Ministry of Health Minister Chen Jie disclosed on the 23rd that at the State Council Executive Meeting presided over by Premier Wen Jiabao the day before yesterday, the "12th Five-Year Plan" for medical reform has been approved by the State Council in principle and will be released soon. Chen Hao made the above statement at the 2012 National Women and Children Health Work Conference held yesterday.
The full name of this plan is "The plan for deepening the reform of the medical and health system during the 12th Five-Year Plan Period (2012-2015)." On November 29 last year, the State Council's vice premier and the State Council's leading group led by Li Keqiang, the leader of the State Council Deepening Medical and Health System Reform, presided over the tenth plenary meeting of the State Council Leading Group for Deepening Medical and Health System Reform and reviewed the document.
The executive meeting of the State Council held the day before pointed out that the current medical reform also faces some more outstanding contradictions and problems, especially the deep-seated contradictions of institutional and structural nature have not yet been resolved. Therefore, in the “12th Five-Year Plan†period, medical reforms must achieve key breakthroughs in the three aspects of improving the medical insurance system, consolidating the basic medicine system, and operating mechanisms of primary-level medical institutions, and actively promoting the reform of public hospitals.
For the reform of "hard bones" public hospitals in health reform, the meeting also gave a clear timetable - to achieve the goal of staged reform of county-level public hospitals in 2015, and comprehensively promote the reform of urban public hospitals. It also called for deepening the reform of the compensation mechanism and breaking the mechanism of “taking drugs to support medical care†to promote the separation of medicine and management.
Zhu Hengpeng, a researcher at the Institute of Economic Research of the Chinese Academy of Social Sciences, said in an interview with Nandu reporters that the increase in financial subsidies cannot solve the problem of “taking drugs to support medical treatmentâ€. No matter how much money the doctors make to the finances, they cannot change their ability to pay for medical insurance and their own expenses. In order to get rid of the "medication of medicine", if you want to achieve results in the short term, there is only one way: let go of the price of medical services; while the long-term effective measures are to reform the medical insurance payment mechanism, such as pay per head, payment by case, total amount prepayment, etc. The package payment method is essentially the same as if the maximum retail price of medicines is set aside for medical service pricing.
Professor Liu Guoen, professor of the Guanghua School of Management at Peking University and director of the China Health Economic Research Center believes that the reform of payment methods and the reform of the public hospital system must be initiated at the same time. This will significantly increase the supply capacity and quality of medical services to better meet the growing needs of the people. Medical service needs. "If there is only a reform of the means of payment without reforming the main body of the hospital, including the medical staff's income distribution system, if they cannot fully reflect the relationship between medical labor and income distribution, they will lose their motivation to increase the efficiency and value of their services."
According to Yu Hui, director of the Public Policy Research Department of the China Economic System Reform Research Institute and a researcher at the Institute of Economics and Technology of the Chinese Academy of Social Sciences, the direction of public hospital reform is mainly to provide medical services to collect fees. To mobilize the enthusiasm of medical staff, one needs to have The effective incentive mechanism, it is important to promote the reform of the payment mechanism. "For doctors, giving them the freedom to practice practitioners, being able to move freely and practising more will also effectively create incentives."
Related
Newborns will be included in the New Rural Cooperatives
The Nantong News reporter Liu Miaofa's dilemma that Beijing's newborn babies participate in the "empty year" will be avoided. At the National Conference on Maternal and Child Health 2012 held yesterday, Minister of Health Chen Hao said that newborns should be included in the scope of new rural cooperative medical protection. It is reported that the new rural cooperative medical fund-raising is conducted on an annual basis. Due to the time limit for participation registration, newborn babies born after the fund-raising may have a maximum of one year in the “empty yearâ€. This leaves many newborn babies faced with lack of protection and will cause a huge burden on families. .
The full name of this plan is "The plan for deepening the reform of the medical and health system during the 12th Five-Year Plan Period (2012-2015)." On November 29 last year, the State Council's vice premier and the State Council's leading group led by Li Keqiang, the leader of the State Council Deepening Medical and Health System Reform, presided over the tenth plenary meeting of the State Council Leading Group for Deepening Medical and Health System Reform and reviewed the document.
The executive meeting of the State Council held the day before pointed out that the current medical reform also faces some more outstanding contradictions and problems, especially the deep-seated contradictions of institutional and structural nature have not yet been resolved. Therefore, in the “12th Five-Year Plan†period, medical reforms must achieve key breakthroughs in the three aspects of improving the medical insurance system, consolidating the basic medicine system, and operating mechanisms of primary-level medical institutions, and actively promoting the reform of public hospitals.
For the reform of "hard bones" public hospitals in health reform, the meeting also gave a clear timetable - to achieve the goal of staged reform of county-level public hospitals in 2015, and comprehensively promote the reform of urban public hospitals. It also called for deepening the reform of the compensation mechanism and breaking the mechanism of “taking drugs to support medical care†to promote the separation of medicine and management.
Zhu Hengpeng, a researcher at the Institute of Economic Research of the Chinese Academy of Social Sciences, said in an interview with Nandu reporters that the increase in financial subsidies cannot solve the problem of “taking drugs to support medical treatmentâ€. No matter how much money the doctors make to the finances, they cannot change their ability to pay for medical insurance and their own expenses. In order to get rid of the "medication of medicine", if you want to achieve results in the short term, there is only one way: let go of the price of medical services; while the long-term effective measures are to reform the medical insurance payment mechanism, such as pay per head, payment by case, total amount prepayment, etc. The package payment method is essentially the same as if the maximum retail price of medicines is set aside for medical service pricing.
Professor Liu Guoen, professor of the Guanghua School of Management at Peking University and director of the China Health Economic Research Center believes that the reform of payment methods and the reform of the public hospital system must be initiated at the same time. This will significantly increase the supply capacity and quality of medical services to better meet the growing needs of the people. Medical service needs. "If there is only a reform of the means of payment without reforming the main body of the hospital, including the medical staff's income distribution system, if they cannot fully reflect the relationship between medical labor and income distribution, they will lose their motivation to increase the efficiency and value of their services."
According to Yu Hui, director of the Public Policy Research Department of the China Economic System Reform Research Institute and a researcher at the Institute of Economics and Technology of the Chinese Academy of Social Sciences, the direction of public hospital reform is mainly to provide medical services to collect fees. To mobilize the enthusiasm of medical staff, one needs to have The effective incentive mechanism, it is important to promote the reform of the payment mechanism. "For doctors, giving them the freedom to practice practitioners, being able to move freely and practising more will also effectively create incentives."
Related
Newborns will be included in the New Rural Cooperatives
The Nantong News reporter Liu Miaofa's dilemma that Beijing's newborn babies participate in the "empty year" will be avoided. At the National Conference on Maternal and Child Health 2012 held yesterday, Minister of Health Chen Hao said that newborns should be included in the scope of new rural cooperative medical protection. It is reported that the new rural cooperative medical fund-raising is conducted on an annual basis. Due to the time limit for participation registration, newborn babies born after the fund-raising may have a maximum of one year in the “empty yearâ€. This leaves many newborn babies faced with lack of protection and will cause a huge burden on families. .
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