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    Home > Medical News > Latest Medical News > [heavyweight] issued by the state office! In 2019, 36 key tasks of deepening the reform of medical and health system came

    [heavyweight] issued by the state office! In 2019, 36 key tasks of deepening the reform of medical and health system came

    • Last Update: 2019-06-05
    • Source: Internet
    • Author: User
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    People's governments of all provinces, autonomous regions and municipalities directly under the central government, and relevant departments of the State Council: "key tasks for deepening the reform of the medical and health system in 2019" have been approved by the State Council and are hereby printed and distributed to you Please carefully organize and implement it in light of the actual situation The general office of the State Council will deepen the reform of the medical and health system on May 23, 2019 In 2019, deepening the reform of the medical and health system should be guided by Xi Jinping's socialist ideology with Chinese characteristics in the new era, fully implement the spirit of the nineteen and third Plenary Session of the party's nineteen and second plenary session, conscientiously implement the decision making plan of the CPC Central Committee and the state Council on implementing the healthy China strategy and deepening the reform of China's medical and pharmaceutical health system, and adhere to the people's health as the center, and stick to the basic and strong foundation To build a mechanism, we should focus on changing the focus on treatment to focus on people's health, put prevention first, strengthen disease prevention and health promotion, solve the problem of difficult and expensive medical treatment, deepen the reform of medical treatment, medical insurance and medical linkage, and unswervingly promote the implementation of medical reform to achieve results and benefit the people 1、 1 Formulate opinions on the implementation of Health China action, health China action (2019-2030), organization, implementation and assessment plan of Health China action (in the charge of the national health and Health Commission, to be completed by the end of June 2019) 2 Formulate policy documents to promote the sustainable healthy and standardized development of social hospitals (jointly responsible by the national health and Health Commission and the national development and Reform Commission, to be completed by the end of June 2019) 3 Release the catalogue of drugs to encourage imitation (in the charge of the national health and Health Commission, to be completed by the end of June 2019) 4 Formulate policy documents to further standardize the use of medical consumables (in charge of the national health and Health Commission, to be completed by the end of August 2019) 5 Formulate policy documents to further deepen medical reform with centralized drug procurement and use as a breakthrough (in the charge of the Secretariat of the leading group of medical reform under the State Council, to be completed by the end of September 2019) 6 Formulate the drug administration measures for medical institutions (in charge of the national health and Health Commission, to be completed by the end of September 2019) 7 Formulate policy documents on Internet diagnosis and treatment charges and medical insurance payments (in the charge of the state health insurance bureau, to be completed by the end of September 2019) 8 Formulate guidance on deepening the reform of professional title system for health professionals (in the charge of human resources and social security department, to be completed by the end of September 2019) 9 Formulate guidance on establishing and improving the elderly health service system (in the charge of the national health and Health Commission, to be completed by the end of September 2019) 10 Formulate the performance evaluation methods for public medical institutions at or below the second level (in charge of the national health and Health Commission, to be completed by the end of November 2019) 11 Formulate measures to strengthen the management of doctors (in the charge of the national health and Health Commission, to be completed by the end of November 2019) 12 Formulate management measures for medical consortia (in charge of the national health and Health Commission, to be completed by the end of November 2019) 13 Formulate guidance documents for the reform of salary system in public hospitals (in the charge of human resources and social security department, to be completed by the end of December 2019) 14 Formulate policy documents for improving individual accounts of employee medical insurance (in the charge of the state health insurance bureau, to be completed by the end of December 2019) 15 Formulate regulations on the use of medical security funds (in the charge of the state health insurance bureau and submitted to the State Council by the end of December 2019) the above tasks are only listed as the leading departments, not the participating departments 2、 Key work to be carried out 16 Carry out the action of healthy China, mobilize individuals, the government and the whole society to popularize health knowledge, carry out health promotion, and strive to make the masses sick less and extend their healthy life (the national health and Health Commission and relevant departments are in charge, and the leading department is the first, the same below) 17 Increase support for public health services in medical institutions, and establish a funding guarantee mechanism for public health services in medical institutions (in the charge of the Ministry of finance, the State Health Commission and the State Administration of traditional Chinese Medicine) evaluate the implementation of basic public health service projects, and promote the use of funds (in charge of the National Health Commission and the Ministry of Finance) 18 Accelerate the reform of disease prevention and control system, improve the functional orientation of disease prevention and control institutions at all levels, continue to promote the innovation of maternal and child health care institutions and blood station service system mechanism, deepen the reform of grass-roots operation mechanism, allow places where conditions permit to not only implement the full financial guarantee policy, but also implement the requirements of "two permits", and gradually establish a new operation mechanism combining guarantee and incentive 。 Strengthen the vaccination management and strictly implement the "three checks and seven pairs" and other operating procedures (in the charge of the national health and Health Commission, the Ministry of finance, the Ministry of human resources and social security, the General Administration of customs and the State Administration of traditional Chinese Medicine) 19 Strengthen cancer prevention and control, promote prevention and screening, early diagnosis and treatment, accelerate the registration and approval of new anti-cancer drugs at home and abroad, and unblock the temporary import channels of anti-cancer drugs urgently needed in clinical We will do a good job in the prevention and control of endemic diseases, occupational diseases, AIDS and tuberculosis (in charge of the national health and Health Commission, the national development and Reform Commission, the Ministry of finance, the Ministry of human resources and social security, the General Administration of customs, the State Administration of traditional Chinese medicine, the State Administration of pharmaceutical supervision, etc.) 20 We will make solid progress in the pilot project of centralized procurement and use of drugs organized by the state, strengthen the monitoring of the quality of winning drugs, the priority use of public medical institutions in the pilot areas, the settlement of drug payments, the production of winning drugs and APIs, and do a good job in ensuring the use, quality, stable supply and timely payment back Carry out pilot evaluation, conscientiously summarize pilot experience and push forward in a timely and comprehensive manner (the Ministry of industry and information technology, the State Health Commission, the state health insurance bureau and the State Food and drug administration are respectively responsible for taking the lead for each department according to their responsibilities, the same below) 21 Supervise and guide all regions to establish a dynamic adjustment mechanism for the price of public hospital medical services that is conducive to rationalizing the price comparison relationship and optimizing the income structure In accordance with the principle of "total amount control, structural adjustment, rise and fall, and gradually put in place", the price of medical services will be dynamically adjusted (in the charge of the state health insurance bureau, the State Health Commission, and the State Administration of traditional Chinese Medicine) further promote the reform of the salary system of public hospitals, implement the requirements of "two permits", and promote the proportion of personnel expenditure in the business expenditure of public hospitals to a reasonable level (in the charge of the Ministry of human resources and social security, the Ministry of finance, the State Health Commission, the State Medical Insurance Bureau and the State Administration of traditional Chinese Medicine) 22 Continue to deepen the comprehensive reform of public hospitals, and continue to carry out demonstration and effect evaluation We will promote the establishment and improvement of a pilot modern hospital management system in some hospitals (in the charge of the national health and Health Commission, the national development and Reform Commission, the Ministry of education, the Ministry of finance, the Ministry of human resources and social security, the State Medical Insurance Bureau and the State Administration of traditional Chinese Medicine) improve the government investment policy of public hospitals According to the evaluation results of the comprehensive reform of public hospitals and other factors, the central financial subsidies are allocated (in the charge of the Ministry of finance, the National Health Commission and the State Administration of traditional Chinese Medicine) 23 Establish the national public hospital performance appraisal information system, carry out the three-level public hospital performance appraisal work in accordance with the principle of territoriality, and publish the appraisal results to the society in an appropriate way To promote the performance appraisal of public medical institutions at or below the second level We should strengthen the administration of drug use in medical institutions, and standardize the use of drugs according to the requirements of oral and intramuscular injection (in the charge of the national health and Health Commission, the national development and Reform Commission, the Ministry of finance, the Ministry of human resources and social security, the State Medical Insurance Bureau and the State Administration of traditional Chinese Medicine) 24 Formulate rules for the unique identification system of medical devices Gradually unify the classification and coding of high-value medical consumables for national medical insurance Focus on the treatment of high value medical consumables with relatively high unit price and resource consumption Reform and improve the purchase policy of medical consumables (the state health and Health Commission, the State Medical Insurance Bureau and the State Food and drug administration are respectively responsible for) cancel the medical consumables bonus of public medical institutions, improve the compensation policy for public medical institutions, and properly solve the problem of reasonable income compensation for public medical institutions to cancel the medical consumables bonus reduction (in the charge of the state health insurance bureau, the State Health Commission and the Ministry of Finance) 25 Improve the monitoring and early warning mechanism of drugs in short supply, and ensure the supply of drugs that are clinically necessary, easy to be short of, and poor in substitutability by means of strengthening reserves, unified procurement, and designated production Summarize and evaluate the exploration and practice of local medicine service value (the national development and Reform Commission, the Ministry of industry and information technology, the national health and Health Commission, the National Health Insurance Bureau and the State Administration of traditional Chinese medicine are respectively responsible, with the participation of the State Food and drug administration, etc.) 26 Consolidate and improve the national basic drug system, make clear the proportion of basic drugs used by all kinds of public medical institutions at all levels, and establish incentive and restraint mechanisms for priority use (in the charge of the national health and Health Commission and the State Medical Insurance Bureau, etc.) improve the dynamic adjustment mechanism of the medical insurance drug catalog, and give priority to the treatment drugs that meet the requirements in the basic drug catalog according to the procedures The outpatient drugs such as hypertension and diabetes are included in the reimbursement of medical insurance (in charge of the state health insurance bureau) 27 Accelerate the reform of medical insurance payment mode, carry out the pilot of payment by disease diagnosis related groups, and continue to promote the reform of multiple composite medical insurance payment mode based on disease Expand the pilot of long-term care insurance system (in the charge of the state health insurance bureau, the Ministry of finance, the State Health Commission, the State Administration of traditional Chinese medicine, etc.) accelerate the development of commercial health insurance, and improve the regulatory system of commercial health insurance (in the charge of the CIRC) we will promptly implement and improve the cross provincial direct settlement policy for medical treatment in different places, so as to enable the patients in different places to receive medical treatment with cards and settle accounts in time in all designated hospitals as soon as possible, so as to effectively facilitate the floating population and the elderly moving with them (in the charge of the State Medical Insurance Bureau and the Ministry of Finance) 28 Steadily promote the construction of national medical centers and regional medical centers, select high-level hospitals to support the construction of regional medical centers, promote the optimal allocation of resources, and improve the quality of medical resources in central and western regions and other relevant regional medical services We should carry out comprehensive reform of medical and health system in regional medical centers, boldly explore innovation of management system and operation mechanism, and all relevant departments should give strong support (the national development and Reform Commission, the national health and Health Commission and the Secretariat of the leading group of medical reform under the State Council are respectively responsible, with the participation of the Ministry of education, the Ministry of human resources and social security, the State Medical Insurance Bureau, the State Administration of traditional Chinese medicine, etc.) 29 Focus on discipline construction, improve the comprehensive capacity of 500 county hospitals and 500 county hospitals of traditional Chinese medicine (in the charge of the national health and Health Commission, the national development and Reform Commission and the State Administration of traditional Chinese Medicine) guide all localities to focus on diseases, clarify the responsibilities and functional positioning of different levels and categories of medical institutions, establish a division of labor and cooperation mechanism, and promote hierarchical diagnosis and treatment Third level hospitals should actively adjust the structure of outpatient diseases and gradually expand the types of daytime operation diseases (in charge of the national health and Health Commission and the State Administration of traditional Chinese medicine, etc.) focus on building urban medical groups in 100 cities and county medical communities in 500 counties We will guide the orderly development of medical consortiums, especially medical communities, encourage all kinds of medical institutions at all levels, including social run medical institutions, to participate equally and compete moderately, promote the sinking of high-quality medical resources, and avoid problems such as "horse racing enclosure" and "siphon" patients in large hospitals Carry out evaluation on the construction of medical consortia (in the charge of the national health and Health Commission, the National Medical Insurance Bureau, the State Administration of traditional Chinese medicine, and the Secretariat of the leading group of medical reform under the State Council) 30 We will continue to deepen the reform of "releasing management services" in the field of health and health, optimize examination and approval services, clear up discriminatory policies, treat and support social medical institutions equally Encourage and support social forces to open clinics and increase government purchase of services
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