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Reporter 21 from the State Council Medical Reform Office learned that, in order to speed up the pace of reform of county-level public hospitals, to identify the existing problems and their causes, the State Council Medical Reform Office will work with the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Health and Family Planning Commission, the State Food and Drug Administration, the State Administration of Traditional Chinese Medicine, on the county-level public hospital comprehensive reform pilot situation of 29 provinces (districts, cities) to carry out inspection and evaluation work.
county-level hospital services cover more than 900 million people, accounting for more than 70% of the total number of residents, but the medical services it undertakes still do not match its functional positioning. In 2013, the new agricultural data showed that the transfer rate of patients in the county area exceeded 20%, and there is still a gap between the goal of achieving about 90% of the consultation rate in the county area.
In order to improve the service capacity of county-level hospitals, basically realize the major illness out of the county, the comprehensive reform of county-level public hospitals has become the top priority of public hospital reform, the number of pilot counties (cities) of county-level public hospital reform has increased to more than 1000, involving more than 50% of China's counties (cities), covering 500 million people in rural areas. The reform includes the establishment of a modern hospital management system, the abolition of the drug rate policy, the promotion of graded diagnosis and treatment, and the improvement of the out-of-county referral and filing system.
understood that the State Council Medical Reform Office inspection and evaluation work includes two parts, one is by the provincial medical reform office to organize pilot counties to carry out self-evaluation of the promotion of comprehensive reform and implementation effect; Second, from mid-to-late November, the Medical Reform Office of the State Council sent 12 inspection teams to carry out on-site inspections in 29 provinces (districts and cities).the focus of the
inspection will focus on six main aspects: reforming the compensation mechanism of public hospitals, improving the mechanism of drug procurement and supply, deepening the reform of the personnel distribution system, reforming the management system and strengthening the internal management situation, promoting the reform of payment methods and establishing a hierarchical diagnosis and treatment system.
The inspection and evaluation team of the Medical Reform Office of the State Council will collect information by listening to reports, consulting data, on-site inspection, questionnaires and other means, and visit county-level public hospitals on the spot to listen to the opinions and suggestions of county-level public hospital managers and medical personnel representatives. The inspection team will urge rectification in provinces where the pilot work of comprehensive reform of county-level public hospitals has been carried out slowly and the implementation of reform tasks has not been solid. (Pharmaceuticals)