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The ministry of health issued by about 2013 national health work meeting paper notice

 

 

The ministry of health of the People's Republic of www.moh.gov.cn

 

 

All provinces, autonomous regions and municipalities directly under the central government, xinjiang production and construction corps, deputy provincial city health department (bureau), department directly under the various units, each department authority department bureau people:

With the approval of the state council, ministry on January 7, - 8 was held in Beijing the 2013 national health work meeting. In order to thoroughly implement the spirit of the meeting, the Outlines of the comrades working report and comrade zhang summary speech printed and distributed to you, please study hard, elaborate organization, guarantee the implementation, completed in 2013, health reform and development of the various tasks.

 

        Accessories: 1. The ministry of health minister Outlines in the 2013 national health work meeting work report. Doc

                                2. Comrade zhang in 2013 national health work meeting summary speech. Doc

 

 

The ministry of health

On January 30, 2013

 

Comprehensive implementation of the party's eighteen great spirit

 

In order to improve the people's health level and work hard

 

- in the 2013 national health work meeting work report

 

The ministry of health minister Outlines

 

(jan. 7, 2013)

 

 

 

 

 

The comrades:

 

        This year's national health work conference, is in the national people's efforts to boost overall well-off society, built in the health system to implement the reform deepening "1025" the key moment of the plan at a very important meeting.

 

        The topic is: further study and implement the party's eighteen big spirits, hold high the great banner of socialism with Chinese characteristics, deng xiaoping theory and "three represents" the important thoughts, the scientific concept of development as the guide, according to the central economic working conference requirement, the system summary 2012 health work, in-depth analysis of the problems and challenges faced, clear work ideas and improve policies and measures, the deployment of the work, to emancipate the mind, improve style, cohesion strength, reform and innovation, a crucial grams difficult, promote health science development, in order to improve people's health level and work hard.

 

        Below, I speak three ideas, for our discussion.

 

        A, 2012 health work summary

 

        2012 is the key to deepen the reform of transitional. According to department statistics information center at the end of November, 2012 medical monitoring data, the ministry of health lead 33 task successfully completed. The provinces (autonomous region, municipality directly under the central government) for a lot of helpful exploration, accumulated a lot of valuable experience, the meeting communication material reflects the cure all the window, hope everyone earnestly study and use for reference each other. Below, I emphatically summarized progress in 2012 outstanding aspects work.

 

        (a) to deepen reform, the key work promoting.

 

        The new rural cooperative medical system security level and further improve the supervisory ability. New farmers joint coverage to stay above 95%, the per capita raise 290 yuan. 2012 1-3 quarter, and kind of serious illness actual reimbursement ratio reached 66%, the whole year is expected to benefit patients at least 800000 people. According to the disease, head and bed, total pay, such as advance payment to continue to push forward the reform. The national general new farming together information network, 89% of the province as a whole area to realize interconnection and interflow, instant "report, national information platform and nine provinces (autonomous regions and municipalities) unicom, realize spanning provinces supervision. Entrusted to carry out commercial insurance agency orgnaization of new agriculture joint management pilot, explore to establish management, handling and regulatory separate operation mechanism.

 

        Essential drugs system continued to expand and promote grass-roots comprehensive reform further. Essential drugs system, from the basic medical and health institutions continue to outspread, covered the whole country 74.6% village clinic. Provincial drug bidding procurement platform universal established, all government basic medical and health institutions essential drugs the realization of online purchase. The 97.4% of the county (city, area) the basic medical and health institutions under a contract employment system and post management system.

 

        Public hospital management system and operational mechanism reform deepening. At present the national more than 600 county (including the state defined the first batch of 311 counties) at or above the county level in more than 1000 public hospital comprehensive reform pilot unit, around cancel "medicine for medical" key link, promote management system, compensation mechanism, personnel distribution, procurement mechanism, the price mechanism, and other comprehensive reform. 17 trial reform of public hospitals to explore city politics separate, tube do departure system mechanism reform. Make an appointment diagnosis and treatment, high quality nursing, service for the convenience of instant settlement, measures such as medical institution in the universal implementation, people feel a doctor improved obviously. Guide social medical policy efforts to significantly increase.

 

        Basic medical and health services standardization construction, grassroots medical staff training work goes well. Basic and major public health programs to implement further strengthening, performance evaluation was strengthened.

 

        (2) medical and health service capacity and safety quality improved.

 

        Through the national clinical key subject construction, city hospital physician support rural, the eastern part of the tertiary hospital at or above the county level shall support the western hospital, rural areas and the western region to rapidly promote service ability. Formulation and implementation of more than 400 kinds of clinical pathway and points path, widely in hospital infection, drugs, the application of antimicrobial agents special management, medical behavior more standard. Carry out the "peace hospital" create, medical institutions internal security management strengthened, and the order of diagnosis and treatment to improve. Prefecture-level above established common medical dispute mediation organizations, intercessory success rate of 85%, 93% satisfaction.

 

        (3) major disease prevention and control, public health emergency and maternal and child health effect.

 

        There is no national major epidemic, class ab and new cases of infectious disease situation overall smooth. HIV/AIDS, tuberculosis detection and comprehensive intervention coverage and therapy improved significantly, the fatality rate was significantly reduced. Measles, malaria prevention and control effect is remarkable, and the number of cases were down by 53% and 42%. Children under the age of five hepatitis b virus surface antigen carrying rate drop to below 1%. The world health organization confirm our country restored without JiHui state. The prevention and control of chronic diseases are more attention, the 55% of the county (district) in healthy lifestyle action, chronic disease comprehensive prevention and control demonstration area continue to expand. Women and children health continued to improve, to realize the goal of eliminating tetanus. Health emergency support capacity strengthening, 25 provinces realize emergency command system network connectivity, disease monitoring and tracking the health emergency rescue and orderly development, the national major activities effectively health emergency security.

 

        (4) food and drug safety supervision and health supervision and law enforcement to strengthen overall.

 

        The food safety standards, improve risk monitoring plans. Chemical pollutants and food-borne pathogenic microorganism monitoring nationwide all provinces and cities of 90%. In key areas, key varieties, key link to carry out drug quality and safety comprehensive treatment is effective. Essential drugs to realize the whole enterprise, all varieties, the whole process of electronic supervision, sampling inspection qualified rate 98.7%. Start generic drug consistency evaluation.

 

        Health supervision and law enforcement significantly increase. Drinking water monitoring post point all over the country, the occupational disease, medical radiation protection, primary and secondary school health monitoring post point gradually increase. Complete the national occupational health condition investigation. More than 80% of the county (district) in health supervision assistant, more timely and effective supervision.

 

        (5) traditional Chinese medicine work pay more attention to service base, close to the masses.

 

        Traditional Chinese medicine has been cure advantage in the play. In the basic public health services to explore suitable for traditional Chinese medicine service projects, the per capita funds standard and service process. Strengthen the essential drugs list of traditional Chinese medicine (TCM) equipped with instructions. Organize the implementation of grassroots to enhance the ability of traditional Chinese medicine engineering and inheritance system construction. In 22 provinces of traditional Chinese medicine resources census pilot. The culture of TCM science patrol speak activities benefit hundreds of millions of families and the masses.

 

        (6) science and technology talent information and other work play an important supporting role.

 

        General practitioners and resident standardization training work actively promote. Science and technology major projects carried out smoothly. Base in the western province of appropriate technology widely. Through the issuance of residents health card, the construction of medical institutions drug electronic supervision and electronic medical records system, and gradually play a health information in the service for the convenience and the role of supervision.

 

        In 2012, the central government has invested 24.3 billion yuan used to improve medical and health service system construction, health system widely developing infrastructure and financial review supervision, special funds for supervision and inspection, medical service price management, to ensure capital standard is used. Through the excel, "miyoshi YiManYi", the socialist core values big discussion activities, health professional spirit more thorough popular feeling. Increase the management of commercial bribery pharmaceutical sales field work dynamics, risk control and prevention of strengthened. Extensive international cooperation and communication, and improve our country in global health affairs of influence. The National People's Congress standing committee passed the mental hygiene law, the state council information office issued the "China's medical and health services," the white paper, the ministry of health organization research released "health China 2020" strategy research report, promote evidence-based decision-making and administration according to law process. News publicity, government affairs public and health complaint reporting fruitful, and enhance the society to health work understanding and support.

 

        Comrades, through the above briefly summarizes, we are delighted to see 2012 health have made new progress and new achievement. This is not only in the past year the result of hard work, but also to deepen reform in recent years reflects the results. Deepen the reform, the establishment for the people's health service reform direction and 2020 everyone will have access to basic medical and health services goal, China health reform development concepts and ideas more clearly. After efforts, our country has been established to cover 1.3 billion population basic medical insurance system, the basic drug system at the basic level, the full implementation of the basic public health services to provide equal access to gradually realize, covering both urban and rural medical and health service network in China, the basic characteristics of basic medical and health system has been set up preliminarily. Urban and rural residents more convenient hospital, medical expense burden significantly reduce, the national health level unceasing enhancement, infant mortality, the maternal mortality rate and the average people expect life to developing countries advanced level.

 

        For many years, the national health system the cadres and workers, whether in earthquake relief, deal with public health emergencies of the first line, or in the ordinary medical and health work, always put the people's health in the first place, fulfill their duties, cautious and conscientious, to safeguard the people's life safety and health has made a great contribution to the deepening reform and deserves to be the main force of the people's health and deserves to be loyal guards! Here, I would like on behalf of the ministry of health in a line, to work hard, hard work of medical health workers say heartfelt thanks and best regards! Long-term support to health development of party committees at all levels, the government and relevant departments, to care for and support the health work of the social from all walks of life, news media and the broad masses of the people, our heartfelt thanks and great respect!

 

        Second, the party's eighteen big spirit as the guidance, coordination promote medical health system reform

 

        (a) to study hard, to understand, adhere to the health the direction of reform and development will not be shaken.

 

        The party's eighteen big make our country has entered the overall well-off society critical stage in the basic judgment, established in 2020 in comprehensive well-off society's goals and tasks, this paper puts forward the general layout of the health reform and development and general train of thought, emphasizing adhere to people's health service reform direction, reiterated prevention, rural as the focal point, both Chinese and western medicine work principles and the basic, strong base, the mechanism of the basic principles, has been clear about the overall development of medical insurance, medical services, public health and drug supply, regulation system, comprehensive reform five key areas, and put forward the perfect national health policy requirements. Comrade zhang to the study and implementation of the party's eighteen big spirit on special, we should combined with practical work, carefully follow, think deeply.

 

        Contrast the new request of the eighteenth big, in the face of increasingly complex social and economic environment at home and abroad and the development of the reform of the new challenge, to meet deadlines everyone will have access to basic medical and health service goals, we increasingly feel pressed for time, the great responsibility. Only further summarize experience, firm faith, recognize the situation, your ideas, can have innovation, make a new breakthrough, and to realize the more.

 

        China health reform continuously, the unceasing development, the establishment of China's characteristics in basic medical and health system, improve the people's health has made great achievement, get the social from all walks of life affirmation and positive evaluation. Practice shows that the maintenance of public health public welfare qualitative reform ideas, adhere to the people's health service reform direction, realize everyone will have access to basic medical and health services as the goal of reform is correct, the establishment of basic medical and health system reform task, follow the basic strong base built mechanism reform principle is accord with national conditions, overall consideration, highlight key, progressive reform path is effective. These are Chinese characteristic health development road, theoretical system and the core content of the institutional framework, to realize the continuous improvement of the people's health level of the grand goal laid a solid foundation. To this, we must have full confidence.

 

        (2) base on the national conditions, be practical and realistic, objective analysis problems and challenges.

 

        Into the new century, the rapid development of our country's economy and society, the people's living standards improve, the party and government attach great importance to people's livelihood as the key to the social construction, reform made important achievements, in order to further promote the health reform and development to create a good condition and strong support. At the same time, must be awake to see, to meet deadlines health reform development goals, still faces many problems and challenges.

 

        First of all, the macro situation change on health reform, development and puts forward new requirements. The current international economic situation is still complicated and full of variables, China's development still faces many risks and challenges, from economic growth into steady growth, financial growth slowed, even a few years may be an austere life. Although the government will strengthen the health and other people's livelihood field investment, but to keep deepening reform, since the high growth is also great difficulties. The central economic working conference on the people's livelihood in reform of the general thought is "keep the bottom line, highlight key, perfect the system, and guide public opinion". In the health field, the government must take the basic "out" responsibility, will focus on solving the basic medical treatment, basic medical insurance, basic medical, basic public health services and so on, mainly rely on the system and mechanism innovation constantly improve system, mobilize the whole society to participate in the development of health reform to solve problems. We should fully realize that reform is the biggest bonus. Must deepen the reform not pause, bold innovation not walking, rely on the reform of medical and health services to realize great-leap-forward development.

 

        Secondly, satisfy the people's growing medical and health services demand is still an important task of the development of the health reform. Our country will still long in the primary stage of socialism's basic national conditions has not changed, the total amount of health resources shortage, high quality resources shortage, uneven distribution, the structure unreasonable, the development mode of unsustainable problem is still outstanding, the residents growing multi-level diversified medical and health services demand far from satisfied, see a doctor difficult and expensive to see a doctor in recent years to ease, but still not solved. In recent years, although various measures, but medical treatment cost rise faster momentum has not been torsion, the impact of the reform, the overall effect and the masses to cure effect feeling, we must pay more attention to and resolved.

 

        Once again, China's basic medical and health system is still not perfect. One is the medical and health service system in urban and rural areas, large hospital and basic medical and health institutions positioning is not clear, the service in many ways not cohesion, public health and medical service disjointed situation has not been fundamentally changed. Though the basic hardware conditions have greatly improved, but the talented persons, do not leave, village doctor team is not stable, and other key problem is not solved. Parts of the performance salary design is not reasonable, appear "mess, raising quitter" phenomenon. Encourage social capital to do medical social environment has not been formed, elderly care, rehabilitation care services is very short. The second is the basic medical insurance system for urban and rural residents funding level, the scope of protection is still limited, the different between system and regional differences to ensure treatment. Compensation system design is not rational, outpatient expense narrow range, scale low, resulting in the "big medical ailment", in the high rate of new problems. Supplementary medical insurance and commercial health insurance development is slow. Three is the national drug policy is still lack of top design, the national essential drugs product properties is not clear, the basic drug policy is still not perfect. The pharmaceutical industry concentration is not high, medical technology innovation is insufficient, especially medicine circulation link, circulation cost too much higher problems remain. The fourth is the public health situation grim. Along with our country industrialization, urbanization and population aging process speeds up, production and living environment and mode change aggravate, multiple disease threat coexist, all kinds of health risk factors interweave, disease control and prevention to bring great challenge. 5 it is medicine and health supervision system lack of effective system arrangement and strictly carry out. In recent years more than up all the medicine marketing field cases of bribery in business, many medical institutions leaders and experts also hangs, painfully, serious damage to the government's reputation and image of the medical staff, risk prevention and control management tasks are still very difficult.

 

        Finally, medicine and health care reform further strengthen the integrity system coordination. New farmers joint as an example, improve end-stage renal disease and kind of a serious illness, meet the security level is an important bottleneck is medical institutions at or above the county level, especially the hospital service ability is insufficient, the impact of the policy implementation. Be like again, children's drugs, blood products, and other part of the pharmaceutical production in short supply and basic drug bidding procurement policy not perfect, resulting in the "price cut die" or distribution is not seasonable, influence the clinical application need. Be like again, although the basic medical insurance policy range than submit an expense account has reached or close to 75%, but due to the reimbursement list for external use have not been effectively controlled, the actual reimbursement is only 50%, residents medical expense burden is heavier. In addition, the medicine production and circulation field order, the price of drugs virtual high and circulation cost is enormous, which not only cause drug and its consumables waste of medical resources, the increase of the medical insurance fund overdraft risk, also become corrosion health team, lead to patients to medical staff distrust of the important factors.

 

        (3) improve policy, balanced and coordinated promote deepening reform.

 

        At present, the reform has entered into the deep water area and GongJianQi, we according to the overall layout and requirements continuously push forward the reform. On the one hand to seize the key difficulty, find the breakthrough point, achieve new breakthroughs. On the other hand, to improve policies and measures, and overall coordination, and promote medical security, medical services, public health and drug supply and regulatory system of the five areas of comprehensive reform.

 

        First, in the medical reform, adjust service structure, improve efficiency. To do regional health planning, reasonably determine the number of medical institutions at various levels and layout, strictly control the large public hospital construction standard, size and configuration, control center city medical resource growth, to control the large public hospital monomer scale expansion, it is strictly prohibited to public hospital construction of debt. Encourage social capital conduct medical institutions, perfect setting for approval, for the private medical institutions set aside space for development. Guide the private medical institutions differentiation development, and public hospital formed complementary functions, meet the residents higher levels of medical service needs. Each year to the public medical institutions bedspace accounted for more than 2-3% increase to achieve 2015 accounted for more than 20% of the target.

 

        To strengthen the medical demand management and policy guidance, and gradually achieve the prevention and control of combination, hurry up and down slow partition, linkage, of the first diagnosis, two-way referral, enhance the medical service continuity and coordination, and improve the diagnosis and treatment effect. To seek through the medical service association and other forms, promote hospital and community integration, and rural integration, guide the medical resources to rural areas and basic flow, promote grass-roots service ability and level of ascension, improve the basic medical and health services the convenience and accessibility.

 

        Second, in the medical insurance reform, accelerate the payment system reform. Scientific and reasonable payment mechanism, not only can ensure safety and improve the medical insurance fund fund use efficiency, but also regulating medical behavior, to promote the rational use of medical resources. One is to reasonably determine the payment method and level. According to different types of institutions and service, take mixed payment mode, to guide the medical institutions active control cost; For different level medical institutions to determine different reimbursement ratio, and guide patients to a primary first diagnosis and classification of medical, as far as possible put patients at base; Improve the clinic reimbursement ratio especially significant slow disease in clinics reimbursement ratio, encourage patients preferred outpatient treatment, reduce the cost of treatment. The second is to realize payment reform as soon as possible complete coverage. To plan as a whole area gradually all to nod medical establishment and implement all disease payment reform. The third is balanced various interests. With the constant branch, according to fund bear ability reasonable fund pays level, scientific sure ginseng protect personnel to cost-sharing ratio. To establish the basic medical insurance agency orgnaization and medical service supplier organization negotiating mechanism, according to the medical service quantity and structure change trends and price index changes, determine the specific payment, quota, conditions and the allocation proportion, etc. In the implementation of the total amount control fee reform, devoid of simple extensive after total pay control, to adopt a "total amount control, balance continue to employ, overspend share" way. The fourth is to expand to pay limits. Gradually the prevention health care, disease screening, elderly care and rehabilitation services included in the scope of protection, that the basic medical insurance from the traditional "the medical treatment" to "the health" transformation. Five is to strengthen the fine management, strengthening the quality supervision. Play to health and other departments of medical service coordinated supervision function, the use of administrative, economic, management and so on many kinds of means, to ensure the implementation of the reform of the medical institution payment after service content not reduce, the service level is not reduced, realize to ensure that the service quality and cost control unreasonable rising dual goals, safeguarding the interests of ginseng protect personnel.

 

        Third, in the medical reform, vigorously promote and perfect the drug centralized bid procurement system. To give full play to our country medical service market scale huge advantage, through the group buy, strengthen negotiation skills to decrease flow field of "water". From basic medicine to, from the major disease medical security involved in drugs, equipment and consumables start, implement strict sense of centralized bidding procurement. Can explore the public hospital management departments within their respective jurisdiction on behalf of all public hospitals in the centralized purchasing work at the provincial level, on the basis of YaoXie and production management enterprise to clinch a deal signed confirmation, purchase and sale contract, clear purchasing variety, quantity, collection time, clinch a deal the price, realize belt quantity purchase, price and volume hook, utmost lower drug prices. For a sole production medicines, can save for the unit directly with the pharmaceutical production enterprise agreed purchase quantity and price. Necessary for clinical treatment, the dosage is small, the price is low basic drugs, explore the tender for designated production, unified distribution, drug supply security.

 

        Fourth, to carry out the policy of prevention and health work, contain chronic non-communicable diseases rapidly rising momentum. Will into health related economic and social policies and public policy, industrial development planning and the major construction project, must be healthy preliminary assessment. To create a healthy urban core index into health town are set up, and the content of the assessment, gift patriotic sanitation campaign new era spirit, and based on this platform, and promote comprehensive prevention and control of chronic create demonstration and carry on the nationwide health life style action. Promote health literacy promote action, health education work effective in prevention, medical care, rehabilitation, all medical and health services activities. According to the disease pattern change and residents health needs, and constantly develop the equal access to basic public health services service and scope of the project, the integration of basic medical and health institutions, professional public health services and hospital service, technology and management resources, in view of the chronic non-communicable diseases such outstanding public health problems and provide high quality early intervention and control health risk factors, radically reduce chronic non-communicable diseases brought disease burden.

 

        Fifth, actively yet prudently proceed with health supervision system reform. The administrative departments at all levels of health as the public interest representative, we need to undertake maintenance people's health rights and responsibilities, and strengthen the medical and health service quality and safety supervision service behavior, and ensure that the people have a safe effective convenient cheap basic medical and health services. To all medical and health institutions regardless of ownership, ownership, profit and nonprofit, etc in accordance with the gauge management according to law, create a fair market competition environment, guarantee the medical and health services for the healthy and stable development.

 

        At present, we should focus on promoting the pipe to separate and separate politics. Tube to do is to separate the public medical institutions held functions and medical and health market separate regulatory functions, in the big health framework to explore pipe run separate effective realization form. Trial reform of public hospitals in the city, can establish hospital management committee (bureau, center), and other substantive body responsible for public hospital state-owned assets management and supervision, the hospital of the person in charge of the main employment guidance, hospital management system and operational mechanism, to carry out the reform of medical responsibility to do. The public health administrative department shall, in accordance with the ShuDeHua and the industry management requirements, strengthen health development planning, professional certification, standards, service and supervision of industry management. In the other city or county, can be set up by the government led by the person in charge, health, hair change, financial, social, compilation and other departments of the hospital management committee, the integration of government in public hospital do medical responsibility, specially responsible for public hospital held and fine management.

 

        Implementation of the government affairs separate, is scientific and reasonable to define the government public medical institutions held the responsibility of supervision and regulation as well as the public medical institutions as institutions of the operation management authority, the government should perform good asset management, financial regulation, performance assessment, medical institutions mainly responsible for the employment and responsibility, will post setting, personnel hiring and internal distribution of decentralization public medical institution, realize macroscopic constrained, micro dynamic.

 

        According to the party's eighteen big accelerate new urbanization, coordinating urban and rural economic and social development of the overall requirements, follow the unity, efficient, harmonious principle, the integration of basic medical insurance system, financing, services, handling and management function, form the main body of responsibility for clear and management service efficiency, to control costs and overall coordination of the development of public health administrative management system. The reform must be from better meet people's health needs and improve the medical health system based on integral effect, follow the rules, top design, overall planning, organization, steadily.

 

        Third, in order to deepen the reform as the center, solid do 2013 health work

 

        This is the spirit of the implementation of the eighteen the beginning of this year, according to the work of the ministry of health has made the 2013 health work points ", issued by the implementation will be all over. I have no specific deployment of the work, only emphasized the work this year the overall thinking and several key work schedule.

 

        2013 general idea is, the comprehensive implementation of the party's eighteen big spirit, continue to deepen the reform, as the central task of the department of health, according to "the basic, strong base, build mechanism" principle, grasp the key problems, improve policies and measures, and pay more attention to improve the service quality and reform effect.

 

        (a) learning comprehend the party's eighteen big spirits, clear goals of reform and development.

 

        Implementation of the party's eighteen big spirits, is the primary task of the health work this year. To study hard, to understand, the ideological recognition and action unity to the eighteenth big certain reform direction, objectives, principles and requirements come up. According to all the "1025" during deepening medical health system reform plan and implementation plan "and" health service development "1025" plan ", make sure the reform development route and schedule, each task divided into annual work index, inverted schedule, pays special attention to the implementation of the supervision and inspection, to ensure that the various tasks completed as scheduled.

 

        (2) perfect the new rural cooperative medical system, improve the level of security.

 

        One is to improve the new agriculture joint financing standard, consolidate ginseng add up to rate. The national per capita financing to reach 340 yuan, of which the government subsidies at all levels increased to 280 yuan per person, more than 2012 years to add forty yuan. Ginseng add up to rate to stay above 95%.

 

        The second is to improve the compensation standard, the actual reimbursement ratio to strive for more than 2012 increased by 5%. To improve the clinic diagnosis and treatment of chronic disease of the reimbursement ratio, and give full play to the medical diagnosis and treatment in constructing hierarchical order in respect of the leverage. To save for the unit full implementation of end-stage renal disease, lung cancer and kind of serious illness security work. I mention here is not the policy within the scope of the reimbursement ratio, but the actual reimbursement ratio. To do this, the key is to establish reasonable medical path to strictly limit the policy the drugs, supplies, the use of technology, only in this way, can we really solve the problem of high cost. Of course, with the gradual improvement of the security level, some of it is outside the scope of policy drug, consumables will gradually into the policy to submit an expense account range, but can never in the policy the excessive medication, the excessive examination.

 

        Three is to buy a serious illness insurance pilot, completes the rural residents major disease medical security and serious illness insurance effective cohesion. In the development of a serious illness insurance pilot areas, giving priority to the kind of major disease into a serious illness insurance scope, first by the new agriculture close according to not less than 70% of the compensation, the compensation, the individual responsibility cost more than a serious illness insurance compensation standard parts, again by a serious illness insurance according to not less than 50% of the compensation.

 

        The fourth is to strengthen the new agriculture close management, strengthen the new agriculture close supervision. Continue to explore convenient and beneficial to human measures, combined with the residents health card, promote new farming close "all-in-one-card" pilot work, convenient masses go to a doctor and instant "report. Places where conditions permit may gradually raise new farmers joint fund as a whole level, strengthen fund risk resistance capacity. Perfect entrust commercial insurance agency orgnaization of service access and withdrawal mechanism and incentive and restraint mechanisms, and accelerate the commercial insurance agency orgnaization of service in the new agriculture together. Strengthen the supervision inspection dynamics, standard service behavior to nod medical establishment.

 

        (3) consolidate perfect national system for basic drugs and basic operation mechanism, improve the medical and health service level and efficiency.

 

        One is to improve the long-term stability of the multi-channel compensation mechanism. Further clarify basic medical and health institutions with the prevention and control of the function orientation, carry out financial aid policies, to ensure the basic public health services and funds in place, timely solve debt as soon as possible. To implement the general fee, into the basic medical insurance plan as a whole to pay limits, play of the compensation effect of the medical insurance payment.

 

        The second is to perfect the personnel distribution and the performance appraisal system. Encourage all first exploration, an appropriate increase in basic medical and health services organization establishment standards, and dynamic adjustment. To implement the basic medical and health institutions term target responsibility system, the implementation of the employment and post management system, establish the reflect public welfare and efficiency of the performance appraisal system. Strengthen the grassroots health personnel's inspection dynamics, the consummation incentive measures, and strive to solve the low efficiency of the reform in question.

 

        Three is to promote the basic medical health service ability, and transform service mode. Continue to promote the Midwest basic medical and health service system construction. Through a variety of channels, and constantly enhance the basic medical and health institutions talents quality. Continue to the basic medical and health institutions directional free training medical students, and constantly optimize order directional medical students training program. To speed up the standardization training of general practitioners, significantly improve the general practitioners salary, promote and implement general practitioners, the plan, the general practitioners title promotion preferential policy, extended career development space. Promotion of general practitioners team service, promote service contract and grassroots first clinical trial. To promote rural doctors to practice (assistant) physician transformation, and actively carry out the training funds and culture doctors treatment security. To carry out general country assistant practicing doctors' test, consolidate the rural WangDe. This is tailored for rural doctors national examination system, in order to ensure their professional dignity, professional treatment and career development. Vigorously promote the integration of county and township government and rural health management and talent soft flow policy. Continue to organize urban and rural hospital of support. Further improve the basic medical and health institutions worker working and living conditions.

 

        We should actively explore and promoting medical association and linkage system mechanism, in the medical association, in large hospital within the framework of general medicine, the organization set up a group of doctors to descend a basic level to mobilize the general medical leader, responsible for the coordination and linkage, two-way referral and basic medical and health institutions and business guidance and personnel training. At the same time, also want to in major hospitals gradually establish a pyramid type talent team structure and post setting system, make big hospital personnel to grassroots flow. Encourage the city big hospital retirement doctor to basic medical and health institutions and service.

 

        The fourth is consolidate improve and expand the national system for basic drugs. Through the government subsidies and medical insurance compensation, etc, to continue to push forward the village clinic, non-government basic medical and health institutions and public hospital implementation of national system for basic drugs. New national essential drugs list, after the announcement to all provisions of the medical and health institutions at various levels and of various kinds of basic drug use ratio. Basic medical and health institutions all equipped with use of essential drugs; Secondary hospital basic drug usage and sales should be 40% - 50%, among which the hospital comprehensive reform at or above the county level ShiDianXian secondary hospital should reach 50% or so, Tertiary hospital basic drug sales to 25% - 30%. For basic medical and health institutions and the measures for the administration of the drug use, strengthen the medical and health institutions and medical personnel behavior of drug supervision. To crack down on illegal ACTS such as commercial bribery, maintaining the drug normal production, circulation and use of order.

 

        (4) actively promote the reform of public hospitals, maintain the public welfare.

 

        One is to earnestly implement the government in public hospital financial aid policy. The central government medical documents have been clear to public hospital investment policy, health administrative departments at all levels should take the initiative to study and master policy, actively, strengthen coordination, promote the government in public hospital financial aid policy put in place.

 

        The second is the reform of personnel distribution system, mobilize the enthusiasm of medical personnel. Through the establishment of dynamic management, implementing post employment system, establish performance evaluation mechanism, developing medical practitioners place more practice, make reflect the characteristics of medical and health industry salary system policies and measures to perfect the incentive mechanism, improve the medical staff treatment.

 

        Three is to grasp the cancel "medicine for medical" key link mechanism, continue to promote public hospital comprehensive reform pilot at or above the county level. The pilot will cover all provinces (autonomous regions and municipalities), ShiDianXian reached the national county total more than 50%. Actively promote the medical technology service price adjustment, the full implementation of the new medical service standard, which embody the medical staff technical service value. Strive to increase government input and medical insurance compensation dynamics, to the end of 2015 at or above the county level in 90% of the public hospital and all public hospital reform pilot city cancel "medicine for medical" mechanism lay the foundation.

 

        The fourth is the modern hospital management system construction. Explore to establish council, and other forms of public hospital corporate governance structure, clear public hospital, the owners, operators and stakeholders ZeQuanLi relationship between, establish a scientific incentive and restraint mechanisms, and give the public hospital operation autonomy, ensure public hospital public welfare and efficient sustainable operation.

 

        I want to emphasize that the ministry of health budget management in hospital is public hospital platoon guide, concentration of the best professional technical and management personnel, get the central and local financial support, in the medical treatment, scientific research, teaching, support of an important contribution. In the future, the hospital more active plan and promote the reform, the reform of public hospitals play a leading role and demonstration. At the same time, play talent, technology, management, and other areas of advantage, support ShiXianJi public medical institutions and private medical institutions and to enhance the ability.

 

        (5) pays special attention to the public health work, curb major disease rising.

 

        One is to strengthen the public health service system construction. The full implementation of the government public health institutions to professional investment policy, ensure public welfare operation. According to the TianPingBuJi principle, continue to strengthen the prevention and control of major diseases, such as rural emergency public health institution construction. To study and formulate maternity and child care institutions construction planning and standards, the positive argument. To strengthen the emergency ability construction. Perfect "of support" plan, professional public health institutions and two tertiary hospital should strengthen grass-roots staff to public health knowledge and skills training, guidance and cooperation, improve the medical and health institutions to provide public health service ability.

 

        The second is to continue to carry out the state's basic public health services. This year will be the per capita funds standard increased to 30 yuan. The various localities should strengthen capital supervision management, shorten the cycle of funds allocated, and promote the project fund only door management, special fund is special, closed operation. To make good use of the central finance special management funds, promote the basic public health services of fine management. To gradually clear township health center and the village clinic basic public health services special funds allocation proportion, in principle, the village clinic not less than 40%, to buying service manner subsidies.

 

        3 it is to carry out and expand the major public health services. In the implementation of national major public health service project basis, according to all the main health problems, and actively carry out epidemiological investigation, found that the major health risk factors, the choice on the residents' health threats, clear and intervention measures the cost of major disease, good effect in place of major public health services.

 

        Four is to do a good job in the prevention and control of major diseases. Implement the major infectious diseases and chronic disease prevention and control planning, effective control of the HIV/AIDS, tuberculosis and other major infectious diseases, contain high blood pressure, diabetes, cancer, stroke, copd and chronic non-communicable diseases rapidly rising incidence of momentum. Strengthen the common women and children screening supervision and guidance and quality control, actively promote the comprehensive prevention and control of birth defects.

 

        (6) strengthen the food and drug, medical services and public health supervision and management, safeguard the people's lives and health and safety.

 

        One is to strengthen the government administrative supervision. At all levels of health and the food and drug administration departments should stand in the maintenance of people's lives and health and safety position, in accordance with law, crack down on JiaLie manufacturing products, such as illegal medical endangering people life and health security and interests of the illegal behavior, set up the health administrative law enforcement credibility. To improve food and drug supervision regulations, further rectify and standardize the order of the pharmaceutical market. To establish and perfect the medical service laws, regulations and standards, strengthen medical service safety, quality and cost of supervision. Strengthen the safety of drinking water, sanitation, epidemic prevention, occupational hazards prevention and control and other social public health supervision.

 

        2 it is play the role of social supervision. The various localities should increase the medical and health management of public affairs, public dynamics, ensure the social from all walks of life, the people and the medical staff's right to know and to supervise. Play industry associations, and other intermediary organizations and social organizations of professional supervision function, strengthen policy measures, operation performance evaluation and supervision. The public health administrative department and the medical and health institutions should pay attention to and make good use of various social supervision and as a result, timely improve the management and service.

 

        (7) completes the inheritance and innovation, the development of Chinese medicine cause.

 

        We will continue to improve the financial aid, the service price, such as medical insurance reimbursement policy incentives, and promote the service provision and use of traditional Chinese medicine. Give full play to the traditional Chinese medicine "Jane, then, test and cheap" characteristics and advantages, improve the doctor of traditional Chinese medicine prevention and health care coverage and quality. Solid promote the traditional Chinese medicine services to enhance the ability project, "preventive treatment of disease" health engineering and traditional Chinese medicine inheritance and innovation talents project. To promote Chinese medicine legislation and standardization process. Promote Chinese medicine inheritance and innovation, construct traditional Chinese medical science and technology innovation system, improve the major disease prevention and control ability and research level. Further carry out the "Chinese medicine in China, · into the country, into the community, into the family" activities, prosperity and development of traditional Chinese medicine culture. The development of Chinese medicine service trade, more widely promote traditional Chinese medicine to the world.

 

        (8) increase health personnel and scientific and technological work force, promote health informationization level.

 

        One is to improve health personnel training and management policies. As soon as possible to solve the lack of total amount, structure and distribution problem is not reasonable. Accelerating the implementation of grassroots health personnel, shortage of talents, talents and traditional Chinese medicine doctors standardization training national health personnel security engineering.

 

        The second is promoting health science and technology innovation system construction, and give full play to the leading role of science and technology and support. According to the key disease, key crowd and key problems, increase investment in science and technology, medicine development promote the use of appropriate technology and develop major scientific and technological research. To strengthen the scientific research ethics review and research project supervision. Advance medical research base construction, strengthen the pathogenic microorganism laboratory biological safety supervising medical, accelerate the transformation of scientific and technological achievements.

 

        The third is to speed up the health informationization construction, promote resource sharing. According to the formulated by the state "3521" project framework, promote health informatization integrated pilot work. Accelerate national health comprehensive management information platform construction, connected component pilot provinces and cities and counties information platform of regional health information platform, and realize the pilot range across agencies across regions of interconnection and interflow, in guarantee information security and privacy protection on the basis of test results, and to realize the between hospital, medical imaging, medical records and the patient's basic information exchange and sharing. To ginseng add up to personnel, neonatal, occupational disease high-risk groups, voluntary blood donors and so on four focus groups, and large medical institutions as a breakthrough point, to speed up the residents health card issuance and use, perfect function, standard management, realize the residents electronic health records and electronic medical records, and to promote the dynamic integration information exchange and business synergy.

 

        Finally, we should emphasize a bit this year, all kinds of medical institutions at all levels will continue to further carry out the "merit YiManYi" activities, and vigorously promote the socialist core values reflect the medical and health professional spirit, strengthen the construction of medical ethics and self-discipline. Must carry on the organizational innovation, set up as soon as possible with rights protection agency, responsible for dealing with patients and social public relations, maintain the lawful rights and interests of patients with a good doctor-patient relationship. To comprehensive implementation of the 2012 the ministry of health and ministry of public security on maintaining the order of the medical institutions the spirit of the documents, to protect medical staff are not violated, for medical personnel to provide a safe working environment.

 

        The comrades! Health work the great responsibility, the glorious mission. We should take the scientific concept of development as the guide, fully implement the party's eighteen big spirits, do solid work, pioneering and enterprising, and constantly promote health science development, and constantly create a health reform and development of the new situation, in order to improve people's health level and make unremitting efforts!

 

 

In the 2013 national health work meeting summary speech

 

 

Health BuDangZu secretary, vice minister zhang

 

 

(on January 8, 2013)

 

 

 

        The comrades:

 

        The meeting is in the party's eighteen big victory, a health reform and development to enter the crucial time held. The meeting communicate learning the CPC central committee political bureau standing committee, vice premier li keqiang comrade's important instructions, listen to the Outlines of the comrades work report to the national health system, advanced collective and personal representatives of the recognition. During the conference, delegates around work report a heated discussion. It was agreed that report on global health work, practical, exciting, is guiding the national health system to work this year the important documents. Everyone has in view of the current health reform the difficult problems puts forward the opinion suggestion. The meeting is very good, to the unified thought, firm faith, recognize the situation, clear the purpose of the task.

 

        Below, around the implementation of the party's eighteen big and the central economic working conference spirit, combined with discussion, speak three opinions.

 

        A, implement the party's eighteen big spirit, adhere to the Chinese characteristic health reform development road

 

        The party's eighteen big made clear our party in the new situation for what flag, go what road, with what kind of mental state, to realize what goal of major problems, especially the improvement of the people's health level as the scientific view of development, the comprehensive well-off society in the construction of socialist modernization, and an important task of power, and indicated the health work target direction. The national health system must be combined with the actual work, an accurate grasp of the eighteen to health work new requirements, the eighteen big spirit as a new historical stage to the fundamental guiding ideology and health work. I speak some their learning experience.

 

        (a) adhere to the health work for people's health services basic direction.

 

        Put forward the eighteenth big health is to promote the all-round development of man is the inevitable requirement of. This important judgment, complied with the masses to physical and mental health and happiness life yearning, showing the health in the overall economic and social development of the important role. We should fully realize the historical mission of shoulder, always adhere to the direction of the service for the people's health, the health of the people to realize the new look forward to as our sacred duty, improve the people's health level as the final inspection standard, the perfect national health policy, improve the basic medical and health system, for the masses to provide a higher level of medical and health services as work essential starting point and the foothold.

 

        (2) adhere to the basic medical and health system, as to provide the public products.

 

        The eighteenth big focus on improve national health policy and to realize everyone will have access to basic medical and health services made further institutional arrangements. In a huge country with a population of 1.3 billion realize everyone will have access to basic medical and health services, is to establish and perfect the covering both urban and rural basic medical and health system as public products and to provide, from the allocation of resources, system construction, management system and operation mechanism and other fields, multi-level continue to deepen the reform, and constantly to break area and urban and rural differences, and constantly improve the basic medical and health system.

 

        (3) adhere to the prevention, rural as the focal point, both Chinese and western medicine.

 

        The eighteenth big in view of the current residents health and health work situation, pointed out to insist on prevention, rural as the focal point, both Chinese and western medicine. This requests us to adapt to the disease changes and medical model transformation process, take effective health risk factors intervention measures. Constantly improve the rural medical and health service conditions, improve the service ability, make rural residents to enjoy better public health and basic medical service. We will vigorously support and promote the development of traditional Chinese medicine and the folk medicine, give full play to the clinical curative effect definite, prevention health care function, unique treatment agile, cost is low characteristics and advantages, make traditional Chinese medicine continuously benefit the people health.

 

        (4) adhere to the basic, strong base, build mechanism.

 

        The basic, strong base, build mechanism is the basic principle of deepening reform. From our country and will remain so for a long time in the primary stage of socialism's basic national conditions, the basic, is to guarantee all the residents in the basic medical and health needs, reasonably determine the security standards, along with the economic and social development gradually raise the level of security, to realize the full coverage, sustainable; Strong base, the service is to focus on the basic unit, the more resources to the basic unit, the more talents technology to the basic unit, make basic institutions to become the first choice treatment; Building mechanism, is to continue striving to establish reflect public welfare, arouse the enthusiasm and ensure sustainable system mechanism, deal with the government and the market, fairness and efficiency, the relationship between incentive and restraint, and to promote the development of health science.

 

        (5) as a whole to promote health care, medical services, public health and drug supply and regulation system, comprehensive reform.

 

        The eighteenth big offered to plan as a whole propulsion five key areas comprehensive reform, to deepen the reform, pointed out the direction. To improve the national health care system, and gradually reduce system rooms, regional differences, the establishment of great disease protection and relief mechanism. To strengthen the construction of urban and rural medical service system, strengthen the cooperation and division of labor and linkage mechanism, optimize the allocation of resources, to change the service model, for the masses to provide integrity, continuity and coordination services. To carry out equal basic public health services each task, perfect the sudden public health incident emergency and major disease prevention and control mechanism, and actively carry out various forms, rich in content of patriotic health campaign. To improve the drug supply security system, perfect basic drug production, price, distribution, use, such as reimbursement policies. We should deepen the reform of the regulatory system and built up a unified and coordinated and efficient public health administrative management system. The five key areas closely related to overall planning, coordination development.

 

        The national health system to implement the spirit of the eighteen learning propaganda for the current and future a period of the first political task, deepening health reform with Chinese characteristics of the development road of the rich connotation, theoretical foundation and institutional arrangements of the understanding and master, under the leadership of the party, good practice and development, perfect good this way consistent with national conditions, and the unique health reform development way.

 

        Second, to reform, development and dominating the global health work, focus on the future construction of system, outstanding research to solve several key questions

 

        The party's eighteen forward, the comprehensive well-off society, we must built with greater political courage and wisdom, and lose no time to deepen reform of the important areas, and resolutely do away with all fetishes interfere with the scientific development concept and system mechanism drawbacks. Xi jinping, general secretary of the central committee in the second group learning stressed that the party's eighteen big establishment of reform and opening up to the implementation of major deployment and to seriously review and further summarizes the course of reform and opening up, the more deeply understand the reform and open policy the historical inevitability, more consciously grasp regularity of reform and opening up, the more firmly shoulder deepen reform and opening up the big responsibility. The problems in the reform of the reform can only use the ways to solve. Only when reform and opening up are not complete. Vice premier li keqiang in the national synthetically reform pilot symposium stressed that the reform and opening up is the biggest bonus development in our country, to realize the future development goals must rely on reform and opening up. The current reform has entered into GongJianQi, deep water area, reform such as he who does not advance loses ground, no courage, no rush forward, the reform will be stagnant. No director may not make mistakes, but must bear the historical responsibility. We must fully understand the central deployment and requirements, fully understand the shoulder great historical responsibility, emancipate the mind, persist in reform and cohesion strength, crucial grams difficult.

 

        We should carefully sum up three years experience in medical reform, in order to further deepen the reform add power. First, the reform to realize people have benefits, medical personnel, inspired by the purpose of health development. Reform is only one point, it is for the people and reform; Reform is only one standard, is to respect the will of the people, and actively respond to the masses including medical personnel's strong voice and strong looking forward to, with the reform of the biggest bonus let benefit for people. Second, the reform should focus on innovation system, the establishment of mechanism. In the increasing investment at the same time, but also to make a fuss about the system mechanism, to reform to benefit, can promote health science development. Third, reform is progressive, both neither can accomplish in one move, nor the fear of back; Both the overall development of, also want to highlight key points, We must strengthen the top design, also want to respect basic pioneering spirit. Should see, relative to the economy, the social field not only development lag, the reform lag. Especially the health industry as an important part of the construction of the society, and the health of the people not in conformity with the requirements of the conflict has not been fundamentally changed. Cure is a worldwide problem, in a large population, a poor thin developing countries to promote reform, the situation even more complicated and more difficult task. In the course of the reform will appear constantly new problems and facing the new challenge, must be solid, one step crack problem, promote reform. Below, around for a period of health reform, development and key tasks and problems, I again from the Angle of the system construction, emphasis on time.

 

        (a) in order to improve the actual security level as the goal, the basic medical security system to promote the sound and perfect.

 

        "1025" period, basic medical insurance system construction from the expanding range to improve quality transformation. The current focus is build up new farming combined conventional security, major disease medical security and medical rescue "three word security", and strive to improve the actual security level. To promote the formation of the adaptation of social and economic development level of basic medical insurance financing mechanism, realize the funding level sustainable growth. To actively improve the new agriculture together as a whole level, improve the ability to resist risks. To accelerate rural residents major disease medical security, reduce major disease patients high medical cost burden. To do the security system of the effective connection between, the convenience of the masses get compensation in time. To promote press disease, bed, and so on the many kinds of payment reform, the reasonable control of medical cost, improve the efficiency of fund utilization. To play a complementary role commercial health insurance, regulating the business insurance handling major disease medical security service.

 

        (2) from perfect operation mechanism at the grass-roots level to consolidate, stability and development in our country medical service foundation.

 

        Basic medical and health service system with a strong social and public welfare undertakings. "1025" period, to continue to consolidate the perfect system for basic drugs and a basic medical and health institutions operation mechanism. The first is to stick to the government leading, earnestly implement the government responsibility. Basic medical and health institutions and government special allowance funds to into the government budget and full implementation, and take various compensation methods implement drug zero rate policy subsidies. Establish basic public health services allocated funds dynamic adjustment mechanism, and to LaoShaoBianQiong region tilt. The second is consolidate essential drugs system effectiveness. Orderly promote village clinic, non-government basic medical and health institutions implementation of essential drugs system, and promote other medical institutions fully equipped, priority use basic drugs. 3 it is to advance comprehensive innovation. The full implementation of the general fee, into the basic medical insurance to pay limits. Reasonable preparation and total amount and realize the regional overall. The personnel allocation determine posts don't personal, realize the talents soft flow. Four is to improve the service ability. Strengthen basic medical and health institutions basic public health and basic medical service functions, focus on promoting the implementation of basic public health services equalization various tasks.

 

        (3) in order to maintain public welfare as the core, and promote the reform of mechanism of system of public hospital make new breakthrough.

 

        Public hospital reform is still the key and difficult points of medical reform. Want to protect public property as the core, reduce costs, increase efficiency, improve the degree of satisfaction. One is active and steady cancel "medicine for medical" mechanism, to explore the establishment of a modern hospital management system, and promote the measures we for the convenience of the institutionalization and along. The second is perfect multi-channel compensation mechanism. To carry out the public finance to the public hospital investment subsidy policy, solve the policy-related losses and liabilities. Promote medical service price adjustment, reduce drug, high value medical consumables and check the price, reasonable technical services to improve the price. Third, we will improve the supervision evaluation mechanism. To strengthen health industry supervision and basic medical insurance supervision, realize the public hospital operation and medical personnel professional ACTS, the real-time monitoring. Improve the service quantity, quality and the satisfaction is the core of the comprehensive evaluation system, and with financial and medical insurance funds allocated to hook. Want to innovate supervision mode, improve the regulatory standards, enrich the supervision power, service, quality, cost and timely information to the public.

 

        (4) to reform to promote the development, the full implementation of health service development "1025" planning.

 

        Must properly deal with the relationship of the reform and development, will promote the health science development as an important goal of deepening reform. According to all health development "1025" planning requirements, and strive to promote the following job: one is to optimize health resources allocation. In the actual demand as the guide to work out the regional health planning and program of the establishment of medical institutions, health resources to focus on new rural and urban communities weak link, ensure the basic medical service accessibility. Second, we must vigorously develop rehabilitation, care medical service continuity, promote diagnosis and classification, steep slow partition. Three is to strengthen the construction of hospital service ability at or above the county level, 90% of the common disease, frequently-occurring disease and some difficulty in getting treatment in severe county. Four is to encourage social capital held medical institutions and health service development, encourage of qualified personnel shall be set up clinics, meet the multi-level needs. Five is a policy, capital, talent support for each other, in order to improve the level of ability as the key point, we will continue to do a health to Tibet, aid and health poverty alleviation work in xinjiang.

 

        (5) to protect health sustainable development as the guide, set up a talent development law, full of vitality health personnel system.

 

        Talent has become a more and more problem restricts the health reform and development bottleneck. To realize the health talent team overall development, must grasp the following key points: one is to improve the health personnel training mechanism. Promote the general practitioner training, strengthen the general medical training. To speed up the establishment of a resident standardization training system. Strengthen the shortage of talent training need special. The second is to promote health personnel to grassroots flow. Implementation of the basic general practitioners, sloping plan. Implementation of the health personnel county tube township, township and village called in practice. Strengthen the long service grassroots health technical personnel in the title promotion, business training, welfare, etc policy efforts. Actively promote physicians more practice. Three, the establishment conforms to the characteristics of the medical industry salary system and on, can enter to the dynamic personnel mechanism.

 

        Here to special emphasis on rural doctors team construction problems. Rural doctors is rural public service system and an important part of the primary health team, adhere to the security, benefits and improve ability unifies, to study and solve compensation and the safeguard of the aged, and other basic treatment problems, strengthen the training of training, improve the service ability, improve and consolidate the basic health services WangDe.

 

        (6) to information into means, innovate management way.

 

        Health information is increasingly becoming the development of health service, maintain the health of the objective request and necessary means. To strengthen regional information platform construction, promote the medical and health information resources sharing, and gradually realize the medical service, public health, health care, drug supply security, comprehensive management information system interconnection and interflow. To speed up the basic medical and health institutions informatization construction, and gradually set up including drug supply use, health management, health services, performance evaluation function of basic medical and health information system, the development of rural and remote areas to the remote diagnosis system. To strengthen the hospital information construction, the establishment of hospital diagnosis behavior management and medical staff performance evaluation information system. To speed up the establishment of a unified national medical health information standard system, overall management health statistics, epidemic situation report, health supervision, medical treatment, medical service and supervision of information, from single management gradually into real-time supervision and comprehensive management.

 

        Third, strengthen the team construction of their own health, health reform and development to provide strong internal power

 

        2013 is the comprehensive implementation of the party's eighteen big spirit the beginning of reform and health is the career development "1025" planning served in a key. The task has been very clear, the key in the implementation. Talk WuGuo, work development. Health system to strengthen the sense of mission and sense of responsibility, from their own construction of ideas, and strive to achieve positive and style real, ability, and to ensure that health reform, development and sustainable propulsion.

 

        (a) must keep a good mental state.

 

        Reform is endless, must constantly explore. The cadres and workers health system reform deepening awareness to the long-term, arduous and complexity, and tightly grasp the health reform and development center task, neither negative wait-and-see, the fear of withdrawal, also cannot from reality, eager to hope for success. To make full use of already have good working mechanism and rich work experience, took out a share hussle playes pioneering spirit, dare to face difficult problems, bold practice, the reform, the more we must always proceed from basic national conditions, scientific decision-making, unified planning, the coordinated development and developing steadily. In addition, this year the government of all, we should attach importance to the new health leading cadres training, to ensure that work essential, continuous propulsion.

 

        (2) we should change our work style.

 

        Recently, the central government put forward about the improvement work style and close ties with the masses of the eight regulation, fully embodies the new collective leadership diligence for people, efficient and pragmatic governing idea. Health system leading cadres at all levels should study eight regulation, firmly establish the arduous struggle, diligent people thought, resolutely management strategy, have to know and waste problems. Want to spend more time and energy goes down to the basic unit, to listen to the voice, with an open mind to learn the masses. The meeting, delegates to the style of work put forward some opinions. Mainly area some department bureau people work coordination is not enough, appear shuffle disputes over trifles phenomenon, issued documents have overlapping and even conflicting phenomenon; All kinds of meetings, supervision and inspection is overmuch, pertinence is not strong, some regions, especially in the developed regions is too centralized, cause local reception work is arduous; Investigation and study in-depth solid, with a line of medical staff, patients and the contact less, to the actual situation understanding is not enough, the research is not deep, through the video means such as local organizations to exchange experience not fully, less information communication. BuDangZu pay close attention to these opinions, we are studying to improve the work style of the specific measures and methods, to fully reflect and reflect you advice. In the improved style, party members to make model, some organs and units directly under ministry of leading cadres at all levels should consciously take the lead, in the hope that the health department of supervision.

 

        (3) to promote health professional spirit.

 

        In 2012, the ministry of health organizations to carry out the medical and health professional spirit big discussion activity, the general health workers actively participate in and achieved initial results. Medical and health professional spirit is the medical and health industry's core values, and is a socialist core value system in the embodiment of the health system in our country, with the development of medical and health services and the formation of deposits, rich in historical tradition, job characteristics and times connotation. Contemporary medical and health professional focused include the following contents: one is to abide by the purposes, healing the wounded and rescuing the dying. Is to adhere to the people-oriented, adhering to the tenet of service for people's health, and care for people's health and life safety as the highest mission, maintaining the fundamental interests of the overwhelming majority of the Chinese people. The second is to respect life, advocating medical ethics. To respect patients, patients will benefit in the first place, not only provide the best treatment technology, but also give the height of the humanistic care to patients, enthusiastic, serious and responsible, depending on the business such as life, such as for patients with loved ones. The third is to respect science, keep improving. This medicine is the most basic professional quality for medical personnel constantly updated medical knowledge and philosophy, and constantly challenge medical science problem and unknown fields, to improve the medical level and the quality of medical treatment. We will through the whole system work together to bring the professional spirit is rooted in the medical and health workers for people's health services, and strive to practice the new fashion show health industry.

 

        (4) to pay attention to the foundation work well.

 

        Reform is a huge systematic project, a lot of basic work influence of scientific decision and decided to reform. In this we need to perfect place still has a lot of, such as in the basic public health services, how to improve the service ability and level, let people see more effectiveness; In the hospital we for the convenience of the measures, how to through the process standard, improve the masses doctor feeling; In the information management, how to ensure that all kinds of data is true, accurate, timely, and provide a good basis for policy making.

 

        (5) to strengthen party building and the anti-corruption work.

 

        To put forward the eighteenth in-depth development of the party's mass line education practice requirement, continues to consolidate the health system to excel and "merit YiManYi" the achievements of the campaign. To play a health system of the party at the grass-roots level fighting forts role, give play to the party member cadre model leading role, drive the health staff based on the post, the solid work. To strengthen the combat corruption and build a clean government propaganda education, serious investigation and control the party member the leading cadre in honesty and self-discipline aspects existing prominent problems, strengthen the power of cadre selection and appointment, operation, and capital and project supervision, strengthen the drug centralized purchasing work of supervision, strengthen the management of commercial bribery pharmaceutical sales field work dynamics.

 

        Taking this opportunity, I would like to emphasize maintenance medical order problem. Recent continuous happened several medical personnel by violence against lethal cause injury malignant events, not only harm the medical staff personal safety, but also endanger the patient medical safety. The health department at all levels should take the initiative to strengthen the doctor-patient relationship linkage, linkage, and strengthen medical institutions security work, close to prevent malignant events. To speed up the promotion to establish a standardized, fair and effective medical dispute mediation mechanism, timely traffic problems, resolving conflicts, and earnestly safeguard the doctor-patient rights. The Spring Festival will come, all units must fully to the safety in production during the festival and visiting sympathy, effectively preventing, properly deal with public health emergencies.

 

        Finally, I will implement the spirit of the meeting mention some requirements. One is to timely report to the party committee, government leaders meeting spirit, reported to the relevant departments, for the party committee, the attention of the government and related departments to support. The second is to be held as soon as possible the region health work conference, communicate the national health work conference spirit, and combining with actual situations, the deployment of the work this year. The third is according to the requirement of the meeting, seize the key tasks and regional weak link, item by item, item by item, puts forward some opinions to carry out, before the Spring Festival this time, early deployment, early start and early implementation.

 

        The comrades!

 

        2013 is the study and implementation of the party's eighteen big spirit, to carry out the "1025" health reform and development of the key task for a year, the national health system will unite in xi jinping comrade as the general secretary of CPC central committee around, cheer up, the solid work, comprehensively deepen medical health system reform, and promote the development of health science, to realize everyone will have access to basic medical and health service goals, maintain the health and try hard to struggle!