Speech at the Working Conference on Medical Reform (1)
Comrades:
This meeting is mainly to implement the spirit of the national and provincial deepening medical reform conference, and strive to promote medical reform in 20xx. Just now, Comrade Wang Fang reported on the medical reform work in the past four years and deployed the medical reform work in the second half of the year, which was very comprehensive and specific. I totally agree. The speeches of Yingcheng, Xiaochang and Anlu are very good, and these good experiences and practices are worth learning.
In the past four years, the medical reform in our city has been steadily promoted, the medical insurance system has basically taken shape, a new mechanism for grass-roots operation has been initially established, the basic drug system has been fully covered, the basic public health service capacity has been continuously improved, and the comprehensive reform of public hospitals has been further promoted, alleviating the problem of "difficult and expensive medical treatment" for grassroots people. In particular, all localities have actively explored and forged ahead in deepening medical reform, and achieved some innovative and breakthrough results, which have had a demonstration effect and good influence in the province. Hanchuan, Anlu and Xiaochang were successively rated as advanced units in the province's medical reform work; This year, Yingcheng and Xiaochang are in the forefront of the reform and acceptance of 28 public hospitals in the province; Our city took the lead in implementing the "one card" of medical settlement in the province, and realized the docking of the "one card" of the new rural cooperative medical system with the designated medical institutions at the provincial level. Here, on behalf of the municipal party Committee and the municipal government, I would like to express my heartfelt thanks and high respect to the comrades on the medical reform front in the city! The year of 20xx is a crucial year for the deepening of medical reform in our city, and it is also a crucial year for the full implementation of the "Twelfth Five-Year" medical reform plan. Below, I would like to make four suggestions on deepening medical reform this year.
First, adhere to the people's livelihood orientation and fully implement the project of medical reform and popular support.
Medical reform is a major livelihood project and a major measure to solve the most concerned, direct and realistic interests of the people. We should further take what the masses think, think and expect as the starting point and end result of all work, embody the core concept of people-oriented and improving people's livelihood in decision-making and grasping work, and earnestly implement various measures to deepen medical reform. Meanwhile, deepening medical reform is an important guarantee for building a well-off society in an all-round way. Health is the basic condition for people's all-round development. Without people's health, there will be no people's well-off and no people's happiness. To achieve the goal of building a well-off society in an all-round way in advance in the province, providing basic public medical services is not only an important content, but also a basic guarantee. The CPC Central Committee, the State Council, the provincial party committee and the provincial government attach great importance to medical reform, which bears the ardent expectations of the people and is a major livelihood project that we must do well. The municipal party committee and government have continuously increased their investment in medical and health undertakings. In 20xx, the city's medical and health investment was 65.438+0.44 billion yuan, an increase of 654.38+0.8%, and the planned investment in 20xx increased by 23.8%. All localities and relevant departments should take the deepening of medical reform as a major event that has a bearing on the overall situation, especially the reconstruction and expansion of the general practitioner training base and county and township medical institutions listed in the "Ten Practical Things" of the municipal government this year, and speed up the work progress to ensure that the project is completed and put into use as soon as possible.
Second, adhere to the problem orientation and constantly improve people's satisfaction with medical reform.
Whether the people are satisfied or not is the fundamental yardstick to test the effectiveness of medical reform. We should be soberly aware that the problems such as insufficient financial input, unbalanced allocation of medical and health resources and shortage of grassroots talents are still outstanding, and the problems of difficult and expensive medical treatment for the masses have not been fundamentally solved. In the process of promoting reform, we should insist on solving problems in the first place. First, we must improve the universal medical insurance system and build a medical security safety net. Efforts should be made to promote the transformation of basic medical security from full coverage of the system to full coverage of the population, and establish a "medical security network" connecting basic medical insurance, serious illness insurance, medical assistance and disease emergency assistance. Efforts should be made to expand the scope and improve the standards to ensure that the participation rate of the new rural cooperative medical system is stable at over 99% (currently reaching 99.7%), and the comprehensive participation rate of urban residents' medical insurance and employees' medical insurance is stable at over 96% (currently reaching 99.5%). It is necessary to speed up the establishment of the guarantee mechanism for serious and serious diseases, promulgate the Measures for Serious Illness Insurance for Urban and Rural Residents in Xiaogan City as soon as possible, and fully implement the compensation before the end of 10. It is necessary to speed up the establishment of a disease emergency rescue system and strive to comprehensively carry out disease emergency rescue work before the end of the year. The second is to consolidate the basic drug system and meet the people's basic drug needs. It is necessary to continue to consolidate the achievements of the government in implementing the basic drug system in grassroots medical and health institutions and village clinics, and establish a long-term mechanism to ensure that the same drugs are at the same price in towns and villages; As the backbone of medical and health undertakings, secondary and tertiary hospitals should faithfully ensure that the use of essential drugs reaches the level stipulated by the system; For non-public medical and health institutions, all localities should combine the actual situation and bring them into the scope of implementation of the basic drug system by purchasing services. The third is to improve the new mechanism of grassroots operation and build a solid grassroots medical and health service network. We should continue to deepen the reform of the management system, operation mechanism, compensation mechanism and personnel distribution system of primary medical and health institutions, establish a guaranteed, efficient and sustainable development model of primary institutions, and effectively solve the problem that high-quality resources, grassroots talents and ordinary people are inconvenient to see a doctor. It is necessary to establish a two-way talent exchange and cooperation system between city and county hospitals and primary health centers, encourage professionals to flow downwards, and send backbone forces to exchange and cultivate upwards; It is necessary to focus on strengthening the standardized training of general practitioners and the directional training of free students; It is necessary to strengthen performance appraisal, appropriately increase the proportion of incentive performance pay, and fully mobilize the enthusiasm of grassroots medical staff; It is necessary to fully implement various subsidy policies for rural doctors, and study and solve a series of problems such as weak infrastructure of village clinics, low treatment for rural doctors, old-age insurance, and medical risk protection.
Third, adhere to the innovation orientation and actively break through the key and difficult points of medical reform.
Medical reform is related to thousands of households and is the most direct benefit of ordinary people. With the deepening of reform, there are more and more deep-seated contradictions, and it is more and more difficult and difficult to change the original interest pattern and management operation mode. We must dare to bite hard bones, dare to venture into dangerous beaches, creatively break through the key and difficult points of medical reform, and release the reform dividend. On the one hand, we must unswervingly promote the comprehensive reform of county hospitals. Public hospitals are the main body of medical service system, and also the key and difficult point of medical reform. The reform of public hospitals is not in place, which directly affects the image of the government in the hearts of ordinary people. Deepening the reform of county-level public hospitals must be the top priority of medical reform. Grasping the time node, starting from June this year 10, the city will start the second batch of comprehensive reform pilot projects of county-level public hospitals, and conduct provincial-level evaluation at the end of May next year. The pilot units should make breakthroughs in establishing long-term compensation mechanism, innovating management system and controlling the growth mechanism of medical expenses, and have achieved some results. It is necessary to grasp the key link, take the reform of compensation mechanism as the breakthrough point, and break the mechanism of "supplementing medicine with medicine" as the key link, implement the reform of zero difference rate of drugs, increase the outpatient and inpatient consultation fees, and ensure that the burden of patients' personal expenses is not increased. Especially in promoting the construction of medical groups and medical consortia, promoting the flexible flow of talents, and establishing a long-term mechanism of "separation of medicine", we should be brave in innovation and boldly solve difficult problems. On the other hand, we should innovate the investment mechanism with an open mind. The medical and health service system established by medical reform is mainly public welfare, which requires governments at all levels to invest a lot of money for a long time. It is the easiest thing to spend money on finance well. County and municipal governments should strictly implement financial input, establish and improve the government-led diversified input mechanism, and broaden investment channels. It is necessary to actively promote the good experience of joint-stock management in Xiaonan District's love nursing home, explore diversified financing methods by means of market and reform and innovation, and give priority to social capital when adding medical resources, so that high-quality health resources can benefit urban and rural people and the medical reform results can really benefit the broad masses.
Fourth, adhere to the pragmatic orientation, and Qi Xin will work together to promote medical reform
Attitude determines attitude. As long as we have feelings for the people, we will certainly do a good job in medical reform, a major livelihood project. First, we must implement responsibilities at all levels. All localities and relevant departments should establish and improve the mechanism of target assessment, cadre accountability and supervision and inspection, and be responsible at the first level to ensure that leaders, work and measures are in place. Members of the leading group for medical reform at all levels should fully perform their departmental responsibilities and establish a working mechanism of up-and-down linkage, departmental coordination, participation of all parties and joint management. At the city and county levels, we should pay close attention to formulating the implementation plan and timetable for deepening medical reform, and decompose the objectives and tasks into projects, posts and individuals. It is necessary to establish and improve the evaluation mechanism according to the work tasks, settle accounts item by item according to the time nodes, and evaluate according to the results, so as to ensure that all work is arranged, inspected, assessed, rewarded and punished, and has the responsibility to implement and ensure, forming a work pattern that pays attention to the first level and the implementation at different levels. The second is to go to the front line to solve the problem. All localities and departments should take the opportunity of in-depth development of the Party's mass line education and practice activities, go deep into the grassroots and the masses, find more questions and facts, enhance service awareness and improve service capabilities. It is necessary to strengthen basic work, master basic information and data, study basic problems and laws, and earnestly achieve accurate figures, clear foundations and clear situations. The main leaders at all levels should dare to take responsibility and explore, work hard to solve the problem of medical reform, and see results in breaking through weak links. The third is to strictly strengthen supervision. Money to improve people's livelihood is the "life-saving money" of ordinary people, so every penny should be spent where it is most needed. It is necessary to effectively strengthen the management of medical reform funds, improve the management measures for the use of funds, strengthen audit supervision, improve the efficiency of the use of funds, and never allow the interception and misappropriation of various special funds for medical reform. We must resolutely investigate and deal with violations of laws and regulations in the use of funds to ensure that medical reform funds benefit people's health.
Comrades, medical reform is related to people's livelihood and affects people's hearts. We must resolutely implement the major decision-making spirit of the CPC Central Committee, the State Council, the provincial party committee and the provincial government, cheer up, be determined to reform, face difficulties, and work in a down-to-earth manner in accordance with the overall deployment requirements of the municipal party committee and the municipal government, so as to ensure the continuous deepening of medical reform in the city, improve people's health level and make greater contributions to building a "people's happy city"!
Speech at the Working Conference on Medical Reform (II)
The second medical reform information work conference is an important meeting held under the new situation of deepening medical reform. Its main purpose is to exchange local medical reform information work experience, study and establish a sound health system medical reform information exchange and submission system, and improve the health system medical reform information work level.
Since the medical reform was fully launched in April of 20xx, Party committees and governments at all levels have attached great importance to it, and all sectors of society have paid close attention to it and supported it. Recently, five key reforms have made positive progress and achieved initial results. The basic medical security system, the basic drug system, the equalization of basic public health services and the construction of the basic medical and health service system have been comprehensively promoted. The connotation of the basic medical and health system with China characteristics has gradually become clear, the basic responsibility of the government has been significantly enhanced, and the fairness and accessibility of basic medical and health services have been significantly improved. The pilot reform of public hospitals was further promoted. According to the principle of up-and-down linkage, internal vitality and external thrust, the implementation of medical reform measures to benefit the people and facilitate the people is combined with institutional mechanism reform and the establishment of a long-term mechanism, which has accumulated experience for exploring the basic path of public hospital reform. According to preliminary judgment, by the end of this year, the five key reform tasks can be completed as scheduled. Practice shows that the concept, direction, objectives, principles, systems and major policies of deepening medical reform are in line with the national conditions and the law of health development, and have been supported by the broad masses of the people, supported by 8.2 million medical staff and highly praised by the international community.
Medical reform information work has played an important role in promoting the smooth implementation of medical reform tasks, grasping the dynamic progress of work in time, and assisting scientific decision-making, but there are also some problems, such as some comrades' lack of deep understanding of the importance of information work; Do not take the initiative to go to work, wait for information at home, and do not take the initiative to systematically sort out and mine information; The sensitivity, timeliness and predictability of information are not strong; The information source is single, and the level and quality of information work need to be further improved. Therefore, under the framework of deepening medical reform, we must unify our understanding, make a clear direction, and work together with Qixin to do a good job in medical reform information under the new situation.
Below, on behalf of the Ministry of Health, I would like to express some opinions on doing a good job in medical reform information for comrades' reference.
First, fully understand the important role of information work in promoting medical reform.
Comrade Deng Xiaoping once said: "People who do management work have no information, that is, their noses are blocked and their eyes and ears are ineffective." . Human history has experienced agricultural society, industrial society and gradually entered the information society. As an important resource and wealth, information is increasingly affecting the operation of society. As a worldwide problem, medical reform has become a major event related to building a harmonious society and practicing scientific development in the process of profound economic changes and rapid social development. Information work is an important channel for the government and its relevant departments to grasp the progress of medical reform, understand the difficulties and problems, strengthen macro guidance, promote the exchange of experience and promote the implementation of the work. It is also an important basis for health administrative departments to make scientific decisions, and an important way to strengthen publicity and guidance, acquire social knowledge and win wide support. Therefore, strengthening medical reform information work is not only a severe challenge for us to deepen medical reform, but also an inevitable requirement for practical work.
(1) Strengthening information work is conducive to keeping abreast of the new progress of medical reform. Information should first reflect the status quo. No matter where you work, you should follow up the information to ensure the "freshness" of the information and reflect the novelty of the information. The progress of medical reform is relatively rapid, the results are changing with each passing day, and the highlights are frequent. To do a good job in information work, the first thing is to ensure that governments at all levels, relevant departments, especially health administrative departments can quickly understand the situation and correctly grasp the trends of superiors, regions and departments, so that the trends and important situations of grassroots medical reform can be reflected in time. For example, through regular medical reform monitoring data information, we can know the progress of five medical reform tasks in monthly, quarterly and annual in time, and provide powerful information and data support for analyzing the reasons for uneven progress among different regions and projects.
(2) Strengthening information work will help to reflect the new problems in medical reform in real time. The important function of information is to reflect the difficulties and problems in the practice of medical reform in real time and provide first-hand reliable basis for scientific decision-making. Whether the problem is found in time affects whether the decision is correct. Without accurate and complete information, we can only look at the achievements and be complacent, but we can't see contradictions, problems and crises. For example, local information generally reflects the problem that the bottom of the rural three-level health service network is difficult to guarantee after the implementation of the basic drug system. To this end, we are stepping up research on the compensation policy for rural doctors to implement the basic drug system to reduce their income. For example, about 40% of the national basic public health service tasks are entrusted to rural doctors, and the corresponding proportion of funds are subsidized from the basic public health funds, and rural doctors are subsidized from the overall funds of the new rural cooperative clinic to improve the treatment of rural doctors.
(3) Strengthening information work is conducive to correcting work deviation at any time. The practice and exploration of medical reform must conform to the direction, objectives, principles and systems determined by the national medical reform documents. Through information, we can know in time whether the central medical reform policy has been "really" implemented and whether the determined objectives and tasks are in line with the grassroots reality, so as to strengthen comprehensive judgment and scientific grasp according to the new situation and situation of medical reform, make grassroots practice more in line with the requirements of the central document, the development trend of medical reform and the law of health development, and minimize the direction deviation and work shock.
(4) Strengthening information work is conducive to exchanging experiences and learning from each other. Doing information work well is a two-way interactive process. Through information, we can exchange and communicate local practices in time. On the basis of learning from the beneficial experience of other places, combined with their own reality, we should broaden our working ideas, broaden our working horizons, innovate our working methods, and promote the implementation of various medical reform work. In the "Deepening the Reform Trend of Medical and Health System" and "work briefing Public Hospital Reform Pilot" compiled by the Ministry of Health, the experiences and practices of promoting five key reforms in various places are introduced, including macro-level policy information and micro-level specific practices, authoritative information at the central level and local exploration. Every piece of information is precious, which provides a good platform for us to exchange experiences and learn from each other.
(5) Strengthening information work is conducive to timely guiding public opinion. With the development of economy and society, the people's medical and health needs are multi-level and diversified, which puts forward higher requirements for the allocation of medical and health resources, the transformation of service model and the medical security system. Therefore, health reform and development must be accelerated to meet people's new expectations for health. However, we should also see that some people's expectations exceed the burden of medical reform itself and need correct guidance. Information is an important means to guide public opinion and people's reasonable expectations. By strengthening news propaganda, policy interpretation and professional technology popularization, it provides people with a lot of information that is easy to learn, listen to and understand. At the same time, publicizing the progress and effectiveness of medical reform and dispelling doubts can not only show the people the bright vision of developing medical and health undertakings, but also guide the society to correctly analyze and treat the current difficulties and problems, thus helping to gain the understanding and support of the whole society.