Promoting the strategy for a healthy China: comprehensively establishing a system of hierarchical diagnosis and treatment, improving the modern hospital management system, improving the universal medical insurance system, improving the drug supply guarantee system, and establishing a sound comprehensive regulatory system
1, comprehensively establishing a system of hierarchical diagnosis and treatment. Optimize the structure and layout of medical resources, clarify the functional positioning of various types of medical and healthcare institutions at all levels, establish medical consortia in various forms such as management of close-knit urban medical groups, county medical ****similarities, regional specialty alliances, and telemedicine collaborations, improve the efficiency of the use of medical resources and their overall effectiveness, accelerate the construction of a high-quality and efficient integrated medical and healthcare service system, and form a scientific and reasonable order of medical treatment, so as to provide residents with integrated and continuous healthcare services, as well as to provide a comprehensive, continuous healthcare system. In 2020, a hierarchical diagnosis and treatment system framework of "primary care, two-way referral, emergency and slow treatment, and up and down linkage" will be established.
2, improve the modern hospital management system. Consolidate the results of the comprehensive abolition of the public hospital "medicine to compensate for medical". Clearly define the responsibilities of the government to run medical care, and implement the autonomy of public hospitals in operation and management. Scientific adjustment of medical service prices, reflecting the value of the labor of medical personnel. Hospitals of all levels and types should formulate bylaws, improve decision-making and management systems, enhance medical quality and safety, and carry out services for the convenience and benefit of the public, so as to continuously improve medical services. The implementation of the "two allowed", the establishment of personnel remuneration system in line with the characteristics of the industry.
Strengthening the Party's construction in hospitals, strengthening the construction of medical ethics and promoting high professionalism. By 2020, it will basically establish a modern hospital management system with clear powers and responsibilities, scientific management, perfect governance, efficient operation and strong supervision.
3, improve the universal medical insurance system. Improvement of health insurance financing and treatment adjustment mechanism, the implementation of urban and rural residents of the basic health insurance "six unified" policy, improve the unified urban and rural residents of the basic medical insurance system and the system of major disease insurance, and strengthen the connection between the system. Direct settlement of basic medical insurance for people seeking medical treatment in other places has been realized. Gradually implementing the reform of the compound payment method in public hospitals, which is mainly based on payment by type of disease, and simultaneously promoting the management of clinical pathways, in order to strictly control the unreasonable growth of medical costs. The implementation of commercial insurance institutions to undertake major disease insurance, support their participation in the basic medical insurance services.
4. Improve the drug supply guarantee system. Improve and implement policies on all aspects of drug production, circulation and use, encourage the research and development of new drugs, accelerate the promotion of the consistency of the quality and efficacy evaluation of listed generic drugs, and take measures to improve the supply guarantee mechanism for drugs in short supply, such as designated production and market aggregation. It has also improved the centralized procurement mechanism for medicines and consumables, pushed forward national negotiations on drug prices, and implemented the "two-invoice system" for drug procurement to reduce inflated prices. Improve the basic drug system, strengthen the management of the use of drugs, especially antibacterial drugs, and standardize the use of medication behavior.
5. Establish and improve the comprehensive regulatory system. Build a centralized, professional and efficient regulatory system to achieve industry-wide coverage. Strengthen the supervision of the incident after the event, promote "double random, a public", improve the level of practice in accordance with the law, and take the initiative to accept social supervision. Improve the industry regulations and standards system, strengthen the medical staff to practice according to law, patients according to law, doctor-patient disputes according to law, resolutely crack down on illegal and criminal activities related to medicine, and form a social atmosphere of respect for medicine and health.