Medical network, June 7, the provincial government website 6 announced the deepening medical and health system reform in shaanxi key tasks in 2017, will take the comprehensive reform pilot communities in shaanxi province, focus our grading diagnosis and treatment, the modern hospital management, universal health care, drug supply security, comprehensive regulation, such as the five system construction, efforts to promote the further development of reform. 

 

We will increase the training of general practitioners 

 

We will accelerate the system of grading and treatment. In many forms, the general practitioner service team is formed, and the family doctor has signed the practice of grid management and team management. We will explore the mechanism for linking doctors' income and contract performance, and reform and improve the distribution mechanism of family doctors. More than 30 percent of the service coverage has been signed, with more than 60 percent of the focus groups, including all the poor in the range of family doctors. 

 

The medical and health institutions shall set up the entire medical discipline, and the general hospital in counties and counties shall set up the entire medical discipline independently. We will increase the training of general practitioners, with at least two general practitioners per 10,000 residents. Ties with payment reform and improve the classification system of diagnosis and treatment, basic medical and health institutions ZhenLiaoLiang strive to reach 60%, diagnosis and total output in the county within the JiuZhenLv strive to around 90%. 

 

Each district has at least one more effective medical group (medical group), and a second medical group is set up in a city with conditions. The tertiary public hospitals are all involved in the construction of medias, and the model of the general practitioner of the medical association in the big cities; To promote the establishment of medical groups in urban areas, and to establish internal and internal referral mechanisms for medical groups and medical institutions; We will comprehensively promote the integration of health services in county township villages and the pilot medical community; To form a specialized alliance across provincial domains; Develop telemedicine networks in remote areas. 

 

Periodic public health care charges 

 

Continue to deepen reform of public hospitals integrated, form all levels of public hospital management committee, to explore the effective form of separating, tubes separated, preliminary establish decision-making, implementation, supervision and coordination, the management system of checks and balances, mutual promotion and governance mechanism. We will conduct pilot programs for the formulation of the charter of public hospitals. 

 

City public hospital medicine (including traditional Chinese medicine yinpian) all implements the zero rate of sales, medicine proportion (excluding Chinese medicine yinpian) overall to around 30%, to one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. 

 

We will improve the price reform of medical services, strengthen monitoring and evaluation of the implementation of the reform, and establish a sound mechanism for adjusting the price dynamics of medical services. We will strengthen the link between the price reform of health care services and the linking of medical, healthcare and medical policies. We will implement the policy of fiscal compensation, establish a new compensation mechanism, and compensate for the reasonable income that is reduced after the elimination of drugs. 

 

Intensive management of public hospitals, the average increase of medical expenses in the whole province is under 10 percent, and the medical cost control status is listed regularly. 

 

We will comprehensively promote the settlement of different areas 

 

We will implement the basic health care policy for the urban and rural residents of the "six unified" urban and rural areas, and implement a city-level plan for the year. The guarantee rate of basic health insurance is above 95%. The proportion of hospitalization expenses in the policy range is about 75%. 

 

Pilot to set up the medical insurance fund management center, undertake fund pays and management, medicines procurement and payment, payment standard protocol management and settlement negotiations, orgnaization and other functions. Perfecting the system of a serious illness insurance, to reduce the starting line, improve the proportion of reimbursement, reasonable compliance measures such as the scope of medical expense, raise the precision of a serious illness insurance for difficult people. 

 

To promote the reform of the paid, paid, and total prepaid, and other forms of payment in the form of a fee based on disease; Clinical path management is carried out in a synchronous way, encouraging the practice of payment by the disease diagnostic group (DRGs), and each city has a disease rate of no less than 100. 

 

Fully implementing different ground settlement and optimize the provincial long-distance medical hospitalization medical expenses directly settlement procedures, realize long-distance medical hospitalization medical expenses directly across the province. We will establish a seamless mechanism for implementing basic health insurance, major medical insurance, emergency assistance and medical assistance in the course of handling the business, and achieve "one-stop" reimbursement. In ensuring that money under the premise of safe and effective supervision, encourage conditional region government purchasing service way, entrust a qualified commercial insurance institutions and other social forces to participate in orgnaization of health care services. 

 

We will build a number of medical and breeding bases 

 

We will carry forward the reform of the administrative examination and approval system in the field of medical and health care, set up a list of administrative examination and approval items, and strengthen oversight over the matter. To strengthen the administrative department of health industry management functions, the local administrator of all industries, in the region all medical and health resources unified planning, unified access, unified regulation. 

 

We will comprehensively promote reform in related areas. We will accelerate reform and development of traditional Chinese medicine and continue to improve the capacity of traditional Chinese medicine. We will comprehensively carry out reform and development in the field of child care services, and strengthen the construction of pediatric medical technicians. Secondary and above comprehensive hospitals must provide pediatric emergency care and hospitalization services. The number of beds per thousand children in the prefecture is no less than three. 

 

We will promote smart monitoring of health care, cover most of the overall planning areas by the end of the year, and conduct effective monitoring of outpatient, hospitalization, and drug purchases. We will encourage nongovernmental organizations to develop medical institutions, such as pediatric, psychiatric and elderly care, and in the form of dislocation in public hospitals. We should adopt the methods of relocation, integration and transformation, and promote the transformation of urban secondary hospitals to community health service institutions, specialized hospitals, elderly care and rehabilitation institutions. We will strengthen the pilot construction of medical care, and build a number of models with distinctive features and various forms of medical treatment.