Adjustment: the drug bidding in guangdong province Developed by health care equipment!,China Mingxuan

The reform of public hospitals management system. According to separating, tube be separated, and the principle of decentralization, improve efficiency, we will accelerate the establishment of a "return to public welfare, to mobilize enthusiasm, ensuring the sustainability of the management system and operational mechanism. In direction, strengthen government policy, the respect such as guide, planning, evaluation of macro management, increase of medical behavior, medical expenses supervision etc., to reduce hospital personnel, department, post appointment, the management of the income distribution, etc. Public hospital administrative levels have been phased out. Reasonable definition of government as investors hold supervision responsibility and the power of independent operation and management of public hospitals. Improve the system of government, actively explore a variety of effective forms for realizing public hospital management office separately. Take effective measures, to coordinate, government functions, forming resultant force. Strengthen the government, army, and the enterprises and institutions and other kinds of main body for public hospital the industry regulation, clear the responsibilities, rights and obligations. The implementation of public hospital independent legal person status. Perfect public hospital corporate governance mechanism, the implementation of the internal personnel management, organization setup, income distribution, deputy recommendation, appointment or dismissal of cadres in the middle, such as annual budget execution autonomy. Records management of public hospital institutions shall be applied gradually, total personnel management system is established. Selects and the assign mechanism mechanism of sound, dean of professionalization and specialization, carrying out responsibility system of dean, term target responsibility system, releasing and examination of the accountability system. In order to strengthen the management of the hospital's professional ability, the establishment of hospital management career development plans. In the first half of 2017, the province implemented city public hospital reform. Set up led by the provincial people's government of guangzhou public hospital system of joint conference for comprehensive reform. Actively promote the central, army, armed police, colleges and universities affiliated hospitals involved in city public hospital reform. (province responsible for health and family planning commission, the public sector, financial department, human resources and social security hall, the department of education in guangzhou city, the southern war zone LianQinBu, armed police guangdong team cooperation)

11. Perfecting examination service evaluation system. Big data platform to establish provincial health and health, for medical treatment, medicine, health care of fine management and the whole crowd health management to provide technical support and decision support. To establish public welfare oriented, objective evaluation system of medical and health services, which can be quantified. Implementation of public hospital performance evaluation, the evaluation results and fiscal subsidies, medical insurance fund pays, overall level of compensation, medical and health institutions rank evaluation etc. To establish and perfect the system of public hospital information disclosure, the balance of the publish to the society every year, performance appraisal, quality and safety, the information such as price, referral, medical expenses and satisfaction, and sorted and the public. Using informatization technology to all medical and health institutions outpatient treatment behavior and expenses, hospitalization to carry out the whole monitoring and intelligent audit. Attempts to standardize management, improve the quality of medical record statistical. To achieve the province within the scope of medical and health institutions medical service project name and the connotation, classification of diseases coding, the unity of the medical service operation code. Promotion of clinical path management, the public medical institutions should be brought into the unified medical quality evaluation. Encourage third parties to carry out the professional evaluation. (province responsible for health and family planning commission, the provincial financial department, human resources social security hall, the Chinese medicine bureau coordinates)

12. The strict system of public hospitals and economic operation. Public hospital should according to the regulations of the hospital financial management system, etc, according to the development orientation, development planning, work objectives and resources condition, strengthen cost accounting, strictly implement the budget and monitoring analysis and evaluation, the whole dynamic management. To strengthen the budget, cost accounting, analysis and monitoring of economic operation, state-owned assets management. The implementation of public hospital financial report system and the system of third party audit. Regulating public hospital restructuring, and promote hospital separation handover or restructuring state-owned enterprises belong to the pilot. Infectious hospital, mental hospital held by government, occupational disease prevention and control of hospital, maternal and child health care and maternity hospital, children's hospital, hospital of traditional Chinese medicine, etc., in principle, not the restructuring. (province responsible for health and family planning commission, the provincial public and national development and reform commission, financial department, human resources social security department, bureau, state-owned assets supervision and administration of traditional Chinese medicine)

13. Control unreasonable medical expenses growth. According to different public hospitals for medical expenses annual fee index. Carry out prescription review, investigate, behavior such as "excessive, check" monitored supernormal use medicines, unreasonable use of auxiliary, nutrition, and the price of drugs, not reasonable to carry out the inspection, the inspection, and high value medical consumables, early warning and intervention in time. Strengthen the monitoring of the public bulletin, strict accountability. Set revenue target is strictly forbidden to medical staff, medical staff compensation shall not be linked to drugs, supplies, medical examination and other income. Promote the mutual recognition of inspection, the inspection result. Above the provincial level 2 public hospitals gradually stop outpatient intravenous antibiotics. Support for patients to choose their hospital outpatient pharmacy or on prescription to retail pharmacy to buy medicine. Strive for to 2018, the medical expense growth is not more than 9%, the secondary and the public medical institutions per capita outpatient cost growth rate, per capita hospitalization cost no more than 9% growth; Tertiary public medical institution outpatient costs of growth per capita, per capita hospitalization cost no more than 7% growth; Personal health spending accounts for the proportion of the total health expenses down to below 27%. (province health and family planning commission, human resources, social security department is responsible for the provincial development and reform commission, bureau of traditional Chinese medicine)

14. In order to strengthen the management of orgnaization of health care functions. Research integrating employee basic medical insurance and basic medical insurance system for urban and rural residents. In the province administration of social insurance fund use medical insurance fund management center, brand integration and take the management of medical treatment insurance, drug centralized purchasing management, fund and management, drug procurement and fee settlement negotiations, medicare payment standard, protocol management and settlement functions of orgnaization. Encourage conditional local pilot listed to set up the medical insurance fund management center. In zhuhai, zhongshan, dongguan three public hospital contact national comprehensive reform pilot cities to carry out the pilot reform of mechanism of system of medical insurance fund management. Give full play to the health of drug production supervision function of circulation enterprises, hospitals and doctors, to provide linkage reform gripper. After the unification of insurance agency orgnaization to make greater efforts to promote the reform of medical insurance payment further play to health care to control the medical expense unreasonable growth role. (province human resources social security hall, health and family planning commission, is responsible, provincial departments cooperate)

15. The universal health care system. Consolidate the basic medical insurance coverage and improve the government, unit and individual reasonable share the basic medical financing mechanisms of sustainable. Gradually improve the urban and rural residents health care subsidies standards, improve the level of individual pay cost appropriately. Strict control of health care outside the scope of the fee, and gradually narrow the hospitalization medical expenses reimbursement ratio within the scope of basic medical insurance policy and the gap between the actual reimbursement ratio. Long-term care insurance system. To strengthen the medical insurance fund long-term measure, hold the medical insurance fund balance at a reasonable level. Promote the medical insurance fund as a whole, and gradually implement the provincial plan as a whole. (province social security department is responsible for human resources, financial department, health and family planning commission)

17. Major workplace disease of security mechanism. Perfect, serious illness insurance policy will be a serious illness insurance health insurance to their workers and staff join the crowd, steadily improve the level of a serious illness insurance, and proper leaning to disadvantaged groups. Fu biao to disadvantaged groups by a serious illness insurance, reimbursement ratio increase, do not set the annual highest pay limitation. Improve the urban and rural medical assistance system, enhance the rescue standards, will because of sickness poor critically ill patients in medical treatment. Improve disease emergency rescue system, and give play to the role of the palm emergency. Actively promote health poverty alleviation projects, improve the relevant security and tilt policy, safeguard the poor will have access to basic medical and health services. (province human resources social security department, the department, responsible for health and family planning commission, provincial departments, the poverty relief office, guangdong protects inspect bureau to cooperate)

18. Deepening the reform of medical insurance payment. To carry out paid total amount control. Practice mainly by macro-reforms, capitation payment, pay by bed day, total advance payment method combined a variety of complex payment method reform, encourage a style (DRGs), according to the disease diagnosis related group, scientific advance payment, refinement, standardization management. Conditional region can be points method and budget management, according to the combined macro-reforms, etc. Establish balance retention, reasonable overruns share the incentive constraints mechanism, stimulate medical institutions regulating behavior, control the cost of endogenous power. To perfect the medical establishment that decide a dot protocol management and credit management, establishing and perfecting the evaluation and dynamic access to exit mechanism. Will conform to the conditions of daytime wards and hospital check-ups before fee into medical insurance to pay limits. Establish and improve the health care medicine payment standard, combined with the generic quality and curative effect evaluation of consistency, according to standard of generic drugs, pay step by step. (province social security department is responsible for human resources, the provincial development and reform commission, the departments, health and family planning commission, the food and drug supervision bureau)

19. Encourage the development of commercial health insurance. Developing with the organic link of commercial health insurance of insurance of primary medical treatment, insurance companies and medical treatment, medical, nursing institutions such as the cooperation mechanism. Actively promote supplementary medical insurance, and encourage enterprises and individuals by taking commercial insurance, worker medical treatment to help each other aid, and other forms, meet the diversified demand of health services. We should standardize the order of the commercial health insurance market, ensure an orderly competition. On the premise of ensuring the safe and effective supervision of the funds, encourage conditional orgnaization of regional innovation service mode, government purchase services with qualifications entrusted by the commercial insurance institutions and other social forces to participate in the basic medical insurance agency services, to undertake a serious illness insurance of urban and rural residents. Introducing competition mechanism, improve the efficiency of orgnaization of health management service and quality. Encourage commercial insurance institutions to carry out the health management service. (guangdong protects inspect bureau is in charge of, the provincial development and reform commission, human resources, health and family planning commission, the departments of social security hall, the federation of trade unions coordinates)

20. Perfect drug centralized purchasing third-party trading patterns. To carry out the public hospital drug procurement classification. Distinguish different drugs, through tendering, negotiation, hanging net, fixed-point production directly form a reasonable purchase price. With the principle of centralized purchasing, for clinical use, the purchase amount is high, the enterprise production and a number of essential drugs and generic drugs, by the provincial drug purchasing third-party electronic trading platform. Province level in listed can city over drugs to purchase third-party electronic trading platforms. Actively implement the "two votes". Allow yd bargaining, autonomous negotiation, with the procurement, cross-regional joint procurement and joint procurement specialist hospital. Further improve the participation in the drug purchase, medical institutions to carry out the medical institutions and drug, the principal position of consumable purchase, promote active control medicines and chemical reagents, consumable price medical institutions. Drugs for the record system for purchasing. Practice the medical consumables procurement sunshine, to carry out the high value medical consumables, inspection detection reagent and centralized purchasing large medical equipment. Encourages and guides domestic medical institutions of high value medical consumables. With health care payment policy of cohesion, in accordance with the provisions, will conform to the conditions of drugs into the compliance costs of medical insurance. Improve the drug public information disclosure mechanism, public information such as quality of price, accept social supervision. (province social security department is responsible for human resources, the provincial family planning, departments of health, food and drug supervision bureau, the national development and reform commission to cooperate)

21. We should standardize the order of pharmaceutical production circulation. To promote the pharmaceutical industry structure optimization and the transformation and upgrading, encourage the development of modern logistics and chain management pharmaceuticals. Improve the distribution concentration, distribution of regional integration, security drug supply remote and inaccessible areas. To speed up the construction of county-level hospitals radiation to drive the radiating and driving of village health posts in towns and townships, towns and townships "umbrella" drug delivery system. Set up perfect drug risk monitoring network, drug information tracing system and early warning and emergency mechanism. Do a good job in basic medicine all varieties to sample, advancing the quality of generic drugs and curative effect evaluation consistency. Strengthen the shortage of cheap drugs, drug supply security and early warning, to perfect the government pharmaceutical reserve system. Strengthen the drug trade, distribution, use regulation. To carry out the credit enterprise records and repel the market system, medical institutions and drug production and operation of laws and regulations and enterprise violation behavior. Build system of commercial bribery enterprise blacklist, rake-off of commercial bribery of pharmaceutical production and circulation enterprises, cancel the qualification of supply. Exploring to establish a system for total hospital pharmacists, improve the medical and health institutions and retail pharmacy pharmacist management system. (provincial food and drug supervision bureau, department of commerce is responsible for, the provincial economic and information committee, human resources social security hall, health and family planning commission, the national taxation bureau and the local taxation bureau coordinates)

22. Straighten out family planning comprehensive health supervision system. Medical health local regulations and standards, perfect the local laws and regulations of traditional Chinese medicine, the regulatory focus to the industry regulation. Integration of supervision and law enforcement resources, as a whole of family planning, public health and medical service comprehensive regulation. Promote comprehensive supervision and law enforcement ability. Random inspection in the process of actively promote supervision objects, randomly selected law enforcement personnel, selective examination and investigation results to the public in a timely manner. Actively promote health or for the whole process of supervision and law enforcement records, improve the medical and health institutions and health of administrative examination and approval or for the daily supervision and law enforcement matter, afterwards supervision mechanism. By 2020, the medical and health institutions at various levels and of the supervision and inspection to achieve 100% coverage. According to the provisions of the state of for-profit and nonprofit social do the categorized management of medical institutions. We will improve the mechanism of medical dispute mediation disposal. To crack down on illegal medical practice, and practice licenses to open medical institutions on loan and lease contract behavior, such as department to investigate and punish the malignant medical accidents, diddle medical insurance funds, false advertising, excessive medical treatment, shuffle patients, from "red envelope", etc. To strengthen the control of for-profit medical institutions profitability, strengthen medical advertisement and the regulation of the health preservation program. Promote medical and health institutions and practitioners credit system construction. Improve the medical and health institutions bad practice behavior score and adverse medical staff occupational behavior scoring system, improve the system of check, examination, registration and exit. Encourage the implementation of medical liability insurance, medical accident insurance, and other forms insurance of medical practice. By 2018, basic medical liability insurance covering the entire province secondary public hospitals. Strengthen the function of health care audit technology, promote the application of intelligent monitoring system, gradually achieve drug for outpatient, hospital, shopping and other kinds of medical service behavior of comprehensive, timely and effective monitoring. Improve the system of relevant policies to encourage qualified third party actively carry out or participate in the evaluation standard of consulting, technical support, evaluation, etc, to promote medical institutions evaluation is dominated by the government to gradually shift to an independent third party evaluation. (province responsible for health and family planning commission, provincial party committee propaganda department, the province, public security, human resources, the social security hall, the home office, industrial and commercial bureau, bureau of traditional Chinese medicine, guangdong protects inspect bureau to cooperate)

23. Strengthening organization safeguard mechanism. Established by the governor coalesced, executive vice governor and deputy governor in charge of the deputy team leader, the provincial authorities responsible for comrades as members of the province we will deepen reform of the medical and health system (strong health province) leadership team, responsible for deepening the reform of medical health system integrated pilot organizations promote, overall coordination, etc. , by the local party and government at all levels to practice with reference to the province around the head responsible for deepening comprehensive reform of medical health system, stepping up efforts to organize the implementation of the leadership. To clear the medical, health care, medicine, led by a government in charge of, promote the reform of "3 d" linkage. Pays special attention to the division of responsibility mechanism, supervision and examination of implementation, the mechanism of accountability, will deepen the reform of the pharmaceutical and health care system integrated task completion included in the government performance appraisal comprehensively deepen reform and target management performance evaluation, the serious lack of accountability reform of regional and individual commendation and reward for positive innovation, effective area and individuals. To strengthen the construction of medical and health institutions at various levels and of the party's organization and strengthening grass-roots party organization as a whole function, in the deepening comprehensive reform of medical health system play a role of fighting forts and members of the cutting edge exemplary role. (provincial health office is responsible for)

24. The implementation of government responsibility. Adhere to the public hospital public welfare attribute, break profit mechanism, establish a public hospital scientific compensation mechanism. Scientific definition and implementation of the government responsibility, will conform to the scope of the government guarantee, in line with the regional health development planning of public hospital infrastructure and equipment purchasing, development, personnel training, and conform to the provisions of the state key disciplines of fees from retiree, policy-related losses, undertake the task of public health, and security emergency aid, relief, designated by the government aid, support agriculture, supported edge tasks and urban and rural hospital counterpart support funding into the budget. Implementation of hospital of traditional Chinese medicine (national) hospital, infectious hospital, mental hospital, occupational disease prevention and control, maternity hospital, children's hospital and rehabilitation hospital specialized subject hospital investment preferential policy. Reform of financial compensation mode, and gradually establish, beds, with the total value of public hospital personnel workload and pegged to the assessment mechanism of financial aid. In July 2017, before the province public hospital bonus to abolish all drugs (except traditional Chinese medicine yinpian). Reduced as a result of bonus to cancel a reasonable income, through the adjustment of medical service prices, increase government spending and reduce hospital operating costs, etc shall be compensated. Hospital drug expenses such as storage, preservation, loss include hospital running costs. In accordance with the relevant regulations, and gradually public hospital long-term debt repayment and resolve of provisions. (provincial departments in charge of provincial health family planning, human resources social security department, national development and reform commission, bureau of traditional Chinese medicine)

25. The increase of investment of the basic medical and health institutions. Grassroots health institutions in line with the regional health development planning of funding for basic construction and equipment configuration is in full by the government, the funds for personnel by the government according to the local health personnel training planning and reasonable arrangement of subsidies, undertake the task of the public health service allowance according to the service cost. Grassroots medical institutions income gap, by the government in accordance with the "verification task, assessment, balance of payments, the performance appraisal of subsidies" approach to aid. Relevant budget mainly borne by the county finance. Rural hospitals and community health service center (station) is not the income and expenses two line management. (provincial departments in charge of provincial health family planning, human resources social security department, national development and reform commission, bureau of traditional Chinese medicine)

26. The establishment conforms to the characteristics of the industry personnel salary system. Perfect the public hospital performance wage system, combined with total public hospital function orientation, personnel, work load and the effect of service quality, service, etc., reasonable performance total payroll, establishing performance wages dynamic adjustment mechanism. To work outside of time more labor, high-level medical talents converging, public welfare goal task heavy, signing the family doctor service of public medical and health institutions, will be tilted during the performance of the approved total payroll. To strengthen the long-term incentive of medical personnel, the establishment of public welfare oriented performance evaluation mechanism, moderately improve the level of compensation. Public hospitals in the consent of the worker (employee) consent and the competent department for approval after implements it for high-level talents, protocol, such as the salary, salary project marketization compensation allocation marketization compensation distribution of single management. In accordance with the deployment of the state, explore ways to establish, dean of the yearly salary, salary standard, evaluation measures. To explore the medical staff goal yearly salary, tie the comprehensive performance evaluation results and the income distribution. Allow the regulation and control of medical and health institutions to break through the current institution wage, allow the medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for reward. Strive for to 2018, researchers spending accounts for more than 40% business spending. Grassroots health institutions performance wage system implement the "two independent a tilt", namely the independent adjustment basic and awarding merit pay scale, independent year balance part extracted from the unit is not less than 60% for secondary awarding merit pay, and not included in the total performance salary; Awarding merit pay focus on clinical first-line, key positions and backbone of business and staff made outstanding contributions. In personnel employment, job title promotion, training, compensation, etc to the gp. Allow rural hospitals and community health service center (station) in the public class properties unchanged, under the condition of the public welfare of financial supply and public welfare institution management. (province social security department is responsible for human resources, financial department, the public sector, health and family planning commission, bureau of traditional Chinese medicine cooperate)

27. To establish scientific and rational medical service price formation mechanism. According to the empty rooms, structural adjustment, the basic path of cohesion, gradually straighten out the medical service price. Actively yet prudently proceed with medical service price reform, in ensuring that public hospital benign operation, affordable medical insurance fund, the burden of the masses under the premise of the overall increase, according to the total amount control, structural adjustment, mixed, gradually in place, classification guidance, the straightening out different level medical institutions and medical service price comparison between relations. Accurate measurement of all public hospitals cancelled after drug addition medical service price, synchronous adjustment and dynamic adjustment. Price adjustment should focus on improving the medical personnel technical services value in the diagnosis and treatment, surgery, nursing, rehabilitation and medical projects such as the price of traditional Chinese medicine, to lower the price of large medical equipment examination treatment and inspection, and do with health care payments, classification of diagnosis and treatment, such as cost control policy. Public medical institutions to provide basic medical service price set by the government, the rest of the medical service price to market regulation. Authorize conditional county (city) to adjust the price of medical service. For children under 6 years of age have a biopsy in clinical diagnosis and detection, clinical surgical treatment for pediatric medical personnel technical services characteristics and value of medical services, adopted a policy of not more than 30% of the charge. Improve the medical service charge information monitoring system, strengthen price regulation. Reform of medical services, project management, set up medical service project, develop medical project technical specification, unified the entire province medical service price project name, connotation. Introduced the basic medical service project definition method, published by instalments of basic medical services and implement dynamic adjustment in our province. Research to develop pharmaceutical service, "Internet + medical service project. To guide medical establishment perfect internal cost accounting system, research to establish the medical service cost "library". According to the disease to charge quantity will be further expanded. Considering the medical service cost by a medical insurance fund management, and social factors and so on various aspects ability to negotiate with medical institutions, the practice of reasonable pay by fund of insurance of primary medical treatment market regulation of medical services payment standard, guide the reasonable market price formation. In the city to the price of the public hospitals within their respective jurisdictions, the medical service efficiency, all the information such as medical costs, for medical institutions sorting cost index, the ranking results of the public on a regular basis. (provincial development and reform commission, responsible for health and family planning commission, provincial human resources social security department, financial department, bureau of traditional Chinese medicine cooperate)

28. Speed up the health informationization. Guangdong "cloud" health service scheme, construction of provincial, city and county level 3 national health information integrated management platform, integration of the total population, residents of electronic health records and electronic medical record database, connecting all kinds of medical and health institutions at all levels, achieve interconnectivity, information sharing and business collaboration. Construction of medical imaging, pathology diagnosis, etc. As one of the provincial health data center, promote the building of telemedicine application system, build a provincial, city and county, town, village five remote medical service system. Connecting the provincial general hospital, municipal general hospital, county hospitals, construction of multidisciplinary integrated comprehensive diagnosis and service platform of knotty. In county hospitals, for hub, radiation towns and townships, community health service center and the conditional village health posts (community health service stations), build cover remote consultation, remote pathology, remote images, remote education, and other functions as one of the telemedicine system at the grass-roots level. To speed up the hierarchical diagnostic information system construction, the standard optimization information service at the grassroots level to realize timely update, dynamic management and comprehensive utilization, improve the level of basic medical and health services. (province, for health and family planning commission, economic and information committee, provincial development and reform commission, the department, financial department, human resources and social security hall, food and drug supervision bureau, bureau of traditional Chinese medicine, federation of trade unions to cooperate)

30. To strengthen the construction of medical education and health personnel. Deepening the reform of medical education, the innovation system mechanism, develop and implement the expanding number of medicine and health care personnel training plan, improving the quality of personnel training. Research to develop high level medical college construction and development of guidance. Strengthen psychiatry synergy, made special investigation and study, the relevant departments to jointly launch regularly publish medical health talented person's demand information, to guide the optimal size and structure of personnel training, support conditional medical colleges to strengthen the gynecology and obstetrics, pediatrics, care, general and psychiatric shortage of professional personnel training. To strengthen the construction of university affiliated hospital, strengthen community and public health, such as the construction of practical teaching base. To establish and perfect the system of medical education quality evaluation. Construction of a high quality, high level of clinical teachers. Order directional cultivating talents of rural health scale to 1400 a year, and accordingly expand the recruitment of students colleges and universities. Perfecting the system of resident standardization training, promoting specialist standardization training system construction. Implementation of gp "5 + 3" or "3 + 2" training mode, strengthening the construction of base and teacher training. Talents of Chinese medicine inheritance innovation project implementation, to establish and perfect the system of traditional Chinese medicine to learn education, and explore to adapt to the characteristics of TCM standardization training model. Health professional leading talent training plan implementation, focus on cultivating the leader, the construction of high level health personnel. To 2018, bachelor degree or above of the pearl river delta region new medical position clinicians 100%, resident standardization training of general practitioners every resident population more than 2 people, a specialist in towns and townships above personnel proportion increased to more than 45%, 100 for cultivating medical talents, and 1000 outstanding youth medical talents. In 2020, bachelor degree or above of all new medical post clinicians 100% resident standardization training, gp per million permanent population of more than 3 people. (province education department, responsible for health and family planning commission, provincial development and reform commission, department of science and human resources social security department, financial department, bureau of traditional Chinese medicine)

31. Perfect recruitment, use, and incentives. Formulates plans for the development of medical and health high-level personnel, through strengthening the talent introduction, improve the selection mechanism, set up a training system, funding major academic activities, efforts to build medical talent highland. All kinds of medical and health institutions shall, in accordance with the performance of the total wages 5% overall arrangement of high level health personnel training funds and increase year by year, gradually achieve the merit pay about 10% of the total. Introduction of high-level personnel wages determined by unit of choose and employ persons and I deal. Improve the pediatric medical personnel salary. In internal distribution of medical and health institutions, give full consideration to the characteristics of pediatric reasonable pediatric medical staff wages, set up certain bonus, pediatric medical staff to ensure that income is not lower than the average level of the unit with the medical staff income. The family planning department of public health at the county level for directory are in urgent need of a shortage of professional talents, in the form of direct examination recruitment. In towns and townships work continuously more than two full years and obtain assistant medical practitioners qualification now duty personnel, approved by the human resources social security departments at the county level, can be directly hire formalities. In promoting the county (district) domain integration management process, in the preparation of subordinate relations unchanged under the premise of the couplet of medical explore the specific measures of personnel as a whole use, promote talent county town, the town Guan Village, set up the flexible flow mechanism. Formulate effective policies to attract a general practitioner qualification of talents to work in grassroots medical institutions in our province. Since 2017, the province issued by the financial press BianZhiShu economic underdeveloped regions in rural hospitals and community health service center operating expense. Gradually improve rural towns and townships medical staff post allowance, 2018 reach 1000 yuan per month; Improve the village health posts doctor subsidies, 2017 Mei Village 20000 yuan a year. Since 2017, as the economy of underdeveloped regions in rural hospitals and community health service center set up gp AD hoc positions, provincial finance arrangement by the standard of each post to 60000 yuan a year subsidy funds, province unified standard, the open recruitment by the municipal family planning department of public health. Comprehensive deepening the reform of grassroots health technical titles, clear title promotion channel grassroots health workers. Research determine the grassroots medical staff and gp career development path, increasing proportion of medical and health institutions senior posts and tilt to the grassroots. To speed up the construction of rural hospitals Zhou Zhuanfang. Innovation of scientific research management system, improve the transfer of scientific and technological achievements transformation in the field of health and health policy of income distribution, etc. Lower the use, disposal and usufruct of scientific and technological achievements, and improve the achievements of scientific research personnel transfer income proportion. Adopt the mode of technology investment, revenue sharing, give full play to the health and health science and technology personnel to participate in technology and transfer into the enthusiasm. Encourage scientific research personnel part-time business. (province responsible for health and family planning commission, the public sector, financial department, human resources social security hall, department, bureau of traditional Chinese medicine)

1. Strengthen guidance. Party committees and governments at all levels should deepen medical health system reform of the major popular project on the important agenda, strengthen the responsibility to bear, vigorously promotes the implementation. Party committees at all levels, government charge will personally stresses, and research to solve the major problems in pilot projects in person. To deepen the reform of medical health system reform into the comprehensively deepen and the deployment, and the requirements, and the inspection, support local adjust measures to local conditions, differential exploration. Establish province deepening medical and health system reform leading group member unit responsibility system, coordinate to solve the difficult problems in the reform, explore innovation support around. Reinforced oversee, and to find problems in a list, clear responsibility, limited time, rectification, eased the prizes to progress quickly, the area with good effect, did not complete the task to interview notification. Establish province we will deepen reform of the medical and health system consultation experts committee, strengthening policy research, provide intellectual support. In third party assessment, the implementation of reform measures, the implementation effect, the masses and so on carries on the comprehensive evaluation. According to the evaluation results, further improve the reform policy, and constantly improve the quality of reform, reform to see real results.