Five departments issued guidance on public hospital reform pilot

(February 23, 2010) Ministry of Health Information Office for the implementation of the Central Committee of the State Council on deepening the reform of the medical and health system and the State Council, the recent key implementation of the reform of the medical and Health System (2009-2011), the Ministry of Health, the central Office, the National Development and Reform Commission, The Ministry of Finance and the Human Resources Social Security Department have issued the "guidance on the reform pilot of public hospitals" (hereinafter referred to as "guidance"). In accordance with the guiding opinion, in accordance with the principle of pilot and gradually pushing away, the provinces, autonomous regions and municipalities have selected 1-2 cities (urban areas) as the pilot cities for public hospital reform, and the state has selected 16 representative cities within the pilot cities, and as a pilot city for the reform of public hospitals under the guidance of national relations,　　Actively and steadily promote public hospital reform pilot work.　　The guidance opinion is divided into four parts, a total of 18, which make clear the guiding ideology, basic principle, overall goal, main task, implementation step, main content and organization leadership of the reform pilot of public hospital. 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 guidance points out that the pilot should adhere to the unification of fairness and efficiency, government-led and market-oriented mechanism, adhere to the leading position of public hospitals, encourage the diversification of medical treatment, 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 the　　Based on China's national conditions, to encourage local emancipation of ideas, local conditions, bold exploration and innovation. The guiding opinion 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. 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. The directive opinion has clarified the main contents of nine pilot projects: first, perfecting public hospital service system, strengthening public hospital planning and regulation, optimizing public hospital structure layout, establishing public hospital, public hospital and urban and rural grass-rootsThe mechanism of Division and Cooperation of medical and health institutions; Secondly, reform the management system of public hospitals, define the responsibilities of government at all levels, and actively explore the effective forms of separation of management and administration, gradually realize the unified administration of public hospitals, establish a coordinated, unified and efficient public hospital management system; Clear the government to run the medical subject, scientific definition of the responsibility of owners and managers, explore the establishment of the Council as the core of a variety of public hospital corporate governance structure, the establishment of public hospital Dean of the qualifications, selection and appointment of the management system, to explore the establishment of hospital Dean incentive and restraint mechanism; Four is to reform the internal operating mechanism To perfect the internal decision-making mechanism and financial accounting management system, deepen the reform of personnel system in public hospitals, improve the distribution of incentive mechanism; Five is to 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 by two channels of service charge Perfecting the system of medical guarantee payment; Six is to strengthen the management of public hospitals, ensure medical safety, improve the quality of medical service and improve hospital services; Seven is to reform public hospital supervision mechanism, strengthen public hospital Medical Service safety quality supervision and economic operation Supervision, give full play to the public hospital supervision role of all parties in society　　Eight is to establish a standardized training system for residents to carry out standardized training of residents; Nine is to accelerate the diversification of the medical pattern, encourage, support and guide social capital to develop medical and health undertakings, encourage social forces to hold non-profit hospitals. The directive opinion emphasizes that the public hospital reform pilot task is heavy and difficult, should fully understand the importance, complexity and arduous nature of public hospital reform, and strengthen the leadership of the reform pilot of public hospital. 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.