The main contents of the new medical reform

New Medical Reform Scheme-Brief Introduction of the New Medical Reform Scheme On April 6, 2009, the State Council officially published the Opinions of the Central Committee of the State Council on Deepening the Reform of the Medical and Health System (the final draft of the new medical reform scheme). The opinion put forward for the first time that the basic medical and health system should be provided to the whole people as a public product. By 20 1 1, the basic medical security system will cover all urban and rural residents, effectively alleviating the problem of "difficult and expensive medical treatment". The full text of the Opinions13,000 words is divided into six parts. The Opinions emphasize that medical and health services should serve the people's health, with the protection of people's health as the center, and basic medical and health services for all as the fundamental starting point and end result, and the reform plan design, health system establishment and service system construction should follow the principle of public welfare. The "Opinions" propose to gradually realize the equalization of basic public health services. The state has formulated basic public health services, and since 2009, it has gradually provided basic public health services such as disease prevention and control, maternal and child health care and health education to urban and rural residents. Implement major national public health service projects, effectively prevent and control major diseases and their risk factors, and further improve the ability to respond to major public health emergencies. By 20 1 1, the basic medical security system will cover all urban and rural residents, the basic drug system will be initially established, the urban and rural primary medical and health service system will be further improved, basic public health services will be popularized, breakthroughs will be made in the pilot reform of public hospitals, the accessibility of basic medical and health services will be significantly improved, the burden of medical expenses for residents will be effectively reduced, and the problem of "difficult and expensive medical treatment" will be effectively alleviated. New medical reform plan-Objective The new medical reform plan 1 can effectively reduce the burden of medical expenses of residents, effectively alleviate the "difficulty and high cost of medical treatment", establish and improve the basic medical and health system covering urban and rural residents, provide safe, effective, convenient and cheap medical and health services for the masses, and fully understand the importance, urgency and arduousness of deepening the reform of the medical and health system. 2. The guiding ideology, basic principles and overall objectives of deepening the reform of the medical and health system 3 pages. Improve the four major medical and health systems and establish a basic medical and health system covering urban and rural residents. Improve the system and mechanism to ensure the effective and standardized operation of the medical and health system. Focus on five key reforms and strive to achieve remarkable results in the near future. 6. Actively and steadily promote the reform of the medical and health system. New medical reform plan-five reforms. By 20 1 1, the basic medical security system will cover all urban and rural residents, the accessibility and service level of basic medical care will be significantly improved, the burden of medical expenses for residents will be significantly reduced, and the problem of "difficult and expensive medical treatment" will be significantly alleviated. The meeting decided that from 2009 to 20 1 1 year, five reforms, including the basic medical security system, should be promoted. First, speed up the construction of the basic medical security system, and increase the basic medical insurance for urban workers and residents and the participation rate of the new rural cooperative medical system to over 90% within three years. In 20 10, the subsidy standard for urban residents' medical insurance and the new rural cooperative medical system was raised to 120 yuan per person per year, the individual payment standard was appropriately raised, and the reimbursement ratio and payment limit were increased. The second is to initially establish a national essential drug system, and establish a scientific and reasonable management mechanism and supply guarantee system for the selection and adjustment of essential drug lists. All essential drugs will be included in the medical insurance drug reimbursement catalogue. The third is to improve the primary medical and health service system, focusing on strengthening the construction of county-level hospitals (including Chinese medicine hospitals), township hospitals, village clinics in remote areas and urban community health service centers in difficult areas. The fourth is to promote the gradual equalization of basic public health services, formulate and implement national basic public health service projects, and gradually establish a unified national health record from 2009. Increase public health services and raise financing standards. Give full play to the role of traditional Chinese medicine. The fifth is to promote the reform of public hospitals. This year, a pilot project was started, 20 1 1, to gradually reform the management system, operation and supervision mechanism of public hospitals and improve the service level of public medical institutions. Promote the reform of compensation mechanism in public hospitals. Accelerate the formation of a diversified medical pattern. According to preliminary estimates, in order to ensure the above five reforms, governments at all levels are expected to invest 850 billion yuan in three years. The first of the four highlights of the new medical reform program is fairness and public welfare, which are mainly reflected in the goal of universal health insurance and the content of promoting the equalization of basic public health services. Public welfare is mainly reflected in the reform of public hospitals nationwide and the maintenance of public welfare in public medical institutions. There is also the establishment of a national essential drug system to ensure the public welfare of drug use. The second highlight is to emphasize the government's function, and to clarify the government's responsibility for people's health by increasing the input from both the supply and demand sides of medical services. The third highlight is to highlight the key points of reform and let the people benefit from the countryside. In this medical reform opinion, it is proposed to strengthen the construction of primary medical service system and then strengthen the training of primary medical and health personnel to improve the level and quality of primary medical services, so that people can get better medical services nearby without leaving rural communities. The fourth highlight emphasizes the combination of government-led and market-oriented mechanisms, while highlighting the foundation of primary health care and giving full play to the role of market mechanisms, such as using social capital to form a multi-level medical security system, forming a diversified medical management pattern, promoting orderly competition, and meeting the diverse multi-level medical and health needs of the people. New medical reform plan-seven innovations. The first is concept innovation: the basic medical and health system becomes a public product. The second is universal health insurance: a good medicine to alleviate the chronic disease of "expensive medical treatment". Third, the goal of equalization of basic public health services was established for the first time. The fourth is to establish a basic drug system to curb the false high drug prices. Fifth, increase pharmaceutical service fees and promote the separation of medicine. Sixth, separation of management and operation, and transformation of government functions. Seventh, multi-point practice reform breaks the ice.