Medical network - on May 25, the government of guangdong province issued by the guangdong province "much starker choices-and graver consequences-in" deepening the reform of medical health system planning "(hereinafter referred to as" planning "), the deployment of establishing the basic medical and health care system in conformity with the situation. 

 

"Planning", points out that in 2020, guangdong will be fully completed basic medical and health care "for short board" tasks, covering both urban and rural residents basic medical and health care system to further improve, realize everyone will have access to basic medical and health services, basic to meet the needs of people's multi-level medical and health care. 

 

Guangdong will generally establish comparatively perfect public health service system and integrated health service system, perfecting the medical security system, compare the specification of drug supply security and comprehensive supervision system more scientific management system and operational mechanism of medical and health institutions. 

 

By 2020, the province residents life expectancy increased to 77.8 years, the maternal mortality rate dropped to 15/10, under the infant mortality rate dropped to under 6 ‰, children under the age of five mortality rate dropped to below 8 ‰, personal health spending accounts for the proportion of the total health expenses dropped to below 25%. 

 

In order to achieve these goals, what will the 13th five-year plan be for guangdong reform? On the 24th, the guangdong provincial health and family planning commission carried out an in-depth interpretation of the plan. 

 

Supply-side structural reform: 

 

The city's three major hospitals 

 

All involved in the construction of medias 

 

Guangdong will also push forward healthcare supply-side structural reforms with the need for patient needs, the provincial health and family planning commission said. The main hospital of the city provides the diagnosis and treatment of emergency and complicated diseases, and the basic medical institutions provide the diagnosis and treatment services for the common diseases. 

 

The provincial health and family planning commission said that during the 13th five-year plan period, the province will fully launch various forms of medical association construction. The tertiary hospitals in the city should be fully involved in the construction of the medic and will play a leading role. 

 

Therefore, to break the administrative area, financial investment, health care payments, personnel management, as well as the barriers, promote high quality medical resources sharing and sink at the grass-roots level. County health service integration management step by step, to a county-level hospitals, county hospitals in towns and townships of personnel, logistics, financial assets, such as business, medicine, consumable materials for unified management. In addition, the regional health resource sharing mechanism is established. By the end of 2017, the examination results of the medical institutions and the medical institutions and the independent inspection institutions will be realized. 

 

Public hospital reform: 

 

We will implement the autonomy of public hospitals 

 

Implemented this year, the entire province all levels of all kinds of public hospital reform, put forward "the plan", "much starker choices-and graver consequences-in" period, guangdong public hospital will build modern hospital management system. What will be the next step in public hospital reform? 

 

Provincial health development planning commission, said the first public hospital management system should be improved and the core is to implement the public hospital autonomy, separating and separated, promote hospital management mode and operation mode transformation, the implementation of the internal personnel management, organization setup, income distribution, deputy recommendation, appointment or dismissal of cadres in the middle, execution of the annual budget, autonomy. 

 

Before July this year, the province all levels of various types of public hospitals should be cancel the drug addition (excluding Chinese medicine yinpian), guangdong will be through the adjustment of medical service prices, increasing government investment, reform of payment, reduce hospital operating costs, etc., to establish scientific and reasonable compensation mechanism. 

 

Guangdong will also set up in accordance with the characteristics of the medical and health industry personnel and pay system, third rate of some cities in the pearl river delta reform of public hospitals to carry out the preparation of management, personnel management pilot. In addition, guangdong will also carry out the public hospital autonomy of choose and employ persons, in combination with the actual reasonable public hospital compensation levels, gradually improve staff spending accounts for the proportion of business spending, increased to 40% in 2018. 

 

Universal health care: 

 

A provincial health insurance fund is being set up 

 

Management center 

 

The plan proposes that guangdong will establish a system of universal health care that is highly effective. Province who planning commission said, at present our province is studying integration employee basic medical insurance and basic medical insurance of urban and rural residents, "much starker choices-and graver consequences-in" period, to practice the coverage, financing standard, pay level, pay limits, fund management and orgnaization of service of "six unity". 

 

At the same time, the provincial health and family planning commission also said that health care financing was not only the responsibility of the government but also the individual's responsibility. "The government subsidy standards will gradually increase, and the level of individual contributions should be raised appropriately." 

 

In promote the reform of medical insurance management system, the provincial health development planning commission, at present our province is a province medical insurance fund management center, affiliated at the provincial administration of social insurance funds, mainly to undertake fund payment and management of drug purchase and payment, payment standard, designated agency agreement management and billing and other functions. At the same time, in zhuhai, zhongshan, dongguan three cities to carry out the pilot reform of mechanism of system of medical insurance fund management, and to encourage conditional local pilot listed to set up the medical insurance fund management center. 

 

S link 

 

My province is 13th five-year. 

 

Focus on health reform 

 

During the period of "planning", "much starker choices-and graver consequences-in", in hierarchical diagnosis and treatment in our province, modern hospital management, universal health care, drug supply security, comprehensive regulation, the five new breakthroughs were made in construction of the system, at the same time promote the equalization of basic public health service, giving full play to the advantages of Chinese medicine service, promote the reform of related areas as a whole. 

 

First, we will establish a scientific and rational grading and treatment system. Insist on the residents' voluntary, first option at the grass-roots level, policy guidance, innovation mechanism, by 2020, the county in hospitalization rate increased to 90%, hierarchical diagnosis model gradually formed, the classification system of basic establishment conforms to the situation. 

 

Second, we will establish a scientific and effective modern hospital management system. We will deepen comprehensive reform of county-level public hospitals and advance comprehensive reform of urban public hospitals. In 2017, all levels of public hospitals in various levels pushed through comprehensive reforms. By 2020, we will basically establish a modern hospital management system with clear responsibility, scientific management, perfect governance, efficient operation and strong supervision. 

 

Third, we will establish a system of affordable health care for all people. We will integrate basic medical insurance and basic medical insurance for urban and rural residents, and build a system of integrated medical care for urban and rural residents. We will continue to balance our efforts, improve the mechanism for raising capital, and reform the way we pay for health care to improve the quality and efficiency of the basic health care system. We will gradually raise the level of the disease guarantee and tilt it to the poor, and improve the accuracy of the payment of major disease insurance against difficult people. 

 

Fourth, we will establish a standardized and orderly supply guarantee system for medicines. Implementation of pharmaceutical production, circulation and use of the whole process reform, promote the reform of the pharmaceutical industry structure adjustment, improve the basic drug supply system, basic medical insurance drug catalogue applies to both medical and health institutions at the local level. We will strengthen the regulation of drug prices and establish the traceability information system for the main body and its products. 

 

Fifth, we will establish a strict regulatory system. We will establish a regulatory mechanism for the use of the "pipe suit" and strengthen the comprehensive supervision of the entire industry, and all medical and health institutions will be subject to local supervision.