New medical reform point "bright" keywords

2018-11-14

OnApril7,theStateCouncil's"KeyImplementationPlanfortheReformoftheMedicalandHealthSystem(2009-2011)"waspromulgated.Thisprogramproposestopromotefivekeyreforms,andstrivestosolvetheproblemof“difficulttoseeadoctorandexpensivetoseeadoctor”,whichisreflectedbythemasses,andpromotesacomprehensivereformofthemedicalandhealthsystem. Medicalreformisasocialsystemproject.Itrequiresnotonlymulti-sectoralefforts,butalsofivekeypoints.Thefivekeypointsarelikethefivefingersofaperson.Theyareindispensable.Whichfingerisslightlyuncomfortable,andotherfingerswillbeaffected.Fivefingersintoafist,thenewmedicalreformtoformajointforce,inordertobenefitthepeople. Medicalinsurancecoverage ZhengBingwen(DirectorandProfessoroftheLatinAmericanInstituteoftheChineseAcademyofSocialSciences):Thekeytocrackingtheproblemof“expensivemedicaltreatment”isnotonlytocontrolthepriceofmedicines,buttoincreasethelevelofreimbursementandreducetheproportionofpersonalpaymentsafterestablishingamedicalinsurancesystem.Asocietywithoutaperfectsocialsecuritysystemiscertainlynotaharmonioussociety.Thecoverageofthesocialsecuritysystemissmall,ortheurbanandruralareasarefragmented,andafragmentationsystemwithalargegapintheleveloftreatmentwillbeformed.Improvethebasicmedicalsecuritysystem,thepurposeistoreducetheproportionofpersonalmedicalexpenses.Thisisasignoftheprogressofsocialcivilization. Off-sitemedicalinsurance HanKeqing(AssociateProfessor,RenminUniversityofChina):Themedicalinsuranceindifferentplacesnotonlyinvolvestheproblemofretiringoldpeopleindifferentplaces,butalsotheproblemofmigrantworkers.Resolvingmedicalinsuranceindifferentplacesisnotonlyaproblematthetechnicallevel,butalsoaproblemattheinstitutionallevel.Establishabasicmedicalsecuritysystemcoveringurbanandruralresidents,andintegrateurbanandruralresidents,townsandvillagestogether,andnarrowthegapbetweenurbanandruralareas.Thisisthedirectionoftheconstructionofthemedicalinsurancesystem. Essentialdrugreimbursement WuYongpei(Professor,HospitalManagementResearchInstitute,MinistryofHealth):Thebasicdrugsystemisarelativelycommonformintheworldandplaysanimportantroleinloweringdrugpricesandensuringthesupplyofessentialdrugs.Thenationalessentialmedicinessystemisattheheartofthenationaldrugpolicy.Itsselectednationalessentialmedicineslistwasdevelopedforthemedicalneedsofmajordiseases.Essentialmedicinesarethemostbasicandessentialmedicinesneededforprimaryhealthcare.Inordertoimplementthenationalessentialmedicinesystem,itisnecessarytoformulateanationaldrugformulary,anationalessentialmedicinelistandaclinicaldiagnosisandtreatmentguide.ItisreportedthattheMinistryofHealthhasorganizedrelevantexpertsinmedicinetoformulatethesepoliciesandtechnicalspecificationsonebyone.AnewversionoftheNationalEssentialDrugsListwillbeannouncedsoon;thenationaldrugformularyhasbeeninitiated.Theclinicaldiagnosisandtreatmentguidelinesshouldfirstestablishthe“GuidelinesfortheStandardTreatmentofAntibiotics”,andonthisbasis,graduallyexpandtothediagnosisandtreatmentguidelinesforotherclinicalspecialdiseases,andpushthemtomedicalinstitutionsforimplementation. Essentialdrugsupplyguarantee XuJiaqi(DeputyDirectoroftheStateFoodandDrugAdministration):Biddingandprocurementofessentialdrugsisnotonlyforcompetingondrugprices.Fromtheperspectiveofrealizingthesafetyandeffectivenessofessentialdrugs,itismoreimportanttoimplementopentenderingandprocurementandunifieddistribution.Thepurposeistoensurethequalityofessentialdrugs.TherearemanypharmaceuticalproductionandmanagementcompaniesinChina.Therearedifferencesinthequalitycontrolcapabilitiesandthelevelofriskcontrolbetweenpharmaceuticalproductionandoperationenterprises.Theimplementationoftenderprocurementisalsoatenderforthequalityandcapacityofpharmaceuticalproductionandoperation.Itisnecessarytobidforenterpriseswithhighsocialintegrity,goodqualitymanagement,andstrongproductriskcontroltoproduceanddistributebasicdrugs,andtoensurethesafetyandeffectivenessofessentialdrugsinproductionanddistribution. Primarymedicalstafftreatment LiuXinming(Director,PolicyandRegulationDepartmentoftheMinistryofHealth):Itisdifficulttoseethedoctoratthe"twoends",thatis,remoteruralareasandlargecityhospitals.Therootcauseliesintheunevendistributionofmedicalresources.Tosolvethisproblem,itisnecessaryto“softandhard”fromtheaspectsofequipmentandtalents,andtoallocatemedicalresourcesinabalancedmanner.Throughthepilotpromotionofthe“residentphysiciantrainingsystem”,ruraldoctorsandgrassrootsdoctorswillenterthelargehospitalfortraining,andthenwalkoutofthehospitaltothegrassrootsleveltoeffectivelyalleviatethedifficultyofseeingadoctorinruralareasandcommunities. Basicpublichealthservices BaiChongen(Professor,SchoolofEconomicsandManagement,TsinghuaUniversity):Achievingequalizationofpublichealthservicesisnotonlythestartingpointformedicalreform,butalsotheendpointforeveryonetoenjoybasicmedicalandhealthservices.Itisaninternationalpracticetoestablishapublichealthservicesystemtoprovidepublichealthprotectionforresidents.Intheprocessofpromotingequalization,wemustfocusonsolvingthegapinservicequality.Itisnecessaryto