The Secretariat of the Leading Group for Medical Reform of the State Council and the National Health and Health Commission held a press conference in Sanming City, Fujian Province on July 6 to introduce the experience of Sanming's medical reform.
Moderator
Deputy Director and Press Spokesperson of the Publicity Department of the National Health Commission Welcome to the press conference held by the Secretariat of the Leading Group for Medical Reform under the State Council and the National Health Commission.
On July 1st, General Secretary Xi Jinping delivered an important speech at the celebration of the 100th anniversary of the founding of the Communist Party of China. At present, the whole party and the whole country are earnestly studying and implementing the spirit of General Secretary Xi Jinping's "July 1" important speech.
The 100-year history of our party is a history of fulfilling its original mission and a history of connecting with the people, breathing together, and sharing destiny. The past 100 years is also the 100th anniversary of the Chinese Communist Party's unswerving determination to seek health for the people. Especially since the 18th National Congress of the Communist Party of China, the Party Central Committee with Comrade Xi Jinping at its core has insisted on giving priority to the development of the people's health. , opened a new journey of building a healthy China.
The health level of Chinese residents has continued to improve. The average life expectancy has increased to 77.3 years, and the maternal mortality rate and infant mortality rate have dropped to 16.9 per 100,000 and 5.4 per 100,000 respectively. The main health indicators are in the forefront of middle- and high-income countries.
my country's medical service capabilities continue to improve, a number of national regional medical centers and high-level key specialties have been supported and developed, 84% of county-level hospitals have reached the level of second-level and above hospitals, and the telemedicine collaboration network covers all prefecture-level cities.
my country's public health and emergency response systems have continued to be strengthened. Smallpox has been completely eliminated, polio and malaria have been eliminated, and leprosy, filariasis and schistosomiasis have been basically eliminated. The incidence of major infectious diseases has dropped significantly. Epidemic outbreaks such as plague and human infection with avian influenza have withstood the major test of the new crown pneumonia epidemic.
my country has continued to deepen the reform of the medical and health care system. The systems of hierarchical diagnosis and treatment, modern hospital management, universal medical insurance, drug supply guarantee, and comprehensive supervision have been continuously improved. The basic medical and health system framework with Chinese characteristics serving the whole people has basically been established.
The Party Central Committee with Comrade Xi Jinping as the core attaches great importance to the reform of the medical and health system, and incorporates it into the overall plan for comprehensively deepening the reform, making overall planning and further advancement. In March this year, General Secretary Xi Jinping visited Sanming, Fujian again. He emphasized that people's health is an important symbol of socialist modernization. Sanming's medical reform reflects the supremacy of the people and the courage to be the first. Its experience is worth learning from local conditions.
The Party Group of the National Health and Health Commission conscientiously implemented the spirit of the important instructions given by General Secretary Xi Jinping during his inspection in Sanming. Comrade Ma Xiaowei, Secretary and Director of the Party Group, organized a special meeting to make arrangements for the promotion and promotion of Sanming's experience. Sanming City has been identified as a national promotion base for deepening medical reform experience, and has also organized on-site meetings and training courses in Sanming to further promote Sanming experience to various places.
Today, we hold a special press conference here to introduce Sanming's medical reform experience. This is also the seventh press conference held by the National Health Commission with the theme of "100 Years of the Communist Party of China seeking health for the people".
For today's press conference, we have invited: Mr. Xu Shuqiang, Director of the Department of System Reform of the National Health and Health Commission, Mr. Zhu Hongbiao, First-level Inspector of the Department of System Reform of the National Health and Health Commission, Mr. Huang Ruxin, Secretary and Director of the Party Group of the Fujian Provincial Health and Health Commission, Sanming Mr. Zhang Yuanming, Deputy Mayor of the Municipal Government, and Ms. Wan Xiaoying, Secretary of the Party Committee of the Shaxian District General Hospital of Sanming City, invited them to answer questions from the media.
First of all, I would like to ask Mr. Xu Shuqiang to introduce the general situation of experience in promoting Sanming medical reform.
Director of the Department of Reform of the National Health Commission
Xu Shuqiang
Ladies and gentlemen, media friends:
Hello everyone! Thank you very much for your long-term concern and support for the medical reform work.
The Party Central Committee and the State Council attach great importance to the work of medical reform, and attach great importance to promoting the experience of advanced reform areas such as Sanming City. Since the 18th National Congress of the Communist Party of China, General Secretary Xi Jinping has presided over 27 meetings of the Central Deep Reform Commission to study major medical reform decisions, issued a series of important instructions and instructions, listened to Sanming's medical reform reports many times, fully affirmed Sanming's medical reform experience, and emphasized the need to do a good job summarizing promotion. In March of this year, General Secretary Xi Jinping emphasized again when he inspected the medical reform in Sanming: "The effect of medical reform in Sanming is good, and the reform experience is valuable, and it is worth learning from local conditions." Today, we held a press conference mainly to implement the spirit of General Secretary Xi Jinping's important instructions, to further promote the experience of Sanming's medical reform, to play the role of typical driving and demonstration, and to promote the national medical reform to deepen and expand its effectiveness.
Over the past few years, Sanming City has coordinated and promoted the reform of the "three doctors" of medical care, medical insurance and medicine, eliminated the mechanism of supplementing medical care with medicine, and explored the establishment of a new mechanism for maintaining public welfare, mobilizing enthusiasm, and ensuring sustainable operation, setting an example for the national medical reform. .
We summarize the essence of Sanming medical reform, mainly in the following aspects: First, the overall linkage of reform. The Party Committee and Government of Sanming City attach great importance to the work of medical reform, adhere to the principle of people first and dare to be the first. The top party and government leaders personally carry out medical reform and follow through. A comrade in charge of the government is in charge of medical care, medical insurance and medical work, and coordinates the "three medical" linkages. Reform, carry out centralized procurement of drugs with volume, and the space freed up by price reductions is mainly used to adjust the price of medical services and include it in medical insurance payments in a timely manner, so as not to increase the burden on the masses in general.
The second is to improve the economic policy of medical reform. Fully implement the government's responsibility for investment in public hospitals, and include large expenditures such as capital construction into government budget management. Establish a dynamic adjustment mechanism for medical service prices. Since the reform in recent years, the price of medical services has been adjusted nine times, reaching thousands of times, which better reflects the labor value of medical personnel's medical technology and optimizes the income structure of public hospitals. Implement the reform of charging and paying by groups related to disease diagnosis, and the surplus funds will be compensated to hospitals.
The third is to improve the internal incentive and restraint mechanism of the hospital. Deepen the reform of the salary system, implement the target salary system for all staff and the annual salary calculation work point system, and cut off the link between individual salary and department income. Sanming Medical Reform has been very effective in this regard. The annual salary system for the secretary of the party committee, the dean and the chief accountant is implemented. The annual salary is arranged by the government budget and paid according to the results of the assessment. The income of medical personnel has increased year by year, and the proportion of personnel expenditure in the business expenditure of public hospitals has increased from 25% before the reform to 46% in 2020. The expenditure structure in the operation of public hospitals has also been optimized. At the same time, strengthen the supervision and management of medical institutions, assess the main responsible persons of the hospital and other related persons in charge every year, and monitor, analyze and evaluate the operation of the hospital.
The fourth is to promote the sinking of medical resources. Establish a close county-level medical community, set up a general hospital in each county, integrate medical and health resources, improve the mechanism of health performance evaluation, guide the focus of medical and health work to shift down and resources to sink, promote medical-prevention coordination, and establish a healthy "gatekeeper" people" system. The medical insurance fund, basic public health service funds and government subsidy funds are packaged to the general hospital, the balance is retained, and the overspending is reasonably shared, so as to promote the shift from "treatment-centered" to "health-centered".
Sanming's medical reform started from reality, boldly practiced and innovated, and developed a set of medical reform combinations suitable for Sanming's actual situation, and also accumulated very good experience for the promotion of local conditions.
In recent years, the member units of the State Council's leading group for medical reform have conscientiously implemented the spirit of General Secretary Xi Jinping's important instructions, taking summarizing, promoting and improving Sanming's experience as an important task and working method for deepening the reform of the medical and health system, promoting Sanming's experience across the country and driving Medical reform continues to advance in depth. Vice Premier Sun Chunlan has come to Sanming twice to conduct in-depth research and held an on-site meeting on the promotion of medical reform in Sanming City. The State Council Leading Group for Medical Reform issued a guiding document for promoting the experience of medical reform in Fujian Province and Sanming CityTo take Sanming City as the national medical reform experience promotion base, actively carry out medical reform training. All provinces, autonomous regions, and municipalities directly under the Central Government have formulated and issued specific work plans based on actual conditions, drawing on the experience of Sanming's medical reform to intensify reform efforts.
In the next step, we will conscientiously implement the spirit of General Secretary Xi Jinping's important instructions, and in accordance with the decisions and deployments of the Party Central Committee and the State Council, we will increase the promotion of Sanming's medical reform experience. Taking the promotion of Sanming experience as the starting point, we will continue to deepen the reform of the medical and health system, strengthen system integration, pay close attention to the implementation of effective results, learn from the experience of Sanming according to local conditions, strengthen supervision and guidance, and promote the experience of Sanming to take root and bear fruit in various places. Focusing on the goal of solving serious diseases and serious diseases in the province, common diseases and frequently-occurring diseases in cities and counties, and headaches and brain fever in rural areas, speed up the construction of a hierarchical diagnosis and treatment system, promote the balanced distribution of high-quality medical resources, and increase efforts to form an orderly medical treatment pattern. Focus on promoting the high-quality development of public hospitals, better meet the people's growing demand for medical and health services, coordinate the promotion of relevant reforms, and effectively enhance the people's sense of gain.
Thank you all!
Moderator
Deputy Director of the Publicity Department of the National Health Commission and spokesperson
Mi Feng
Next, enter the question and answer session, please raise your hands, please inform the news organization you are in before asking questions, and then start asking questions.
Xinhua News Agency reporter
We all know that recently, the State Office has issued the key tasks of deepening medical reform in 2021. The first is to further promote the experience of medical reform in Sanming City and accelerate the reform of medical care, medical insurance and medicine. Why do you take the promotion of Sanming's medical reform experience as the primary task of deepening medical reform this year? What are the specific arrangements or considerations for promoting Sanming's medical reform experience? Thanks!
Director of the Department of System Reform of the National Health Commission
Xu Shuqiang
Since the new round of medical reform, in accordance with the decisions and deployments of the Party Central Committee and the State Council, the deepening of medical reform has achieved significant phased results. At present, deepening medical improvement has entered the deep water area, and the reform is facing new situations and new tasks. On the one hand, on the basis of systematically summarizing the reform work in the previous period, it is necessary to place a more prominent position on strengthening the integration of the reform system and promoting the implementation of the reform to achieve results, adhere to the system concept, strengthen the overall planning of reform policies, progress and effects, and give full play to the reform. the overall effect.
On the other hand, our country has entered a stage of high-quality development, adapting to the changes in the main contradictions of our society, meeting the people's growing needs for a better life, and putting forward new requirements and new expectations for deepening medical reform. At the same time, during the "14th Five-Year Plan" period, my country will enter a stage of moderate aging, which will bring new challenges to medical services, medical insurance, and rehabilitation care. Based on the new development stage, implementing the new development concept, and building a new development pattern, we must take stronger and more practical measures to break through the difficulties in the medical reform and lead the reform to advance in depth. Sanming medical reform has given us very important experience and inspiration. In March this year, General Secretary Xi Jinping made important instructions when he inspected the medical reform in Sanming. These instructions not only fully affirm the work of Sanming's medical reform, but also follow the next step of deepening the national medical reform work, and point out the direction for the next step of medical reform. We must resolutely implement the spirit of General Secretary Xi Jinping's important instructions, unswervingly study and popularize the experience of Sanming medical reform, and further enhance the systematization, integrity and synergy of the reform, and improve the overall effect of the reform.
In order to implement the spirit of the important instructions given by General Secretary Xi Jinping during his inspection of Sanming's medical reform, the State Council's leading group for medical reform has decided to focus on the key tasks of this year's medical reform. Taking the promotion of Sanming's medical reform experience as the starting point, it will continue to consolidate and expand the achievements of medical reform, and promote the implementation of the reform to be effective. Specifically, there are several aspects:
First, hold a national work conference on learning and promoting Sanming's medical reform experience, deploying and making requirements for learning Sanming's experience in various places. The work was deployed in late May.
The second is to study and formulate implementation opinions for in-depth promotion of Sanming's experience. this opinionIt will put forward real measures and practical measures to promote Sanming's experience according to local conditions and categories, and clarify the timetable, roadmap, and responsible persons. The specific reform measures can be quantified and assessed, and the experience of Sanming's medical reform will be promoted in various places.
The third is to make good use of the platform of Sanming City's nationwide experience in deepening the reform of the medical and health system. In February of this year, the Secretariat of the Leading Group for Medical Reform of the State Council has identified Sanming City as such a base platform. The promotion and training of Sanming's medical reform experience will be intensified. We plan to hold training courses in Sanming one after another to train comrades from relevant departments involved in medical reform, comrades who are specifically responsible for promoting medical reform, and comrades in charge of some public hospitals. It is planned to hold 6 training courses this year, and will continue to be arranged in the following years.
The fourth is to strengthen supervision and assessment. The Secretariat of the State Council Medical Reform Leading Group is formulating and promoting the Sanming medical reform experience assessment index system. Key indicators will be selected to conduct regular evaluations on the progress and effectiveness of work in each province, and the evaluation results will be reported to the local party committee and government. At the same time, all provinces are required to strengthen the guidance and assessment of the local promotion of Sanming's medical reform experience.
Fifth is to strengthen the publicity of Sanming's medical reform experience. To further explore Sanming's experience and increase publicity efforts, including our press conference held in Sanming this time and inviting media friends to conduct in-depth interviews, is an important measure to expand the publicity of Sanming's medical reform. Here, too, thank you very much. thanks.
China News Agency reporter
General Secretary Xi Jinping emphasized during his inspection in Sanming that Sanming's medical reform experience is worth learning from local conditions. The situation in different places is very different. When learning from Sanming's experience, how to "adjust measures to local conditions", and what aspects should local governments pay attention to? thanks.
The first-level inspector of the Department of Economic and Social Reform of the National Health Commission
Zhu Hongbiao
Our country has a vast territory, and the level of economic and social development in different places is not the same. To learn from the experience of Sanming's medical reform, we must conscientiously implement the spirit of the important instructions given by General Secretary Xi Jinping during his inspection of Sanming's medical reform, so as to adapt measures to local conditions and not to "one size fits all".
Specifically, first, the experience of Sanming medical reform that has been proven by practice and is generally applicable, we must generalize it, and we must comprehensively study and promote it. For example, the top party and government leaders in Sanming personally took charge of the medical reform, and a government responsible comrade coordinated the reform of the "three medical" linkages of medical care, medical insurance and medicine, fully authorized the medical reform leading group, and implemented the government's responsibility for investment in public hospitals. These good experiences and good practices such as adjusting the structure and ensuring the connection”, dynamically adjusting the price of medical services, deepening the reform of the salary system, and mobilizing the enthusiasm of medical staff are worthy of learning, reference, replication and promotion in all regions.
Second, in learning from the specific measures of Sanming's experience and some operating methods, each locality should seek truth from facts based on its own actual situation, and do not simply copy it. For example, the price adjustment of medical services, we need to learn from the experience of Sanming's small steps, fast walking, and constant price adjustment mechanism. However, the specific items to be adjusted, the extent of item adjustment, the priority of item adjustment, etc., still have to be determined by each locality in light of its own actual situation. Another example is the establishment of a close county-level medical community. Sanming City has established a general hospital in each county, which is determined by factors such as the allocation of medical resources in Sanming and the demand for medical services. When learning from the experience of Sanming, all localities should rationally determine the number of county-level medical communities based on their own actual conditions. At the same time, it is necessary to further refine and implement the organizational form, management system, operation mechanism, etc., to better adapt to the local economic and social development environment, and effectively improve the operation efficiency and service capabilities of the close county medical community. To meet the medical and health needs of the people well.
The third is to learn from the experience of Sanming creatively based on the conditions of the province, city and county. It is necessary to highlight the problem orientation, grasp the main contradiction, explore and innovate, overcome difficulties, boldly try, boldly reform, and break out into a new world.
learn from the experience of Sanming, and localities should also grasp the following aspects. First, to learnUnderstand the core essence of Sanming medical reform, select local breakthroughs in combination with local reality, and master the reform method and path. Second, we must learn from Sanming's determination and courage to uphold the supremacy of the people and reform, and learn from Sanming's innovative spirit of daring to be the first and to overcome difficulties. Learn from Sanming's hard-working and persevering spirit of truth-seeking. Learn the never-ending enterprising spirit of Sanming Medical Reform. Third, it is necessary to give full play to the overall coordination role of medical reform leading groups at all levels, strengthen departmental collaboration, and form a strong synergy.
Thanks!
CCTV financial reporter
An important aspect of Sanming's experience is to deepen the reform of the salary system to mobilize the enthusiasm of medical staff. How to make greater breakthroughs in the reform of the salary system in the next step?
Zhu Hongbiao, first-level inspector of the Department of System Reform of the National Health and Health Commission
The reform of the salary system is an important part of deepening the reform of the medical and health system, an important part of the comprehensive reform of public hospitals, and a part of mobilizing the enthusiasm of the majority of medical staff a major initiative. Since 2017, the relevant state departments have launched the pilot reform of the salary system in public hospitals, and actively explored the aspects of optimizing the salary structure, rationally determining the salary level, improving the assessment and evaluation mechanism, and implementing the right to self-distribution, and achieved phased results. , and also formed a batch of replicable and generalizable experiences and practices. Among them, as we all know, Sanming's target annual salary system for all employees, and the annual salary calculation work point system, such a reform is a typical example of the salary system reform we have established.
In accordance with the overall arrangement of deepening the medical reform, and on the basis of summarizing the pilot experience, the relevant state departments have drafted the guiding opinions on deepening the reform of the salary system of public hospitals. Officially issued. The next step will be to actively coordinate with relevant departments to support and guide all localities to comprehensively carry out the reform of the salary system. The key points of the reform:
First, in accordance with the requirements of the "two permits", the salary level of public hospitals should be reasonably determined and dynamically adjusted, so that medical staff's pay and salary can be matched, and the enthusiasm of medical staff can be mobilized.
The second is to fully implement the distribution autonomy of public hospitals. Within the total approved salary, the hospital can distribute itself in a variety of ways, which gives the hospital more room for reform and stimulates the endogenous power of reform. Therefore, public hospitals should make good use of this reform policy and explore the establishment of a salary system suitable for the actual hospital, including salary items, salary structure, job salary differences, balance between different disciplines, etc., to maximize the performance of job responsibilities and The value of knowledge, the implementation of the post to determine the responsibility, the post to determine the salary, the responsibility and salary are appropriate, and the assessment is honored.
The third is to establish and improve the salary restraint mechanism for the principals of public hospitals. The salary level of the principals of public hospitals and the salary level of the employees of the unit should be kept in a reasonable relationship, and the implementation of an annual salary system for the principals is encouraged.
The fourth is to improve the public hospital's public hospital-oriented assessment and evaluation mechanism, and regularly assess the performance of public hospitals' duties, service quality, and operational performance, and the assessment results are linked to the total salary.
The fifth is to broaden the funding channels for the reform of the salary system of public hospitals, to further promote the reform of the "three doctors" linkage, to gradually increase the proportion of medical service income such as diagnosis and treatment, nursing, and surgery in medical income, and to increase the disposable income of hospitals. The reform provides financial guarantee.
Thanks!
Fujian Daily reporter
At present, the whole country is learning from "Sanming's medical reform experience", so how does Fujian Province summarize and promote Sanming's experience? What are the results so far? thanks.
Fujian Provincial Health Commission Party Secretary and Director
Huang Ruxin
This reporter asked this question, I knowThere are many people who are very concerned about Dao. It is said that since Sanming's medical reform experience is so good, has it been promoted in Fujian? I take this opportunity to give you a brief introduction today.
In recent years, Fujian Province has thoroughly implemented the spirit of General Secretary Xi Jinping's important instructions and the decisions and deployments of the Party Central Committee and the State Council, and has always attached great importance to the summary and promotion of Sanming's medical reform experience.
The first is to insist on high-level promotion and strengthen the overall promotion. First, always insist that the "top leader" of the party and government is in command, and the leaders are in charge of the "three medical care" work, and timely study and solve the difficult problems of medical reform. For example, since this year alone, there have been 8 medical reform-related meetings chaired by the main leaders of the provincial party committee and government. The second is to continuously strengthen the responsibility of the government to run medical services. Up to now, the key tasks of medical reform have been included in the performance evaluation of the provincial government for various places for seven consecutive years. During the same period, the growth rate of fiscal expenditure was 2.8 percentage points. The third is to focus on overall planning and systematic promotion. On the basis of including the experience of Sanming medical reform as a "required action" in the implementation plan of the pilot province, printing and distributing the reform opinions on the "three medical linkage", and raising the essence of its reform to a system mechanism, the medical reform will be issued in 2019. The "1+8" policy document once again played a combination of promoting Sanming's experience. This year, the provincial party committee and the provincial government issued opinions on further deepening the medical reform. The provincial medical reform leading group held a video conference across the province. Secretary Yin Li put forward work requirements. Push the medical reform in depth from a new starting point.
The second is to deepen the linkage of "three doctors" and improve the efficiency of reform. In terms of medicine, an integrated platform for the procurement, distribution, supervision, transaction and settlement of pharmaceutical consumables has been established. Through the implementation of national and provincial centralized procurement, a total of 3.846 billion yuan has been saved in the past two years. In terms of medical insurance, a provincial-level adjustment mechanism for employee medical insurance funds has been established, and 8 cities including Sanming have benefited a total of 1.69 billion yuan in two years; the payment method of medical insurance has been reformed, and 1,381 diseases have been paid according to the type of disease. In terms of medical care, the target annual salary system has been expanded from the president to the secretary of the party committee and the chief accountant, and the reform of the salary system has been fully covered. During the "13th Five-Year Plan" period, the salary income of medical staff increased by 9.7% annually. The provincial-level centralized procurement of large-scale equipment such as CT and MRI successfully solved the problem, and the average price reduction was more than 50%.
The third is to focus on the weak points and strengthen system integration. The first is to improve the hierarchical diagnosis and treatment service system. Actively establish regional medical centers, 6 hospitals including Fudan Zhongshan Xiamen Hospital, Fudan Huashan Fujian Hospital, and Provincial Children's Hospital have been included in the national pilot; 4 hospitals including the Sanming First Hospital have been selected as the provincial regional medical center construction pilot; Strengthen the efforts to make up for shortcomings in the county, and the close medical community covers all the counties. The second is to promote the reform of disease control to take the lead in solving problems. In 2019, the comprehensive reform of the Provincial Center for Disease Control and Prevention was launched to explore the establishment of a mechanism that combines protection and incentives, and the per capita salary level of employees increased by 14.4%; in Sanming City, the reform of the city and county disease control system focusing on the integration of medical treatment and prevention was piloted, and the establishment of "prevention, prevention, The new model of integrated services of “governance and management” has also made progress in stages. The third is to strengthen talent construction and information empowerment. Deepen the coordination of medical and education, take multiple measures to strengthen and optimize the medical and health personnel team; establish a five-level health and health network from the province to the village, and realize the "multi-code integration" of electronic health codes and online settlement of medical insurance in different places.
Through hard work, the effectiveness of medical reform in our province has been effectively consolidated and improved. In 2020, the average life expectancy will reach 78.33 years, an increase of 1.29 years from 2015. The main health indicators remain at the forefront of the country, and higher health benefits have been achieved with less health resources; The performance evaluation of the comprehensive reform of public hospitals continued to be at the forefront of the country. The medical and health burden of the masses has been gradually reduced, and the proportion of personal health expenditure in the total health expenditure in the province has dropped from 26.11% in 2015 to 24.10% in 2019, which is better than the national average (28.40%). The quality of medical care and technical level have been continuously improved. In the 2019 performance assessment of national tertiary public hospitals, our province ranked sixth in the country, and the satisfaction of outpatient and inpatient patients both ranked third in the country. In particular, the prevention and control of the new crown pneumonia epidemic has achieved good results. It is the third province in the country to achieve zero local patients; as of today, there have been no new local cases for 496 consecutive days. Thanks!
Health News Reporter
We all know that health is the most important thing in a happy lifeThe most important indicators, what are the main layouts that Sanming has made in terms of shifting from a disease-centric to a health-centric approach?
Deputy Mayor of Sanming Municipal Government
Zhang Yuanming
Thank you for your interest in Sanming medical reform. After the National Health Conference in August 2016, we started a new exploration of reforms with equal emphasis on "treatment of existing diseases" and "treatment of pre-emptive diseases". Focus on three aspects of work:
First, build a county-level close medical community. Integrate county-level medical institutions to form a general hospital, and township health centers will be fully taken over by the general hospital. As a branch of the general hospital, the branch will extend health clinics in administrative villages to realize the integration of county, township and village medical services. Highly centralized and unified, become a family, and jointly undertake the "gatekeeper" of the health of the people in the county.
Second, promote the reform of medical insurance payment methods. Mainly "dual package": First, the county-level medical insurance fund is packaged and paid, and the county-level medical insurance fund "contracts the total amount, does not make up for overruns, and retains the balance", and guides the general hospital (medical community) and medical staff to participate in popularizing healthy life and optimizing health services. . Affected by the new crown pneumonia epidemic last year, the medical income of public hospitals across the country generally declined. Although the total medical income of public hospitals above the second level in our city also decreased by 4.1%, due to the implementation of medical insurance package payment, the net income increased by 142 million yuan. Second, with the strong support of the National Health and Health Commission, the implementation of C-DRG grouping and payment, which was officially implemented in January 2018, currently has 800 disease groups, and 206 clinical pathways have been formulated to promote the hospital’s improvement and refinement. The management level allows the common people to see a doctor clearly and realize the same disease and the same treatment, the same effect and the same price. Last year, C-DRG settlement accounted for 81.6%, saving 69.71 million yuan in medical expenses.
Third, establish a new mechanism for the synergy and integration of medical and defense. In the general hospital (medical community), a medical and prevention integration office composed of personnel from hospitals, disease control, women and children and other units is specially set up to be responsible for popularizing health knowledge, strengthening health management and control, and promoting health intervention and other public health services. , The village three-level public health business is vertically coherent and connected. Before the outbreak of the new crown pneumonia epidemic, the comprehensive reform of the CDC was launched, and the functions of the CDC were further strengthened, services were further expanded, and the team was further motivated. Since last year, our city has withstood the pressure of living outside the Shaxian County and working abroad. The 14 confirmed cases and 1 asymptomatic infection in the city are all imported cases, and no second-generation cases have occurred. The CDC and medical institutions The coordinated operation has made great contributions. thanks.
Guangming Daily Fujian Station reporter
has a saying about deepening the medical reform. The day when the hierarchical diagnosis and treatment system is implemented is when the medical reform is successful. As the leading hospital in the county medical community, what work has the Shaxian General Hospital done to promote the realization of hierarchical diagnosis and treatment?
The Secretary of the Party Committee of the Shaxian District General Hospital in Sanming City
Wan Xiaoying
In July 2017, the Shaxian General Hospital was established. It consists of 2 county-level hospitals, 12 township branches and 128 extended public village health clinics. Unified management, the general hospital manages the branch, and the branch manages the village clinic. It is a community that shares responsibilities and interests, and is the "gatekeeper" of the county's people's health. In order to build an orderly medical treatment pattern, we have focused on four aspects:
First, to promote the sinking of resources. Establish a system for senior doctors to be stationed in villages and villages on a regular basis, practice in multiple locations within the medical community, and promote the "three sinks" of medical resources, medical talents, and diseases, so that ordinary people can enjoy high-quality medical services at their doorsteps. Last year, a total of 97 batches of 265 person-times were conducted in rural areas, and 1,813 person-times were received; 165 sessions of various teaching lectures and skill operation training sessions, 17 sessions of health consultation and free clinics, and 91 sessions of management guidance on medical quality, hospital sense, and public health; There were 665 visits to the health clinic.
The second is to unblock the referral channel. Transfer inpatients who need long-term recovery to branch hospitals, and transfer patients who are not satisfied with their condition to the general hospital in a timely manner. Last year, a total of 243 patients were referred upwards.0 people, 11,676 people were referred for follow-up management, and the primary outpatient clinic visit rate in the district increased from 54.4% in 2017 to 57.4% last year.
The third is the hierarchical management of chronic diseases. Build an integrated management information system for chronic diseases, and implement “grading, classification, sub-standard, and sub-segment” management for patients with hypertension, type 2 diabetes, tuberculosis and severe mental illness, and strive to reduce the morbidity, disability, and fatality rate of complications . Last year, the standardized management rates of the four chronic diseases in the region were: 86.3% of hypertension, 85% of type 2 diabetes, 93.7% of severe mental disorders, and 100% of tuberculosis patients.
The fourth is to strengthen the upper and lower linkages. According to the unified deployment of the whole province, “three major platforms” and “six major centers” were established to carry out remote video consultation and centralized services. 9,340 ECG diagnoses and 1,270 batches of centralized disinfection were performed.
People's Daily reporter
We all know that the biggest feature of Sanming's medical reform is the strong promotion of the party committee and government and the linkage of the three medical institutions. What is the position of health promotion in the overall planning of Sanming's medical reform? How to embody "Health in All Policies"?
The Deputy Mayor of Sanming Municipal Government
Zhang Yuanming
Thanks for the reporter's question. Improving people's health literacy is one of the most fundamental, economical and effective measures to improve the health level of the whole people. Standing at a new starting point, we will continue to focus on people's health, put health promotion in a prominent position, integrate it into various policies, and strive to create a number of national-level health promotion counties:
first, and strengthen the organization. In-depth implementation of the "Healthy Sanming 2030" Action Plan and "Healthy Sanming Action Implementation Plan", implement seven actions including the improvement of national health literacy, continue to promote health knowledge into schools, families, rural areas, and communities, and continuously improve the health of the people Literacy.
Second, strengthen the protection. Improve and improve the medical insurance package payment policy, and guide the general hospital (medical community) and medical staff to devote more energy to popularizing healthy life and optimizing health services. On the basis that 39 kinds of limited essential drugs (including the imported original drug Bayer "Acarbose") have been provided free of charge to patients with six types of chronic diseases, the categories of chronic diseases and free essential drugs will be gradually expanded according to the medical insurance fund.
Third, strengthen service. Deepen the comprehensive reform of the Centers for Disease Control and Prevention, vigorously cultivate compound medical talents who understand prevention, treatment, prevention and treatment, and emergency response and normalcy, strengthen the group of health science lecturers, and improve the health knowledge information release system. Focus on formulating and implementing personalized policies for different groups such as birth defects, "three small" (small glasses, small fat piers, small caries), middle-aged and elderly people, full coverage of health screening, whole process health intervention, whole population health control, all-weather Health science, guide the masses to establish the concept of "the first responsible person for health".
Fourth, strengthen the assessment. Taking indicators that can reflect value medical insurance, value medicine, and value medical care (such as life expectancy per capita, residents' health literacy, chronic disease management, per capita medical expenses, etc.) as the core indicators, continue to improve the health performance monitoring and evaluation system. At the same time, strengthen the application of monitoring and assessment results, which are linked to the increase in performance wages of public health institutions and the total amount of wages in the general hospital, linked to funding accounting, prioritization and evaluation, and employment of personnel, job title evaluation, remuneration, etc. hook up. Thanks!
"China Health" magazine reporter
"There will be gains and losses" is an old saying. There are reports that Chinese medicine companies may suffer certain losses under the Sanming medical reform model. Is this "loss" benign to the public? Are there any disadvantages?
The Deputy Mayor of Sanming Municipal Government
Zhang Yuanming
Sanming's medical reform adopts a mode of purchasing with quantity, which squeezes the artificially high price water in the circulation of medicines and saves a lot of marketing costs. Profits have not decreased, withAt that time, supporting measures such as medical insurance settlement and prepayment for goods were formulated to support the development of enterprises, which solved the problem of payment arrears that has plagued pharmaceutical enterprises for a long time and reduced the financial costs of enterprises. Judging from the implementation of national centralized procurement, the problem of curbing "gold sales" from the source has had a significant positive role in promoting the pharmaceutical industry: on the one hand, it has standardized the circulation order, improved product quality, and guided the industry to orderly Competition; on the other hand, it also prompts enterprises to transform and upgrade, devote more energy to product research and development, and promote innovation and development. Thanks!
China Youth Daily reporter
When General Secretary Xi Jinping inspected Fujian Province in March this year, he emphasized that Sanming's medical reform experience is worth learning from local conditions, and demanded that we continue to deepen the reform of the medical and health system, balance the distribution of high-quality medical resources, and improve grass-roots infrastructure conditions. Provide reliable protection for people's health. May I ask, what is the future plan of Fujian Province? Thanks!
Fujian Provincial Health and Health Commission Party Secretary and Director Huang Ruxin
This year, our province focused on thoroughly implementing the spirit of General Secretary Xi Jinping's visit to Fujian. The main leaders of the provincial party committee and the provincial government personally organized research, and have issued the "Further Deepening the Reform of the Medical and Health System" Opinions", put forward 27 reform measures in 7 areas; the provincial government also held a video conference on the promotion of medical reform in the province, and the provincial governor personally made specific arrangements. In the next step, we will follow the relevant national medical reform decisions and arrangements, focus on the high-quality development of Fujian beyond the target, further refine the implementation measures of the "Opinions", study and formulate a three-year action plan for deepening the medical reform, and promote the implementation of each task. Key points:
First, continuously improve and promote the experience of Sanming. First of all, continue to support Sanming's first trial, take the construction of Sanming's national medical reform experience promotion base as the starting point, especially increase support in terms of policies, talents, funds, etc., to help Sanming City in the construction of medical community, chronic disease management, and medical insurance payment. More achievements have been made in key areas of medical reform such as mode reform, and the demonstration and leading role of the Sanming Medical Reform Base will continue to be played. At the same time, in the process of promoting Sanming's experience, continue to encourage localities to innovate "optional actions" based on actual conditions. For example, in recent years, Xiamen City has explored the practical experience of city-school cooperation, high-level grafting, and homogeneous management in the construction of regional medical centers; Zhangzhou City has comprehensively promoted the standardization construction of village health centers based on its own actual conditions, and has realized the medical insurance "village" Connecting the Villages”; Longyan City has made positive progress in promoting the construction of county-level medical communities based on its original experience in “one centralized management, three decentralized” grass-roots medical reform.
The second is to promote the expansion and rational distribution of high-quality resources. With the goal of establishing an orderly medical treatment pattern, on the basis of actively striving to become a national regional medical center, the first batch of 4 provincial-level regional medical center projects in Sanming and other places will be planned and constructed, and a new round of medical "creating double highs" will be implemented to further deepen County-level comprehensive medical reform, promote the grid layout of urban medical associations and the construction of community hospitals, and promote the formation of an integrated health service system at the five levels of linkage of provinces, cities, counties, townships and villages, and effectively promote hierarchical diagnosis and treatment.
The third is to continue to deepen the integration reform of "three medical linkages". Focusing on the high-quality development of public hospitals, promote the establishment of stable and sustainable medical and health investment, basic medical insurance financing and other mechanisms; focus on improving the provincial-level overall planning of employee medical insurance funds and the establishment of pharmaceutical service charging policies; , establish a sensitive and appropriate price adjustment mechanism for medical services; promote the inheritance, innovation and development of traditional Chinese medicine, deepen the reform of the operating mechanism of public hospitals, promote mutual recognition of inspection results, and further standardize medical service behavior.
Fourth, continue to promote the reform of the disease control system and the integration of medical care and prevention. Taking the promotion of the comprehensive reform of the disease control system as an opportunity, establish a new model of "prevention, treatment and management" medical and prevention integration, and improve the long-term mechanism for the prevention and control of major epidemics. The focus of medical and health services has shifted from back-end treatment to front-end prevention, and health services throughout the life cycle have been strengthened.
The fifth is to strengthen support and guarantees such as medical and health talents. Taking the people's satisfaction as the measurement standard, strengthen the construction of medical reform support systems such as talents, information and comprehensive supervision, and further enhance the people's sense of gain in medical treatment and disease prevention.
Southern Metropolis Daily reporter
What are the obstacles and difficulties in promoting Sanming's experience? To further implement General Secretary Xi Jinping's instructions, what conditions must be met to promote the experience of Sanming across the country?
Director of the Department of System Reform of the National Health Commission
Xu Shuqiang
Sanming explores and innovates, and is increasingly enterprising, setting a sample and an example for the whole country. The difficulties and problems encountered by Sanming in promoting the deepening of medical reform are actually the same as those in other places. There are many similarities between the path Sanming medical reform has come through and the difficulties encountered in the process of medical reform in various places. Therefore, the experience of Sanming's medical reform has the value of general promotion. The current goals, paths and tasks of learning and promoting Sanming's medical reform experience are clear, and the key is determination and action. Judging from the effectiveness of promoting Sanming's medical reform experience in recent years, there are still some blocking points and difficulties. Specifically, there are several aspects: First, some local party committees and governments have not paid enough attention to deepening medical reform and promoting Sanming's medical reform experience. There is fear of difficulties in the joint reform of the "three doctors", the reform initiative is not strong, and the exploration and innovation are not enough. In some places, it is still at such a stage of canceling the addition of supplements for medicines and consumables. The relatively difficult reforms in terms of medical service prices, personnel compensation systems, and medical insurance payment methods are progressing slowly.
Second, the mechanism for the formation of medical service prices needs to be improved. The price level is generally low, focusing on material consumption and ignoring technical labor services. The price adjustment lacks the effective participation of hospitals and medical personnel, and the dynamic adjustment mechanism has not been established. In addition, the reform of medical insurance payment methods still needs to be accelerated in terms of progress.
Third, the reform of the personnel compensation system that conforms to the characteristics of the industry needs to be strengthened. The establishment standards of public hospitals are seriously lagging behind and have not been implemented, and the proportion of non-staff personnel is relatively high, currently accounting for 51%. The value of medical personnel and technical labor services has not been fully reflected, most public hospitals have insufficient disposable income, and there is no source of funds for raising salary levels.
Fourth, some public hospitals have relatively extensive development methods and operation management, which cannot meet the requirements of "tight days", and the pattern of medical insurance purchase services is not applicable, and the level of economical management and operational efficiency also needs to be improved. To implement the spirit of General Secretary Xi Jinping's important instructions and learn from the experience of Sanming's medical reform, the following conditions should be actively created: First, to further improve ideological understanding and establish an efficient and powerful medical reform leadership system and organizational promotion mechanism. Learn from the experience of Sanming, adhere to the reform spirit of people first and dare to be the first, unify thoughts and actions in the decision-making and deployment of the Party Central Committee and the State Council, and implement the important instructions of General Secretary Xi Jinping; put the protection of people's health in the strategic position of priority development , take the deepening of medical reform as a major project to ensure and improve people's livelihood, and unswervingly push forward. The leaders of local party committees and governments should personally grasp the medical reform, and take the experience of Sanming medical reform as an important part of comprehensively deepening the reform and the performance evaluation of government target management, and incorporate the effectiveness of medical reform into the performance evaluation of party committees and governments at all levels.
The second is to promote the "three medical" real linkages, systematically adjust the economic policy of medical reform, normalize and institutionalize the centralized procurement of pharmaceutical consumables, and conduct regular price adjustment evaluations. Follow up and connect in a timely manner, and generally do not increase the burden on the public. The disposable income of the hospital increased by the price adjustment is mainly used for salary distribution. The plan should be designed synchronously and the policy should be implemented synchronously.
The third is to implement the government's input responsibility. Implement the government's investment policy on public hospitals in accordance with regulations, and implement the preferential policy on investment in specialized hospitals such as traditional Chinese medicine hospitals, infectious disease hospitals, and psychiatric hospitals.
Fourth, it is necessary to fully mobilize the enthusiasm of medical personnel, make good use of the disposable income increased by the adjustment of medical service prices, reasonably determine the salary level of medical personnel, and establish a salary system that mainly reflects job responsibilities and knowledge value. On the premise of ensuring the balance of income and expenditure, gradually increase the proportion of personnel expenditure in the business expenditure of public hospitals.
SENet reporter
has media reports that many medical staff have been lost due to unfair distribution of annual salary system and lower enthusiasm after Sanming Medical Reform. Is this true? What is the local opinion on this?
The Deputy Mayor of Sanming Municipal Government
Zhang Yuanming
As already mentioned, through the reform, Sanming's doctors are greatly motivated. We have raised the prices of medical services such as diagnosis and treatment, surgery, rehabilitation, nursing, and traditional Chinese medicine, which reflect the value of medical personnel’s technical labor services. Through the implementation of the target annual salary system for all staff and the work-point system for calculating annual salary, Sunshine’s income has increased significantly and basically got the remuneration it deserves. . Yesterday, everyone went to the Central Health Center of Wan'an Town, Jiangle County. I was there not long ago. At that time, I asked a nurse who had worked for seven or eight years and had an intermediate title and asked her what her annual income was. She said there were more than 140,000. I asked her if she was satisfied. Her answer was ninety percent if one hundred percent. I think her evaluation is more objective. It is understood that the party secretary of the township has a bachelor's degree and has worked for 17 or 18 years through the county government office and many townships, and the salary is slightly lower than that of the nurse. Since Sanming is located in a mountainous area, there is a gap between the salary level and developed areas, but the horizontal comparison of the salary of medical staff among the industries in the region is OK. There is a reasonable guidance problem.
During the nine-year period from 2012 to 2020, 215 people were transferred from medical and health units in Sanming, accounting for 1.17% of all 18,400 health technicians, of which 2/3 were chief physicians, chief physicians and below. But during this period, our hospitals recruited a total of 4,906 people, 23 times the number of people who were transferred. The transfer of these medical staff belongs to the normal circulation of personnel, and there is no "massive loss" of medical staff.
Of course, we also realize that there is still room for improvement in the internal salary distribution. We have specially organized a research team to conduct research, and plan to issue guiding opinions on improving the hospital's internal salary distribution within the year. Balance fairness and efficiency. We also welcome well-informed friends from the press to provide valuable opinions.
Fujian Health News reporter
The goal of public hospital reform is to establish a modern hospital management system. What has Shaxian General Hospital done in promoting the construction of a modern hospital management system in recent years?
Sanming City Shaxian District General Hospital Secretary of the Party Committee level. The main measures are as follows:
The first is to implement the dean responsibility system under the leadership of the party committee. It turned out that I was both the secretary of the party committee and the dean of the hospital; at the end of 2018, the organization removed me from the post of dean and the separation of the party and government. In recent years, the hospital has formulated a list of party and government main body responsibilities and a list of supervisory responsibilities, established a risk prevention and control mechanism for clean government, and achieved the same deployment, implementation, inspection, and assessment of party building, hospital management, and business development. At the same time, as secretary of the party committee, I fully support the president in exercising his powers independently and responsibly in accordance with laws and regulations.
The second is to formulate hospital charters. In 2018, the Constitution of Shaxian General Hospital was formulated, the Rules of Procedure of the Party Committee and the Rules of Procedure of the President's Office Meeting were revised, and the decision-making system of the Party Committee and the administrative leadership of the hospital was continuously improved. At the same time, through the unblocked information channels such as the workers' congress, party affairs, academy affairs disclosure, and intranet, the employees' right to know, to participate, and to supervise is guaranteed.
The third is to strictly control the quality and safety of medical care. Strengthen the three-level management system of hospital quality and safety, implement 18 core medical quality and safety systems, deepen the connotation of nursing services, strengthen clinical pathway management, and standardize medical service behavior. Last year, the clinical pathway case management rate was 62.1%, the enrollment rate was 96.5%, and the completion rate was 91.9%.
Fourth is to strengthen medicalHospital operation management. With the support of the chief accountant, track and analyze budget management, cost accounting, salary accounting, asset and human resource management, etc., timely remind and supervise rational drug use, reasonable inspection, reasonable treatment, and control unreasonable growth of medical expenses, and promote the continuity of hospital revenue and expenditure structure. optimization. Last year, the proportion of medical service income reached 43.56%, which was 23.43 percentage points higher than that before the reform.
The fifth is to strengthen the construction of hospital culture and medical ethics. All-round, multi-angle, and normalized publicity of the hospital culture of "warmth, compassion, integrity and cleanliness". Specially set up the Service Supervision Section, Practice Ethics Office, and Supervision Office, formulate implementation plans for medical ethics evaluation, refine evaluation standards, set up one-vote veto items, and establish medical ethics files, which are linked to annual evaluation, professional title appointment, and evaluation of the best.
Sixth is to focus on the "double training" of talents. Since 2018, a total of 24 medical experts, academic leaders, outstanding young medical staff and other high-knowledge groups have joined the party. 19 business backbones were trained as party members, and 9 party members were trained as medical, teaching, scientific research, and management backbones; 22 party activists and 23 development objects were selected to participate in special training.
Economic Daily Fujian Station reporter
At present, the allocation of medical resources in my country is still unbalanced and insufficient. In the experience of Sanming's medical reform, what are the practices worth learning for optimizing the layout of medical resources?
Zhu Hongbiao
Zhu Hongbiao
National Health and Health Commission's first-level inspector
Thank you for your question. This question you asked is a very important question. Insufficient total health resources, especially high-quality medical resources, uneven regional allocation, and the need to improve grassroots capacity are still one of the main problems faced by my country's medical and health services. In recent years, Sanming City has made useful explorations with the support of the state and Fujian Province and other relevant departments to increase the supply of medical and health resources and optimize the allocation and layout of medical resources. Through the construction of close urban medical associations and county medical associations, a general hospital is established in each county, medical and health resources are integrated, the maximum allocation efficiency of resources is maximized, health performance assessment is improved, and medical insurance funds and basic public health service funds are packaged and paid. The measures have promoted the lowering of the focus of health work and the sinking of resources, and the reform has achieved positive results. Just now, Mr. Zhang Yuanming and Ms. Wan Xiaoying have made a good introduction to the effectiveness of this aspect. However, overall, Sanming City still has a lot of room for improvement in terms of medical service capacity, hospital management level, and talent team construction, especially in terms of expanding the supply of high-quality medical resources, and needs to be strengthened in the next stage of reform. , focusing on solving the "inadequate" problem. The state and the province will also give strong support to Sanming in this regard to help Sanming improve its service capacity and management level.
As far as the whole country is concerned, during the "14th Five-Year Plan" period, we will conscientiously implement the spirit of the Fifth Plenary Session of the 19th CPC Central Committee, implement the spirit of the important instructions given by General Secretary Xi Jinping during his inspection of the Sanming medical reform, and accelerate the promotion of the expansion of high-quality medical resources and regional balance. Layout, promote the high-quality development of public hospitals, accelerate the construction of a hierarchical diagnosis and treatment system, and effectively improve the comprehensive and full-cycle health services and guarantee capabilities.
First, to build national and provincial high-level hospitals. Relying on existing resources to plan and build national medical centers, national regional medical centers, and provincial-level high-level hospitals, focus on technical research on the diagnosis and treatment of difficult and severe diseases, and drive the national medical level to a new level. Strengthen the support of national high-level hospitals to provincial hospitals in terms of technology and talents, improve the diagnosis and treatment capabilities within the province, and reduce cross-provincial medical treatment. The second is to play the leading role of public hospitals in urban medical groups. According to the grid layout management, a compact urban medical group led by tertiary hospitals or hospitals representing the medical level of the jurisdiction will be established to drive urban grassroots medical and health institutions to improve their service capabilities and management levels. The third is to actively develop a close county-level medical community led by county-level hospitals. Strengthen the capacity building of county-level hospitals, strengthen the counterpart assistance provided by city hospitals to county-level hospitals, strengthen the integrated management of county-level hospitals for township hospitals and village clinics, and improve the ability of residents to be “gatekeepers” for health. through hard work, During the "14th Five-Year Plan" period, serious illnesses will be avoided in the province, general illnesses will be resolved in cities and counties, and daily illnesses will be resolved at the grassroots level. Thanks!
China Population Daily reporter
I would like to ask this question to Deputy Mayor Zhang Yuanming. Sanming medical reform has achieved remarkable results over the years. Can you give us a detailed introduction?
Deputy Mayor of Sanming Municipal Government
Zhang Yuanming
Thank you for your attention to Sanming medical reform. Through unremitting efforts, the city's medical reform has initially achieved win-win results for patients, hospitals, doctors, and medical insurance funds. Mainly in: First, the level of health. The average life expectancy increased from 75.29 years in 2010 to 80.02 years in 2020. The second is the benefit of the masses. In the past nine years, the actual reimbursement ratio of the per-time cost of inpatients with urban employee medical insurance has increased from 72.26% to 75.02%, and the urban and rural residents' medical insurance inpatients have increased from 46.25% to 67.56%. Third, doctors are motivated. The total salary of hospitals has increased by 3.08 times compared with that before the reform, and the average annual salary of medical staff has increased from 56,500 yuan to 169,300 yuan. Fourth, the hospital has to develop. On the basis that the city's 22 hospitals above the county level achieved all positive financial balances for the first time in 2014, public hospitals maintained a steady development momentum. The proportion of medical service income increased from 18.37% to 41.5%, and the proportion of pharmaceutical consumables income decreased from 60.08% to 32.5%. The indicators reflecting the quality of medical services and the level of medical services are stable and improving, and new technologies and new projects have increased significantly. . Fifth, medical insurance is sustainable. Under the situation that the maintenance ratio is declining year by year, the city's urban employee medical insurance has maintained a surplus for 8 consecutive years, with a cumulative balance of 714 million yuan.
Thanks!
Moderator
Deputy Director of the Publicity Department of the National Health Commission and spokesperson
Mi Feng
At today's press conference, several guests introduced the experience of promoting Sanming's medical reform and answered questions from media friends. Next, we will continue to hold press conferences around the promotion and use of Sanming's experience in various places, and you are welcome to continue to pay attention.
today's press conference is over, thank you!
Source: National Health Commission official website, China website
Editor: Yang Minghao
