Li Keqiang: promoting and deepening the reform of medical and health system

Source: www.chinagov.cn on January 19, 2015, Premier Li Keqiang presided over the executive meeting of the State Council, promoted the deepening of the reform of the medical and health system, deployed and strengthened the construction of rural doctors, discussed and passed the outline of the national medical and health service system planning, promoted the optimization of resource allocation and service upgrading, and approved 2014 List of persons enjoying special government allowance in According to the meeting, rural doctors are the health "guardians" closest to hundreds of millions of rural residents It is of great significance to strengthen the construction of rural doctors, improve their medical skills and care for their life and growth, so as to promote the equalization of public health services and social equity, and enable rural residents to obtain convenient, cheap and safe basic medical services It was determined at the meeting that, in principle, at least one rural doctor per thousand service population should be allocated throughout the country, and the construction of village clinics and the purchase of equipment should be supported by means of public construction, private construction, government subsidies, etc We will provide free training and off job training for rural doctors, and provide training opportunities for rural doctors with college degree or above to provincial and municipal hospitals We will support more on-the-job rural doctors to enter secondary and higher medical schools for academic education Establish the system of assistant general practitioners in rural areas At the meeting, it was determined to explore the implementation of the contracted service mode between rural doctors and rural residents, collect fees according to regulations, and grant subsidies to rural doctors according to the approved tasks and the assessment results of township health centers Expand the development space of rural doctors, give priority to the employment of rural doctors in township hospitals, and give priority to the training of resident doctors for medical graduates who work in village clinics To increase the income of rural doctors, we will use the newly increased per capita basic public health service subsidy funds for rural areas in 2014 and 2015 to all rural doctors in the way that the government purchases services, and continue to focus on it in the future We will increase subsidies for rural doctors in hard and remote areas We will further improve the treatment of rural doctors for the elderly, and build a stage for them to stay, develop and secure The meeting pointed out that at present, China has established a medical and health service system covering urban and rural areas We should continue to deepen reform, adhere to the combination of government leadership and market mechanism, optimize the allocation of medical resources, and make the masses spend less, more convenient, and effectively prevent and treat diseases At the meeting, the outline of national health service system planning was adopted, and the following key tasks were defined First, various public hospitals should be set up at different levels In principle, a county-level general hospital and a hospital of traditional Chinese medicine should be set up at the county level Local and provincial general hospitals should be set up reasonably according to the population scale Cross district medical and health institutions should be explored in Beijing Tianjin Hebei, Yangtze River Delta, Pearl River Delta and other regions Second, we should vigorously develop social medical services, encourage social forces and public hospitals to jointly organize new non-profit medical institutions, participate in the restructuring of public hospitals, and support the development of professional hospital management groups We will relax the conditions for joint ventures and cooperation in medical treatment Third, we should scientifically allocate high-quality medical resources, reasonably determine the number of beds and large-scale equipment allocation of public hospitals, support social hospitals to expand the size of beds, give priority to strengthening the service capacity of county-level hospitals, and support the standardized construction of village clinics, township hospitals and community health service institutions Fourth, strengthen the functional layout and division of labor cooperation, gradually undertake the first diagnosis, rehabilitation and nursing services by the basic medical and health institutions, and set up the general outpatient service of the hospital Integrate and develop telemedicine Fifth, we will accelerate the reform of public hospitals and eliminate the use of drugs to supplement medical care We will straighten out medical services and drug prices, reform the way of payment for medical insurance, separate government and business, and separate management from management, so that medical services can better help the people get rid of their worries In order to create a good environment for promoting entrepreneurship and innovation, and encourage high-level and highly skilled talents to actively participate in the development and construction of the country, 4941 experts, scholars and technicians who have made outstanding contributions are approved to enjoy 2014 government special allowance, so as to match the contribution and return of talents, so that all kinds of talents can stand out and make the best of their talents Other matters were also examined.