Medical network - March 31, 29, provincial health development planning commission authoritative interpretation of guangdong province deepening comprehensive reform of medical care system implementation plan, detailed interpretation of the five big luminescent spot, namely, to establish perfect grading diagnosis system, the modern hospital management system, universal health care system, drug supply security system, comprehensive regulatory system five basic medical and health care system. 

 

29 in the afternoon, three years of guangdong obamacare "gun" rushing fired 45 northwest central hospitals of guangdong province officially signed a contract with provincial health and family planning commission, "51" before "11" construction, ascending into a comprehensive hospitals at the county level, the scale will reach more than 200 beds, jiangmen and other places to the project as a top secretary "project". 

 

How to promote 

 

Introduced in the first half of the cities and their respective health care plan 

 

On March 29 this year, our province has been the provincial department of health and health conference, start the comprehensive health care reform work, clear timetable and roadmap and the main tasks. Will be carried out recently, the mobilization of deployment and professional training, start to promote each work task. In March 2017 to December 2018, will be fully implemented. In the first half of 2017, around the level to listing issued implementation scheme. Task and to organize the implementation of the reform, the establishment of working parameter, strengthen tracking guidance and supervision, to ensure the tasks of the reform into effect. Timely reform related policies. From January 2019 to December 2020 for perfecting stage. 

 

Form a complete set of indicators 

 

Gp AD hoc jobs 

 

Province allowance of 60000 yuan a year 

 

On the medical staff salary, 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 is about 10% of the total. Gradually improve the remote towns and townships post allowance, in 2018 reached 2018 yuan per month per person; Improve the village health posts subsidies, 2017 Mei Village 20000 yuan a year. Since 2017, for the economic underdeveloped regions in rural hospitals and community health service center set up gp AD hoc positions, provincial finance according to each post standard arrange subsidy funds 60000 yuan a year. 

 

Order directional cultivating talents of local rural health scale to 1400 a year, and accordingly expand the recruitment of students colleges and universities. 

 

In 2018, bachelor degree or above of the pearl river delta region new medical position clinicians 100% resident standardization training, the province gp per million population of more than two. 

 

In 2020, bachelor degree or above of all new medical post clinicians 100%, resident standardization training general practitioners more than three per ten thousand people. 

 

"Strong grassroots initiatives 

 

City sent three years 5% intermediate above county under the expert 

 

Guangdong put forward the integration of regional medical and health services resources, promote resource sink, service coordination, comprehensively promote the county (district) domain integration management, to strengthen the construction of grassroots medical service ability, strengthen public health security, vigorously develop and standardize the social do medical, vigorously develop the health service related industries. Finance during the period of 2017 ~ 2019, concentrate, increasing investment to support the following medical and health institutions at the county level of hardware and software construction. Formulate province county hospitals counterpart support planning. City of 3 armour hospital counterpart support county-level hospitals, in principle, every year, send health technical personnel number below the floor intermediate professional and technical personnel more than 5% of the total; Appoint, the number of professional and technical qualifications at or above the intermediate level of not less than 80%. 

 

The focus 

 

Key words: family doctor 

 

Will form a family doctor as the core, provide the technical support specialist contract service team, take the classification contract, signing contract for value, differentiation, provide residents with long-term continuous public health and basic medical and health management service. 

 

Residents may guide around the home or at the same time of signing with the family physician team, choice a secondary hospital, a tertiary hospital, to establish the combination of "1 + 1 + 1" signing service mode. 

 

On grading diagnosis, gradually expanding the scope of the first confirmed kind, establishing and perfecting the referral guidance catalogue, formulate common referral indications, specification and process. Reform and improve the system for basic drugs, health care medicine catalogue applies to both medical and health institutions at the local level. Signing doctors can prescribe chronic drug for a long time. 

 

Keywords: drug addition 

 

In the first half of 2017, the province city public hospital reform implemented, the provincial public hospitals by July bonus to abolish all drugs (except traditional Chinese medicine yinpian), will be established, led by the provincial people's government of guangzhou regional system of joint conference for public hospital reform. 

 

Comprehensively promote the reform of public hospitals, and gradually establish a scientific and effective system of modern hospital management. Will phase out public hospital administrative levels. Establish provincial health and health data platform. 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, health care funds are tied to pay level review. To establish and perfect the system of public hospital information disclosure. Regulating public hospital restructuring, and promote hospital separation handover or restructuring state-owned enterprises belong to the pilot. 

 

Keywords: health insurance 

 

Planned in guangdong province administration of social insurance fund use medical insurance fund management center. Encourage conditional local pilot listed to set up the medical insurance fund management center. 

 

Will further perfect the government, unit and individual reasonable share of primary medical treatment of sustainable financing mechanisms, improve the provincial long-distance medical billing system. The combination of a variety of modes of payment compound payment method reform. In 2017, and strive to implement according to macro-reforms disease to reach more than 100. 

 

In addition, 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. 

 

Hotspot question and answer 

 

1 to cancel the drug addition, expenses for medicine will be more expensive? 

 

Answer: the implementation of drug zero rate, form a complete set of medical services price adjustment and into the category of insurance reimbursement, increase government subsidies, and this is just the start as a first step, the reform of the purpose is to reduce patients' medical expenses burden, and through improving cost structure, promote the improvement of medical service ability and level, to improve the treatment experience of common people. According to the measure, on the whole the masses are affordable, but individual differences. The outpatient medical expenses of drug dependence strong has an obvious decline; Higher requirements for medical technology and medical services, drug dependence is not strong patients surgery in hospital, medical costs may be increased, but overall, medical expenses will be more reasonable. 

 

2 cancel drug addition, hospital no power? 

 

Answer: according to the previous research, the current medical service price compared with the medical service costs and medical staff labor value is significantly lower. In the medical services price adjustment scheme, will reduce the part of the inspection, the large equipment inspection treatment and high value medical consumables, price reasonable, diagnosis and treatment of traditional Chinese medicine, nursing, surgery and so on technical labor value of medical services price. Simple, for example, if a hospital technical ability, the income structure is mainly rely on "sell" medicine, it may be a loss. If this is a technical service ability of the hospital, after the reform, the medical income would be a big improvement. Scheme is through a series of measures to maintain the public hospital public welfare, stimulate the vitality and vigor in a public hospital.