Efforts will be made to deepen the reform of the medical and health system and strengthen the industry supervision role of medical institutions. (A) improve the national health insurance system. National health insurance is the basis of the basic medical and health system with China characteristics. In the next stage of reform, we should strive to improve the system. First, gradually improve the government subsidy standards for residents' medical insurance and the new rural cooperative medical system, promote the establishment of a serious illness insurance system for urban and rural residents, and improve the ability to pay for basic medical insurance and the level of protection for serious and serious diseases. The second is to intensify the reform of medical insurance payment methods, actively implement comprehensive methods such as paying by disease, paying by head, and prepaying the total amount, enhance the incentive and restraint effect of medical insurance on medical behavior, and achieve double-excellent results in improving the quality of medical services and controlling the excessive growth of medical expenses. The third is to improve the management and service level of basic medical insurance, promote the immediate settlement of basic medical insurance and medical assistance, and establish a settlement mechanism for medical treatment in different places. At the same time, gradually improve the basic medical insurance management system, rationalize management functions, and improve the efficiency of handling management. The fourth is to improve the urban and rural medical assistance system, accelerate the improvement of the medical security and assistance system for serious and serious diseases, improve the emergency assistance system for diseases, and build a solid medical security bottom line. Fifth, actively develop commercial health insurance, support the development of commercial health insurance linked to basic medical insurance, and meet the needs of multi-level health protection. (II) Deepening the comprehensive reform of primary medical and health institutions First, consolidate and improve the national essential drug system, stabilize the centralized procurement mechanism of essential drugs, promote the gradual extension of the essential drug system to village clinics and private primary medical and health institutions in an orderly manner, improve the stable and long-term compensation mechanism of primary medical and health institutions, deepen the reform of the establishment of primary institutions and personnel remuneration, and consolidate the effectiveness of primary medical reform. Second, continue to strengthen the construction of grassroots medical and health service network and improve the rural medical and health service network based on county hospitals, township hospitals and village clinics. In cities, it is necessary to speed up the construction of a new urban medical and health service system based on community health services and cooperating with large hospitals. The third is to implement the project of improving the service capacity of primary Chinese medicine, and constantly improve the development mechanism and policies of Chinese medicine and ethnic medicine. The fourth is to change the health service model and gradually establish a graded diagnosis and treatment and two-way referral system. Actively promote the service mode of family contracted doctors and establish the contract service relationship between general practitioners and residents. Fifth, steadily improve the equalization level of basic public health services, continue to raise the per capita funding standard of basic public health services, and implement basic public health services and major public health services such as immunization, maternal and child health care, management of patients with severe mental illness, and health education. Strengthen the integration of regional public health service resources. Sixth, further implement rural doctors' salary and pension policies, strengthen rural doctors' training, improve the service ability and level of rural doctors, and constantly build a solid rural health service network. (III) Accelerating the Reform of Public Hospitals Public hospitals are the mainstay of China's medical service system and play a pillar role in ensuring basic health. First, earnestly perform the government's medical duties, reasonably determine the function, quantity, scale, structure and layout of public hospitals, and adhere to the leading position of public medical institutions in providing basic medical services for urban and rural residents. Second, the key link is to break the mechanism of supplementing medicine with medicine, promote the reform of management system, price and drug supply as a whole, rationalize the price of drugs and establish a scientific compensation mechanism. The third is to promote the establishment of the internal governance structure of public hospitals, deepen the comprehensive reform of personnel distribution and other mechanisms, establish a personnel compensation system that adapts to the characteristics of the industry, strengthen performance appraisal, establish a scientific medical performance evaluation mechanism, and establish and improve the modern hospital management system. County-level public hospitals with a population of 900 million are the hub connecting large hospitals and primary health care institutions, and also the key link to solve the problem of difficult and expensive medical treatment. At present, we should focus on the reform of county hospitals, speed up the reform, strive to complete it in three years, and give full play to the leading role of county hospitals. At the same time, it is necessary to deepen and expand the comprehensive reform pilot of urban hospitals, strengthen the top-level design, make overall planning, unify guidance, comprehensively promote and carry out systematic reform pilots to form the superposition effect of reform policies. (4) Actively promoting the development of health service industry is an inevitable requirement for deepening medical reform, improving people's livelihood and improving the health quality of the whole people. Encouraging the society to run medicine is an important part of developing health service industry. It is necessary to further emancipate the mind and innovate ideas, encourage social forces to invest in the medical service industry in various forms such as capital construction, participation in restructuring, trusteeship and public-private partnership, and give priority to supporting social capital to set up non-profit medical institutions. It is necessary to strengthen policy guidance on prices, taxes, land use, etc., clean up and abolish unreasonable regulations, and accelerate the implementation of the policy of treating non-public medical institutions and public medical institutions equally in terms of market access, social insurance designation, key specialty construction, professional title evaluation, and technical access. At the same time, it is necessary to speed up the development of services such as pension, Chinese medicine and health insurance, and closely combine deepening medical reform with accelerating the development of health service industry to promote each other and develop together. (5) To strengthen the construction of health informatization, it is necessary to establish and improve the population health information management system, make full use of informatization means, and improve the level of population health management. It is necessary to actively promote the standardization of medical and health information technology, accelerate the research and establishment of a unified national standard system for electronic health records, electronic medical records, medical services and medical insurance information data, strengthen the construction of regional medical and health information platforms, and promote the sharing and interconnection of medical and health information resources. It is necessary to develop telemedicine with remote imaging diagnosis, remote consultation, remote monitoring guidance and remote education as the main contents for grassroots, remote and underdeveloped areas, so that high-quality resources can serve grassroots people more conveniently. (VI) Promoting the reform of personnel training and use system First, establish a personnel training system that adapts to the characteristics of the industry, deepen the reform of medical education, attach importance to humanistic quality training and professional quality education, and accelerate the establishment of a standardized training system for residents. The second is to strengthen the construction of general practitioners, carry out standardized training for general practitioners, do a good job in job transfer training for general practitioners, train rural order-oriented medical students free of charge, and implement the special post project for general practitioners to ensure that the goal of general practitioners in primary health care institutions is achieved as scheduled. The third is to increase the training of urgently needed professionals such as nurses, aged care workers, pharmacists and pediatricians. The fourth is to allow doctors to practice more, encourage qualified doctors to flow to the grassroots, strengthen standardized management, and ensure the quality and safety of medical services. Fifth, accelerate the reform of the income distribution system in the medical field, and gradually establish a salary system that conforms to the characteristics of the medical industry and reflects more work and more pay, so as to ensure that the legitimate income of the majority of medical personnel is generally improved. (seven) improve the medical and health supervision system, strengthen the supervision function of the whole industry, optimize the supervision mechanism, improve the supervision system, innovate the supervision means, increase law enforcement, and effectively protect the health rights and interests of the people. It is necessary to severely crack down on illegal medical practice in accordance with the law, and seriously investigate and deal with illegal acts in key links such as drug purchase and sale, medical insurance reimbursement, and medical services. Establish a supervision system for information disclosure and social participation. To strengthen the construction of medical ethics, it is necessary to educate and guide the majority of medical workers to consciously cherish their professional values, constantly improve their self-cultivation and better serve patients. It is necessary to improve the handling mechanism of medical disputes, crack down on illegal and criminal acts involving doctors according to law, optimize the working environment of medical staff and build a harmonious doctor-patient relationship.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.