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Medical Network, July 7 News On July 6, the Secretariat of the State Council’s Medical Reform Leading Group and the National Health Commission held a press conference in Sanming City, Fujian Province.
Xu Shuqiang, Director of the Department of Restructuring of the National Health Commission, stated that Sanming’s medical reform should proceed from reality.
, Practice boldly and innovate boldly, hit a set of medical reform combination boxing suitable for the actual situation of Sanming, and also accumulated very good experience for local conditions and promotion
.
Xu Shuqiang specifically introduced the essence of Sanming's medical reform, first of which is the overall linkage of the reform
.
"The Sanming City Party Committee and Government attaches great importance to the work of medical reform, insists that the people are supreme, and dare to be the first.
Party and government leaders will personally grasp the medical reform and carry out the medical reform, and a government responsible comrade will be in charge of medical care, medical insurance, and pharmaceutical work, and coordinate the'three medical's.
Linked reforms are carried out to carry out centralized drug purchases .
The space freed by price reductions is mainly used to adjust the price of medical services and include them in medical insurance payments in a timely manner without increasing the burden on the masses
.
" Second, improve the economic policy of medical reform
.
"Sanming fully implements the government 's investment responsibility for public hospitals , and incorporates large expenditures such as capital construction into government budget management
.
A dynamic adjustment mechanism for medical service prices
has been established .
Since the reform in the past few years, the price of medical services has been adjusted nine times, reaching thousands of items.
Second, it better reflects the value of medical technical labor of medical staff, and also optimizes the income structure of public hospitals
.
The reform of collecting and paying according to disease diagnosis-related groups is implemented, and the remaining funds are compensated to the hospital
.
" In terms of improving the internal incentive and restraint mechanism of the hospital .
, Sanming deepened the reform of the salary system, implemented the target salary system for all employees and the annual salary calculation work points system, cutting off the link between personal salary and department income
.
"The Sanming Medical Reform has been very effective in this regard
.
The annual salary system of the party committee secretary, dean and chief accountant is implemented.
The annual salary is arranged by the government budget and paid according to the results of the assessment.
.
The income of medical staff has increased year by year, and the proportion of personnel expenditures in the business expenditures of public hospitals has increased from 25% before the reform to 46% in 2020.
The expenditure structure of public hospitals has also been optimized
.
At the same time, strengthen the supervision and management of medical institutions, conduct annual assessments of the main responsible persons of the hospital and other relevant responsible persons, and monitor, analyze and evaluate the operation of the hospital
.
"Sanming actively promotes the sinking of medical resources
.
Establish a close county medical community, set up a general hospital in each county, integrate medical and health resources, improve the health performance evaluation mechanism, guide the focus of medical and health work to shift down, resources sink, promote medical and prevention coordination, and establish a healthy gatekeeper People's system
.
Pack the medical insurance fund, basic public health service funds and government subsidy funds to the general hospital, keep the balance for use, and reasonably share the over-expenditure, and promote the shift from "treatment-centered" to "health-centered"
.
"Xu Shuqiang said
.
(Reporter Maggie Zhang)
Xu Shuqiang, Director of the Department of Restructuring of the National Health Commission, stated that Sanming’s medical reform should proceed from reality.
, Practice boldly and innovate boldly, hit a set of medical reform combination boxing suitable for the actual situation of Sanming, and also accumulated very good experience for local conditions and promotion
.
Xu Shuqiang specifically introduced the essence of Sanming's medical reform, first of which is the overall linkage of the reform
.
"The Sanming City Party Committee and Government attaches great importance to the work of medical reform, insists that the people are supreme, and dare to be the first.
Party and government leaders will personally grasp the medical reform and carry out the medical reform, and a government responsible comrade will be in charge of medical care, medical insurance, and pharmaceutical work, and coordinate the'three medical's.
Linked reforms are carried out to carry out centralized drug purchases .
The space freed by price reductions is mainly used to adjust the price of medical services and include them in medical insurance payments in a timely manner without increasing the burden on the masses
.
" Second, improve the economic policy of medical reform
.
"Sanming fully implements the government 's investment responsibility for public hospitals , and incorporates large expenditures such as capital construction into government budget management
.
A dynamic adjustment mechanism for medical service prices
has been established .
Since the reform in the past few years, the price of medical services has been adjusted nine times, reaching thousands of items.
Second, it better reflects the value of medical technical labor of medical staff, and also optimizes the income structure of public hospitals
.
The reform of collecting and paying according to disease diagnosis-related groups is implemented, and the remaining funds are compensated to the hospital
.
" In terms of improving the internal incentive and restraint mechanism of the hospital .
, Sanming deepened the reform of the salary system, implemented the target salary system for all employees and the annual salary calculation work points system, cutting off the link between personal salary and department income
.
"The Sanming Medical Reform has been very effective in this regard
.
The annual salary system of the party committee secretary, dean and chief accountant is implemented.
The annual salary is arranged by the government budget and paid according to the results of the assessment.
.
The income of medical staff has increased year by year, and the proportion of personnel expenditures in the business expenditures of public hospitals has increased from 25% before the reform to 46% in 2020.
The expenditure structure of public hospitals has also been optimized
.
At the same time, strengthen the supervision and management of medical institutions, conduct annual assessments of the main responsible persons of the hospital and other relevant responsible persons, and monitor, analyze and evaluate the operation of the hospital
.
"Sanming actively promotes the sinking of medical resources
.
Establish a close county medical community, set up a general hospital in each county, integrate medical and health resources, improve the health performance evaluation mechanism, guide the focus of medical and health work to shift down, resources sink, promote medical and prevention coordination, and establish a healthy gatekeeper People's system
.
Pack the medical insurance fund, basic public health service funds and government subsidy funds to the general hospital, keep the balance for use, and reasonably share the over-expenditure, and promote the shift from "treatment-centered" to "health-centered"
.
"Xu Shuqiang said
.
(Reporter Maggie Zhang)