Medical network May 11 - on the establishment of a modern hospital management system as one of the main purpose of the reform of public hospitals is health reform into the deep water area is the most difficult, is also the core breakthrough. If this reform fails, other reforms will be affected. "This is the most important of the 70," said CAI jiangnan, director of the center for health management and policy at the China Europe international business school. 

 

The management of the three hospitals, the reform of state-owned enterprises, the establishment of medical institutions, the support of the social administration, the improvement of the supply of shortage medicines and the management of generic medicines... 

 

On May 5, the general office of the state council released a total of 70 items in the "key task of deepening the reform of the medical and health system in 2017" (" 70 "). 

 

In addition to the 34th meeting of the central committee, the deadline for addressing the "old and difficult" issues of drug shortages was clarified. "70" is still around reform at the core of the reform of public hospitals, hierarchical diagnosis and treatment, etc, but is different from the past, as the focus of this year, "70" for preparation and compensation reform such as "strong medicine". 

 

The reform of public hospitals is the "big drug" 

 

Personnel pay and staffing are two major difficulties in reforming public hospitals. A pilot reform program for public hospitals, which began in part of the city's sanjia hospital, will be hammered in October. 

 

The "70" will be made clear by the central committee as the lead department, and by the end of October, we will complete the pilot project for the management of the three hospitals. 

 

The opening of the total management reform means that public hospitals will have greater autonomy. Because the total management requires the government no longer use make up in public hospital plan, but by the public hospitals in total control, executing learner plan independently. 

 

Some doctors use "real-name establishment" and "compiled the real-name" revealed the essence of the reform, which means that in the unit is not in the individual, personal in people club department for the record, no longer by the public registration, in theory, both enjoy the same treatment. But there are also doctors who tell journalists that there are differences in terms of job title, appraisal, transfer and promotion. 

 

Before the total quantity of personnel is controlled, the staff cannot be prepared for the hospital. The reform of the management of personnel management means that hospitals will be more able to stabilize workers. But it is not yet known how the reform of the three hospitals began to affect the free flow of doctors under ideal conditions. 

 

"The fact that there has been no untying of the work has changed the pay and made the orchestration more profitable, which could make future reform even more difficult." An expert at the national health and family planning hospital management institute has expressed concern to reporters. 

 

But from the point of the task arrangement of "70", the reform of compensation in the expressed as "salary system reform of public hospitals will be carried out pilot work", "to formulate personnel salary system adapt to the characteristics of the medical industry related guidance document". In the absence of a clear timetable for compensation reform, a pilot reform trial in October was a step closer. 

 

In addition to personnel pay and staffing, "70" will be explicitly set up by the national health and family planning commission to establish a modern hospital management system by the end of June. 

 

"On the establishment of a modern hospital management system is one of the main purpose of public hospital reform is reform into the deep water area is the most difficult, is also the core breakthrough. If this reform can't break out, other reforms will be affected." CAI jiangnan, director of the centre for health management and policy at the China Europe international business school, thinks this is the most important of the "70". 

 

To echo to establish modern hospital management system requirements, "70" is also a clear national health development planning commission before the end of September to strengthen medical and health industry comprehensive regulatory guidelines. 

 

"Public hospital management system reform, it is the government from direct intervention in the internal affairs public hospital to being out. If the competent department of health is no longer direct intervention means it to strengthen the integrated management of the industry." CAI said that the landing of comprehensive regulatory guidance will also benefit public hospital reform. 

 

Mediatal booster stage treatment 

 

As the first of "70", the general office of the state council on promoting the construction and development of the medical association was released on April 26. 

 

Couplet of medical core goal is through the resources and the patient's double sinks, promote grass-roots service ability, solve the cross-regional clinic patients, to concentrate in large hospital. 

 

According to the reform of the state council office director, deputy director of the national health and family planning commission Wang Hesheng introduction, by the end of 2016, the national total of more than 205 of l7 cities (city covers an area of more than 60.8% of the total) to carry out medical couplet of pilot. 

 

In addition to demands for guidance, "70" clear "couplet of all tertiary public hospital in the medical, 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, community responsibility, the interests of the community, management community". 

 

CAI jiangnan told 21st century economic report, the medical couplet of essence into joint "entity" and "virtual body joint" two kinds, the former is to bundle economic interests together, which is through the joint in the form of the information to do. The policy is now more heavily weighted towards the former. 

 

CAI said that the key to promoting the treatment of graded diagnosis and treatment is to improve the level of care and the ability of primary doctors to take drugs and tests at the grassroots level. 

 

It is worth noting that different from those of health care reform depend on public basic medical and health institutions, improve the capacity at a state council executive meeting on May 3, encourage the general clinic run by social forces are put forward. 

 

Tsai believes that by creating competitive pressures outside of social forces, or changing the supply patterns of community-based medical services. But the social force that holds the entire clinic is conditional on the free flow of doctors. 

 

"General clinic can become a health-care medical establishment that decide a dot of course better, but not the most important. You also need to public hospitals to cancel, reduce the doctor gray income, promote the doctor flow, open the doctor clinic. Sequence to promote competition, forcing public community health care to improve services." CAI said jiangnan.