Good news brought about by the 2019 deepening of the medical and health system reform task

The general office of the state council issued the key tasks for deepening the reform of the medical and health care system in 2019 (hereinafter referred to as the tasks). According to the task, the publication of a list of drugs that encourage generics should be completed by the end of June 2019; Including hypertension, diabetes and other outpatient drugs into the medical insurance reimbursement; We will increase the number of serious diseases treated for poor people to 25, remove the ceiling on the number of serious diseases insured for poor people with documented medical records, and encourage local governments to research and propose policies to support poor people with incomes slightly higher than those with documented medical records.

"Task" clear, to study and formulate action involving health China, promote the healthy and standardizing development social do medical, release to encourage generic drugs directory, standardize medical consumables used in medicine, centralized purchasing and using for breakthrough to further deepen the reform, the medical institutions drug management, medical fees and Internet payment, health professional and technical personnel titles system reform, establish and improve the elderly health service system, the secondary and the public medical institutions of couplet of performance appraisal, strengthen doctor team management, medical management, public hospital compensation system reform health care, improve worker health insurance personal accounts, funds use regulation of 15 files.

At the same time, the mandate proposes 21 specific tasks, including:

Establish rules for unique identification system for medical devices. Gradually unify the classification and coding of medical consumables with high value of medical insurance nationwide. Focus on the treatment of high-value medical consumables with relatively high unit price and resource consumption ratio. We will reform and improve the procurement policy for medical consumables. We will cancel the markups on medical consumables in public medical institutions, improve the compensation policy for public medical institutions, and properly solve the problem of compensation for reasonable income caused by the reduction of markups on medical consumables in public medical institutions.

We will consolidate and improve the national system for the use of essential drugs, identify the proportion of essential drugs in public medical institutions at all levels and of all types at the provincial level, and establish incentive and restraint mechanisms for their preferential use. We will improve the mechanism for dynamic adjustment of the list of medicines covered by the medical insurance system, and prioritize eligible therapeutic drugs from the list of essential medicines to the list of medicines covered by the medical insurance system. We will cover medical insurance reimbursement for outpatient medications such as hypertension and diabetes.

Focusing on discipline construction, the comprehensive capacity of 500 county hospitals and 500 county traditional Chinese medicine hospitals will be improved. Guide all regions to take diseases as the starting point, clarify the responsibilities and functional positioning of medical institutions of different levels and categories, establish a division of labor and cooperation mechanism, and promote hierarchical diagnosis and treatment. We will encourage tertiary hospitals to actively adjust the types of diseases in outpatient service and gradually expand the types of diseases in day surgery.

In addition, the mission also mentioned the in-depth implementation of health poverty alleviation. Relevant funds and policies will be further inclined to areas with deep poverty. We will increase the number of serious diseases treated for poor people to 25, remove the ceiling on the number of serious diseases insured for poor people with documented medical records, and encourage local governments to research and propose policies to support poor people with incomes slightly higher than those with documented medical records.