End of the year to the end of next State Council and ministries will be gradually introduced more than 15 health care reform association documents

　　Medical and health system will open a new page . Recently, reporters learned , for the eighth session of the Third Plenum 's " deepening medical and health system ," the spirit of the National Health and Family Planning Commission to " continuously deepen the medical and health system ," and " deepen " the The key is " to establish a compensation mechanism for science ."
　　With the cancellation of public hospitals pharmaceutical drug addition and separate pilot expansion of the scope , establish an effective mechanism for economic compensation has become key to the new health care reform . Some experts pointed out that the root causes of the current price of medical services is still low , and even to establish a compensation mechanism to separate medicine brings obstacles.
　　Director of Health Management and Policy Research Center of the China Europe International Business School Cai Jiangnan said that although the Guardian Party Planning Commission meeting did not touch " root causes ", but according to previous " State Council on promoting the healthy growth of the service ( Guo Fa No. 201340 ) ." ( hereinafter referred to as "File 40 " ) and the information the plenary session , followed by a new medical reform ideas have been clear. In addition , the reporter learned from relevant channels exclusively , from the end of the year to the end of next year , the State Council and ministries will be launched soon 15 Conditions document , continue to promote the reform of health system in depth .
　　Construction grading mechanism to push reform of public hospitals clinics
　　Reporters learned that guard Planning Commission will be based on the plenary session for the " medical and health management system " and " unswervingly adhere to the correct direction of public welfare , Paul basically do not break the bottom line , focusing on building mechanisms without departing from , continuing the medical and health deepen reform . " Critical " deepen " the compensation mechanism is to establish a scientific and build clinics classification mechanism to accelerate the reform of public hospitals , strengthening of qualified personnel , improve the basic drug system , new mechanisms to strengthen grass-roots operation to improve the level of medical services , health promotion services industry development.
　　Reporters learned that , as a public hospital drug dependent doctors mechanism canceled explore economic compensation mechanism for the formation of a scientific public hospital reform is a key factor in whether a sustainable , but also the only way to return to public service . Establish reasonable compensation mechanism is to get rid of drugs to support medical problems can not be avoided . Pharmaceutical industry analysts have pointed out that in the current domestic " drug dependent doctors " under the system, reform the pharmaceutical distribution system is still limited by the entire pharmaceutical system , which is also the leading cause pharmaceutical and hospital regardless of the reason for the retail market .
　　told reporters that if you want to complete the separation of medicine and health care reform measures such as compensation mechanism from the source , the price of medical care itself is indeed necessary to go up , but not necessarily the amount of the adjustment , you can adjust the proportion of medicines and medical examination , that is, adjust the dosage and users, ultimately the price adjustment over this structure . "Now prices are set by the NDRC hand operation , this should be changed , it should be provided by the health insurer and health care side, that both supply and demand for negotiations to establish a more reasonable price mechanism ." Cai Jiangnan said.
15 next year will introduce health reform Conditions
　　From the "File No. 40 " issued to eighteen Third Plenary Session "deepening medical and health system ," set the tone , the new health reform ideas already clear. Exclusive learned from relevant sources , from the beginning of October this year , involving multiple ministries Conditions document was in fact already in the drafting process , if nothing unexpected happens , at the end of this year to the end of next year , a number of ministries and commissions of the State Council will be gradually introduced 15 Articles documents, continued further deepen the reform of health system .
　　15 Conditions document also includes medical personnel flow problems specific plan , that concern had more practice problems, according to the Articles of discovery information , physicians practitioners will enjoy a broader right to choose .
　　In the public hospital system level, as well as the drafting of the Articles of SASAC participation documents , namely the privatization of state-owned assets , mainly in the large state-owned enterprises affiliated hospital workers for reform body.
　　Experts believe that the reason for choosing large enterprises affiliated hospital workers , the reason is that these hospitals are neither part of health systems management , enterprise management professional bottlenecks exist , their willingness to reform is relatively active , and therefore the difficulty of this part of the restructuring of public hospitals is relatively small, hospitals their size and business level is relatively high , and even some hospitals can achieve three levels , can be an effective public hospital reform push ahead of other templates .
　　According to an insider, the above documents will be Articles 15 private hospitals specifically for tax and other aspects of investment , there is a more detailed institutional arrangements. "But now only a rough outline of the document , a draft has been there, seen the document said, this document inspiring ."
　　Details on the institutional arrangements , the insider recommendations can learn from the experience of Wenzhou . In terms of property ownership , Wenzhou private medical institutions autonomous, independent accounting, self-financing, self- risk , no return of their capital property " public" or social at all, but belongs to all the organizers . Meanwhile, tax policy, non-profit private -run medical institutions, medical institutions enjoy the same tax treatment. Medical services revenue profit private medical institutions are exempt from sales tax .
　　Reporters also learned that , until the controversial " three guarantees one" and the NCMS , the city ranks vested security and other management issues in the forthcoming 15 no specific association documents involved , probably some time in the future or to maintain the status quo.

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