The "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of the Medical and Health System" was released on the afternoon of April 6. The "Opinions" proposed the establishment of a government-led multi-disciplinary health investment mechanism.
Clarify government, society and personal health investment responsibilities
Establish the government's leading role in providing public health and basic medical services. Public health services are mainly provided to the urban and rural residents through government funding. The cost of basic medical services is shared by the government, society and individuals. Special needs medical services are paid directly by individuals or through commercial health insurance.
Establish and improve the government's health investment mechanism
Both the central and local governments should increase their investment in health, taking into account both the supply side and the demand side. Gradually increase the proportion of government health investment in total health expenditure, and effectively reduce the burden of basic medical and health expenses of residents; the growth rate of government health investment should be higher than the growth rate of recurrent fiscal expenditures, so that the proportion of government health expenditures Gradually improve. The new government health investment focuses on supporting public health, rural health, urban community health and basic medical security.
According to the principle of grading the burden, the government and the local governments at all levels should reasonably divide the responsibility for health investment.
Local governments bear the main responsibilities, and the central government mainly subsidizes public health such as national immunization programs, prevention and control of major infectious diseases across regions, basic medical security for urban and rural residents, and related public medical and health institutions. Increase the central government and provincial fiscal special transfer payments to difficult areas.
Improve the government's investment mechanism in public health
The personnel funds, development, construction and business expenses of professional public health service agencies shall be fully arranged by the government, and the service income obtained in accordance with the regulations shall be turned over to the special fiscal account or included in the budget management. Gradually increase per capita public health funding and improve the funding guarantee mechanism for public health services.
Improve the government's investment mechanism in urban and rural primary health care institutions
The government is responsible for the capital construction, equipment purchase, staffing and public health service business funds approved by the township hospitals and urban community health service centers (stations) according to state regulations. For all township health centers and urban community health service organizations, including social forces, local governments can adopt methods such as purchasing services to approve government subsidies. Support the construction of village clinics and provide reasonable subsidies for tasks such as public health services undertaken by rural doctors.
Implementing government subsidy policies for public hospitals
Gradually increase government investment, mainly for capital construction and equipment purchase, support for the development of key disciplines, expenses for retirees in compliance with state regulations, and subsidy policy losses, etc., and provide special subsidies for public health services and other tasks undertaken to form a standard and reasonable Government investment mechanism for public hospitals. Chinese hospitals (ethnic hospitals), infectious disease hospitals, psychiatric hospitals, occupational disease prevention and treatment hospitals, maternity hospitals, and children's hospitals should be given preferential investment policies. Strictly control the construction scale, standards and loan behavior of public hospitals.
Improve the government's investment mechanism for basic medical security
The government provides necessary funds to support the establishment and improvement of new rural cooperative medical care, basic medical insurance for urban residents, basic medical insurance for urban employees, and urban and rural medical assistance systems. Ensure the normal funding of relevant handling agencies.