The Medical Reform Office of the State Council interprets how the eight-year new medical reform can be overcome again

The basic establishment of the universal health insurance system, the continuous deepening of the comprehensive reform of public hospitals, and the continuous improvement of the primary health care service system... China's new round of medical reform has made significant progress and obvious results, but some institutional and institutional obstacles still restrict the pace of medical reform.
The State Council and the State Office recently forwarded a number of opinions of the Leading Group of the State Council on Deepening the Reform of the Medical and Health System on further promoting the experience of deepening the reform of the Medical and Health System. What are the highlights of the implementation of the medical reform plan in various places? How to promote medical reform to the next level with practical experience? Liang Wanying, a full-time deputy director of the Medical Reform Office of the State Council and director of the Institutional Reform Department of the National Health and Family Planning Commission, made an interpretation of the opinion.to carry out the pilot, solidified the "three doctors" linkage foundation

may carry out the pilot of setting up a medical insurance fund management center, and assume the functions of fund payment and management, drug procurement and fee settlement, negotiation of medical insurance payment standards, agreement management and settlement of fixed-point institutions.
Long live Liang: the health insurance fund supervision and management, medical service price negotiations, drug supplies joint procurement and settlement, medical service behavior supervision, medical insurance information system construction and other responsibilities into one, by an institution unified exercise, is conducive to the realization of the basic medical insurance fund overall management, is conducive to the development of medical insurance to the procurement of drugs centralized payment function, through the price link to reduce drug prices, but also conducive to strengthening the supervision of hospitals and doctors, regulate service behavior. In particular, it is conducive to promoting the formation of health insurance and medical reform policy coordination, accelerate the construction of a healthy pattern.Shinging the disease, straightening out the drug price is the key
in the growing "expensive to see a doctor" call, we must straighten out the inflated drug prices, not only to ensure that patients see the disease, but also can not discourage the enthusiasm of drug manufacturers.
(Opinion) Actively and steadily promote the reform of the price of medical services, under the premise of ensuring the healthy operation of public hospitals, the affordability of medical insurance funds and the overall increase in the burden of the masses, according to the requirements of total volume control, structural adjustment, promotion and reduction, and gradually put in place, the classification guides the rationalization of the price-to-price relationship between medical institutions and medical service projects at different levels.
: All public hospitals abolish drug charges, take into account the compensation policies determined by the local government, accurately measure the level of price adjustment, and adjust the price of medical services simultaneously. By regulating the behavior of diagnosis and treatment, reducing the cost of medicines and supplies, etc. to make room for dynamic adjustment of the price of medical services.The resources are not equal, family doctors and graded diagnosis and treatment is the key
under the premise of uneassisted allocation of high-quality medical resources, we must promote the classification of diagnosis and treatment and family doctors contract services, not only to ensure that patients see good health, but also to solve the "big hospital overcrowded, small hospital door can be a finch" dilemma.
to promote family doctor contracting services. Set up a contracted service team with family doctors as the core and technical support from specialists to provide residents with long-term and continuous basic medical, public health and health management services.
Liang Wanyian: Residents or families can be guided to sign a contract with the family doctor team at the same time, voluntary selection of a second-level hospital, a third-level hospital, the establishment of a "1 plus 1 plus 1" combination of contracted services model, signed residents can choose any medical institutions within the contract portfolio, if the combination of medical treatment must be referred by the family doctor."Internet plus Health Care" to improve the medical experience of the people
At present, the Internet and medical care are deeply integrated, and the sharing economy has been extended in the field of medical care. The experience of Hangzhou, Zhejiang Province and other places in improving medical services through information technology has proved that the concept of "Internet plus health care" is the technical guarantee to promote the successful landing of graded diagnosis and treatment, and also an effective way to improve the medical experience of the masses.
: Internet thinking can help strengthen the construction of health information infrastructure and play a supporting role in the reform of the health care service system.
Build a national, provincial, municipal and county population health information platform with mutual sharing and business synergy, improve the basic database with residents' electronic health files, electronic medical records, electronic prescriptions, etc. as the core, and open up the data resource sharing channels of various medical and health institutions. A series of "Internet plus Health Care" experiences should be further promoted and applied.to mobilize enthusiasm, pay increases to medical personnel
medical reform should not only insist that the people "can afford to cure the disease, afford medicine", but also strengthen the vitality of the operation of hospitals in the market, promote the reform of the pay system, mobilize the enthusiasm of medical personnel. Jiangsu Province, as well as Yuxi County, Fujian Province, have provided successful experience in this regard.
the reform of the compensation system. Establish a public welfare-oriented performance appraisal mechanism, pay to maintain the current level on the basis of moderate growth.
: The local government may, in the light of the actual situation, reasonably determine the salary level of public hospitals in accordance with the relevant provisions, and gradually increase the proportion of personnel expenditure to operational expenditure.the promotion of landing, comparative learning and innovation
the opinion summarized from Sanming City, Fujian Province, as well as Jiangsu, Anhui, Fujian and Qinghai provinces, a total of 8 aspects of comprehensive medical reform pilot 24 experiences. Only by combining advanced experience with local practice and enhancing the initiative and creativity of deepening medical reform can we innovate in comparative learning and make new progress in deepening medical reform.
: All regions should deeply understand the importance of promoting the experience of medical reform, to ensure that the experience of reform has taken root and produced practical results. Focus on key links and focus areas, explore effective implementation paths for reform, and encourage regional linkages. In the future, we should step up supervision and inspection efforts to further summarize the mature experience created in various places and rise to policy in a timely manner. (Xinhua News Agency)