Health and Family Planning Commission: China actively promotes the trial of charging by disease

Source: IGU 2016-11-17 with the medical reform entering the deep water area, the reform of medical insurance payment mode is also in-depth progress On October 23-25 and November 10-12, the professional committee of health service cost and price of Chinese society of health economics held two successive national continuing education training courses on the price and cost of national medical service in Beijing, and invited domestic well-known experts on the reform of compensation mechanism of public hospitals under the new situation and the international DRG (diagnosis related group According to the current situation of the disease group mode), the introduction of the national medical service price and cost monitoring and research network, the study of price comparison in Shanghai, the project cost accounting, the disease cost accounting and the practical application of disposable medical consumables were trained More than 300 people, including representatives of health and family planning committees, medical institutions and relevant enterprises from 20 provinces (districts and cities), participated in the training Fan Zhimin, deputy director of the Finance Department of the national health and Family Planning Commission, said that the work of medical reform has entered the critical period of "gnawing the hard bone" Since this year, many major policy documents have been issued in the field of medical and health reform and development in China The national health and health conference, held in August this year, stressed that people's health should be given priority and public welfare should be put on the banner of medical and health undertakings In October, the State Council issued the outline of "healthy China 2030" plan, which put forward specific requirements for optimizing the pattern of diversified medical services, developing new forms of health services, and promoting the development of the pharmaceutical industry Before that, the national health and Family Planning Commission and the national development and Reform Commission and other four departments jointly formulated the opinions on promoting the price reform of medical services, and put forward the guiding ideology, basic principles, objectives, tasks and safeguard measures for the price reform of medical services In the near future, the office of the CPC Central Committee and the office of the CPC Central Committee forwarded several opinions of the leading group of the CPC Central Committee on further promoting the experience of deepening the reform of the medical and health system The document summarized 24 experiences in 8 aspects, and proposed "breakthroughs in 6 aspects" and "implementation in 5 aspects" in the next step During this period, the experience of China's medical reform was fully affirmed in the "press conference on the Joint Research Report on China's medical and health system reform" jointly sponsored by the world bank, the World Health Organization, the health and Family Planning Commission, the Ministry of Finance and the Ministry of human resources and social security The scientific connotation and spiritual essence of these important speeches, activities and policy documents need to be studied, understood and practiced by the personnel engaged in specific work In the aspect of medical service price reform, especially the DRG based payment mode reform, the national health and Family Planning Commission held a special meeting to carry out work deployment, and believed that DRG payment mode is an important starting point for changing medical service behavior, controlling the unreasonable growth of costs, and further transforming the profit-seeking mechanism of hospitals Recently, pilot work is being organized to actively promote the DRG payment mode reform under the unified national standard nationwide Fan Zhimin revealed that to comprehensively promote the reform of medical insurance payment mode, gradually reduce the payment by project, and implement the reform of medical insurance payment mode based on group payment related to disease diagnosis, which will cover all medical institutions and medical services, is the main task of future work, and also marks that the reform of payment mode has entered a substantive stage.