The National Health and Family Planning Conference Deploys Work Priorities in 2015

Source: from January 8, 2015, the national health and family planning work conference was held in Beijing Li Bin, director of the national health and Family Planning Commission, attended and made a keynote speech on the overall requirements and key tasks of health and family planning in 2015 The first time in the health sector is to manually tap the keyboard to present you with the focus of health and family planning work in 2015 (attached) Now we will refine the dry goods as follows: deepening health reform in 2015 is still the top priority of health and family planning work The main work includes: 1 The key points to promote the reform of public hospitals: 1 The reform of county-level public hospitals will cover the whole country 2 Further expand the pilot scope of urban public hospital reform 3 Push forward the comprehensive reform of public hospitals in the four provinces, eliminate the policy of supplementing medical treatment with drugs in all public hospitals participating in the reform, cancel the policy of drug addition, and reasonably raise the price of medical services 2、 The key points of improving the national health insurance system are as follows: 1 2 Carry out cross provincial medical cost verification and settlement pilot 3 It is recommended to reform the payment methods of medical insurance such as payment by disease and prepayment of total amount, and expand the scope of pilot reform 4 Promote the information exchange and operation linkage mechanism of basic medical insurance, serious disease insurance for urban and rural residents, disease emergency rescue, medical aid and other systems 5 Promote the participation of commercial insurance institutions in the new rural cooperative medical insurance agency service, and establish and improve the evaluation mechanism for commercial insurance institutions to undertake serious illness insurance 3、 It is the key point to consolidate and improve the basic drug system and the new mechanism of grass-roots operation: 1 Expand the pilot reform of general practitioners' practice mode and service mode 2 Promote the local government to issue policies on providing for the aged, stabilize and optimize the village medical team 4、 The key points of improving the drug supply guarantee system are as follows: 1 Implement and improve the guidance of centralized drug purchase in public hospitals 2 Establish a part of drug price negotiation mechanism 3 Start the standardized construction of centralized drug procurement platform, standardize and promote the sunshine procurement of high-value medical consumables 4 Promote the docking of medical information system and national drug electronic supervision system 5、 The key point to promote the equalization of basic public health services: continue to improve the financial subsidy standard of basic public health services 6、 Key points to promote the work of hierarchical diagnosis and treatment: 1 Formulate guidance on hierarchical diagnosis and treatment, and carry out the pilot of hierarchical diagnosis and treatment in the pilot area of urban public hospital reform 2 Formulate differentiated medical insurance reimbursement policies and give full play to the guiding role of medical insurance in medical behavior 3 Take the prevention and control management of chronic diseases such as hypertension and diabetes as the breakthrough point, explore the methods of packing according to disease types and linking up and down, and promote the establishment of the hierarchical diagnosis and treatment mode of primary diagnosis, two-way referral, acute and slow treatment, and linking up and down 7、 The key points of establishing the talent training system and personnel compensation system to adapt to the characteristics of the industry are as follows: 1 Fully implement the standardized training of residents, implement the training task of 50000 new residents, and study and establish the standardized training system of specialists 2 Launch "3 + 2" assistant general practitioner training 3 The pilot program of special post for general practitioners was expanded to 680 counties in 19 provinces There are also new requirements for promoting the development of health service industry and accelerating the construction of population health information In addition, for details of family planning work, public health work and TCM work, please refer to the full text: 2015-1-8, 2015 is the key year for comprehensively deepening the reform, the first year for comprehensively promoting the rule of law, and the completion of the 12th Five Year Plan The final year of the plan is also an important year to promote the reform and development of health and family planning The general requirements for doing a good job of health and family planning in 2015 are: holding high the great banner of socialism with Chinese characteristics, using Deng Xiaoping theory, "Three Represents" Under the guidance of Scientific Outlook on Development and the spirit of the eighteen and third Plenary Session of the eighteen and third Plenary Session of the party, we should thoroughly study and implement the spirit of the important speech of general secretary Xi Jinping, deepen the reform of the medical and health system, promote the equalization of basic public health services and prevent and control major diseases, and promote the sound, orderly and orderly implementation of the two child policy Leading by top-level design and planning, we should strengthen administration according to law and quality services, strive to improve the ability of health and family planning management, and accelerate the construction of a health and family planning cause satisfactory to the people We will do a good job in 2015, with both challenges and opportunities From the point of view of challenges, China is currently in a "three-stage superposition" At this stage, the development has entered a new normal and the downward pressure on the economy is not small; as the medical reform has entered a deep-water area and a critical period, institutional contradictions and deep-seated problems have been highlighted; with the urbanization, aging population and changes in the disease spectrum, the health consumption demand of residents has been released, and the capacity of medical and health services has not yet fully adapted to these new situations and changes From the perspective of opportunities, comprehensively deepening the reform has become a broad consensus of the whole society, deepening the breakthrough in key areas of medical reform further rallies everyone's confidence and determination to overcome difficulties, and the environment for reform and development is more favorable; building a moderately prosperous society in an all-round way is in a critical period, and it is urgent to increase the supply of medical services to meet the multi-level and diversified health needs of the masses; comprehensively promoting The rule of law opens a new journey for the construction of China under the rule of law, which puts forward new and higher requirements for improving the modernization level of health and family planning governance system and governance capacity We must conscientiously enhance our sense of responsibility and urgency, face up to challenges and take on responsibilities We should focus on the center, serve the overall situation and grasp the general tone of seeking progress in stability, especially in "seeking progress" We should stick to the idea and method of reform to solve the problems, resolve the contradictions and innovate the system and mechanism We should stick to the in-depth investigation and research, establish the scientific top-level design on the basis of solid practice, summarize and promote the beneficial experience of grass-roots creation, and guide the work on the whole We should adhere to overall planning and coordination, actively strive for support, form consensus, pay attention to the mobilization of enthusiasm in various aspects, work with multiple departments to jointly manage, and maintain a good momentum of reform and development of health and family planning We will focus on the following tasks: (1) comprehensively push forward the deepening of the reform of the medical and health system Take the medical reform as the central task of the whole system On the basis of consolidating and improving the basic and grass-roots achievements, we should pay more attention to the establishment of mechanism, face the difficulties, dare to bite the hard bone, and play a good battle to deepen the medical reform First, we will make every effort to promote the reform of public hospitals Formulate and implement the implementation opinions on comprehensively promoting the comprehensive reform of county-level public hospitals, and expand the scope of the reform to all counties (cities) in the country We will implement the guiding opinions on the pilot comprehensive reform of urban public hospitals and further expand the scope of the pilot cities We will launch the comprehensive pilot work of deepening medical reform in four provinces, track and guide the pilot process, and play a leading role in demonstration In all public hospitals participating in the reform, we need to eliminate the policy of supplementing medical treatment with drugs, cancel the policy of adding drugs, reasonably raise the price of medical services, gradually establish a new mechanism of maintaining public welfare, mobilizing enthusiasm and ensuring sustainable operation, improve the corporate governance structure, deepen the reform of personnel distribution system, improve the methods of hospital performance assessment and evaluation, and strengthen industry supervision We will run a training course on the reform of public hospitals We will implement the national plan for medical and health service system (2015-2020), promote the scientific and rational allocation of medical and health resources, and resolutely curb the unreasonable expansion of public hospitals and the over standard decoration We will vigorously promote measures to facilitate and benefit the people, further improve medical services, and make the people feel the new changes brought about by medical reform Second, we will improve and improve the universal health insurance system We will continue to improve the standards for medical insurance for urban residents and government subsidies for the new rural cooperative medical system, improve the level of individual contributions at the same time, and narrow the gap between the policy reimbursement ratio and the actual reimbursement ratio We will fully implement the serious illness insurance for urban and rural residents, improve the emergency rescue system for diseases, and give full play to the role of providing support and emergency relief We will strengthen the supervision of the new rural cooperative medical fund and the management of designated medical institutions, and carry out a pilot program to verify and report medical expenses across provinces It is recommended to reform the payment methods of medical insurance, such as payment by disease and prepayment of total amount, so as to expand the scope of pilot reform Promote the information exchange and operational linkage mechanism of basic medical insurance, serious disease insurance for urban and rural residents, disease emergency rescue, medical aid and other systems We will promote the participation of commercial insurance institutions in the new rural cooperative medical insurance agency service, and establish a sound evaluation mechanism for commercial insurance institutions to undertake serious illness insurance We should effectively reduce the burden on the masses to see a doctor and see a doctor, so that the masses can get more benefits Third, we will consolidate and improve the basic drug system and the new mechanism for grass-roots operation We will orderly promote the implementation of the basic drug system in non-governmental primary medical and health institutions and village clinics, and improve the management of drug use at the primary level We will launch and implement community health service improvement projects, and formulate guidance for further standardizing the management of community health services We will expand the pilot reform of the practice and service models of general practitioners We will deepen the comprehensive reform of township health centers, and carry out "building township health centers that satisfy the masses." We will strengthen the training of village doctors, promote local policies on providing for the aged, and stabilize and optimize village doctors Fourth, we will improve the drug supply guarantee system We will establish a national drug policy coordination mechanism and improve the national drug policy system We will promote the convergence of purchasing mechanisms for essential drugs and non essential drugs We will implement and improve the guidance on centralized drug procurement in public hospitals Establish a part of drug price negotiation mechanism We will comprehensively start the standardization construction of the centralized drug purchase platform, and standardize and promote the procurement of high-value medical consumables in the sunshine We will strengthen the construction of information systems for drug supply and guarantee, and achieve connectivity We will establish a mechanism to guarantee the supply of medicines in short supply, with the focus on emergency (rescue) medicines, and continue to promote the pilot production of some essential medicines that are clinically necessary and in small quantities, as well as the drug use guarantee for children Promote the docking of medical information system and national drug electronic supervision system Fifth, we will promote the equalization of basic public health services We will continue to raise the standard of financial subsidies for basic public health services, and continue to give priority to basic health services and village doctors We will implement major national public health services We will improve the mechanism for division of labor and cooperation between basic medical and health institutions and specialized public health institutions Sixthly, we should vigorously promote the work of classified diagnosis and treatment We will formulate guidelines for hierarchical diagnosis and treatment, and launch pilot projects for hierarchical diagnosis and treatment in pilot areas of urban public hospital reform We will promote medical institutions at all levels to implement their functional orientation and optimize the distribution of medical resources We should formulate differentiated medical insurance reimbursement policies and give full play to the guiding role of medical insurance in medical treatment Taking the prevention and control management of chronic diseases such as hypertension and diabetes as the breakthrough point, explore the methods of packing according to disease types and linking up and down, and promote the establishment of hierarchical diagnosis and treatment mode of primary diagnosis, two-way referral, acute and slow treatment, and linking up and down We should make it a long-term task to strengthen the grass-roots level, and improve the service capacity of county-level hospitals and grass-roots medical and health institutions through the formation of medical consortia, counterpart support and multi-point practice The seventh is to establish the personnel training system and personnel compensation system to adapt to the characteristics of the industry We will promote medical and educational cooperation, fully implement standardized training for residents, implement the task of training 50000 new residents, and study and establish a standardized training system for specialists We will strengthen the training of health professionals at the grassroots level and launch the training of "3 + 2" assistant general practitioners The pilot program of special post for general practitioners has been expanded to 680 counties in 19 provinces.