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There were 200 new medical reform pilot cities, and all cities in 11 pilot provinces of medical reform achieved full coverage.

There were 200 new medical reform pilot cities, and all cities in 11 pilot provinces of medical reform achieved full coverage.

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  • Time of issue:2020-03-16 15:56
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(Summary description)Following the "State Council's Leading Group for Deepening the Reform of the Medical and Health System, the newly added 7 pilot provinces and cities in medical reform", on May 12, the National Health

There were 200 new medical reform pilot cities, and all cities in 11 pilot provinces of medical reform achieved full coverage.

(Summary description)Following the "State Council's Leading Group for Deepening the Reform of the Medical and Health System, the newly added 7 pilot provinces and cities in medical reform", on May 12, the National Health

  • Categories:Company News
  • Author:
  • Origin:
  • Time of issue:2020-03-16 15:56
  • Views:
Information

Following the "State Council's Leading Group for Deepening the Reform of the Medical and Health System, the newly added 7 pilot provinces and cities in medical reform", on May 12, the National Health and Family Planning Commission, the Ministry of Finance, and the Medical Reform Office jointly issued the "On the Determination of the Fourth Batch of Public Hospital Reform Countries" Notice on Contacting Pilot Cities and Related Work ", adding 100 new pilot cities for public hospital reform.

The specific list is as follows:

Eastern Region (16)

Jinzhou City, Panjin City, Liaoning Province;

Huzhou City, Jiaxing City, Zhoushan City, Jinhua City, Shengzhou City, Taizhou City, Lishui City, Zhejiang Province;

Qingdao City, Jinan City, and Binzhou City, Shandong Province;

Zhongshan City, Huizhou City, Jiangmen City, and Zhaoqing City, Guangdong Province;

Central Region (35)

Zhangjiakou City, Xingtai City, Cangzhou City, Hengshui City, Hebei Province;

Jinzhong City, Changzhi City, Yangquan City, Shanxi Province;

Tonghua City and Songyuan City of Jilin Province;

Yichun City, Shuangyashan City, Heihe City, and Daxinganling District of Heilongjiang Province;

Jiujiang City, Shangrao City, Pingxiang City, Jingdezhen City, Yichun City, Jiangxi Province;

Luohe City, Sanmenxia City, Hebi City, Henan Province;

Xiangyang City, Hubei Province;

Xiangtan City, Yueyang City, Hengyang City, Yiyang City, Changde City, Shaoyang City, Loudi City, Chenzhou City, Yongzhou City, Huaihua City, Zhangjiajie City, and Xiangxi Autonomous Prefecture;

Haikou City, Hainan Province;

Western regions (49)

Tongliao, Baotou, Xing'an League, Ulanqab, Xilinguole League of Inner Mongolia Autonomous Region;

Guilin, Fangchenggang and Baise in Guangxi Zhuang Autonomous Region;

Chengdu, Sichuan, Zigong, Luzhou, Deyang, Mianyang, Suining, Neijiang, Leshan, Yibin, Guang'an, Dazhou, Bazhong, Ya'an, Meishan, Ziyang, Aba , Ganzi Prefecture, Liangshan Prefecture;

Anshun, Tongren, Qiannan, Qiandongnan, Liupanshui, Guizhou Province;

Honghe Prefecture, Pu'er City, Qujing City, Dali Prefecture, Yunnan Province;

Lhasa, Tibet Autonomous Region;

Xi'an, Ankang, Xianyang, Tongchuan, Shangluo, Hanzhong, Weinan, and Yulin, Shaanxi Province;

Jiuquan City, Gansu Province;

Ningxia Hui Autonomous Region Zhongwei City, Guyuan City, Shizuishan City;

Hami City, Xinjiang Uygur Autonomous Region.

Since then, the number of pilot cities for medical reform has increased from the previous 100 to 200. Among them, 11 provinces with pilot medical reforms have achieved full coverage of all cities.

Specific requirements are as follows:

I. Strengthen organizational leadership

Public hospitals are the main body of China's medical service system. Urban public hospitals play a key role in the provision of basic medical services, diagnosis and treatment of critically ill and difficult diseases, and are the main battlefield to solve the problem of difficult and expensive medical treatment for the public. Promoting the comprehensive reform of urban public hospitals is an important measure to protect and improve people's livelihood, an important task to deepen the reform of the medical and health system, and a systematic project that requires long-term exploration. All provinces (autonomous regions and municipalities) shall take the comprehensive reform of urban public hospitals as the top priority of deepening medical reform, and strengthen organizational leadership, policy guidance and supervision. The people's government of the pilot country cities should fully understand the importance, arduousness, and complexity of the reform of public hospitals, further enhance the sense of opportunity, responsibility, and urgency of the reform, implement government responsibilities, improve working mechanisms, and carry out reforms more actively and actively. Pilot, and strive to achieve breakthroughs in key areas and key links. Leading groups for medical reform at all levels must effectively strengthen guidance and support for pilot work, accurately grasp the direction of reform, and lead the development of public hospital reforms in depth. Pilot urban health and family planning, financial departments should work with establishment, development and reform (prices), human resources and social security (personnel, labor security), Chinese medicine and other relevant departments to improve supporting measures for reform, perform their duties, cooperate closely, and effectively improve reforms Action, execution.

Refining reform measures

All localities shall formulate clear tasks based on in-depth research, careful calculation, full consultation, and scientific demonstration in accordance with the requirements of the "Guiding Opinions of the General Office of the State Council on the Pilot Reform of Urban Public Hospitals" (Guobanfa [2015] No. 38). Pilot implementation plan with divided tools, clear lines, and appropriate measures. The implementation plan should pay attention to systemicity, integrity and synergy, strive to innovate institutional mechanisms and promote comprehensive reforms in a coordinated manner; focus on pertinence and operability, and focus on solving outstanding problems in local public hospitals. All localities should implement the pilot implementation plan, further decompose tasks, and establish accountability mechanisms to achieve early deployment, early implementation, early implementation, and early results; it is necessary to improve the management system of public hospitals, implement separate management and implementation, implement government responsibilities, and improve scientific compensation. Mechanism, abolition of drug bonuses, rationalization of medical service prices, promotion of medical separation, implementation of the "two-vote system" in the field of drug distribution, deepening reform of medical insurance payment methods, integration of urban and rural residents' medical insurance system, rationalization of medical insurance management system, promotion of graded diagnosis and treatment, Strengthen performance evaluation, deepen the reform of the personnel system, accelerate the establishment of a pay system consistent with the characteristics of the medical industry, strictly control the irrational increase in medical expenses, simultaneously advance the comprehensive reform of public Chinese medical hospitals, vigorously improve medical services, encourage social medical services, strengthen comprehensive supervision, etc. It will be incorporated into the key tasks of the 2016 reform to promote its implementation. All public hospitals above the second level in the pilot city area must carry out comprehensive reforms.

Third, strengthen supervision and assessment

All localities should conscientiously organize a survey of public hospital reforms and provide baseline data for the pilot evaluation. Strengthen the monitoring of the progress of the pilot, report the monitoring results regularly, study and solve the problems and difficulties encountered in the reform process in a timely manner, and continuously summarize experiences and improve policies and measures. Please report to the National Health and Family Planning Commission and other departments for important progress and important experience, important situations and major problems encountered in the pilot process. Strengthen the supervision and evaluation of the pilot cities, continue to carry out the evaluation and assessment of the effect of comprehensive reform of public hospitals in the pilot cities, report and hold accountable the regions with lagging reforms, and recover the relevant subsidy funds.

Fourth, strengthen publicity training

Strengthen the interpretation of policies, do a good job of training of managers of relevant departments and directors of pilot hospitals, enhance understanding of policies, and improve management capabilities to promote reform. Actively publicize the guidelines and policies for public hospital reforms, important deployments, and new measures, new progress, and new results in promoting reforms in various places. Strengthen public opinion monitoring, timely explain doubts to the public, reasonably guide social expectations, and let the masses understand reform, understand reform, support reform, and participate in reform.

Countries are requested to contact the pilot cities to quickly develop a pilot implementation plan, which will be organized and implemented by the provincial-level medical reform leading group, and submitted to the National Health and Family Planning Commission for record by June 30. In order to strengthen communication between the central and local governments, please invite provincial government leaders in charge of public hospital reform pilot work, information on comrades in charge of pilot work in relevant provincial departments and pilot cities, and pilot cities in charge of public hospital reform pilot work. Information about the responsible comrades and liaison officers for the pilot work of relevant departments (see Annex 2) should be submitted to the National Health and Family Planning Commission before May 25.

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