"3 d" no linkage reform push

State development planning commission to promote fujian, zhejiang and other typical experience

November 11, 2016 08:23

Source: People's Daily - the People's Daily

People in Beijing on November 10 (xinhua jian-feng bai) on November 10, national health development planning commission held a regular press conference, introduce the deepening medical and health system reform leading group of the state council on further promoting the deepening medical and health system reform experience of several opinions around reform and progress.

National health development planning commission deputy director general of TiGaiSi jian-hong yao said the reform of medical treatment, health care and medical field linkage, forming resultant force, is the focus of the current and future a period must break through the difficulty. "3 d" linkage, reform is effective, "3 d" without move, move without coupon, reform is the lack of effective gripper.

Jian-hong yao said, since a new round of deepening reform, sanming city, fujian province, hangzhou city, zhejiang province outstanding medical treatment, health care, medical reform of "3 d" linkage, dares to touch the system mechanism reform and major interests adjustment, forming a batch of practical experience, can copy can promote practice.

To deepen reform of the state council leading group expert advisory committee Wang Hufeng said that comprehensive reform of public hospitals, for example, from the drug bid procurement squeeze the water price, to make room for the medical service price adjustment, to establish salary system in accordance with industry characteristics, this is a set of series action, involving multiple departments, a middle part any rings or any do not reach the designated position, reform the chain is broken, the reform effect is difficult to appear. So by establishing a mechanism to form "3 d" linkage of circulation, let each department to complete reform of the relay.

Director of fujian province accumulated rich zhan, points out that fujian province is the first pilot province reform across the country, in order to solve the medical insurance management system, set up provincial health care management committee, the office is located in the financial sector, a relatively independent operation.

After the integration of fujian province health increased the function of drugs and medical price adjustment, vigorously promote for the next step is given priority to with the macro-reforms payment method reform created the basic conditions. Optimize the structure of hospital income, increase the value of medical income for establishing medical personnel reasonable salary growth mechanism. Pricing reform way, by the government pricing gradually to health care institutions and medical institutions to negotiate pricing changes. Will be dispersed in the meter, one club, civil affairs departments of information system integration, the establishment of the province unified health care information service platform, medical services, intelligent supervision, YaoXie sunlight procurement and settlement platform and improve the medical insurance system of information disclosure, promote health of both different ground settlement.

Health and family planning commission director TengJianRong pointed out of hangzhou, zhejiang province, hangzhou creatively by the gp signed medical maintenance integration service as the carrier and the breakthrough point, to explore to establish and perfect scientific system of classification of diagnosis and treatment. Health department joint prices, financial, human, social security and other departments will adjust part of the community health service price, medical rehabilitation nursing of the basic medical insurance payment management, domestic sickbed service specification and the mechanisms of incentive policies, breaking the original policy barriers, solved the previous grassroots medical institutions have the ability to service cannot provide service with policy support, residents have contradiction, but not actual demand service promoted the first option at the grass-roots level.

Hangzhou signing community residents choose first option can enjoy relevant preferential policies of health care. City basic medical insurance ginseng protect personnel after signing outpatient health fu biao fell 300 yuan; Urban and rural residents basic medical insurance ginseng protect personnel after signing, in addition to the outpatient medical care fu biao fell 300 yuan, through the signing of referral to the superior hospital make a diagnosis and give treatment expenses reimbursement ratio according to the community directly. Community health service institutions to carry out the contract after the service, the number of on-site medical services people into effective statistical coverage of outpatient service people, according to the workload increase total funds medicare annual community health service institutions.

The People's Daily (20) on November 11, 2016