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The key task of deepening the reform of the medical and health system in Shaanxi Province in 2017

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In June 6th, the key task of deepening the reform of the medical and health system in Shaanxi Province in 2017 was published. Our province will take the comprehensive medical reform pilot as the starting point. We should focus on 5 systems, including grading diagnosis and treatment, modern hospital management, universal health insurance, drug supply and comprehensive supervision, and strive to promote the further development of health care reform.

Every ten thousand residents have at least 2 general practitioners

In order to speed up the hierarchical diagnosis and treatment system, our province will form a general practitioner service team in many ways, and family doctors sign the grid management and team service. To explore the linkage mechanism of general practitioners' income and contract performance, and to reform and improve the distribution mechanism of family doctors. The coverage rate of contract service is over 30%, and the key population is over 60%, and all the poor people are included in the family doctor's contract service. In addition, there are at least 2 general practitioners per 10000 residents.

The average growth rate of medical expenses in the province is controlled below 10%

Our province will continue to deepen the comprehensive reform of public hospitals. The drugs sold in urban public hospitals (including Chinese herbal pieces) were sold by zero margin sales. The proportion of drugs (excluding Chinese herbal pieces) decreased to 30%, and the health materials consumed in 100 yuan medical income (excluding drug income) dropped to less than 20 yuan. The provincial provincial hospitals and central government cancel the drug addition simultaneously in all kinds of public hospitals, such as affiliated hospitals of Shaanxi universities, military hospitals, hospitals and other public hospitals.

The performance evaluation of public medical institutions is carried out. The results are used as an important reference for the promotion of hospital presidents, and are linked to government subsidies, hospital grade reviews and so on. We should implement the policy of financial compensation and establish a new compensation mechanism to compensate for the reasonable income reduced after the addition of drugs. To strengthen the fine management of public hospitals, the average growth rate of medical expenses in the province is under 10%.

The proportion of inpatient reimbursement in the policy range reached about 75%

In our province, the basic medical insurance policy of "six unified" urban and rural residents will be implemented, and the municipal level will be realized in the year. The basic medical insurance rate was more than 95%. The proportion of inpatient reimbursement in the policy range was about 75%. Perfect the insurance system, to reduce the deductible, improve reimbursement, reasonably determine the compliance scope of medical fees and other measures, improve the serious illness insurance to the needy and precision. In order to achieve direct settlement of medical expenses in different places, the direct settlement procedure of medical expenses in different places in different places is optimized in an all-round way. Establish the seamless link mechanism of basic medical insurance, big disease commercial insurance, emergency rescue and medical assistance in the course of management, so as to realize "one stop" reimbursement.

Encourage the society to develop medical institutions, such as pediatrics, and other specialized medical institutions

Our province will promote the reform and development of children's comprehensive medical services, strengthen the pediatric medical technicians team building, two level and above comprehensive hospital must provide pediatric emergency and inpatient services. There are no less than 3 beds per thousand children in the jurisdiction. At the same time, promotion of health intelligent monitoring, before the end of the year to cover most areas, the implementation of effective monitoring of outpatient and inpatient, consumption behavior; encourage shehuibanyi development of Pediatrics, psychiatry, nursing and other weak specialist medical institutions, public hospitals and the development of dislocation. We should strengthen the construction of combination of medical care and cultivation, and build a number of demonstration bases with distinctive features and diversified forms of medical care.