Release date : 2019/7/11 10:30:30 　

Basic medical insurance: from "expanding scope" to "improving quality"

Grassroots institutions: from "strong bones and strong bones" to "all-round development"

Public hospital reform: from "local pilot" to "all-round advancement"

Health care construction: from "heavy hardware" to "heavy service"

According to CCTV reports, Li Keqiang, member of the Standing Committee of the Political Bureau of the CPC Central Committee, vice premier of the State Council, and leader of the State Council's deepening medical and health system reform leading group, presided over the 10th plenary meeting of the State Council's leading group for deepening medical reform.

Li Keqiang stressed that it is necessary to fully affirm the achievements of the medical reform in the past two years, consolidate and develop the phased achievements of the reform, face up to difficulties and challenges, innovate institutional mechanisms, formulate the "Twelfth Five-Year Plan" for medical reform, and continue to push medical reform into depth.

The meeting reviewed the “Interim Evaluation Report on the Recent Key Implementation Plan for Medical and Health System Reform (2009-2011)”, the “Deepening the Medical and Health System Reform Plan during the Twelfth Five-Year Plan Period (2012~2015)” and “On the County Level” Documents such as the Opinions on the Pilot Reform of Public Hospitals. It is believed that the five key tasks of medical reform have achieved initial results. The basic medical security system has basically achieved full coverage, and the urban and rural insured population coverage rate has reached 95%; the basic drug system has been initially established at the grassroots level, the burden of mass drug use has been significantly reduced; the primary health care service system has been gradually improved; public health service investment has increased; public The hospital reform pilot has been promoted in an orderly manner.

Li Keqiang pointed out that during the "Twelfth Five-Year Plan" period, whether it is to promote the equalization of basic public health services or better meet the growing health needs of the people, it is necessary to improve the level of medical and health services. With the continuous deepening of medical reform, the problems of reform and reform will be concentrated, and institutional contradictions will be exposed and the work will be more difficult. Coordinating and planning the “Twelfth Five-Year Plan” medical reform plan is crucial to consolidating the results of medical reform and ensuring the achievement of the 2020 medical reform goal.

Li Keqiang emphasized that medical reform is a grand system project and a major institutional innovation. It is necessary to thoroughly implement the decision-making arrangements of the Party Central Committee and the State Council on medical reform, adhere to the core concept of providing basic medical and health systems as public goods to the whole people, adhere to the basic principles of ensuring basic, strong grassroots, and construction mechanisms, and adhere to prevention-oriented and rural areas. Focusing on the principle of paying equal attention to both Chinese and Western medicine, making overall arrangements, highlighting key points, and advancing in a step-by-step manner, promoting basic medical insurance from “expanding scope” to “improving quality”, and reforming grassroots institutions from “strong and strong bones” to “all-round development”, reform of public hospitals From “local pilot” to “comprehensive advancement”, medical and health construction has shifted from “heavy hardware” to “heavy service”.

The first is to improve the basic medical insurance system for all. Improve the participation rate of residents and government subsidy standards, explore the establishment of a major disease protection mechanism, and actively develop commercial health insurance. The second is to expand the implementation of the national essential medicine system to the village clinics and non-government offices at the grassroots medical and health institutions, establish a new order for drug production and circulation, and consolidate and improve the new mechanism for the operation of primary health care institutions. The third is to comprehensively promote the reform of public hospitals, promote the separation of political affairs, separate management and management, separate medicines, profit-making and non-profit separation, reform the mechanism of “medical supplementation”, improve the management system of public hospitals, and improve the convenience of the people. Focus on promoting comprehensive reform of county-level hospitals. Increase government health investment, do your best, do what you can, and be sustainable. Encourage and guide social capital to set up medical institutions, form a multi-disciplinary medical system, develop and improve non-basic medical and health service systems, and continuously build a safety net for urban and rural residents to see a doctor.