（十七）初步建立国家基本药物制度。建立比较完整的基本药物遴选、生产供应、使用和医疗保险报销制度等体系，保证群众基本用药的可及性、安全性和有效性。规范基本药物的生产和配送，基层医疗卫生机构基本药物直接配送覆盖面力争达到80 ％。合理确定基本药物的价格，完善基本药物的医保报销政策，提高合理用药水平，减轻群众基本用药费 用负担。
17 in accordance with the spirit of party, for the establishment of Chinese medical and health system characteristics, the progressive realization of access to basic medical and health services, improve the level of health, are the following comments on the proposed reform.
I fully understand the medical and health system reform to deepen the importance and urgency and difficulty of health is the basis of all-round development of people.
The cause of the relationship between the medical and health well-being of millions of households, is a major livelihood issues. Deepening of the medical and health system reform, speed up the development of medicine and public health to meet the people’s growing demand for medical and health, and continuously improve the quality of people’s health, is to implement the scientific concept of development and the promotion of economic and social development of comprehensive, coordinated and sustainable natural requirement safeguard social fairness and justice in an important measure to improve people’s quality of life is an important symbol of a well-off society and building a harmonious socialist society, a major task.
Since the founding of new China, especially since the reform and opening, China’s medical and health has made significant achievements, covering urban and rural areas of the medical and health service system has basically taken shape, has continuously increased its ability for Disease Control and Prevention, health insurance coverage of the population gradually expanded rapidly rising level of health science and technology , the level of people’s health improved, the residents of developing countries mainly in the forefront of health indicators. In particular the fight against “SARS” has been a great victory was won, at all levels of government to increase investment in public health, rural and urban health accelerate the development of community health, new-type rural cooperative medical care and basic medical insurance for urban residents achieve a breakthrough medicine for deepening Health system reform has laid a good foundation.
At the same time, it should be noted that the cause of China’s current level of development of medicine and public health coordinated economic and social development with the requirements and not meet the health needs of the people are still quite prominent contradictions. Urban and regional imbalances in the development of medical and health, unreasonable allocation of resources, public health and rural, community medical and health work is relatively weak, health care systems, pharmaceutical production and circulation order of non-standardized, hospital management systems and operational mechanisms are imperfect, inadequate investment in government health, medical costs rose too fast, strong people and the masses. From now to 2020, is building a moderately prosperous society in our country critical period, the medical and health work tasks shoulders. With the economic development and people’s living standards, the masses to improve medical and health services will have higher requirements. Industrialization, urbanization, population aging, disease and ecological changes such as climate change, both the medical and health work a series of new challenges.
Deepening of the medical and health system, is to accelerate the development of medicine and public health strategic choice is to achieve the outcome of the reform and development of people to share an important way, is the broad masses of the people’s urgent hope. Chinese medicine is a broad, difficult and social systems engineering. China’s population and a low level of per capita income in urban and rural areas, regional disparities, and long-term in the primary stage of socialism’s basic national conditions, decided to deepen the medical and health system is a very complicated task, is a gradual process, the need for a clear direction and framework on the basis of hard work over a long period of exploration and perseverance in order to gradually establish the conditions of our country’s medical and health system.
Second, the guiding ideology of the reform of Chinese medicine, the basic principles and overall objectives
(A) the guiding ideology. The guiding ideology of the reform of Chinese medicine are: take Deng Xiaoping Theory and “Three Represents” as guidance, in-depth implementation of the scientific development concept, from China’s national conditions, benefit from international experience, focus on the realization of the right to basic medical and health services goals, and make efforts to resolve the masses of the people most concerned about, the most direct and practical interest. Adhere to public health of the public good nature, persist in focusing on prevention in order to focus on rural areas, both Chinese and Western medicine approach, the implementation of the conduct of public affairs separate, the management do separate, medicine separate, for-profit and non-profit separate from the Government to strengthen the responsibility and input, improve the national health policies, a sound system, and strengthen supervision and management, innovation and institutional mechanisms to encourage community participation, construction of urban and rural residents covered by basic medical and health system, and continuously improve the level of national health, promote social harmony.
(B) basic principles. Pharmaceutical reform should follow the following basic principles: people-oriented, to give top priority to safeguard the rights and interests of the people’s health. Adhere to the cause of the medical and health services for the purpose of the health of the people in order to protect the health of the people as the center and access to basic medical and health services as the fundamental starting point and final goal of the reform program from the design, the establishment of the health system to the service system must follow the public principle, reflect the strong focus on solving the outstanding problems, and strive to achieve all the people sick. Adhere to conditions based on the establishment of Chinese medical and health system characteristics. From China’s basic national conditions and seeking truth from facts summed up the cause of the medical and health reform and development of practical experience, an accurate grasp of the development of medicine and public health laws and the principal contradiction; adhere to the basic level of health services and economic and social development in harmony with the masses of the people to bear ability to adapt; give full play to the role of Chinese medicine; adhere to local conditions, direct classification, and to play a local initiative to explore the establishment of basic health care in line with the national health system. Adhere to fair and efficient unified, government-led market mechanism to play a role with the combination. Adhere to government-led, and strengthen the Government in the basic medical and health system the responsibility of the Government to strengthen the system, planning, financing, services, supervision responsibilities, and safeguard public health of the public welfare, and promote fairness and justice; At the same time, market-oriented mechanism role in promoting the formation of orderly competition and improve efficiency of health care and service levels, quality, meet the people’s multi-level, a variety of medical and health needs. Insist on integrated, to improve the system and resolve the current problems together. From the overall situation, taking into account the supply side and demand-side, such as the interests of all parties focus on prevention, treatment, rehabilitation of the combination of the three, the correct procedures for dealing with government, health agencies, pharmaceutical companies, medical personnel and the relationship between the masses of the people. Both long-term, innovative institutional mechanisms, but also focus on the current situation, and make efforts to resolve the medical and health problems that exist; not only focus on the overall design, a clear direction of the overall reform objectives and the basic framework, but also focused, step-by-step implementation, actively and steadily promote the reform.
(C) the overall objective. The overall objective of the reform of Chinese medicine are: the establishment of urban and rural residents covered by basic medical and health system for the masses to provide a safe, effective, convenient and inexpensive medical and health services. By 2020, urban and rural residents covered by basic medical and health system and the basic set up. Established a relatively complete system of public health services and medical service system, a relatively sound medical security system, the availability of drugs in a fairly standard security system, more scientific institutions of medical and health management system and operational mechanism, the formation of multi-run medical pattern for all basic medical and health services, the basic masses of the people to adapt to multi-level medical and health needs, the level of the people to further improve the health of the masses. Third, the four systems to improve medical and health, the establishment of urban and rural residents covered by basic medical and health system and the establishment of urban and rural residents covered by public health service system, the health care system, medical security system, security system, the availability of drugs in four-in-one system of basic medical and health , the four systems complement each other, supporting the construction of harmonious development.
(D) to strengthen public health services system. Establish and improve disease prevention and control, health education, maternal and child health, mental health, emergency medical treatment, blood collection, health surveillance and family planning service network, such as public health professionals and improve medical and health services to the grass-roots web-based health care system of public health services, the establishment of a clear division of labor, information exchange, resource sharing, coordination of interaction between the public health service system, improve public health services and the disposal of public health emergency response capacity, and promote urban and rural residents to enjoy a gradual equalization of basic public health services . To determine the scope of public health services. Clear national public health services, increasing service content, service and detailed assessment criteria. According to the local economy to encourage the local government level and a prominent public health issue, in the central provisions of services based on the content of public health services. Improve the public health service system. Further clarify the functions of public health service system, objectives and tasks, optimize the allocation of personnel and equipment to explore the integration of public health resources in an effective form of service. Improve disease prevention and control system and a major public health emergency response mechanism to strengthen a serious threat to people’s health infectious diseases, endemic, occupational and chronic diseases such as the prevention and control and monitoring. Strengthen the urban and rural first-aid system. Strengthen health promotion and education. Medical and health institutions and agencies, schools, communities, enterprises need to vigorously carry out health education, advocate a healthy and civilized way of life, the use of radio, television, networks, newspapers and magazines and other media to enhance the health, medical and health knowledge dissemination, the promotion of public rational nutrition to improve the health of the masses and self-care ability. Patriotic public health campaign carried out in depth. Rural sanitation and environmental management into a new socialist countryside construction planning, and promote the health of cities and villages of civilization-building, continuous improvement of urban and rural residents to live, work and other aspects of environmental health. Strengthening health supervision services. Promoting environmental health, food hygiene, occupational health, school health and health of migrant workers.
(E) further improve the medical service system. Adhere to non-profit medical institutions as the main body, for-profit medical institutions added that the public sector-led, non-public medical institutions to do the common development of medical principles, the construction of a rational structure, a clear division of labor, combined with prevention and control, technology suitable for operation in an orderly manner, including coverage of urban and rural primary health care and health services, including network and various types of hospital medical service system. Vigorously develop the rural health service system. Sound in order to speed up the establishment of county-level hospitals as a leader, as the backbone of township hospitals and village clinics in rural areas based on the three-tier network of health services. County-level hospitals in the region as a county health center, is mainly responsible for hospital-based basic medical services and emergency treatment of critically ill emergency patients, and to bear on the operations of rural health technical guidance and training of rural health personnel training; responsible for township hospitals provide public health services and the common, frequently-occurring disease, such as multi-service clinics and village health commitment to business management and technical guidance, etc.; village administrative villages and the general public health services for diagnosis and treatment of diseases and so on. Conditions in rural villages can be integrated management. Speed up the implementation of rural health service system planning and development, actively promote the rural health infrastructure and capacity-building, focus on good government and county-level hospitals in each town and township hospitals in a well, a variety of ways to support the construction of village health vigorously to improve rural medical and health conditions, improve medical and health service quality. Improve community health service based on a new type of urban medical service system. To develop community health services, in order to accelerate the construction of community health service centers as the mainstay of urban community health service network, and improve community health services, in order to safeguard the health of community residents as the center, to provide for Disease Control and Prevention and other public health services and general diseases, frequently-occurring disease, the primary treatment of chronic diseases. Changes in community health services, insist on active service, door-to-door service, and gradually take on the health of residents “gatekeeper” role. Improve the types of functions and responsibilities of the hospital. Optimize the layout and structure of the hospital and give full play to the city hospital in the acute and severe disease and diagnosis and treatment of illnesses, medical education and scientific research, guidance and training of health personnel, such as the grassroots backbone of the role of context. University Hospital of conditional planning requirements in accordance with the regional health through care, and reorganization of health care resources to promote the rational flow. The establishment of urban hospitals and community health services division of the coordination mechanism. City Hospital, through technical support, training of personnel, promote the sustainable development of community health. At the same time, to improve the service capabilities and lower fees, raise the proportion of such claims comprehensive measures to guide the general clinic sink to the grassroots level, the progressive realization of the first community clinic, and two-way classification of medical referral. Integration of urban health resources, make full use of existing urban primary and secondary hospitals and medical institutions of state-owned enterprises, such as primary health care resources, the development and improvement of community health service network. Give full play to include ethnic Chinese medicine including Chinese medicine in disease prevention and control, responding to public health emergencies, the role of medical services. Strengthen the research base of Chinese medicine and Chinese medicine hospital clinical building, organizations of Chinese medicine to combat diseases of the joint research, in medical and health institutions to promote appropriate technology in medicine. Create a favorable policy environment to support the development of Chinese medicine, Chinese medicine to promote the inheritance and innovation. Support the establishment of urban hospitals in rural medical and health care system. Developed regions to strengthen the poverty-stricken areas to support regional development and minority health care. Cities with large hospitals in poor areas and minority regions of the county-level hospitals to establish long-term stability of the system of support and cooperation to take clinical services, personnel training, technical guidance, equipment support, etc., to help them improve the health level and service capabilities.
(Vi) accelerate the construction of the medical security system. In order to speed up the establishment and improvement of basic medical insurance as the main body, and other forms of medical insurance and supplementary health insurance to supplement the business, covering both urban and rural residents of multi-level medical security system. The establishment of urban and rural residents covered by basic medical insurance system. Basic medical insurance, basic medical insurance for urban residents, the new rural cooperative medical care and medical assistance in urban and rural areas together constitute the basic medical security system, urban employment, respectively, covering population, the urban employed population, the rural population and vulnerable groups in urban and rural areas. Insist on wide coverage, basic security, and sustainable principles, focus on the protection of serious illness from the start, and gradually extended to the clinic for minor illnesses and improve the level of protection. The establishment of a national, unit, family and personal responsibility clear, reasonable sharing of multi-channel financing mechanisms, to achieve social互助共济. With the economic and social development, and gradually increase the level of funding and co-ordination level, narrowing the gap between the level of protection, and ultimately the basic framework of a unified system. Further improve the basic medical insurance system, to speed up the coverage of the working population, focusing on the closure of bankrupt state-owned enterprises, enterprises and other employees and retirees, as well as mixed ownership, non-public economic organizations and flexibility of employees employed medical insurance issues; speed up the town residents in the basic medical insurance pilot project, to fully open in 2009, attention to the elderly and children to resolve the basic medical insurance issues; the full implementation of new rural cooperative medical system, and gradually increase the level of government subsidy, the farmers pay the appropriate increase and improve support capabilities. Improve the urban and rural medical assistance system. Of difficulties and can not afford the insurance costs of health care subsidies, health insurance and build a strong bottom line. Conditional region to take a variety of ways to actively explore the establishment of urban-rural integration of basic medical insurance management system. To encourage trade unions and other social organizations to carry out the activities of various forms of medical mutual aid. Encourage and guide various types of non-profit charitable organizations, the development of social medical assistance. Do a good job in basic medical insurance system for urban residents in the basic medical insurance system, the new rural cooperative medical care system and between urban and rural medical assistance system for the convergence of migrant workers to properly resolve the issue of the basic medical insurance. Signed labor contracts with enterprises to establish a stable labor relations of migrant workers, according to state clearly the responsibility of employers to pay its workers in towns and cities included in the basic medical insurance system; other according to the actual situation of migrant workers, to participate in the location of residence or the new rural cooperative medical workers the location of the basic medical insurance for urban residents. Positive relationship between the health of migrant workers do a good job in follow-up, remote medical treatment and the cost of clearing and settlement services, such as policy convergence. Active development of commercial health insurance. To encourage the development of commercial insurance agencies to adapt to the different needs of the health insurance products, claims to simplify procedures for the masses, to meet the diverse health needs. Encourage businesses and individuals through participation in various forms of commercial insurance and supplementary medical insurance protection to meet the basic needs outside. Continue to explore commercial insurance sector to participate in the new rural cooperative medical care, such as the way managers manage.
(Vii) establish and improve the drug supply security system. To the establishment of a national system based on essential drugs, to nurture an internationally competitive pharmaceutical industry, pharmaceutical production and circulation enterprises to increase concentration, regulate the order of pharmaceutical production and circulation, improve the pricing mechanism for drugs, to strengthen government regulation as the main content, building standardized, intensive of the drug supply support system, and constantly improve the system of licensed pharmacist to protect the people’s security agents. The establishment of a national system of essential drugs. The central government to develop and publish uniform national essential medicines list, in accordance with the control necessary, safe, effective, affordable, easy to use, the principles of both Chinese and Western medicines, combined with the characteristics of China’s drug use, in the light of international experience and reasonable to determine the basic varieties and quantities of drugs. The establishment of the production of essential drugs supply system, under the government’s macro-control and give full play to the role of market mechanism, the implementation of essential drugs by the state fixed-point production or concentration of the tender procurement, direct distribution, to reduce intermediate links, at a reasonable profit to determine the level of production based on the unified the development of the retail price to ensure that the production and supply of essential drugs, basic drugs to protect the masses. Regulate the use of essential drugs, basic drugs used to formulate norms and guidelines for clinical application. Urban community health service centers (stations), township hospitals, village clinics and other primary care health institutions should all use of essential drugs, other types of medical institutions will have to essential drugs as the preferred use of the drug and to determine the ratio. Essential drugs into the basic medical insurance system directory of drug reimbursement, reimbursement was significantly higher than the proportion of non-essential drugs regulate the production and circulation of drugs. Pharmaceutical industry to improve the development of the industry development policies and planning, strict market access, strict drug registration approval, standardize and consolidate the strong production and circulation order, promote the optimization and upgrading of the pharmaceutical industry and technological progress, the development of modern pharmaceutical logistics and chain operation, the promotion of pharmaceutical production, circulation enterprise integration. The establishment of wide-coverage system, convenience Huinong rural medicine supply network and monitoring network. To support the small amount of the special agents, the production of first-aid medication. Improve the reserve system drugs. Standardize drug procurement, purchase and sale of pharmaceuticals firm governance of commercial bribery. Strengthen the monitoring of adverse drug reactions, the establishment of early warning mechanisms and drug safety mechanisms to deal with emergencies. Fourth, improving the institutional mechanism to ensure effective regulation of the medical and health system to improve the functioning of the medical and health management, operation, investment, pricing, monitoring systems and mechanisms to strengthen science, technology and human resources, information, and the legal system to protect the norms of the medical and health system functioning effectively.
(Viii) the establishment of a coordinated and integrated medical and health management system. Separately in accordance with the conduct of public affairs, Office of separate tubes, territoriality and the principle of management of the entire industry, to determine a reasonable level of government between different government agencies and between the medical and health terms of reference, the formation of clearly defined functions, positioning a clear, comprehensive coordination, powers and responsibilities of a unified management system. The implementation of territorial management and the entire industry. All medical and health institutions, regardless of ownership, investment in the main, affiliation and the nature of the business by the seat of health authorities to implement unified access the supervision unification. Central, provincial commitment to set up a small amount of medical research and teaching functions of the medical center or regional medical centers, national or regional commitment to the diagnosis and treatment of illnesses and other health care specialist hospitals; counties (cities, districts) is mainly responsible for organizing at the county level hospitals and rural health and community health agencies; the rest of the public hospital districts from the city responsible for. Strengthen the regional health planning. Provincial People’s Government to develop standards for health resource allocation, organizational development of regional health planning and health care institutions planning, specifically the number of medical institutions, scale, layout and functionality. Science and the development of township hospitals (village), community health service centers (stations) and other grass-roots health organizations and all levels of hospital construction and equipment standards. Take full advantage of and optimize the allocation of existing health care resources, adjust and optimize the structure and layout, do not comply with the planning requirements of the medical institutions should be gradually integrated, strictly control the configuration of major medical equipment, to encourage the build-sharing and improve the efficiency of health care resource utilization. Additional health resources must comply with the regional health planning, focusing on rural and community health such as weak links. The strengthening of regional health planning and urban development planning, land use planning, such as the convergence. The establishment of regional health planning and resource allocation mechanism for monitoring and evaluation. Promote the reform of the management system of public hospitals. From public hospitals in favor of strengthening the effective regulation of public welfare and the government must actively explore the conduct of public affairs separate, separate from the tube to do a variety of forms. To further transform government functions, public health administration is mainly responsible for health development planning, access qualifications, standards, service industry management functions such as regulation, other relevant departments to carry out their respective functions in accordance with the management and delivery of services. Implementation of an independent legal person status in public hospitals. Further improve the basic medical insurance management system. Central development of the basic medical insurance system and policy framework, local government is responsible for organizing the implementation of management, to create conditions to gradually improve the level of co-ordination. Effective integration of the basic medical insurance resources, the progressive realization of the basic medical insurance in urban and rural areas of the unified administration.
(Ix) the establishment of a standardized and efficient medical and health agencies operating mechanism. In order to protect the public nature of public medical and health institutions at the core, and gradually establish a standardized, scientific, efficient and orderly operation of mechanisms for the medical and health institutions. All public health agencies be included in the budget revenue and expenditure management. Responsibilities in accordance with the tasks identified by the Government reasonable staffing, wage levels and funding criteria, clear job responsibilities of all categories of personnel, strict personnel access, strengthen the performance assessment, the establishment can be of use to increase work efficiency and service quality . Changes in primary health care health care institutions operating mechanism. Part of the government’s urban community health service centers (stations) and township hospitals and other primary care health institutions, it is necessary to strictly define the services, clearly require the use of appropriate technology, appropriate personnel, appropriate equipment and essential drugs, in order to provide low-cost services to the masses, the nature of the maintenance of public welfare. The authorized staffing level to strictly implement employment system, the establishment can be up and motivate effective human resources management system. To clear the scope and standards of income and expenditure, the implementation of approved mission, the approved revenue and expenditure, performance evaluation of the financial management of grants, and to explore the implementation of separation of revenue and expenditure, public health and health care advances, such as the total amount of funds a wide range of effective management approach, strict budget management, improve capital efficiency. Addition to the reform of drug policy, the implementation of pharmaceutical sales slip zero. Strengthen and improve the internal management, the establishment of the quality of service as the core in order to position responsibilities and performance-based evaluation and incentive systems, and form a long-term protection of fair and efficient mechanism for the establishment of a standardized operational mechanism of public hospitals. Public hospitals to follow the nature of public goods and social benefits of the principle of patient-centered, and optimize service processes, and standardize inspection and medical drugs, deepening the reform of operational mechanism. The establishment and improvement of hospital corporate governance structure, clear responsibilities of owners and managers the right to form a decision-making, implementation, monitoring of checks and balances, have the responsibility, there are incentives, there are bound, competitive and dynamic mechanism. The implementation of separate management of revenue and expenditure of Chinese medicine, and explore effective ways to gradually reform the mechanism of drug treatment completed. Difference between the purchase and sale of drugs through the introduction of fare increases and service charges are a variety of Pharmaceutical and progressive reform or abolish the policy of drug addition and at the same time to take appropriate adjustment of prices of medical services, increasing government investment, the reform of payment and other measures to improve the compensation mechanisms in public hospitals. Further improve the financial and accounting management system, strict budget management, strengthen financial supervision and operational oversight. Place in conjunction with local realities, and the hospital conditions, “the approved revenue and expenditure in order to support arrived, turned over the over-enrollment, the difference between grants, clear rewards and punishments,” such as management of the pilot. The personnel system reform and improve the allocation of incentive mechanism, the implementation of the employment system and post management system, the total wage bill in the strict management, the implementation of the quality of services and jobs to the workload of an integrated performance-based job performance evaluation and wage system, to effectively mobilize the enthusiasm of the medical staff. Sound health care insurance agencies operating mechanism. Improve the internal governance structure, establish a rational mechanism and distribution system, improve the incentive and restraint mechanisms to improve the management capacity of health care insurance and management efficiency.
(J) the establishment of government-led mechanism for multi-health investment. Clear the Government, the community input and personal responsibility, the establishment of the Government in the provision of public health and basic medical services in the leading position. Public health services, mainly through government funding, to provide equalization of urban and rural residents. Basic medical services are provided by the Government, social and personal sharing of the cost of the three. Special need of medical services paid by individuals directly or through commercial health insurance. The establishment and improvement of government health input mechanism. Central and local governments should increase input in health, taking into account the supply side and demand-side. Gradually increase in government health costs accounted for the proportion of total health, so that the residents basic health care to reduce costs significantly; government health input to the growth rate of recurrent expenditure is higher than the growth rate of government recurrent health into account the proportion of financial expenditure gradually be increased. New focus on government investment to support public health, rural health, urban community health and basic medical care. In accordance with the principle of reasonable classification division of the burden of the central and local levels of government responsibility for health investment. The primary responsibility of local governments, the central government mainly on the national immunization plan, cross-regional prevention and control of major infectious diseases, such as public health, urban and rural residents, the basic medical insurance as well as the public health, such as institution-building grant. Increase the central, provincial financial difficulties in areas of special transfer payments. Improve the Government’s Public Health of the input mechanism. Professional staff of public health services funding, development and construction and operational funding arrangements by the Government in full, in accordance with the provisions of the Financial services income paid into the account or budget management. Gradually increase the per capita public health funding, a sound mechanism to ensure funding for public health services. Improve the Government’s urban and rural primary care health facilities into the mechanism. Organized by the Government responsible for its township hospitals, urban community health service centers (stations) approved by the state capital, equipment purchase, staff and their commitment to funding the operating costs of public health services to normal operation. Including all social forces organized township hospitals and urban community health service institutions, can be taken around the purchase of approved services, government grants. Support the construction of village clinics, village doctors to assume the tasks of public health service grants given reasonable. Government subsidies to implement the policy in public hospitals. Gradually increase the government investment, mainly for infrastructure and equipment to support the development of key disciplines, in line with the state retirees cost and loss of subsidies and so on and so on to assume the task of public health services to give special subsidies to form a reasonable specification The mechanism of government investment in public hospitals. Of Chinese medicine hospital, hospital for infectious diseases, psychiatric hospitals, maternal and child health care such as hospital and children’s hospital in favor of policy input. Public hospitals to strictly control the scale of construction, standards and lending behavior. Government to improve protection of the basic medical input mechanism. Government to provide the necessary financial support for the new rural cooperative medical care, basic medical insurance for urban residents, the basic medical insurance for urban workers and urban and rural medical assistance system for the establishment and improvement. To ensure that the relevant funding agencies to normal. Encourage and guide the development of social capital and health care. Actively promote the development of non-public medical institutions, the formation of investment diversification, diversification of investment to do the medical system. Pay close attention to the design and development of relevant policies and regulations, social norms do medical institutions, including foreign operators access to medical institutions, improve the management of fair and equitable trade policies. To encourage the establishment of social funds in accordance with the law of non-profit medical institutions. Countries to develop the public hospitals of the guidance system, and actively guide the community to participate in funding to a variety of ways, including the running of hospitals by state-owned enterprises, including some restructuring and reorganizing public hospitals. Steady progress in restructuring public hospitals in the pilot, appropriately reduce the proportion of public medical institutions, the formation of public hospitals and non-public hospitals, mutual promotion and common development. Qualified personnel to support the business in accordance with the law to facilitate the masses of medical treatment. Classification of medical institutions to improve management policies and preferential taxation policies.社会办医in accordance with the law to strengthen supervision. Vigorously develop charity. The development of relevant policies to encourage the social forces to set up a charitable medical institutions, or to medical assistance, medical institutions, such as charitable donations.
(Xi) to establish scientific and reasonable pricing mechanism of Chinese medicine. To improve market regulation and the regulation of the combination of objective reflection of market demand and supply, changes in cost and production services, medical services and pharmaceutical pricing mechanism. Regulate the prices of medical services management. Non-profit medical institutions to provide basic medical services, the implementation of the Government指导价, and the remaining independent pricing by medical institutions. The central government responsible for medical services and project pricing policies, pricing principles and methods; provincial or municipal department in charge of prices in health, labor and social security department approved the guidance of the basic price of medical services. Prices of basic medical services in accordance with the deduction of the cost of the services of financial assistance to develop, reflecting the cost of medical services and technical labor value. Different levels of medical institutions and doctors to provide services to the different levels of pricing. Regulate fees and charges at public medical institutions and standards, according to research diseases such as reform of fees and charges. The establishment of medical examination and treatment equipment, monitoring equipment prices, service prices and services going to cost adjustment system regularly. Drug pricing mechanism reform. Reasonable adjustments to the scope of government pricing, drug pricing methods to improve the use of price leverage to encourage enterprises to independent innovation, promote the state’s basic drug production and use. New drugs and patent medicines for the progressive introduction of market economy of the former drug evaluation system. Generic drugs to market prices after the implementation of the system from low-priced, low-level redundant construction inhibition. The implementation of the mark in the drug package price. Strictly control the spread rate of drug circulation. Carried out for hospital differences in medicines increase sales, service fees charged Pharmaceutical pilot to guide rational drug use hospitals. Strengthening of medical supplies and plantations (referral) to the category of medical devices in circulation and use of part of the price control and management. Medicine price monitoring system and improve and standardize the pricing behavior enterprises. Actively explore the establishment of medical insurance agencies and medical institutions, pharmaceutical supplier negotiation mechanism to play a medical insurance for medical services and the cost of restricted drugs.
(Xii) the establishment of strict and effective supervision of the medical and health system. Improve the monitoring network, the strengthening of our supervisory responsibilities, regulatory innovation means to enhance the regulatory capacity in accordance with the law, the gradual establishment of the Government as the main body, the community to participate in a multi-institutional strengthening of the regulatory supervision of medical and health care. Improve the health supervision and law enforcement system, strengthening of institutional capacity-building health supervision. To strengthen medical and health services and quality control, good medical and health service standards and quality evaluation system, standardized management system and workflow, accelerate the formulation of unified norms disease clinics, medical and health services and improve quality monitoring network. Medical and health institutions to enhance access to and operation of the monitoring. Enhance the life of drinking water, occupational health, food safety, public health and other social regulation. Hazards in accordance with the law crack down on people’s health and improve the safety of health care regulatory law. Strengthening of medical insurance, fund management and supervision of the use of such links, the establishment of effective use of medical insurance funds and risk prevention mechanism. Strengthen the health care of the monitoring role of health care services, improve the payment system, and actively explore the implementation of a per capita payment, paid by the disease, such as the total amount paid in advance, the establishment of both incentive and an effective disciplinary mechanism. To strengthen the commercial health insurance regulation, to promote the development of norms. To strengthen the drug. Responsibility to strengthen government supervision and improve the system, strict pharmaceutical manufacturing, distribution, pricing, advertising and the use of supervision. The implementation of management standards in pharmaceutical production, enhance the production of high-risk species regulation. Strictly regulate the operation and management of the implementation of drugs to explore the establishment of pharmaceutical business license classification, hierarchical management style, greater focus on supervision and testing efforts varieties. Strengthen the Government’s regulation of drug prices, to effectively control the pricing High. Standardize the clinical use of drugs, to play a licensed pharmacist to guide rational drug use and drug quality management. The establishment of information disclosure system. To encourage trade associations and other social organizations, individuals to government departments, medical institutions and the operation of performance-related system to conduct an independent evaluation and oversight. To strengthen industry self-regulation.
(Xiii) Establishment of sustainable development in the medical and health personnel in scientific and technological innovation mechanism and protection mechanism. Based health development, health services to the masses, and gradually establish a level of integrity, well-structured, focused, and sustainable mechanism for scientific and technological innovation and personnel protection mechanism. To promote scientific and technological progress of Chinese medicine. The medical and health science and technology innovation as the focus of national science and technology development in order to prevent and cure diseases as the center, efforts to overcome the difficulties of Chinese medicine science and technology for people’s health to provide technical support. Adhere to independent innovation, focusing on cross-and coordinated development, to lead the policy of the future, and deepen the medical and health science and technology system and institutional reforms, integration advantages of medical research resources to speed up the implementation of major special medical technology to enhance disease prevention and control of major technology and new drugs such as the development of key technologies research, both basic and applied medical research and high-tech, traditional Chinese and western medicine and Chinese medicine research seeks to break new ground. For people’s health needs, to strengthen medical research, development and production of suitable medical equipment to China’s national conditions. Broad international cooperation and exchange of health science and technology. To promote appropriate technology, comprehensive medical and health to promote scientific and technological progress. Strengthen the building of the medical and health personnel. Personnel development and implementation of construction planning, focusing on strengthening the public health, rural health, urban community health professional and technical personnel training and training of nursing staff. The development of policies to encourage the outstanding health professionals to rural areas, urban communities and the central and western areas. For long-term grass-roots work in urban and rural areas of health promotion and technical personnel in the title, business training, treatment policies appropriate tilt. General practitioners improve the qualifications system, and perfect the rural and urban community health workers on-the-job training system to encourage participation in academic education, to promote the standardization of village doctors to practice as soon as possible to achieve primary health care health care institutions have a qualified general practitioner. Strengthen high-level scientific research, medical, health management personnel. Nurture strength of Chinese medicine personnel. Steadily promote the rational flow of medical personnel, and promote talent among the different medical institutions of the vertical and horizontal exchange of research physicians registered to practice more. Gradually standardize the conditions of the hospital managers, and gradually form a professional and specialized management team of medical institutions. Adjustment of higher medical education structure and size. Strengthening of medical education in general. Improve the standardization, the standardization of clinical education and improve the quality of medical education. Increase in medical education, vigorously develop the rural areas for the specialist of higher medical education, directed to take a variety of ways, such as free training for the poor rural areas of practical training of health personnel, a large number of roots in rural areas, services of qualified doctors farmers. To strengthen the construction of medical ethics. Emphasis on humanistic quality of medical staff training and professional quality education, vigorously carry forward the spirit lives. Optimization of medical practice environment. Formed in the whole society to respect medical science, respect for good health among workers, and strive to build a healthy and harmonious relationship between doctors and patients.
(Xiv) the establishment of sharing and practical medical and health information systems. To promote the public health, medical, health, medicine, construction and financial monitoring information for the focus to accelerate the standardization of information and public service information platform for building, and gradually establish a unified high-performance, resource integration, interoperability, information sharing, transparent and easy to use , real-time monitoring of the medical and health information systems. Speed up the construction of medical and health information systems. Improve disease control network as the main public health information systems, improve the forecast and analysis of early warning reporting capabilities. Files to create a focus on the health of residents, to build rural and community health information network platform. To hospital management and electronic medical records, focusing on pushing forward the construction of hospital information. The use of network information technology, promote the city’s hospitals and community health service agencies, and actively develop rural and remote areas of telemedicine. The establishment and improvement of health care information systems. Speed up the fund management, the cost of clearing and control, medical management and supervision, and insurance management services to units and individuals with complex functions, such as health care information system. Strengthen the urban workers, residents in the basic medical insurance and the new rural cooperative medical information system, medical institutions with the docking information system, and actively promoting the “One Card” and other ways to facilitate the insurance (co-) medical treatment and increase the transparency of medical services. The establishment and improvement of national, provincial and municipal regulation of the three drugs, drug test detection, monitoring of adverse drug reactions information network, strengthening of drug development, production, circulation, use the key to the whole process of monitoring.
(15) Establishing a sound legal system of medicine and public health. Legislation to further strengthen the medical and health work, and gradually establish and perfect the basic medical and health system to adapt to, relatively complete legal system health. Improve the health laws and regulations. Accelerate the basic medical and health legislation, specifically the Government, the community and residents in health promotion of the rights and obligations to protect access to basic medical and health services. Establish and improve standards of health, good laws and regulations related to convergence and coordination. Chinese medicine to speed up the legislative work. Promoting administration according to law. Strictly enforce the law and norms of law enforcement, governments at all levels to effectively improve the use of legal means to develop and manage the capacity of medical and health undertakings. To strengthen the work of the medical and health law popularization, to enhance the legal awareness of the whole society and the legal system, efforts to create conditions conducive to the health of the people of the legal environment. Fifth, efforts focus on five priorities, and strive to achieve marked results in the near future to deepen the medical and health system to focus on the current situation, from the efforts to resolve the masses of the people reflect a strong “hard to see a doctor, a doctor of your” problems, so that ordinary people benefit, so that medical personnel encouraged by regulators to allow easier. By 2010, the initial establishment of the national health system, the basic framework. (16) accelerating the construction of a basic medical insurance system. A basic medical insurance system covering both urban and rural residents a comprehensive, basic medical insurance, basic medical insurance for urban residents and the new rural cooperative medical insurance (combined) rate of 90%. The promotion of the basic medical insurance system of coordination and convergence. Management system to improve mechanisms for health care, and gradually increase the level of funding and security. Further improve the urban and rural medical assistance system, significantly reduce the cost of urban and rural residents the burden of personal medicine.
(Xvii) the initial establishment of a national system of essential drugs. To build a more complete selection of essential drugs, the production of the supply, use and health insurance reimbursement system, system to ensure that the masses of basic drugs and sex, the safety and efficacy. The basic norms of production and distribution of drugs, primary care health institutions direct distribution of essential drugs and strive to achieve coverage of 80%. Reasonable to determine the price of essential drugs, basic drugs to improve health insurance reimbursement policy, to raise the level of rational drug use, basic medication to alleviate the cost burden of the masses.
(Xviii) a sound system of primary health care and health services. Speed up the rural township hospitals, village and urban community health service institution-building, primary health care and health services to achieve comprehensive network coverage, enhance the provision of primary medical and health personnel, especially the training of general practitioners in training, focus on improving primary health care services to health institutions the level and quality of rural residents not minor illnesses township, city residents enjoy the convenient and effective community-based health services. Changes in primary health care health care institutions operating mechanisms and modes of service delivery, improve the investment mechanism, the gradual establishment of clinics and two-way hierarchical referral system, urban and rural residents, the cost of basic medical and health services and reducing the burden, the use of primary health care and health services increased significantly.
(19) basic public health services to promote the gradual equalization. A sound system of public health services in urban and rural areas and gradually expand the scope of national public health services to urban and rural residents for Disease Control and Prevention, immunization, maternal and child health, health education and other basic public health services. The implementation of major national public health specific and effective prevention and control of major diseases. Further improve the emergency disposal of a major public health capacity. Urban and rural residents to gradually narrow the gap between the basic public health services and raise the level of national health. Improve the mechanism to ensure funding for public health services, strengthening performance appraisal, improving service efficiency and quality.
(20) to promote reform of public hospitals. Explore the establishment of public hospitals in a fairly standard management system and operational mechanism, to take an effective way to reform in order to complement the medical mechanism of drugs, increased government investment, and standardize management of revenue and expenditure, so that drugs, check the proportion of income has declined markedly. To improve the internal management, and optimize service processes, and standardize medical act was significantly shorter waiting time for patients to achieve mutual recognition of test results. Sixth, actively and steadily push forward the medical and health system (21) effectively strengthen their leadership. Governments at all levels should fully understand the medical and health system reform to deepen the significance of, and strengthen management, to solve the problem of the masses of medical treatment focused on improving people’s livelihood as the top of the agenda of the Government’s public health responsibilities. The establishment of the deepening of the State Council Leading Group for the medical and health system, co-ordinating body to deepen the implementation of the medical and health system. State departments should earnestly perform their duties in close, to create synergy. Local governments in accordance with the requirements of this guidance in light of the actual situation, in line with local conditions to develop specific and effective measures to implement the program, carefully organized and in an orderly way to ensure that the results of the reform to benefit all the people.
(22) focused, step-by-step implementation. The establishment of urban and rural residents covered by basic medical and health system is a long-term task. Departments of the State Council in accordance with this guidance to determine the direction and framework of the basic system, pay close attention to the formulation of relevant supporting documents, further deepened, refined and practical policy measures, and do a good job in the system, policy convergence between the support and coordinate to promote reforms. In recent years to focus on promoting the basic medical security system, the establishment of a national essential drug system, a sound system of primary health care and health services, the promotion of basic public health services and promote equality of reform in public hospitals and so on.
(23) To organize the experimental work carried out. Chinese medicine covers a wide range of health reform, the situation is complex and difficult problems in a number of pilot projects to be achieved gradually extend the experience. The near future we will strive to explore in public hospitals in separate tubes do, reforms to complement the medical drugs, and regulate operating mechanism and input mechanism, such as health breakthrough. Deepening of the State Council Leading Group for the medical and health system is responsible for co-ordination, guidance throughout the pilot project, part of the country or select pilot units. Central is responsible for formulating the principles and policy framework for the pilot, local pilot responsible for the implementation of specific programs and organizations. Continue to explore ways to encourage local innovation, combined with various forms of local pilot.
(24) public opinion and propaganda work to do a good job. Medicine directly related to the reform of the vital interests of the masses is a major livelihood projects, the needs of the community and the general public understanding, support and participation. To insist on correct guidance of public opinion and strengthen the medical and health system reform to deepen the significance of the guiding ideology, basic principles and major policies of the publicity, the promotion of a good summary of the pilot experience, which will benefit the broad masses of the major reform of the people, in order to deepen the reform of public opinion to create a good environment.