Public hospitals will be cut off from supporting doctors with medicines
One of the key ideas of the new healthcare reform is to take medical service organizations and the majority of medical workers as the main body of the healthcare reform, and to reflect the public welfare of public hospitals by giving full play to the enthusiasm of the majority of medical workers. "The new medical reform has not avoided the hard part -- the reform of public hospitals." Chen Zhu said, "The people's feelings about access to medical care come, to a large extent, from the feeling of going to a big public hospital after getting a big or serious illness."
Chen Zhu said, "At present, public hospitals have three channels of income: public **** financial input, social security and personal medical expenditure, and drug fee markup. The drug fee markup is also what we call drug-based medical care. The new medical reform will completely cut off this channel of supporting doctors with drugs."
Chen Zhu said that the public welfare of public hospitals ultimately depends on the services of medical staff to reflect, cut off the income channel of supporting doctors with medicines, through research to increase diagnostic fees and other legitimate labor costs of doctors who are currently on the low side, to mobilize the enthusiasm of medical staff.
Premium labor to mobilize the enthusiasm of doctors
This year's reform of public hospitals will be the first in the east, in the middle and in the west of the selection of a number of hospitals to carry out a pilot project. Cutting off the "medicines for doctors", on the one hand, the pilot hospitals to lose the cost of medicines after the calculation of the funding gap, through the public **** financial subsidies to invest; and in the distribution, will be taken as a meritocracy, according to the pay, to medical staff to provide the quantity and quality of labor and efficiency as the main standard of performance assessment, while combining scientific research The number and quality of labor provided by medical staff and efficiency will be the main criteria for performance appraisal, while the diagnostic fees for doctors will be increased appropriately in conjunction with scientific research, teaching and risky positions as a reference for distribution.
Through the excellent work, pull the grade to mobilize the enthusiasm of the doctors, through the mobilization of the enthusiasm of the doctors, to increase the services they provide. The more health care doctors provide, the better the public good will be represented.
Public hospitals should follow the nature of public welfare and the principle of social efficiency, adhere to the patient-centered, optimize the service process, standardize the use of drugs, inspections and medical behavior.
The proportion of public hospitals providing specialized services should not exceed 10 percent of all medical services.
In recent years, some public hospitals have set up too many VIP wards, special outpatient clinics and other special medical services, causing social controversy.
To this end, the implementation of the program clearly put forward: public hospitals to provide special services no more than 10% of all medical services.
Industry insiders pointed out that the public hospitals set too many special services to limit the public hospitals to return to the public interest of an initiative, but also conducive to the full use of scarce public **** medical resources for the people to provide services.
In order to maintain the public hospital public welfare, alleviate the people's access to medical problems, the implementation of the program is also clear to promote the reform of public hospital compensation mechanism. Gradually public hospitals compensation from service charges, drug markup income and financial subsidies for three channels to service charges and financial subsidies for two channels. The government is responsible for public hospitals to undertake public **** health tasks to give special subsidies to protect the government designated emergency treatment, foreign aid, support for agriculture, support for the border and other public **** service funds.
"Improve the compensation mechanism is to realize the fundamental guarantee of public welfare." Experts said that improving the compensation mechanism of public hospitals and implementing the compensation policy can ease the tension between doctors and patients and fundamentally mobilize the enthusiasm of medical staff.
Part of the public hospitals will be converted to private
The state has formulated guiding opinions on the restructuring of public hospitals, and actively guided social capital to participate in various ways in the restructuring and reorganization of part of the public hospitals, including hospitals run by state-owned enterprises.
Some public hospitals should be actively and steadily converted into private medical institutions. Formulate policies and measures for the conversion of public hospitals to ensure the preservation of state-owned assets and the legitimate rights and interests of employees.
The needs of the medical market, which is diversified and multi-level, need to be in line with the basic medical needs of the general public, as well as in line with the special needs of the high-end population, so the reality is that there is a need for hospitals to provide services for this high-end population.
The implementation of the program requires the acceleration of the formation of a pluralistic pattern of medical care. Actively and steadily convert some public hospitals into private medical institutions, while encouraging private capital to organize non-profit hospitals.
According to the requirements, it is necessary to urgently formulate and improve relevant policies and regulations, standardize the access conditions for social capital, including foreign capital, to run medical institutions, and improve fair and impartial industry management policies. To formulate guiding opinions on the restructuring of public hospitals, and actively guide social capital to participate in various ways in the restructuring and reorganization of some public hospitals, including hospitals run by state-owned enterprises.
The implementation of the program requires that the provincial health administrative departments, in conjunction with the relevant departments, in accordance with the regional health planning, to specify the number of public hospitals under the jurisdiction of the number of settings, layout, bed size, configuration of large-scale medical equipment and the main functions. To actively and steadily convert some public hospitals into private medical institutions. Formulate policies and measures for the conversion of public hospitals to ensure the preservation of the value of state-owned assets and the legitimate rights and interests of employees. At the same time, encourage private capital to organize non-profit hospitals.