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Coordinate and advance the reform of the medical and health system in accordance with the spirit of the 18th CPC National Congress

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Industry News
2013/01/10 08:00
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      At the National Health Work Conference held on January 7, 2013, Minister of Health Chen Zhu pointed out that in light of the new requirements put forward by the 18th National Congress of the Communist Party of China, in the face of increasingly complex domestic and foreign economic and social environments and new challenges of reform and development, people must be realized as scheduled The goal of people's access to basic medical and health services is becoming increasingly urgent and burdensome. Only by further summing up experience, strengthening confidence, recognizing the situation, and clarifying ideas, can we make innovations and accomplish something and achieve new and greater breakthroughs.

       Chen Zhu emphasized that China's health undertakings have been continuously reformed and developed, and great achievements have been made in establishing a basic medical and health system with Chinese characteristics and improving people's health, which have been affirmed and positively evaluated by all sectors of society. Practice has proved that the reform philosophy of maintaining the nature of public health and public welfare, adhering to the reform direction of serving the people's health, and achieving the reform goals of enjoying basic medical services for all are correct. The reform task of establishing a basic medical and health system, and keeping the basic grassroots strong The reform principles of building mechanisms are in line with national conditions, and a comprehensive and gradual approach to reform that is focused on, highlights key points, and is gradual is effective. These are the core contents of the health development path, theoretical system and institutional framework with Chinese characteristics, and have laid a solid foundation for achieving the grand goal of continuously improving people's health. In this regard, we must have sufficient road self-confidence, theoretical self-confidence, and system self-confidence.

      Chen Zhu pointed out that we must clearly see that we still face many problems and challenges to achieve the health reform and development goals on schedule. Changes in the macro situation put forward new requirements for health reform and development. The government must focus its work on solving basic medical care, basic medical insurance, basic medicine and other issues. The growing demand for multi-level and diversified medical and health services for residents is far from being met and it is difficult to see a doctor. There is no fundamental solution to the expensive medical treatment, and China's basic medical and health system is still incomplete.

       Chen Zhu emphasized that at present, the reform has entered the deep-water area and the tackling period. We must promote comprehensive reforms in five areas: medical security, medical services, public health, drug supply and regulatory system in accordance with the overall layout and requirements of the central government.

       First, in the health care reform, adjust the service structure and improve overall efficiency. Control the expansion of large-scale public hospitals, and leave room for the development of private medical institutions, and strive to achieve the goal of more than 20% of the number of beds in non-public medical institutions in 2015. We should explore ways to promote the integration of hospitals with communities, counties, townships, and villages, and improve the convenience and accessibility of basic medical and health services through medical services and other forms.

      第二,在医保改革中,加快推进支付制度改革。引导医疗机构主动控制费用,引导患者到基层首诊和分级就诊,鼓励患者首选门诊治疗,降低治疗成本;尽快实现支付方式改革全覆盖,逐步对统筹区域内所有定点医疗机构和所有病种全面实行支付方式改革;统筹兼顾多方利益,在推行总额控费改革中,采取“总额控制、结余留用、超支分担”的办法;把预防保健、疾病筛查、老年护理和康复等服务纳入保障范围;加强精细化管理,强化质量监管。

      第三,在医药改革中,大力推进和完善药品集中招标采购制度。通过集团购买、增强谈判能力降低流通领域的“水分”。探索由公立医院管理部门代表辖区内所有公立医院在省级集中采购工作的基础上,与药械生产经营企业进行带量采购,量价挂钩,最大限度降低药品价格。

      第四,全面落实预防为主的卫生工作方针,遏制慢性非传染性疾病快速上升的势头。制定公共政策、产业发展规划和重大建设项目时,必须进行健康预评估;将创建健康城镇的核心指标纳入卫生城镇创建与考核的内容;推进健康素养促进行动,将健康教育工作有效融入预防、医疗、康复等所有医疗卫生服务活动中,针对慢性非传染性疾病等突出公共卫生问题提供高质量的早期干预。

      Fifth, actively and steadily promote the reform of the health supervision system. Health administrative departments at all levels, as representatives of the public interest, must manage all medical and health institutions regardless of ownership, affiliation, for-profit and non-profit, etc. in accordance with laws and regulations, create a fair market competition environment, and ensure the health and stability of medical and health services. Land development. Chen Zhu made clear that at present, efforts should be made to promote the separation of management and management and separation of administrative affairs. It is necessary to explore an effective implementation form of separation of management and management within the framework of general health. In the pilot cities of public hospital reform, physical medical institutions such as hospital management committees (bureaus, centers) can be established; in non-pilot cities or counties, government leaders can be set up to lead health, development and reform, finance, human society, Establishment of a hospital management committee composed of other departments to integrate the government's responsibility for medical treatment of public hospitals. Separating administrative and administrative tasks, the government has fulfilled its responsibilities such as asset management, financial supervision, performance appraisal, and appointment of principals of medical institutions. It has delegated powers such as post settings, staffing, and internal distribution to public medical institutions to achieve macro-level constraints and micro-level vigor. Chen Zhu demanded that in accordance with the overall requirements of the 18th National Congress of the CPC to accelerate the promotion of new-type urbanization and coordinate urban-rural economic and social development, follow the principles of uniformity, efficiency, and coordination, and integrate the fundraising, service, handling and management functions of the basic medical security system to form responsibility A health administration system with clear subjects, efficient management services, cost control, and coordinated development.

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