Chinanews.com, July 23. The State Council issued the "Key Tasks for Deepening the Reform of the Medical and Health System in the Second Half of 2020" (hereinafter referred to as "Tasks"). The "Tasks" includes the implementation of the first consultation responsibility system for infectious disease reports. , Improve the monitoring mechanism for unknown diseases and abnormal health events; increase investment in vaccines, drugs and rapid detection technology research and development; do a good job in the prevention and control of the new crown pneumonia epidemic in autumn and winter; improve the technical guidelines for the prevention and control of the new crown pneumonia epidemic in the farmers' market.
"Tasks" proposes to reform and improve the disease prevention and control system. Optimize and improve the function setting of disease prevention and control institutions, and improve the basic conditions for disease prevention and control. Improve the medical and prevention coordination mechanism, strengthen the responsibilities of disease prevention and control of medical institutions at all levels, enhance the ability of public hospitals to treat infectious diseases, and promote the communication of personnel, information, and resources of medical and prevention institutions. Strengthen the prevention and control of infectious diseases at ports.
It is necessary to improve the infectious disease monitoring and early warning system. Implement the first consultation responsibility system for infectious disease reports, improve the monitoring mechanism for unexplained diseases and abnormal health events, promote the establishment of a smart early warning multi-point trigger mechanism, strengthen the inter-military and inter-departmental infectious disease monitoring and early warning information notification, and promote the sound multi-channel monitoring and early warning mechanism.
The "Tasks" emphasizes the prevention and control of the new crown pneumonia epidemic in autumn and winter. Instruct all localities to formulate specific plans in advance, strengthen personnel training and emergency drills, consolidate the "four responsibilities", and do a good job of "five with three stricts" (protection guidelines, prevention and control management systems and responsible persons, protective materials and equipment, and medical staff Support, isolation and transfer arrangements, strict management of fever clinics, serious epidemiological investigations, and strict prevention of nosocomial infections in hospitals). Establish and improve mechanisms for the treatment of major epidemics such as classified, stratified, and triaged infectious diseases.
The "Tasks" proposed that the in-depth implementation of the Healthy China Initiative requires in-depth improvement of rural human settlements. Improve the technical guidelines for the prevention and control of the new crown pneumonia epidemic in the farmers' market.
In addition, it also includes improving the prevention and treatment of chronic diseases. Improve public health service projects. Take the management of chronic diseases such as hypertension and diabetes as a breakthrough, and strengthen the integration of grassroots prevention and treatment. Taking the early screening intervention for cardiovascular and cerebrovascular diseases, cancer, and pneumoconiosis as the starting point, promote the business integration of disease prevention and control institutions and medical institutions.
"Tasks" requires deepening the comprehensive reform of public hospitals, including improving the performance evaluation mechanism of medical and health institutions and medical staff; establishing and improving the dynamic adjustment mechanism of medical service prices; deepening the reform of the salary system and establishment management. Implement the "Two Permits" requirements, comprehensively promote the reform of public hospitals' salary system, guide local governments to improve public hospitals' total salary assessment, internal performance appraisal and income distribution methods, and establish and improve the operation mechanism of medical and health institutions that combine guarantees and incentives; implement; The government has increased its support for traditional Chinese medicine hospitals and infectious disease hospitals by investing in public hospital infrastructure and equipment purchase policies that comply with the regional health plan.
With regard to deepening the reform of the medical security system, the "Tasks" proposes to improve the level of basic medical security. The per capita financial subsidy standard for medical insurance for urban and rural residents was increased by 30 yuan, and individual payment standards were steadily increased; at the same time, the reform of medical insurance payment methods was promoted. Strengthen the management of medical insurance funds and improve the supervision mechanism. Develop intelligent monitoring of medical insurance based on big data, promote the application of video monitoring, face recognition and other technologies, explore the implementation of provincial centralized monitoring; accelerate the development of commercial health insurance.
In terms of improving the drug supply guarantee system, the "Tasks" proposes to improve the drug consumable procurement policy; promote scientific and rational drug use. Implement rational drug use monitoring, regularly announce the monitoring situation, promote the optimization and standardization of drug use structure in medical institutions, promote the priority use of national essential drugs, and implement the requirements of "can be taken orally without intramuscular injection, and can be injected intramuscularly without infusion". Strengthen the construction of the national drug use monitoring platform. Promote the comprehensive clinical evaluation of drugs, and organize the pilot comprehensive clinical evaluation of basic drugs for major diseases. Formulate the second batch of catalogs of encouraged generic drugs.
At the same time, strengthen the supervision of the use of pharmaceutical consumables; do a good job in ensuring the supply of shortage drugs and stabilizing prices. Promote the construction of a multi-source information collection platform for shortage drugs and a coordinated departmental monitoring mechanism. Implement a reporting system and inventory management system for shortage of drugs. Establish and improve the normalized monitoring and early warning mechanism for the prices of pharmaceutical consumables, and strengthen the dynamic monitoring of domestic purchase prices and the tracking of foreign prices. Intensify law enforcement against monopolistic violations such as APIs and imported drugs.
In addition, the "Tasks" also includes providing support to medical institutions affected by the epidemic; promoting the revitalization and development of Chinese medicine. In general hospitals, infectious disease hospitals, specialized hospitals, etc., we will vigorously promote the integrated traditional Chinese and western medicine medical model, and incorporate the implementation into the hospital grade review and performance assessment; improve malnutrition in poor areas and other content.