Experts interpret "Guangdong Province Deepening the Reform of the Reform of the Medical and Health System Recent Key Work Tasks"
Author:Golden sheep net Time:2022.08.21
Yangcheng Evening News all -media reporter Zhang Hua Correspondent Yue Weixin
Recently, the "Recent Key Work Task for Deepening the Medical and Health System in Guangdong Province" (referred to as "Task") was officially released. The four major sections of the "Task" are: consolidate the "top sky" medical and health pattern, deepen the "three medical" linkage reforms, strengthen the construction of the public health system, and promote the high -quality development of medical and hygiene.
Wang Dong, a professor and a member of the Provincial Medical Reform Expert Library of the School of Health Management of Southern Medical University, said that in addition to the comprehensive implementation of the "prescribed actions" of the national medical reform, a series of "self -selected actions" were adopted. The 22 specific tasks in the "Task" reflect the spirit of "striving for the forefront of the country and creating a new glory in the new journey of building a socialist modernization country in an all -round way." "Medical and health pattern.
Continue to make efforts on "strong grassroots, building highlands, climbing peaks"
The medical reform of Guangdong Province continues to focus on the overall ideas of "strong grassroots, highlands, and climbing peaks" to accelerate the establishment of a new pattern of orderly medical treatment and diagnosis and treatment. Wang Dong pointed out that the "Mission" proposed to strengthen the construction of the five major international medical centers on the basis of the National Medical Center, enhance the "height" of the peak, and continue to promote the construction of the National Medical Center, the National Regional Medical Center, and the Provincial Regional Medical Center, and expand the highlands of the highland. "Width", through the optimization of high -quality resource expansion, mechanism reform and innovation, increase the "thickness" of the grassroots.
At the same time, the "Mission" proposed some breakthrough measures, such as "allowing conditions to explore the funding for basic public health services and subsidies for basic public health services and basic drug system subsidies. Regulatory and performance assessment, allocate and pay according to the results of the performance assessment "," the medical resources of some experts from the medical institutions in the area under the jurisdiction, the inspection of the hospital bed, and the appointment equipment inspection are handed over to the family doctors. Examination, hospitalization ", etc., will promote the orderly medical treatment and diagnosis and treatment pattern, and bring demonstration effects to the national medical reform.
Continue to ice in the "Three Medical" linkage
The "Mission" mentioned that "promoting the party committee and government to implement the responsibility of ensuring incentives, coordinating and promoting relevant departments to further deepen the reform of the" Three Medical "linkage. The local medical reform leadership group must organize a meeting of the leading group of medical reform to conduct medical reform." Wang Dong said that in terms of pharmaceutical consumables, the reform of the price of medical services, the reform of medical services, the method of payment of medical insurance, the reform of the personnel compensation and comprehensive supervision of public hospitals, Guangdong will continue to break the ice.
In terms of the reform of medical insurance payment, the "Mission" mentioned: "Provincial -level close -level county medical insurance payment methods comprehensive reform pilots implement total medical insurance payment, strengthen supervision and assessment, reserve balances, reasonable overcome sharing, and promote the reasonable regional or medical combination. Medical. In terms of salary of public hospital personnel, the "Task" mentioned "further optimizing the hospital's expenditure structure, and the proportion of business expenditure for business expenditure by the end of the year reached 42%."
Wang Dong pointed out that Guangdong should highlight the performance of professional and technical title evaluations, guided by practical ability performance, comprehensively implement representative results evaluation, rely on medical big data to build a quantitative evaluation system, and at the same time decentralize the evaluation authority, such as "scientific definition, reasonable release of job title, Three -level hospitals (including Chinese hospitals) and provincial -level disease prevention and control institutions with high medical level, strong technical capabilities, perfect personnel management, and complete willingness to review. "
Continuously improved in the "Construction of a Strong Public Health System"
Guangdong's public health has always been at the forefront of the country, but the epidemic in the new coronary pneumonia still exposes the shortcomings of the province's public health system. The shortcomings are not only hardware, but also mainly because of the construction of institutional mechanisms. Wang Dong pointed out that the "Task" combined with Guangdong's reality has increased the reform of "self -selection", such as "exploring the right to give public health physicians, establish a cross -training mechanism for public health professional and technical personnel and clinicians, encourage personnel to move in both directions", " Improve the network, management system and operating mechanism, summarize the public health institutions of Guangzhou, Yangjiang and other places, the pilot experience of the two categories of public welfare and public welfare "pilot" pilot experience ". The construction of the medical center encourages localities to integrate resources and explore the construction of a public health medical platform.
Continue to deepen in "Medical and High -quality Development"
Wang Dong said that this year's provincial medical reform expert Kuku was successfully formed and has begun to take shape, and actively contributed to Guangdong's medical reform. In the "Task", the key tasks of the country's medical reform this year will be further posted. Models promote high -quality development of public hospitals.
The "Mission" is closely combined with the construction of the Guangdong -Hong Kong -Macao Greater Bay Area, promoting the urgent need of clinical need to import Hong Kong and Macao drugs and medical device innovation supervision mechanisms, promote the construction of traditional Chinese medicine highlands in the Guangdong -Hong Kong -Macao Greater Bay Area, and hold a conference on the development of traditional Chinese medicine inheritance and innovation in the Greater Bay Area. The "Task" also further proposed to promote the interoperability sharing of the information of the province's medical and health institutions, promote the mutual recognition of the inspection results of hospitals in the province's secondary level or above, and the province's electronic health code "one yard to seek medical treatment".
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