Issue a notice on deepening
the main work arrangements in 2012
Guobanfa [2012] No. 20
All provinces, autonomous regions and municipalities directly under the Central Government Relevant departments of the People's Government and the State Council:
The "Deepening
Main Work Arrangements for 2012" has been approved by the State Council and is now issued to you. Please organize and implement it in light of actual conditions.
?>2012 is a critical year for deepening medical and health care
(hereinafter referred to as the medical reform). It is also a critical year for deepening medical and health care during the comprehensive implementation of the "Twelfth Five-Year Plan"
Plan and
's opening year. In order to clarify task objectives, implement work responsibilities, consolidate and expand the results of medical reform, and continue to promote medical reform in depth, the main work arrangements for medical reform in 2012 are hereby proposed as follows:
1. Overall requirements
In-depth implementation "Opinions of the Central Committee of the Communist Party of China and the State Council on Deepening the Reform of Medicine and Health
" (Zhongfa [2009] No. 6) and "The State Council's Plan for Deepening the Reform of the Medicine and Health System During the Twelfth Five-Year Plan Period" (Zhongfa [2009] No. 6) p>
" (Guofa [2012] No. 11) spirit, with the core of building a basic medical and health system in line with my country's national conditions, and adhere to the core concept of providing the basic medical and health system as a public product to all the people , adhere to the basic principles of ensuring the basics, strengthening the grassroots, and building mechanisms, adhere to the policy of giving priority to prevention, focusing on rural areas, and paying equal attention to traditional Chinese and Western medicine, maintain the continuity and stability of the basic policies of medical reform, and focus on accelerating the improvement
system, consolidate and improve the essential drug system and grassroots level
operate new mechanisms, actively promote the reform of public hospitals, make key breakthroughs in three aspects, coordinate the advancement of reforms in related fields, maintain the good momentum of medical reform, and achieve the goal of realizing the "Twelve Five "phased reform goals to lay a solid foundation.
2. Work tasks
(1) Accelerate the improvement of the
system.
1. Consolidate and expand basic medical insurance coverage.
Employees
(hereinafter referred to as employee medical insurance),
(hereinafter referred to as
medical insurance) and
( (hereinafter referred to as the New Rural Cooperative Medical System) three items
The insurance participation rate is stable at 95%. Focus on the insurance management of migrant workers, organization employees, students, preschool children and newborns. Continue to promote the insurance coverage of needy groups such as retirees of closed and bankrupt enterprises and employees of enterprises in difficulty. (The Ministry of Human Resources and Social Security and the Ministry of Health are respectively responsible)
2. Continue to improve the level of basic medical security.
(1) The government’s subsidy standard for the New Rural Cooperative Medical System and
medical insurance has been raised to 240 yuan per person per year, and the individual payment level has been increased accordingly, with per capita financing reaching about 300 yuan. (The Ministry of Finance, Ministry of Health, and Ministry of Human Resources and Social Security are responsible)
(2) Employee medical insurance,
medical insurance and new rural cooperative medical insurance within the policy scope
Highest The payment limit is increased to more than 6 times the annual average salary of local employees, more than 6 times the annual average salary of local residents, and more than 8 times the annual per capita net income of farmers nationwide, and shall not be less than 60,000 yuan. The hospitalization fee payment ratio within the scope of the urban residents' medical insurance and the new rural cooperative medical insurance policy has reached above 70 and around 75 respectively, gradually narrowing the gap with the actual hospitalization fee payment ratio, and the outpatient overall payment ratio has further increased. Explore ways to gradually establish employee medical insurance outpatient coordination through personal account adjustment. (The Ministry of Human Resources and Social Security and the Ministry of Health are respectively responsible)
3. Reform the medical insurance payment system.
(1) Actively promote reforms such as capitation payment, payment by disease type, payment by bed day, total prepayment, etc.
and gradually cover and coordinate medical insurance in the region
.
Strengthen the control of total payment, establish a mechanism for medical insurance to restrict the growth of medical expenses in the coordinating region, formulate overall expenditure control targets and decompose them into
, and link them to payment standards. Actively promote the establishment of a negotiation mechanism and a payment mechanism for purchased services between medical insurance agencies and medical institutions, and determine the service scope,
, payment standards and service quality requirements through negotiation. Combined with
reforms, explore ways to control personal burdens. Gradually include the growth control of total expenses of medical institutions and average medical expenses (by disease type) and personal burden control, as well as the quality of medical services into the medical insurance evaluation system. (The Ministry of Human Resources and Social Security and the Ministry of Health are responsible respectively)
(2) Improve the differential payment mechanism, further tilt the payment ratio towards the grassroots
, encourage the use of traditional Chinese medicine services, and guide the people to take the lead in Diagnosis at the grassroots level. Include qualified private clinics and other non-public medical institutions and retail pharmacies into the designated coverage of medical insurance. (The Ministry of Human Resources and Social Security and the Ministry of Health are responsible respectively)
(3) Strengthen the supervision of medical insurance on medical service activities, improve the monitoring and management mechanism, gradually establish a real-time monitoring system for medical insurance on medical services, and gradually integrate medical insurance into The supervision of medical services in medical institutions extends to the supervision of the medical service behavior of medical personnel. Establish a joint anti-fraud mechanism, increase penalties for insurance fraud, and disclose relevant information in a timely manner. (The Ministry of Human Resources and Social Security and the Ministry of Health are respectively responsible)
4. Further increase medical assistance.
(1) Increase investment in relief funds and build a solid bottom line for medical security. The scope of assistance has expanded from members of subsistence allowance families to low-income seriously ill patients, severely disabled people, and the elderly from low-income families, and has provided funding for them to participate in urban residents' medical insurance or the new rural cooperative medical system. Improve the level of assistance, cancel the minimum payment line for medical assistance, steadily increase the cap line, and further increase the proportion of assistance for hospitalization medical expenses within the policy scope of the assistance recipients. (The Ministry of Civil Affairs and the Ministry of Finance are responsible)
(2) Study and establish a disease emergency relief fund. Funds are raised through various channels such as government funding and social donations to establish funds to solve the emergency medical treatment expenses incurred by patients who cannot afford the cost and have no owners. We will promptly formulate fund management measures. (The National Development and Reform Commission and the Ministry of Finance are responsible)
5. Explore the establishment of a serious disease protection mechanism.
(1) Study and formulate measures to protect major and serious diseases, actively explore ways to use basic medical insurance funds to purchase commercial serious illness insurance or establish supplementary insurance, effectively improve the level of protection for major and serious diseases, and effectively solve the problems caused by patients with major and serious diseases. The problem of poverty caused by illness. Make a good connection with basic medical insurance, medical assistance, etc. (The National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Health, the China Insurance Regulatory Commission, and the Ministry of Civil Affairs are responsible)
(2) Comprehensively promote uremia, childhood leukemia, childhood congenital heart disease, and breast cancer , cervical cancer, severe mental illness, multi-drug-resistant tuberculosis, AIDS opportunistic infections, etc., covering lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer, chronic myelogenous leukemia, acute myocardial infarction, cerebral infarction, Twelve major diseases such as hemophilia, type 1 diabetes, hyperthyroidism, and cleft lip and palate are included in the pilot scope of protection and assistance. (The Ministry of Health, the Ministry of Civil Affairs, and the Ministry of Finance are responsible)
6. Improve the management level of basic medical insurance.
(1) Actively promote medical insurance "
" to make it easier for insured persons to seek medical treatment. Basically realize the real-time settlement of medical expenses in different places within the coordinating region and province for insured persons, and accelerate the implementation of real-time settlement of medical expenses in other places with a focus on relocating retirees in other places. Steadyly promote cross-regional transfers and continuations within the employee medical insurance system and strengthen the connection of various items. (The Ministry of Human Resources and Social Security and the Ministry of Health are responsible respectively)
(2) Strengthen the management of the revenue and expenditure of the medical insurance fund. The New Rural Cooperative Medical System and the Urban Resident Medical Insurance Fund adhere to the principle of balancing the revenue and expenditure of the year.
To increase the level of high medical expense payment based on actual conditions, so that the fund neither accumulates too much nor overdrafts; employee medical insurance
Effective measures must be taken to control excessive amounts
Gradually reduce it to a reasonable level.
(The Ministry of Human Resources and Social Security and the Ministry of Health are responsible respectively)
(3) Explore the integration of management functions and handling resources of employee medical insurance, urban residents’ medical insurance and new rural cooperative medical system, and improve the management and handling operation of basic medical insurance mechanism. Explore the establishment of coordinated urban and rural residents in areas where conditions permit.
(Responsible for the Central Organization Office, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, and the Ministry of Health)
(4) On the premise of ensuring fund safety and effective supervision, encourage the government to purchase services and entrust qualified Qualified
organizations handle various types of medical security management services. (The Ministry of Health, the Ministry of Human Resources and Social Security, and the China Insurance Regulatory Commission are responsible)
7. Vigorously develop business
Improve business
and encourage
The organization develops
products beyond basic medical insurance to meet diverse health needs. Encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance, and formulate and implement tax and other related preferential policies. (The National Development and Reform Commission, China Insurance Regulatory Commission, and Ministry of Finance are responsible)
(2) Consolidate and improve the essential medicine system and new mechanisms for grassroots
operation.
8. Consolidate and improve the essential medicine system.
(1) Expand the scope of implementation of the essential medicine system. Consolidate the results of the implementation of the essential medicine system in government-run primary medical and health institutions, and implement all essential medicines and medical insurance payment policies. Promote the implementation of the essential medicine system in an orderly manner, and simultaneously implement various subsidies and support policies for rural doctors. For non-governmental grassroots medical and health institutions, local governments can, based on actual conditions, adopt the method of purchasing services to include them in the implementation scope of the essential medicine system. Public hospitals and other medical institutions are encouraged to prioritize the use of essential medicines. (The National Development and Reform Commission, the Ministry of Health, the Ministry of Finance, and the Ministry of Human Resources and Social Security are responsible)
(2) Standardize the procurement mechanism of essential drugs. Fully implement the "Notice on Issuing Guiding Opinions on Establishing and Standardizing the Procurement Mechanism of Essential Drugs in Government-run Primary Medical and Health Institutions" (Guobanfa [2010] No. 56), and adhere to the integration of recruitment and procurement, linking quantity and price, and Policies such as double-envelope system, centralized payment, and full-process monitoring. Improve the comprehensive quality of essential drugs
. National unified pricing will be tried on a trial basis for exclusive varieties of essential medicines, essential medicines whose prices are basically stable after repeated centralized purchases and have sufficient market supply. Explore the establishment of a shortage drug monitoring mechanism, and adopt methods such as bidding and designated production to ensure supply for shortage varieties that are small in dosage and clinically necessary. Establish a provincial-level centralized procurement and use management information system for essential drugs, implement centralized payment and supply and distribution policies, and improve the timely delivery rate. (The National Development and Reform Commission, the Ministry of Health, the Ministry of Industry and Information Technology, and the Food and Drug Administration are responsible)
(3) Improve the National Essential Drugs List. Carefully summarize the use of essential drugs in various regions, study, adjust and optimize the national essential drug list to better meet the basic drug needs of the people. Gradually standardize basic drug dosage forms, specifications and packaging. Standardize the local supplementation of essential drugs, and strictly implement policies related to the essential drug system for supplementary drugs. (The Ministry of Health, the Ministry of Human Resources and Social Security, the Bureau of Traditional Chinese Medicine, and the Food and Drug Administration are responsible)
(4) Strengthen the quality supervision of essential drugs. Continue to improve the quality standards of essential drugs, implement random inspection and electronic supervision of all varieties of essential drugs, and improve the ability to supervise the entire process of essential drugs from production to use. (The Food and Drug Administration is responsible)
9. Deepen the comprehensive reform of primary medical and health institutions.
(1) Establish a sound, stable and long-term multi-channel compensation mechanism to ensure the normal operation of primary medical and health institutions. The central government will establish a recurring subsidy mechanism to local governments after full implementation and incorporate it into budget arrangements. Local governments should include special subsidies for grassroots medical and health institutions and subsidies for current revenue and expenditure balances
and implement them in full and in a timely manner, and implement pre-allocation first and settlement later. Comprehensively implement general diagnosis and treatment fee and medical insurance payment policies. Implement the funds shouldered by grassroots medical and health institutions. (The Ministry of Finance, National Development and Reform Commission, Ministry of Health, and Ministry of Human Resources and Social Security are responsible)
(2) Deepen the reform of establishment and personnel systems.
Reasonably determine the total staffing capacity of primary medical and health institutions within the county, and make dynamic adjustments based on the service function positioning and development needs of primary medical and health institutions. Implement the legal person autonomy of primary medical and health institutions, fully implement the degree and position management system, focus on selecting and hiring deans, and establish a tenure target responsibility system. (The Central Organization Office, the Ministry of Health, and the Ministry of Human Resources and Social Security are responsible)
(3) Improve the performance distribution mechanism. Adhere to the principle of more reward for more work and better rewards for good performance, and the focus of income distribution will be tilted towards key positions, business backbones and personnel who have made outstanding contributions. On the basis of the stable implementation of performance-based pay, where conditions permit, the proportion of incentive-based performance-based pay can be appropriately increased to reasonably widen the income gap. Performance wages must be paid in full and on time. The balance of revenue and expenditure of primary medical and health institutions can be used to improve welfare benefits and mobilize the enthusiasm of medical staff in accordance with regulations. (The Ministry of Human Resources and Social Security, the Ministry of Health, and the Ministry of Finance are responsible)
(4) Accelerate the cleanup and resolution of debts of primary medical and health institutions. We will conscientiously and meticulously do a good job in debt verification and locking, raise and implement debt reduction funds through multiple channels, complete debt stripping and debt resolution on time, and resolutely prevent the occurrence of new debts. (The Ministry of Finance, Ministry of Health, and National Development and Reform Commission are responsible)
10. Improve the service capabilities of primary medical and health institutions.
(1) In accordance with the principle of filling in the gaps and filling in the gaps, continue to increase support for the standardized construction of township health centers. (Responsible for the National Development and Reform Commission and the Ministry of Health)
(2) Accelerate the informatization construction of primary medical and health institutions, and establish an integrated system covering basic functions such as the supply and use of essential drugs, resident health management, basic medical services, and performance appraisal. The primary medical and health information system unifies technical information standards, realizes interconnection with basic medical insurance and other information, and improves the standardization level of primary medical and health services. (The National Development and Reform Commission, the Ministry of Health, and the Ministry of Human Resources and Social Security are responsible)
(3) Strengthen the construction of grassroots talent teams focusing on general practitioners. Actively promote general practitioners
, carry out standardized training of general practitioners, continue to recruit more than 5,000 targeted free medical students for township health centers and grassroots units in the central and western regions, and arrange for 15,000 on-the-job personnel in grassroots medical and health institutions to We will provide job transfer training for general practitioners, implement a special post project for 20,000 general practitioners, improve and implement policies that encourage general practitioners to serve at the grassroots level for a long time, and strive to ensure that every urban community health service agency and township health center has qualified general practitioners. doctor. Support the construction of about 100 clinical training bases for general practitioners. The central government's finance continues to support the central and western regions in strengthening on-the-job training for grassroots medical and health personnel, focusing on carrying out targeted and practical training projects with general medicine characteristics and promoting the use of essential medicines, with 620,000 people trained. (The Ministry of Health, the Ministry of Health of the General Logistics Department, the National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the Central Organization Office are responsible)
(4) Encourage the development of general practitioners in places where conditions permit Pilot practice mode and service model reforms will be implemented to establish a stable contractual service relationship between general practitioners (teams) and residents. Encourage primary medical and health institutions to provide appropriate technologies and services such as traditional Chinese medicine. Establish and improve hierarchical diagnosis and treatment and two-way referral systems, and actively promote the pilot system of first-diagnosis responsibility at the grassroots level. (The Ministry of Health, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the Bureau of Traditional Chinese Medicine are responsible)
11. Build a solid rural medical and health service network.
(1) Adopt public construction, private construction,
and other methods to provide support for
housing construction and equipment purchase. Incorporate
into the information construction and management scope of primary medical and health institutions. Implement multi-channel compensation and pension policies for rural doctors. (The Ministry of Health, the National Development and Reform Commission, the Ministry of Finance, and the Ministry of Human Resources and Social Security are responsible)
(2) Strengthen the training of rural doctors and the construction of reserve forces. Rural doctors practicing in village clinics are provided with free training no less than twice a year, and the cumulative training time is no less than two weeks. We will use various methods such as targeted training of local personnel to enrich the team of rural doctors to ensure that every village clinic has a rural doctor.
(The Ministry of Health and the Ministry of Finance are responsible)
(3) Strengthen the industry management of rural doctors and village clinics by county-level health administrative departments, focusing on strengthening the supervision of service behaviors. Actively promote the integrated management of township health centers and village clinics. (The Ministry of Health, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security are responsible)
(3) Actively promote the reform of public hospitals.
Focus on county-level hospitals, coordinate and promote comprehensive reforms of public hospital management systems, compensation mechanisms, personnel allocation, drug supply, and price mechanisms, and select county-level hospitals to carry out comprehensive reform in about 300 counties (cities). Pilot reforms and encourage local governments to explore specific models based on local conditions. Expand and deepen the pilot reform of urban public hospitals.
12. Accelerate the pilot reform of county-level public hospitals.
(1) Reform the compensation mechanism. Comprehensive measures and linkage policies should be adopted to adjust medicine prices, reform medical insurance payment methods, and implement government responsibilities for medical care, so as to eliminate the mechanism of "replenishing medical care with medicines." Change public hospital compensation from three channels: service charges, drug markup income and financial subsidies to two channels: service charges and financial subsidies. The hospital's reasonable income reduction or losses caused by this will be compensated by adjusting the price of medical technical services and increasing government investment. The adjusted medical technical service charges will be included in the scope of medical insurance payment according to regulations. The increased government investment will be provided with certain subsidies from the central finance, and local finance must adjust the expenditure structure according to actual conditions and effectively increase investment. (The Ministry of Health, Development and Reform Commission, Ministry of Finance, and Ministry of Human Resources and Social Security are responsible)
(2) Adjust pharmaceutical prices. Cancel the drug markup policy. Increase the prices of medical and technical services such as diagnosis and treatment fees, surgical fees, etc. Reduce the inspection price of large equipment. The inspection price of large public hospital equipment purchased by the government is based on the cost after deducting depreciation. (Responsible for the National Development and Reform Commission and the Ministry of Health)
Improve the online centralized procurement of drugs in county-level public hospitals, actively promote bulk procurement of drugs and centralized procurement of high-value medical consumables, reduce intermediate links and costs, and strive to reduce false high prices. price. (The Ministry of Health and the Ministry of Supervision are responsible)
(3) Give full play to the compensation and supervision role of medical insurance. Simultaneously promote composite payment methods such as total prepayment, capitation payment, and disease-based payment, provide timely and reasonable compensation to medical institutions through the purchase of services, and guide medical institutions to take the initiative, standardize diagnosis and treatment behavior, and improve service quality. Strictly assess indicators such as the utilization rate of the basic medical insurance drugs list and the control rate of self-paid drugs to control or reduce the personal burden of the people. (The Ministry of Health and the Ministry of Human Resources and Social Security are respectively responsible)
(4) Implement the government’s medical responsibility. Implement the government's investment policies for public hospitals' infrastructure and equipment purchase, key discipline development, public health services, retiree expenses and policy loss subsidies that comply with national regulations. (The Ministry of Finance, National Development and Reform Commission, and Ministry of Health are responsible)
Reasonably determine the number and layout of public hospitals (including state-owned enterprise hospitals), and strictly control construction standards, scale, and equipment. Public hospitals are prohibited from borrowing money for construction. (The Ministry of Health, National Development and Reform Commission, Ministry of Finance, and State-owned Assets Supervision and Administration Commission are responsible)
(5) Accelerate the establishment of modernization
In accordance with the requirements of separation of political affairs and separation of management and office, county-level public hospitals shall have autonomy in operation, management and employment. Explore various forms of public hospitals such as the establishment of boards of directors
Public hospitals’ functional positioning, development planning, major investments and other powers shall be exercised by the government’s medical entities or the board of directors. (The Ministry of Health, the National Development and Reform Commission, and the Central Committee of the Communist Party of China are responsible for this)
Establish and improve the dean’s responsibility system and the tenure target responsibility assessment system. The heads of health administrative departments at all levels shall not concurrently hold leadership positions in public hospitals. Continue to deepen the reform of the personnel system and gradually promote the socialization of social security services such as pensions for medical staff in public hospitals. (The Ministry of Health and the Ministry of Human Resources and Social Security are responsible)
(6) Improve the internal distribution of the hospital
. Improve the internal allocation mechanism with service quality, quantity and patients
as the core, embodying the principle of more reward for more work and good performance and reward. Increase the proportion of personnel expenditures in business expenditures and improve the treatment of medical personnel. The remuneration of the director and hospital management is determined by the government medical entity or the authorized board of directors.
It is strictly prohibited to link the personal income of medical staff with the hospital's income from drugs and examinations. (The Ministry of Health, the Ministry of Human Resources and Social Security, and the Ministry of Finance are responsible)
13. Expand and deepen the pilot reform of urban public hospitals.
Regarding the separation of political affairs, management and office, separation of medicine, and separation of for-profit and non-profit, the key link is to break the mechanism of "using medicine to supplement medical treatment", reform the compensation mechanism and establish a modern system
As a starting point, deepen the innovation of systems and mechanisms, improve service quality and operational efficiency, and form a basic path for reform as soon as possible. Research and explore various forms such as the establishment of special management agencies to determine government-run medical institutions and perform the government's functions of running public hospitals. According to the needs of the reform, the pilot areas will be given certain autonomy in aspects such as performance salary distribution, pricing, and drug procurement. (The Ministry of Health, National Development and Reform Commission, Ministry of Human Resources and Social Security, Ministry of Finance, Ministry of Education, and State-owned Assets Supervision and Administration Commission are responsible)
14. Vigorously develop non-public medical institutions.
(1) All localities should issue implementation details to encourage
the establishment and development of medical institutions as soon as possible, refine and implement various policies to encourage
the establishment of medical institutions, and support Establish and develop a number of non-public medical institutions. Health and other relevant departments must review and revise relevant policy documents within a deadline. Further open the medical service market, relax
the scope of access to medical institutions, and actively introduce powerful enterprises, overseas high-quality medical resources, social charity forces, foundations, commercial insurance institutions, etc. to host medical institutions. Priority support will be given to the organization and development of non-profit medical institutions. Expand the scope of pilot projects for wholly foreign-owned medical institutions. Encourage qualified personnel (including those from Hong Kong, Macao and Taiwan) to open clinics in accordance with the law. Further improve the practice environment and implement policies on price, taxation, medical insurance designation, land, key discipline construction, professional title assessment, etc. Where conditions permit, subsidies can be provided to social capital for the establishment of non-profit medical institutions. Actively develop the medical service industry and encourage non-public medical institutions to develop into high-level, large-scale large-scale medical groups and rehabilitation medical institutions. (The National Development and Reform Commission, the Ministry of Finance, the Ministry of Health, the Ministry of Commerce, and the Ministry of Human Resources and Social Security are responsible)
(2) Encourage regions with rich public hospital resources to guide social capital to participate in various ways, including those owned by state-owned enterprises. Some public hospitals, including general hospitals, will be restructured and restructured. Social capital is encouraged to provide various forms of public welfare support to some public hospitals. (The Ministry of Health, National Development and Reform Commission, Ministry of Finance, and State-owned Assets Supervision and Administration Commission are responsible)
15. Comprehensively carry out services that provide convenience and benefit to the people.
(1) Be patient-centered and service-oriented, simplify medical service processes such as registration, consultation, examination, payment, and medicine collection, actively promote the construction of a regional unified appointment registration platform, and universally implement appointment diagnosis and treatment. Carry out "diagnosis and treatment first, settlement later" to improve the medical environment, significantly shorten patient waiting time, and facilitate the public to seek medical treatment. Vigorously promote high-quality nursing care and advocate volunteer services. (The Ministry of Health is responsible)
(2) Vigorously promote clinical pathways and strengthen
Carry out single-disease treatment
and standardize medical practices. Continue to carry out special rectification activities for the clinical application of antibacterial drugs. With electronic medical records and hospital management as the core, we will promote the informatization construction of public hospitals. Inspections of medical institutions are open to the public, and inspection equipment and technical personnel should meet legal requirements or have legal qualifications to achieve mutual recognition of inspection results. (The Ministry of Health is responsible)
16. Improve the service capabilities of county-level hospitals.
Strengthen the capacity building of county-level hospitals with talents, technology, and key specialties as the core. Each county will focus on running 1-2 county-level hospitals (including county traditional Chinese medicine hospitals) to increase the rate of medical treatment within the county. Reduce the out-of-county transfer rate. Start implementing the establishment of special posts in county-level hospitals to introduce urgently needed high-level talents. Consolidate and deepen the long-term cooperation and assistance mechanism of urban hospitals supporting county-level hospitals, arrange for 6,000 key personnel of county-level hospitals to study in tertiary hospitals, and develop remote diagnosis and treatment systems for rural and remote areas. (The Ministry of Health, the National Development and Reform Commission, the Central Organization Office, the Ministry of Human Resources and Social Security, and the Ministry of Finance are responsible)
(4) Coordinate and promote reforms in related fields.
17. Improve
level.
(1) Continue to do a good job in the 10 categories
, and strive to improve service quality, residents’ awareness rate and
. The standardized electronic filing rate of urban and rural residents' health records has reached more than 60%, and the number of patients with hypertension and diabetes has reached 65 million and 18 million respectively. All severely mentally ill patients discovered during the investigation will be included in the management scope. Strengthen
vaccination work. Improve the accessibility of health services
as well as left-behind children and elderly people in rural areas. Strengthen health promotion and education, advocate healthy lifestyles, and guide scientific medical treatment and safe and rational drug use. (The Ministry of Health and the Ministry of Finance are responsible)
(2) Continue to implement major public health projects and deal with infectious diseases, chronic diseases, occupational diseases, severe mental illness, major endemic diseases and other diseases that seriously endanger people's health Prevention and treatment. Improve the professional public health service network, continue to support the construction of rural pre-hospital first aid systems and county-level health supervision agencies, and strengthen the construction of major disease prevention and control and food safety risk monitoring capabilities. (The Ministry of Health, the National Development and Reform Commission, and the Ministry of Finance are responsible)
18. Promote the optimization and layout adjustment of medical resource structure.
(1) Develop regional health plans, clarify provincial, municipal and county health standards, and give priority to social capital for new medical and health resources. If the number of beds in medical and health institutions reaches 4 per 1,000, in principle, the scale of public hospitals will not be expanded. (The Ministry of Health, the National Development and Reform Commission, and the Ministry of Finance are responsible)
(2) Strengthen the construction of weak links in the medical service system and support the construction of key clinical specialties in medical institutions. Strengthen the construction of provincial children's specialized hospitals and municipal and county-level general hospitals for pediatrics. Start the construction of prefectural-level general hospitals in remote areas. Strengthen the standardization construction of medical and health information and promote the effective integration of information technology and management, diagnosis and treatment standards and daily supervision. (The National Development and Reform Commission, the Ministry of Health, and the Ministry of Finance are responsible)
19. Innovate the system for training and using health talents.
(1) Increase the number of urgently needed talents and high-level talents such as nurses, elderly care workers, pharmacists, pediatricians, and mental health, pre-hospital first aid, health emergency, health supervision, hospital and medical insurance management personnel. nourish. Promulgate guidance on a standardized training system for residents and accelerate the establishment of a standardized training system for residents. (The Ministry of Health, the Ministry of Education, the Ministry of Human Resources and Social Security, and the Ministry of Finance are responsible)
(2) Promote the multi-site practice of doctors. All localities should issue detailed implementation rules for doctors to practice in multiple locations, encourage those qualified to practice medicine to apply for practice in multiple locations, improve policies for registration, assessment, evaluation, and supervision, and establish physician management files. Establish and improve medical practice insurance and
processing mechanisms. (The Ministry of Health is responsible)
20. Promote reform in the field of drug production and distribution.
(1) Reform the drug price formation mechanism, select drugs with large clinical usage, and set the maximum retail guidance price based on the costs of leading enterprises and with reference to market transaction prices such as centralized drug purchase prices and sales prices in retail pharmacies. Improve price management of imported drugs and high-value medical consumables. (The National Development and Reform Commission is responsible)
(2) Improve the development policy of the pharmaceutical industry and standardize the order of production and circulation. Promote pharmaceutical companies to improve their independent innovation capabilities and pharmaceutical optimization and upgrading. Develop modern pharmaceutical logistics and chain operations, and improve pharmaceutical distribution capabilities in rural and remote areas. Promote cross-regional, cross-ownership acquisitions, mergers, and joint reorganizations of drug production and distribution enterprises. Encourage the development of retail pharmacies and equip them as required
. (The Ministry of Industry and Information Technology, the Ministry of Commerce, and the Food and Drug Administration are responsible)
(3) Improve drug quality standards and improve the quality level of generic drugs. Implement the newly revised Good Manufacturing Practices for Pharmaceuticals, revise and issue them for implementation
, and publish drug quality announcements on a regular basis. Strictly investigate and punish illegal activities such as the production and sale of counterfeit drugs, and severely crack down on the leasing of licenses and licenses such as "affiliation" and "ticket walking", as well as illegal activities such as buying and selling
and publishing false drug advertisements. (The Food and Drug Administration and the Ministry of Industry and Information Technology are responsible)
3. (1) Strengthen the target responsibility system.
(2) Strengthen financial resources
(3) Strengthen performance appraisal.
(4) Strengthen publicity and guidance.