1: Gradually abolish the hospital drug markup
The new health care reform program focuses on alleviating the people's "expensive and difficult to see a doctor"
The new program points out that the medical institutions should be implemented "pharmaceutical separation", through the implementation of differential markups on the purchase and sale of drugs, the establishment of a pharmaceutical service fee and other ways to gradually reform or abolish the drug markup policy. Through the implementation of the purchase and sale of drugs differential markup, the establishment of pharmaceutical service fees and other means of gradual reform or abolition of the drug markup policy, while taking appropriate adjustments to the price of medical services, increase government investment, reform of payment methods and other measures to improve the compensation mechanism of public hospitals. This provision is regarded by experts as the program's "excitement", is an effort to reduce the cost of medicines, the people are most concerned about the topic, but the impact of the current health care system is also the biggest.
2: the establishment of a national system of essential drugs
The new program provides for the establishment of a national system of essential drugs. The central government uniformly formulates and publishes a national basic drug catalog. Essential drugs are produced or centrally purchased by the state through bidding and direct distribution, and retail prices are uniformly set on the basis of reasonably determining the profit level of the production chain. Primary healthcare institutions such as urban community health service centers, township health centers, and village health offices should all use essential drugs, and other types of healthcare institutions should also use essential drugs as their first choice and determine the proportion to be used.
3: clear government health input increase
Public welfare to determine the public hospital reform waypoint
The new program clearly put forward to strengthen the government's responsibility and input. Gradually increase the proportion of government health investment in the total cost of health, so that the burden of basic medical and health care costs on individual residents is significantly reduced; the growth rate of government health investment should be higher than the growth rate of recurrent financial expenditure, so that the proportion of government health investment in the proportion of recurrent financial expenditure is gradually increased.
4: will guide the general diagnosis and treatment sink to the grassroots
The new program to vigorously develop community health and rural health and other primary health care services put forward a lot of ideas, while emphasizing the need to "guide the general diagnosis and treatment sink to the grassroots". This is to be achieved through "comprehensive measures such as improving service capacity, lowering fees and increasing reimbursement rates".
5: Multi-input mechanism to realize the diversion of services
The program proposes to establish a government-led multi-input mechanism for health, to encourage and guide the development of social capital in health care. Actively promote the development of non-public medical and health institutions, the formation of the main body of diversified investment, investment diversification of the medical system.
"To meet the premise of universal basic health insurance, there will still be part of the population to produce 'high-end demand'." Academician Zeng Yixin pointed out that, for example, some people have children who want to have independent rooms. For the development of the past frequently encountered "policy bottlenecks" of private hospitals, this provision is "untying" good news.
6: non-profit hospitals to implement government-guided price
In regulating the management of medical service prices, non-profit medical institutions to provide basic medical services, the implementation of government-guided price, the rest of the independent pricing by the medical institutions. The services provided by different levels of medical institutions and doctors are subject to tiered pricing. Items and standards for fees charged by public medical institutions are being standardized, and studies are being conducted to explore reforms in the way fees are charged on a case-by-case basis and in other ways. The establishment of medical examination and treatment equipment and instruments price monitoring, service cost monitoring and service price adjustment system on a regular basis.