16 cities in Shanghai have been selected for medical reform pilot

The Ministry of Health and other public hospital reform pilot guidance nine to solve the problem of medical treatment-the comprehensive Xinhua News agency reported the Ministry of Health and other five ministries 23rd jointly issued the "Public hospital reform pilot guidance."　　According to the guidance, China has selected 16 cities as the pilot area of public hospital reform, which is guided by the national relations, and actively and steadily advancing the pilot work of public hospital reform. It is understood that the 16 national pilot cities identified are: East 6, including Liaoning Anshan, Shanghai, Zhenjiang, Fujian, Xiamen, Shandong Weifang, Guangdong Shenzhen, 6 in the middle, including Heilongjiang Qitaihe, Anhui Wuhu and Maanshan, Henan Luoyang, Hubei Ezhou, Hunan Zhuzhou, the West 4, including Guizhou Zunyi,　　Yunnan Kunming, Shaanxi Baoji, Qinghai Xining. The guiding opinion points out that the pilot should adhere to the public hospitals ' commonweal nature, to safeguard the health rights and interests of the people in the first place, the implementation of the separation of government and management, separation of medicine, the separation of profit and non-profit, promote institutional innovation, mobilize the enthusiasm of medical staff, improve the efficiency of public hospitals, and strive to keep the masses optimistic about the disease.　　In accordance with the requirements of "moderate scale, optimized structure, reasonable layout, improving quality and sustainable development", we should adhere to the principle of both Chinese and Western medicine, co-ordinate the allocation of medical resources between urban and rural areas, promote the healthy development of public hospitals, meet the needs of the people's basic medical services, and effectively alleviate　　The guideline points out that the overall goal of the pilot is to form the general thinking and main policy measures of public hospital reform, and to lay the foundation for the overall promotion of public hospital reform.　　The guiding opinions have clarified the main contents of nine pilot projects, including: Perfecting public hospital service system, reforming public hospital management system, reforming public hospital supervision mechanism, speeding up the diversification of medical treatment pattern and so on. Drug addition to exit compensation channel guidance to the much-maligned drug-nourishing mechanism "surgery."　　The guidance points out that the promotion of medical separation, the reform of the Physic medical mechanism, the gradual conversion of public hospitals from service charges, drug add income and government subsidy three channels to service charges and government subsidy two channels. As for the drug increase income exit the public hospital compensation channel, the expert said, this will help the medicine price reasonable adjustment, actually reduces the common people's medical expenses burden. The guidance points out that the public hospitals due to the abolition of drug addition policy and reduce the reasonable income, take the addition of pharmaceutical services fees, adjust some of the technical services fees and other measures, through the Medical insurance fund to pay and increase government input and other means to compensate.　　In principle, the medical service fee is reasonably determined according to the cost of the medicine service and considering the social affordability, and includes the coverage of the medical insurance reimbursement.　　The third party coordination mechanism of the doctor-patient dispute is to crack down on the behavior of "medical disturbance", to solve the dispute between doctors and patients, and to propose a new measure to establish the third party coordination mechanism of the doctor-patient dispute, to develop the medical accident injury insurance and medical liability insurance. It is understood that at present, the solution to the medical disputes in China mainly includes the consultation between the hospital and the patients, through the medical malpractice Appraisal Channel mediation solution and the Court lawsuit settlementAnd so on. But in practice, these approaches are still inadequate. With the consultation between the doctor and patient for example, the hospital side in order to calm down often lose money, the result formed a "big pay, small make small pay, do not pay" situation. In order to solve the doctor-patient dispute better, China's Tianjin, Jiangsu, Ningbo and other land to explore the medical dispute people mediation work, achieved good results, more than 70% of the medical disputes through the people's mediation has been properly dealt with.