Guangdong released the recent four aspects and 22 key work of deepening medical reform

Author:Guangdong Sanitary Online Time:2022.08.19

Recently, the General Office of the People's Government of Guangdong Province issued the "Recent Key Work Tasks for Deepening the Medical and Health System in Guangdong Province" (hereinafter referred to as "Work Task").

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"Work Task" related content

The interpretation is as follows

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"Work Task" to introduce background

With the development of the times, the reform of the pharmaceutical and health system (hereinafter referred to as medical reform) has become an iconic project to measure the development level of a country and region. The Guangdong Provincial Party Committee and Provincial Government has always attached great importance to medical reform to ensure the health and life of the people as the starting point and end point, adhere to the basic principles of maintaining basic, strong grassroots, building mechanisms, and supplementing shortcomings. Promoting the basic path, deepening the reform of medical, medical insurance, and medical linkage, promoting the expansion and balanced layout of high -quality medical resources, and accelerating the construction of a "top sky" medical and health pattern. During the "Thirteenth Five -Year Plan" period, our province ranked at the forefront of the country in the overall assessment of the hierarchical diagnosis and treatment system carried out by the National Health and Health Commission; the hospitalization rate in the province was maintained at about 95%, and the hospital hospitalization rate remained at about 85%; The proportion of provincial personal hygiene expenditures in total health expenses is stable at about 26%, and the per capita life expectancy of residents has increased to 79.3 years (78.2 years old). The main health indicators have basically reached the level of high -income national levels.

Especially in the past year, Guangdong's deepening medical reform has continued to be highly affirmed by the country. Shenzhen's 2021 "Deepening the Reform of the Medical and Health System Reform Reform Realization and Realization" was obviously inspected and inspired (incentives for 10 cities across the country); Guangzhou was approved and launched the 2022 central financial support of public hospital reform and high -quality development Demonstration projects (approved in a total of 15 cities across the country), received 500 million yuan subsidy for the central government; the experience construction experience of Maoming's hierarchical diagnosis and treatment system was rated by the top ten innovative measures for the National Medical Reform of the National Medical Reform in 2021. The top ten news figures in medical reform; the First Affiliated Hospital of Sun Yat -sen University and the Shenzhen University of Hong Kong University were selected as the provincial and provincial joint construction high -quality development pilot hospitals (selected for 14 hospitals across the country); the national Chinese medicine comprehensive reform demonstration zone, the nation's first Chinese medicine country The key laboratory has also been successfully settled in Guangdong. Guangdong's medical reform continues to "lead" across the country.

According to the "Notice of the General Office of the State Council on Deepening and Deepening the Reform of the Medical and Health System in 2022" (National Office [2022] No. 14) document spirit and the spirit of the TV conference call meeting of the national medical reform work on July 14 this year, our province formulated and issued The "Guangdong Province Deepening the Reform of the Reform of the Reform of the Medical and Health System Recently" (Guangdong Office letter [2022] No. 260), further arrangements for the recent key work tasks of medical reform.

The main content of "Work Task"

"Work Task" adheres to the problem -oriented and goal -oriented, mainly from four aspects of consolidating the "top sky" medical and health pattern, deepening the "three medical" linkage reform, strengthening the construction of the public health system, and the promotion of high -quality medical and hygiene development. The key tasks of medical reform are not only the "prescribed actions" of the state deployment, as well as the "self -selected actions" of our province, and the relevant measures are further refined and practical. At the same time, combined with the actual work of our province, we encourage exploring innovation, first trial, and improvement of the system; and clearly required the completion of medical reform tasks as an important part of government target management performance assessment, and play a role in "promoting and reform" for medical reform assessments.

The first is to consolidate the "top sky" medical and health pattern. Continue to promote the construction of the five major international medical centers and 50 high -level hospitals, continue to create the construction of the National Medical Center and the National Regional Medical Center, and implement a list of support policies for the National Medical Center Construction Hospital. Leading the construction of international medical centers and high -level hospitals, optimize the overall layout of the province's regional medical center, promote the construction of five provincial regional medical centers, and reduce cross -regional medical treatment. We will deepen the construction of close -type urban medical groups such as Guangzhou, Shenzhen, and Foshan, and implement a grid layout and standardized management. Implement the campaign rate in the city (county) region, and to promote the high -quality development action plan for the promotion of a high -quality development action plan for the tight county medical community, and build a comprehensive test area of high -quality development. Improve the "group -type" of the "group -type" of the three public hospitals to help county -level hospitals' long -term mechanisms, and explore the establishment of a "group -style" assistance mechanism for organic integration with the county medicine. Promote the construction of healthy rural areas, implement the incremental quality improvement project of grass -roots health talents, solidly promote the "quality service grassroots", and strengthen the construction of community hospitals. Promote the signing of high -quality development of family doctors, residents who refer to family doctors can give priority to consultation, examination, and hospitalization. Improve the "one old and one small" health service system, implement the ability to improve the ability to combine the medical care and nursing community, carry out the creation of a demonstration institution for medical and nutrition, promote the construction of the inclusive care service system, and promote the province's "one thing to be born" one stop. manage.

The second is to deepen the reform of the "Three Medicals". Comprehensively implement the implementation plan of the province's in -depth promotion of Sanming's medical reform experience, and promote the use of local conditions to learn from local conditions and learn from other categories to learn from Sanming's medical reform experience. Consolidate and improve the centralized procurement system for drug consumables, accelerate the implementation of the results of the selection of inter -provincial alliances, and strive to achieve more than 350 drug varieties in the country and local volumes within 2022 to accelerate the realization of "depletion". Improve the dynamic adjustment of the price of medical services, promote the reform of the price of medical services, and conduct at least one price adjustment assessment during the year. Accelerate the acceptance of new medical services price projects to promote the development and clinical application of medical technology. Deepen and improve the multi -compound medical insurance payment method based on the type of disease score, and implement the province's unified province's unified Chinese medicine advantage inpatient database library. Conditional areas can explore the outpatient funds of the signed residents to pay to the grass -roots medical and health institutions or family doctors (teams) according to their heads. Deepen the reform of the personnel compensation system of public hospitals and further optimize the hospital's expenditure structure. Before the end of the year, the expenditure of personnel expenditure accounted for 42%of the business expenditure. Scientific definition and reasonable self -assessment of authority. Improve the comprehensive supervision system and mechanism of the medical and health industry, and promote the construction of intelligent monitoring knowledge bases and rules banks in medical insurance funds. Standardize the monitoring and management of drugs, and promote the construction of drug use monitoring information network construction and drug coding application. The third is to strengthen the construction of a public health system. Promote the establishment of provincial, municipal, and county -level medical and control institutions, and strengthen the cooperation and work of the higher -level disease control departments to the business leadership and work of the lower -level disease control departments. Explore the right to give public health physicians, and establish a cross -training mechanism for public health professional and technical personnel and clinicians. Implement the comprehensive construction project of a high -level disease control center, and strengthen the modernization of the cities and county's disease control system. Promote public medical institutions to set up a department of public health section directly engaged in medical control work, and explore the establishment of a medical and health institution to specialize in part -time disease control supervisors. The village (resident) civil committee has established a public health committee. Vigorously promote high -risk screening intervention projects such as cancer, stroke, cardiovascular disease, and slow lung prevention. Strengthen the training of medical and defense integration, and explore the pilot pilot pilot of the "three highs" of hypertension, high blood sugar, and hyperlipidemia. Support colleges and universities to build high -level public health colleges. Effectively coordinate the prevention and control of the epidemic and economic and social development, scientifically and accurately implement the "New Coronatte Pneumonia Pneumonia Prevention and Control Plan (Ninth Edition)" and the "Nine Inconsistent" requirements. Focus on increasing the vaccination rate of new crown virus vaccines over the age of 60 and strengthening the immune vaccination rate; actively and orderly promoting people over 18 years of age to strengthen immune vaccination. Promote the healthy Guangdong action. Strengthen the health education and promotion of the people, and guide individuals to form scientific and reasonable health behaviors.

The fourth is to promote the high -quality development of medical hygiene. Adhere to and strengthen the party's comprehensive leadership of public hospitals, and strengthen the innovation, technological innovation, model innovation, and management innovation of public hospitals. Select a number of provincial public hospital reforms and high -quality development demonstration hospitals to implement high -quality development and promotion actions. Improve the direct settlement methods for cross -provincial medical treatment, and promote the medical expenses of specific diseases such as hypertension and diabetes. Optimize direct settlement services in different places in the province, and the direct settlement rate of hospitalization costs has reached more than 70%. Deepen the overall planning of employee medical insurance and the reform of personal accounts, and strengthen the construction of long -term care service systems. Continue to deepen the reform of the review and approval system, and promote the assessment of the quality and efficacy of generic drugs. Implement the national basic drug system, promote the connection of drugs for superior medical institutions, and allow medical institutions to be used in the medical federation. Improve the "dual channel" management mechanism of medical insurance negotiations, improve the clinical need of the Guangdong -Hong Kong -Macao Greater Bay Area, urgently need to import Hong Kong and Macao drugs and medical device innovation supervision mechanisms, and classify and promote the implementation of the unique logo of medical equipment. Start the "Fourteenth Five -Year Plan" grass -roots Chinese medicine service capacity improvement project, and promote a group of cities and counties of traditional Chinese medicine hospitals to "meet the standards". Implement the government's input policies that meet the regional health planning public hospitals, and continue to carry out the annual economic management annual activities of public medical institutions. Vigorously promote the construction of scientific and technological innovation platforms in the field of health and health, promote the implementation of the "two equivalent" related policies of residents to implement the implementation of the "two equivalent" policies, accelerate the province's electronic health code "one yard to seek medical treatment", and play the role of science and technology, talent, and informatization.

The "Work Task" also clarifies the responsible departments of various reform tasks, emphasizing that relevant localities must strengthen organizational leadership and overall coordination, timely evaluate the implementation of the policies, and study and solve key issues. Relevant departments will strengthen the monitoring and assessment of the annual key tasks and important indicators of medical reforms in various places to ensure that the medical reform policy is effective.

Edit | Editor Ren Junfei | Zhang Xiuli