Major work arrangements for deepening the reform of medical and health system in 2013

Source: on July 25, 2013, the general office of the State Council issued the main work arrangement for deepening the reform of the medical and health system in 2013 The work arrangement is based on the key tasks and main objectives proposed in the 12th Five Year Plan of the State Council, especially the decomposition of the key tasks of deepening medical reform proposed in the 2013 government work report and the first plenary meeting of the State Council There are 26 tasks proposed in the work arrangement, including accelerating the improvement of the universal medical insurance system, consolidating and improving the basic drug system and the new operation mechanism of primary medical and health institutions, actively promoting the reform of public hospitals, and comprehensively promoting the reform of related fields Among them, the improvement of the national medical insurance system mainly includes the consolidation and expansion of the coverage of basic medical insurance, the steady improvement of the level of security, the establishment of the security and relief mechanism for major and major diseases, etc.; the consolidation and improvement of the basic drug system and the new mechanism for the operation of basic medical and health institutions mainly include the implementation of 2012 The year edition of the national essential drugs catalogue, innovation of performance appraisal mechanism, implementation of rural doctors' compensation policy, etc.; the promotion of public hospital reform mainly includes the evaluation of the first batch of county-level public hospital reform pilot experience, the launch of the second batch of county-level public hospital reform pilot work, the expansion and deepening of urban public hospital reform pilot work, etc.; the overall promotion of relevant field reform mainly includes accelerating the promotion of society Capital to run medicine, innovation of health personnel training and use system The 26 tasks are led by the national health and Family Planning Commission, the development and Reform Commission, the Ministry of finance, the Ministry of human resources and social security, and the editorial office of the CPC Central Committee The cooperation departments involve 8 departments, including the Ministry of education, the Ministry of industry and information technology, the Ministry of civil affairs, the Ministry of Commerce, the state owned assets supervision and Administration Commission, the China food and drug administration, and the Chinese medicine administration The work arrangement pointed out that the health and Family Planning Commission should take the lead to expand and deepen the pilot reform of urban public hospitals, and actively control the unreasonable rise of medical costs We will deepen the comprehensive reform of the system and mechanism, with the elimination of the mechanism of "medicine for medical treatment" as the key link, in accordance with the requirements of the separation of political affairs, management and management, medicine, profit-making and non-profit, and with the reform of the compensation mechanism and the establishment of a modern hospital management system as the starting point We should make clear the functional orientation of public hospitals, urge the implementation of hospital financial accounting system, strengthen cost management, and include hospital cost and expense control into the performance appraisal of public hospitals The pilot areas shall be given certain autonomy in terms of income distribution, pricing and drug procurement The national development and Reform Commission takes the lead in improving the mechanism of drug price formation and resolutely investigates and punishes the behavior of withholding in drug purchase and sale We will improve drug price management policies, innovate the forms and methods of government pricing, reform the methods of centralized drug purchase, ensure drug quality, reasonably reduce drug costs, and promote the healthy development of the pharmaceutical production and distribution industry Select the part of drugs with large clinical use, reference to the cost of leading enterprises, as well as the market transaction prices such as the centralized purchase price of drugs and the sales price of retail drugstores, and formulate the government guidance price, and adjust it in time according to the market transaction price changes and other factors In addition, it is necessary to strengthen the supervision of the whole health industry, crack down on the illegal practice of selling medicine and cheating medical insurance funds in accordance with the law, and seriously investigate and deal with the key links such as drug bidding and purchase, medical insurance payment and other illegal behaviors in the process of medical services Establish and improve the medical quality control system and the evaluation system of medical institutions Strengthen the supervision of medical and health service behavior and quality safety Carry out centralized rectification of primary medical and health institutions We should establish a supervision system with open information and multiple participation of the society, and encourage social organizations such as industry associations to supervise medical institutions An analyst of the pharmaceutical industry at a large securities firm in Beijing told the securities times that the statements about controlling the unreasonable rise of medical expenses and resolutely investigating and punishing the drug purchase and sale withholding behaviors in the above work arrangements may have some connection with the current measures of relevant ministries and commissions Full text of the main work arrangement of deepening the reform of medical and health system in 2013: http://