Public hospitals to make up for the six, the first is the cost of infrastructure fully paid by the government, in the past, hospitals to build a building, back to earn money from the patients, the future is not allowed. The second item is the procurement of large-scale medical equipment costs fully paid by the government. The third item is that the salaries of retired staff are fully covered by the government. The fourth item is that the cost of building disciplines is fully covered by the government. The fifth item is public **** health services fully paid for by the government. The sixth item is the low price of medical services and other policy losses will be compensated by the government. Han Xiaofang said, the city's medical service prices will be gradually adjusted, gradually in place, of course, in the adjustment process we want to minimize the burden on the people.
One, the establishment of the Hospital Authority
A new breakthrough in health care management system reform. The establishment of the Hospital Authority, the city's 22 large hospitals to implement a unified and standardized management of people, property and operation. It promotes the classification and management of medical institutions, rationalizes the structure and layout of medical, rehabilitation, and nursing resources, and reduces the average number of days of hospitalization in large hospitals from 14 days to 10 days. Continue to push forward the pilot reform of public hospitals and explore the establishment of a modern hospital management system.
Two, to encourage social medical
In the restructuring of medical and health resources to achieve a new breakthrough. For social medical services access, medical insurance designation, infrastructure construction, price management, employment environment, scientific research and technological innovation, the government to purchase services, standardize management and guide the development of the introduction of support policies. Encourage social capital to organize various types of medical institutions at all levels, and promote the formation of a diversified pattern of medical operation.
Three: Improving family doctor services
Continuing to push forward the comprehensive reform of primary medical and health care institutions, and realizing new breakthroughs in improving the capacity of primary medical and health care services. It will improve the family doctor-type service model and two-way referral system, improve the distribution mechanism, improve the standardized training system for general practitioners, promote multi-practice by physicians, and promote the flow of high-quality resources to the grassroots level.
Four, disease payment pilot
Integration of urban and rural health insurance management resources, to achieve a new breakthrough in the construction of the medical insurance system. Completion of the municipal public health care reform. Promote the new rural cooperative city-wide coordination, the establishment of urban and rural health insurance "integrated" management mechanism. Increased supervision of the medical insurance fund and established a full-time medical insurance supervision team. Pilot reform of the pay-per-case system has been carried out in 100 disease groups in two hospitals. Explore the establishment of medical insurance, price and financial linkage mechanism.
Legal basis: "Interim Measures for the Management of Subsidized Funds for Public Hospitals"
Article 1 In order to standardize and strengthen the management of subsidized funds for public hospitals from the central government (hereinafter referred to as the subsidized funds), and to improve the safety and effectiveness of the use of the funds, these measures are formulated in accordance with the relevant laws and regulations and regulations on the management of special funds of the Ministry of Finance.
Second the subsidy funds referred to in these measures, refers to the central financial arrangements through special transfers, used to support the reform and development of public hospitals.
The third subsidy fund management is guided by the following principles:
(a) rational planning, scientific evidence. In accordance with the requirements of health care reform and related planning, to rationally determine the direction of the use of subsidies, and subsidies to support the necessity of the project, the feasibility of scientific evidence.
(2) Coordinate the distribution, to protect the key. To take into account the needs of the public hospital reform work, rationalize the arrangement of subsidy funds budget, and effectively protect the funding needs of key projects of health care reform.
(3) Strengthen the management and emphasize the effectiveness. To strengthen the allocation of subsidies, the use of the process of management, standardize the management requirements of each link, clear the rights and responsibilities of the relevant subjects, to ensure the safe and efficient use of subsidies.
(4) Performance evaluation, quantitative and effective linkage. To strengthen the performance management of the use of subsidized funds, and the establishment of performance evaluation and funding arrangements linked to the mechanism to improve the effectiveness of the use of subsidized funds.
Fourth subsidies by the Ministry of Finance, in conjunction with the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine and other relevant departments under the State Council's health care reform work deployment and public hospital reform work priorities. At this stage, it focuses on supporting the comprehensive reform of public hospitals, the standardized training of resident doctors, and the construction of national key clinical specialties.
(1) The subsidy funds for the comprehensive reform of public hospitals mainly support the work related to promoting the comprehensive reform of public hospitals at the city and county levels. The subsidy funds are allocated by the factor method, mainly in accordance with the number of pilot areas, subsidy standards and evaluation results and other factors, and are issued in the form of a "full preallocation for the current year and an assessment and settlement for the following year".
(2) The subsidy funds for the standardized training of resident physicians mainly support the standardized training of resident physicians in various regions according to the planning, including the subsidy for the purchase of equipment, teaching and practice activities of the training bases built and set up according to the planning, as well as the living and learning expenditures of the socially recruited and unit-appointed training objects. The subsidy funds are allocated according to the factor method, mainly according to the number of training bases and training objects, the subsidy standard and evaluation results and other factors, using the "current year's full advance allocation, the following year's assessment and settlement" method of issuance.
(C) for the construction of national key clinical specialties in the subsidy funds to support the country, including private hospitals, including tertiary hospitals to carry out the construction of national key clinical specialties, including the completion of the key clinical specialties construction projects required for the purchase of equipment, personnel construction, appropriate technology promotion and other expenditures of the subsidy. The subsidy funds are allocated by the project method, and for the national key clinical specialties construction projects that have been assessed and evaluated, the funds are allocated in the form of "advance allocation in proportion to the initial period, and assessment and settlement after the completion of the project". National clinical key specialties construction subsidies project reporting guidelines issued separately by the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine and the Ministry of Finance.
(4) the subsidies for other health care reform mainly support other work related to the reform and development of public hospitals in addition to the above expenditures according to the health care reform work arrangements. Specific subsidies by the Ministry of Finance, in conjunction with the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine and other relevant departments, in accordance with the relevant requirements of the State Council, health care reform-related planning and annual health care reform key work arrangements to study and determine.