Medical reform reads into interest adjustment deepwater area

The State Council issued the "Main Work Arrangement for Deepening the Reform of the Medical and Health Care System in 2013" recently, and arranged the main work of the reform of the medical and health system in 2013. What are the highlights of the Arrangement? Where is the focus of the next step? This reporter interviewed related experts.

The "Arrangement" proposed that 2013 is a year of deepening the deepening of the reform of the medical and health system and a key year for the full implementation of the "12th Five-Year Plan" medical reform. It is necessary to clarify the objectives of the mission, strengthen organizational leadership, implement work responsibilities, and continue to deepen reforms.

Yao Xi, a professor at Tongji Medical College of Huazhong University of Science and Technology, believes that the overall direction of the new medical reform has been relatively clear. "Arrangement" is the further deepening and implementation of the ideas and ideas of the previous medical reform, which is of great significance to the medical reform work that has been advanced in depth.

Ma Jin, Dean of the School of Public Health of Shanghai Jiaotong University, believes that during the “12th Five-Year Plan” period, the focus of medical reforms has gradually moved from the grassroots level to public hospitals. The issues involving institutional and institutional reforms are more complex and will enter the deep-water zone where interest patterns are adjusted. The "CEPA" helps to further deepen medical reform.

"CEPA" stresses that governments at all levels must actively adjust the structure of fiscal expenditures, increase input, and earnestly implement that "the growth rate of government health investment is higher than that of regular fiscal expenditures, and the proportion of government health investment in recurrent financial expenditures is gradually increasing." The requirements of the annual medical reform mission funds into the financial budget, and timely allocation in place to ensure that the implementation of the "Twelfth Five-Year Plan" period of medical reform investment intensity and intensity higher than the 2009 -2011 investment reform goals.

Ma Jin said that the "Arrangement" has great reforms in terms of government investment, medical compensation standards, and the construction of basic medical and health institutions. This fully reflects the government's emphasis on the development of the people's health and consolidates the achievements of the medical reform. , deepen medical reform and benefit the needs of the people's livelihood.

"The 'clearness of powers and responsibilities' is also a major highlight of this work arrangement." Ma Jin said that the "arrangement" has made explicit the responsibility of each work unit and has publicized it through documents. On the one hand, there will be invisible pressure on the responsible units themselves, which will help promote smoother medical reforms. On the other hand, it is also helpful for specific offices to understand clearly the division of labor and avoid problems such as “multiple management” or “unmanned management”.

"Although the "arrangement" has clearly defined the responsible units for various tasks, it is necessary to work together from top to bottom to implement a good medical reform policy." Yao said that the medical reform involves many aspects and it is not enough to push through only one document to implement it. It is necessary for the central government, especially local governments at all levels, to attach great importance to this, so that the relevant work can truly “take root”.

“The next step is that medical reform can also exert greater strength in innovation of institutional mechanisms.” Li Ling, professor of the China Center for Economic Research at Peking University, said that at present, from the perspective of the pilot reform of public hospitals, the pilot hospitals have passed system innovation with preliminary results. appear. It is suggested that in order to deepen medical reforms, we must continue to focus on system and institutional innovation, and at the same time pay attention to the superposition effect of policies.