China launches public hospital reform pilot Nine to crack doctor's problems

Xinhua Beijing, February 23, according to the National Ministry of Health website News, with the approval of the State Council, Ministry of Health, Central Office, the National Development and Reform Commission, the Ministry of Finance and Human resources Social Security Department today formally issued the "Public hospital reform Pilot Guidance" (hereinafter referred to as "guidance").　　"Guidance" clearly put forward: starting this year to promote public hospital reform pilot work, the reform must take commonweal as the core, and gradually eliminate drug addition, from nine aspects to effectively alleviate the public to see a doctor, doctor difficult problem. The guiding opinion of the basic principles suggests that the pilot should adhere to the unity of fairness and efficiency, government-led and market-oriented mechanism, adhere to the leading position of public hospitals, encourage the diversification of medicine, adhere to the combination of development, reform and management, adhere to the overall design, orderly progress, key breakthroughs, systematic summary, adhere to the central determination of reform　　, based on China's national conditions, to encourage local emancipation of ideas, local conditions, bold exploration and innovation. The public hospital reform pilot should insist on the public welfare nature of the hospital, put the safeguard people's health rights and interests in the first place, carry out the separation of the government and the management, separate the medicine, the profit and the non-profit, promote the innovation of the system mechanism, arouse the enthusiasm of the medical staff, and improve the　　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 Target Task "directive opinion" clear, the overall goal of the pilot is to form the general thought and main policy measure of public hospital reform, and lay the foundation for promoting public hospital reform comprehensively. To build public interest goals clearly, the public hospital service system with reasonable layout, scale, structure optimization, hierarchy, perfect function and efficiency, explores the establishment of a division of labor cooperation mechanism with primary medical health service system, accelerates the formation of diversified medical system, and forms a more scientific and standardized management, compensation mechanism and　　Operating mechanism and supervision mechanism, strengthening internal management of public hospitals, prompting public hospitals to perform public service functions effectively, providing safe, effective, convenient and inexpensive medical and health services for the masses. Step content according to the arrangement, the pilot work of public hospital reform will be pushed forward from this year, according to the principle of first pilot, gradually pushing away, the provinces, autonomous regions and municipalities respectively choose 1-2 Cities (urban areas) as the public hospital reform pilot cities, the state in the pilot cities within the scope of the selection of 16 representative cities,　　The pilot city of public hospital reform, as a national contact guide, actively and steadily promotes the pilot work of public hospital reform. "Directive opinion" clearly put forward nine main contents: first, perfect public hospital service system, strengthen public hospital planning and control, optimize public hospital structure layout, set up public hospital, public hospital and rural and urban primary Health care Organization's division of cooperation mechanism; Secondly, reform the management system of public hospitals, Identify the public hospitals organized by all levels of governmentResponsibility, actively explore the effective form of separate management, gradually realize the unified administration of public hospitals, establish a coordinated, unified and efficient public hospital management system; Third, reform public hospital legal person governance mechanism, clear government to run medical subject, scientific definition owner and manager responsibility right, To explore and establish the corporate governance structure of public hospitals, which takes the Council as its core, to establish the management system of the Director's qualification and selection and appointment of the public hospital, and to explore the establishment of the incentive and restraint mechanism of hospital dean; Four, reform the internal operating mechanism of public hospitals, improve the internal decision-making mechanism and financial accounting management system, Deepening the reform of personnel system in public hospitals, perfect the distribution incentive mechanism; reform the compensation mechanism of public hospitals, rationally adjust the price of medicine, gradually abolish the policy of drug addition, increase the government input, realize the compensation of two channels of service charge and government subsidy, perfect the system of medical guarantee payment; Vi. strengthening the management of public hospitals to ensure medical safety To improve the quality of medical service and improve hospital service; seven, reform the public hospital supervision mechanism, strengthen the public hospital Medical Service safety quality supervision and economic operation Supervision, give full play to the social parties to the public hospital supervision; Viii. establish a standardized training system for residents to carry out standardized training for residents;　　We should accelerate the diversification of medical care, encourage, support and guide social capital to develop medical and health undertakings, and encourage social forces to hold non-profit hospitals. The directive opinion finally stressed that the public hospital reform pilot task is heavy and difficult, all localities should fully understand the importance, complexity and arduous nature of public hospital reform, and strengthen the leadership of public hospital reform pilot. The pilot work of the State Council to deepen the reform of the medical and Health System leadership group Unified leadership, the pilot city people's government and the provincial people's Government responsible for implementation, the Ministry of Health to promote the pilot work, other relevant departments actively support the cooperation. The pilot city people's Government should formulate pilot implementation plan and supporting policy measures, highlight key aspects and key links, further explore, boldly try, and strive for a breakthrough, to achieve results. We should strengthen the guidance, evaluation and supervision of the pilot work, summarize the pilot situation in time, perfect the relevant policy measures, and promote the pilot work actively and steadily.