Medical network - on March 15 this year, we will deepen reform of the medicine and health care system is an important year. In 2017, according to the established schedule, in advancing the classification diagnosis and improve the medical insurance system, the reform of public hospitals, etc., will be a major breakthrough. The two sessions this year, a number of representatives is focused on the health reform, and 3 d linkage, unified medical insurance policy in the region as a whole, to enhance the special "root", such as the primary care level.
Promote the reform of public hospitals fully implemented
The reporter understands from the two sessions, implemented at various levels and of public hospital comprehensive reform in 2017, all cancel the drug addition. Pilot city public hospital medicine proportion (excluding Chinese medicine yinpian) overall to around 30%, one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. Public hospital medical expense control gradually establish and improve the monitoring and assessment mechanism, the public hospital medical expenses growth to below 10%.
This means that the public medical institutions in China will completely farewell "taking medicine cure" era. Public hospitals to rely on medical service and the fiscal subsidy can run properly and balance the new target. Expert thinks, realize the medical fee to eliminate "expensive", still need through the standard medical behavior, to reduce the drugs and consumables costs such as room, dynamically adjust the medical service price, build a reasonable compensation mechanism and mode of payment, make public hospital regression commonweal orbit.
Wang Hesheng, director of the reform of the state council office recently said that the cancellation of "taking medicine cure" mechanism, is the key of the deepening the reform, it involves the profound interest adjustment, change the system and mechanism, and involves the reform of medical treatment, health care, medical 3 d linkage, is the most difficult task of this year "crack".
Deputy to the National People's Congress, meizhou city people's hospital, secretary of the party committee xin-hua Lin believes that medicine is an originally, after separate management can reduce the cost of drugs, let common people benefit. Hospital income declined, but the city level 3 armour hospital capital is abundant, through resource allocation and balance the cost of medicine management separately under pressure, there is no problem.
Deputy to the National People's Congress, President of hebei cangzhou central hospital WenXiuLing suggested that drug pricing and circulation field should do more "subtraction", focusing on "drugs ex-factory price" on, solve the problem of drug prices artificially high. WenXiuLing think a lot of drugs, eventually sold at a higher price than the factory price one hundred times, even with a few times in the circulation price too much, caused a great burden to patients. If you can supervise and urge the ex-factory price, drug released let price transparency, is expected to effect a radical cure the high drug prices. "Ex-factory price, the public has no effect to drug companies. Distribution of circulation only warehousing, logistics, and formed several links such as artificial and reasonable profit limited price, a medical representative can return to the real nature of the business." She said.
In-depth coverage entered the stage of implementation of different ground settlement
This year is one of the major reform of health care field, basic implementation is to meet the requirements of referral long-distance medical hospitalization expense settlement directly. The economic information daily, the reporter understands, by the end of 2016, China's 30 provinces to implement the provincial long-distance medical card settlement. National long-distance medical settlement system have also been staging, at the end of 2016. In the first half of this year will achieve inter-provincial long-distance retirement staffing direct settlement, cost of long distance medical hospital before the end of 2017, all of people eligible for referral long-distance medical hospitalization expense settlement directly.
Said the CPPCC national committee Chen Qi, open, with the development of economy, society, population mobility is greatly increased, a lot of people to work outside, pension, and study. Different ground treatment expenses program trival, however, if the local can real-time reimbursement, coupled with the continuous improvement of the insurance system, people will eliminate many of the concerns. To realize direct settlement, cost of long distance medical hospital is a reasonably good.
"The population of our country has already entered an aging society, together with the one-child policy began to emerge after the effect, following children pension and health care demand in other cities will be more and more big." The CPPCC national committee, vice chairman of the Chinese people's political consultative conference in chongqing gui-yun Chen thinks, as economic conditions improve, people is not limited to the selection of pension to workplace or native home, many old people formed the "summer went to the south to the north, the winter" way of life, "they are anxious to able to nationwide network of medical treatment insurance, direct settlement".
To the economic information daily, the CPPCC national committee Hu Xiaoyi reporters, long distance across the province health direct settlement involves five groups: one is relocated the retirees, 2 it is beyond the living of the population of permanent residents, the third is of the entire work flow of foreign groups, four is temporary on business, tourism, need of emergency patients, five are incurable diseases, major patients needs different referral group. Across the province, however, long-distance medical hospital fees directly to settle the difficulty is not the money, the crux of the problem lies in the medical service resources itself is not balanced. "Promoting the construction of the grading system in our country are working now, hope to guide the people at the grassroots level, rather than concentrated up, go to big cities, big hospital." He said.
In fact, in the era of the Internet and big data, inter-provincial long-distance medical treatment in hospital fees and settlement of technical barriers is not difficult to solve directly, there are a lot of technology can advance, the main difficulty is the overall level of regional economic development, health care and medical resources allocation.
A number of committee members expressed a similar view. The CPPCC national committee, the state administration of traditional Chinese medicine to macau, jin-sheng Yang, director of the center for exchanges and cooperation of traditional Chinese medicine thinks, should from the national level, formulate unified medical security system, including the basic medical security system, commercial health insurance and social relief system.
To the economic information daily, the CPPCC national committee Wu Mingjiang reporters that with the implementation of the long-distance medical hospitalization expenses and settlement system directly, if bad management, could lead to even more patients ailment patients poured on to the big hospital, make the pressure of big cities, big hospital. He suggests that the settlement and convenient for patients in need of different ground treatment of at the same time, we must strengthen and standardize the management, make both really need high quality people to enjoy the benefits of medical resources, and different levels of medical resources to give full play to the role.
Expand the classification diagnosis and expansion to more than 85% of the cities
Hierarchical diagnosis is referred to as the reform of "top priority". It is understood that the current grading diagnosis and treatment in 200 public hospital comprehensive reform pilot cities gradually spread out, more than half the county to carry out the pilot first option at the grass-roots level, within the county JiuZhenLv above 80%. 2017, our country will be more than 85% of the pilot cities to carry out the classification diagnosis and treatment, in addition, the family doctor to sign the service coverage above 30%, key crowd signing service coverage rate of 60% or more.
Experts say, as the pinnacle of this reform, classification, diagnosis and treatment is to give full play to the regulation of health policy guide, a 3 d linkage, support the construction of medical institutions, in order to "grassroots" escort hierarchical diagnostic presentation deep line amplification.
The CPPCC national committee, zhejiang university school of medicine, run run shaw hospital affiliated dean xiu-jun CAI believes that our country realize hierarchical diagnosis still exist many institutional problems, the direction of the reform is to achieve homogeneity of medical service, "in terms of common disease, if the community hospital and big hospital to provide medical services of the same quality, if in the consciousness of common people to see there is no such a big difference between urban and rural areas, hierarchical diagnosis can realize".
Wu Mingjiang said, hierarchical diagnosis is medical service process reengineering. "Such as the child catch a cold, have loose bowels, this problem should be in community medical institutions, should not have to big hospital." Wu Mingjiang thinks, to strengthen the cultivation of the doctors at the grass-roots level is the key, is also enhance the diagnosis and treatment level of medical institutions, "we want to solve the problem of their pay, promotion, etc, as soon as possible at the grass-roots level to make them see the value and significance, thus stabilizing the grassroots medical staff team".
As an important gripper, hierarchical diagnosis and treatment of patients with family doctor is the basis of "good see disease" link. Standing committee of the National People's Congress, the NLD central zhi-gang shen said the family doctor's professional level, service capacity decision classification, diagnosis and treatment can be effective operation to strengthen human culture and increase investment in basic equipment, improve the masses of trust of family doctors and community health service center.
The "healthy China 2030" planning outline, points out that by 2030, the population of permanent residents in every thousand (assistant) practicing doctors will amount to 3 people, a registered nurse reached 4.7, will equal the basic elements of a high quality medical resources allocation in China. The policy level, in addition to strengthen the cultivation orientation, will also be in income distribution, the title promotion, awards, etc in directing to tilt, with incentive mechanism treatment "stay".
