Various reform measures in public hospitals are actively advancing

2023-10-23

The National Health Commission recently held a press conference to introduce the reform and high-quality development of public hospitals. In recent years, China has made every effort to promote the reform and high-quality development of public hospitals, and various reform measures are actively advancing. The urgent need for medical treatment among the people continues to improve. Xue Haining, Deputy Director of the Department of Institutional Reform of the National Health Commission, said that public hospitals are the mainstay of China's medical service system. China is vigorously promoting the construction of national medical centers and national and provincial regional medical centers. Through measures such as expert support, technology translation, and homogeneous management, we have filled the gaps and weaknesses in local key diseases and specialties such as tumors and pediatrics. The problem of people seeking medical treatment across provinces and regions is gradually easing. Improve the medical and health service capabilities at the grassroots level. Promote the construction of urban medical groups and county-level medical communities in an orderly manner, accelerate the implementation of the "Thousand County Project", carry out contract signing services for family doctors, and enable the public to access suitable and high-quality medical and health services at their doorstep. Through remote healthcare, including the construction of internet hospitals and the provision of online diagnosis and treatment services, high-quality medical services are delivered to the public. At the same time, we will promote innovation in medical technology, promote the transformation of achievements, and enhance the public's sense of access to medical treatment. Deepen the coordinated development and governance of the "three medical systems" by lowering drug prices as a breakthrough point. In recent years, the state has organized and carried out centralized procurement of drugs and negotiation and negotiation of medical insurance drugs, significantly reducing the prices of drugs and consumables, reducing the burden of medical expenses on the public, promoting dynamic adjustment of medical service prices, reform of medical insurance payment methods, and reform of medical personnel compensation systems, etc., and promoting the establishment of public welfare oriented new operating mechanisms in public hospitals. Strengthen the construction of a multi-level medical security system and gradually improve the level of medical insurance coverage. From 2020 to 2022, the reimbursement ratios for hospitalization expenses under the policies of employee medical insurance and urban and rural resident medical insurance increased by about 5 percentage points, respectively. Strengthen the refined management of hospitals, promote the deep integration of clinical business management and economic management, implement clinical pathway management, promote the rational use of drug consumables, carry out peer inspection and test results mutual recognition, and save patients' medical expenses. Next, China will improve the institutional mechanisms of national regional medical centers, effectively implement reform policies for regional medical centers, and build national regional medical centers into "medical reform pilot fields" to ensure that high-quality medical resources are attracted, retained, and used well. Improve the operational mechanisms of tightly integrated urban medical groups and county-level medical communities. Actively and steadily promote the integrated management of personnel, medical business, operation management, information, and other aspects, promote a payment mechanism that pays for the total amount of medical insurance, retains surplus, and exceeds reasonable sharing, ensuring that large hospitals can be placed down, grassroots can receive care, and the public can see good health. At the same time, we will improve the operating mechanism of public hospitals guided by public welfare, promote the experience of Sanming Medical Reform according to local conditions, dynamically adjust the prices of medical services, especially prioritize adjusting price items that reflect the value of technical labor services such as treatment, nursing, and surgery. Improve and improve the composite medical insurance payment method, leverage the incentive and constraint effect of medical insurance payment on medical service behavior, and support public hospitals in obtaining reasonable income through improving technical services. Reporter: Bai

Edit:GuoGuo    Responsible editor:FangZhiYou

Source:people.cn

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