National Health and Health Commission: Reform of Salary System in More than 2800 Public Hospitals

category:Global
 National Health and Health Commission: Reform of Salary System in More than 2800 Public Hospitals


China-Singapore longitude-latitude client June 14, 14, Zhu Hongbiao, inspector of the Department of Reform of the National Health Commission, said in introducing the progress of comprehensive reform of public hospitals in China that in 2018, the National Health and Health Commission and relevant departments launched negotiations on the inclusion of 17 anticancer drugs in the national health insurance catalogue, with an average price reduction of 56.7%. Pilot work on centralized drug procurement and use organized by the state was carried out in 11 cities. The average price of 25 selected drugs decreased by 52%.

Zhu Hongbiao said that in 2018, the National Health Commission, together with relevant departments, earnestly implemented the decision-making and deployment of the Party Central Committee and the State Council, aimed at establishing and improving the modern hospital management system, consolidated and eliminated the achievements of the reform of reinforcing medicine with drugs, promoted breakthroughs and innovations in key areas and key links, and made positive progress in the comprehensive reform of public hospitals.

First, we have consolidated and eliminated the achievements of the reform of reinforcing medicine with drugs and achieved remarkable results. Continue to follow the reform path of TengSpace, Structural Adjustment and Linkage Guarantee, on the basis of canceling drug additions and adjusting medical service prices simultaneously in 2017, 19 provinces will readjust medical service prices again in 2018, and further improve the new compensation mechanism of public hospitals. Shandong, Guangdong and Fujian have clearly adjusted their prices once a year and established a dynamic adjustment mechanism. Sanming City of Fujian Province and Nanchong City of Sichuan Province set up pharmaceutical service fees to reflect the value of pharmaceutical service and promote rational drug use.

Second, there are new breakthroughs in implementing the responsibility of government investment. The direct subsidy to public hospitals increased from 84.9 billion yuan in 2010 to 27.5 billion yuan in 2018, an average annual increase of 15.6%. Chengdu City, Sichuan Province, quantifies and materializes the governments six investment policies for public hospitals, which are included in the regular budget. Public hospitals in Beijing, Shanghai and Tianjin have no constructive debt for development. Seven provinces, such as Anhui and Guizhou, lock in, divest and resolve the constructive debt for development of public hospitals.

Third, actively explore the reform of medical insurance payment. In 294 cities, more than 100 kinds of diseases are paid by disease type. In Guangdong Province, payment according to disease score is carried out in an all-round way. The score and relative weight of 4051 diseases are determined by big data technology. Daytime surgery and qualified pre-operative outpatient examination are included in the payment according to disease score.

Fourth, deepen reform in the field of pharmaceuticals. Implementing zero tariff on imported anticancer drugs. Seventeen anticancer drugs were included in the national health insurance catalogue negotiations, with an average price reduction of 56.7%. Pilot work on centralized drug procurement and use organized by the state was carried out in 11 cities. The average price of 25 selected drugs decreased by 52%.

Fifth, accelerate the reform of personnel compensation system. In Shandong, Guangdong, Ningxia and other places, the total amount of personnel is managed. The personnel in the total amount are managed according to the integrated personnel management policy of public institutions and participate in the old-age insurance of public institutions in a unified way. More than 2,800 public hospitals throughout the country have carried out a pilot reform of the salary system, and implemented the two permissions (allowing medical and health institutions to break through the current level of wage regulation and control in public institutions, allowing medical service income to deduct costs and withdraw funds according to regulations, mainly for personnel incentives) to explore the establishment of a salary system in line with the characteristics of the medical industry.

Sixth, accelerate the establishment and improvement of modern hospital management system. Local Party committees have formulated implementation measures to strengthen party building in public hospitals, providing institutional guarantee for the implementation of the presidential responsibility system under the leadership of the Party committee. Seven provinces, including Jiangsu and Shaanxi, have set up public hospital management committees in all cities and counties (cities) to coordinate the implementation of government medical functions. Peking Union Medical College Hospital and West China Hospital of Sichuan University have made useful explorations and set an example in establishing and improving modern hospital management system.

Source of this article: Sino-New Zealand Editor Responsible for Longitudinal and Weft: Yang Yi_NBJ10647