Li Bin: Deepening the Reform of the Medical and Health Care System

(en.nhfpc.gov.cn)

Updated: 2014-08-24

4. Pushing forward the Development of the Health Service Sector

In order to deepen health care reform, improve the livelihood of the general public and upgrade the health quality of the general public, it is inevitable for us to promote the development of the health service sector. To encourage social forces to run medical and health care institutions is one of the key strategies for developing the health service sector. Efforts will be made to come up with new ideas to encourage social forces to invest in the medical service sector in such forms as investing in new hospitals, participating in the transformation of ownership, placing under trusteeship, and privately running public-funded hospitals. Priorities will be given to social capital to build non-profit medical institutions. Guidance based on policies concerning prices, finance and taxation, and land use will be used more often and unreasonable regulations will be removed. In terms of market access, designation of social security units, the construction of key specialties, the evaluation of professional titles, and technology access, non-public medical institutions should be treated the same as public ones. At the same time, services such as nursing senior people, Chinese medicine-based medical treatment and health protection and health insurances will be encouraged to have a rapid development. The effort to deepen the health care reform should be closely linked with the effort to accelerate the development of the health service sector so that they can complement each other to achieve common development.

5. Strengthening Information Systems in the Health Care Sector

Efforts will be made to establish and improve the management system of health information of the general public and improve the level of health management of the general public by making full use of information technologies. The standardization of medical and health care information technology should be actively pushed forward. Efforts will be made to establish such standardized data systems as nationwide unified electronic health records, electronic medical histories, medical services, and information on medical and health care insurances. The construction of the regional information platform of medical and health care should be strengthened to promote the sharing of medical and health care information resources. Efforts will be made to develop long-distance medical services focusing on long-distance diagnostic imaging, long-distance consultations, long-distance guidance for care and long-distance learning, which will be of service to the institutions at the community level and institutions in remote and less-developed areas so as to make high quality resources more readily accessible to the general public at the community level.

6. Pushing forward the Reform of the Talent Cultivation and Tapping System

Firstly, efforts will be made to establish a talent cultivation system suitable for the medical and health care sector, deepen the reform of medical education, attach importance to the cultivation of humanities quality and professional quality education, and accelerate the establishment of the standardized system for training resident physicians. Secondly, the team of general practitioners should be strengthened. The cultivation of general practitioners should be standardized, and efforts will be made to train general practitioners who are to be transferred to other posts. Efforts will be made to cultivate, on a non-charge basis, medical students who are to work in rural areas upon graduation, implement the program of setting up special posts for general practitioners so as to achieve the objective of staffing general practitioners in medical and health care institutions at the community level as scheduled. Thirdly, efforts will be made cultivate such urgently needed specialized talents as nurses, nurse attendants for senior people, pharmacists and pediatricians. Fourthly, physicians will be allowed to practice in more than one place and qualified physicians will, if possible, be encouraged to work in institutions at the community level. The standardized management will be strengthened so that the medical services will be safe and of high quality. Fifthly, the reform of the income-distribution system in the medical sector will be accelerated so as to establish, step by step, the salary system suitable for the medical sector that reflects the principle of “more work, more money” and the principle of “better achievements, more salary” so as to guarantee that the lawful income of all medical workers will be generally increased.

7. Improving the Supervision of Medical and Health Care

Efforts will be made to strengthen the supervision of the whole sector, optimize the supervision mechanism, improve the supervision system, innovate means of supervision, and enforce related laws so as to safeguard the health rights and interests of the general public. Illegal medical practice will be strictly cracked down on in accordance with relevant laws and illegal and rule-violating behaviors in such key links as purchase of medicines and reimbursement of medical expenses in the medical insurance system will be seriously dealt with. A supervision system featuring open information and multi-side participation will be established. Efforts will be made to improve medical ethics and to educate and guide all medical workers to voluntarily cherish the value of their professions and provide better services to the patients by constantly improving self-cultivation. Efforts will also be made to improve medical malpractice handling mechanisms, crack down on law-breaking and criminal behaviors against medical workers, improve the working environment of medical workers, and build a harmonious relationship between doctors and patients.