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For medical reform to succeed, the key is to be responsible for those who should be responsible, and let go of those who should let go. However, the core of this plan is to avoid the core contradiction and the key responsibility of **.
Actually, I didn't take much more, saying that there was 850 billion (or for three years) but** only paid one-third, and let the local government take the rest, can the local government take it? No. How many patients are there in China, and how much does it cost all Chinese to see a doctor every year?
In comparison, 850 billion is just a drop in the bucket. Don't think that you have to pay for your medical treatment. There is a question of supply or demand.
If you just pay for the construction of a bunch of luxury hospitals, the people will not feel any benefits.
There will be no real universal health insurance in 20 years. The proportion of reimbursement has increased, but the cost of inspection ** and other expenses has gone up, and you actually get more money than before.
Under the basic drug system, you will find that when you go to the hospital to see a doctor, the doctor will not prescribe the basic drugs, and it is difficult for imported drugs with good efficacy and high price and need to be reimbursed to enter the list of essential drugs, because how much benefit will be given to the relevant administrative departments by entering this list, and foreign companies have never engaged in this set.
The separation of medicine, I don't know who proposed it, is not conducive to the status quo at all, and the separation will cost less money? Is the price of medicine going down when it is separated? The kickbacks that the medical representatives had given to the hospital leaders and directors had just been transferred elsewhere.
The separation of management and management, this is the most appropriate and very good, but the new medical reform plan is ambiguous in this regard, some sentences are separated, and some sentences are expressed without separation, it is estimated that it is very difficult to separate, and the interests of the dean and the leaders of the health bureau are still very resistant.
Multi-point practice, now the law on medical practitioners still clearly stipulates that more practice is not allowed, the law stipulates so, what is the use of having opinions, wait for this law to change.
In short, the new medical reform plan has not touched the fundamental problems of China's current medical care, so there is little hope for success, and the experience of ordinary people may be similar to the original, difficult and expensive.
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Xinhua News Agency was authorized to publish the "Opinions of the ***** of the Communist Party of China on Deepening the Reform of the Medical and Health System," which has taken a long time in recent years and has drawn extensively on domestic and foreign experience. The full text of the "Opinions" is more than 13,000 words, divided into six parts, including: 1. Fully understand the importance, urgency and arduousness of deepening the reform of the medical and health system; 2. The guiding ideology, basic principles and overall goals of deepening the reform of the medical and health system; 3. Improve the four major medical and health systems, and establish a basic medical and health system covering urban and rural residents; Fourth, improve the system and mechanism to ensure the effective and standardized operation of the medical and health system; Fifth, focus on the five key reforms, and strive to achieve significant results in the near future; 6. Actively and steadily promote the reform of the medical and health system.
The formal medical reform plan proposes that by 2020, the basic medical and health system covering urban and rural residents will be basically established, and a relatively complete public health service system and medical service system will be established, a relatively sound medical security system, a relatively standardized drug security system, and a more scientific management system and operation mechanism of medical and health institutions, so as to form a diversified medical pattern and everyone can enjoy basic medical and health services. It also stipulates that starting this year, China will focus on reforming the basic medical security system, that is, speeding up the construction of the basic medical security system, initially establishing a national basic drug system, improving the primary medical and health service system, promoting the gradual equalization of basic public health services, and promoting the pilot reform of public hospitals, so as to significantly alleviate the Chinese people"It is difficult and expensive to see a doctor"problems.
The Communist Party of China *****Opinions on Deepening the Reform of the Medical and Health System").
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1. Medical reform will benefit more workers. It is understood that the publicly-funded and labor-insurance medical care system, which has been in place for more than 40 years, covers about 100 million workers, and generally only employees of government agencies, institutions, state-owned enterprises, and collective enterprises can enjoy this kind of medical treatment. After the establishment and improvement of the basic medical insurance system with the purpose of "low level and wide coverage", it will cover all urban employers and their employees, and the number of employees enjoying basic medical insurance will also increase to 100 million.
The medical reform will make the medical security of employees more standardized and effective. As long as every employee participates in the insurance, they will receive strong social medical security. Employees are no longer affected by the quality of a particular enterprise's performance.
2. After the implementation of medical reform, every employee will get a personal account, and the money in the account is composed of two parts: self-payment by employees and payment by the unit. Outpatient visits for minor illnesses are paid for by a personal account. Once a serious illness occurs, as long as the drug expenses meet the threshold of the overall payment standard for serious illnesses, the social insurance institution can pay for it according to the regulations.
According to the 1997 average wage standard for employees, the standard for the overall payment of serious illnesses for employees is 650 yuan to 30,000 yuan, and most of the medical expenses within this range will be paid by social insurance institutions. If it exceeds 30,000 yuan, it can be solved through commercial medical insurance and other means.
3. Medical reform will also promote medical institutions to improve medical and service levels, and bring various conveniences to the majority of employees to see a doctor. In the past, employees could only go to a designated (contract) hospital for treatment. After the establishment of the basic medical insurance system, employees can choose 3 to 5 of the dozens of designated hospitals recommended by the social insurance department as their own designated hospitals, and once they are not satisfied with the medical technology and service quality of a certain hospital, they can also replace it after one year.
4. The medical reform will also adjust the cost of medicines and medical equipment in medical institutions. At present, the relevant departments have formulated a basic medical insurance drug catalog, the implementation of national pricing or guidance prices for the drugs in the Zhengpin, the use of large-scale medical examination equipment will also be adjusted, to meet the basic medical needs of the majority of workers, workers reflect the more prominent problem of high medical expenses will also be improved.
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The new medical reform is the opinion of the Communist Party of China on March 17, 2009 on deepening the reform of the medical and health system. The "Opinions" put forward the short-term goal of effectively reducing the burden of residents' medical expenses, effectively alleviating the difficulty of diagnosis and examination, and the long-term goal of establishing a basic medical and health system for urban and rural residents and providing safe, effective, convenient and inexpensive medical and health services for the public.
Opinions on Further Deepening the Reform of the Medical and Health System" 1. Adhere to the correct direction of medical reform.
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On April 6, 2009, China issued a new opinion on medical reform, and starting this year, China will gradually provide basic health services such as disease prevention and control, maternal and child health care, and health education to urban and rural residents. The new medical reform plan clearly proposes to moderately reduce the proportion of public medical institutions, and form a pattern of mutual promotion and common development between public hospitals and non-public hospitals. "Adhere to the principle of non-profit medical institutions as the main body, for-profit medical institutions as the supplement, public medical institutions as the leading, and non-public medical institutions as the common development of medical principles, and build a medical service system with a reasonable structure and covering urban and rural areas.
The new medical reform has once again clarified the "identity" of private hospitals. Among them, there are "registered physicians practicing in multiple locations" and "encouraging and guiding social capital to develop medical and health undertakings." Actively promote the development of non-public medical and health institutions, and form a medical system with diversified investment subjects and diversified investment methods, hoping to help you
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It is impossible to fully achieve fairness, and increasing investment is an important guarantee for the establishment of a basic medical and health system. However, it is not enough to increase input, the key is to change the input mechanism, so that the financial money can be spent in earnest, so that the masses can get more benefits. For example, the implementation of the purchase of services, through the purchase of services, etc., to change "to support people" to "to support people", effectively promote the transformation of the medical and health system and mechanism.
Implement performance evaluation, quantify the medical and health services provided by medical and health institutions, scientifically evaluate the results of medical reform, and link the assessment results with the income of medical personnel, and combine them with the best investment, so as to improve the efficiency of the first investment. In the implementation of the approved revenue and expenditure, the subsidy to the primary medical and health institutions should be determined on the basis of the approved revenue and expenditure. First of all, it is necessary to approve the work tasks, and then the amount of income and expenditure is approved, and the difference between the approved income and expenditure will be subsidized by the financial department on the basis of performance appraisal.
** It is necessary not only to change the way of investment, but also to reform and innovate the way of capital supervision. The focus of medical reform funds is at the grassroots level, but for a long time, the accounting and financial management foundation of China's primary medical and health service institutions is relatively weak. Under the current conditions, a more effective way to solve this problem is to explore and promote the audit disclosure and accounting work of certified public accountants, and the financial department will strengthen the re-supervision of the audit quality of certified public accountants.
At the same time, the audited financial reports of all kinds of public medical and health institutions and medical and health institutions that receive ** capital investment should be made public through the network and subject to social and public supervision.
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All the students of the School of Medicine participated in the lecture on the new concept of new medical reform.
First of all, all the teachers and students worked together on the slide of "Entering the Community, Entering the Countryside, and Changing the Concept of Quietly Staring at Employment". I have a preliminary understanding of the activity of "going into the community, going into the countryside, and changing the concept of employment". Then, Huang Shan, deputy secretary of the general party branch of the medical school, closely focused on the new medical reform issues and the employment of medical students that the students were concerned about, gave a look forward to the new medical reform policy, and elaborated on the possible impact of it, analyzed the current employment status of medical students, and pointed out a new direction for the employment of students.
It is clearly pointed out that "there is great hope for the grassroots medical and health undertakings, and medical students have great achievements at the grassroots level and in the countryside", and hoped that the students should establish the employment concept of "making contributions in the field, establishing a career everywhere, and working the most glorious" under the new situation. Unify the realization of one's own value with the needs of the people, and be a glorious contemporary college student. Secretary Huang gave an example and introduced the general situation of Dazhi Yinzu Hospital, so that students can understand the medical level of community and rural health centers, and then sang the praises of the five students who participated in the activity of "going into the community, entering the countryside, and changing the concept of employment" from the basic structure, treatment and employment of township hospitals from different perspectives expressed their opinions.
The convening of this lecture enabled the students to further clarify their learning goals. In the context of the introduction of the new medical reform policy, the students have changed their concept of employment and expressed their willingness to "go to the grassroots level, to the countryside, and to the places where the people need it most".
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The key is to make the people feel the benefits of medical reform by subsidizing the demand side.
The key to medical reform is to directly supplement the demand side!
If the reimbursement rate is increased to 70-90%, the people will definitely be satisfied with the benefits of medical reform.
This is essentially the improvement of the social security system.
If the medical reform supplements the supply side, the efficiency and intuition are very poor. Because the supplier has a monopoly tendency, there will be a limitation of the people's choice, and the supplementary supplier is the voice of public hospitals, and public hospitals occupy a monopoly position, so many people are not satisfied.
Another of the biggest benefits of the demand side is that it is conducive to breaking the monopoly. The demander is the consumer, and after receiving the subsidy, the consumption power increases, and it is possible to choose a hospital that the consumer is satisfied with.
At present, large-scale construction and stipulation of patients to go to the low-end are community service stations, which is not in line with consumer psychology
Open it here to see it, comprehensive and clear, with a detailed and accurate interpretation.
The purpose of the auto insurance rate reform is to lower the lower limit of the floating coefficient of commercial auto insurance rates, further transfer profits to the market, and rely on market-oriented means to reduce the level of commercial auto insurance rates, benefiting thousands of households. For more information, please contact the respective insurance company.
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