Medical network - on April 25, April 24, national health development planning commission website hung by the 7 ministries issued a "about comprehensive push the notice of public hospital reform work, related work for the deployment. Notification requirements, July 31, all the cities for urban public hospital comprehensive reform implementation plan; September 30, opened the public hospital reform in an all-round way, all the abolition of all public hospital drug addition (except traditional Chinese medicine yinpian). Among them, the key task has seven aspects: 

 

1, deepening the reform of "3 d" linkage 

 

Implemented to carry out the state council general office on the implementation of the reform of public hospitals at the county level comprehensive opinions do hair [2015] no. 33 (countries) and the state council general office on urban public hospital comprehensive reform pilot guidance "(the hair [2015] 38) regulation, detailed item by item, to carry out the reform task, we will deepen reform of the medical treatment, health care, medicine, linkage and strengthen the reform of the systematic, integrated and collaborative. 

 

2, push forward the reform of further development 

 

Implementation of the general office of the central committee of the communist party of China Under the state council on forwarding the deepening medical and health system reform leading group of the state council on further promote deepening medical and health system reform experience of several opinions > notice (word [2016] 36) hall, learning advanced experience, combined with local actual bold exploration innovation, to promote the further development of public hospital reform. 

 

3, public hospital costs no more than 10% this year 

 

Implementation of control public hospital medical expense unreasonable growth of several opinions (countries who restructuring hair [2015] no. 89), the 2017 national public hospital medical costs an average growth rate control under 10%. Corps of the provinces (autonomous regions and municipalities) and to set up in 2017 to control medical expenses growth targets, combining with the actual break down to around the city, the county (city,) and public hospitals, and report on May 15th national health and family planning commission, the state bureau of traditional Chinese medicine for the record. Countries to the provinces (autonomous regions and municipalities) and corps of public hospital medical expenses growth ranking and reporting. 

 

4, urban public hospitals implemented comprehensive reform 

 

On July 31, all the cities for urban public hospital comprehensive reform implementation plan; September 30, opened the public hospital reform in an all-round way, all the abolition of all public hospital drug addition (except traditional Chinese medicine yinpian). The national health and family planning commission, the state JuShu of traditional Chinese medicine (tube) hospital all earthly public hospital reform. Launched in 2017, the reform of the city, municipal reform leading group will fully implement the national and provincial party committee, government policy for the comprehensive reform of public hospitals, the in-depth research, carefully measure, on the basis of full consultation, scientific reasoning, in order to target and double direction, formulate task clear, clear line, powerful measures, division of the concrete implementation plan, to ensure that the public hospital reform smoothly. Provincial health reform leading group to audit strictly control, to ensure the reform measures to clear, practical work, to solve the problem. On July 31 after implementing plan issued by the bureau of health and family planning commission for the record. 

 

5, consolidate the perfecting reform efforts before 4 batch of pilot cities 

 

Consolidate cancel the drug addition, further improve the maintenance of public hospital public welfare, to mobilize enthusiasm, ensuring the sustainable operation mechanism and the scientific and reasonable compensation mechanism. 

 

By the end of 2017, the first 4 batch of pilot cities in public hospitals 

 

Medicine proportion (excluding Chinese medicine yinpian) to around 30% overall decline; 

 

One hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20; 

 

The press disease to receive the diseases were paid no less than 100; 

 

Appointment referral accounts for the proportion of public hospital outpatient medical consultations to increase to more than 20%; 

 

Secondary and above all the public hospitals and more than 80% of all grassroots health institutions and regional population health information platform; 

 

60% of basic medical and health institutions and the superior hospitals to set up remote medical information system. 

 

6, deepening the reform of public hospitals at the county level comprehensive 

 

Further popularize the public hospital reform summary refining demonstration county (city) experience, actively promote the county health service of community building. By the end of 2017, to give priority to with the macro-reforms, capitation payment, pay by bed day, such as compound payment method, exploration of payment in accordance with TCM characteristics, encourage service provision and use of traditional Chinese medicine; At the county level public hospital outpatient and hospitalized patients expenses and income per capita growth drop, medical service income (excluding medicines and chemical reagents, consumables, inspect and test income) business income proportion of ascension, pay medical treatment charge of total medical costs decline. 

 

7, expand public hospital comprehensive reform model 

 

The provinces (area), respectively, to determine a city as public hospital reform at the provincial level demonstration city; Each municipality directly under the central government shall determine a district (county) at the provincial level demonstration work. In addition to anhui, fujian, jiangsu, qinghai province, 4 provinces (area) and corps respectively recommend a county (city,) as the second batch of national demonstration county (city,) candidates. Provincial demonstration city, national demonstration candidate county (city,) and the municipalities directly under the central government demonstration county (district) after the list is subject to consent by the provincial health reform leading group, the state council for health to do on May 15. The selection of the health office will jointly with the relevant departments under the state council, identified a number of national demonstration city and the second batch of national demonstration county (city,), give play to the role of typical guide, sets up the model reform, expand public hospital comprehensive reform. Around intensify reform, create conditions to support the demonstration area in key areas and crucial links breakthrough innovation, first try, and to spot with the surface to the public hospital comprehensive reform.