Additional articles from Trusted Source™ Henan Ministry of Finance - News
- World Health Organization consider: a blueprint for China's medical reform in line with the national
- 14 provinces and municipalities were affected by 1.29 billion yuan
- The first half of April will be issued a total of six places debt 28.4 billion
- The first two months of industrial profits fell 37%
- Income of our country in mid 2015 will reach 250,000 home 4000000
Focus on new medical reform: point "light" Eight Key words
April 7, the State Council, "the recent focus on medical and health system implementation plan (2009-2011)" published. The five key proposals to promote reform, and make efforts to resolve the masses more "difficult to see a doctor, expensive medical treatment" question, led a comprehensive reform of the medical and health system.
Medical reform is a social systems engineering, multi-sectoral collaborative efforts not only necessary, but also focus on the five required simultaneously. The five key people like the five fingers, and none can be, which does not a little finger, other fingers will be affected. Five fingers into a fist, the formation of a new medical reform efforts in order to benefit the people.
Full coverage health insurance <BR>郑秉文(Chinese Academy of Social Sciences, director of Latin America, Professor): crack, "You see a doctor," the crux of the problem, not only control prices, but at the establishment of medical insurance system, improve the level of reimbursement to reduce the the proportion of individuals to pay. There is not a sound social security system and society, definitely not a harmonious society. Narrow the coverage of social security system, or urban-rural split, the gap between the level of treatment will lead to greater fragmentation of the system. Improve basic medical security system, aimed at reducing the proportion of personal expenditure on medical expenses. This is a symbol of social civilization and progress.
Remote health <BR> HAN Ke-Qing (associate professor of Renmin University of China): Remote health Remote not only old-age pension of retired elderly people problem, but also the flow of migrant workers involved in the problem. Remote health care solution, not just the technical aspects of the problem, more system-level problem of convergence. Covering both urban and rural residents set up a basic medical insurance system, will be urban and rural residents, urban and rural co-ordinating one, we must narrow the urban-rural and geographical gap. This is the direction of health care system.
Essential drugs for reimbursement
吴永佩(Ministry of Health, Professor, Institute of Hospital Management): the basic drug system is the world's more common form of lowering the price to guarantee the supply of essential drugs have an important role. National essential drugs system is the core of national drug policy. Its selection of the national essential medicines list is required for the major diseases and developed health care. Essential drugs in primary health care is the most basic hygiene requirements and must be used. National essential drugs for the implementation of the system, the need for the National Drug Formulary, national essential medicines list and clinical guidelines. It is reported that the Ministry of Health has been organized by Chinese medicine experts study the development of these policies and technical specifications. National essential drugs list to be announced the new version; National Drug Formulary has started to develop. Clinical guidelines should first formulate "the standard treatment guidelines for antimicrobial agents", on this basis and gradually expanded to other clinical guidelines for diagnosis and treatment of diseases specialist and medical institutions to implement.
Supply of essential drugs
Hsu Qi (State Food and Drug Administration Deputy Director): the implementation of the tender for the procurement of essential drugs, not only at the price of drugs in order to compete on, from the implementation of safe and effective essential drugs, the implementation of an open tender procurement, uniform distribution is more important The purpose is to ensure the quality of essential drugs. China's pharmaceutical production and operation of many enterprises. Between drug production and operation management capacity at the quality of medicines to control the level of risk differences. The implementation of bidding and purchasing of drug production and operation is also quality and capacity of the tender. Choose tender society want high integrity, good quality management, risk control ability of enterprises to the production and distribution of essential drugs, in the aspect on the production and distribution of essential drugs to ensure the safe and effective.
The treatment of grass-roots medical staff
Liu Xin-Ming (Secretary, Ministry of Health policies and regulations): difficult to see a doctor at the main difficulty "2", that is, remote rural areas and major cities in large hospitals. Rooted in the uneven distribution of medical resources. Solve this problem, from the equipment, personnel, etc. "carrot and stick", a balanced allocation of medical resources. Through pilot projects to promote "residency training system" for rural physicians, primary physicians receive training to enter the hospital, then under the hospital out of the grass-roots level, and effectively reduce rural, community treatment difficult.
Basic public health services
Chong-En Bai (Tsinghua University Professor of Economics and Management Institute): equal implementation of public health services, medical reform is not only a starting point for Waste Management is also the fundamental right of everyone to the end of medical and health services. Public health service system set up to provide the residents with public health protection is the international practice. In the implementation of the process of equalization, it is necessary to focus on the gap between the quality of service. Fundamentally from the establishment of a new rural health financing and investment model, to achieve a balanced development of urban and rural sanitation, urban and rural medical and health institutions to ensure the provision of equal services, receive the same compensation.
Significant public health services
Ren Wenjie (Henan Pingmei Hospital Medical Group): low-cost public health services, the effect well, but is a social return on a relatively long cycle services. The establishment of major national public health services, public health is no longer based on a single investment project, is no longer in order to respond to public health emergencies, or establishment of a public disease. This is a long-term mechanism of public health as an important step construction.
"In order to complement the medical drugs"
Hsu Shu-Qiang (Ministry of Health, president of China-Japan Friendship Hospital): reform of public hospitals in the compensation mechanism, the purpose is to gradually solve the "fill in drug treatment" as a mechanism to cut off the hospital, doctors and medicines of interest between the buying and selling. Public hospitals as a vector of government functions should be the pursuit of the Government's social welfare objectives, but to improve the compensation mechanism is the fundamental guarantee for the realization of public welfare. Simply want to reverse the "fill in drug treatment" mechanism, it is necessary to implement the health reform program of the Pharmaceutical Service of the additional charges, the appropriate part of medical technology and adjust the price of services, increase financial input and the reform of social health insurance various measures, such as payment method so that medical services be able to receive reasonable compensation. If there is no reasonable compensation mechanism is to allow public hospitals through its own operations, using drugs and inspection of income plus the income of the patients with the cost of subsidies to public hospitals achieve the public good is an empty talk.
Medical reform is a social systems engineering, multi-sectoral collaborative efforts not only necessary, but also focus on the five required simultaneously. The five key people like the five fingers, and none can be, which does not a little finger, other fingers will be affected. Five fingers into a fist, the formation of a new medical reform efforts in order to benefit the people.
Full coverage health insurance <BR>郑秉文(Chinese Academy of Social Sciences, director of Latin America, Professor): crack, "You see a doctor," the crux of the problem, not only control prices, but at the establishment of medical insurance system, improve the level of reimbursement to reduce the the proportion of individuals to pay. There is not a sound social security system and society, definitely not a harmonious society. Narrow the coverage of social security system, or urban-rural split, the gap between the level of treatment will lead to greater fragmentation of the system. Improve basic medical security system, aimed at reducing the proportion of personal expenditure on medical expenses. This is a symbol of social civilization and progress.
Remote health <BR> HAN Ke-Qing (associate professor of Renmin University of China): Remote health Remote not only old-age pension of retired elderly people problem, but also the flow of migrant workers involved in the problem. Remote health care solution, not just the technical aspects of the problem, more system-level problem of convergence. Covering both urban and rural residents set up a basic medical insurance system, will be urban and rural residents, urban and rural co-ordinating one, we must narrow the urban-rural and geographical gap. This is the direction of health care system.
Essential drugs for reimbursement
吴永佩(Ministry of Health, Professor, Institute of Hospital Management): the basic drug system is the world's more common form of lowering the price to guarantee the supply of essential drugs have an important role. National essential drugs system is the core of national drug policy. Its selection of the national essential medicines list is required for the major diseases and developed health care. Essential drugs in primary health care is the most basic hygiene requirements and must be used. National essential drugs for the implementation of the system, the need for the National Drug Formulary, national essential medicines list and clinical guidelines. It is reported that the Ministry of Health has been organized by Chinese medicine experts study the development of these policies and technical specifications. National essential drugs list to be announced the new version; National Drug Formulary has started to develop. Clinical guidelines should first formulate "the standard treatment guidelines for antimicrobial agents", on this basis and gradually expanded to other clinical guidelines for diagnosis and treatment of diseases specialist and medical institutions to implement.
Supply of essential drugs
Hsu Qi (State Food and Drug Administration Deputy Director): the implementation of the tender for the procurement of essential drugs, not only at the price of drugs in order to compete on, from the implementation of safe and effective essential drugs, the implementation of an open tender procurement, uniform distribution is more important The purpose is to ensure the quality of essential drugs. China's pharmaceutical production and operation of many enterprises. Between drug production and operation management capacity at the quality of medicines to control the level of risk differences. The implementation of bidding and purchasing of drug production and operation is also quality and capacity of the tender. Choose tender society want high integrity, good quality management, risk control ability of enterprises to the production and distribution of essential drugs, in the aspect on the production and distribution of essential drugs to ensure the safe and effective.
The treatment of grass-roots medical staff
Liu Xin-Ming (Secretary, Ministry of Health policies and regulations): difficult to see a doctor at the main difficulty "2", that is, remote rural areas and major cities in large hospitals. Rooted in the uneven distribution of medical resources. Solve this problem, from the equipment, personnel, etc. "carrot and stick", a balanced allocation of medical resources. Through pilot projects to promote "residency training system" for rural physicians, primary physicians receive training to enter the hospital, then under the hospital out of the grass-roots level, and effectively reduce rural, community treatment difficult.
Basic public health services
Chong-En Bai (Tsinghua University Professor of Economics and Management Institute): equal implementation of public health services, medical reform is not only a starting point for Waste Management is also the fundamental right of everyone to the end of medical and health services. Public health service system set up to provide the residents with public health protection is the international practice. In the implementation of the process of equalization, it is necessary to focus on the gap between the quality of service. Fundamentally from the establishment of a new rural health financing and investment model, to achieve a balanced development of urban and rural sanitation, urban and rural medical and health institutions to ensure the provision of equal services, receive the same compensation.
Significant public health services
Ren Wenjie (Henan Pingmei Hospital Medical Group): low-cost public health services, the effect well, but is a social return on a relatively long cycle services. The establishment of major national public health services, public health is no longer based on a single investment project, is no longer in order to respond to public health emergencies, or establishment of a public disease. This is a long-term mechanism of public health as an important step construction.
"In order to complement the medical drugs"
Hsu Shu-Qiang (Ministry of Health, president of China-Japan Friendship Hospital): reform of public hospitals in the compensation mechanism, the purpose is to gradually solve the "fill in drug treatment" as a mechanism to cut off the hospital, doctors and medicines of interest between the buying and selling. Public hospitals as a vector of government functions should be the pursuit of the Government's social welfare objectives, but to improve the compensation mechanism is the fundamental guarantee for the realization of public welfare. Simply want to reverse the "fill in drug treatment" mechanism, it is necessary to implement the health reform program of the Pharmaceutical Service of the additional charges, the appropriate part of medical technology and adjust the price of services, increase financial input and the reform of social health insurance various measures, such as payment method so that medical services be able to receive reasonable compensation. If there is no reasonable compensation mechanism is to allow public hospitals through its own operations, using drugs and inspection of income plus the income of the patients with the cost of subsidies to public hospitals achieve the public good is an empty talk.
2009-04-08
