Medical network on March 29 - by the end of June, two votes nothing happened provinces, all plan! 

 

Make sure to cancel before September 30 bonus to all hospital! Yesterday (March 28), the schedule of these things, hammered out! 

 

▍ national health conference, Mr Li to make the instructions 

 

On March 28, 2017, the highest level of health reform congress, the national health work picturephone meeting was held in Beijing, a month earlier than last year, the year before. To this, the state council premier li keqiang made comment: in 2017 to further deepen the reform of the medical treatment, health care, medicine, linkage, vigorously promote the construction of medical association and cancel all drugs addition, such as health care payment reform breakthrough. 

 

In fact, the conference's biggest hotspot, is the policy landing to promote a clear timetable! According to a health binzhou (binzhou city health development planning commission), the national healthcare reform in 2017 listed the key task, a total of 10. The blue one and drug related, parker excerpts (see below the appendix) : 

 

Cancel the drug addition, and less than a third of the regional and urban reform, to plan implemented before the end of July, September 30 to opened the public hospital reform in an all-round way, be sure to abolish all drug addition. 

 

Two votes: by the end of June, provincial to first carry out a reform and improve the pharmaceutical production circulation use policy implementation plan, all related departments to form a complete set of detailed rules in accordance with the time limits. Reform of the state council to point-to-point acceptance, regular reporting, to the provinces by the end of two votes, centralized purchasing of drugs in an assessment. 

 

Pay health insurance reform, public hospital reform pilot city for this year by macro-reforms disease to reach more than 100, the comprehensive reform pilot province must choose one or two cities payment full implementation of the reform, to cover all medical institutions and medical services, significantly reduce the proportion of pay by project. 

 

Pilot: starting material centralized purchasing consumables kickbacks, prices artificially high of the growing problem of, such as heart stents, joint such consumable price or even several times of similar products abroad, sharply increased medical expenses. To establish and perfect the system of medical consumables procurement sunshine, work rules, purchasing the results to the public. Actively promote cross-regional centralized purchasing. 

 

▍ 12 provinces of two votes will accelerate, drug companies are stepping up their transfer channel 

 

Two votes in full swing, the only hubei, shandong, henan, yunnan, shanxi, jiangxi, hainan, gansu, heilongjiang, guangxi, jiangsu, Tibet, the 12 provinces (autonomous regions) of two votes progress is slow, did not advance schedule in the province. 

 

Not surprisingly, the next month, the above provinces (autonomous regions) will be introduced quickly implementation plan of two votes. At least, when implemented, going to a message. Said at a meeting of the state council reform to point-to-point acceptance, regular reporting, to carry out the assessment by the end of the year. 

 

Two votes in acceleration, to market a line of the message, according to a report by the "blue parker a few days ago, will perform two fare types in Shanghai, the small and medium-sized agents have been paid agency. Did not execute one central provinces of two votes, many manufacturers and is stepping up its deployment, products to the courtyard outside the hospital prescription channel transfer, maximum limit, to avoid jilted drug firms determined after policy implementation. 

 

Attachment: national conference on health care reform - reform key tasks in 2017 

 

1, comprehensive start of couplet of various kinds of medical pilot. At this stage to strengthen the construction of couplet of medical resources of the focus of the medical and health work and double sinks, is to improve basic ability, the effective ways to promote the classification diagnosis and treatment. All will be in accordance with the requirements of the government work report this year, the full launch of couplet of various kinds of medical pilot construction. Around in accordance with the practical experience, there are four main kinds of couplet of medical modes: one is medical group in urban construction, the second is within the county building d donor, three are inter-provincial domain form college league, four is remote areas, the development of telemedicine network around the building effective hierarchical diagnosis model according to the reality. Tertiary public hospital should all participate in and play a leading role. Encourage medical conjoined in internal administrative subordination relations, under the premise of financing channels for the inconvenience, break the regional restrictions, strengthen coordinated management of personnel, resources, operation services, high quality medical resources up and down through the channels and mechanisms. Provincial before at the end of June, we must make clear the work plan of promoting the construction of medical couplet body, comprehensive reform pilot province every city built a year at least have obvious effect of medicine. 

 

2, demand oriented old-age signing the family doctor service. Must first clear base, people who need to have to provide services, from high blood pressure, diabetes, severe tuberculosis and other chronic diseases and mental disorders such priority diseases of priority to cover the old key crowd, maternal and children, the disabled, let have a demand of the masses get timely, convenient and thoughtful service. Second to refine the plan, improve the mechanism for signing, need to have a clear sign of organization, contract form, service content, evaluation methods, do operation, supervision, and implementation of supportive policies, good family doctors to sign how many doctor, service quality and earnings, activate the doctor. Three is to grasp the progress, improve the quality of service, key crowd signing rate to reach more than 60% this year, but not blindly pursuing signing rate, shall not take the task, in sports, not to force command, let people volunteered to sign up. 

 

3, speed up the macro-reforms of compound of payment. Payment health care reform has become a "3 d" reform in the reform of the "cow nose", the next step to speed up mainly by macro-reforms compound, synchronization of clinical pathway management, both to ensure the medical quality, and to control the medical expenses. Press disease to pay for a public hospital reform pilot city year of disease to achieve more than 100, comprehensive reform pilot province must choose one or two cities payment full implementation of the reform, to cover all medical institutions and medical services, significantly reduce the proportion of pay by project. 

 

4, complete the urban and rural residents health care "six unity". This year as a whole the area to the full implementation of the scope of cover, financing policy, to ensure treatment, medical insurance directory, fixed-point six unified management and fund management, complete system integration task, clear function, integration function, better to play a fundamental role in health care. And completed by the end of the basic health care around the nationwide network, strengthen the collaboration, ginseng to go to a doctor to realize long distance to the referral regulations direct settlement of the hospitalization expense. 

 

5, abolish all public hospital drug addition. It is to break with medicine physician must step, and reform important landmark achievement. Now we have less than a third of the regional and urban reform, to plan implemented before the end of July, September 30 to opened the public hospital reform in an all-round way, be sure to abolish all drug addition. 

 

6, salary system reform of public hospitals will be carried out. The medical staff is the main force of health reform, salary system involve everyone on the immediate interests of the medical staff, must fundamentally solve at, think of what they think. This year every comprehensive reform pilot provinces to choose three pilot cities to carry out the reform of salary system, provides the demonstration for the country, with some other provinces to choose a pilot cities to carry out the pilot reform of public hospitals, to accumulate experience. Allows the medical and health institutions to break through the current institution of salary level, allow the medical service revenue after deducting costs and extracted by the regulation the MPF is mainly used for personnel rewards, across all departments concerned should combined with the actual, in the optimization of the structure of compensation reform, reasonable compensation, principal implement the yearly salary, the implementation of public hospitals to explore distribution of autonomy. 

 

7, push forward the drug distribution of two votes. Straighten out the fifth plenary session of the drug price is 18 clear reform tasks, last year the country promote the implementation of two votes, key step towards the price management, hope to strengthen overall plan scheduling, ensure comprehensive reform pilot provinces and four batch of 200 this year all the public medical institutions in public hospital reform pilot city full implementation of two votes, to accelerate reform of the whole process of the drug incision. By the end of June, provincial introduced reform and improve the pharmaceutical production circulation use policy implementation plan, each related department should also be in accordance with the time limits for matching conditions. Reform of the state council to point-to-point acceptance, regular reporting, to the provinces by the end of two votes, centralized purchasing of drugs in an assessment. 

 

8, full swing high value medical consumables pilot centralized purchasing. Consumables kickbacks, prices artificially high of the growing problem of, such as heart stents, joint such consumable price or even several times of similar products abroad, sharply increased medical expenses. To establish and perfect the system of medical consumables procurement sunshine, work rules, purchasing the results to the public. Actively promote cross-regional centralized purchasing. 

 

9, strengthening performance appraisal of medical institutions. The third plenary session of the eighteenth clear quest to establish a scientific performance evaluation of medical mechanism, public medical institutions is the theme of the medical service system, to make good use of performance evaluation of the baton to keep the public medical institutions. Provincial public medical institutions within their respective jurisdictions to strengthen the examination, the reform of goal-directed reflect to the performance evaluation of public hospitals, comprehensive reform pilot provinces to choose at least one pilot cities to carry out, control the unreasonable growth of medical costs, control the scale of the hospital building, the cost of health insurance directory outside of, medicine proportion, material proportion, examine the income accounts for the ratio of index weight, improve medical institutions internal assessment, combining the results of the appraisal and compensation allocation. On social do medical institutions also want to establish an effective performance appraisal and regulatory measures, guide them pay more attention to the quality and safety, strictly implement the balance funds use and control requirements of profitability, achieve healthy and sustainable development. 

 

10, promote the construction of medical informatization. This year, accelerating connectivity, to achieve national and 32 provincial population health information platform, promote health care data Shared across regions share, at the same time, based on the signing of the family doctor service, promoting residents' health records and the wide application of electronic medical records, establish a unified information standards and interfaces, realize the connectivity, to drive and lead the secondary above hospital improve informatization level. This year all provinces to carry out medical doctors and nurses of electronic certification pilot, all provinces to promote health intelligent monitoring, covered by the end of most of the region as a whole, for outpatient, hospital, buy medicine behavior such as the implementation of effective monitoring. Countries to promote the medical record writing specification as soon as possible development planning commission, the classification of diseases coding, coding of operation, the medical terms of four unification, provides the basis for information of unicom and fine management.