First, promote the construction of graded diagnosis and treatment system in an orderly manner.
1, further standardize the construction and development of medical complexes, improve the construction of medical complexes and graded diagnosis and treatment assessment, implement the responsibility of leading hospitals, mobilize the enthusiasm of leading hospitals, and strengthen industry supervision. Encourage social medical institutions and rehabilitation nursing institutions to participate in the construction of medical complexes.
2, improve the medical insurance payment, personnel management, service price, financial input and other supporting measures to promote the construction of medical consortium and telemedicine services.
3, timely sum up local experience, guide all localities to improve the medical service price, medical insurance payment and other policies of different levels of medical institutions, expand the proportion of reimbursement, and guide reasonable medical treatment.
4, promote the family doctor contract service, improve the incentive mechanism, implement the security policy, strengthen the assessment, give priority to the key population contract service, do detailed services.
5. Explore and promote the institutional innovation of disease control institutions and county-level maternal and child health care institutions, deepen the comprehensive reform of grassroots medical and health institutions, implement the funding guarantee policy, and implement the requirements of "allowing medical and health institutions to break through the current wage control level of public institutions, allowing medical service income to deduct costs, and withdrawing funds according to regulations, mainly for personnel rewards".
According to the actual situation of different medical and health institutions, we should improve the salary distribution policy in a targeted manner to promote the medical staff's salary to reach a reasonable level.
6. Improve the integration of medical care and health care in counties and villages, and promote comprehensive reform in counties. Grass-roots medical staff can implement county management and township use.
7. Carry out quality service activities at the grassroots level, strengthen the standardization construction of grassroots medical and health institutions, and further improve the quality management system and mechanism of grassroots medical and health institutions.
Two, establish and improve the modern hospital management system
1, deepen the reform of medical service price. Study and introduce specific measures to promote the establishment of a timely and flexible price dynamic adjustment mechanism based on changes in cost and income structure in accordance with the idea of "vacating space, adjusting structure and ensuring convergence". By standardizing the diagnosis and treatment behavior, reducing the cost of drugs and medical consumables to make room, optimizing and adjusting the price of medical services, focusing on optimizing and adjusting the price that reflects the value of medical personnel's technical services, and reducing the prices of large medical equipment such as inspection, treatment and inspection.
2, the implementation of national medical and health service system planning, reasonably determine the size of public hospitals. Implement the government's investment policy for public hospitals that meet the regional health planning and for Chinese medicine hospitals.
3, study and formulate measures to adapt financial investment to the development of public hospitals.
4. Summarize the pilot experience of salary system reform in public hospitals in time, and promote the establishment of a salary system that conforms to the characteristics of the industry.
5, establish and improve the modern hospital management system pilot. Summarize and promote the experience and practice of scientific, refined and informational hospital management in time. Establish and improve the comprehensive budget management, cost management, financial reporting, information disclosure and internal and third-party audit mechanisms of public hospitals. All tertiary hospitals fully implement the chief accountant system.
6, strengthen the guidance of party building in public hospitals and industry.
7. Promote the reform of medical institutions run by state-owned enterprises. Promote military hospitals to participate in the comprehensive reform of public hospitals in resident cities and build a medical service system with deep integration of military and civilian.
8. Continue to evaluate the comprehensive reform effect of public hospitals and allocate subsidy funds according to the evaluation results.
Legal basis:
People's Republic of China (PRC) Basic Medical Care and Health Promotion Law
Article 86 The state establishes and improves a comprehensive medical and health supervision and management system that combines institutional autonomy, industry self-discipline, government supervision and social supervision. The competent health departments of the people's governments at or above the county level shall implement localization and industry-wide supervision and management of the medical and health industry.