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On November 15, the members of the Medical Reform Coordination Group and the National Development and Reform Commission stated that the consultation draft of the new medical reform program officially ended after public consultation for one month (October 14-November 14), through the Internet, fax, letters, etc. In total, 35260 kinds of feedbacks have been received.
The public’s suggestions for the new medical reform program focused on strengthening the reform of the medical and health service system, the complete medical security system, and the drug supply and circulation system.
At the same time, the Medical Reform Coordinating Group stated that in addition to the above-mentioned channels, it has also received opinions from grassroots people gathered in various forms through various channels, such as seminars and surveys, and received comments from various democratic parties. The group further revised the consultation draft based on full consideration of the opinions of all parties.
“The revision to the previous content was not particularly large.†According to relevant sources close to the medical reform coordinating group, the new medical reform plan to be announced after revision revised the draft for opinions, and the basic guiding principles for reform have not changed. Content adjustment is not strong.
It is reported that along with the revised new medical reform plan, the five supporting implementation plans will also be announced together.
That is, to promote the implementation of the medical security system, the establishment of a national basic pharmaceutical system, the improvement of the basic medical service system, the promotion of equalization of public health services, and the implementation of the five public hospital reform pilots.
"The first four areas address the issue of fairness. The fifth area is to solve the problem of efficiency." According to the above-mentioned informed sources, the first four areas as the reform focus are the consensus reached after the discussion on health care reform. That is, the focus area of ​​financial investment in health care is public- Health, grassroots health and rural health development.
It is understood that the five supporting programs will be led by different departments to formulate detailed rules, namely, the medical security system (responsible for the Ministry of Human Resources and Social Security), the national essential medicine system (responsible for the Ministry of Health), the basic medical service system (National Development and Reform Commission), and the equalization of public services. (Ministry of Health and Ministry of Finance), pilot reform of public hospitals (Ministry of Health).
“From the perspective of local implementation, the focus is on how to formulate the basic medicine system and public hospital reform program.†The above-mentioned sources stated that among the five supporting programs, the basic medicine system and public hospital reform program are the key and difficult aspects of the new medical reform program.
In this regard, the draft of the new medical reform proposal draft outlines the basic reform ideas.
As for how to establish a national essential medicine system, the basic direction of the new medical reform program is that the government shall formulate and publish a national list of essential medicines, and determine the variety and quantity of essential medicines in China according to certain principles. In order to ensure that the "essential drugs" can be produced and used, it is necessary to establish a corresponding production system. That is, basic medicines are formulated with uniform prices, and the state implements tendered fixed-point production or centralized procurement, direct distribution, and the use of hospitals at all levels according to a certain percentage.
Compared with the basic drug system, how public hospitals are reformed, no clearer and more comprehensive reform path has been found in the draft. However, the basic guiding principles for reform in this area have already been presented in the plan, namely, "Separation of government affairs from separation of affairs and administration".
"The reform plan for public hospitals is also a kind of pilot guidance, which will leave room for exploration for local governments," said the above person.
In fact, local exploration has begun. A few days ago, Guangdong said that it will introduce a plan before the end of the year to conduct pilot explorations of the health care system reform in Shenzhen, Shaoguan and Zhanjiang, cancelling the 15% drug price increase in public hospitals.
New medical reform plan and five supporting programs are expected to be announced in January next year
The reporter learned from relevant sources that the new medical reform plan after public consultation and revision is expected to be announced in January next year. At that time, the five supporting programs, including medical insurance, basic medicines, primary medical service systems, equalization of public services, and public hospital reforms, will also be "appeared together."