China medical reform development report (2015) issued in Beijing

Source: cctv.com.cn May 5, 2016 (reporter Cheli) on May 5, 2016, China medical reform development report (2015) prepared by Chinese Academy of Medical Sciences was released As a national medical scientific research institution, the Chinese Academy of Medical Sciences, centering on the reform tasks put forward by the CPC Central Committee and the State Council in the opinions on deepening the reform of medical and health system and the 12th Five Year Plan of medical reform, closely adheres to the objectives of medical reform policies, combs and analyzes the implementation of medical reform in 2015, objectively presenting the 2015 situation in China In, the achievements of medical reform, the beneficial experience of local reform, the challenges and policy outlook According to the report, 2015 is an important year to fully complete the 12th Five Year Plan for medical reform and plan the 13th five year plan as a whole A series of policy documents on deepening medical reform have been intensively issued at the national level, reflecting the attention of the CPC Central Committee and the State Council to the maintenance of the health and well-being of the people, as well as the determination of the government to take the initiative and promote reform The new characteristics of deepening medical reform are as follows: strengthening the organization and leadership of medical reform, continuously pushing forward medical reform; strengthening the top-level design, making the implementation path clearer; further gathering consensus on reform, strengthening the coordination of various policies; focusing on "supervision and implementation" To organize and carry out supervision, research, multi-dimensional assessment and evaluation of the implementation effect of the reform, and promote the implementation of the medical reform measures; local reform has achieved significant results, forming a reference experience The report points out that in 2015, medical reform continued to expand and extend in scope and depth, and achieved good results The effective implementation of the "two in an all-round way and two in an all-round way" policy has resulted in the comprehensive reform of county-level public hospitals in 1977 counties (cities) across the country, and the comprehensive reform of urban public hospitals in 100 pilot cities The participation rate of basic medical insurance has remained stable at over 95%, and the per capita government subsidy standard of urban residents' medical insurance and new rural cooperative has been raised to 380 Yuan, the serious illness insurance system for urban and rural residents has been fully implemented, and the actual reimbursement proportion of seriously ill patients has generally increased by 10-15 percentage points on the basis of basic medical insurance; the new round of drug bidding and procurement has been fully implemented, and the drug supply guarantee mechanism has been continuously improved; the construction of hierarchical diagnosis and treatment system has been pushed forward, 2015 By the end of the year, all the pilot cities of public hospital reform started hierarchical diagnosis and treatment, and more than 50% counties (cities and districts) carried out the pilot of primary diagnosis responsibility system at the grassroots level The pattern of diagnosis and treatment service is advancing; the comprehensive reform of primary medical and health institutions continues to be consolidated and deepened; other supporting reforms such as the construction of population health information and the construction of talent team are promoted as a whole; the work of the pilot province of comprehensive medical reform has achieved remarkable results According to the report, with the medical reform entering the critical stage, some new situations, problems and challenges are emerging The construction of medical reform leadership system and organization promotion mechanism needs to be further strengthened; the reform mechanism of medical treatment, medical insurance and medical linkage needs to be further improved; the construction of talent team needs to be further strengthened; the ability to meet the needs of public health maintenance and medical services needs to be improved; the transformation rate of scientific and technological achievements and the supporting role of informatization need to be further improved The report suggests that in the new era, we should unswervingly promote the deepening of medical reform, implement the concept of innovation, coordination, green, opening and sharing, adhere to the basic medical and health system as a public product to provide to the whole people, ensure the basic, strengthen the grass-roots, make up for the shortcomings, and strengthen the coordination and linkage of policies; strengthen the coordination of medical and education, improve the quality of medical education, and strengthen the focus on general practitioners We should strengthen the construction of urgently needed talents in public health, pediatrics, psychiatry, nursing and adapting to the new needs of health, establish a multi-level talent incentive system, fully mobilize the enthusiasm of medical personnel to participate in the medical reform, firmly adhere to and implement the health work policy focusing on prevention, uphold the concept of great health and great health, and promote the formation of government led The new working pattern of department cooperation, social participation, special group combination, group prevention and group control will promote the maturity of the basic medical and health system with Chinese characteristics.