Focus on solving the problems of the prominent contradiction between supply and demand of high-quali

Efforts to solve the difficulty of seeing a doctor

Some tertiary general hospitals implement no-holiday outpatient clinics throughout the year to guide hospitals in rationally deploying medical human resources, dynamically adjust the rotation of medical staff, re-employ some retired employees, and gradually implement hospital outpatient clinics on weekends to meet the needs of the masses to use their rest time to see a doctor and effectively divert hospitals. The stress of daily outpatient visits.

Carry out 24-hour community service. From July 1, 24-hour service will be piloted in the eight districts of the city's community health service centers. In the pilot area, the community health service center extends outpatient service hours to 20:00 from Monday to Friday, the community health service team ensures the 24-hour unobstructed access to the "Health Pass" mobile phone, and the community health service center provides 24-hour medical emergency response services if conditions permit. Gradually implement new models such as family doctor-style services and mountain patrol services.

　　This year, 11 tertiary hospitals in urban areas have been organized to support 11 regional medical centers in 10 suburban counties, focusing on supporting the construction of disciplines such as cardiovascular and cerebrovascular accidents, trauma, and emergency and critical care. Depending on the specific circumstances, some secondary hospitals will be converted into regional medical centers, specialty specialized hospitals, geriatric hospitals, rehabilitation hospitals, community health service centers or classified as tertiary hospitals. Strengthen the establishment of pediatric departments in general hospitals above the second level.

Efforts to solve the cost of medical treatment

The proportion of medical insurance reimbursement has been greatly increased. The Beijing medical reform plan has greatly increased the reimbursement proportion of medical insurance medical expenses. The proportion of large-scale medical mutual assistance reimbursement for employees in hospital has increased from 70% to 80%, and the reimbursement proportion of community outpatient medical expenses has increased from 70% to 90%. The floating population was included in the medical security system for the first time.

"One old and one small" and unemployed residents' medical insurance outpatient reimbursement standards will be unified. In the medical reform plan, "inclusion of outpatient expenses for students, preschool children and unemployed residents into the scope of medical insurance" has been added. After the integration, government subsidy standards, insurance payment time, and outpatient reimbursement rates and limits will all be unified. It is reported that the corresponding standards will be introduced before September, and next year will study the integration of urban residents and the new rural cooperative system.

　Medical expenses exceeding a certain amount can be "secondary reimbursement" Beijing will study the establishment of a long-term mechanism to cover medical expenses. When the personal burden exceeds a certain amount, the "secondary reimbursement" method will be used to solve the problem of employees' heavy burden of large medical expenses. contradiction. The determination of the personal burden should be comprehensively considered according to the personal income status and the burden of medical expenses.

　More than 400 new drugs will be reimbursed. This year, a new version of the medical insurance drug reimbursement catalog will be released. After the implementation of the new catalogue, more than 400 new drugs will be reimbursed. According to reports, the newly published medical insurance drug reimbursement catalogue includes all 418 new drugs added by the state. The adjusted list of drugs will reach more than 2,400 kinds. At the same time, more than 180 diagnosis and treatment items that are necessary for clinical treatment, mature in technology, widely used, and reasonably priced will be demonstrated and reviewed by experts, which will be included in the scope of medical insurance reimbursement. In addition, the scope of special diseases in Beijing medical insurance outpatient clinics will be further expanded, including hemophilia, aplastic anemia, and anti-rejection drugs after liver transplantation.

This year, we will actively explore various payment methods for basic medical insurance such as payment by disease type, payment per head, and total prepayment. Two tertiary hospitals will start the pilot reform of the payment system based on disease diagnosis-related groupings, and select about 50 diseases with clear clinical pathways to carry out the pilot payment by disease category. In 2011, on the basis of summarizing the pilot experience, it was gradually promoted to the tertiary medical institutions in Beijing.

Medical service prices will be gradually standardized Study and formulate medical service price management measures, further reasonably determine the prices of medical technical services, medical consumables and large-scale equipment inspections, improve medical service charging methods, and gradually standardize current medical service price items.