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Deepen the key tasks of the medical and health system reform in 2017

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2017 is an important year for implementing the spirit of the National Health and Wellness Conference and implementing the 13th Five-Year Plan for deepening the reform of the medical and health system. It is a key year for the formation of a more systematic basic medical and health system framework and the completion of the phased objectives of the medical reform. . To deepen the reform of medical reform, we must fully implement the spirit of the Eighth Central Committee, the Third Middle School, the Fourth Middle School, the Fifth Middle School, and the Sixth Plenary Session of the Eighteenth Central Committee, and thoroughly implement the spirit of the important speeches of General Secretary Xi Jinping and the new ideas, new ideas and new strategies of governing the country. Implementing the decision-making and deployment of the Party Central Committee and the State Council, coordinating and promoting the overall layout of the "five in one" and coordinating and promoting the "four comprehensive" strategic layout, adhering to the general tone of steady progress, and firmly establishing and implementing innovation, coordination, greenness, and openness. Sharing the development concept, adhering to the people-centered development thinking, insisting on promoting the construction of healthy China, insisting on providing the basic medical and health system as a public product to the whole people, adhering to the basic, strong grassroots, construction mechanism, deepening medical care and medical insurance. And the medical linkage reform, focus on promoting the construction of five systems of grading diagnosis and treatment, modern hospital management, universal medical insurance, drug supply security, and comprehensive supervision, and comprehensively promote reforms in related fields, further strengthen organizational leadership, institutional innovation, and key breakthroughs, and do a good job in reforms. The implementation of the initiative to establish a basic medical health with Chinese characteristics The birth system has laid a solid foundation, and has effectively transformed the reform results into the health and well-being and sense of the people, and greeted the party’s 19th National Congress with outstanding results.

 

In 2017, we will deepen the reform of the medical and health system, and we must focus on promoting and implementing the following tasks.

 

I. Research and development documents

 

1. Develop guidance on promoting the construction and development of medical complexes. (Responsible by the National Health and Family Planning Commission, completed by the end of April 2017)

 

2. Formulate implementation opinions for reform and improvement of the shortage supply mechanism. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

3. Develop guidance on establishing a modern hospital management system. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

4. Formulate and improve the opinions on party building work in public hospitals. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

5. Formulate guiding opinions for deepening reform of medical institutions run by state-owned enterprises. (Responsible by the State-owned Assets Supervision and Administration Commission of the State Council, completed by the end of June 2017)

 

6. Develop opinions that support social forces in providing multiple levels of diverse medical services. (Responsible by the National Development and Reform Commission, completed by the end of June 2017)

 

education and collaborative promotion of medical personnel training reform and development. (The National Health and Family Planning Commission and the Ministry of Education are jointly responsible for the completion of the project by the end of June 2017)

 

8. Develop guidance on strengthening the comprehensive supervision of the health care industry. (Responsible by the National Health and Family Planning Commission, completed by the end of September 2017)

 

9. Develop policy documents to establish an honor system for health personnel. (The National Health and Family Planning Commission, the Ministry of Human Resources and Social Security take the lead in taking responsibility, and will complete by the end of September 2017)

 

10. Develop guidance documents for piloting centralized procurement of high-value medical consumables. (Responsible by the National Health and Family Planning Commission, completed by the end of October 2017)

 

11. To formulate opinions on piloting the implementation of the total management of personnel in the preparation and management reform of public hospitals in the third-grade public hospitals in some cities. (The central editor is responsible for the completion of the end of October 2017)

 

12. Develop guidance documents for reform and improvement of generic drug management policies. (Responsible for the Medical Reform Office of the State Council, completed by the end of October 2017)

 

13. Formulate management measures for the registration and registration of medical representatives. (Responsible for the Food and Drug Administration, completed by the end of December 2017)

 

14. Formulate a credit management system for drug purchase and sales. (Responsible for the Food and Drug Administration, completed by the end of December 2017)

 

The above tasks are only listed in the lead department and are not listed in the participating departments.

 

Second, the key work to promote implementation

 

15. Summarize and promote local success experience, further expand the scope of the pilot, and expand the pilot program for family grading and family doctors to more than 85% of the city. (Responsible by the National Health and Family Planning Commission)

 

16. Implement the “Guiding Opinions on Promoting Family Doctors' Contracting Services” by the State Council Medical Reform Office and other units, vigorously promote family doctors' contracting services, and improve policies such as payment, assessment, incentives, and medical insurance. Starting from the elderly, pregnant women, children, the disabled and other people with chronic diseases and severe mental disorders, the demand-oriented family doctor contract service. In 2017, the coverage rate of key population contracted services reached more than 60%, and all the poor people were included in the family doctor contract service. (Responsible by the National Health and Family Planning Commission)

 

17. Fully launch pilot projects for the construction of various forms of medical complexes. Third-level public hospitals should fully participate and play a leading role, establish an assessment and incentive mechanism to promote high-quality medical resources, strengthen grassroots service capabilities, and facilitate the public to seek medical treatment. Exploring a variety of ways, such as the vertical cooperation of medical unions and other modes of division of labor, and implementing the total amount of medical insurance, and promoting the medical consortium to become a service community, a community of responsibility, a community of interests, and a community of management. Carry out diagnosis and treatment - rehabilitation - long-term care continuous service model pilot. Before the end of June 2017, all provinces (autonomous regions and municipalities) should clearly promote the work plan for the construction of medical complexes. At least one medical complex with obvious results will be built in each city and the pilot city of grading diagnosis and treatment in the pilot provinces of comprehensive medical reform. (The National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, and the Ministry of Finance are responsible for the first department to be the lead department, the same below)

 

18. Organize the pilot of day-to-day surgery for tertiary hospitals to further improve and implement the medical insurance payment and medical service price policy. Implement policies that guide and promote the participation of public hospitals in grading diagnosis and treatment. (Responsible for the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the National Development and Reform Commission, and the State Administration of Traditional Chinese Medicine)

 

19. Strengthen the comprehensive capacity building and discipline construction of county-level public hospitals, strengthen the specialized departments of common diseases and frequently-occurring diseases in the county, and the construction of clinical specialties that are in short supply. Promote full coverage of telemedicine in poor counties and counties. (Responsible by the National Health and Family Planning Commission and the National Development and Reform Commission)

 

20. Full implementation of the “13th Five-Year Plan” of the grassroots Chinese medicine service capacity improvement project. (Responsible by the State Administration of Traditional Chinese Medicine

 

21. Urge all provinces, municipalities and counties to improve and implement the relevant plans for the medical and health service system, and to clarify the functional positioning of various types of medical and health institutions at all levels. Reasonably control the number and scale of public comprehensive hospitals. (Responsible by the National Health and Family Planning Commission, the National Development and Reform Commission, and the State Administration of Traditional Chinese Medicine)

 

22. Expand the scope of comprehensive reform demonstration of county-level public hospitals, and each province has at least one national model county. Initiate the demonstration work of comprehensive reform of urban public hospitals. (Responsible by the National Health and Family Planning Commission and the Ministry of Finance)

 

23. Clarify the policy measures taken by the National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine (TCM) hospitals to participate in the comprehensive reform of local public hospitals, and carry out comprehensive performance appraisal. At least one of the pilot cities in the comprehensive medical reform pilot province will conduct performance appraisal pilots and increase exploration efforts. (The National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, the Central Office, the Ministry of Finance, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security)

 

24. Promote military hospitals and armed police hospitals to participate in the comprehensive reform of public hospitals in resident cities, and incorporate them into regional health planning and grading diagnosis and treatment systems. (Responsible for the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

25. Comprehensive reform of public hospitals will be fully implemented before the end of September 2017. All public hospitals will cancel drug additions (except for Chinese herbal medicines). Coordinate and promote reforms such as management system, medical price, personnel compensation, drug circulation, and medical insurance payment methods. Gradually increase the proportion of medical service income in the total hospital revenue. In 2017, the proportion of medicines in public hospitals in the first four batches of 200 pilot cities (excluding traditional Chinese medicine decoction pieces) dropped to about 30%, and the sanitary materials consumed in 100 yuan medical income (excluding drug income) fell below 20 yuan. (The National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Commerce, the State-owned Assets Supervision and Administration Commission, and the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

26. Implement the medical service price reform policy, comprehensively push forward the price reform of urban public hospitals, and establish a regional coordination system for medical service prices. (Responsible for the National Development and Reform Commission, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, and the State Administration of Traditional Chinese Medicine)

 

27. Fully implement the government's investment policy for public hospitals that meet regional health plans, and promote the establishment of a new mechanism for public hospitals to be compensated by service fees and government subsidies. Gradually repay and resolve long-term debts of eligible public hospitals. (Responsible by the Ministry of Finance, the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, and the National Development and Reform Commission)

 

28. Promote the construction of modern hospital management system. The pilot provinces of comprehensive medical reform should select some cities at the prefecture level and above to carry out pilot projects, and initially establish management systems and governance mechanisms for decision-making, implementation, supervision and coordination, mutual checks and balances, and mutual promotion. Piloting the development of public hospital regulations. (Responsible for the National Health and Family Planning Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the Central Office)

 

29. Carry out the pilot work of reforming the salary system of public hospitals, sum up the pilot experience in a timely manner, and proceed to formulate relevant guidance documents for the personnel compensation system that are suitable for the characteristics of the medical industry. (Responsible for the Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health and Family Planning Commission, and the State Administration of Traditional Chinese Medicine)

 

30. All provinces (autonomous regions and municipalities) set annual annual medical cost growth control targets. In 2017, the average growth rate of medical expenses in public hospitals nationwide was controlled below 10%. Regularly announce the ranking of major monitoring indicators in each province (autonomous region, municipality). (Responsible for the National Health and Family Planning Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine)

 

31. Complete the integration of the basic medical insurance system for urban and rural residents, and implement the “six unification” policy of coverage, financing policies, guarantees, medical insurance catalogues, fixed-point management, and fund management. The management system can be rationalized, and the establishment of a medical insurance fund management center can be carried out to undertake fund payment and management, drug procurement and fee settlement, negotiation of medical insurance payment standards, agreement management and settlement of fixed-point institutions. We will improve the system of major illness insurance, adopt measures such as lowering the deductible line, increasing the proportion of reimbursement, and reasonably determining the scope of compliance medical expenses, so as to improve the accuracy of the payment of major illness insurance to the needy. (Human Resources and Social Security Department, National Health and Family Planning Commission, and China Insurance Regulatory Commission are responsible respectively, and the Ministry of Finance participates)

 

32. The financial subsidies for medical insurance for urban and rural residents have been raised from 420 yuan per person per year to 450 yuan per year, simultaneously raising individual payment standards and expanding the scope of drug use coverage. (The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health and Family Planning Commission are responsible for each)

 

33. Advance the establishment of a multi-component medical insurance payment method based on disease-based payment. The country selects some regions to conduct trials for the diagnosis of disease-related groups (DRGs), and encourages other places to actively explore. Guide all localities to improve various payment methods, such as disease type, per capita head, and bed day. The pilot provinces for comprehensive medical reform should select one or two cities to fully implement the reform of medical insurance payment methods, covering all medical institutions and all medical services in the region, and significantly reducing the proportion of project-based payments. (Human Resources and Social Security Department, National Health and Family Planning Commission, and Ministry of Finance are jointly responsible)

 

34. Promote work on a case-by-case basis. By the end of 2017, no less than 100 disease-based diseases will be imposed in all cities. (Responsible for the National Development and Reform Commission, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, and the Ministry of Finance)

 

35. Pilot the payment standard for medical insurance drugs and explore the development of medical service payment standards. Promote the medical insurance information network in the country, and realize the direct settlement of hospitalization expenses for medical treatment in different places that meet the referral regulations. (Human Resources and Social Security Department and National Health and Family Planning Commission are responsible respectively)

 

36. Develop about 200 clinical pathways, totaling about 1,200, and formulate about 100 clinical pathways for Chinese medicine. (The National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine are responsible respectively)

 

37. Promote the implementation of the “Notice on Further Strengthening the Effective Connection between Medical Assistance and Major Disease Insurance for Urban and Rural Residents” by the Ministry of Civil Affairs and other departments to enhance the synergy. (Ministry of Civil Affairs, Human Resources and Social Security Department, National Health and Family Planning Commission, China Insurance Regulatory Commission, State Council Poverty Alleviation Office, Ministry of Finance)

 

38. Promote the commercial health insurance personal income tax pilot policy to national implementation. (Responsible for the Ministry of Finance, the State Administration of Taxation and the China Insurance Regulatory Commission

 

39. Summarize experience and support social forces such as commercial insurance institutions to participate in medical insurance management according to the relevant regulations of the government to purchase services. (Human Resources and Social Security Department, National Health and Family Planning Commission, and China Insurance Regulatory Commission)

 

40. In-depth implementation of the health poverty alleviation project, and strive to solve the problem of poverty-stricken people due to illness and returning to poverty due to illness. (Responsible for the National Health and Family Planning Commission, the State Council Office of Poverty Alleviation, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, the Ministry of Human Resources and Social Security, the China Insurance Regulatory Commission, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

41. Advance precision rehabilitation services to provide basic rehabilitation services for people with disabilities. (China Disabled Persons' Federation, National Health and Family Planning Commission, Ministry of Finance)

 

42. Promote pilots of long-term care insurance. (Human Resources and Social Security Department, National Health and Family Planning Commission, Ministry of Civil Affairs, Ministry of Finance, and China Insurance Regulatory Commission)

 

43. Implementing the “Opinions of the General Office of the State Council on Further Reforming and Improving the Policy of Drug Production and Use” (Guo Ban Fa [2017] No. 13), the provinces (autonomous regions and municipalities) will introduce specific implementation plans for the region before the end of June 2017. Timely formulation of relevant policy measures. (The National Health and Family Planning Commission, the Food and Drug Administration, the Ministry of Industry and Information Technology, the Ministry of Commerce, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security are responsible respectively)

 

44. Accelerate the evaluation of the consistency of quality and efficacy of generic drugs. Pilot work on the system of holders of drug marketing licenses. (Responsible for the Food and Drug Administration)

 

45. Further expand the fixed production scope of shortage drugs and support the construction of centralized production bases for small varieties of drugs. Establish and improve a system for early warning and grading response to shortages of drugs. (Ministry of Industry and Information Technology, National Health and Family Planning Commission)

 

46. ​​Make good use of the National Drug Supply and Safety Integrated Management Information Platform, adhere to the principle of centralized quantity procurement, promote the implementation of drug classification and procurement in public hospitals, foster centralized procurement entities, and encourage cross-regional joint procurement and specialized hospitals to carry out drugs and high-value medical consumables. purchase. To study and compile the unified coding of high-value medical consumables procurement, the pilot provinces of comprehensive medical reform should select a number of cities to carry out pilot procurement of high-value medical consumables, and encourage other provinces to carry out pilot projects. (National Health2017 is an important year for implementing the spirit of the National Health and Wellness Conference and implementing the 13th Five-Year Plan for deepening the reform of the medical and health system. It is a key year for the formation of a more systematic basic medical and health system framework and the completion of the phased objectives of the medical reform. . To deepen the reform of medical reform, we must fully implement the spirit of the Eighth Central Committee, the Third Middle School, the Fourth Middle School, the Fifth Middle School, and the Sixth Plenary Session of the Eighteenth Central Committee, and thoroughly implement the spirit of the important speeches of General Secretary Xi Jinping and the new ideas, new ideas and new strategies of governing the country. Implementing the decision-making and deployment of the Party Central Committee and the State Council, coordinating and promoting the overall layout of the "five in one" and coordinating and promoting the "four comprehensive" strategic layout, adhering to the general tone of steady progress, and firmly establishing and implementing innovation, coordination, greenness, and openness. Sharing the development concept, adhering to the people-centered development thinking, insisting on promoting the construction of healthy China, insisting on providing the basic medical and health system as a public product to the whole people, adhering to the basic, strong grassroots, construction mechanism, deepening medical care and medical insurance. And the medical linkage reform, focus on promoting the construction of five systems of grading diagnosis and treatment, modern hospital management, universal medical insurance, drug supply security, and comprehensive supervision, and comprehensively promote reforms in related fields, further strengthen organizational leadership, institutional innovation, and key breakthroughs, and do a good job in reforms. The implementation of the initiative to establish a basic medical health with Chinese characteristics The birth system has laid a solid foundation, and has effectively transformed the reform results into the health and well-being and sense of the people, and greeted the party’s 19th National Congress with outstanding results.

 

In 2017, we will deepen the reform of the medical and health system, and we must focus on promoting and implementing the following tasks.

 

I. Research and development documents

 

1. Develop guidance on promoting the construction and development of medical complexes. (Responsible by the National Health and Family Planning Commission, completed by the end of April 2017)

 

2. Formulate implementation opinions for reform and improvement of the shortage supply mechanism. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

3. Develop guidance on establishing a modern hospital management system. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

4. Formulate and improve the opinions on party building work in public hospitals. (Responsible by the National Health and Family Planning Commission, completed by the end of June 2017)

 

5. Formulate guiding opinions for deepening reform of medical institutions run by state-owned enterprises. (Responsible by the State-owned Assets Supervision and Administration Commission of the State Council, completed by the end of June 2017)

 

6. Develop opinions that support social forces in providing multiple levels of diverse medical services. (Responsible by the National Development and Reform Commission, completed by the end of June 2017)

 

7. Formulate guiding opinions for medicaleducation and collaborative promotion of medical personnel training reform and development. (The National Health and Family Planning Commission and the Ministry of Education are jointly responsible for the completion of the project by the end of June 2017)

 

8. Develop guidance on strengthening the comprehensive supervision of the health care industry. (Responsible by the National Health and Family Planning Commission, completed by the end of September 2017)

 

9. Develop policy documents to establish an honor system for health personnel. (The National Health and Family Planning Commission, the Ministry of Human Resources and Social Security take the lead in taking responsibility, and will complete by the end of September 2017)

 

10. Develop guidance documents for piloting centralized procurement of high-value medical consumables. (Responsible by the National Health and Family Planning Commission, completed by the end of October 2017)

 

11. To formulate opinions on piloting the implementation of the total management of personnel in the preparation and management reform of public hospitals in the third-grade public hospitals in some cities. (The central editor is responsible for the completion of the end of October 2017)

 

12. Develop guidance documents for reform and improvement of generic drug management policies. (Responsible for the Medical Reform Office of the State Council, completed by the end of October 2017)

 

13. Formulate management measures for the registration and registration of medical representatives. (Responsible for the Food and Drug Administration, completed by the end of December 2017)

 

14. Formulate a credit management system for drug purchase and sales. (Responsible for the Food and Drug Administration, completed by the end of December 2017)

 

The above tasks are only listed in the lead department and are not listed in the participating departments.

 

Second, the key work to promote implementation

 

15. Summarize and promote local success experience, further expand the scope of the pilot, and expand the pilot program for family grading and family doctors to more than 85% of the city. (Responsible by the National Health and Family Planning Commission)

 

16. Implement the “Guiding Opinions on Promoting Family Doctors' Contracting Services” by the State Council Medical Reform Office and other units, vigorously promote family doctors' contracting services, and improve policies such as payment, assessment, incentives, and medical insurance. Starting from the elderly, pregnant women, children, the disabled and other people with chronic diseases and severe mental disorders, the demand-oriented family doctor contract service. In 2017, the coverage rate of key population contracted services reached more than 60%, and all the poor people were included in the family doctor contract service. (Responsible by the National Health and Family Planning Commission)

 

17. Fully launch pilot projects for the construction of various forms of medical complexes. Third-level public hospitals should fully participate and play a leading role, establish an assessment and incentive mechanism to promote high-quality medical resources, strengthen grassroots service capabilities, and facilitate the public to seek medical treatment. Exploring a variety of ways, such as the vertical cooperation of medical unions and other modes of division of labor, and implementing the total amount of medical insurance, and promoting the medical consortium to become a service community, a community of responsibility, a community of interests, and a community of management. Carry out diagnosis and treatment - rehabilitation - long-term care continuous service model pilot. Before the end of June 2017, all provinces (autonomous regions and municipalities) should clearly promote the work plan for the construction of medical complexes. At least one medical complex with obvious results will be built in each city and the pilot city of grading diagnosis and treatment in the pilot provinces of comprehensive medical reform. (The National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, and the Ministry of Finance are responsible for the first department to be the lead department, the same below)

 

18. Organize the pilot of day-to-day surgery for tertiary hospitals to further improve and implement the medical insurance payment and medical service price policy. Implement policies that guide and promote the participation of public hospitals in grading diagnosis and treatment. (Responsible for the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the National Development and Reform Commission, and the State Administration of Traditional Chinese Medicine)

 

19. Strengthen the comprehensive capacity building and discipline construction of county-level public hospitals, strengthen the specialized departments of common diseases and frequently-occurring diseases in the county, and the construction of clinical specialties that are in short supply. Promote full coverage of telemedicine in poor counties and counties. (Responsible by the National Health and Family Planning Commission and the National Development and Reform Commission)

 

20. Full implementation of the “13th Five-Year Plan” of the grassroots Chinese medicine service capacity improvement project. (Responsible by the State Administration of Traditional Chinese Medicine

 

21. Urge all provinces, municipalities and counties to improve and implement the relevant plans for the medical and health service system, and to clarify the functional positioning of various types of medical and health institutions at all levels. Reasonably control the number and scale of public comprehensive hospitals. (Responsible by the National Health and Family Planning Commission, the National Development and Reform Commission, and the State Administration of Traditional Chinese Medicine)

 

22. Expand the scope of comprehensive reform demonstration of county-level public hospitals, and each province has at least one national model county. Initiate the demonstration work of comprehensive reform of urban public hospitals. (Responsible by the National Health and Family Planning Commission and the Ministry of Finance)

 

23. Clarify the policy measures taken by the National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine (TCM) hospitals to participate in the comprehensive reform of local public hospitals, and carry out comprehensive performance appraisal. At least one of the pilot cities in the comprehensive medical reform pilot province will conduct performance appraisal pilots and increase exploration efforts. (The National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, the Central Office, the Ministry of Finance, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security)

 

24. Promote military hospitals and armed police hospitals to participate in the comprehensive reform of public hospitals in resident cities, and incorporate them into regional health planning and grading diagnosis and treatment systems. (Responsible for the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

25. Comprehensive reform of public hospitals will be fully implemented before the end of September 2017. All public hospitals will cancel drug additions (except for Chinese herbal medicines). Coordinate and promote reforms such as management system, medical price, personnel compensation, drug circulation, and medical insurance payment methods. Gradually increase the proportion of medical service income in the total hospital revenue. In 2017, the proportion of medicines in public hospitals in the first four batches of 200 pilot cities (excluding traditional Chinese medicine decoction pieces) dropped to about 30%, and the sanitary materials consumed in 100 yuan medical income (excluding drug income) fell below 20 yuan. (The National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Commerce, the State-owned Assets Supervision and Administration Commission, and the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

26. Implement the medical service price reform policy, comprehensively push forward the price reform of urban public hospitals, and establish a regional coordination system for medical service prices. (Responsible for the National Development and Reform Commission, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, and the State Administration of Traditional Chinese Medicine)

 

27. Fully implement the government's investment policy for public hospitals that meet regional health plans, and promote the establishment of a new mechanism for public hospitals to be compensated by service fees and government subsidies. Gradually repay and resolve long-term debts of eligible public hospitals. (Responsible by the Ministry of Finance, the National Health and Family Planning Commission, the State Administration of Traditional Chinese Medicine, and the National Development and Reform Commission)

 

28. Promote the construction of modern hospital management system. The pilot provinces of comprehensive medical reform should select some cities at the prefecture level and above to carry out pilot projects, and initially establish management systems and governance mechanisms for decision-making, implementation, supervision and coordination, mutual checks and balances, and mutual promotion. Piloting the development of public hospital regulations. (Responsible for the National Health and Family Planning Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the Central Office)

 

29. Carry out the pilot work of reforming the salary system of public hospitals, sum up the pilot experience in a timely manner, and proceed to formulate relevant guidance documents for the personnel compensation system that are suitable for the characteristics of the medical industry. (Responsible for the Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health and Family Planning Commission, and the State Administration of Traditional Chinese Medicine)

 

30. All provinces (autonomous regions and municipalities) set annual annual medical cost growth control targets. In 2017, the average growth rate of medical expenses in public hospitals nationwide was controlled below 10%. Regularly announce the ranking of major monitoring indicators in each province (autonomous region, municipality). (Responsible for the National Health and Family Planning Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine)

 

31. Complete the integration of the basic medical insurance system for urban and rural residents, and implement the “six unification” policy of coverage, financing policies, guarantees, medical insurance catalogues, fixed-point management, and fund management. The management system can be rationalized, and the establishment of a medical insurance fund management center can be carried out to undertake fund payment and management, drug procurement and fee settlement, negotiation of medical insurance payment standards, agreement management and settlement of fixed-point institutions. We will improve the system of major illness insurance, adopt measures such as lowering the deductible line, increasing the proportion of reimbursement, and reasonably determining the scope of compliance medical expenses, so as to improve the accuracy of the payment of major illness insurance to the needy. (Human Resources and Social Security Department, National Health and Family Planning Commission, and China Insurance Regulatory Commission are responsible respectively, and the Ministry of Finance participates)

 

32. The financial subsidies for medical insurance for urban and rural residents have been raised from 420 yuan per person per year to 450 yuan per year, simultaneously raising individual payment standards and expanding the scope of drug use coverage. (The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health and Family Planning Commission are responsible for each)

 

33. Advance the establishment of a multi-component medical insurance payment method based on disease-based payment. The country selects some regions to conduct trials for the diagnosis of disease-related groups (DRGs), and encourages other places to actively explore. Guide all localities to improve various payment methods, such as disease type, per capita head, and bed day. The pilot provinces for comprehensive medical reform should select one or two cities to fully implement the reform of medical insurance payment methods, covering all medical institutions and all medical services in the region, and significantly reducing the proportion of project-based payments. (Human Resources and Social Security Department, National Health and Family Planning Commission, and Ministry of Finance are jointly responsible)

 

34. Promote work on a case-by-case basis. By the end of 2017, no less than 100 disease-based diseases will be imposed in all cities. (Responsible for the National Development and Reform Commission, the National Health and Family Planning Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, and the Ministry of Finance)

 

35. Pilot the payment standard for medical insurance drugs and explore the development of medical service payment standards. Promote the medical insurance information network in the country, and realize the direct settlement of hospitalization expenses for medical treatment in different places that meet the referral regulations. (Human Resources and Social Security Department and National Health and Family Planning Commission are responsible respectively)

 

36. Develop about 200 clinical pathways, totaling about 1,200, and formulate about 100 clinical pathways for Chinese medicine. (The National Health and Family Planning Commission and the State Administration of Traditional Chinese Medicine are responsible respectively)

 

37. Promote the implementation of the “Notice on Further Strengthening the Effective Connection between Medical Assistance and Major Disease Insurance for Urban and Rural Residents” by the Ministry of Civil Affairs and other departments to enhance the synergy. (Ministry of Civil Affairs, Human Resources and Social Security Department, National Health and Family Planning Commission, China Insurance Regulatory Commission, State Council Poverty Alleviation Office, Ministry of Finance)

 

38. Promote the commercial health insurance personal income tax pilot policy to national implementation. (Responsible for the Ministry of Finance, the State Administration of Taxation and the China Insurance Regulatory Commission

 

39. Summarize experience and support social forces such as commercial insurance institutions to participate in medical insurance management according to the relevant regulations of the government to purchase services. (Human Resources and Social Security Department, National Health and Family Planning Commission, and China Insurance Regulatory Commission)

 

40. In-depth implementation of the health poverty alleviation project, and strive to solve the problem of poverty-stricken people due to illness and returning to poverty due to illness. (Responsible for the National Health and Family Planning Commission, the State Council Office of Poverty Alleviation, the National Development and Reform Commission, the Ministry of Civil Affairs, the Ministry of Finance, the Ministry of Human Resources and Social Security, the China Insurance Regulatory Commission, the State Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission)

 

41. Advance precision rehabilitation services to provide basic rehabilitation services for people with disabilities. (China Disabled Persons' Federation, National Health and Family Planning Commission, Ministry of Finance)

 

42. Promote pilots of long-term care insurance. (Human Resources and Social Security Department, National Health and Family Planning Commission, Ministry of Civil Affairs, Ministry of Finance, and China Insurance Regulatory Commission)

 

43. Implementing the “Opinions of the General Office of the State Council on Further Reforming and Improving the Policy of Drug Production and Use” (Guo Ban Fa [2017] No. 13), the provinces (autonomous regions and municipalities) will introduce specific implementation plans for the region before the end of June 2017. Timely formulation of relevant policy measures. (The National Health and Family Planning Commission, the Food and Drug Administration, the Ministry of Industry and Information Technology, the Ministry of Commerce, the National Development and Reform Commission, and the Ministry of Human Resources and Social Security are responsible respectively)

 

44. Accelerate the evaluation of the consistency of quality and efficacy of generic drugs. Pilot work on the system of holders of drug marketing licenses. (Responsible for the Food and Drug Administration)

 

45. Further expand the fixed production scope of shortage drugs and support the construction of centralized production bases for small varieties of drugs. Establish and improve a system for early warning and grading response to shortages of drugs. (Ministry of Industry and Information Technology, National Health and Family Planning Commission)

 

46. ​​Make good use of the National Drug Supply and Safety Integrated Management Information Platform, adhere to the principle of centralized quantity procurement, promote the implementation of drug classification and procurement in public hospitals, foster centralized procurement entities, and encourage cross-regional joint procurement and specialized hospitals to carry out drugs and high-value medical consumables. purchase. To study and compile the unified coding of high-value medical consumables procurement, the pilot provinces of comprehensive medical reform should select a number of cities to carry out pilot procurement of high-value medical consumables, and encourage other provinces to carry out pilot projects. (National Health