The State Council printed and distributed 2014 work summary and 2015 key tasks of deepening medical reform

Source: Medical mobile news 2015-05-09 the general office of the State Council issued the notice on printing and distributing the 2014 work summary and 2015 key work tasks of deepening the reform of medical and health system, comprehensively summarized the positive progress and effect of deepening the reform in 2014, analyzed the situation and challenges faced by the reform, and put forward 2015 on this basis Key tasks of the year According to work summary and tasks, 2014 In, all relevant departments in various regions strengthened organizational leadership, increased planning guidance and investment, strengthened reform of system and mechanism, paid attention to publicity and guidance, focused on the reform of public hospitals, guided by the outstanding problems reflected by the masses, further promoted the construction of social medical service and universal medical insurance system, consolidated and improved the basic drug system and the new mechanism of operation of grass-roots medical and health institutions, and standardized the flow of drugs We have effectively promoted and made positive progress in key work such as order and other reform tasks In 2015, to deepen medical reform, we need to fully implement the 12th Five Year Plan, continue to adhere to the overall requirements of "ensuring the basic level, strengthening the grass-roots level and building the mechanism", promote the linkage of medical treatment, medical insurance and medicine, continuously improve the level of medical and health services, accelerate the improvement of the basic medical and health system, and build a healthy China The work summary and tasks put forward 27 key tasks in 7 aspects First, comprehensively deepen the reform of public hospitals We will eliminate the mechanism of supplementing medical treatment with drugs, promote the establishment of a scientific compensation mechanism, further rationalize the price of medical services, deepen the reform of personnel system, establish a salary system that is in line with the characteristics of the medical and health industry, optimize the distribution of medical and health resources, accelerate the establishment and improvement of modern hospital management system, and strengthen performance evaluation Second, improve the national health insurance system We will improve the financing mechanism and management services, fully implement the serious illness insurance system for urban and rural residents, improve the guarantee mechanism for major and major diseases, deepen the reform of the medical insurance payment system, and vigorously develop commercial health insurance Third, we should vigorously develop social medical services We will further improve the social policy for running medical services, strengthen supervision and management, and standardize service behaviors Fourth, we will improve the drug supply guarantee mechanism We will implement measures for centralized drug procurement in public hospitals, deepen reform in the field of drug production and distribution, actively promote drug price reform, ensure drug supply and distribution, and improve the evaluation system for innovative drugs and medical devices Fifth, improve the system of hierarchical diagnosis and treatment We will improve the service capacity of the grassroots and accelerate the establishment of the system of first and two-way referral at the grassroots level Sixth, we will deepen the comprehensive reform of basic medical and health institutions Mobilize the enthusiasm of the grass-roots level, strengthen the construction of rural doctors, and accelerate the equalization of basic public health services Seventh, we will comprehensively promote various supporting reforms Promote the construction of health information, strengthen the construction of health talents, improve the medical and health supervision system and other related work "Work summary and tasks" defines the responsible departments of various reform tasks, and puts forward time schedule requirements for some key tasks It is emphasized that all regions and relevant departments should strengthen the organization and leadership of medical reform, strengthen the monitoring and evaluation of medical reform, and ensure the smooth progress of key tasks of annual medical reform The following is the original document: work summary of deepening the reform of the medical and health system in 2014 and key tasks in 2015 1 Work summary of deepening the reform of the medical and health system in 2014 is the first year to implement the spirit of the Third Plenary Session of the 18th CPC Central Committee, comprehensively deepen the reform, and the key year to deepen the reform of the medical and health system All regions and relevant departments resolutely implement the decision-making and deployment of the Party Central Committee and the State Council, adhere to the principle of ensuring the basic level, strengthening the grass-roots level and building mechanisms, highlight the linkage of medical treatment, medical insurance and medicine, the linkage of up and down, internal and external linkage, regional linkage, and promote the reform in related fields as a whole, and strive to solve the world-wide problem of medical reform with Chinese methods, and make new progress and achievements （1） With comprehensive efforts and multi-faceted guarantee, we can form a joint force in the work of medical reform The CPC Central Committee and the State Council attach great importance to the work of medical reform General secretary Xi Jinping asked to base on China's reality and learn from the advanced international experience, and strive to solve the problem of health care reform, emphasizing that without universal health, there will be no overall well-off society It is pointed out that we should promote the shift of the focus of health care work, the subsidence of medical and health resources, and provide safe and effective public health and basic medical services for the masses Premier Li Keqiang has presided over and held executive meetings of the State Council for many times to study the work of medical reform, and has made important instructions and instructions for many times He stressed that we should further establish the concept that the basic medical and health system is a public product, earnestly fulfill the responsibility of the government to run medical services, pay attention to the role of the market, orderly expand the access of social forces to run medical services, promote the in-depth development of medical reform, and make the people benefit from medical services The staff are encouraged and the financial support is sustainable Vice Premier Liu Yandong presided over the leading group meeting and special session of the State Council on deepening the reform of medical and health system to study and deploy the key work of medical reform 1 Strengthen the organization and leadership of medical reform At the national level, the top-level design should be strengthened, and the overall coordination with the provincial leading group for deepening the reform of the medical and health system and the members of the leading group for deepening the reform of the medical and health system of the State Council should be strengthened The leading system of medical reform has been further straightened out The adjustment of medical reform institutions and personnel has been gradually put in place Each member unit has performed its own duties, cooperated and cooperated with each other, and strengthened the coordination and promotion of medical reform Local Party committees and governments at all levels regard medical reform as an important project for people's livelihood, establish and improve mechanisms such as leadership decision-making, overall coordination, supervision and supervision, decompose tasks at all levels, transmit responsibilities and pressures, and ensure the solid and orderly progress of medical reform 2 Increase planning guidance and investment The state attaches great importance to the work of fund guarantee for medical reform, in combination with the special construction tasks of key projects in the field of health in the 12th Five Year Plan Outline for national economic and social development (hereinafter referred to as the 12th Five Year Plan) and the plan and implementation plan for deepening the reform of medical and health system during the 12th Five Year Plan (hereinafter referred to as the 12th Five Year Plan) It is required to further increase the investment of medical reform funds and implement various health investment policies In 2014, the national budget for medical and health expenditure (including family planning) was 1007.1 billion yuan, an increase of 9.62% over the previous year, 0.47 percentage points higher than the growth rate of national financial expenditure in the same period Among them, the medical and health expenditure of the central government was 303.8 billion yuan, an increase of 14.34% over the previous year, 5.74 percentage points higher than that of the central government over the same period 3 Strengthen the reform of system and mechanism We should put the construction mechanism in a more prominent position, emphasize the elimination of the mechanism of public hospitals to supplement medical services with drugs, the establishment and improvement of scientific compensation mechanism and public welfare operation mechanism, and emphasize the further deepening of comprehensive reform at the grass-roots level, the consolidation and improvement of the new operation mechanism of grass-roots medical and health institutions, the improvement of grass-roots service capacity, and the mobilization of the enthusiasm of grass-roots medical and health institutions and personnel; We will focus on improving the universal medical insurance system, linking basic medical insurance, serious illness insurance for urban and rural residents, medical assistance and emergency medical assistance, and forming a policy synergy Establish and improve the guarantee mechanism for major and major diseases 4 Pay attention to publicity and guidance The central government and local news media should grasp the main theme, enhance their initiative, continue to take the publicity of medical reform as an important task, combine the opportunity of the release of important policy documents of medical reform, do a good job in policy publicity and interpretation, and gather social consensus We will vigorously publicize the typical practices and experiences explored in key areas of medical reform, and strengthen the determination and confidence of all sectors of society to promote medical reform At the same time, we should strengthen the analysis and judgment of public opinion of medical reform, respond to social concerns in time, and create a stable and orderly social atmosphere for the smooth progress of medical reform （2） Overall planning, key breakthroughs and effective promotion of various reform tasks Focusing on the reform of public hospitals and guided by the outstanding problems reflected by the masses, we will further promote the construction of the social medical system, the national medical insurance system, consolidate and improve the basic drug system, the new mechanism for the operation of primary medical and health institutions, and standardize the order of drug circulation, and comprehensively push forward the reform in related fields 1 Accelerate the comprehensive reform of public hospitals and promote the establishment of a new operation mechanism We will focus on the comprehensive reform of county-level public hospitals A teleconference on comprehensive reform of county-level public hospitals was held Premier Li Keqiang gave important instructions Vice Premier Liu Yandong attended the meeting and delivered a speech Five departments, including the health and Family Planning Commission, issued the opinions on promoting the comprehensive reform of county-level public hospitals, together with the implementation plan for the effect evaluation of the comprehensive reform of county-level public hospitals The second batch of pilot comprehensive reform of county-level public hospitals was launched, with more than 1300 pilot counties (cities) expanded, and 12 provinces including Hebei, Shanghai, Jiangsu, Zhejiang, Fujian, Anhui, Jiangxi, Henan, Hunan, Sichuan, Shaanxi and Qinghai achieved full coverage of reform The health and Family Planning Commission held 24 training courses on comprehensive reform of county-level public hospitals, attended by more than 4400 people from all over the country On the basis of local self inspection, at the end of 2014, the medical reform office of the State Council, together with relevant departments, formed 12 inspection teams to conduct on-site inspection in 29 provinces From the perspective of supervision and inspection, the organization and leadership of county-level public hospitals are more powerful, the policy system is more complete, the responsibility of the government is further implemented, and the comprehensive reform with the elimination of the mechanism of medical supplement as the key link is continuously deepened The capacity of county-level medical service system is significantly improved, and the people begin to feel the benefits brought by the reform The rate of medical treatment in the pilot area reaches To over 85% By the end of 2014, 66% of the counties (cities) in the country had cancelled the drug mark up, medical service prices were further straightened out, hospital revenue and expenditure structure was optimized, and economic operation was on a sound track According to the questionnaire survey, 82% of the medical staff agree with the reform, and 96% of the people are satisfied with the reform and the experience We will expand the pilot program for comprehensive reform of urban public hospitals 17 new pilot cities will be contacted by the state, and at least one pilot city will be established in each province (except Tibet) The guiding opinions on the pilot project of the comprehensive reform of urban public hospitals and the implementation scheme of the effect evaluation of the comprehensive reform of urban public hospitals were studied and formulated The health and Family Planning Commission and the Ministry of Finance held a forum on comprehensive reform of urban public hospitals in Sanming City, Fujian Province From 6 to July 2014, the health and Family Planning Commission, the Ministry of finance, the medical reform office of the State Council, together with relevant departments and experts, evaluated the reform of the first batch of 17 pilot cities and Sanming City public hospitals in Fujian province From the evaluation, the overall direction of the pilot reform is correct, the understanding of promoting the reform is deepening, the revenue and expenditure structure of the public hospitals in the pilot cities is becoming more reasonable, the income level of medical staff is steadily improving, and the momentum of the excessive rise of medical expenses is initially contained The growth rate of per capita medical expenses and per capita hospitalization expenses of the three-level public hospitals in the pilot cities has been effectively controlled, from 9.14% and 12.71% before the reform to 5.34% and 3.95% respectively, and the self payment of mass medical expenses has been reduced by about 10 percentage points compared with that before the reform 2 We will vigorously promote the development of social medical services and accelerate the formation of a diversified pattern of medical services Fully implement the opinions of the State Council on promoting the development of health service industry (GF [2013] No 40) Spirit: increase the support for social medical service, focus on the development of non-profit non-public medical institutions, focus on the construction of non-profit medical institutions as the main body, for-profit medical institutions as the supplement, public medical institutions as the leading, non-public medical institutions for common development