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全国政协组织调研医改 公立医院改革为今后4年重点
2012-07-16
凝聚共识、巩固成果、重点突破,持续深化改革造福人民群众 Build consensus、Consolidate results、The key breakthrough,Continue to deepen the reform to benefit the people the masses
参加考察的委员和专家认为,要把巩固基层医改成果作为当前深化医改的重中之重。一是在全国范围内组织开展基层医改“回头看”活动,督促各地把中央的各项政策措施落实到位。二是完善基本药物集中采购机制,调整基本药物目录,保证药品质量安全,保证群众基本用药需求。三是建立长效的补偿机制。这是破除“以药补医”、让公立医疗卫生机构回归公益性的根本之策。必须尽快采取措施,切实将发展建设资金、经常性收支差额、公共卫生服务经费、基层医疗卫生机构化债资金、绩效工资和村医补助落实到位,并逐步以法律、法规的形式将政府对医改和卫生事业发展的投入固定下来。同时,中央应适当加大对财政比较困难的省份,特别是边疆民族地区深化医改的财政支持和转移支付力度。四是加强基层人才队伍建设。这是强基层的关键之举,要尽快推进全科医生制度建设,出台更加优惠的政策吸引人才向基层流动。五是加快推进基层信息化建设,强化行业监管。
To participate in the investigation of committee members and experts say,To consolidate the cure of the achievements, as the deepening of the medical center。One is in the national scope, the organization carries out the cure of the grassroots“Look back”activities,Supervise the localities of the various policy measures put in place。Two is to improve the basic drug centralized purchasing mechanism,Adjust the basic drugs directory,Ensure pharmaceutical quality safety,Ensure the basic drugs demand。Three is to establish long-term compensation mechanism。This is breaking“To fill medicine medical”、Let the public health agency return the fundamental strategy of public welfare。Must take action as soon as possible,The development and construction funds、Regular balance、The public health service funds、Basic medical and health institution debt capital、Performance-based pay and village doctor subsidies in place,And gradually to the law、Regulations in the form of government to the medical and health service development input fixed down。At the same time,The central should be appropriate to increase financial more difficult province,Especially minority areas of cure of the deepening financial support and transfer payment strength。4 it is to strengthen the construction of grass-roots talent team。This is the key for the strong grassroots,As soon as possible to push all-around doctor system construction,Come on stage more preferential policies to attract talents to grassroots flow。Five is speeding up the information construction,Strengthen the industry regulator。
进一步强化医改实施的组织领导。鉴于医改的长期性、工作任务的艰巨性,建议进一步加大医改推进机构建设力度,特别要加强中央和省级医改办的职能,充实干部队伍,完善工作机制,提高统筹协调能力,提升推进改革的权威性。
To further enhance the organization and leadership of the implementation of the cure。In view of the cure of the long-term、Work task is hard,Suggest further increase the advance medical institution construction force,Special to strengthen the cure of the central and provincial do the function,Enrich cadres,Perfect work mechanism,Improve overall coordination ability,Ascension promote reform of the authority。
积极开展县级公立医院改革,拓展城市公立大医院改革试点和研究。今后一个时期,公立医院改革将成为医改的重点任务。要认真总结试点经验,有序推进县级公立医院改革,以破除“以药补医”机制为关键环节,采取调整医药价格、改革医保支付方式和落实政府办医责任等综合措施和联动政策,建立多渠道补偿机制,实现公立医院的公益性回归,同时统筹推进医院管理、人事分配、药品采购方面的改革。
Actively developing county public hospital reform,Expanding urban public big hospital reform pilot and research。For a time,Public hospital medical reform will be the key tasks。To summarize pilot experience,At the county level public hospital reform pushed forward,To break“To fill medicine medical”Mechanism for key link,Take medicine price adjustment、Health-care reform payment and implement comprehensive measures such as medical liability government policy and linkage,To set up multi-channel compensation mechanism,Realize the public hospital public welfare regression,At the same time as a whole promote hospital management、Personnel distribution、Drug procurement reform。
应当为地方先行先试创造更好的条件。在推进医改过程中,各地根据中央的意见和精神,因地制宜,积极探索,大胆创新,先行先试,形成了许多好的经验,得到中央的肯定和鼓励。三年医改取得突破性进展,离不开基层的创新实践,特别是得益于基本药物制度建设中,中央设立了“以奖代补”资金,大大调动了地方的积极性。公立医院改革是医改的难点,也是今后四年的重点任务,亟须地方加大试点力度,闯出改革路子。
For the first try first place shall create better conditions。In the process of cure,According to the opinion of the central all over and spirit,Adjust measures to local conditions,Actively explore,Bold innovation,First try first,Formed many good experience,Get the central certainly and encouragement。Three years medical breakthrough,From the practice of innovation,Especially benefited from the basic drugs in the construction of system,The central set up“With awards for generations”funds,The initiative of the localities mobilize the greatly。Public hospital medical reform is a difficult one,For the next four years is also the key tasks,Where is the pilot strength increasing,Rushes out reform pathway。
加大对三年医改成果的宣传力度。参加考察的委员和专家还认为,医改三年来特别是近一段时期,新闻宣传准确、及时、有效地向社会报道了医改的进展和成效,为医改顺利推进创造了良好的舆论环境。三年医改取得了丰硕的成果,是各级党委、政府贯彻落实科学发展观的重要实践行动,是坚持以人为本、执政为民理念的具体体现。各级宣传部门和新闻单位,要以基层医改为重点,多种方式、多种途径、多个角度向国内外开展连续性宣传报道,着力宣传三年医改取得的成绩,着力宣传人民群众得到的实惠,着力宣传社会主义制度的优越性,为党的十八大胜利召开营造良好氛围。(记者 黄天香 一 轩)
To increase the cure of the three years of achievements propaganda。To participate in the investigation of committee members and the experts also think,Especially nearly three years to cure for a period of time,News propaganda accurate、timely、Effectively to social reported the cure of the progress and results,Cure for progressing smoothly to create a good environment for public opinion。Cure of the three years have made great achievements,Is party committees at all levels、The government to implement the scientific development concept of important practical action,Is to adhere to the people-oriented、The concept of administration for concrete manifestation。At all levels of the propaganda department and the news unit,To cure of the grass-roots as the key point,Various ways、The many kinds of ways、Many Angle for continuity to domestic and international publicity,Three years to cure of the propaganda of the achievements,Focus on the people get benefits propaganda,Focus on the propaganda the superiority of the socialist system,For the party's big victory 18 held build good atmosphere。(Reporter HuangTianXiang a porch)
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