Not long ago, National Health Commission, the National Development and Reform Commission, the National Medical Insurance Bureau and other ten departments jointly issued the Opinions on Promoting the Sustainable, Healthy and Standardized Development of Social Medical Services (hereinafter referred to as the Opinions). Wang Hesheng, deputy director of the National Health Planning Commission, pointed out at the policy briefing in the State Council that the document will introduce 22 policy measures from six aspects, including increasing government support and simplifying examination and approval services, to support the society to run medical services and meet people's medical needs at different levels. In order to further promote the implementation of the "Opinions" policy and effectively promote the sustainable, healthy and standardized development of social medical services, the China Association of Non-public Medical Institutions recently held a press release and seminar on "Learning, publicizing and implementing the opinions of ten ministries and commissions on promoting the sustainable, healthy and standardized development of social medical services" in Beijing. Hao Deming, executive vice president and secretary general of China Association of Non-public Medical Institutions, said that the opinions have fully listened to the opinions of industry associations, and many policies and reform measures are more grounded and operational than in the past. But at the same time, Hao Deming also admitted that how to promote social medical services from quantitative change to qualitative change is a new topic facing this industry. "Now the proportion of hospitals run by the society has reached 65%, but the amount of medical treatment only accounts for 20%. It is necessary to let the "Opinions" land as soon as possible in order to effectively guarantee the sustained, healthy and standardized development of social medical treatment. "
Medical insurance is still the biggest problem in most societies.
"For most social medical institutions, the biggest problem encountered in development is still basic medical insurance." Ji Daxi, president of Nanjing BenQ Hospital, said that a social hospital in Jiangsu only treated three patients in half a year, because patients would shake their heads and walk away as long as they knew that the hospital had no medical insurance. Ji Daxi believes that social medical institutions must reassure the government and satisfy the people in order to build the hospital into a brand hospital.
In fact, even if it has been included in the basic medical insurance, many people still can't see doctors in social medical institutions. Xu, vice president of Sanbo Brain Hospital of Capital Medical University, mentioned that more than 90% of the hospitals are foreign patients, but many provinces will designate public hospitals when reimbursing in different places. In this regard, we expect relevant departments to issue detailed rules as soon as possible to benefit more patients.
Wang Guangfa, president of Beijing Wang Fu Hospital of Integrated Traditional Chinese and Western Medicine, also said that relevant departments should treat hospitals with different attributes equally. Both public hospitals and social hospitals serve patients, and the cost cannot be different because of choosing different institutions.
It is understood that the "Opinions" clearly stated that it is necessary to optimize the preconditions for medical insurance and shorten the waiting time for applications. Social medical institutions can apply for fixed-point after three months of official operation, and the time limit for completing fixed-point evaluation shall not exceed three months and other specific requirements. Xiong Xianjun, director of the Medical Service Management Department of the National Medical Insurance Bureau, said at the routine briefing of the State Council's policies that he would guide local governments to strictly implement relevant policies, with the focus on providing a relaxed environment for social medical institutions to apply for designated medical insurance. Reduce the time for specifying application, expert review, system transformation and other processes. And provide convenience for social medical institutions to apply for medical insurance. At the same time, improve the management mechanism of designated medical insurance, study and improve the management methods of medical insurance designated medical institutions, as well as the corresponding handling procedures and model agreements.
At the same time, a large number of social medical institutions have been included in the designated medical insurance institutions. Due to low level, small scale, irregular management and strong cash-out motivation, some medical institutions have brought certain challenges to the supervision of medical insurance funds and are "high-incidence areas" for fraudulent insurance. Xiong Xianjun said that while providing a relaxed environment for social medical institutions to apply for medical insurance, it will further strengthen the supervision of designated medical institutions, carry out medical insurance credit management, improve the medical insurance intelligent monitoring system based on big data, establish an agreement management exit mechanism for designated medical institutions, and severely crack down on malicious fraud.
Social medical care should be different from public hospitals.
Social medical service is a useful supplement to the public medical service system, but it has been facing the status quo of "different origins and different treatment". In this regard, the "Opinions" require that the number and scale of public hospitals be strictly controlled to leave enough room for the development of medical services for the society; The government does not make planning restrictions on the total amount and spatial layout of social medical areas; Social medical institutions can apply for the recognition of high-tech enterprises in accordance with the regulations and enjoy corresponding tax incentives; There should be a certain proportion of social medical industry organizations and social medical personnel in the health series senior professional title evaluation Committee and medical institution evaluation Committee established for the society. When selecting standardized training bases for residents, clinical teaching bases in medical colleges and promoting the construction of clinical service capacity, all qualified medical institutions should be treated equally, and the society should be properly inclined to run medical services.
Yang, chairman of Shenzhen Longcheng Hospital, believes that social medical treatment should not "grab" patients with public hospitals, but should be treated differently from public hospitals. Wang Hesheng also stressed at the routine briefing on the State Council policy that in order to achieve stable, far-reaching, sustained and healthy development, the society must first find a correct orientation and define its development direction. He pointed out that social medical service is a useful supplement to the public medical service system, mainly providing non-basic medical and health services to meet the multi-level, diversified and differentiated health service needs of the masses. For example, with the aging of China's population, the demand for rehabilitation, nursing and medical treatment will increase greatly, providing a broad development space for the society to run medicine; In some scarce professional fields, such as pediatrics, psychiatry, obstetrics and gynecology, ophthalmology, medical aesthetics and so on. Social medical services are also promising; There are also some independent third-party institutions, such as physical examination, hemodialysis and medical imaging. This is also an area that social medical services can pay attention to. Some social medical institutions have established discipline advantages in these fields, formed brand influence, and been recognized by the people.
Wang Hesheng said that on the whole, with the people's increasing demand for health services, the development prospect of social medical services will be better and better.
The sustained, healthy and standardized development of social medical services cannot be separated from industry self-discipline.
While the iron is hot, you need to be hard. Undeniably, the public has lost trust in the medical services running in the society due to the over-treatment and even fraud of some unhealthy institutions. Therefore, in order to enter a benign development track, social medical services should not only make good use of the policy "gift package", but also strengthen industry self-discipline and environmental purification.
Shen Jianwei, secretary general of the Association of Non-public Medical Institutions in Hainan Province, believes that social medical institutions should be strictly self-disciplined. Wu Xinchun, vice president of China Resources Medical Group, suggested that the government and associations should strengthen the supervision and service of social medical services, organize the construction of credit system and implement corresponding responsibilities. Qin Xunyun, president of Beijing Yao Medical Hospital, believes that the development of social-run hospitals needs the multi-level and all-round joint efforts of the whole society. Everyone should be brave enough to take responsibility, strive for self-improvement, and make due contributions with their respective advantages and specialties.
It is understood that the China Association of Non-public Medical Institutions took the lead in launching the first batch of national medical institutions with 3 A industry credit and 5-star service capability, and launched a number of hospitals to commit to sign the Convention on Self-discipline of Honest Service. Xiao Zhengquan, president of Beijing Association of Non-public Medical Institutions, said that giving full play to the benchmark and demonstration role of excellent social medical institutions can lead the healthy and standardized development of the industry. "I hope that the media can publicize and report on excellent social medical benchmarks and demonstrations and lead the industry to make great strides."
In order to provide safe and efficient medical services to the people, the Opinions will also support industry organizations to improve industry standards and carry out evaluation of medical quality and service capabilities; Incorporate social medical service into the control and evaluation system of medical service and medical quality management. At the same time, strictly implement the departmental supervision responsibility, and impose a lifelong industry ban on serious untrustworthy subjects according to law.