I. Promoting the construction of graded diagnosis and treatment system in an orderly manner
1. Further regulating the construction and development of medical consortiums, improving the construction of medical consortiums and the assessment of graded diagnosis and treatment, implementing the responsibility of the leading hospitals, mobilizing the enthusiasm of the leading hospitals, and strengthening the supervision of the industry. Encourage social medical institutions and rehabilitation, nursing and other institutions to participate in the construction of medical consortia.
2. Improve supporting measures such as medical insurance payment, personnel management, service price and financial investment to promote the construction of medical consortia and telemedicine services.
3. Summarize local experiences in a timely manner, and guide localities to improve the policies on medical service prices and medical insurance payments for medical institutions at different levels, to increase reimbursement ratios and to guide reasonable medical treatment.
4: Promoting family doctor contracting services, improving incentive mechanisms, implementing protection policies, strengthening assessment and evaluation, prioritizing contracting services for key populations, and providing practical and detailed services.
5, explore and promote CDC institutions, county-level maternal and child health institutions, institutional mechanism innovation, and deepen the comprehensive reform of primary health care institutions, the implementation of financial security policies, the implementation of the "health care institutions are allowed to break through the current salary control level of institutions, allowing medical service income after deducting costs and extracting the funds in accordance with the provisions of the main staff incentives requirements.
According to the
According to the actual situation of different medical and health care institutions, targeted improvements have been made to salary distribution policies, and the remuneration of medical personnel has been promoted to a reasonable level.
6. Improve the integrated management of medical and health care in counties and villages, and promote comprehensive reform in counties. County management and rural use of grass-roots medical personnel can be implemented.
7, to carry out high-quality service grass-roots activities, strengthen the standardization of primary health care institutions, and further improve the quality of primary health care institutions management system and mechanism.
II. Establishing and improving a modern hospital management system
1. Deepening the reform of medical service prices. The study issued specific measures to promote localities in accordance with the idea of "make space, adjust the structure, to ensure convergence", accelerate the establishment of cost and income structure based on changes in the price of timely and flexible dynamic adjustment mechanism, through the standardization of diagnosis and treatment, reduce the cost of medicines, medical consumables and other costs to make room for optimization and adjustment of the price of health care services, with a focus on the optimization of Adjustment of prices reflecting the value of the technical labor of medical personnel, reduce the price of large medical equipment inspection and treatment and testing.
2, the implementation of the national health care service system planning, reasonable determination of the size of public hospitals. The implementation of the government's investment policy for public hospitals in line with regional health planning and the policy of tilting investment in Chinese medicine hospitals.
3. To study and formulate ways to adapt financial input to the development of public hospitals.
4. Summarizing the experience of the pilot reform of the remuneration system of public hospitals in a timely manner, and promoting the establishment of a remuneration system in line with the characteristics of the industry.
5, to carry out the establishment of a sound modern hospital management system pilot. Summarize and promote the experience and practice of scientific, refined and information-based management of hospitals in a timely manner. To establish and improve the comprehensive budget management, cost management, financial reporting, information disclosure, and internal and third-party audit mechanisms in public hospitals. All tertiary hospitals have fully implemented the chief accountant system.
6. Strengthening public hospitals' party building and guidance on party building in the industry.
7. Promoting the reform of medical institutions run by state-owned enterprises. Promote military hospitals to participate in the comprehensive reform of resident urban public hospitals, and build a deep integration of military and civilian medical service system.
8. Continuing to carry out evaluation and assessment of the effect of comprehensive reform of public hospitals, and allocating subsidies based on the results of the assessment.
Legal basis:
The People's Republic of China*** and the Basic Medical Care and Health Promotion Law
Article 86 The State establishes and improves a comprehensive supervision and management system of medical care and health care that combines institutional autonomy, industry self-regulation, government regulation and social supervision. The competent health authorities of the people's governments at or above the county level shall carry out localized, industry-wide supervision and management of the medical and health care industry.