Mobilization meeting of health and Family Planning Commission for medical reform to clarify the new trend of bidding (with the speech of deputy director of health and Family Planning Commission)

Source: Cypress blue - situ Yangming 2015-02-06 1 At the end of the month, Wang Peian, deputy director of the health and Family Planning Commission, held a medical reform mobilization meeting in some provinces, which was held in Sanming City The Sanming model was highly affirmed In Wang Peian's speech, it was specifically mentioned that the cancellation of drug bonus in hospitals is not enough, and it must start from the circulation link! We will vigorously promote the unified and centralized bidding of drugs and high-value consumables, and establish a new mechanism for the integration of bidding, procurement, and quantity and price What is the real integration of recruitment and acquisition and the linkage between quantity and price? Refers to the second bargaining mode of Guangdong drug exchange? Does it mean that the bidding mode will change and meet the general expectation of the industry? In addition, Wang Peian's speech also made it clear that the state will organize negotiations on imported high-priced drugs, reduce drug prices, and high-value consumables negotiations are also on-board Ding Ding, all of which are price reductions, encourage pilot hospitals to purchase with volume and centralized procurement, while emphasizing to vigorously promote centralized procurement of drugs, and do not discard provincial bidding It seems that the second negotiation will become "normal" On January 30, Wang Peian, deputy director of the national health and Family Planning Commission, presided over a symposium on promoting medical reform in some key contact provinces of Jiangxi Province, Shandong Province, Chongqing City, Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps in Sanming City, Fujian Province Wang Peian and his delegation visited Sanming Sha county hospital, Sanming medical insurance fund management center and Sanming No.1 Hospital, listened to the introduction of medical reform work in Fujian Province and Sanming City and the next arrangement of medical reform work in Jiangxi Province, Shandong Province, Chongqing City, Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps At the symposium, the relevant provinces fully exchanged the experience of local medical reform work, and discussed some difficulties and hot issues in the current medical reform work Wang Peian stressed that 2015 is the closing year for the implementation of the 12th Five Year Plan of medical reform, with tight time and heavy tasks In order to promote the reform process, the Party group of the national health and Family Planning Commission has specially studied and established a working system for the leadership of the Commission to contact the local provincial medical reform The main purpose of this symposium is to implement the requirements of the 2015 plan for the division of labor of key contact provinces of medical reform by the leaders of the national health and Family Planning Commission, understand the overall deployment of key contact areas to promote the implementation of medical reform, master the pilot work of public hospital reform, major difficulties and outstanding problems, and study and implement director Li Bin in 2015 In the spirit of the speech at the national health and family planning work conference, we should do a good job in the next step of medical reform Wang Peian fully affirmed the achievements of Fujian Province and Sanming City He pointed out that the Party committee, government, health and family planning departments of Fujian Province and Sanming City attached great importance to deepening the work of medical reform, conscientiously implemented various tasks of medical reform, especially in promoting the reform of public hospitals and breaking down the mechanism of "medical supplement with drugs", made positive progress, explored many good practices and experiences, which are worth summarizing and learning from all over the country Wang Peian pointed out that we should fully understand the urgency of the reform and development of health and family planning and the deepening of medical reform from the height of the requirements of the new economic normal for the reform of social fields The local government should focus on the key points, work hard, implement the investment responsibility, promote the reform of medical service price, make great efforts to resolutely break down the mechanism of "medicine for medical treatment", promote the reform of personnel compensation system, establish the hierarchical diagnosis and treatment system, explore the modern hospital management system and other supporting reforms, and promote the breakthrough of medical reform In particular, he called for strengthening the ideological and political work, breaking the ideological shackles, improving the ideological realm of medical personnel, mobilizing the enthusiasm of reform, laying a solid ideological foundation for deepening medical reform, and building a good social atmosphere and industry style Li Hong, vice governor of Fujian Province, Xie Ru, vice governor of Jiangxi Province, Wang Suilian, vice governor of Shandong Province, hanibati shabukai, member of the Standing Committee of the Party committee of Xinjiang Uygur Autonomous Region, and Lu Xiaofeng, member of the Standing Committee of the Party committee and vice political commissar of Xinjiang production and Construction Corps attended the symposium Leaders and experts from Fujian provincial government, Sanming municipal government, Finance Department of national health and Family Planning Commission, Department of physical reform and other relevant departments attended the meeting Attachment: Wang Peian's speech in the above meeting Source: Sanming Daily today held a symposium on medical reform of Jiangxi, Shandong, Chongqing, Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps, which I was in charge of contacting The main task is to follow the "2015 leadership of the CPC Committee" determined by the Party group of the national health and family planning Commission According to the plan of division of labor for key contact provinces in medical reform in, we should understand the work of medical reform in four provinces (districts and cities) and Xinjiang production and Construction Corps, master the work trends, main difficulties and outstanding problems of public hospital reform pilot, study and implement the speech spirit of director Li Bin at the 2015 National Health livelihood work conference, and do a good job in the next step of medical reform contact Just now, the comrades of Fujian Province, Sanming City, Jiangxi, Shandong, Chongqing, Xinjiang Uygur Autonomous Region and Xinjiang production and Construction Corps all made good speeches, with practices, effectiveness, thinking and suggestions The general feeling is that these areas are full of energy, measures and achievements in deepening medical reform, implementing medical reform and promoting public hospital reform In particular, Sanming City, focusing on the overall idea of "building mechanism, blocking waste, adjusting structure and increasing benefit", vigorously promotes the reform of public hospitals, adheres to the "three medical linkage", starts from squeezing the "water" of drug price and quantity, searches for the source of reform bonus, reforms the drug recruitment mechanism, reasonably adjusts the price of medical services, establishes the municipal medical security fund management center, and implements“ The combination of Three Guarantees, the elimination of the mechanism of "medicine for medical treatment", and the exploration of the implementation of the annual salary system for the president and medical staff have made major breakthroughs in key links and difficult issues, which are of exemplary significance to the whole country Please learn from each other and implement the tasks of deepening medical reform Let's talk about my views and experience and exchange them with you for your reference First, the new economic norm has put forward more urgent demands on the reform of the social field At the central economic work conference held in December last year, general secretary Xi Jinping put forward and expounded the strategic judgement of the "new normal", which aroused great repercussions both at home and abroad The new normal of economy puts forward newer, higher and more urgent requirements for the reform and development of social fields, especially the reform and development of health and family planning This is not only pressure, but also opportunity for medical reform Focusing on the general tone of the new normal of economy, the essential requirement for the reform of health and family planning is to grasp the opportunity and accelerate development First, to promote reform in the social field is to make the results of reform benefit the general public Second, reform and development in the social field can create a good environment for economic development Third, to focus on social development is to focus on economic development The reform in the social field should correctly grasp the two relations First, we should correctly grasp the relationship among the government, market and society Second, we should correctly grasp the relationship between increasing financial investment and deepening the innovation of system and mechanism At present, the first task is to proceed from the national conditions, solidly push forward various reforms, so that financial investment can produce the greatest benefit 2、 The CPC Central Committee and the State Council have always attached great importance to deepening the medical reform and incorporated it into the overall layout of comprehensively deepening the reform General secretary Xi Jinping pointed out that the health of the people is an important connotations of building a well-off society in an all-round way and an important foundation for everyone to grow up and achieve a happy life Premier Li Keqiang has repeatedly stressed that we should take promoting medical reform as an important task to ensure and improve people's livelihood, and strive to run a medical and health cause satisfactory to the people Liu Yandong, deputy prime minister, paid great attention to the medical reform in person, went to the local research and guidance in person, and held many meetings to directly study and deploy the work 2015 is the end of the 12th Five Year Plan for medical reform, the key year for deepening medical reform, the beginning of comprehensively promoting the rule of law, and the key year for planning the 13th five year plan Medical reform is indeed difficult, but it is difficult As long as we really pay attention to it, it is not difficult to plan carefully, to find a breakthrough, to take clear measures, and to work hard At present, it is a critical period of medical reform, and various deep-seated contradictions in the system and mechanism are prominent We must adhere to the problem orientation, highlight the key points, seize the favorable opportunity, closely follow the key links, and unswervingly push the medical reform into depth under the strong leadership of the Party Central Committee and the State Council （1） We should make great efforts to break down the mechanism of "supplementing medicine with medicine" All county-level public hospitals and public hospitals in pilot cities should cancel the 15% drug addition policy (except for Chinese herbal pieces), and the reasonable income thus reduced should be compensated through rationalizing the price of medicine, increasing government investment, and hospitals' potential saving, so as to establish a new operation mechanism But only 15% will be cancelled We must start from the circulation link, vigorously promote the centralized purchase of drugs and high-value medical consumables, truly establish a new mechanism of integration of bidding and purchase, linking quantity and price, and strive to solve the problem of virtual high price of material consumption; encourage and support the centralized purchase and volume purchase of public hospitals in the organization area of pilot cities, and the centralized negotiation and high price of imported drugs organized by the state Value of consumables bidding, determined to reduce the false high price At the same time, in accordance with the principle of "total amount control, structural adjustment, rise and fall, and gradually put in place", efforts should be made to rationalize the price of medical services On the premise of ensuring the healthy operation of public hospitals, affordability of medical insurance funds, and no increase in the burden of the masses, while reducing the prices of drugs, consumables, large-scale equipment inspection, the medical service price reflecting the value of medical personnel's labor service should be increased We will vigorously promote the reform of the payment by disease system, actively implement multiple payment methods such as per head, per service unit and total amount in advance, gradually reduce the payment by project, and control the unreasonable growth of medical expenses Through comprehensive measures such as reforming the way of collecting (paying) fees, standardizing the medical staff's diagnosis and treatment behavior, strengthening supervision and assessment, we will promote the "treatment for diseases and rational use of drugs", put an end to the "big prescription" and "over inspection" behaviors, and cut off the interest chain between hospitals and medical staff and drugs Vigorously promote the "three medical linkage", coordinate the three medical insurance, and realize the urban and rural equity of medical insurance （2） We will promote reform of the personnel compensation system At present, the relevant departments of the state are speeding up the research and formulation of the salary system reform program in line with the characteristics of the medical and health industry Before the plan is issued, pilot cities and counties (cities) can first explore and formulate the method for verifying the total performance salary of public hospitals, reflecting the characteristics of high risk, high responsibility, high labor intensity and long education cycle of the medical service industry, and the salary system reflecting the technical service value of medical personnel Reasonable income should be guaranteed, illegal income should be blocked, and a dynamic adjustment mechanism should be established to ensure that the reasonable income of medical staff is gradually increased For most places, Sanming's practice is worth learning At the same time, Sanming City reduced both the quantity and price of drugs and consumables, and through "restructuring", the proportion of medical service income increased from 40% before the reform to 63% On the premise that the total cost was controlled, the burden of medical insurance did not increase, and the burden of individuals was reduced, it provided long-term, stable and sustainable funds for improving the level of medical staff salaries