In 2018, the top ten hot words of the two sessions are still in the forefront of medical reform

Representatives, members gathered in Beijing. What are the topics of concern to the public in this year's National Conference?

According to the results of the survey conducted by People's Daily, the top ten hotspots in the 2018 survey include anti-corruption struggle, social security, education reform, medical reform, poverty alleviation, housing system, reform and opening up, environmental protection, and rural areas. Revitalize and rule the country according to law. For two consecutive years, anti-corruption, social security, and medical reform ranked the top three in the hot words.

Breaking the barriers to talents and leaving outstanding talents at the grassroots level

The "Healthy China 2030 Planning Outline" proposes to strengthen the training of healthy talents, focusing on general practitioners and strengthening the construction of grassroots talents. For a long time, there is a big gap in China's primary health care resources. Take Hubei Honghu People's Hospital as an example. In Honghu City, 85% of the people are treated in the city hospital, and 15% are transferred to large hospitals in Wuhan and other places. However, 15% of patients who switched out of treatment consumed 55% of their health care costs.

Yu Yong, dean of the Honghu People's Hospital (Xiehe Honghu Hospital) from the primary hospital, said the shackles of the primary hospital: Why can't 55% of the medical insurance costs remain in the primary hospitals like Honghu Hospital?

According to Yong Yong, the Honghu People’s Hospital recently built a new building, increased the number of beds, and the service capacity has been greatly improved, but the problem is still serious: “The hospital building was built and the MRI equipment was installed. But there is a shortage of excellent doctors and the machine can be operated. There are very few experts, which is a serious problem. In 2017, Honghu People’s Hospital recruited 30 undergraduates, leaving only three, some chose postgraduate studies, some chose a better platform, and the surrounding counties and cities were different. There is a shortage of talent in the degree."

Wu Mingjiang, a member of the National Committee of the Chinese People's Political Consultative Conference and the former director of the Department of Medical Affairs of the Ministry of Health, said that in the past 10 years, the houses and equipment of grassroots medical and health institutions in poverty-stricken areas have improved significantly, but how professionals can “retain and use them” is a There are no difficult problems solved.

Yan Yong introduced that low incomes in primary hospitals are common, which is the main reason why it is difficult to retain excellent talents.

Zhao, a member of the National Committee of the Chinese People's Political Consultative Conference, the chairman of the China Cancer Foundation, and the former director of the Cancer Hospital of the Chinese Academy of Medical Sciences, said that the average annual income of employees in county-level hospitals in China is about 80,000 yuan, and the average annual income of employees in prefecture-level hospitals is 12 to 150,000 yuan. The average annual income of the employees of the hospitals is about 200,000 yuan (before tax). The treatment of the famous top three hospitals in the country will be higher. "Why should the outstanding talents stay in a small place with lower annual income?" The question thrown by Zhao Ping is thought-provoking.

General Secretary Xi Jinping pointed out that it is necessary to focus on the enthusiasm of the majority of medical personnel, starting from the aspects of improving salary, development space, practice environment and social status, caring for the physical and mental health of medical staff, and enhancing the professional honor of medical staff through various forms to create a full The society respects the good atmosphere of medical rehabilitation. Wang Yu, a member of the National Committee of the Chinese People's Political Consultative Conference and former director of the National Center for Disease Control and Prevention, said that local governments should introduce active medical and health talent encouragement policies and leave outstanding talents in primary hospitals.

It’s not just a talent issue. “If the health of the people is an important indicator of the government’s performance evaluation, healthy China is expected to be implemented.” Fan Li said.

Fuzhou model for building national health medical big data

“Health and medical big data application is an important support to promote deepening medical reform and improve health and health governance models. To this end, we must accelerate the construction of healthy big data, “intelligent” to “big data”, and promote medical big data. The typical application of the people's livelihood supplement board, the Fuzhou model of the national health medical big data." Chairman Zhu Qi on behalf of the Agricultural Workers Party Fuzhou Municipal Committee.

It is recommended to strengthen health care big data collection and consolidate the foundation of big data development. We will continue to build more efforts to build a health care big data center infrastructure that serves the whole country, further expand the collection and collection of medical data resources, and establish a comprehensive big data application function system. With point-to-face, with the application of special applications to promote industrial development, promote the typical application of health care big data in the people's livelihood, promote the application of health care big data and benefit the people, and promote the typical application of medical big data with influential characteristics of Fuzhou. Strengthen health care big data governance, strengthen data security, and steadily advance data governance. Strengthen key technologies such as mass medical data storage cleaning, analysis and mining, and security and privacy protection for health care, and further improve the legal norms for health medical data collection. We will foster a health care big data industry cluster system, and promote the joint education model of government, universities, research institutes, medical institutions, and enterprises with the research and development and industrialization projects in the big data field as the carrier. Create a big data upstream and downstream industry chain, and promote the city's medical big data features new business.

Cancel the "medication with medicine", how does the hospital survive?

"Pharmaceutical separation is a direction of the reform of public medical institutions clearly proposed in the national medicine reform program. For hospitals, the direct role of the pharmaceutical sector has disappeared, and the huge expenditure of the pharmaceutical sector has become a burden for hospitals." Beijing CPPCC member, Beijing Wang Chengxiang, dean of the Third Affiliated Hospital of Chinese Medicine University, said, "Take the Third Affiliated Hospital of Beijing University of Traditional Chinese Medicine as an example. After the cancellation of the drug, some subsidies were adjusted. The income of western medicines will lose more than 10 million yuan per year."

Jiang Yansheng, who has been fighting cancer for 20 years, is inseparable from dealing with medicine. He said, "The western medicine fee has indeed dropped, and the patients have received benefits. Everyone feels it."

The report of the 19th National Congress of the Communist Party of China pointed out that the "medical treatment by medicine" should be completely abolished and the system of guaranteeing the supply of medicines should be improved At the 2016 National Health and Wellness Conference, Li Keqiang called for the elimination of the “medical treatment by medicine” mechanism and the public welfare of basic medical and health services.

Wang Chengxiang said, "Some hospitals are central units, some are grassroots units, and some are enterprise units. The third affiliated hospital of Beijing University of Chinese Medicine belongs to the Ministry of Education. The Ministry of Education does not have any funding and compensation in this regard. After the hospital took medicine, the hospital did not receive medical expenses, and hospitals like this were losing money to sell medicines."

Wang Chengxiang suggested that the independent non-profit health industry units be transformed from the differential appropriation institutions into full-funded institutions. In addition, regardless of whether the hospital is central or local, it is the mass of the locality of the service. After the cancellation of the “medical medicine”, except for the central subsidy, the rest should be settled by the territorial subsidy.

Support society to run doctors, reduce inefficiency and low-end supply

Supporting social education is one of the important strategies of the Party Central Committee and the State Council on strengthening the building of a healthy China. In the "Implementing a Healthy China Strategy" put forward by Comrade Xi Jinping in the report of the 19th National Congress, 10 major tasks were deployed, the ninth of which was "supporting the society to run medical care and developing a healthy industry."

Wang Sili, a member of the National Committee of the Chinese People's Political Consultative Conference and vice chairman of the China Medical Foundation, said that the 19th National Congress of the Communist Party of China will "support the society to run medical care and develop a healthy industry" as an important part of implementing the healthy China strategy, and inject new impetus into the development of the health industry. This is an inevitable requirement for providing comprehensive and comprehensive health services for the people and achieving a well-off society in an all-round way.

Encourage and guide social forces to organize the development of medical institutions, promote the formation of public hospitals and social medical institutions to promote mutual development and common development, not only can increase the supply of medical and health resources, optimize the structure, meet diversified needs, but also play a social medical institution mechanism The advantage of flexibility.

Wang Zhili believes that reducing ineffective and low-end supply and expanding effective supply, private medical institutions must carry out comprehensive innovation centered on institutional mechanism innovation, which is of great significance for solving difficult medical problems, inadequate medical resources, and improving the health of the people throughout the country.

Zhao Ping added that in 2016, the proportion of personal payments in China's total health care has fallen below 30%, the government paid 31%, and the social capital paid more than 40%. Social capital management has gradually become an integral part of the process. The national policy is clear, but there are still problems that need to be seriously faced in the management of social capital. (People's Network)

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