Medical network May 8 - May 5, the Chinese government website. The general office of the state council concerning the deepening medical and health system reform in 2017, the key task of notice, lists the key to promote and implement the 70 work task. There are 14 documents to be made. 

 

Documents developed by the study 

 

To formulate guidelines for the development and development of the medical association. (the national health and family planning commission, which is responsible, is due by the end of April 2017.) 

 

Formulate and improve the implementation opinions of the mechanism for improving the supply safety of shortage drugs. (the national health and family planning commission, which is responsible, is completed by the end of June 2017.) 

 

To formulate guidelines for the establishment of a modern hospital management system. (the national health and family planning commission, which is responsible, is completed by the end of June 2017.) 

 

Formulate and improve the opinion of the party building work in public hospitals. (the national health and family planning commission, which is responsible, is completed by the end of June 2017.) 

 

To formulate guidelines for the development of government-run medical institutions to deepen reform. "(the state council, the state council, is responsible for the completion of the project by the end of June 2017.) 

 

Develop the opinions of supporting social forces to provide multilevel, diverse medical services. (the national development and reform commission, which is responsible, will complete before the end of June 2017.) 

 

We will formulate guidelines for the promotion and development of medical personnel in the development of medical education. (the national health and family planning commission and the ministry of education jointly lead the responsibility for completing the project by the end of June 2017.) 

 

To formulate guidelines for strengthening the comprehensive supervision of the medical and health industry. (the national health and family planning commission, which is responsible, will complete by September 2017.) 

 

Formulate policy documents for the establishment of an honorary system for health workers. (the national health and family planning commission and the ministry of human resources social security are co-led by the ministry of human resources and social security, which will be completed by the end of September 2017.) 

 

Set up pilot documents for the pilot project of high-value medical consumables. (the national health and family planning commission, which is responsible, will complete by the end of October 2017.) 

 

To formulate and implement a pilot program for the management and reform of personnel in public hospitals in some cities. (the central editor's responsibility, by the end of October 2017) 

 

Formulate guiding documents for the reform and improvement of generic drug administration policies. "(the state department's health care reform office, which will be completed by the end of October 2017.) 

 

Formulate and manage the registration and administration of medical representatives. (the general administration of food and drug administration, which is responsible, will complete before the end of December 2017.) 

 

Formulate the credit management system for drug purchase and marketing. (the general administration of food and drug administration, which is responsible, will complete before the end of December 2017.) 

 

The above tasks are only the leading departments, not the participating departments. 

 

We will promote the implementation of key tasks 

 

We will expand the scope of the pilot program, and expand the number of trial and clinical trials and family doctors' contract services to more than 85 percent of the city. (the national health and family planning commission) 

 

16. The implementation of the reform of the state council office units, such as the signing of promoting family doctor service guidance ", vigorously promote the family doctor signing service, perfect to receive pay, assessment, incentive mechanism and the health care policy. From the old, maternal and children, the disabled people and patients with chronic disease and severe mental disorders, such as demand oriented old-age signing the family doctor service. In 2017, more than 60 percent of key people will sign up for service, bringing all the poor into the range of family doctors. (the national health and family planning commission) 

 

17. Comprehensive start construction experimental unit of various kinds of medical association, all tertiary public hospital to participate in and play a leading role, set up to promote high-quality medical resources fluctuation of assessment and incentive mechanism, enhance the capacity of grassroots service, convenient to the masses to go to a doctor. Explore collaboration (such as medical association pattern of vertical cooperation total medicare pay for a variety of ways, such as promoting medical association as community service, responsibility, community, community of interests, management community. We will carry out a pilot program for the treatment of long-term care services. By the end of June 2017, the provinces (regions and municipalities) will clearly advance the work plan for the construction of the medical association. The pilot cities of the comprehensive health care system, each of which is a pilot city, have at least one successful medical complex. (the national health and family planning commission, the ministry of human resources and social security, the state administration of traditional Chinese medicine and the ministry of finance, are the first departments to take the lead.) 

 

We will carry out pilot trials for daily operations at tertiary hospitals, and further improve and implement the policy on the payment of health insurance and the price of medical services. We will implement policies to guide public hospitals to participate in graded treatment. (the national health and family planning commission, the ministry of human resources social security, the national development and reform commission, and the state administration of traditional Chinese medicine) 

 

19. To strengthen the construction of public hospitals at the county level comprehensive ability and discipline construction, strengthen the county within the shortage of common disease, frequently-occurring disease related departments and professional clinical subject construction. We will promote the coverage of remote medical care in poverty-stricken county hospitals. (the national health and family planning commission and the national development and reform commission) 

 

We will comprehensively implement the plan of the 13th five-year plan for the development of community-level traditional Chinese medicine services. (the state administration of traditional Chinese medicine) 

 

Urge all provinces, cities and counties to improve and implement the relevant plans of the medical and health service system, and define the function orientation of various types of medical and health institutions at all levels. Control the number and scale of public comprehensive hospitals. (the national health and family planning commission, the national development and reform commission, and the state administration of TCM) 

 

We will expand the demonstration range for the comprehensive reform of county-level public hospitals, with at least one national demonstration county in each province. We will launch a demonstration of comprehensive reform of urban public hospitals. (the national health and family planning commission and the ministry of finance) 

 

23. A clear national health and family planning commission and the national Chinese medicine JuShu dependency (tube) hospital to participate in the public hospital comprehensive reform of the policies and measures, and carrying out comprehensive performance appraisal work. In the pilot province of comprehensive health care, we will select at least one local city to carry out performance appraisal pilot and step up exploration efforts. (the national health and family planning commission, the state administration of traditional Chinese medicine, the central committee, the ministry of finance, the national development and reform commission, and the ministry of human resources social security) 

 

We will promote the comprehensive reform of public hospitals in urban areas, including military hospitals and armed police hospitals, and integrate them into the regional health planning and classification system. (the ministry of logistics and security of the central military commission) 

 

The comprehensive reform of public hospitals was fully opened by the end of September 2017, and all public hospitals were excluded from the drugs. We will coordinate the reform of the management system, medical price, personnel compensation, drug circulation, and insurance payment methods. Gradually increase the proportion of medical services revenue in total hospital revenue. In 2017, the first four batch of 200 pilot cities of public hospital medicine accounted overall to around 30% (not including Chinese medicine yinpian), one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. (the national health and family planning commission, the state bureau of traditional Chinese medicine, the national development and reform commission, ministry of finance, human resources, social security, the ministry of commerce, state-owned assets supervision and administration commission of the state council and the central military commission responsible for logistics security bureau) 

 

We will carry out the policy of price reform for medical services, fully open the reform of medical prices in urban public hospitals, and establish a system of regional coordination in the price of medical services. (the national development and reform commission, the national health and family planning commission, the ministry of human resources social security and the state administration of traditional Chinese medicine) 

 

The full implementation of the government's public hospital of in line with the regional health planning investment policy, promote the establishment of public hospitals by the service charge and government subsidies of two channels of compensation mechanisms. We will gradually repay and resolve the long-term debt of the public hospitals that meet the requirements. (the ministry of finance, the national health and family planning commission, the state administration of Chinese medicine and the national development and reform commission) 

 

28. Promoting the construction of modern hospital management system, comprehensive reform pilot provinces to choose some above ground level and carry out pilot city, 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. (the national health and family planning commission, the ministry of finance, the ministry of human resources social security, and the central committee responsible) 

 

29. The salary system reform of public hospitals will be carried out pilot work, timely, summarize experience, stipulating personnel salary system adapt to the characteristics of the medical industry related guidance document. (the ministry of human resources social security, the ministry of finance, the national health and family planning commission and the state administration of traditional Chinese medicine) 

 

In 2017, the average increase in medical expenses of public hospitals nationwide is under 10 percent. The main monitoring indexes of the provinces (districts and municipalities) are released regularly. (the national health and family planning commission, the ministry of finance and the state administration of traditional Chinese medicine) 

 

31. Complete the integration of urban and rural residents basic health care system, implements the coverage, financing policy, to ensure treatment designated management, fund management, medical insurance directory, "six unification" policy. Straighten out management system, to set up the medical insurance fund management center, undertake fund pays and management, medicines procurement and payment, payment standard, designated agency agreement management and billing 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 a serious illness insurance with the precision of payment. (the ministry of human resources social security, the national health and family planning commission, the insurance regulatory commission, and the ministry of finance) 

 

The financial subsidy for urban and rural residents will be raised from 420 yuan to 450 yuan per person per year, increasing the standards for individual contributions and expanding the range of medicines. (the ministry of finance, human resources social security, and the national health and family planning commission are responsible) 

 

We will comprehensively push forward the establishment of a multiplex medical payment system based on the payment of diseases. The country has chosen parts of the country to carry out the "DRGs" program to encourage active exploration elsewhere. To guide the various kinds of payment methods, such as disease, head and bed day. Comprehensive reform pilot provinces to choose 1 or 2 cities medical insurance payment full implementation of the reform, all medical institutions and medical service coverage area, sharply reduce the proportion of pay by project. (the ministry of human resources social security, the national health and family planning commission and the ministry of finance) 

 

Press ahead with the cost of the disease, and by the end of 2017 all cities will have no fewer than 100 patients with the disease rate. (the national development and reform commission, the national health and family planning commission, the ministry of human resources social security, the state administration of Chinese medicine and the ministry of finance) 

 

We will carry out a pilot program for medical and drug payment, and explore the development of medical insurance payment standards. We will promote the Internet of health insurance information across the country, and realize the direct settlement of the hospitalization cost of medical care in different places. (the ministry of human resources social security and the national health and family planning commission are responsible) 

 

We will make about 200 clinical paths, totaling about 1, 200 clinical paths, and set up about 100 clinical paths of TCM. (the national health and family planning commission and the state administration of traditional Chinese medicine are responsible.) 

 

We will promote the implementation of a notice on the implementation of the ministry of civil affairs and other departments of the ministry of civil affairs and other departments of the ministry of civil affairs, in order to improve the effective link between the medical assistance and the urban and rural residents' health insurance. (the ministry of civil affairs, the ministry of human resources social security, the national health and family planning commission, the insurance regulatory commission, the state council, and the ministry of finance) 

 

We will introduce a pilot policy on the personal income tax of commercial health insurance to the whole country. (the ministry of finance, the state administration of taxation, the circ) 

 

To summarize the experience and to support the participation of social forces, such as commercial insurance institutions, in accordance with the relevant regulations of the government purchasing services. (the ministry of human resources social security, the national health and family planning commission and the insurance regulatory commission) 

 

We will fully implement the health poverty alleviation project, and work to address the poverty and poverty of the poor in rural areas. (the national health and family planning commission, poverty relief office of the state council, national development and reform commission, the ministry of civil affairs, ministry of finance, human resources, social security, insurance regulatory commission, the state bureau of traditional Chinese medicine, logistics security bureau of the central military commission is responsible for)