Chen Zhu: Public hospitals will cut off the use of medicine to support doctors.


Release time:

2014-04-09

The medical and health sector of the CPPCC meeting held a joint group meeting. Minister of Health Chen Zhu, Vice Ministers Huang Jiefu, Wang Guoqiang, and Ma Xiaowei participated in the joint group discussion of the committee members. Chen Zhu, Minister of health, said that the new health care reform plan, which has attracted much attention, will be announced immediately after the two sessions, "please calculate on a daily basis". He also revealed that the new medical reform will completely cut off the situation of public hospitals to support doctors with medicine.
Social solidarity guarantees wide coverage of health insurance.
Chen Zhu said that the new medical reform emphasizes the "wide coverage" of basic medical security ". The people can accept medical and health services, and the direct investment of finance at all levels is a main source, but the more important source is the system guarantee. The idea of the new medical insurance is to determine the use of a social mutual aid security system, so that citizens have the ability to resist the risk of major diseases, so the main source of basic medical security is society. Through the investment of medical service providers and demanders, we should not only solve the problem of "expensive medical treatment" of the people, but also avoid repeating the past situation of "big pot of rice" and "raising lazy people.
Building prevention-oriented public services
Chen Zhu said that the new medical reform plan has better handled the relationship between "prevention" and "governance. "In a large country with a 1.3 billion population, if we do not do a good job in disease prevention and control and health promotion, it will be difficult to deal with no matter how much money is invested in medical institutions."
He said that promoting the equalization of basic public health is an important highlight of this medical reform. It is necessary to bring real benefits to the people through the establishment of a public health service system.
He introduced that basic public services will include disease prevention and control, immunization, maternal and child health, mental health, chronic disease management, and gradually establish residents' health records. "For example, starting from this year, we will gradually realize the whole population vaccination of hepatitis B vaccine for children aged 6 to 15, specially arrange hospital delivery for rural pregnant women, and reduce the mortality rate of rural pregnant women and infants." Chen Zhu added.
Public hospitals will cut off the use of medicine to support doctors.
Chen Zhu said that an important idea of the new medical reform is to take medical service institutions and the majority of medical workers as the main body of the medical reform, and to reflect the public welfare of public hospitals by giving full play to the enthusiasm of the majority of medical workers. "The new medical reform did not evade the difficulties-the reform of public hospitals." Chen Zhu said, "The people's feelings about medical treatment largely come from the feelings of going to public hospitals after a serious illness or serious illness."
Chen Zhu said, "At present, the income of public hospitals includes three channels: public financial investment, social security and personal medical expenditure, as well as drug fee bonus. Drug fee bonus is what we mean by drug to support doctors. The new medical reform will completely cut off the channel of drug to support doctors."
Chen Zhu said that the public welfare of public hospitals ultimately depends on the services of medical staff. After cutting off the income channels of relying on medicines to support doctors, it is necessary to increase the current low medical service expenses such as diagnosis fees through research to mobilize the enthusiasm of medical staff.
Youlao Youde Mobilizes Doctors' Enthusiasm
This year, the reform of public hospitals will first be carried out on a pilot basis in each of the eastern, central and western regions. After cutting off the "medicine to support doctors", on the one hand, the funding gap of the pilot hospitals after losing the addition of drug expenses will be calculated, and subsidies will be given through public finance; in terms of distribution, excellent work will be adopted, and pay according to work will be paid. The quantity, quality and efficiency of labor provided by medical staff are the main criteria for performance evaluation, at the same time, combined with scientific research and teaching and risk positions to be used as a reference for allocation to appropriately increase the cost of diagnosis of doctors.
Through excellent work and good pay, the enthusiasm of doctors is mobilized, and the services they provide are increased by mobilizing the enthusiasm of doctors. The more medical and health services doctors have, the better the public welfare will be.
Rural doctors can go to the hospital to learn medicine.
Chen Zhu said that unlike the past medical reforms, one of the key points of the new medical reform is to include "medical talent construction. The construction of medical talents will promote the "resident training system" through pilot projects, allowing rural doctors and grassroots doctors to enter large hospitals for training, and then go out of the hospital to the grassroots level, and become the "health gatekeeper" that the people can rest assured ".
Chen Zhu said that in addition to clarifying that the focus of the city's medical and health planning is "two-way referral between community hospitals and large hospitals", the new medical reform also proposes to vigorously develop "county-level hospitals" in rural areas and establish "county hospitals as the leader and rural infirmary The system of" network bottom and township health centers as nodes "can effectively alleviate the difficulty of seeing a doctor in rural areas by strengthening hardware investment and talent input in grassroots hospitals.