Focus of medical and health work in 2016 from the government work report

Source: the annual NPC and CPPCC 2016-03-07 have always attracted the attention of all circles at home and abroad, especially the government work report of the second day of the NPC and CPPCC, which is the text carrier of the official work summary of the past year and the announcement of the key work plan of the next year In the face of the slowing down of social economic growth and the critical period of social transformation, it is important to see what policies the government adopts in the field of medical and health services to achieve the goal of "although the growth of financial revenue is slowing down, there is no lack of practical things to do for the masses", which plays an important role in understanding the reform trend of medical and health services （1） The "three medical reform" reform linkage policy coordinated the promotion of medical, health care and medical linkage reform, which is the overall goal direction proposed in this year's work report in the large medical field As we all know, the system reform in the field of medical and health services has gone through many years, especially the reform of hospital system and doctor management system, which has aroused great concern from all walks of life in the past year Then, due to various reasons, the progress of the reform has been questioned by many scholars and practitioners (for example, Zhong Nansheng, a representative of the CPPCC National Committee and a famous medical expert, said in the CPPCC National Committee of the same period) One of the important reasons for this situation lies in the non top level and non systematic nature of medical reform, that is, the systematic correlation between the fields of medical and health services makes the reform in a specific field often weak due to the constraints of other relevant systems Now, the reform in hospitals, doctors, insurance and drugs are linked at the same time Reform is expected to push medical reform to a deeper level （2） In this year's report on the work of the government, the government specially named to accelerate the implementation of the nationwide network of basic medical insurance and the settlement of remote medical treatment It is well known that in the current medical insurance system, due to the sharing mechanism of medical insurance costs and other factors, the medical insurance payment system presents a local feature, which further deepens the "difficulty of seeing a doctor" under the current "three imbalances" of unbalanced distribution of medical resources between the East and the West, urban and rural areas and hierarchical distribution The emergence of problems and medical disputes, to some extent, has an impact on the orderly and stable development of social economy On the one hand, the implementation of the unified medical insurance payment system and the promotion of the full coverage of the national serious illness insurance can solve the "three imbalances" problem to a certain extent, and promote the "difficult and expensive medical treatment" caused by the economic income gap On the other hand, the full coverage of serious illness insurance can reduce the problem of people returning to poverty due to illness in the central and western regions, which is of great support to building a well-off society in an all-round way （3） Public hospitals continue to reform As always, the public hospital reform has been concerned by the public in recent years, which can be called the core issues in the medical reform, including the medical relationship of public hospitals, multi-party investment of public hospitals, personnel compensation of TCM students in public hospitals and multi-point practice of doctors in public hospitals In the reform of the previous period, the introduction of multiple policies and the deregulation of the system increased the mobility of doctors in the medical market to a certain extent However, due to the problems in the system and social concepts, the multi-point practice has been alienated in many cities and regions, and many multi-point practice attempts have not played a role in leading to the ultimate freedom of doctors The function of practice means On the one hand, to solve this problem, we need to continue to push forward the reform and realize the overall linkage reform through overall consideration in the system Only in this way can we solve the profit-seeking problems of public hospitals, respect the labor value of medical personnel and stimulate their enthusiasm through the increase of salary On the other hand, under the premise of determining the public nature of public hospitals and the basic provision of basic medical services, we need to encourage the society to run medical services, and through the establishment of private or foreign hospitals and the introduction of a certain amount of civil society capital in the reform of public hospitals, so as to achieve a more public welfare guarantee for the reform of public hospitals （4） Responding to the current needs, accelerating the cultivation of general practitioners and pediatricians The establishment of the general practitioner system is an important part of the reform of the domestic doctor system, and also an important human resource guarantee for the implementation of the multi-level diagnosis and treatment system In this government report, the relevant attention in recent years continues to emphasize the cultivation of the general practitioner system, which provides a system for matching the requirements of other medical reform and for the next attempt to carry out the specialist training system Foundation and experience At 2015 In, due to the lack of pediatricians, there was a serious supply gap in the provision of medical services for children as a specific group of people, which caused strong concern and discussion in the society, especially in how to make up for the supply gap of pediatricians The special response in the government work report shows the government's response to the hot issues of people's livelihood The timely attention and attention to this issue will provide a policy basis for solving the problem of lack of pediatricians in the following aspects: government resources, system guarantee, etc In addition to the above points, 2016 published in the government work report There are still many work plans in the field of medical and health in the focus of the year For example, the reduction emphasized that speeding up the improvement of the unified and authoritative food and drug safety supervision system is a policy measure that matches the unified responsibility of the food and Drug Administration in the decision on the integration and adjustment of the public place health license and food business license of catering service places issued by the State Council before the two sessions From the perspective of policy evolution, this year's government work report on the field of health care, on the one hand, continues the focus and emphasis of key issues in the past years (such as health reform issues), on the other hand, has made an immediate response to the recent hot issues related to social and people's livelihood, and put forward specific data goals (such as at 70%) Around the cities and cities carried out the pilot of hierarchical diagnosis and treatment, and the financial subsidies for basic public health services increased from 40 yuan per capita to 45 yuan Of course, as pointed out in the government's report, this year's national development will face more and more difficulties and challenges, so the reform in the field of health care is also full of challenges Especially in the direction of public hospital reform, the "three medical reform linkage" proposed by the pilot exploration and experience accumulation in recent years needs to be promoted through a more systematic reform way from the perspective of a more macro top-level design, so as to effectively achieve the smooth reform and avoid fragmentation reform with little effect due to the constraints of relevant systems In addition, when it comes to specific problems, we should keep the corresponding rational consideration to find out the essence behind the problems, avoid the superficial understanding of the problems and think that the root cause of the problems can be solved by simple means Take the shortage of pediatricians as an example, we should avoid simply thinking that the fundamental problems can be realized by the expansion of paediatric undergraduate education or the single marketization For example, in the process of promoting marketization and capital diversification, we should avoid the overall market orientation, and make clear the multiple connotation and basic purpose of the concept of "social medical service" to improve the level of medical security of the public In this process, all sectors of society need to establish a reasonable concept that takes into account the state, society and market, especially the reform promoters need to have a more rational understanding of the medical system and social environment as well as the interaction between them, put forward appropriate policies and action programs for solving the specific problems in the medical reform, and achieve the ultimate goal of medical reform.