Ten tasks of medical reform are fixed this year

Ten tasks of medical reform are fixed this year
30% of the pool areas launch the medical insurance clinic expenses of residents and conduct the pilot project 900 tertiary hospitals and 2000 hospitals at county level establish fitting coordination relation Electronic case history and clinical route of 100 kinds of common diseases of the pilot project of 50 hospitals 12 100 public hospital pilot projects of prefecture-level city are reformed It is reported ' Reporter Kong LingMin) On July 22, General Office of the State Council prints and distributes " job placement of 2009 of five key reforms of the medical and health system ". " job placement " centres on medical and health system five key reform, three-year goal, have proposed advancing 10 tasks of the reform this year, and taken the lead in the department clearly. " the job placement " stipulate in five key job, responsible for or it differentiates responsible groundwork to be as follows, with other department led by Ministry of Public Health Accelerate advancing basic medical treatment to ensure the institutional improvement: The rate of joining insurance of the new rural cooperative medical service is steady and above 90%; Implementing the government will subsidize 80 yuan every year of new agricultural shutting and resident's medical insurance per person in an all-round way; Worker's medical insurance, resident medical insurance and new agricultural the intersection of pool and fund that shut pay limit, improve get local the intersection of worker and annual mean salary respectively in principle at most, resident 6 time about in disposable income and the intersection of peasant and per capita net income, set up large the intersection of volume and district that hospitalization cost subsidizes, can reach this standard in 2010 already; 50% the intersection of pool and medical insurance, the intersection of resident and with share the intersection of institute and expenses, wipe out proportion, raise than 2008 by 5 percentage points respectively while being agricultural while being new medical insurance, worker of area; 30% of the pool areas launch the medical insurance clinic expenses of residents and conduct the pilot project, 1/3 of the pool areas shut the expense pool of the clinic and is consolidated newly and agriculturally completely; Encourage the conditional place to combine basic medical treatment and ensure handling and managing resources progressively, explore that trusts the commercial safety unit with qualification to handle all kinds of medical treatment and ensure management service. Set up national basic medicine system tentatively: Announce the national basic medicine catalogue ' 2009 edition) ; No later than December of this year, each province (the district, city) Run urban the intersection of community and the intersection of hygiene and service organization and county in 30% government ' Medical health organ in the basic unit) Implement basic the intersection of medicine and system, including being implement provincial to bid and purchase, provide and deliver in unison publicly on the net while being centralized, all allocate and use the basic medicine and sell a difference rate; Before the end of November this year, finish the medicines catalogue adjustment of the national basic medical insurance, include all basic medicines in the basic medical insurance medicines catalogue, the basic medicine submits an expense account the proportion is obviously higher than the non- basic medicine; Make and issue the clinical basic medicine and employ guide and basic medicine prescription collection. Perfect the service system of health care at the basic level: Make and issue the medical construction criterion of health organ in the basic unit; Recruit 1000 medical practitioners for the health clinics in towns and townships, encourage the place to increase and recruit the quantity by oneself on this basis; 53,000 for 120,000 persons of hygiene personnel of villages and towns of on-the-job training, urban community's hygiene attendants; 900 tertiary hospitals set up the fitting coordination relation for a long time with 2000 hospitals at county level; Pilot work of the system of training in start resident's standardization. Promote the basic public health to serve progressively equally and melt: Start and set up resident's health file, health education, the immunity is planned, infectious disease is prevented and cured, 9 kinds of national basic public health service items of managing in children's health care, pregnant and parturient women's health care, old person's health care, chronic disease management, getting in weight spiritual disease patient etc., before the end of this year, the filing rate of file standardization of urbanite's health is up to about 30%, the filing rate of rural resident's pilot project is up to 5%; Begin to reseed vaccine of hepatitis B to the crowd under the age of 15, will reseed about 23 million people in 2009, accounts for 31% that should reseed the number of people; Start rural the intersection of women and common disease check project from 35 year old to 59 year old, finish cervical cancer check 2 million people, breast cancer check 400,000 people; Bear women and mend and take folic acid to about 11,800,000 in the national countryside and give birth in hospital to subsidize; Launch the operation of regaining one's sight free for 200,000 poor cataract patients; Poisoned in the inpatient area in pollution from coal burning type Fluorine and changed the stove to change 870,000 cooking stoves, 450,000 kitchen ranges are maintained; Support to build 4,110,000 rural innoxious sanitary privies. The pilot project of advancing the reform of public hospital: Regional overall arrangement and structural adjustment and planning of public hospital that the pilot area is made, encourage the social capital to be put into the medical service field; Explore the government affairs are separate, in charge of doing the effective form separated, improve the corporate governance structure of the hospital, advance the reform of personnel system; Strengthen public the intersection of hospital and operation management, set up with a central public hospital supervisory system; Study and draft and advance medicine to cancel the addition of medicines, set up the medicine thing service charge, policy which adjust the medical service price separately, progressively, make the public hospital of the pilot project realize progressively that is subsidized from service charge and government and paid compensating; Draft nationwide unified hospital electronic case history standard and norm and clinical route of 100 kinds of common diseases, launch a pilot project in 50 hospitals. The public hospital reform goes on according to the pilot project of going ahead of the rest, principle pushed open progressively, will choose the prefecture-level cities with certain condition about 12 pieces in the east, central and western areas in 2009, carry on the pilot project of the reform in the public hospitals about 100 houses, explore the public hospital safeguards the public beneficial concrete way of realization raising the efficiency. It is reported, before the end of the year, the State Council deepens the system reform leading group of the medical and health and implements the situation and pays checking to " job placement " in an all-round way.

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