General Office of the State Council about print and distribute to deepen the medical and health system reform
Main 2012 job arrangement notice
 

The country does hair [2012] 20 date

The provinces, autonomous regions, municipalities directly under the Central People's government, the relevant departments of the state council:

"To deepen the medical and health system reform main 2012 job arrangement" already the State Council agrees, show print and distribute to give you, please actual, serious organization is carried out.

General Office of the State Council
In 2012 in April 14th two

Deepening the medical and health system reform main 2012 job arrangement

2012 is to deepen reform of the medical and health system (hereinafter referred to as the health care reform) a crucial year, also be comprehensive implementation "Twelfth Five-Year Plan" period of deepening reform of medical and health system planning and implementation plan of the Bureau year. Clear target, fulfil working responsibility, consolidate and expand the results of reform, advancing the reform, the reform in 2012 main work as follows:
　　 One, general requirements for
Thoroughly implement the "CPC Central Committee and State Council on deepening the medical and health system reform views" (in hair [2009] 6 date) and "issued by the State Council on" Twelfth Five-Year Plan "period of deepening reform of medical and health system planning and to carry out the announcement of plan" (the country is sent [2012] 11 date) spirit, in order to build to accord with our country national condition basic medical and health care system as the core, adhere to the basic medical and health care system as a public product to provide the core idea, insist to protect the basic, strong base, build the basic principle of mechanism, hold to precaution to give priority to, stress on rural areas, both traditional Chinese and Western medicine approach, maintain reform basic policy continuity and stability, exert oneself is accelerated perfect the universal health insurance system, perfect the system of essential drugs and basic medical and health institutions to run new mechanism, actively promote the reform of public hospitals three achieved a breakthrough, advance as a whole the reform of related areas, maintain the good momentum of medical improvement, to achieve "925" gradual reform goal and lay a solid foundation.
　　 Two, work tasks
(a) accelerating the establishment of national health care system.
1 to consolidate the expansion of basic health insurance coverage.
Employee basic medical insurance (hereinafter referred to as the employee medical insurance), the basic medical insurance for urban residents (hereinafter referred to as the urban residents medical insurance) and the new rural cooperative medical system (hereinafter referred to as the new rural cooperative medical system) three basic medical insurance rate stable at 95%. Focus on migrant workers, organization of economy of blame state ownership practitioners, the flexible employment personnel and students, preschool children and neonates of insurance management. Continue to promote the closure of bankrupt enterprises retirees and difficult company worker and other difficult group insurance work. (Ministry of human resources and social security, the Ministry of health are responsible for)
2 continue to improve the basic medical security level.
(1) the government of the new rural cooperative medical system and the urban residents medical insurance subsidy standard is raised to 240 yuan per person per year, individual payment levels increased, reaching 300 yuan per capita funding. (the Ministry of finance, the Ministry of health, Ministry of human resources and social security charge)
(2) employee medical insurance, the urban residents medical insurance and the new rural cooperative medical policies within the scope of whole fund highest pay limitation were increased to a local worker year of average wage 6 times above, local residents annual per capita disposable income of 6 times above, countrywide farmer year net income of average per capita 8 times more, and not less than 60000 yuan. The urban residents medical insurance and the new rural cooperative medical policies within the scope of hospitalization expenses payment ratio reaches more than 70% and about 75%, gradually narrowing and the actual hospital payment proportion between the gap, out-patient co-ordinate the payment ratio is further improved. Exploration through the individual account adjustment, and gradually establish employee medical insurance outpatient service as a whole. (Ministry of human resources and social security, the Ministry of health are responsible for)
The 3 reform of Medicare payment system.
(1) actively promote capitation, DRGs, press bed day paid, total prepaid payment reform, and gradually cover the overall regional medical institutions. Strengthen paid total control, the establishment of medical insurance in urban area of medical cost increases to restrict a mechanism, make the medical insurance fund disbursement overall control objectives and decomposition to the fixed-point medical institutions, and pay the standard linking. Actively promote the establishment of medical insurance agencies and the medical institutions of the negotiation mechanism and purchased service payment mechanism, determined by negotiation services, payment methods, payment standards and quality of service requirements. Combined with the payment system reform, to explore the personal burden of control measures. Gradually the medical institutions total cost and time (disease) increase of medical cost control and personal burden control, as well as the quality of medical service in health evaluation system. (Ministry of human resources and social security, the Ministry of health are responsible for)
(2) improve the difference in payment mechanism, pay a percentage to basic medical and health institutions tilt, encourage the use of traditional Chinese medicine service, guide masses first diagnosed at the grassroots level. Will be consistent with the conditions of private clinics and public medical institutions and retail pharmacies in a health care program. (Ministry of human resources and social security, the Ministry of health are responsible for)
(3) strengthen medical insurance on the medical service behavior regulation, perfect monitoring and management mechanism, and gradually establish insurance for medical services in real-time monitoring system, gradually the coverage on medical service supervision extended to medical staff medical service behavior supervision. Establishment of combined anti fraud system, increase the fraudulent fraud penalties, and timely information disclosure. (Ministry of human resources and social security, the Ministry of health are responsible for)
4 further intensify the medical relief efforts.
(1) increases the rescue fund, building medical security line. Rescue range from minimal assurance family member, the five guarantees extended to low income seriously ill patients, severe disabilities of low income families and elderly people difficult group, funded in the urban residents medical insurance or medical. Help improve the level of medical assistance, cancel the deductible, steadily improve top line, to rescue the object within the range of policies of self-payment medical expenses of hospitalization assistance ratio further improved. (the Ministry of civil affairs, the Ministry of finance is responsible for)
(2) studies in established disease emergency rescue fund. Through government investment, social donations and other multi-channel financing to establish fund, to solve the cost burden ability and non main patient occurrence of emergency medical treatment expense. To formulate the measures for the management of the fund. (development and Reform Commission, Ministry of Finance shall be responsible for)
Exploring the establishment of guarantee mechanism 5.
(1) develop serious disease security approach, actively exploring the use of the basic medical insurance funds to buy commercial serious illness insurance or the establishment of supplementary insurance and other means, to effectively improve the security level of serious disease, and effectively solve the serious disease problems of poverty due to illness. Do a good job of basic medical insurance, medical assistance, such as commercial insurance articulation. (development and Reform Commission, Ministry of finance, Ministry of human resources and social security, the Ministry of health, Ministry of Civil Affairs Commission, responsible for)
(2) is pushed in the round in uremia, childhood leukemia, children with congenital heart disease, breast cancer, cervical cancer, severe mental illness, multiple drug resistant pulmonary tuberculosis, AIDS opportunistic infections and other 8 kinds of severe diseases, lung cancer, esophageal cancer, gastric cancer will, colon cancer, rectal cancer, chronic myelogenous leukemia, acute myocardial infarction, cerebral infarction, hemophilia, type-I diabetes, hyperthyroidism, cleft lip and palate in 12 categories of illness into the protection and assistance for the pilot range. (Department of health, the Ministry of civil affairs, the Ministry of finance is responsible for)
6 to improve the basic medical insurance administration management level.
(1) actively promote medical treatment "card", convenient for insurants. The basic realization of the insured as a whole area and provincial medical expenses remote instant settlement, accelerate the resettlement of retired personnel as the key province medical expenses remote real-time settlement. Steadily promoting the employee medical insurance system in regional transfer and continuation of the basic medical insurance system, strengthen the cohesion. (Ministry of human resources and social security, the Ministry of health are responsible for)
(2) strengthen the medical insurance fund revenue and expenditure management, medical and urban residents health insurance fund to the balance principle, balance too much practical focus on improving the high medical expenses payment level, so that the fund is not excessive precipitation, also do not appear overdraw; employee medical insurance balance too many places to take effective measures to balance gradually drops to a reasonable level. (Ministry of human resources and social security, the Ministry of health are responsible for)
(3) exploring the integration of employee medical insurance, the urban residents medical insurance and the new rural cooperative medical system management functions and management resources, improve the basic medical insurance management and handling mechanism. Conditional area to explore the establishment of rural and urban residents in the basic medical insurance system. (the central office, development and Reform Commission, Ministry of human resources and social security, the Ministry of health is responsible for)
(4) to guarantee the safe and effective supervision of the premise, to encourage the government purchase of services, entrusted with the qualification of commercial insurance agency of all kinds of medical security management service. (the Ministry of health, Ministry of human resources and social security, CIRC shall be responsible for)
7 developing commercial health insurance.
Commercial health insurance industry policy, encourage the development of basic medical insurance of commercial insurance institutions outside of the health insurance products, meet the health needs of diverse. Encourage enterprises, individuals to participate in the commercial health insurance and various forms of supplemental insurance, make the implementation of tax preferential policy. (development and Reform Commission, commission, Ministry of Finance shall be responsible for)
(two) perfect the system of essential drugs and basic medical and health institutions to run new mechanism.
8 to consolidate and improve the basic drug system.
(1) the expansion of basic drug system. The consolidation of government office of the basic medical and health institutions to implement the basic drug system, implement the basic drugs all equipped with use and insurance payment policy. In order to promote village hygiene room implementation of essential drug system, synchronous implementation for rural doctors in various grants and support policy. On the non government run primary health care institutions, governments may be combined with the actual, adopt buy service mode will be incorporated into the basic drug system. Encourage public hospitals and other medical institutions to give priority to the use of essential drugs. (development and Reform Commission, Ministry of health, Ministry of finance, Ministry of human resources and social security charge)
(2) the basic norms of drug procurement mechanism. The full implementation of "General Office of the State Council about print and distribute to establish and regulate the government office of the basic medical and health institutions essential drug procurement mechanism guidance notice" (the country does hair [2010] 56 date), insist to enrol mining, price hook, double envelope system, centralized payment, whole journey monitoring policy. Improve the basic medical quality evaluation index system. On the basic drugs in the exclusive varieties, after many times of centralized procurement prices basically stable and adequate market supply of basic drugs for the national uniform pricing. Exploring the establishment of drug monitoring mechanism of short, small dosage, clinical required scarce varieties can be taken for the fixed-point production and other means to ensure that the supply of. The establishment of provincial basic drug centralized purchasing using management information system, implementing the centralized payment and distribution policy, improve the timely delivery rate. (development and Reform Commission, Ministry of health, Ministry of industry and information technology, food and Drug Supervision Bureau)
(3) to improve the national essential drugs list. Serious summary country basic drug use, study on adjustment and optimization of the catalogue of national basic drugs, better adapted to the masses of basic medication needs. Gradually the basic norms of drug dosage forms, specifications and packing. To standardize the local supplementary basic drugs, supplementary drug strict implementation of essential drug system related policy. (the Ministry of health, Ministry of human resources and social security, administration of traditional Chinese medicine, food and Drug Supervision Bureau)
(4) strengthen the basic drug quality monitoring. Continue to improve the basic drug quality standard, the whole variety of essential drug coverage testing and electronic supervision, improve the basic drug from production to use whole process supervision. (food and Drug Supervision Bureau)
9 deepening the comprehensive reform of basic medical and health institutions.
(1) establish and improve the stability of long-acting multi-channel compensation mechanism, to ensure the normal operation of the basic medical institutions. The central government set up the national essential drug system fully implemented on local recurrent subsidy mechanism, and incorporated into the budget. The local government should be the basic medical and health institutions of special subsidies as well as recurrent balance allowance brings into finance budget and timely in place, the implementation of the first set aside after the settlement. The full implementation of general medical fee and Medicare payment policy. Realizing grassroots medical and health institutions of basic public health service funding. (the Ministry of finance, the national development and Reform Commission, Ministry of health, Ministry of human resources and social security charge)
(2) deepen the preparation and personnel system reform. Reasonable determination of the grassroots medical and health institutions personnel gross, according to basic medical and health services functional positioning and development needs to implement dynamic adjustment. To implement the basic medical and health institutions legal autonomy, the full implementation of appointment system and the post management system, focus on the selection of good, and establish the lieutenancy target system of job responsibility. (the central office, the Ministry of health, Ministry of human resources and social security charge)
(3) to improve the performance distribution mechanism. Adhere to more pay for more work, and merit pay, income allocation key to key positions, the backbone of business and made outstanding contributions to the staff tilt. In the smooth implementation of performance-based salary basis, conditional place can be properly increased incentive pay for performance ratio, reasonable pull open income gap. To be paid in full and on time performance wage. The balance of basic medical and health institutions in accordance with the provisions of part can be used to improve benefits, to mobilize staff enthusiasm. (Ministry of human resources and social security, the Ministry of health, the Ministry of finance is responsible for)
(4) accelerate clear dissolve the basic medical and health institutions debt. Carefully do debt verified and locked, much channel raises money and implement of debt, debt and debt finish stripping work, check stoutly produce new debt. (the Ministry of finance, the Ministry of health, development and Reform Commission)
10 to improve the basic medical and health institutions service ability.
(1) in accordance with the principle of there, continue to increase support for Township Health Center Standardization construction. (development and Reform Commission, Ministry of Health)
(2) to accelerate the informatization construction of grassroots medical and health institutions, establish the covering basic drug supply use, health management, basic medical service, performance appraisal and other basic functions of the basic medical and health information system, unified information standard, implementation and basic medical insurance and other information interconnection, improve the community-level medical and health service standardization level. (development and Reform Commission, Ministry of health, Ministry of human resources and social security charge)
(3) to strengthen the general practitioner to focus on basic level talent team construction. Actively promote the general practitioner system construction, general practitioners standardized training, continuing the township hospitals and army recruits 5000 above orientation free medical students, arrange 15000 basic medical and health institutions and personnel in general practitioner training, the implementation of 20000 general practitioner ad hoc post project, improve the implementation of full of encouragement doctors term in the primary care policy, strive to realize each city community health service institutions and the township hospitals have qualified general practitioner. Support around 100 general practitioner clinical training base construction. The central finance to support center-west region to strengthen grass-roots medical staff in-service training, focus on the development of general medicine, promote with characteristics of basic drugs using targeted and practical training programs, training a total of 620000 passengers. (Department of health, the General Logistics Department of the Ministry of health, national development and Reform Commission, Ministry of education, Ministry of finance, Ministry of human resources and social security, the central office responsible for)
(4) to encourage qualified local general practitioners practice mode and service mode reform is pilot, carry out general practitioners (team) and residents to establish a stable relationship contract services. Encourages grassroots medical and health institutions to provide Chinese medicine appropriate technology and services. Establish and improve the classification, diagnosis and treatment of two-way referral system, actively promote grass-roots first diagnosis responsibility pilot. (Department of health, development and Reform Commission, Ministry of finance, Ministry of human resources and social security, responsible for the administration of traditional Chinese Medicine)
11 for the rural medical and health service system.
(1) adopt fair build private, government subsidy and so on many kinds of ways, of village health room house construction, purchase of equipment support. The village health room into the basic medical institutions information construction and management. Implement the country doctor of multi-channel compensation, pension policy. (Department of health, development and Reform Commission, Ministry of finance, Ministry of human resources and social security charge)
(2) strengthen the village doctors' training and reserve force building. The village health room practicing rural doctors training free of charge every year not less than two, accumulative total training time is not less than two weeks. Take the local staff orientation training etc. enrich rural doctors, to ensure that each village hygiene room has a country doctor. (Department of health, the Ministry of finance is responsible for)
(3) strengthen the county level health administrative departments of rural doctors and village health room management, key aggrandizement service behavior supervision. Actively promote the township hospitals and village health room management. (Department of health, development and Reform Commission, Ministry of human resources and social security charge)
(three) actively to promote the reform of public hospitals.
County Hospital as the focus, promote the overall development of public hospital management system, compensation system, personnel distribution, drug supply, price mechanism reform, selection in the 300 or so counties (city) in county level hospital comprehensive reform pilot, encourage local suit one's measures to local conditions to explore a specific mode. City expanding and deepening the reform of public hospitals.
12 accelerating the reform of public hospitals.
(1) reforming compensation mechanism. Take the medicine price adjustment, reform of medical insurance payment and the implementation of government run medical liability and other comprehensive measures and policy, do away with "in medicine medicine" mechanism. The public hospital compensation by the service charges, drug addition income and finance allowance three channels to service charges and government subsidies two channels. Hospitals have led to the reduction of reasonable income or loss of form through the adjustment of medical service price, increasing government investment way of compensation. After adjusting the medical technology services provided by the incorporation of Medicare payment scope. Increased government spending by the central government grant certain allowance, local finance according to actual condition adjust defray structure, cogent increase investment. (Department of health, development and Reform Commission, Ministry of finance, Ministry of human resources and social security charge)
(2) to adjust the price of medicine. Removal of the drug price addition policy. Improve the treatment cost, operation cost, nursing fees, medical service price. Reducing large equipment to check the price, government investment in the acquisition of public hospital in large equipment depreciation cost to develop after check the price. (development and Reform Commission, Ministry of Health)
Improvement of the county public hospital online procurement, actively promote the drug with a volume of procurement and high-value medical consumables procurement, compression of intermediate links and costs, to reduce the empty high price. (the health ministry, censorial department)
(3) play the insurance compensation and supervision function. Promoting the total prepaid, capitation, DRGs and other composite payment way, through the purchase of services for medical institutions to give timely and reasonable compensation, to guide the medical institutions active control cost, standardization diagnosis and treatment behavior, improve the quality of service. Strict evaluation of basic medical insurance drug list usage and out-of-pocket drug control index, to control or reduce the burden of the individual. (Department of health, human resources and social security is responsible for other parts)
(4) the implementation of government run medical liability. The implementation of the government's public hospital basic construction and equipment to purchase, key discipline development, public health service, in line with the state the cost of retired workers and subsidy policy and investment policy. (the Ministry of finance, development and Reform Commission, Ministry of Health)
To determine a reasonable public hospitals (including state-owned enterprises hospital) quantity and layout, strict control of construction standard, size and equipment. Prohibition of public hospital debt to build. (Department of health, development and Reform Commission, Ministry of finance, country endowment appoint responsible)
(5) to speed up the establishment of modern hospital management system. According to the political left, separation of management and running requirements, implementation of county level public hospital management and the use of human autonomy. Exploration of the establishment of the Council and other forms of public hospital corporate governance structure of public hospitals, function orientation, development planning, major investment by the government to manage the medical power main body or council. (Department of health, development and Reform Commission, the central office responsible for)
To establish and perfect the system of president in charge and term goal responsibility system. Health administrative departments responsible person may not concurrently hold leadership positions in public hospital. Continue to deepen the reform of the personnel system, gradually to promote public hospital medical staff pension and other social security service socialization. (the Ministry of health, Ministry of human resources and social security charge)
(6) to improve the hospital internal incentive mechanism. Sound to the service quality, quantity and patient satisfaction as the core of the interior allocation mechanism, reflect more pay for more work, and merit pay. Improve personnel expenditure as percentage of business expenditure, improve medical treatment. Directors and hospital management by the government to manage the medical subject or authorized the Council to identify. No medical staff of personal income and the hospital medicine and examination of income. (the Ministry of health, Ministry of human resources and social security, the Ministry of finance is responsible for)
13 city expanding and deepening the reform of public hospitals.
Around the politics to separate, separate tubes do, separation of medicine, profit and non-profit separately, in order to get rid of "medicine medicine" mechanism as the key link, in order to reform compensation mechanism and the establishment of modern hospital management system for grasper, deepen the innovation of system and mechanism, to improve service quality and operational efficiency, form as soon as possible reform of the basic approach. Research and exploration to take to set up specialized management agencies and other forms to determine the government medical institutions, performing government running public hospital functions. According to the need of reform, the performance salary distribution, pricing, procurement of drugs in terms of pilot areas some autonomy. (Department of health, development and Reform Commission, Ministry of human resources and social security, the Ministry of finance, the Ministry of education, country endowment appoint responsible)
14 develop non public medical institutions.
(1) country as soon as possible to encourage social capital to hold the development of medical institutions implementing rules, refinement and encourage social capital to manage the medical policies, support the development of a number of non held in public medical institutions. Health departments should limit clearing modification related policy documents. Further opening of medical service market, the relaxation of social capital to hold medical institutions access, active introduction of powerful enterprises, overseas quality medical resources, social power, funds, commercial insurance institutions and medical institutions to hold, hold development of non-profit medical institutions to give priority support. Overseas capital owned holding medical institutions pilot. Encourage qualified personnel (including Hong Kong, Macao, Taiwan) to open a practice. To further improve the practice environment, implement the price, taxation, medical insurance, land, the construction of key disciplines, evaluation and other aspects of policy, conditional place can be held on the social capital of the non-profit medical institutions to grant. Developing the medical service industry, encouraging the public medical institutions to the high level, the scale of the large medical groups and rehabilitation medical institutions development. (development and Reform Commission, Ministry of finance, the Ministry of health, Ministry of Commerce, Ministry of human resources and social security charge)
(2) to encourage public hospital resource rich region to guide social capital to participate in a variety of ways including state-owned enterprises run by hospitals, public hospital restructuring. To encourage social capital on the part of public hospitals to carry out various forms of public welfare support. (Department of health, development and Reform Commission, Ministry of finance, country endowment appoint responsible)
15 to carry out a comprehensive convenience services business unit.
(1) to the patient as the center, to serve as the guide, the simplified registration, visit, inspection, charge, medicine and medical service process, to actively promote regional unified hospital registration booking platform construction, execute generally an appointment, carry out "before treatment, after the settlement", improve the hospital environment, shorten the patient waiting time, convenient masses medical treatment. Vigorously promote quality care, advocacy volunteer service. (Ministry of Health)
(2) vigorously carry out clinical path, to strengthen the quality control of. To carry out the quality control of single disease, standard medical behavior. The clinical application of antimicrobial agents continue to begin special punish activity. Electronic medical records and hospital management as the core, to promote public hospital information construction. Medical inspection institution open to the society, inspection equipment and technical personnel shall meet the statutory requirements or have legal qualifications, to achieve results. (Ministry of Health)
16 county hospital service ability.
To strengthen county hospital to the talent, technology, key specialty as the core of the ability construction, each county key run 1-2 county hospitals (including the county hospital of Chinese Medicine), improve the treatment rate, reduce the county outside the rate. Start the implementation of county hospitals set up ad hoc post, be badly in need of high level talents introduction. Consolidating and deepening city hospital targeted aid County hospital long-term cooperation mechanism of helping, arrange 6000 county hospital personnel to a level three hospital further education study, development for rural and remote areas of the remote diagnosis system. (Department of health, development and Reform Commission, the central office, Ministry of human resources and social security, the Ministry of finance is responsible for)
(four) as a whole to advance the reform of relevant fields.
17 improve the equalization of basic public health services level.
(1) continue to do a good job in 10 national basic public health services, and strive to improve service quality, the residents awareness rate and satisfaction. Urban and Rural Residents Health Archives standardization of electronic filing rate achieves 60% above, hypertension, diabetic patients with standardized management has 65000000, 18000000. Investigation found that all of the patients with psychosis is incorporated into the scope of management. Strengthen national immunization vaccination. To improve the flow of population and the rural left-behind children and the elderly public health services accessibility. To strengthen health promotion and education, advocate healthy lifestyles, and guide scientific and medical treatment and rational drug use. (Department of health, the Ministry of finance is responsible for)
(2) to continue the implementation of major public health programs, infectious diseases, chronic diseases, occupation disease, psychosis, major endemic diseases and other serious harm people's health disease prevention and control. Improve the professional public health service network, continue to support rural prehospital emergency system and county health supervision institution construction, strengthen the major disease and the prevention and control of food safety risk monitoring ability construction. (Department of health, development and Reform Commission, Ministry of Finance shall be responsible for)
The 18 advancing medical resource structure optimization and adjustment of the layout of.
(1) establishing regional health planning, clear Province, city, county the standards of health resource allocation, new medical and health resources give priority to social capital. Per thousand of population number of health institutions and beds of 4 copies, in principle no longer expanding scale of public hospital. (Department of health, development and Reform Commission, Ministry of Finance shall be responsible for)
(2) strengthen weak links in the construction of medical service system, support the medical construction of key specialty. The strengthening of the provincial children's Hospital and the city, the county hospital pediatric construction. Start the remote area municipal general hospital construction. To strengthen the medical and health information technology standardization construction, the promotion of information technology and management, standard of diagnosis and treatment and the daily supervision effective fusion. (development and Reform Commission, Ministry of health, the Ministry of finance is responsible for)
19 innovations in health personnel training system.
(1) strengthen nurses, nursing nurse, pharmacist, pediatricians, and mental health, pre-hospital care, public health emergency, health supervision, the hospitals and the medical insurance management talents and cultivating high-level talents. Introduction of the standardized training of resident physicians and guidance system, speed up the establishment of standardized resident training system. (the Ministry of health, Ministry of education, Ministry of human resources and social security, the Ministry of finance is responsible for)
(2) promote the doctor multi-sited licensed. Each district should publish doctor multi-sited licensed implementation rules, encourage have the qualifications of applicants for multiple locations in practice, perfect registered medical practitioners, record, assessment, evaluation, supervision policy, establish physician management of archives. Establish and perfect the medical insurance and the mechanism for handling medical disputes. (Ministry of Health)
20 promote the medicine production and circulation reform.
(1) reform of drug price formation mechanism, selection of clinical use of drugs on the basis of large quantity, leading enterprise cost, the reference drug centralized purchasing price and retail pharmacies selling price and market price of the highest retail price guide. Improvement of imported drugs, the price of high value medical consumables management. (development and Reform Commission)
(2) improve the pharmaceutical industry development policy, regulate the order of production and circulation. Promote medical enterprise improve the ability of independent innovation and the optimization and upgrading of industrial structure of medicine. Development of modern drug distribution and chain operations, improve the rural and remote areas of drug delivery capacity. To promote the pharmaceutical production, circulation enterprises to cross a region, cross system of ownership acquisition and merger and reorganization. To encourage the development of retail pharmacies, and equipped in accordance with the regulations of licensed pharmacists. (Ministry of industry and information technology, the Ministry of Commerce, food and Drug Supervision Bureau)
(3) improve the quality standard of drugs, improve the pharmaceutical quality level. The implementation of the newly revised drug production quality management standards, revised and issued the implementation of drug operation quality management rules, regularly release drug quality bulletin. The manufacture and sale of counterfeit and severely punished illegal behavior, severe blow "hang", "walking cast" lending licenses, and the sale of stamps, release false drug advertising and other illegal activities. (food and drug administration, the Ministry of industry and information technology for)
21 sound medical and health supervision system.
(1) strengthen medical expenses supervision control. Will all costs and total cost of growth rate, inpatient bed days and drug control management objectives into the proportion of public hospitals the target management responsibility system and performance appraisal, strengthen the cost growth rate is rapidder diseases' diagnosis and treatment behavior monitor. And timely for the pursuit of economic interests of the unreasonable use of medicine, timber and check and double check behavior. To strengthen the medical service fees and drug price supervision and inspection. (the Ministry of health, Ministry of human resources and social security, development and Reform Commission)
(2) strengthen health supervision. Study on the classification of medical institutions to establish scientific evaluation system. To strengthen the medical service safety quality supervision, strengthen the prescription review and drug use management, standardize the medical device in clinical use and safety management. Severely crack down on the illegal practice of medicine, and seriously investigate and deal with the drug bidding and purchasing, claims such as the key link and medical services in the process of illegal acts. The establishment of a public information, various social participation in regulatory system, encourage social organizations and individuals to conduct independent evaluation and supervision of medical institutions. Strengthen industry self-discipline and the construction of medical ethics. (the Ministry of health, Ministry of human resources and social security, food and Drug Supervision Bureau)
　　 Three, safeguard measures
(a) strengthen target responsibility system.
Establish and improve the responsibility system and accountability system, the State Council reform leading group office and each province (area, city) medical reform leading group to sign responsibility book. Each province (area, city) main leader of the area government reform work responsibility, in charge of routine work and health work is specific catch, formed each member unit division of responsibility, closely matched the strong implementation mechanism. All relevant departments, provinces (area, city) to layer decomposition of tasks, and levels of responsibility, before 1 May 2012 to complete the task decomposition, made specific arrangements.
(two) strengthen the financial guarantee measures.
Governments at all levels should actively adjust the structure of financial expenditure, increase investment strength, cogent safeguard annual health needed funds into the financial budget, and on time full specified amount appropriated in place. In the arrangement of annual health investment budget, should cogent fulfil "government health investment growth rate higher than the regular financial expenditure growth, government health investment accounted for recurrent expenditure proportion rise stage by stage" requirement, each province (area, city) reform in 2012 to 2011 was higher than. To increase the central, provincial finance the difficult areas of special transfer payments. The public finance departments at all levels in the draft report to the government budget and final accounts to make a special explanation of health investment. Strengthening financial supervision and management, project implementation and fund performance as medical responsibility main assessment content, raise capital to use benefit.
(three) strengthening performance appraisal.
The State Council reform leading group office should work together with relevant departments and local further strengthen the implementation of medical progress and effect monitoring and evaluation, a monthly bulletin, a quarterly assessment, the assessment of the performance evaluation mechanism. To continue to strengthen the monitoring, timely detection of the implementation of medical problems, solutions and urge local rectification. To strengthen guidance, take a slice contract, supervise and interviews some ways to strengthen the organization and implementation. General Office of the State Council on medical reform task is timely to conduct supervision and inspection.
(four) strengthen propaganda and guidance.
To adhere to the correct direction of public opinion, the sound department, local health propaganda and communication and coordination mechanism, strengthen the active guidance and positive publicity, in-depth excavation of typical experience, adopt masses of press close to, thorough basic level display effect of reform, expand the publicity effect. To the timely release of medical progress, perfect mechanism of public opinion to verify, voluntarily accept the supervision of news media, and response to the social issues of concern. To mobilize all involved in health care reform enthusiasm, initiative and creativity of staff, give full play to the main force, to deepen reform to create a good atmosphere and social environment.