Promoting healthy China with governance ability

Source: Health Daily, March 11, 2015, "the road is simple, the right is not arbitrary", "accelerate the construction of the government under the rule of law, innovative government, clean government and service-oriented government, enhance the executive power and credibility of the government", "the government should be brave in self revolution, leave enough space for the market and society, build a stage for fair competition", "use the" subtraction "of government power" In exchange for "multiplication" of market vitality In his report on the work of the government at the third session of the 12th National People's Congress, Premier Li Keqiang expressed the determination of the current government in promoting the modernization of governance capacity, and proposed to adhere to the constitutional governance and administration in accordance with the law; adhere to innovative management and strengthen services; adhere to the use of power in accordance with the law and advocate the simplification of luxury management; adhere to the initiative and pay close attention to the implementation This can be seen as a specific requirement for the governance capacity of government departments As an important part of the people's livelihood project, building a healthy China and developing the health industry are also inseparable from the improvement of governance capacity The medical reform has stepped into a deep-water area and a critical period Institutional contradictions and deep-seated problems are highlighted: large hospitals have been in a "wartime state" for a long time Patients' trust in grassroots institutions is not enough; although the level of medical security has been improved again and again, extreme events that break through the bottom line due to serious illness still occur occasionally; medical and health resources need the access of social capital, and social medical services call for fairness and justice; mobile health, medical care integration and other new business development need to be guided and standardized All these problems need to be solved through reform Steady progress in reform has greatly tested the wisdom of health industry governance How to deal with the relationship among government, market and society, activate resources, coordinate as a whole and improve supply efficiency? How to turn the system advantages into management efficiency? How to solve the new problems brought by new productivity (such as mobile Internet technology) entering the field of health care? These new topics need to improve the level of health industry governance To improve the ability of health industry governance, we need to build a solid foundation for administration according to law Adhere to the principle of "no authorization of law, legal responsibility must be", and replace "pat the head" and "pull the drawer" with institutionalized, standardized and procedural governance, instead of inaction or even disorderly action At the same time, we should change the functions of the government and strengthen the combination of streamlining administration, delegating power and deregulation, not only to stimulate market vitality, but also to avoid "disorder once released" For example, in optimizing medical and health resources and improving the service system, we should effectively eliminate the glass doors and spring doors of social capital, create a fair competition environment, and make the cake of health resources bigger "The only way to build a country is to enrich the people." From the report on the work of the government, we can strongly feel the determination of the party and the state to organize and strengthen the people's livelihood security network and promote people's well-being In 2014, although the growth of fiscal revenue slowed down and the pressure of expenditure increased, the proportion of fiscal spending on people's livelihood reached more than 70% According to the income forecast and expenditure arrangement in 2015, the central government spent 250.1 billion yuan at the same level, including 11.019 billion yuan for medical and health care and family planning, a year-on-year increase of 22.1% To spend the money well and improve the health and well-being of the people, we need to improve the ability of industry governance For example, to build a service-oriented government, we need to provide basic public services by purchasing services as much as possible, and hand over the services that can be provided by the third party to the market or the society This requires the competent administrative department of health to give full play to the functions of organization and supervision, so as to ensure that the input of financial funds can really improve the health and welfare of the people To improve the governance capacity of the health industry, we need to promote scientific and democratic decision-making, widely listen to opinions, seek the greatest common divisor, and pool the positive energy of reform and development We should make government affairs public in an all-round way and consciously accept the supervision of the people For example, the majority of medical and health workers are the main force of medical reform They are most familiar with the industry and have a deep understanding of the crux of the industry problems They are indispensable to build a healthy China, improve the legal system of medical and health care, and promote medical reform We need to mobilize their enthusiasm and listen to their opinions, so that they can become a huge force to promote medical reform and a think tank for the development of the industry It is less than six years before the first 100 year goal, namely, building a moderately prosperous society in an all-round way, is achieved To build a well-off society in an all-round way and move towards a healthy China, it is necessary for the government departments to take the initiative and implement it We need to find the right points, hit the key points, break through the "middle obstruction", get through the last kilometer, and launch a batch of hard and practical moves that can be called, stand and recognized by the public There is still a long way to go to innovate management and improve governance ability in the future, which is doomed to be uneven The whole industry should be inspired, take the courage to overcome difficulties, and make joint efforts to explore, so as to make better governance ability become the driving force for building a healthy China and promoting medical reform.