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    Home > Active Ingredient News > Drugs Articles > Chen Zhu: eight key issues need to be further broken in the 12th Five Year Plan medical reform

    Chen Zhu: eight key issues need to be further broken in the 12th Five Year Plan medical reform

    • Last Update: 2012-01-05
    • Source: Internet
    • Author: User
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    Source: website of the Ministry of health January 5, 2012 national health work conference was held in Beijing in 2012 At the meeting, Chen Zhu, Minister of health, made a work report entitled "highlighting key points, overcoming difficulties, and comprehensively implementing medical reform and various health tasks" Chen Zhu reviewed the health work in 2011 He said that 2011 is the year when the five priorities of the recent medical reform have been tackled and the year when the 12th Five Year Plan for health development begins Under the strong leadership of the Party Central Committee and the State Council, the national health system has made remarkable achievements in health care reform and various health work Chen Zhu pointed out that great progress has been made in the medical reform in three years, and the work of medical reform in the next four years is about to start During the 12th Five Year Plan period, eight key issues need to be further broken through to deepen medical reform First, we need to eliminate the use of drugs to supplement medicine and straighten out the compensation mechanism In accordance with the deployment and requirements of the 12th Five Year Plan for medical reform, the local health administrative departments should actively strive for the leadership of the government, strive to create conditions, implement the relevant policies of canceling the medical supplement with drugs, give full play to the role of medical insurance compensation, steadily promote the price reform, and strive for the systematic and orderly elimination of the malpractice of medical supplement with drugs during the 12th Five Year Plan This year, 300 pilot counties will be launched first, striving to be widely implemented in county-level hospitals in 2013 and all public hospitals in 2015 Second, comprehensively promote the reform of payment system The administrative department of health should give full play to the advantages of both managing the new rural cooperative medical system and providing services, and take the lead in promoting the reform of the payment system of the new rural cooperative medical system At the same time, it is necessary to coordinate with other relevant departments such as medical insurance, price and so on, quickly summarize the pilot experience in recent years in various regions, formulate implementation plans, determine payment methods suitable for different levels of medical institutions and different types of services, and replace payment by project with payment methods such as total amount prepaid, by disease, by service unit and by head We should combine the clinical pathway with the reform of the payment system, do a good job in the basic work such as cost calculation, and ensure that the reform of the payment system and the abolition of medical supplement with drugs are promoted simultaneously Third, strengthen the risk protection mechanism of NCMS and set up a reasonable management system In 2012, the government's subsidy to NCMS will be increased to 240 yuan Each region should set aside a certain proportion of the new funds, establish a provincial overall fund for the protection of major and major diseases, and effectively link it with medical assistance, so that the level of compensation for major and major diseases will reach about 90% Before the end of the year, we will fully implement the guarantee of 8 diseases, including childhood leukemia In about one-third of the overall planning area, 12 kinds of diseases, including lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer, chronic myeloid leukemia, acute myocardial infarction, cerebral infarction, hemophilia, type I diabetes, hyperthyroidism, cleft lip and palate, will also be included in the coverage At the same time, through the implementation of standardized treatment, do a good job in cost control We should explore the use of commercial insurance to form a multiple supplementary insurance mechanism and share the high medical costs of major and major diseases All localities should actively coordinate the departments of Finance and civil affairs, implement the above tasks, minimize the catastrophic medical expenditure of the insured people, and prevent poverty caused by illness and return to poverty Fourth, consolidate and improve the new operation mechanism of primary medical and health institutions We should continue to adhere to the basic principles of "ensuring the basic level, strengthening the basic level and building the mechanism", and constantly consolidate the comprehensive reform achievements of urban and rural basic level medical and health institutions In 2012, all regions should carry out a "look back" on the comprehensive reform at the grass-roots level, comprehensively check the implementation of policies, measures, tasks and work objectives in all links, find out the weak links, and clarify the key tasks and policy measures to further improve the new mechanism of operation of grass-roots medical institutions in the next few years We need to consolidate the implementation effect of the basic drug system, grasp the key links such as the implementation of investment policies, the standardization of procurement and supply, and the strict zero margin sales, so as to promote the normal, healthy and effective operation of the basic drug system in urban and rural primary medical and health institutions In accordance with the requirements of the relevant documents of the State Council, we should continue to promote the standardization of village clinics and implement various policies for rural doctors During the 12th Five Year Plan period, we need to further study and properly solve their identity and safeguard treatment, constantly strengthen training, improve their service ability, and ensure that the basic network base is not broken Fifth, we should establish an information disclosure system in an all-round way to promote healthy competition among medical institutions During the 12th Five Year Plan period, the health administrative departments at all levels shall establish a system for the public release of medical service information, sort the information on service safety, quality, cost, etc of medical institutions within their jurisdiction, and regularly release it to the society We need to change the management concept, recognize the importance of this work from the perspective of safeguarding the rights and interests of patients, take the reform of supervision mode as an important measure to deepen the reform, promote the improvement of medical institutions' services, and form a benign competition We will implement policies that encourage social capital to run hospitals, give priority to new medical service resources, treat social capital equally in policy and management, and encourage social capital to run non-profit medical institutions Sixthly, we should innovate our working methods and fully implement the equalization of basic public health services During the "12th Five Year Plan" period, we should innovate the organizational and leadership methods, learn from the practices of Beijing, Chongqing and other places, take the establishment of healthy cities (towns, communities, townships) as the system platform and work starting point, integrate the national health policy into various social policies, form a working mechanism led by the government, department cooperation and social participation, and a system project jointly managed by the whole society We should innovate our working methods, learn from the practices of Hubei, Shandong and other places, integrate management, service, technology and capital resources, and form a group oriented, community oriented, family oriented, coordinated and efficient service team We need to innovate the content of services, gradually increase basic public health services and major public health services, and expand the scope of benefits for the masses We should give full play to the role of traditional Chinese medicine in prevention and health care, and promote the appropriate prevention techniques of traditional Chinese medicine We should give priority to migrant workers and other migrant workers to have equal access to basic public health services We need to strictly manage by objectives, further improve standardized and refined working standards, technical specifications and service processes, strengthen performance appraisal, and link the appraisal results with funding and individual rewards and punishments Through solid and effective work, we will lay a solid foundation for the realization of "healthy China 2020" Seventh, we will comprehensively promote the centralized purchase of drugs During the 12th Five Year Plan period, we should improve the system and comprehensively promote it on the basis of summing up the past experience of centralized drug bidding and purchase We need to unify the drug procurement platform and methods, give priority to quality, integrate bidding with procurement, and link quantity with price It is necessary to gradually include the procurement of consumables and equipment into the scope of centralized bidding procurement To explore some patent drugs, high-value consumables and large-scale equipment for centralized procurement of domestic and foreign manufacturers Centralized purchase based on international purchase price shall be carried out for imported products The eighth is to innovate the incentive mechanism of talent training and distribution During the 12th Five Year Plan period, we should continue to explore and make greater breakthroughs We should further improve the medical education system We should strengthen the training of general practitioners, increase the number of general practitioners, and make every community health service center and township health center have at least one general practitioner It is necessary to establish and implement the resident training system We should innovate the mechanism of training and using grassroots talents, establish the system of special doctors, and expand the scale of order oriented free training To meet the requirements of health reform and development, we should vigorously cultivate all kinds of talents in short supply, such as nursing, public health, traditional Chinese medicine, health management, and high-level medical teaching and research talents It is necessary to innovate the incentive mechanism of medical staff distribution, establish a salary system in line with the characteristics of the medical and health industry, improve the income distribution mechanism reflecting the value of medical labor, and improve the overall income level of medical staff Expand the implementation scope of post performance pay Carry out post management and realize equal pay and treatment for equal work We will increase the proportion of hospital personnel expenditures in business expenditures The balance of hospital income and expenditure is mainly used to improve the treatment of medical staff.
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