1. Further standardize the construction and development of medical consortiums, improve the construction of medical consortiums and hierarchical diagnosis and treatment assessments, implement the responsibilities of leading hospitals, mobilize the enthusiasm of leading hospitals, and strengthen industry supervision. Encourage private medical institutions and rehabilitation and nursing institutions to participate in the construction of medical consortiums. (The National Health Commission, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons' Federation are responsible. The first one is the leading department, the same below)
2. Improve supporting measures such as medical insurance payment, personnel management, service prices, and financial investment, and promote the construction of medical consortia and telemedicine services. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine are responsible)
3. Summarize local experience in a timely manner and guide localities to improve policies on medical service prices and medical insurance payment at different levels of medical institutions, increase reimbursement ratios, and guide reasonable medical treatment. (The National Medical Insurance Administration and the National Health Commission are responsible) Strengthen health education and popular science propaganda, and guide the public to establish a scientific concept of medical treatment. (National Health Commission is responsible)
4. Promote family doctor contract services, improve the incentive mechanism, implement guarantee policies, strengthen assessment and evaluation, give priority to contract services for key groups, and provide solid and detailed services. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons’ Federation are responsible)
5. Explore and promote institutional innovation in disease control institutions and county-level maternal and child health care institutions, deepen the comprehensive reform of grassroots medical and health institutions, implement financial security policies, and implement "allowing medical and health institutions to break through the current salary control level of public institutions, and allowing medical service income deductions" The cost and withdrawal of various funds in accordance with regulations are mainly used for personnel rewards” (“two allowances”).
According to the actual situation of different medical and health institutions, the salary distribution policy should be improved in a targeted manner to promote the salary of medical personnel to reach a reasonable level. (The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health Commission are respectively responsible for taking the lead for each department according to their responsibilities, the same below)
6. Improve county-township integration and rural integrated management of medical and health care, and promote comprehensive county reform. County-level medical personnel can be used in rural areas. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Agriculture and Rural Affairs, and the State Administration of Traditional Chinese Medicine are respectively responsible)
7. Carry out quality service activities at the grassroots level, strengthen the standardization construction of primary medical and health institutions, and further improve the quality management system and mechanism of primary medical and health institutions. (The National Health Commission, National Development and Reform Commission, Ministry of Finance, and State Administration of Traditional Chinese Medicine are responsible)
2. Establish and improve a modern hospital management system
1. Deepen medical service price reform. Study and introduce specific measures to promote localities to follow the idea of ??"vacating space, adjusting structure, and ensuring connection" to accelerate the establishment of a timely and flexible dynamic price adjustment mechanism based on changes in cost and income structures. By standardizing diagnosis and treatment behavior, reduce the cost of drugs and medical consumables. To make room for other expenses, optimize and adjust medical service prices, focus on optimizing and adjusting prices that reflect the value of medical personnel’s technical services, and reduce the prices for inspection, treatment, and inspection of large medical equipment.
Accelerate the review of new medical service price items. Allow localities to adopt appropriate methods to effectively reflect the value of pharmaceutical services. (The National Medical Insurance Administration, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible)
2. Implement the national medical and health service system plan and reasonably determine the size of public hospitals. (The National Health Commission, the National Development and Reform Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine are responsible for) Implementing government investment policies for public hospitals that comply with regional health plans and preferential policies for investment in traditional Chinese medicine hospitals. (The Ministry of Finance, National Development and Reform Commission, National Health Commission, and State Administration of Traditional Chinese Medicine are responsible)
3. Research and formulate methods to adapt financial investment to the development of public hospitals. (The Ministry of Finance, National Health Commission, State Administration of Traditional Chinese Medicine and other departments are responsible)
4. Timely summarize the pilot experience of public hospital salary system reform and promote the establishment of a salary system in line with industry characteristics. (The Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible)
5. Carry out pilot projects to establish and improve a modern hospital management system. Timely summarize and promote the hospital’s scientific, refined, and information-based management experience and practices. (Responsible for the National Health Commission and the State Administration of Traditional Chinese Medicine) Promote the formulation of hospital charters. By the end of 2018, each province will select 20% of secondary and tertiary public hospitals within its jurisdiction and 10% of social forces to organize non-profit The sex hospital has launched a pilot project to formulate a charter.
Establish and improve comprehensive budget management, cost management, financial reporting, information disclosure, and internal and third-party audit mechanisms for public hospitals. All tertiary hospitals have fully implemented the chief accountant system. (The National Health Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine are responsible)
6. Strengthen party building in public hospitals and guide industry party building work. (The National Health Commission, the Organization Department of the Central Committee of the Communist Party of China, the Ministry of Education, and the State Administration of Traditional Chinese Medicine are responsible)
7. Promote the reform of medical institutions run by state-owned enterprises. (The State-owned Assets Supervision and Administration Commission of the State Council and the National Health Commission are responsible for this) Promote military hospitals to participate in the comprehensive reform of public hospitals in cities where they are stationed, and build a deeply integrated medical service system between the military and civilians. (The Health Bureau of the Logistics Support Department of the Central Military Commission and the National Health Commission are responsible)
8. Continue to carry out the evaluation and assessment of the comprehensive reform effects of public hospitals, and allocate subsidy funds based on the assessment results. (The National Health Commission and the Ministry of Finance are responsible respectively)