I. Universal medical insurance. The new medical reform program proposes to "accelerate the construction of the medical security system", the establishment of a basic medical security system covering urban and rural residents, including basic medical insurance for urban workers, basic medical insurance for urban residents, new rural cooperative medical insurance and urban and rural medical assistance. According to Gu Xin, the move toward universal health insurance is a breakthrough in the new healthcare reform, reflecting the people-centered philosophy of governance. Medical insurance organizations to share the medical risk, is conducive to solving the problem of expensive medical treatment. At the same time, supporting the reform of health insurance payment mechanism, can gradually solve the problem of difficult to see the doctor.
Two, management and operation separation. In order to establish a standardized mechanism for the operation of public hospitals, the new health care reform program requires public hospitals to "implement the separation of management and operation" and elaborates on the "establishment and improvement of the legal structure of public hospitals, clear responsibilities and powers of the owners and managers, the formation of decision-making, implementation, supervision and mutual checks and balances, responsibility, incentives, competition and vitality of the public hospitals. The principle of "establishing and perfecting the legal structure of public hospitals, clarifying the responsibilities and rights of owners and managers, and forming a mechanism with mutual checks and balances in decision-making, execution and supervision, as well as responsibilities, incentives, constraints, competition and vitality. In this regard, Gu Xin believes that the separation of management and operation can help strengthen the construction of health care, medical insurance, drugs and other regulatory systems, so that the health administrative department as a neutral referee, rather than a participant in the operation of the hospital, so as to play a strict and effective role in the supervision of the whole industry.
Third, to encourage and guide the development of social capital in health care. The new medical reform program puts forward "encourage and guide social capital to develop medical and health care" "actively promote the development of non-public medical and health institutions, the formation of a diversified main body of investment, diversified ways of investment in the medical system" and "encourage the social capital to set up non-profit hospitals in accordance with the law". Encourage social capital to establish non-profit medical institutions in accordance with the law". Gu Xin believes that the use of the word "encourage" fully demonstrates the affirmation of government departments on the development direction of "the formation of public hospitals and non-public hospitals to promote each other, *** with the development of the pattern", for the survival and development of private medical institutions opened up a broad space. The space is wide open for the survival and development of the private medical institutions.
[Viewpoint] The new health care reform program leaves three major ambiguities
1, the basic drug system. The new health care reform program advocates the "establishment of a national essential drugs system", the central unified development and release of essential drugs catalog. Yu Hui said, the establishment of the basic drug system is the principle of prevention and treatment of essential, safe and effective, reasonably priced, easy to use. The key to the successful implementation of the basic drug system depends on the hospital to use the link. In the current public hospital drug prices, "Shun do markup 15%" of the background, hospitals are more inclined to purchase and use non-essential drugs than the price of essential medicines, the basic drug system is virtually null and void, the people are getting more and more expensive to see a doctor.
2, two lines of income and expenditure. The new health care reform program requires urban community health centers (stations) and township health centers and other primary health care institutions to "explore the implementation of two lines of income and two lines of expenditure" management approach to improve the efficiency of the use of funds. Yu Hui believes that, in the exploration of two lines of management of revenue and expenditure at the same time the implementation of the management of the Office of the separation of the two roads can only go the more divergent. Separation of management and operation is to let the health administrative department to assume the function of industry managers, not the owner's function. And try to implement the two-line management, certainly still health departments to do this thing, so, again, the owner and manager of the functions of one, it is difficult to achieve the purpose of health care reform.
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