时间：2017-12-29 20:49:13 Source: Xinhuanet Time: 2017-12-29 20:49:13
The implementation of more than 60 years of drug bonus policy, the participation of all three public hospitals in the construction of medical consortia, and the weaving of the world's largest medical security network ... In 2017, a new round of deepening medical and health system reforms gradually broke from easy to difficult. With the people's health as the supremacy, the reform of the "deep water zone" and "toughening period" has taken a key step to speed up obstacles.
What the people want, what the government does. Toward the grand vision of co-construction and sharing, China's all-round and full-cycle protection of people's health, and let the basic medical and health system with Chinese characteristics engraved the new coordinates of healthy China.
Children's medication, rare disease medication review and approval speed up life-saving drugs no longer shout "help"
Protamine, mitomycin, penicillamine ... In recent years, seasonal "raw materials shortage", poor supply and demand, and other factors have caused some clinically necessary medications to have local and structural shortages.
Although the pills are small, their lives are off. The "Implementation Opinions on Reforming and Perfecting the Supply Mechanism for the Shortage of Drugs" issued in 2017 proposes that, through a variety of methods such as fixed-point production, coordinating emergency production and imports, and improving the shortage of drug reserves, it will ensure sustainable development of enterprises and orderly supervision of the industry. On the basis, let the doctor and the patient say goodbye to "a medicine is hard to find" as soon as possible.
In November of this year, domestic thiopurine tablets, an essential medicine for treating acute lymphoblastic leukemia in children, were in short supply. Under the coordination of the National Health Planning Commission, the Food and Drug Administration and other departments, the market supply was quickly restored in a short period of time. "This is due to the gradual establishment and improvement of a shortage of drug monitoring networks." Zhang Feng, deputy director of the Department of Pharmaceutical Affairs of the National Health and Family Planning Commission, said that without early warning monitoring, it would take about six months to restore supply.
Nowadays, more than 130 clinically in-demand shortages of drugs with a high degree of social concern have greatly alleviated the shortage. Relevant persons in charge of the National Health and Family Planning Commission said that through the "one-to-one" solution, China launched a pilot program for matching the shortage of drugs in the market, and started a joint mechanism for the consultation on the shortage of drugs in the country. In the future, we will continue to address the shortage of more than 20 “boss” drugs on the monitoring list one by one.
Medicare directly connects the "high-speed road" to complete the establishment of over 90% of three-level designated medical institutions into the network
Recently, benefiting from the policy of direct settlement of medical treatment in different places in Beijing and Hebei, hundreds of thousands of Beijing medical insurance participants who live in Yanjiao went to Hebei Yanjiao Yanda Hospital to achieve direct settlement of medical treatment with a card. "The Yanda Hospital, which was once a 'menkoluque', is booming." Zhu Wenguang, deputy investigator of the Langfang City Health and Family Planning Commission, sighed.
As of November 15, on the basis that all provincial-level platforms and all coordinated areas in the country have realized the connection with the national off-site medical settlement system, the number of designated provincial medical institutions across the country has increased to 7801, and more than 90% of the third-level designated medical institutions Has been connected to the network, and more than 80% of the districts and counties have at least one designated medical institution that can provide direct settlement services for cross-province medical treatment and hospitalization.
In the future, remote referral staff, relocated retirees, and resident staff members are expected to benefit from this policy and realize that they can “see and go” when they see a doctor. "For patients who cannot be diagnosed or can be diagnosed by local medical institutions but have limited treatment levels and need to go to other provinces for medical treatment, this policy is undoubtedly good news." Said Lu Yun, president of Tianjin Teda Hospital.
Cracking the "medium obstruction" of high-quality medical resources
Small clinics are deserted and large hospitals are overcrowded. How can the contradictions in the development of medical resources have been unbalanced and inadequate for a long time? In 2017, the trial of the construction of medical complexes was fully launched. There were more than 300 prefecture-level cities nationwide.
Medical complex is an important form of organization for sinking medical resources, and it is of great significance to promote hierarchical diagnosis and treatment. "To return the public hospitals to their functional positioning, gradually integrate the single-player and disorderly competition to form an integrated service system with functional positioning as the core and coordinate each other to form a scientific high-quality medical resource allocation pattern." State Council Medical Reform Liang Wannian, full-time deputy director of the Office and director of the Department of System Reform of the National Health and Family Planning Commission, said.
Tianchang City, Anhui Province, led by the prepaid system of total medical insurance heads to create a county-level medical community with benefits as the link, identified 122 kinds of county-level public hospitals and 50 kinds of township health centers to ensure the treatment of disease categories, allowing the grass-roots first diagnosis Take root. " Shanxi Province promotes the establishment of medical groups at county-level hospitals, township health centers, and community health service organizations. City experts will regularly visit town hospitals, so that people can be assured to see a doctor at their doorstep.
Li Bin, director of the National Health and Family Planning Commission, said that in the first half of 2017, the rate of consultations in counties across the country reached 82.5%, an increase of 2.1 percentage points from the end of 2016. In the next step, the health and family planning department and related medical institutions will take resource-sharing and talent sinking as the guidance, and build the medical consortium into a "community of interests, a community of responsibility, and a community of development", so as to establish a reasonable order of medical treatment and achieve treatment-centric A major shift towards health-centricity. (Finish)
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