The medical reform office of the State Council: to speed up the improvement of the national medical system in the future

The decision of the Central Committee of the Communist Party of China on several major issues of comprehensively deepening reform, which was adopted at the Third Plenary Session of the 18th Central Committee of the Communist Party of China, proposed to comprehensively promote the reform of medical security, medical services, public health, drug supply and regulatory system Deepening the reform of the medical and health system involves the vital interests and well-being of the 1.3 billion people How to implement the spirit of the Third Plenary Session of the 18th CPC Central Committee in deepening medical reform? Xinhua news agency interviewed Sun Zhigang, director of the medical reform office of the State Council and deputy director of the national health and Family Planning Commission Speed up the establishment of universal medical insurance system in the next four years On November 29, Fu Wei, deputy director of the Department of system reform of the national health and Family Planning Commission and head of the policy group of the medical reform office of the State Council, said in an interview that in the next four years, China's medical reform will highlight three key tasks: first, to speed up the establishment of the national medical insurance system; second, to consolidate and improve the basic drug system and the new mechanism of grass-roots operation; third, to actively promote the reform of public hospitals Fu Wei said that in this year's system reform of the State Council, the Department of system reform of the national health and Family Planning Commission was newly established, which is mainly responsible for some work of the leading group and its office of the State Council's medical reform Its responsibilities mainly involve four aspects: first, to study and put forward suggestions on major policies, policies and measures to deepen medical reform, and to organize the formulation of comprehensive supporting documents for medical reform Second, urge and coordinate relevant departments and local governments to implement the policies and measures of medical reform, and organize the monitoring, evaluation and performance appraisal of medical reform Third, we will organize and promote the reform of public hospitals and guide the pilot work of major institutional reform Fourth, responsible for medical reform policy, experience, information collation, analysis and publicity     Fu Wei pointed out that in March 2013, the State Council formulated the medical reform plan for the 12th Five Year Plan period, defined the planning objectives for the next four years, and highlighted three key tasks: first, to speed up the establishment of the national medical insurance system; second, to consolidate and improve the basic drug system and the new mechanism of grass-roots operation; third, to actively promote the reform of public hospitals; of course, to promote public health services as a whole Supporting reforms include equalization of services, construction of talent team, construction of health informatization, and operation of medical services by social forces Fu Wei stressed that since the promulgation of the 12th Five Year Plan, especially since the 18th National Congress of the Communist Party of China, it should be said that some new progress has been made in various medical reform work, the level of basic medical security has been further improved, the basic drug system and the new mechanism of grass-roots operation have been further consolidated and improved, and the pilot of public hospital reform is steadily advancing With the advancement of various medical reform work, the medical security system has basically achieved full coverage, the urban and rural medical and health service system has been continuously improved, and the accessibility of health services has been significantly improved We also realize that the medical needs of the masses are further released, and the health level has been further improved     However, the medical reform is a worldwide problem, and China's medical reform is facing comprehensive challenges in development, reform, management and other aspects At present, the deepening of the medical reform involves more system and mechanism reform and the adjustment of interest pattern At the same time, the medical reform is also facing some new situations and new requirements, which requires us to strengthen overall coordination and continuous innovation, To promote medical reform can make new breakthroughs in key areas and some key links The decision to improve the universal medical insurance and consolidate the grass-roots medical reform was put forward to reform the way of medical insurance payment and improve the universal medical insurance system Sun Zhigang said that this means that we must promote the transformation of universal health insurance from a framework to a system He said that we should continue to consolidate and expand the coverage of basic medical insurance, with the insured rate stable at more than 95% By 2015, the government's per capita subsidy standard for urban residents' medical insurance and new rural cooperative medical insurance will be raised to more than 360 yuan, and the proportion of hospitalization expenses within the policy scope will reach about 75% We should reform the payment method, promote immediate settlement, establish a settlement mechanism for remote medical treatment, and facilitate people's medical treatment; We will accelerate the establishment of a serious illness insurance system for urban and rural residents, and establish a safeguard mechanism for serious and serious diseases for urban and rural residents We will improve the medical insurance management system, integrate the responsibilities of medical insurance management, promote the reform of the operation mechanism, and improve the operation efficiency and service level We will vigorously develop commercial health insurance to meet the diverse and multi-level health needs of the people It was decided to deepen the comprehensive reform of grass-roots medical and health institutions and improve the operation mechanism of network urban and rural grass-roots medical and health services Sun Zhigang said that we should consolidate the achievements of grass-roots medical reform and gradually improve and finalize the new operation mechanism of grass-roots medical and health institutions He said that we should expand the scope of implementation of the basic drug system in an orderly manner, and promote the gradual implementation of the basic drug system in non-governmental grass-roots medical and health institutions and village clinics In particular, we need to improve the comprehensive reform measures in the establishment management, compensation mechanism, personnel distribution and other aspects of grass-roots medical and health institutions, and improve the operation mechanism of network urban and rural grass-roots medical and health services We need to improve the level of medical and health services at the grass-roots level through targeted training, on-the-job training, continuing education and counterpart support We will pay close attention to the implementation of existing policies, increase support for village doctors, and effectively stabilize and optimize the ranks of village doctors We will accelerate the reform of public hospitals, encourage the development of social capital to run hospitals, speed up the reform of public hospitals, implement government responsibilities, and establish a scientific medical performance evaluation mechanism and a personnel training and remuneration system that adapts to the characteristics of the industry Sun Zhigang said that we should promote the transformation of the reform of public hospitals from pilot exploration to comprehensive promotion, and do a good job in breaking the three articles of "medical supplement with drugs", innovating the system and mechanism, and mobilizing the enthusiasm of medical staff " He said that to clarify the responsibility of the government for running a hospital, it is necessary to fully implement the government's input policies in six aspects, namely, the capital construction of public hospitals, the purchase of equipment, the development of key disciplines, public health services, the expenses of retirees in line with the state regulations and the subsidy for policy losses At the same time, we will gradually cancel the drug markup policy, and change the hospital's compensation from three channels of service charge, drug markup income and financial subsidy to two channels of adjusting service charge and increasing financial subsidy Reform and standardize the bidding and purchasing mechanism of drugs and consumables, cut off the interest chain between the production and circulation fields of drugs and consumables, hospitals and doctors Deepen the reform of personnel system and distribution system Hospitals can't decompose the income generating indicators to doctors It is necessary to establish a competitive employment mechanism, a new performance appraisal and distribution system reflecting public welfare and high efficiency, explore a salary system in line with the characteristics of the industry, and mobilize the enthusiasm of medical personnel Establish a modern hospital management system to promote the scientific, standardized and refined internal management of the hospital He said that at present, we need to focus on county-level public hospitals, promote the elimination of the mechanism of drug supplement as the key link, reform the compensation mechanism and implement the independent management right of hospitals as the starting point, and comprehensively promote the comprehensive reform of management system, compensation mechanism, personnel distribution, price mechanism, medical insurance payment and so on At the same time, we will continue to expand and deepen the reform of urban public hospitals, strengthen guidance, and lay a solid foundation for the overall promotion of reform The decision proposes to encourage the community to run medical institutions and give priority to supporting the establishment of non-profit medical institutions Sun Zhigang pointed out that to promote the operation of social capital, we should not only improve the top-level design, but also ensure the implementation of policies He said that we should encourage the community to run hospitals and leave reasonable development space for them in health planning In particular, we should give priority to supporting the establishment of non-profit medical institutions, and establish a social capital medical system with non-profit medical institutions as the main body and profit-making medical institutions as the supplement We will improve preferential policies and measures on taxation and other aspects, and mobilize domestic and foreign enterprises, groups and individuals with economic strength and social responsibility to set up a number of large-scale and elaborate non-profit medical institutions Social funds can be directly invested in the fields of scarce resources and services to meet multiple needs, and participate in the restructuring and reorganization of public hospitals in various forms We will strengthen the building of the talent pool, promote the improvement of the multi-point practice policy for doctors, and improve the medical service level of non-public medical institutions By 2015, the number of beds and service volume of non-public medical institutions will reach about 20% of the total.