Requirements of five ministries and commissions: giving full play to the advantages of traditional Chinese medicine in county-level hospitals

The national health and Family Planning Commission, the national development and Reform Commission, the Ministry of finance, the Ministry of human resources and social security, the State Administration of traditional Chinese medicine and other five departments jointly issued the notice on giving full play to the advantages of traditional Chinese medicine in the pilot work of comprehensive reform of public hospitals at the county level, requiring the reform of the compensation mechanism of traditional Chinese medicine in public hospitals at the county level to improve the service ability of traditional Chinese medicine Strengthen the linkage between hospitals and basic medical and health institutions According to the notice, when reforming the drug addition policy of county-level hospitals, all localities should treat Chinese Herbal Pieces differently, fully consider the price formation mechanism and management cost of Chinese herbal pieces, study and formulate scientific and reasonable policies and measures, and form an effective mechanism to encourage the use of Chinese herbal pieces; adjust the medical service items and prices of Chinese medicine, and all localities should standardize and adjust the medical service price items in combination with the medical service price items The implementation of the pilot work of seed charges encourages the clinical use of mature and stable medical services of traditional Chinese medicine, comprehensively standardizes the service price, reasonably raises the price of medical services of traditional Chinese medicine in accordance with the principle of "total amount control and structural adjustment", fully embodies the value of technical services of traditional Chinese medicine and personnel of traditional Chinese medicine; implements the policy of encouraging the use of medical services of traditional Chinese medicine in the national medical insurance, and fully develops The role of Chinese medicine in ensuring the basic medical needs of insured personnel; the implementation and improvement of the government's preferential policy on investment in TCM hospitals, and the actual increase of investment in TCM hospitals The notice also requires: optimize the allocation of health resources in the county, improve the infrastructure conditions and auxiliary facilities of traditional Chinese medicine hospitals in accordance with the principle of "filling in and filling up"; strengthen the construction of key (characteristic) specialties of traditional Chinese medicine; focus on electronic medical records and hospital management, strengthen the construction of information system of county-level traditional Chinese medicine hospitals, with functions covering electronic medical records, clinical pathways, diagnosis and treatment specifications, and performance Assessment and comprehensive business management shall be connected with the information system of medical security and basic medical and health institutions to gradually realize interconnection; it is required that the proportion of practitioners of traditional Chinese medicine in the total number of practitioners in county-level TCM hospitals shall not be less than 60%, Western doctors shall be encouraged to learn traditional Chinese medicine, old TCM experts shall be encouraged to guide their apprentices, and the construction of pharmacists and the application of TCM syndrome differentiation shall be strengthened Hospital care ratio is at least 1:2 According to the notice, we should strengthen the up-down linkage between hospitals and basic medical and health institutions from two aspects: first, county-level traditional Chinese medicine hospitals should play the leading role of county-level traditional Chinese medicine medical center and rural three-level traditional Chinese medicine service network, set up basic guidance departments, and strengthen the technical assistance guidance and personnel training of basic medical and health institutions The second is to explore the implementation of the system of transferring doctors and management personnel to county-level TCM hospitals We will continue to implement the "ten thousand doctors support rural health project" The proportion of county-level TCM hospitals in the supported hospitals should not be less than 10% Gradually establish the vertical flow mechanism of TCM doctors in counties, townships and villages, as well as the system of county-level TCM hospitals sending presidents and backbone doctors to township hospitals in rotation, so as to improve the overall efficiency of rural TCM service network.