"3 d linkage" help people health

03 02, 2016

Source: People's Daily

Our country's medical and health service fairness, accessibility, the medical burden is heavy, problems of difficulty and high cost of treatment. In recent years, from the reform of public hospitals at the grass-roots level of experience, and the fifth plenary session of the party 18 new requirements for deepening the reform of medical health system, the need for medical treatment, health care, medicine "3 d linkage", break medicine for medical, change payment methods, reform of the personnel salary system, encourage social do medical, use of policy and market regulation, satisfy people's growing health services demand diversification.

We will accelerate reform of the medical security system. To speed up the integration, improve the fairness of basic medical insurance system. Break the identity of the restrictions and the employment situation of urban and rural residents, the urban and rural division of three kinds of basic medical insurance system gradually integrate into the urban and rural integration of system, promote the rational flow of factors of urban and rural areas, to avoid the treatment system of imbalances and cohesion of problems in the process of urbanization. Study to be adapted with the economic development of medical insurance capture to expend scale dynamic adjustment mechanism. Play a fundamental role in health care in medical resources allocation. Giving full play to the advantages of medical insurance purchase "third party", promote the establishment of orgnaization of agency of insurance and medical institutions and drug suppliers pay mechanism of negotiation mechanism and purchasing service. Reform of medical insurance payment system, actively promote the macro-reforms, capitation payment, such as compound payment method, strengthen the health care function of incentive and constraint for medical behavior. Common diseases in proportion to the medical insurance payment to grassroots medical institutions, promote the grading system formation. To cope with the aging of society, promote the establishment of a long-term care insurance.

Accord with the characteristics of the medical profession the personnel salary system is established. Accelerate the business unit personnel go to the town, to compile, remove and prepare the matching policy treatment, implement practitioners more records and will into social medical personnel, to realize the free flow of medical personnel. Practice the salary system, in order to post salary, by the payment of performance, the doctor's income associated with patients' recognition of doctor degree, and has nothing to do with the titles of papers. Reasonable improve the level of medical staff salary (social average income 6-8 times). In Beijing, for example, grassroots medical staff average income is 80000-100000 yuan, only with a doctor unbecoming professional characteristics, become the bottleneck of grassroots reform needs a breakthrough.

Train more general practitioners. Gp is the core of the hierarchical diagnostic system, at present our country grass-roots medical institutions gp problems insufficient total amount and the quality is not high. Should increase investment, shall be borne by the government trained doctors training costs and wages, improve the hospital send officials to participate in training the enthusiasm. Improve the gp of colleges and universities education, continuing education training system and safeguard basic medical and health institutions qualified general practitioner is optional, are available.

Establish a public hospital management and operation mechanism. Set up a public hospital modern management system. Tube separated, separating, reasonable definition of the government as a sponsor for supervision responsibility and the power of independent operation and management of public hospitals, can promote the public hospital corporate management, improve the efficiency of operations. Hospital management should be emphasized the people-oriented, highlight the service of humanity and science. Hospital infrastructure and system construction should start from a patient's actual need, surrounding the medical quality and patient safety, patient rights, pay attention to mental patients psychological demand, strengthen the communication between doctor and patient and family to health education. Develop and establish a evaluation system as the core of hospital patients, independent of the hospitals, health administration departments of the third party evaluation. For medical safety, quality, management efficiency, patient satisfaction and make a comprehensive appraisal, the appraisal results linked to medicare payment proportion. Adjustment of medical service prices, medicine separately, combined with total coverage shall be paid in advance policy to build a reasonable medical expenses share mechanism. Adhere to the hospital in the dominant position of pharmaceutical products procurement, implementation of centralized purchasing medicines at the provincial (city) (unified pricing), can also be giving full play to the advantages of collectivization batch purchase, false high drug prices lower, purchasing information open and transparent.

Encourage social do medical, meet the demand of people multi-level health services. Rein in the number of public hospitals, the scale, cancel the public hospital outpatient service, the standard of public hospitals and social capital cooperation, expand social do medical space for the survival and development. Ease access, and reduce the limit of examination and approval, break the "glass door" social do medical "clicks". To provide basic medical and health services society do support non-profit medical institutions of fiscal fund, alleviate social do medical operating pressure. Perfecting social do medical credit system, the establishment of joint and trustworthy incentive and faithless punishment mechanism, promote social do medical management, standard management, the good faith management in accordance with the law.

(the author is member of DPP, Beijing mentougou district deputy district)