Just! The State Council has arranged 50 medical events.

Medical Network August 29th The second half of the medical reform key tasks have come, a total of 50. According to the disease to pay for national promotion, the base drug catalog is about to be adjusted, the price of medicine collection has to be reduced...

On August 28th, the Chinese government website issued the “Deepening the Key Tasks for the Reform of the Medical and Health System in the Second Half of 2018” (hereinafter referred to as the “Task”). The main points are as follows:

Deepen the reform of medical insurance payment methods. Comprehensively promote the reform of disease-based payment, coordinate basic medical insurance and major illness insurance, and gradually expand the number of diseases paid according to the disease type. Carry out the trial of disease diagnosis related groups (DRGs).

Promote medical insurance payments, medical service prices, drug Circulation, personnel compensation and other policy linkages. (National Medical Insurance Bureau, Ministry of Finance, Human Resources and Social Security Department, National Health and Health Commission, National medicine Bureau responsible)

Adjust the national essential medicines catalogue, formulate and guide the national essential medicine system, and promote the use of essential medicines. (National Health and Health Commission, Ministry of Finance, National Medical Insurance Bureau, National Food and Drug Administration)

In fact, on the 27th '2018 National Medical Reform Work Video Conference, the Prime Minister has given instructions on improving the basic drug system and strengthening supervision.

Regarding the adjustment of the base drug list, the industry has circulated a National Health and Health Commission's "Opinions on Further Improving the National Basic Drug System (Draft for Comment), which has the content of the basic drug list adjustment. This is the second half of the medical reform. The key tasks, perhaps the adjustment plan for the base drug list, will come out soon.

Cooperate with the anti-cancer drug tax reduction policy, promote the provinces (autonomous regions, municipalities directly under the central government) to carry out centralized procurement of anti-cancer drugs in the medical insurance catalogue, and promote exclusive access to medical insurance for medical insurance.

Carry out the pilot program of centralized drug procurement in the country, significantly reduce the price of medicines. Orderly speed up the listing and approval of new drugs listed in China. (National Medical Insurance Bureau, National Health and Health Commission, State Food and Drug Administration)

Develop guidance documents for the classification and management of retail pharmacies, support the development of retail pharmacies, and allow outpatients to choose to purchase medicines at medical institutions or retail pharmacies. (Ministry of Commerce, National Health and Health Commission, National Medical Insurance Bureau, National Food and Drug Administration)

Public hospitals are allowed to cooperate with private hospitals to support the development of medical institutions through medical consortiums, graded clinics, etc. Develop guidelines for promoting clinic development, revise basic standards for clinics, and conduct pilot clinics in some cities. (National development reform The National Health and Health Commission is responsible for the Ministry of Finance, the Banking Regulatory Commission, and the State Administration of Traditional Chinese Medicine. The Chinese Medicine Clinic is registered. (The State Administration of Traditional Chinese Medicine is responsible for this)

Actively and steadily promote doctors to practice more, improve the filing system, accelerate the development of medical liability insurance, and simultaneously improve the regulatory mechanism. Guide and standardize nurses' multi-point practice, and explore new developments in new modes such as 'Internet +' nursing services. (National Health and Wellness Committee, National Development and Reform Commission, Ministry of Human Resources and Social Security, Banking Insurance Regulatory Commission, National Bureau of Traditional Chinese Medicine

Promote the construction of smart hospitals and the national health information platform, and accelerate the sharing of medical information between medical institutions. (National Health and Health Commission, National Development and Reform Commission, National Bureau of Traditional Chinese Medicine) Develop telemedicine service management regulations. (National Health and Health Commission Be responsible for)

Improve the Internet medical treatment charging policy, further improve the medical insurance payment policy, and gradually include eligible Internet medical treatment services into the scope of medical insurance payment. (National Medical Insurance Bureau, National Health and Health Commission, National Traditional Chinese Medicine Bureau)

Vigorously promote time-scheduled appointments, intelligent medical guidance, waiting for reminders, inspection results, inquiries, mobile payments and other online services.

The key tasks of the medical reform announced this time are 50, some are to be implemented soon, and some are to set policy documents first. According to the disease type, the basic drug list adjustment, the national collection and mining pilots, may come faster. For the full text:

2018 is the first year of the full implementation of the spirit of the 19th Party Congress. It is the 40th anniversary of reform and opening up. It is a crucial year for deciding to build a well-off society in an all-round way and implementing the '13th Five-Year Plan. The deepening of the reform of the medical and health system should be Guided by Xi Jinping's new era of socialism with Chinese characteristics, he fully implemented the spirit of the Party's 19th and 19th Central Committees, the Third Plenary Session, and conscientiously implemented the decision-making arrangements of the Party Central Committee and the State Council on implementing the Healthy China Strategy and deepening the reform of the medical and health system. Strengthen the leadership of the party, take the people's health as the center, firmly establish the concept of great health, great health, adhere to the basics, strengthen the grassroots, build mechanisms, adhere to the medical, medical insurance, medical and medical linkages, focus on solving difficult problems such as medical treatment, expensive medical treatment, etc. The problem is to dare to break through policy obstacles and barriers of interest, concentrate on fighting hard battles, grasp implementation, achieve results, and strive to achieve benefits for the people, medical staff are encouraged, and investment is guaranteed to be sustainable and healthy.

1. Further standardize the construction and development of medical complexes, improve the construction of medical complexes and graded medical examinations, implement the responsibility of lead hospitals, mobilize the enthusiasm of the lead hospitals, and strengthen industry supervision. Encourage social institutions and rehabilitation, nursing and other institutions to participate in medical complexes. Construction. (National Health and Health Commission, National Medical Insurance Bureau, State Administration of Traditional Chinese Medicine, China Disabled Persons' Federation, responsible for the first place, the same department, the same below)

2. Improve medical insurance payment, personnel management, service price, financial input and other supporting measures to promote the construction of medical complexes and telemedicine services. (National Health and Health Commission, Ministry of Finance, Human Resources and Social Security Department, National Medical Insurance Bureau, National Traditional Chinese Medicine Bureau responsible)

3. Summarize local experience in a timely manner, guide local governments to improve medical service prices and medical insurance payment policies at different levels, open reimbursement rates, and guide reasonable medical treatment. (National Medical Insurance Bureau, National Health and Health Commission) Strengthen health education and popular science promotion, Guide the masses to establish a scientific concept of medical treatment. (Responsible by the National Health and Health Commission)

4. Promote family doctors' contracting services, improve incentive mechanisms, implement safeguard policies, strengthen assessment and evaluation, give priority to key population contracting services, and do practical services. (National Health and Health Commission, Ministry of Finance, Human Resources and Social Security Department, National Medical Insurance Bureau, State Administration of Traditional Chinese Medicine, China Disabled Persons' Federation)

5. Exploring and promoting disease control institutions, innovating the institutional mechanisms of county-level maternal and child health care institutions, deepening the comprehensive reform of grassroots medical and health institutions, implementing fiscal security policies, and implementing 'allowing medical and health institutions to break through the current wage adjustment level of public institutions and allowing medical service income to be deducted The cost and the withdrawal of the funds according to the regulations are mainly used for the requirements of the personnel reward ' ( 'two allowed ' ).

According to the actual situation of different medical and health institutions, the salary distribution policy will be improved in a targeted manner, and the salary of medical staff will be promoted to a reasonable level. (The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health and Health Commission are responsible for each department. Lead, the same below)

6. Improve the integration of medical and health counties and townships, and integrate rural management to promote comprehensive county reform. It can be used for county-level health care for grassroots medical personnel. (National Health and Health Commission, Ministry of Finance, Human Resources and Social Security Department, Ministry of Agriculture and Rural Affairs, The State Administration of Traditional Chinese Medicine is responsible for each)

7. Carry out quality service grassroots activities, strengthen the standardization of grassroots medical and health institutions, and further improve the quality management system of primary health care institutions. (National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, National Bureau of Traditional Chinese Medicine)

8. Deepen the reform of medical service prices. Research and introduce specific measures to promote the establishment of timely and flexible price dynamic adjustment mechanisms based on the idea of ​​'trowing space, adjusting structure, and ensuring convergence', and accelerating the establishment of a timely and flexible price dynamic adjustment mechanism based on changes in cost and income structure. Diagnose and treat behaviors, reduce the cost of medicines, medical consumables, etc., optimize the price of medical services, focus on optimizing the price that reflects the value of medical staff's technical services, and reduce the price of large medical equipment inspection and treatment.

Accelerate the review of new medical service price items. Allow localities to adopt appropriate methods to effectively reflect the value of pharmaceutical services. (National Medical Insurance Bureau, National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

9. Implement the national medical and health service system plan, and reasonably determine the size of the public hospital. (National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, National Bureau of Traditional Chinese Medicine) Implement the government's policy on public hospitals in line with regional health planning And the policy of investing in Chinese medicine hospitals. (Ministry of Finance, National Development and Reform Commission, National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

10. Study and formulate methods for financial investment to be compatible with the development of public hospitals. (Ministry of Finance, National Health and Health Commission, State Administration of Traditional Chinese Medicine, etc.)

11. Timely summarizing the pilot experience of the reform of the salary system of public hospitals, and promoting the establishment of a salary system that meets the characteristics of the industry. (Human Resources and Social Security Department, Ministry of Finance, National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

12. Carry out pilot projects to establish and improve modern hospital management systems. Timely summary and promotion of hospital scientific, refined, and information management experience. (National Health and Health Commission, responsible for the State Administration of Traditional Chinese Medicine) Promote the formulation of hospital regulations, by the end of 2018, the provinces Select 20% of the secondary level in the jurisdiction, third-level public hospitals and 10% of non-profit hospitals organized by social forces to carry out the pilot work of the charter.

Establish and improve public hospitals' comprehensive budget management, cost management, financial reporting, information disclosure, and internal and third-party auditing mechanisms. All tertiary hospitals fully implement the chief accountant system. (National Health and Health Commission, Ministry of Finance, National Bureau of Traditional Chinese Medicine)

13. Strengthen the party building of public hospitals and the guidance of industry party building work. (National Health and Health Commission, Central Organization Department, Ministry of Education, National Bureau of Traditional Chinese Medicine)

14. Promote state ownership enterprise Reform of medical institutions. (SASAC, responsible for the National Health and Health Commission) hospital Participate in the comprehensive reform of public hospitals in resident cities, and build a deep integration medical service system for military and civilians. (The Health Bureau of the Central Military Commission Logistics Support Department, the National Health and Health Commission is responsible)

15. Continue to carry out the evaluation and evaluation of the comprehensive reform of public hospitals, and allocate subsidy funds according to the assessment results. (National Health and Health Commission, Ministry of Finance is responsible for each)

16. Formulate and improve the reform plan for the medical security system with Chinese characteristics. (National Medical Insurance Bureau, Ministry of Finance, National Health and Health Commission, Banking Insurance Regulatory Commission)

17. Improve the level of basic medical insurance and major illness insurance, and increase the per capita financial subsidy standard for basic medical insurance for residents.

40 yuan, half for major illness insurance. Simultaneously improve individual payment standards. (Ministry of Finance, State Administration of Taxation, National Health Insurance Bureau, respectively, and the China Insurance Regulatory Commission to participate) Expand the coverage of medical and health care for employees, and promote the healthy development of mutual medical assistance. (National Federation of Trade Unions)

18. Deepen the reform of medical insurance payment methods. Comprehensively promote the reform of disease-based payment in the country, coordinate basic medical insurance and major illness insurance, and gradually expand the number of diseases paid according to the disease type. Carry out the trial of disease diagnosis related groups (DRGs).

Promote medical insurance payment, medical service price, drug circulation, personnel compensation and other policy linkages. (National Medical Insurance Bureau, Ministry of Finance, Human Resources and Social Security Department, National Health and Health Commission, National Traditional Chinese Medicine Bureau)

19. Fully implement the settlement policy for medical treatment in different places, and expand the coverage of designated institutions. (National Medical Insurance Bureau, Ministry of Finance, National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

20. Strengthen the supervision of medical insurance on medical behavior, take measures to solve the problem of 'hanging bed' hospitalization, fraud insurance, etc., scientifically control the unreasonable growth of medical expenses. (National Medical Insurance Bureau, Ministry of Finance, National Health and Health Commission, State Administration of Traditional Chinese Medicine Be responsible for)

21. Development of commercial health insurance. (Responsible by the Banking Regulatory Commission) Improve the handling of social insurance institutions such as qualified commercial insurance institutions to participate in basic medical insurance by means of government procurement services. (National Medical Insurance Bureau, Banking Insurance Regulatory Commission)

22. Explore the establishment of a long-term care insurance system. (Responsible by the National Health Insurance Bureau)

23. Adjust the national essential medicines catalogue, formulate and guide the national essential medicine system, and promote the priority use of essential medicines. (National Health and Health Commission, Ministry of Finance, National Medical Insurance Bureau, National Food and Drug Administration)

24. Cooperate with the anti-cancer drug tax reduction policy, promote the provinces (autonomous regions, municipalities directly under the central government) to carry out centralized procurement of anti-cancer drugs in the medical insurance catalogue, and promote exclusive access to medical insurance for medical insurance outside the medical insurance catalogue. Reduce the price of medicines. Orderly speed up the approval of overseas listed new drugs in China. (National Medical Insurance Bureau, National Health and Health Commission, National Food and Drug Administration)

25. The key chemical products in the generic drug list will be encouraged to be included in the national key science and technology plan 2018 annual project. (Ministry of Science and Technology, National Health and Health Commission)

26. Develop a reform plan to manage high-value medical consumables and excessive medical examinations. (National Medical Insurance Bureau, National Health and Health Commission) medical instruments Coding rules, explore the implementation of high-value medical consumables registration, procurement, use and other links coding application. (State Food and Drug Administration, National Health and Health Commission, the National Medical Insurance Bureau) Promote the localization of medical devices, promote the application of innovative products. (Ministry of Industry and Information Technology, National Development and Reform Commission, National Health and Health Commission, National Food and Drug Administration)

27. Strengthen monitoring and early warning of shortage of supply of medicines in the country, establish a system for filing shortages of drugs and APIs, rationally determine the scale of reserves, improve the management methods for reserves, and establish a dynamic adjustment mechanism for reserve catalogues. Collaborative application platform for collection and supply of business. Incorporate the shortage of supply guarantee capacity enhancement project into support focus. Continue to implement clinically necessary, small-volume, market-supply shortage drug-specific production pilot work, organize small-scale drug (short-term drug) centralized production base Construction. (Ministry of Industry and Information Technology, National Health and Health Commission, State-owned Assets Supervision and Administration Commission, State Food and Drug Administration, respectively)

28. Develop guidance documents for the classification and management of retail pharmacies, support the development of retail pharmacy chain, and allow outpatients to choose drugs at medical institutions or retail pharmacies. (Ministry of Commerce, National Health and Health Commission, National Medical Insurance Bureau, State Food and Drug Administration) Be responsible for)

29. Establish and improve the coordination mechanism and supervision mechanism for comprehensive supervision of the medical and health industry. (National Health and Health Commission, General Administration of Market Supervision, National Medical Insurance Bureau, State Administration of Traditional Chinese Medicine, State Food and Drug Administration, etc.)

30. Establish and improve the credit mechanism of the medical and health industry, the comprehensive supervision results and the blacklist system. (National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, Human Resources and Social Security Department, General Administration of Market Supervision, National Medical Insurance Bureau, National The Chinese Medicine Bureau, the State Food and Drug Administration and other departments are responsible)

31. Establish and improve the management system of various types of medical and health institutions at all levels. Comprehensively carry out performance appraisal of public health institutions at all levels, in principle, on an annual basis, report results to the same level of government, financial subsidies with medical and health institutions, overall compensation Level, responsible person promotion and rewards and punishments, and open to the public in an appropriate way. Comprehensive medical reform pilot provinces select 1-2 cities to carry out performance evaluation of public medical and health institutions, ranking the assessment results. (National Health and Health Commission, The Ministry of Finance, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine and other departments are responsible)

32. Strengthen the reform and innovation of the comprehensive supervision system, conduct national supervision and random inspection of 10% of the supervised units in the health and health field in the country. Promote the comprehensive evaluation of the classification and supervision of infectious diseases prevention and treatment in medical and health institutions nationwide. Strengthen the supervision and enforcement of Chinese medicine. Health Committee, National Medical Insurance Bureau, State Administration of Traditional Chinese Medicine, National Drug Administration Bureau)

33. Promote joint punishment for criminal offences involving medical treatment. (National Health and Health Commission, General Administration of Market Supervision, State Medical Insurance Bureau, State Administration of Traditional Chinese Medicine, National Food and Drug Administration, respectively)

34. Focusing on regional key diseases, taking discipline construction as the starting point, establishing a number of high-level regional medical centers and specialist alliances across the country to promote a balanced distribution of quality medical resources. (National Development and Reform Commission, National Health and Health Commission, State Administration of Traditional Chinese Medicine Be responsible for)

35. Improve the national health policy, popularize health knowledge, carry out health promotion, improve health protection, enhance personal health responsibility awareness, and strive to make the people not sick, less sick, and prolong their healthy life. (National Health and Health Commission, Ministry of Education, Ministry of Finance, The General Administration of Sports and other departments are responsible)

36. The study proposes an integrated service system framework and policy measures to promote the combination of prevention, treatment, and rehabilitation services. (National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

37. The subsidy standard for per capita basic public health services has been raised to 55 yuan, and the new funds are mainly used for upgrading the basic public health service projects. (Ministry of Finance, National Health and Health Commission, National Bureau of Traditional Chinese Medicine) Public health service projects, improve service quality. (National Health and Health Commission, Ministry of Finance)

38. Build a working mechanism for the prevention and treatment of chronic diseases, strengthen the capacity building of chronic disease prevention institutions and teams, and promote the provision of health prescriptions by medical institutions. (Responsible by the National Health and Health Commission)

39. Promote the implementation of the national health protection project construction plan, strengthen the construction of county-level hospitals, maternal and child health, disease prevention and control, and other medical and health institutions, and improve the ability to diagnose and treat difficult diseases. (National Development and Reform Commission, National Health and Health Commission, National Chinese Medicine Bureau )

40. Formulate guiding documents to strengthen the construction of disease prevention and control system, reform and improve the disease prevention and control network. (National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs) Allowance. (Human Resources and Social Security Department, Ministry of Finance, National Health and Health Commission, General Administration of Customs)

41. Implementing the innovation project of traditional Chinese medicine, carrying out key research and transformation of traditional Chinese medicine diagnosis and treatment technology, laying out a number of regional Chinese medicine (specialist) medical treatment centers and pilot clinical collaboration of Chinese and Western medicine, improving the ability and level of diagnosis and treatment of difficult diseases of traditional Chinese medicine, and implementing it in depth The 13th Five-Year Plan of Action for the Enhancement of Basic Chinese Medicine Service Capacity, Promoting the Upgrade of the Basic Chinese Medicine Museum and the National Medical Center. (National Chinese Medicine Bureau, National Development and Reform Commission, Ministry of Finance)

42. In-depth implementation of health and poverty alleviation, continue to do special treatment for major diseases, implement endemic diseases, comprehensive prevention and treatment of infectious diseases and health promotion, and take effective measures to reduce the burden of medical care for the poor. (National Health and Health Commission, State Council Office of Poverty Alleviation, Ministry of Finance, National Health Insurance Bureau)

43. Develop guidance documents to promote the development of infant and child care services under the age of 3. (Responsible by the National Health and Health Commission)

44. Develop a service and management guide for the combination of medical care and rehabilitation. Conduct a pacing treatment pilot. (National Health and Health Commission, National Development and Reform Commission, Ministry of Civil Affairs, National Bureau of Traditional Chinese Medicine)

45. Implement a new round of action plan to improve medical services. (National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

46. ​​Formulate a plan of action for the development of the health industry, promote the classification of the health industry, study and establish a statistical system and accounting system for the health industry, and carry out accounting for the health service industry. (National Development and Reform Commission, National Health and Health Commission, National Bureau of Statistics, National Bureau of Traditional Chinese Medicine Be responsible for)

47. Promote the development of social medical institutions to accelerate the development. Optimize the cross-departmental examination and approval work of social medical institutions. Allow public hospitals to cooperate with private hospitals, and support the development of medical institutions through medical unions, graded medical treatment, etc. Documents, revised basic standards for clinics, pilot clinic construction in some cities. (National Development and Reform Commission, National Health and Health Commission, respectively, Ministry of Finance, Banking Regulatory Commission, State Administration of Traditional Chinese Medicine participated in the filing of Chinese medicine clinics. (National Chinese Medicine Bureau Be responsible for)

48. Actively and steadily promote doctors to practice more, improve the record-keeping system, accelerate the development of medical liability insurance, and simultaneously improve the supervision mechanism. Guide and standardize nurses' multi-point practice, and explore new developments in new modes such as 'Internet +' nursing services. Health and Health Commission, National Development and Reform Commission, Ministry of Human Resources and Social Security, Banking Insurance Regulatory Commission, National Bureau of Traditional Chinese Medicine)

49. Promote the development of 'Internet + medical health'. Promote the construction of smart hospitals and universal health information platforms, and accelerate the sharing of medical information between medical institutions. (National Health and Health Commission, National Development and Reform Commission, National Bureau of Traditional Chinese Medicine) Telemedicine Service Management Regulations. (Responsible by the National Health and Health Commission)

Improve the Internet medical treatment charging policy, further improve the medical insurance payment policy, and gradually incorporate qualified Internet medical treatment services into the scope of medical insurance payment. (National Medical Insurance Bureau, National Health and Health Commission, National Traditional Chinese Medicine Bureau) Promote time-scheduled appointments and treatments, intelligent guidance Medical triage, waiting for reminders, inspection and inspection results, inter-diagnosis, mobile payment and other online services.

Promote the opening of public information resources in the medical and health fields in key areas. Launch pilot projects for smart health care services. Promote national pilot projects for the construction of health care big data centers and industrial parks. (National Health and Health Commission, National Development and Reform Commission, Ministry of Industry and Information Technology , the National Bureau of Traditional Chinese Medicine is responsible)

50. Medical education and cooperation to deepen the reform of medical education. Implement and improve the health personnel training plan and related policies, and improve the standardized training and continuing education system for residents. (National Health and Health Commission, Ministry of Education, Ministry of Human Resources and Social Security, State Administration of Traditional Chinese Medicine Responsible for) Promoting the reform of general practitioner training and use incentives, strengthening the construction of general practitioners and pediatricians, expanding the scope of implementation of the general practice of general practitioners, continuing the training of county and rural health personnel, and comprehensively promoting the practice of rural general practice. Assistant Physician Qualification Examination, the implementation of TCM medical skills does have the qualifications of specialists and physicians, and deepen the reform of health titles. (National Health and Health Commission, Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs, National Bureau of Traditional Chinese Medicine) Implement free training for rural order-oriented medical students, and strengthen the training of general medical teachers. (Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, National Health and Health Commission, National Bureau of Traditional Chinese Medicine)

All regions and relevant departments should attach great importance to deepening the medical reform work and strengthening organizational leadership. The Secretariat of the Leading Group for Medical Reform of the State Council should strengthen the monitoring of medical reform work, and regularly report the progress of key tasks of medical reform in all provinces (autonomous regions and municipalities directly under the Central Government). Promote the reform and development of health and health undertakings. The assessment of management, the pilot provinces of comprehensive medical reform should select some cities to explore, and the results of the assessment as an important part of the government assessment. Strengthen publicity and guidance, give full play to the pioneering role of pilot areas, and timely summarize and promote local experience.