What does not belong to Sanming's medical reform measures is that A's medical insurance funds are matched with the ratio of 1:2 as the disease prevention funds, and B implements one product and two+. Sanming Medical Reform: Sanming City, an old industrial base in Zhongshan District, Fujian Province, aims at "acceptable to the people, affordable in finance, operational in funds and sustainable in hospitals", and takes the "linkage of medicine, medical insurance and medical treatment" as a way to break interest disputes and comprehensively promote public affairs.
Sanming medical reform is the result of the local Party committee and government's determined innovation under the leadership of the CPC Central Committee and the State Council. Its core experience is to adhere to the overall linkage of reform, improve the economic policy of medical reform, improve the internal incentive and restraint mechanism of hospitals, and promote the sinking of medical resources. Specifically, first, the top leaders of the party Committee and government grasp medical reform. The top leaders of the party and government personally grasped the medical reform, and a responsible government comrade was in charge of medical care, medical insurance and medicine. The medical reform was included in the performance appraisal and cadre appraisal of government target management, which effectively promoted the reform of the medical and health system.
The second is to adhere to the reform of "three medical linkages". Regularly carry out joint price-limited procurement of pharmaceutical consumables, reduce the false high price, and adjust the price of technical services by using 80% of the space freed by price reduction. The increased price of technical services will be included in the scope of medical insurance payment, which will not increase the burden on the masses as a whole.
The third is to improve the financing mechanism of public hospitals. Fully implement the government's responsibilities in capital construction, purchase of large-scale equipment, development of key disciplines, and public health services. Incorporate large expenditures such as capital construction of public hospitals into the government budget.
The fourth is to deepen the reform of the salary system simultaneously. On the basis of dynamically adjusting the price of medical services, the requirements of "two permits" are implemented, and the total wages of hospitals are approved based on the income of medical services, and the salary level of medical staff is gradually improved. Realize the "target annual salary system for all employees, and the work-sharing system for annual salary calculation", and cut off the direct connection between individual salary and departmental income.
Fifth, strengthen the supervision and management of medical institutions. Monitor and analyze the operation of the hospital, and evaluate the party secretary and dean of the hospital every year from the aspects of medical direction, hospital development, hospital management, service evaluation and safe construction. Strengthen the supervision of medical services, strictly manage the use of drugs in medical institutions, and standardize the centralized procurement of drugs.
The sixth is to build a compact county medical and health system. Establish a compact county-level medical system, realize the integrated management of people and property, package the investment of medical insurance funds and finance into the medical system according to the head, implement lump sum, make up for overspending, retain the balance, strengthen the performance appraisal of the medical system, promote the coordination of medical treatment and prevention, and promote the change of service mode from treatment-oriented to health-oriented This is the main experience of Sanming medical reform.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.