Xinhua News Agency, Beijing, July 8 -
Title: 4 Key!
2021 deepening medical reform will be carried out like this
Xinhua News Agency reporters Peng Yunjia and Mu Tiecheng
Relevant persons in charge of the National Health Commission, the National Medical Insurance Bureau and other departments stated at the State Council policy briefing held on the 8th that the deepening of medical reform in 2021 will be carried out around 4 key points, focusing on solving the problems of difficult and expensive medical treatment, and highlighting the promotion The typical experience of medical reform, strengthen the linkage and implementation of the reform system, and take effect.
The General Office of the State Council recently issued the "Key Tasks for Deepening the Reform of the Medical and Health System in 2021", proposing that it will focus on four key areas to deepen the medical reform, including further promoting the experience of Sanming’s medical reform; promoting the balanced distribution of high-quality medical resources; strengthening the public health system Construction; coordinate and promote relevant key reforms.
Promote the experience of Sanming medical reform and accelerate the "three-medicine linkage"
"Fujian Sanming has embarked on a path of medical reform that suits its own reality and has become a model for learning across the country." Li Bin, deputy director of the National Health Commission, introduced that Sanming's medical reform took the comprehensive reform of public hospitals as the starting point to coordinate the promotion of medical care, medical insurance, and medicine. "Medical Linkage" reform, and improve the financing mechanism of public hospitals, simultaneously deepen the reform of the salary system, strengthen the supervision and management of medical institutions, and build a close county medical and health community.
Li Bin introduced that the problems encountered by Sanming in advancing the medical reform are the same as those in other places, so Sanming's medical reform experience has the value of universal promotion.
Next, we will establish an efficient and powerful medical reform leadership system and organizational promotion mechanism, promote the "three-medicine linkage" reform, implement the government's input responsibilities, and fully mobilize the enthusiasm of medical staff.
Regarding the implementation of high-quality development of public hospitals, Xu Shuqiang, director of the Department of System Reform of the National Health Commission, introduced that several large high-level tertiary hospitals will be selected as pilots in the near future to promote the upgrading and innovative development of medical technology and hospital management. , Gradually increase the proportion of four-level surgery, the proportion of medical service income and other indicators, so that the hospital's operating structure and operating mechanism will become more reasonable and benign.
Promote a balanced distribution of high-quality medical resources
"Implementing the hierarchical diagnosis and treatment system, promoting the balanced distribution of high-quality medical resources, and promoting the formation of an orderly medical treatment pattern are important tasks for deepening the medical reform during the "14th Five-Year Plan" period." Li Bin introduced, promoting the balanced distribution of high-quality medical resources and improving the hierarchical diagnosis and treatment system On the one hand, the pilot construction projects of the National Medical Center and the second batch of regional medical centers will be launched, and the construction of medical consortia will be promoted to continuously improve the comprehensive capabilities of county-level hospitals.
"Starting from this year, we will focus on supporting four major projects, including the enhancement of public health prevention, control and treatment capabilities, the high-quality development of public hospitals, the shortcomings of health services for key populations, and the promotion of traditional Chinese medicine inheritance and innovation. A total of 14 projects will be built." Xu Shuqiang According to the introduction, these projects are an important part of building a high-quality and efficient integrated medical and health service system, and will play an important role in improving the capacity of medical and health services.
At present, six counties in the three provinces of Shanxi, Zhejiang, and Guangxi have been identified as pilot counties for the “high-quality and efficient integrated medical and health service system”.
The pilot work will focus on the main health needs of the local people, grasp the key links in the construction of an integrated service system, focus on strengthening the integration of the service system, strengthen government financial investment, medical insurance payment, personnel compensation and other mechanism innovations, and strengthen information support.
Strengthen the construction of the public health system
At present, my country is in the stage of normalizing epidemic prevention and control, and the task of "external defense import and internal defense rebound" is still arduous and onerous.
To deepen the reform of the medical and health system, it is necessary to take a long-term perspective, implement the policy of prevention first, take the public health system as a key area to make up for shortcomings, strengths and weaknesses, and continue to improve the system and mechanism of major epidemic prevention and control. It must also be based on the current situation and promote acceleration Improve public health prevention, control and treatment capabilities, and do a good job in the prevention and control of the new crown pneumonia epidemic.
Li Bin introduced that in the key tasks of this year’s medical reform, it is necessary to do a good job of "external defense import, internal defense rebound", strengthen the grassroots public health system, improve major public health emergency response and prevention and control capabilities, and establish and improve Work tasks such as a major epidemic treatment system, promoting the construction of a healthy China, and innovating the medical and prevention coordination mechanism.
Coordinate and promote relevant key reforms
In terms of coordinating and promoting relevant key reforms, it mainly involves promoting the construction of national health information, improving the service experience of the people, strengthening the training and use of medical talents, and enhancing the ability to guarantee drug supply.
Among them, medical reform is an important part of the "three-medicine linkage" of medical reform.
According to Wang Guodong, head of the Pharmaceutical Price and Bidding Purchasing Department of the National Medical Insurance Administration, promoting the reform of centralized procurement of medicines and consumables is an important part of deepening the medical reform.
In the next step, more varieties will be included to reduce the burden on the masses while taking into account the reasonable profits of enterprises and promote the high-quality development of the pharmaceutical industry.
"As of the end of June this year, the State Food and Drug Administration has approved a total of 766 applications for drug marketing registration, an increase of 103% year-on-year." Yuan Lin, Director of the Department of Drug Supervision and Administration of the State Food and Drug Administration, introduced that the reform of clinical drug trial management will continue to be promoted. Optimize the review and approval mechanism, implement priority review and approval of drugs for clinical urgent needs and rare diseases, and accelerate the speed of market review and approval for products that are priority review and approval, clinical urgent needs, and children's drugs.