residents and management institutions, speed up the reform of medical insurance payment methods, and promote the national network of basic medical insurance and the settlement of medical treatment in different places. Achieve full coverage of major illness insurance. Study and formulate a pilot program for the combined implementation of medical insurance and maternity insurance.
The good news about medical insurance is that the integration of new rural cooperative medical insurance and urban residents' medical insurance, serious illness medical insurance, national network of medical insurance and settlement of medical treatment in different places will expand the medical insurance market, but the reform of medical insurance payment for the purpose of fee control will regulate the barbaric growth of the medical market.
Improve the drug supply guarantee mechanism, promote the reform of drug circulation, and reduce the inflated drug prices.
Drug research and development: clinical efficacy into the gold standard. We will comprehensively promote the reform of the review and approval system for drugs and medical devices, establish a review system dominated by clinical efficacy, promote the consistency evaluation of the quality and efficacy of generic drugs, and carry out pilot drug marketing license holder system. Implement a number of policies and measures to promote the accelerated development of social medical services.