The measures that do not belong to the Sanming health care reform are a health insurance funds at a ratio of 1:2 matching as funds for disease prevention b the implementation of a product two +, Sanming health care reform: located in the mountainous area of central Fujian, the old industrial base of Sanming City, to "people can accept, financial can afford, the fund can be operated, hospitals can be sustained "as the goal, to medicine, health insurance, medical "three medical linkage" as a way to break the entanglement of interests, comprehensively integrated to promote the public hospital distribution mechanism, compensation mechanism, assessment mechanism, drug procurement, hospital management, health insurance fund management and a series of comprehensive reforms, known as the "Sanming medical reform".
Sanming medical reform is under the leadership of the CPC Central Committee and the State Council, the local party committee and government to overcome difficulties, the results of innovation, its core experience is to adhere to the reform of the overall linkage, improve the economic policy of medical reform, improve the internal incentives and constraints within the hospital, and to promote the sinking of medical resources and other aspects. Specifically, the first is that the party committee and government hand in hand to grasp the medical reform. The party and government hands personally grasp the medical reform, a grasp to the end, by a government responsible comrade unified in charge of medical, health insurance, medicine, medical reform work into the government's target management performance appraisal and cadre assessment, efficient and powerful to promote the reform of the medical and health system.
The second is to adhere to the "three doctors" reform. The regularization of drugs and consumables joint price-limit procurement, reduce the inflated prices, 80% of the space freed up by price reductions will be used to adjust the price of technical services, and the increased price of technical services will be included in the scope of payment of medical insurance, so that the overall burden on the people will not be increased.
Third, improve the financing mechanism of public hospitals. Fully implement the government's responsibility to invest in the capital construction of public hospitals, the purchase of large-scale equipment, the development of key disciplines, public **** health services, and other inputs, and to incorporate large expenditures on the capital construction of public hospitals into government budgets.
Fourth, synchronize and deepen the reform of the remuneration system. On the basis of dynamic adjustment of the price of medical services, the implementation of the "two allowed" requirements, based on the income from medical services, the total amount of approved hospital remuneration, and gradually increase the level of medical staff remuneration. Realization of the "annual salary system for all staff goals, annual salary calculation points system", cut off the direct link between personal salary and departmental income.
Fifth, strengthen the supervision and management of medical institutions. Monitoring and analyzing the operation of hospitals, and annually assessing hospital party secretaries and presidents in terms of the direction of medical care, hospital development, hospital management, service evaluation, and peace building. Strengthen the supervision of medical services, strict management of medication in medical institutions, standardize the centralized procurement of drug catalog.
Sixth, the construction of close-knit county medical and health care **** the same body. Formation of close-knit county medical **** the same body, the realization of the integration of human and financial management, health insurance funds, financial inputs packaged to the medical **** body, the implementation of the total amount of lump sum, overspending does not make up for the balance to stay, strengthen the performance assessment of the medical **** body, promote the synergies of medicine and prevention, and to promote the mode of service from the treatment of disease centered on the health of the center. This is the main experience of Sanming medical reform.
Legal Basis: The Social Insurance Law of the People's Republic of China
Article 24 The State establishes and improves the new rural cooperative medical system. The administration of the new rural cooperative medical care shall be regulated by the State Council.
Article 25 The State establishes and perfects the basic medical insurance system for urban residents. Basic medical insurance for urban residents shall be a combination of individual contributions and government subsidies. The government shall subsidize the portion of individual contributions required by persons enjoying the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons and minors over sixty years of age from low-income families.
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with state regulations.