About in public hospitals at the county level comprehensive reform pilot work give full play to the special advantage of traditional Chinese medicine

        Provinces, autonomous regions and municipalities directly under the central government health department (bureau) (health and family planning commission), the administration of traditional Chinese medicine and national development and reform commission, the financial department (bureau), human resources social security department (bureau), the xinjiang production and construction corps, and the cities under separate state planning for health (health and family planning commission), the administration of traditional Chinese medicine and national development and reform commission, CaiWuJu, human resources social security bureau:

        According to the eighteenth big report on supporting the development of traditional Chinese medicine and the folk medicines of ethnic minorities' policy requirements, as in public hospitals at the county level comprehensive reform pilot work give full play to the traditional Chinese medicine (including national medicine, similarly hereinafter) characteristic advantage, according to the state council general office issued by the opinions of comprehensive pilot reform of public hospitals at the county level notice (countries do hair [2012] no. 33) (hereinafter referred to as the "pilot opinion"), regarding the notify as below.

        One, the reform of the compensation mechanism of traditional Chinese medicine

        (a) to encourage the use of Chinese medicine yinpian. Promulgated by the state pharmaceutical standards of traditional Chinese medicine yinpian for national essential drugs. The management of the Chinese medicine yinpian, according to the original issued by the ministry of health jointly with the relevant departments of the national list of essential medicines management approach (provisional) (who medicine ZhengFa [2009] no. 79) and human resources social security issued by the national basic medical insurance, inductrial injury insurance and maternity insurance drug catalogue (people club department is sent [2009] no. 159), such as requirements, temporarily according to the relevant departments of the state council about Chinese medicine yinpian pricing, purchasing, distribution, use and basic medical insurance payment policy provisions. Around in the reform of county level hospital drugs addition policy, to discriminate Chinese medicine yinpian, give full consideration to Chinese medicine yinpian price formation mechanism and the management cost, study and formulate a scientific and reasonable policies and measures to encourage the use of Chinese medicine yinpian formed an effective mechanism.

        (2) adjust the doctor of traditional Chinese medicine health care services and prices. Everywhere want to combine the medical service price project specification and press disease to the implementation of the pilot work, encourage technology mature and stable the clinical use of TCM medical services, earnestly county traditional Chinese medicine health service price project management work. According to the national development and reform commission, the ministry of health, state administration of traditional Chinese medicine on normative medical service price management and related issues notice "(change hair [2012] no. 1170) prices, comprehensive standardized TCM medical service price project at the county level. For sure need to retain the region has been approval but not included in the national medical service price project specification (2012 edition) of traditional Chinese medicine health service price items, to timely report to audit in accordance with the regulations. In advance press disease charging pilot work, should ensure that a number of advantages of TCM disease into the scope of the pilot.

        Want to cancel the drug addition, around the finance compensation and health care pay levels of the specific conditions, according to the principle of "total amount control, structural adjustment", reasonable improve TCM medical service price, fully embody the traditional Chinese medicine and Chinese medicine personnel technical services value, further straighten out the medical service price. Adjust medical service prices, we need to do a good job in medical service cost allocation is calculated and the reform of medical insurance payment, improve the level of medicare payment links up, make sure not to increase the burden of the hospital.

        (3) encourage the use of traditional Chinese medicine in health care. Continue to implement the policies encourage the use of traditional Chinese medicine services in the universal health care, and give full play to the traditional Chinese medicine to ensure the basic medical needs of ginseng protect personnel to function. Project will conform to the conditions of all kinds of traditional Chinese medicine diagnosis and treatment and traditional Chinese medicine (including traditional Chinese medicine yinpian, proprietary Chinese medicine, Chinese medicine preparations) into fund of insurance of primary medical treatment to pay limits. Reimbursement ratio appropriately raise new farming and traditional Chinese medicine.

        In payment method reform, should fully consider and county hospital of traditional Chinese medicine of traditional Chinese medicine (including combine traditional Chinese and western medicine, national medical hospital, similarly hereinafter) characteristics and actual situation, reasonably determine the county hospital of traditional Chinese medicine health service payment standard. Human resources social security departments through distinguishing county hospital of traditional Chinese medicine type, level, service features and basic medical services, etc., reasonable medical insurance payment total amount control indicators, guide the medical institutions use relatively low cost and relatively good curative effect and treatment projects, play "Jane, then, check-up, inexpensive" of traditional Chinese medicine characteristics and advantages.

        (4) implement and improve the government investment preferential policy of TCM hospital. Full implementation of the government public hospital investment policy, and in accordance with "the central committee of the communist party of China, the state council about the opinions of the deepening medical and health system reform" (found [2009] no. 6) to the hospital of traditional Chinese medicine "on investment policy to tilt, to explore various forms of Chinese medicine hospital in tilt policy, practically strengthen investment in hospital of traditional Chinese medicine.

        Second, promote the county hospital of traditional Chinese medicine service ability

        (a) optimizes the allocation of medical resources of traditional Chinese medicine. Government to the government at the county level hospital of traditional Chinese medicine fulfil contributive responsibility, want to insist to pay equal attention to Chinese and western medicine, well implement the pilot opinion about "the government in each county (city) key for 1-2 hospitals at the county level (including the hospital of traditional Chinese medicine)" requirements, optimizes the allocation of health resources in the county, in accordance with the principle of "TianPingBuJi", to improve the infrastructure condition of traditional Chinese medicine hospital, perfect supporting facilities. To strengthen county hospital of traditional Chinese medicine clinical departments, and TCM pharmacy of department of medical equipment configuration, development and the rich Chinese medicine services. The county hospital of traditional Chinese medicine into the pre-hospital first aid system and exert its positive function. To strengthen the construction of county level comprehensive hospital of traditional Chinese medicine and TCM pharmacy department.

        (2) to strengthen the construction of key (characteristics) of traditional Chinese medicine specialized subject. Key support for county hospital of traditional Chinese medicine (characteristic) specialized subject construction, improve the level of medical technology of traditional Chinese medicine. Each county hospital of traditional Chinese medicine to select the outstanding characteristics of traditional Chinese medicine clinical professional departments of key construction, and strengthen prevention and health promotion and rehabilitation service function, to explore the treatment and combination of prevention, health promotion and rehabilitation services, efforts to form a comprehensive service mode of traditional Chinese medicine. Plan to adapt to the demand of primary medical treatment, accords with the practice of county-level hospitals scheme and clinical pathway of traditional Chinese medicine diagnosis and treatment of the advantages of traditional Chinese medicine of diseases, popularization and application, acupuncture, massage, bonesetting, minimally invasive, scrapping, jar, apply iron medical technology of traditional Chinese medicine fumigation, etc. To strengthen the construction of TCM culture and propaganda, build great d sincere cultural atmosphere.

        (3) to strengthen the construction of hospital of traditional Chinese medicine informatization. In accordance with the unified standards, focusing on electronic medical records and hospital management, to strengthen county hospital of traditional Chinese medicine information system construction, function specification covers electronic medical records, clinical pathway, diagnosis and treatment, performance review and comprehensive business management, and health care, primary care health institutions information system cohesion, gradually achieve interconnectivity.

        (4) to strengthen the construction of talent team of Chinese medicine. To do a good job of county hospital of traditional Chinese medicine personnel and post setting, category accounts for the total number of medical practitioners, medical practitioners of traditional Chinese medicine is not lower than 60%. County hospital of traditional Chinese medicine, Chinese medicine resident standardization training shall be conducted; To proprietary Chinese medicine physician clinical category and reasonable application of TCM appropriate technologies, including acupuncture and moxibustion, massage, Chinese medicine knowledge and skills training, encourage XiYiShi learning TCM special training. Follow the rules of special of Chinese medicine talents, encourage the old Chinese medicine expert teacher DaiTu, strengthen the training and use, set up a sound system of continuing education of Chinese medicine. Positive training or introduction of traditional Chinese medicine discipline leaders. Promotion of proprietary Chinese medicine clinical application of national basic drugs, strengthen pharmacists team construction, improve the TCM professional technical service ability and level. Enhance nursing staff strength, to carry out the standardized nursing training, strengthen the Chinese medicine dialectical the nursing, county hospital of traditional Chinese medicine health care than at least 1:2. According to the basic standards for comprehensive hospital of traditional Chinese medicine clinical departments at the county level comprehensive hospital configuration of TCM personnel.

        Third, to strengthen hospital and primary care health institutions linked up and down

        County hospital of traditional Chinese medicine to play county rural tertiary services of traditional Chinese medicine and Chinese medicine medical center network leading role, set up grass-roots ZhiDaoKe, strengthen the guidance and assistance to basic medical and health institutions of traditional Chinese medicine technology personnel training. Support at the county level hospital of traditional Chinese medicine of township hospitals and village clinics for medical or medicine of special training and training in rotation on a regular basis. Level 3 of the cities at the county level hospital of traditional Chinese medicine and Chinese medicine hospitals in critical cases telemedicine technology support referral, major difficult cases and other work. Has not yet set the county hospital of traditional Chinese medicine, to give full play to the comprehensive hospital regions for guidance of the basic business of Chinese medicine.

        Explore the implementation of urban tertiary hospital of traditional Chinese medicine to county hospital of traditional Chinese medicine rotation in physicians and management system. We will continue to implement the "physician support rural health project", the county hospital of traditional Chinese medicine in the recipient hospital shall be not less than 10%. Gradually establish category of traditional Chinese medicine physicians in county, township and village longitudinal flow mechanism and county hospital of traditional Chinese medicine to send dean and backbone doctor system in towns and townships rotation, through the longitudinal technical cooperation and talent flow, management support, and other forms, gradually establish a county hospital of traditional Chinese medicine from aspects of support of talents, technology, construction of towns and townships regions mechanism, improve the efficiency of rural Chinese medicine service network as a whole. Exploring county hospitals and primary care health institutions set up long-term and stable collaboration mechanism, and county hospital of traditional Chinese medicine grassroots health institutions to determine the relations of the collaboration should occupy a certain proportion.

        Fourth, strengthen organizational guarantee

        (a) to strengthen organization and leadership. Provincial administrative department of health, health departments in formulating policies and promote reform of public hospitals at the county level, pilot areas set implementation plan, and embody the characteristics of traditional Chinese medicine, should be fully considered in conjunction with the administrative department of provincial traditional Chinese medicine jointly do research, planning, deployment, implementation and supervision work.

        (2) increase in investment. County government want reasonable allocation and use good pioneer in the central and local governments at various levels (city) the comprehensive reform of subsidies, improve the government investment, strengthen fund management, improve the service efficiency of funds.

        (3) completes the propaganda and guidance. To be deeply and in detail on the county-level hospitals propaganda mobilization and policy of the Chinese medicine personnel training, enhance participation reform work enthusiasm and initiative.

National health and family planning commission

The national development and reform commission

Fiscal department

The ministry of human resources and social security

The state administration of traditional Chinese medicine

On April 19, 2013

The original links: http://www.satcm.gov.cn/e/action/ShowInfo.php?classid=26&id=17569