Xinhua News Agency announced on the 6th authorized "the CPC Central Committee and State Council on Deepening the views of the medical and health system", this time nearly 3 years, extensive domestic and international experience to draw a new medical reform program introduced finally. "Opinions" The full text of more than 13,000 words, is divided into six parts, including: First, fully understand the medical and health system reform to deepen the importance and urgency and difficulty; Second, to deepen the medical and health system's guiding ideology, basic principles and overall objectives; three, four systems to improve medical and health, the establishment of urban and rural residents covered by basic medical and health system; four and improve the institutional mechanism to protect the norms of the medical and health system functioning effectively; five, five key focus of reform efforts, and strive to clear the recent effectiveness; six, actively and steadily push forward the medical and health system. Formal program of medical reform: By 2020, urban and rural residents covered by basic medical and health system and basically established a relatively perfect universal public health care system and medical service system, a relatively sound medical security system, a fairly standard security system of drug supply , more scientific medical and health institutions management system and operational mechanism to form a pattern of multi-run medical, basic medical and health services. And the provisions of 3 years starting this year, China will focus on basic medical security system reform, such as 5, that is accelerating the construction of a basic medical insurance system, the initial establishment of a national essential drug system, a sound system of primary health care and health services, the promotion of basic public health gradual equalization of services to promote the reform of public hospitals, significantly ease the Chinese people "difficult to see a doctor, a doctor of your" problem. ( "The CPC Central Committee and State Council on Deepening the views of the medical and health system")

Comments:

Health care reform program after the new twists and turns, at least in today's market, which means that the new health care reforms formally finalized, the new officially launched a comprehensive health care reform, the industry has ushered in a new starting point for development. The new medical reform in relation to the formal program in March of last year's draft has the following changes:

1, has recently put forward a specific treatment objectives and the framework to start the reform of the contents of the five identified target by 2011 (proposed in 2011, a comprehensive basic medical security system covering both urban and rural residents, the initial establishment of a basic drug system, urban and rural primary health care system to further improve health services, universal access to basic public health services, reform of public hospitals to make a breakthrough, significantly improve the basic health and sexual health services can effectively reduce the cost burden of medical residents, and effectively alleviate the "difficult to see a doctor, your doctor" problems); of the five main elements of reform have been re-expression (see, appendix).

2, clearly the increase in government medical reform. Put forward new proposals: 203 in financial departments at all levels of the basic medical insurance for urban residents and the new rural cooperative medical care in the standard grant per person per year increased to 120. And to improve the urban and rural public health service system, improve the mechanism to ensure funding for public health services, proposed in 2009 the per capita funding for basic standards of public health services less than 15 yuan, by 2011 no less than 20.

3, the basic drug system was revised. For example, essential drugs in the abolition of the fixed-point production system. In price formation, the proposed "national guidance to develop the retail prices of essential drugs, in the guide price, the tender by the provincial people's government determined in accordance with the unity of the region, the purchase price." In the use of essential drugs, primary health care institutions does not require the full use of essential drugs, but require retail pharmacies to assume the functions of the supply of essential drugs (to require all retail pharmacies and sales should be provided with essential drugs). And called for the establishment of essential drugs supply and demand information system, but also explicitly put forward the program to be announced this year's national list of essential drugs.

4, in the reform of drug prices, we need to improve the transparency of drug pricing, and deleted the original draft of "drug packaging marked price" requirements.

5, in the reform of public hospitals, the new program to promote a clear separation of medicine, and actively explore effective means of a variety of progressive reforms to complement the medical mechanism of drugs. Difference between the purchase and sale of drugs through the introduction of fare increases and service charges are a variety of Pharmaceutical and progressive reform or abolish the policy of drug addition and at the same time to take appropriate adjustment of prices of medical services, increasing government investment, the reform of payment and other measures to improve the compensation mechanisms in public hospitals.

6, the new program emphasized the importance of "building a healthy and harmonious relationship between the patient," and proposed "to protect the legitimate rights and interests of medical staff, medical personnel mobilized to improve services and efficiency initiative. Improve the medical practice insurance, medical social workers to carry out and improve the medical dispute handling mechanisms to enhance physician-patient communication. in the whole society to respect medical science, respect for the medical and health workers, patients with a good atmosphere of respect. "

7, the overall content of the program carried out in the lean, the more concise statements.

Major conclusions:

Overall, we believe that "on the deepening of the views of the medical and health system" or a more pragmatic and clear the Government's reform objectives and reform the focus of the draft has been compared to a lot of improvement. However, the promulgation of the program is still only a new framework for health reform policies and proposals of the new medicine can not change the specific implementation details, so we also need to track the forthcoming implementation of the new medical reform program and health reform documents. As far as we know, the state will be the recent introduction of "2009 to 2011 medical and health system reform to deepen the implementation of the program," and nearly 30 medical reform documents. We will continue to track the details of the new medical reform promulgated documents.

Since the Government and people of pre-communication, medical reform program of the new content expectations very modest indeed. However, we still maintain the original point of view, the new health care reform constitutes a long-term good of the industry. Health care reform for the new changes brought about by the industry, we have summarized the following points:

1, the increment of the pharmaceutical market for a long time from the suppression of the release of medical needs, it can be predicted that the industry for at least three consecutive years of high growth: (1) health insurance coverage expansion; (2) to enhance the level of health care financing; (3) a higher proportion of Medicare reimbursement.

2, new medical reform brought about by changes in the structure of drug consumption: (1) high-end growth is still identified administration specialist; (2) With the constant sinking of medical resources, expansion of urban and rural grass-roots obvious pharmaceutical market, basic medicine, especially chronic , common drug market expansion significantly.

3, against the background of the new medical reform will not be any large-scale drug prices, drug pricing power continue to exist separately.

4, a basic drug system, the impact of the industry: (1) non-mandatory use of essential drugs reduced the expected size of the market; (2) non-exclusive production of essential drugs provincial tender once again facing the risk of price; (3) local protectionism Drugs may be about the tender results.

5, the progressive equalization of basic public health services of the benefit of vaccines, the areas of mental health drug market expansion.

6, the reform of public hospitals is a gradual, long-term process of abolishing the use of drugs will not raise short-term outcome of treatment: (1) the removal of drug addition unrealistic short-term; (2) to focus on outpatient pharmacy of the process of socialization; ( 7) We remain optimistic about the new medical benefit to the enterprise. (1) large state-owned pharmaceutical distribution companies, as well as hospital pharmacy benefit from the socialization process of the pharmaceutical retail enterprise; (2) the vaccine manufacturer; (3) innovation and the first imitation drug or drug manufacturers; (4) essential drugs into the production of exclusive species enterprises.