Medical network - on March 7, 2017 will be a comprehensive reform of public hospitals will be pushed for a year. The abolition of all government work report emphasized that drug addition, coordinated advance medical price, personnel salary, medicine circulation, in the reform of medical insurance payment. The economic information daily, reporter interview of the CPPCC national committee, said the financing and payment system, personnel salary reform through a series of measures such as propulsion, public hospital reform will break profit mechanism of public hospitals, and ultimately to establish collaboration medical service system and grading pattern of diagnosis and treatment.
Public hospital is to realize the important carrier of people's social goal pursuit to fair "YaCangShi", maintaining social harmony and stability. Therefore, to solve the problems existing in the public hospital, adhere to the government for public hospital public welfare purposes, become the important content of this reform. According to the 2015 schedule of public hospital established at the beginning of the pilot, in 2017, the city public hospital comprehensive reform pilot overall away, to effectively control unreasonable medical expenses growth, increase the total health expenses and the coordinated growth in gross regional product; Public satisfaction improved significantly, significantly reduce medical expenses burden, on the whole personal health spending accounts for the proportion of the total health expenses down to below 30%.
The basic purpose of public hospital reform is to break public hospital profit mechanism, build up rational layout, collaboration of medical service system and grading pattern of diagnosis and treatment. Reporters of the CPPCC national committee, said in order to achieve this goal, at the same time of cancellation of drug addition, must cooperate with the medical service price reform, reform the existing personnel salary system, change the existing financing and payment system at the same time.
The CPPCC national committee Wu Mingjiang of the economic information daily, reporters, arouse the enthusiasm of staff is an important condition for realizing the objective of the reform of public hospitals. To maintain the public welfare goal, must through the established in line with the industry characteristics, manifest the value of labor personnel salary system means to arouse the enthusiasm of "mainstay" involved in health care.
He also said that in the process of the reform of public hospitals, to strengthen the upper and lower linkage, promote the establishment of classification system of diagnosis and treatment. "Some of the larger the function of the teaching of sexual medicine center to undertake with the county hospital, community hospital is not exactly the same, it also assume the role of the teaching base, scientific base, both the requirements of personnel training, guidance center is also a mysterious illness. So in this process, the future through the classification of couplet of diagnosis and treatment and the medical establishment, should better and community health service centers and other grassroots medical institutions to establish the relationship between the two-way referral, eventually to build a large community, patients and hospital win-win-win situation, effectively ease the problem of difficulty and high cost of the crowd to see a doctor.
The CPPCC national committee, ho in liaoning medical school dean hessler the economic information daily, reporter interview, said should maintain public hospital public welfare purposes, but due to the maintenance of public welfare and mobilize enthusiasm has cost, and resource is limited, so, like any reform measures, the reform of public hospitals also want to consider the question of sustainability, to avoid falling into the government fiscal "debt" for the performance of the trap of "welfare state", needs further reform of the financing and payment system. Specifically, the future of public hospitals to set up mainly by macro-reforms, according to head, according to multiple service units and other payment methods, gradually reduce pay according to the project. "Captures the payment system reform, the reform of public hospitals is the 'key' caught the whole reform, because only after improving payment system, the other a series of reform measures will work." He wei said.
In the middle of the vice-chairman proposal "about to do a good job of public hospitals to prepare the changes of several Suggestions", put forward should give grassroots medical institutions for policy guidance and financial support. For to establishment of public hospitals, in addition to part of the fiscal appropriation, the diagnosis and treatment fees paid by the health care, will become an important part of hospital income. Therefore, vice-chairman advise state development planning commission, the central club department and other departments to strengthen communication and consultation, formulate effective measures, to ensure that the hospital reasonable pricing regulation, health care institutions, realize the sustainable operation of the hospital reasonable charge and health-care funds. In addition, considering the infectious hospital, mental hospital public welfare, such as the particularity of specialized subject hospital, vice-chairman of central proposal for this kind of hospital on and amount of financial aid policy inclining and focus. |
