Focus on the next step of medical reform: drug prices should be reduced and family doctors should be more "popular"

[market analysis of chinapharma.com] on December 26, the national health and Health Commission published the transcript of the press conference of the national health and Health Commission on December 26, 2018 From the content of the actual record, it mainly introduces the overall situation of deepening the reform of the medical and health system in China, as well as a group of good experiences and methods in the south that dare to gnaw hard bones and explore innovative areas to deepen the work of medical reform, so as to promote these good works to all regions, so that more places can learn from them and benefit more people It is worth noting that the next step of China's medical reform will focus on which aspects, which weak links need to be concerned? What other relevant measures should be taken? At the meeting, Yao Jianhong, the Commissioner of the national health and Health Commission, mentioned that it is necessary to implement and promote the construction of hierarchical diagnosis and treatment system, modern hospital management system, universal medical insurance system, drug supply guarantee system and comprehensive supervision system Secondly, it is about alleviating the problems of expensive and difficult medical treatment To see a doctor is expensive, it is to reduce the price of medicine He said that since this year, great efforts have been made to hold conferences for many times to deploy drug price reduction Relevant departments have also worked together to do a good job in reducing the price of anticancer drugs, and to promote drug price reduction in 4 + 7 cities (4 municipalities directly under the central government and 7 sub provincial cities) At the same time, we also need to increase the proportion of reimbursement of universal medical insurance, which will benefit the common people even more Third, deepen the reform of public hospitals Adjust the medical service price of public hospitals, reduce the false high asking price; implement the "two permits" (allow medical and health institutions to break through the current wage control level of public institutions, allow medical service income to deduct costs and put forward various funds according to regulations, which are mainly used for personnel rewards); public hospitals need to achieve three transformations, three improvements and four modernizations The three transformations, three improvements and four modernizations refer to the transformation of the development mode from the scale expansion type to the quality benefit type, the improvement of the scale quality, the transformation from the extensive management to the fine management, the improvement of the efficiency, the transformation from the investment in the development and construction of the hospital to the expansion of the distribution and the improvement of the treatment Realize the level modernization, service integration, management informatization and mode collectivization In addition, for the problem of difficult access to a doctor, the next step will be to promote in five aspects Through the construction of national medical center and national regional medical center, the people's cross regional treatment can be reduced, the grassroots level capacity building should be strengthened; the contracted services of family doctors should be done meticulous; Internet plus medical health work should be developed to achieve the goal of medical treatment in different places; and monitoring education and health promotion should be strengthened Among them, the signing service of family doctors is also the next key work of medical reform It is reported that at present, Guangzhou, Jinan, Tianjin, Beijing and other cities are doing this work Since the establishment of the national health and Health Commission this year, relevant documents have been printed and distributed on the contracted services of family doctors The next step is to make the services more practical and detailed, to achieve one contract, one service, and further improve the connotation of contracted services of family doctors To sum up, there are two key points to be grasped One is that the drug price will continue to decrease in the future, benefiting patients; the other is that family doctors will have good development opportunities in the future According to the relevant definition, family doctor is a new type of doctor who can provide comprehensive, continuous, effective, timely and personalized health care services and care to the clients As early as June 2016, China issued the guidance on promoting the signing service of family doctors, which proposed to expand the signing service of family doctors to the whole population by 2020, form a long-term and stable Contractual service relationship with residents, and basically achieve the full coverage of the signing service system of family doctors At present, the phenomenon of aging, urbanization and high incidence of chronic diseases is serious in our country Patients go to large hospitals to see the team leader, the cost is high, and the service is not enough Therefore, promoting family doctor signing service is an effective way to improve the health level of the masses under the new situation According to the opinions, the family doctor team provides the contracted services for the residents, and charges the contracted service fee on an annual basis, which is shared by medical insurance fund, basic public health service funds and contracted residents According to the industry, from the current practice around the world, although residents may need to pay a certain fee by themselves after sharing the public health service funds and medical insurance funds, the services they receive are more and more valuable There are many preferential policies in medical treatment, referral, medication and medical insurance, which can bring more convenience and benefits to patients.