Coordinating and promoting the reform of the medical and health system according to the spirit of the 18th National Congress
At the National Health Work Conference held on January 7, 2013, the Minister of Health Chen Hao pointed out that in light of the new requirements put forward by the 18th National Congress, in the face of increasingly complex domestic and international economic and social environment and new challenges of reform and development, it is necessary to realize people as scheduled. As people enjoy the goal of basic medical and health services, we are increasingly aware of the urgency of time and responsibility. Only by further summing up experience, strengthening confidence, recognizing the situation, and clarifying ideas can we innovate and make a difference and achieve new and greater breakthroughs.
Chen Yu stressed that China's health industry has been continuously reformed and continuously developed. It has made great achievements in establishing a basic medical and health system with Chinese characteristics and improving people's health. It has been positively and positively evaluated by all sectors of society. Practice has proved that the reform concept of maintaining the public health and public welfare nature, the reform direction of serving the people's health, and the reform goal of achieving basic medical services for all are correct. The task of reforming the basic medical and health system is established, and the basic level of the basic health care system is adhered to. The reform principle of the construction mechanism is in line with the national conditions. The path of comprehensive planning, focusing on priorities and step-by-step reforms is fruitful. These are the core content of the road of health development, theoretical system and institutional framework with Chinese characteristics, and laid a solid foundation for achieving the ambitious goal of continuously improving people's health. In this regard, we must have sufficient road confidence, theoretical confidence and institutional confidence.
Chen Wei pointed out that we must clearly see that we must still face many problems and challenges in achieving the goal of health reform and development as scheduled. The macroeconomic situation has put forward new requirements for health reform and development. The government must focus on solving basic medical care, basic medical insurance, and basic medicine. The growing demand for multi-level diversified medical and health services is far from satisfactory. There is no fundamental solution to the problem of expensive medical treatment. The basic medical and health system in China is still not perfect.
Chen Wei stressed that at present, the reform has entered the deep water area and the tackling period. We must promote comprehensive reforms in the five areas of medical security, medical services, public health, drug supply and supervision systems in accordance with the overall layout and requirements of the central government.
First, in the medical reform, the service structure is adjusted to improve overall efficiency. Control the large-scale expansion of large public hospitals, leaving room for development for private medical institutions, and strive to achieve the goal of 20% of non-public medical institutions in 2015. It is necessary to explore the integration of hospitals and communities, the integration of counties, towns and villages through the form of medical service consortiums, and improve the convenience and accessibility of basic medical and health services.
Second, in the reform of medical insurance, accelerate the reform of the payment system. Guide medical institutions to actively control costs, guide patients to primary care and grading visits at the grassroots level, encourage patients to choose outpatient treatment, reduce treatment costs; implement full coverage of payment reform as soon as possible, and gradually implement all the designated medical institutions and all diseases in the coordinated area. Reform of payment methods; comprehensively taking into account the interests of multiple parties, adopting the methods of “total control, balance retention, and over-spending” in the implementation of total fee control reform; including preventive health care, disease screening, aged care and rehabilitation services; Fine management and strengthen quality supervision.
Third, in the medical reform, we will vigorously promote and improve the centralized bidding and procurement system for drugs. Reduce the “moisture” in the circulation field through group purchase and enhanced negotiation capabilities. Exploring the centralized procurement of all public hospitals in the jurisdiction of the public hospitals on behalf of the public hospitals, and the pharmaceutical production and management enterprises to carry out volume purchases, linked to volume and price, to minimize drug prices.
Fourth, comprehensively implement the prevention-oriented health work policy and curb the rapid rise of chronic non-communicable diseases. When formulating public policies, industrial development plans and major construction projects, it is necessary to conduct a health pre-assessment; to incorporate the core indicators for the creation of healthy towns into the creation and assessment of health towns; to promote health literacy promotion actions, and to integrate health education work into prevention and medical care. In all health care activities, such as rehabilitation, provide high-quality early intervention for prominent public health problems such as chronic non-communicable diseases.
Fifth, actively and steadily promote the reform of the health supervision system. As the public interest representatives, the health administrative departments at all levels must manage all medical and health institutions according to the law, regardless of ownership, affiliation, for-profit and non-profit, create a fair market competition environment, and ensure the health and stability of medical and health care. Development. Chen Hao clearly stated that at present, efforts should be made to promote separation of management and administration and separation of political affairs. It is necessary to explore the effective implementation of separation of management and management within the framework of the general health. In public hospital reform pilot cities, hospital management committees (bureaus, centers) and other substantive medical institutions can be established; in non-pilot cities or counties, government leaders can be established, led by health, development, finance, human society, Compile hospital management committees composed of other departments to integrate government responsibility for medical treatment in public hospitals. Separate administrative matters, the government fulfills the responsibility of asset management, financial supervision, performance appraisal, appointment of principals of medical institutions, etc., and delegates the power of post setting, personnel recruitment and internal distribution to public medical institutions to achieve macroscopic constraints and microscopic vitality. Chen Yu demanded that in accordance with the overall requirements of the Party’s 18th National Congress to accelerate the promotion of new urbanization and overall urban and rural economic and social development, and follow the principles of unity, efficiency and coordination, integrate the basic medical security system financing, service, management and management functions to form responsibility. A health administrative system with clear objectives, efficient management services, cost control, and coordinated development.