Representatives of the National People's Congress talk about medical reform: the reform of local institutions will be completed in March next year

Source: e drug manager 2018-03-16 according to the decision of the Central Committee on deepening the reform of the party and state institutions, the reform of the provincial Party committee and government will be reported to the Party Central Committee for approval before the end of September this year, and the basic reform will be adjusted in place before the end of this year All tasks of local institutional reform should be basically completed by the end of March 2019 The highlights of this institutional reform are frequent On March 14, at the plenary session of the Shanghai Delegation of the National People's Congress, delegates had a lot to say about medical reform "This is a real reform It is unprecedented in terms of its large scale, wide scope, deep interests and strong reconstruction." Ying Yong, a deputy to the National People's Congress, deputy secretary of the Shanghai municipal Party committee and mayor of Shanghai, said For example, an agricultural product is managed by the Ministry of agriculture when it is in Tiantou, the General Administration of quality supervision, inspection and quarantine when it is in production, the market circulation is the market circulation, and the food and drug administration when it is on the dining table It is easy to form the contradiction of multi management This time, the market supervision department is formed to carry out unified centralized supervision and comprehensive law enforcement, which is conducive to reducing the direct intervention on market subjects In Ying Yong's view, this is not only the difference between the original "health and family planning committee" and "health" It more embodies the reform ideas of "great health" and "great health", and promotes healthy China with the idea of "health" "Without the health of the whole people, there will be no well-off society in all respects The establishment of the health committee, with people's health as the center, not only conforms to the social needs of disease risk control, but also accurately grasps the development trend of science and technology We know that major diseases include major infectious diseases and chronic diseases For infectious diseases, China has basically formed an effective risk control early warning and response mechanism Now, the greater problem may come from chronic diseases Statistics show that at present, I have reached 493 million of potential diabetic patients The incidence rate of chronic diseases such as metabolic diseases and cardiovascular diseases is at the edge of blowout Therefore, it is urgent to start the prevention and control of chronic diseases Zhang Zhaoan, vice chairman of the Shanghai municipal Party committee and vice president of the Shanghai Academy of Social Sciences, said   According to Liu Yan, member of the Standing Committee of the Central Committee of the Taiwan Union, vice chairman of the Shanghai Municipal Committee, and vice president of the Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of medicine, from the perspective of the functions of the restructured National Health Committee, it focuses on the strategy of healthy China proposed by the 19th National Congress of the Communist Party of China, and also embodies the concept of great health Turning disease treatment as the center into people's health as the center will further promote health and Healthy career development In the same way, the relevant responsibilities and management relations of the Aging Committee and the aging association are separated from the civil affairs and integrated into the health and Health Committee, which also reflects the law of the development of aging affairs with the combination of medical care and maintenance; the establishment of the national medical security bureau is conducive to the improvement of the basic medical insurance system and the serious illness insurance system for urban and rural residents We will promote the linkage of medical treatment and medical insurance   "This reform of medical and health institutions should focus on the needs of development, and the most special one is medical insurance By restructuring responsibilities, re establishing functions, and integrating three management into one, the original medical insurance under multiple management should be handed over to one department for management, so as to prevent department cross and multi management to the greatest extent, while clarifying responsibilities, which is conducive to reducing internal cross and resistance in the process of medical reform and making coordination More smoothly Medical reform is a systematic project After the reform of institutional functions, how to work together effectively in the next step is the most critical issue Therefore, it is suggested to focus on the key links, find the right positioning, strengthen the overall planning, focus on the key points and short boards, form an effective joint force, follow the trend and work hard on high-quality development " Liu Yan said "In the past, the medical insurance relationship between urban employees and urban residents was managed by the Ministry of human resources and social security, and the new type of rural cooperation was managed by the health and Family Planning Commission Last year, when we got the second-generation certificate of the human resources and social security card, we encountered a problem: the system of the Ministry of human resources and social security was in charge of the city, but when we settled with the medical insurance of other provinces in different places, they were more in charge of the new rural cooperative medical insurance, which was difficult to integrate What's more, where are our health insurance institutions? Is it in the human resources and social security department or in the health department? This is also a fight Even if it is put in the human resources and social security department, there must be a vice mayor to manage the medical treatment, medicine and medical insurance Otherwise, these departments will fight In this institutional reform, I think it is still from the perspective of benefiting the people's livelihood, adhere to the people-centered development concept, and reshape the responsibilities and strength of the government " Ying Yong said In Liu Yan's view, the Medical Security Bureau has realized the integration of the old and the three It is also of great significance to establish a unified basic medical mechanism and a serious disease security mechanism, improve the level of medical security, ensure the rational use of medical insurance resources, ensure safety and controllability, rationalize the medical insurance management system, and promote the reform of the three medical linkage as a whole For example, the policy formulation and supervision of remote medical insurance and electronic settlement platform, including the bidding and purchase of drugs and medical consumables, will be uniformly in the charge of the Medical Security Bureau in the future, which will effectively control the medical expenses, standardize the medical behaviors, effectively enhance the internal motivation of the hospital, and better guarantee the medical services   It is reported that in the past few years, Shanghai has been actively exploring and promoting the linkage of three medical services and optimizing the allocation of resources at the grass-roots level, and has also made some achievements and experience For example, in the construction of medical consortia, medical consortia is the general measure to promote the hierarchical diagnosis and treatment system, and it is also to deepen the system innovation of medical reform This regional and close medical consortia has realized the use of mobile diagnosis and treatment The Medical Association of medical center version 1.0 is transforming into Medical Association of version 2.0, focusing on health management, hierarchical diagnosis and treatment of Medical Association and medical insurance settlement mode It has realized the overall planning of financial revenue, medical insurance payment personnel management and other aspects, pried the coordinated reform of responsibilities and rights in the medical association through the reform of medical insurance payment mode, implemented the medical model of total medical insurance in the Medical Association to protect serious diseases, improved the sharing mechanism of surplus retention and joint effort overspending, truly realized the linkage of three medical services, and let the masses have more sense of gain In addition, regional specialized and professional medical services, such as pediatric, obstetrics and Gynecology and other specialized medical integration established in Shanghai, have also played a positive role in solving the clinical service needs of common and frequently occurring diseases, promoting hierarchical diagnosis and treatment, improving medical services, and solving the problem of homogeneity "We are deeply touched by the reform plan of the national health and Health Commission We look forward to the newly established health and Health Commission facing the challenges of health diseases and aging, and promoting policy coordination in health policy, population aging, medical and health care integration, medical and health system reform, etc." Zhang said   Liu Yan suggested that in the next reform, we should strengthen the overall planning, the government should plan the construction of medical consortia as a whole, take the initiative to adapt to the changes of the current health cause, according to the requirements of the construction of hierarchical diagnosis and treatment system, and strengthen the trend of the construction of grass-roots medical services, make scientific planning and overall layout; we should adjust measures to local conditions, reasonably allocate medical resources according to the actual situation of each region, and select appropriate ones The construction mode of Medical Association should not be one size fits all; it is necessary to highlight linkage, strengthen the cooperation of relevant functional departments, strengthen the linkage strength, strengthen consensus, dare to act, dare to take responsibility, pay close attention to the implementation, work hard to improve the integrity and coordination in the implementation process, work hard to achieve the integration of medical resources, and improve the overall effect of the service system; it is necessary to pay attention to the construction quality, so as to achieve the Medical Association The goal of physical education construction is to establish a perfect evaluation index system and promote the healthy development of the Medical Association This is to truly play the role of hierarchical diagnosis and treatment, strengthen the service capacity of the grass-roots level, and maintain the people's health, and finally achieve a win-win situation among the three parties of the government of the people's hospital No matter what the reform, these will be concluded next year According to the decision of the Central Committee on deepening the reform of the party and state institutions, the reform of the provincial Party committee and government will be submitted to the Party Central Committee for approval by the end of September this year, and the basic reform will be adjusted in place by the end of this year All tasks of local institutional reform should be basically completed by the end of March 2019.