Five key tasks of the new medical reform

Legal analysis: First, strengthen the construction of public health system. Reform and improve the disease prevention and control system, improve the infectious disease monitoring and early warning system, improve the public health emergency material security system, do a good job in the prevention and control of COVID-19 epidemic in autumn and winter, and strengthen the construction of public health team. The second is to further implement the Healthy China Action. Continuously improve the production and living environment, advocate a healthy and civilized lifestyle, strengthen the health promotion of key groups, improve the level of prevention and treatment of chronic diseases, and increase the prevention and treatment of infectious diseases, endemic diseases and occupational diseases. The third is to deepen the comprehensive reform of public hospitals. Improve the performance appraisal mechanism of medical and health institutions and medical personnel, establish and improve the dynamic adjustment mechanism of medical service prices, deepen the reform of salary system and staffing management, and implement the government's investment policy for capital construction and equipment purchase of public hospitals in line with regional health planning. The fourth is to deepen the reform of the medical security system. Improve the level of basic medical security, promote the reform of medical insurance payment methods, strengthen the management of medical insurance funds, improve the supervision mechanism, and accelerate the development of commercial health insurance. The fifth is to improve the drug supply security system. Improve the procurement policy of medical consumables, promote scientific and rational drug use, strengthen the supervision of the use of medical consumables, and do a good job in ensuring the supply of scarce drugs and price stability.

Legal basis: the key task of deepening the reform of medical and health system in the second half of 2020.

Article 1 Strengthen the construction of public health system and reform and improve the disease prevention and control system. Optimize and improve the function setting of disease prevention and control institutions and improve the basic conditions of disease prevention and control. Improve the coordination mechanism of medical prevention and control, strengthen the responsibility of disease prevention and control of medical institutions at all levels, enhance the ability of public hospitals to treat infectious diseases, and promote the communication of personnel, information and resources of medical prevention institutions. Strengthen the responsibility of disease prevention and control in township hospitals and community health service centers, and improve the linkage mechanism between disease prevention and control institutions and urban and rural communities. Strengthen the capacity building of prevention and control of infectious diseases at ports.

Article 2 Carry out the Healthy China Campaign, continuously improve the production and living environment, and advocate a healthy and civilized lifestyle. Improve the working mechanism of health science popularization. Deepen the improvement of rural human settlements. Technical guide for improving the prevention and control of COVID-19 epidemic in farmers' markets. Promote the standardization of farmers' markets, standardize functional zoning and layout, and intensify standardized management and supervision and law enforcement. Promote the revision of General Rules for Nutrition Labeling in prepackaged foods. Formulate guiding documents to carry out patriotic health campaign in the new period.

Article 3 Deepen the comprehensive reform of public hospitals and improve the performance appraisal mechanism of medical and health institutions and medical personnel. Improve the performance appraisal of tertiary public hospitals, start the performance appraisal of secondary public hospitals, and promote the performance appraisal of maternal and child health care institutions. Disease prevention and control, public health emergencies, health promotion and education will be included in the assessment scope. Promote the disclosure of economic operation information in public hospitals. Promote the establishment and improvement of modern hospital management system, and carry out comprehensive reform demonstration and performance evaluation of public hospitals in depth. Formulate policy documents to promote the high-quality development of public hospitals.

Article 4 Deepen the reform of the medical security system and improve the level of basic medical security. The per capita financial subsidy standard of medical insurance for urban and rural residents has increased in 30 yuan, and the individual payment standard has steadily increased. Improve the medical treatment cost guarantee mechanism for major epidemics. Carry out a pilot project of direct settlement of outpatient expenses across provinces.

Fifth, improve the drug supply security system and the purchasing policy of pharmaceutical consumables. Orderly expand the scope of centralized procurement and use of drugs organized by the state, and carry out pilot projects for centralized procurement of high-value medical consumables. Encourage medical insurance agencies to directly settle drug payments with drug production or circulation enterprises. Guide local governments to fully implement the policies of purchasing, distributing and using selected drugs and high-value medical consumables. Formulate policy documents to reform and improve the drug procurement mechanism. Guide local governments to improve the centralized procurement and medical insurance payment policies related to inspection in COVID-19.