Medical network - January 10, recently, the state council issued "much starker choices-and graver consequences-in" deepening the reform of medical health system planning (hereinafter referred to as planning). Planning requirements, to 2020, forming one mega pharmaceutical circulation enterprises with annual sales of more than 500 billion yuan, will also be the medical and health institutions at various levels and of the supervision and inspection to achieve 100% coverage.
Classification and treatment
To strive for family doctors signed a contract for the whole 2020
Planning requirements, by 2017, gradually improve the policy system of hierarchical diagnosis and treatment, more than 85% of the cities to carry out the pilot. By 2020, the hierarchical diagnosis model gradually formed, the classification system of basic establishment conforms to the national conditions.
On the base of traditional Chinese medicine service system is not sound, ability is weak, will the doctor of traditional Chinese medicine hospital outpatient medical services into the first option in TCM. By 2020, all community health service institutions and in towns and townships and 70% of the village clinic of traditional Chinese medicine service ability, at the same time corresponding ability in medical rehabilitation.
At the same time, guide the tertiary public hospital were difficult for emergency and severe cases patients, complex and moves the stabilization and recovery in patients with common disease, frequently-occurring disease and disease. Encouraged to break administrative division limit, promote the construction of the medical association, combined with medical care, remote medical treatment and so on, realize the organic combination of medical resources, through up and down.
To establish and perfect the system of signing the family doctor service. Signed in 2017, the family doctor service coverage rate of 30% or more, key crowd signing service coverage rate of 60% or more. By 2020, strive for the signing services extended to the whole population, basic realizing a complete coverage of signing the family doctor service system.
Drug supply
Retail pharmacies will become a important way of chick
In the drug supply side, much attention has been paid to planning requirements, establish a standardized and orderly drug supply security system. Break with medicine cure, to promote all kinds of comprehensive medical institutions at all levels, priority use of basic drugs, construction conforms to the situation of national drug policy system, straightening out drug prices.
Strive for to 2020, establish the ex-factory price of basic information traceability system, forming one mega pharmaceutical circulation enterprises with annual sales of more than 500 billion yuan, pharmaceutical wholesale enterprises with annual sales accounted for more than 90% of the total amount of wholesale markets.
Push medicine separately, to take comprehensive measures to cut off the hospitals and medical personnel and medicine, material between the interests of the chain. Medical institutions should be in accordance with the generic prescription drugs, and take the initiative to provide patients with, shall not be restricted prescription outflow. Through various channels to buy medicine mode, explore outpatient patients to retail pharmacies can be obtained with a prescription to buy medicine. Promote the full competition and mergers and reorganization of enterprises and enhance market concentration, scale, intensive and modernisation of the business. Adjust the market pattern, make retail pharmacies gradually to medicine and to provide pharmaceutical care of patients with important channel.
Exploring to establish a system for total hospital pharmacists, perfect the regulations for the administration of medical institutions and retail pharmacy pharmacist, combining with the reform of medical service prices, pharmacy practice value. Establishing the synthetic evaluation system of clinical drug and children's drugs clinical comprehensive evaluation mechanism, improve the level of rational drug use.
Operation regulation
Establish violations "blacklist" system
In regulation, planning requirements, to carry out comprehensive supervision pilot. For random inspection of the object of law enforcement, random send inspectors "double random spot check, in accordance with law, investigate violation behavior, spot check and investigate the results to the public in a timely manner. Establish violations "blacklist" system, to enter the "blacklist" of institutions and personnel in accordance with the rules in accordance with the serious processing, if the circumstances are serious resolutely exposure. In 2020, the medical and health institutions at various levels and of the supervision and inspection to achieve 100% coverage.
Planning is put forward, by 2020, preliminary build up full of vitality and vigor of GPS system, the basic form a unified, standardized general practitioner training mode, thousands of residents between urban and rural areas have 2-3 gp, who qualified general practitioners have a total of more than 300000 people. |
