The reform of the medical insurance payment method is tilted to TCM, and Shandong will launch the construction of a national comprehensive reform demonstration zone of traditional Chinese medicine

New Yellow River Reporter: Luo Xiaofei

The Twelfth Party Congress report of Shandong Province proposed that the implementation of health promotion actions and accelerating the construction of a demonstration zone of the comprehensive reform of Chinese medicine. How to build a national Chinese medicine comprehensive reform demonstration zone? On June 28, the "Construction Plan for the Construction Plan of the National Traditional Chinese Medicine Comprehensive Reform Reform Demonstration Zone" issued by the General Office of the Shandong Provincial Government (hereinafter referred to as the "Construction Plan") clarified the roadmap, timetable , Deepen nine key tasks including the reform of the traditional Chinese medicine medical insurance payment system.

In the nine key tasks, the construction of a high -level Chinese medicine service system, supporting the construction of the National Traditional Chinese Medicine Heritage Innovation Center, the National Regional Medicine Center (Chinese Medicine), and the national traditional Chinese medicine epidemic disease prevention base. Relying on Shandong University of Traditional Chinese Medicine University of Eye Hospital to build Shandong Provincial Traditional Chinese and Western Medicine Integrated Ophthalmology Center, and build a national and Western Medicine Bidding benchmark for Chinese and Western Medicine.

The reform of the price and medical insurance policy of traditional Chinese medicine is a key task for the construction of a national Chinese medicine comprehensive reform demonstration zone. Shandong will deepen the reform of the price of traditional Chinese medicine medical services and further liberalize the price project of traditional Chinese medicine medical services with sufficient market competition and strong personalized needs. Carry out the price adjustment assessment to adjust the price in a timely manner that meets the start -up conditions. According to the characteristics of traditional Chinese medicine medical services, priority has the effect of obvious functional curative effects, wide acceptance of patients, outstanding characteristics, reflecting the value of labor service, long -term application history, and obviously deviating price and prices. For new traditional Chinese medicine technologies that originate from ancient classics, extensive application, and exact effects, and new Chinese medicine technologies with outstanding innovative and economic advantages, open up green channels for new prices projects, and timely include medical insurance payment scope in accordance with regulations. The therapeutic Chinese medicine preparations allowed to be used between medical institutions are included in the scope of medical insurance payment in accordance with regulations. Encourage primary medical institutions to promote the use of Chinese medicine appropriate technology. Insurance patients are hospitalized in the township health centers and community health service centers for treatment and use of traditional Chinese medicine treatment. The proportion of medical insurance reimbursement in compliance medical expenses is not less than 85%. Promote the admission of the advantages of traditional Chinese medicine according to the disease type, the selection advantages, clear treatment paths, and clear costs are included in the Chinese medicine superior disease, and the payment of payment according to the disease is implemented to reasonably determine the payment standards to fully reflect the value of traditional Chinese medicine services. Promote the procurement of the provincial provincial alliance in traditional Chinese medicine, give full play to the market advantages and strategic purchase advantages of the procurement alliance, on behalf of the alliance regional medical institutions to carry out the procurement of concentrated band volume of traditional Chinese medicine, complete the first batch of Liancai and the results of the results in 2022.

The "Construction Plan" proposes that the reform of the medical insurance payment method is inclined to traditional Chinese medicine, and the implementation of the relevant group (DRG) paid and paying (DIP) of the disease diagnosis of disease diagnosis (DRG) is implemented. value. Encourage traditional Chinese medicine diseases that have long treatment cycles, controllable risks, and continuous treatment, and carry out Japanese medical services during daily medical services. Explore the implementation of the proportion of reimbursement in the national and provincial key specialties and traditional Chinese medicine medical institutions, and create a demonstration point for the development of Texas Medical Insurance to support the development of traditional Chinese medicine specialtors and Weihai supporting traditional medical institutions.

Deepen the construction of the county medicine communities led by the Traditional Chinese Medicine Hospital. By 2025, all community health service centers and township health centers will be set up to set up a Chinese medicine museum and a traditional Chinese medicine doctor. Improve the level of smart Chinese medicine construction at the grassroots level, fully spread the construction of "smart sharing of Chinese medicine rooms", rely on Jinan and other cities to formulate and introduce local construction standards to achieve full coverage of "smart sharing of Chinese medicine rooms".

In terms of the construction of traditional Chinese medicine culture, strengthen the protection and protection of traditional Chinese medicine culture, and build the Shandong Provincial Traditional Chinese Medicine Classics Protection and Utilization Research Center, Shandong Provincial Traditional Culture Cooperative Innovation Center, Shandong Provincial Chinese Medicine Ancient Books and Traditional Knowledge Digital Library to strengthen China Protection of ancient medical books and traditional knowledge to promote the protection of intangible cultural heritage of traditional Chinese medicine. High -quality Nigiyama World Traditional Chinese Medicine Forum, brightening three business cards of "Confucian Medicine Culture, Bianzhang's Hometown, and the birthplace of the needle" to create a Chinese medicine cultural brand.

In addition, build an evaluation mechanism that is in line with the characteristics of traditional Chinese medicine, improves the selection mechanism of famous Chinese medicine medicine, improves the system of titles and titles of Chinese medicine, scientifically dynamically adjusts the majors of the high -level titles of Chinese medicine, promotes the representative system of achievement, and builds Chinese medicine thinking and clinical ability (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills (professional skills ) Evaluation system of "Trinity" with social recognition. Classified evaluation of traditional Chinese medicine talents.

According to the timetable for the "Construction Plan", from June 2022 to December 2023, it was the pilot stage of the reform; from January 2024 to May 2025, it was a comprehensive promotion stage. Relevant policies form an effective path of reform and development of traditional Chinese medicine; from June to December 2025, comprehensively summarize the successful practices and main experience of the construction of the demonstration area, and provide the "Shandong plan" for the modernization of the Chinese medicine governance system and governance capacity.

Edit: Weekend

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