The main contents of the medical reform in Sanming are: reforming the overall linkage, improving the economic policy of medical reform, improving the internal incentive and constraint mechanism of hospitals, and promoting the sinking of medical resources.
1, the reform of the overall linkage
Sanming City party committee and government attaches great importance to the work of health care reform, the party and government personally grasp the health care reform, a grasp to the end, by a government comrade in charge of health care, health care, medicine, and coordinating the coordination of the "three medical" linkage reform to carry out the centralized medicine The space freed up by price reductions is mainly used to adjust the price of medical services and is incorporated into medical insurance payments in a timely manner, so as not to increase the overall burden on the public.
2, improve the economic policy of health care reform
Full implementation of the government's responsibility to invest in public hospitals, capital construction and other large expenditures into the government's budget management. The establishment of a dynamic adjustment mechanism for medical service prices better reflects the value of medical staff's medical and technical labor, and also optimizes the income structure of public hospitals. At the same time, the implementation of the reform of charging and payment according to the diagnosis of disease-related groups, the balance of funds to compensate for hospitals.
3, improve the hospital's internal incentives and constraints mechanism
Deepen the reform of the remuneration system, the implementation of the whole target pay system, annual salary calculation work points system, cut off the link between individual pay and departmental income. The annual salary system for party secretaries, presidents and chief accountants is implemented, with annual salaries arranged by the government budget and paid according to assessment results. The income of medical staff has increased year by year, and the expenditure structure in the operation of public hospitals has been optimized.
4, promote medical resources sinking
Establishment of close-knit county medical **** body, in each county to form a general hospital, integration of medical and health care resources, improve the health performance assessment and evaluation mechanism, to guide the center of gravity of medical and health care work downward, sinking of resources, to promote the synergy of medicine and defense, and the establishment of a health "gatekeeper" system. The medical insurance fund, basic public **** health service funds and government subsidies, packaged to the general hospital, the balance retained, a reasonable share of overspending.
Significance of the Sanming health care reform
1. The purpose of the Sanming health care reform is to establish a more complete health care system and improve the quality and efficiency of health care services. By promoting the construction of primary health care services, strengthening the construction of medical and health care personnel, and improving the popularity and accessibility of medical and health care services, the people will be able to obtain quality medical services more conveniently and quickly.
2. Another important significance of Sanming's medical reform is to solve the problem of the people's difficulty in getting medical treatment and the high cost of medical treatment. By promoting the diversification and marketization of medical services, increasing the supply of medical resources and lowering the price of medical services, the medical burden of the people will be reduced and the health of the people will be improved.
3, Sanming medical reform also has important social significance. By promoting the socialization and marketization of medical and health services, it can promote the rational allocation and utilization of medical resources and reduce the waste of medical resources and duplication of construction. At the same time, it can also promote the transfer of medical and health services to the grassroots and rural areas, narrow the gap between urban and rural medical and health services, and promote the coordinated development of urban and rural areas.