The reporter learned from the provincial government，To speed up solving the difficulty of seeing a doctor、Presentation for a doctor，Establish a medical and health system covering urban and rural residents，Recently, our province introduced the pilot plan for deepening the comprehensive reform of the pharmaceutical and health system，It will break the drug supplementation mechanism，Comprehensive implementation of drugs (excluding Chinese medicine tablets) zero difference rate sales。Let the auxiliary reproductive、Medical Beauty、Orthodontic oral、TCM massage and Chinese medicine health care (excluding dialectical treatment) and the special -demand ward beds opened in accordance with regulations、Special needs outpatient consultation and other medical service project prices，Adjustment from the market。

 

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  Break the drug supplementation mechanism，Comprehensive implementation of drugs (excluding Chinese medicine tablets) zero difference rate sales。Adopt key varieties monitoring、Prescription review、Negative list of medicines、Reasonable inspection and inspection、Medical Insurance Review Supervision、Comprehensive measures to combat commercial bribery，Cut the hospital thoroughly、The interest chain between medical staff and medicines。stake betting appPublic stake betting apphospitals in the province (excluding Chinese medicine drinks) drop to about 30%，Hundred yuan of medical income (excluding drug income) of sanitary materials consumed to be reduced to about 20 yuan。Reasonable revenue reduced by reducing drug bonuses，County -level public hospitals are fully compensated by finance，Provincial、City、The county is shared in proportion。Urban public hospitals in principle compensate 90%in accordance with medical service price adjustment、Compensation of financial compensation at the same level 5%、The hospital enhances cost accounting to bear a 5%proportion sharing。Storage of the hospital's medication、Keep、Losses and other expenses are included in operating costs for compensation。

 

  Let go of the bed price of special -demand ward

 

  In ensuring the benign operation of public hospitals、Medical Insurance Fund to withdraw、Under the premise that the overall burden of the masses does not increase，Promoting medical service price reform，Strengthening price and medicine、Medical Insurance、Medical policy connection，Gradually establish multi -party participation、Classification Management、Dynamic adjustment price formation mechanism。

 

  Reduce large medical equipment inspection and treatment fees、Inspection fee。Improve diagnosis and check fee、bed fee、Nursing fee、Surgery fee、Treatment fee。Let the auxiliary reproductive、Medical Beauty、Orthodontic oral、TCM massage and Chinese medicine health care (excluding dialectical treatment) and the special -demand ward beds opened in accordance with regulations、Special needs outpatient consultation and other medical service project prices，Adjustment from the market。

 

  Provincial Management Hospital、Central Hospital in Shaanxi High Schools、Cancellation of medicines for the army hospital、The price adjustment of medical services is adjusted synchronously with the city where the city is located。

 

  Move the outpatient clinic of the third -level hospital to the community

 

  Promoting Medical Group and Medical Union Model，Lead by provincial hospitals formed medical groups。Each city (district) forms 1 to 2 medical groups or medical consortia，Move the outpatient clinic of the third -level hospital to the community。Promote the integration of medical services and management of counties and villages，stake online sports bettingEncourage the selection staff of stake online sports bettingthe county -level hospitals to serve as the dean of the town health center，Encourage village doctors to hire village for village。Establish income distribution、Resource sharing and division of labor collaboration mechanism，Improve the benefits of medical resources。

 

  Mutual recognition of inspection and inspection results，Vigorously develop social medical doctors。Take relocation、Integrated、Transformation and other channels，Promote the urban secondary hospital to the community health service agency、Specialist Hospital、Elderly care and rehabilitation institutional transformation。

 

  Comprehensively implement doctors multi -point practice。Eligible doctors can choose 2 to 3 medical institutions to practice，Encourage the priority to the grassroots medical and health institutions multi -point practice。Explore the regional management of physician practice registration。

 

  At least 2 general doctors per 10,000 residents

 

  Establishing a referral distribution mechanism，Standardized referral and reception process，Unblocked two -way referral channels，Build a new order for medical treatment。

 

  Establish a general doctor system，grass -roots medical and health institutions Establish a general medicine department，Equipped with a general doctor，Choose doctors from hospitals above the second level or above to work at the grassroots level。Increase the training of general doctors，Make sure there are at least 2 general doctors per 10,000 residents，The first diagnosis of the patient at the grassroots level。

 

  Improve the two -way referral channel，Standardous two -way referral。Formulate common diseases in and out of hospitals and two -way referral standards，Except for the elderly over 65 years old、Infants under 5 years of age、Pregnant women、mental illness、Major infectious diseases、Patients with acute infectious infectious，The remaining patients have entered the hierarchical diagnosis and treatment system。Use information technology and other means，Realize the orderly referral between different levels and category stake betting appmedical stake betting appinstitutions，Focus on smooth referral channels。Strengthen the connection between primary medical and health institutions and public hospital drug procurement and use。

 

  Give full play to the regulating role of medical insurance policy。Consultation at different levels of medical institutions，Differential reimbursement ratio，Transfer patients implement a cumulative starting line policy，Transfer patients exempt the grass -roots start -up payment line。Development of the referral without referring to the reimbursement ratio of patients with patients above the second level，Actively promote patients with chronic diseases、Patients in the rehabilitation period refer to it。

 

  Integrate the medical insurance system of urban and rural residents

 

  Integrate the urban residents' medical insurance and the new rural cooperation system，Establish a unified basic medical insurance system for urban and rural residents，Municipal -level coordination，Uniformly managed by the health and family planning department。Urban employee medical insurance is still managed by the human resources and social security department。

 

  Urban resident medical insurance agencies managed by the municipal -level reliance on the management of human resources and social security departments，The new rural co -run agency managed by the county level relied on the health and family planning department，Integrate existing people、Fortune、material resources，Establishing a market、County two -level medical insurance center，Responsible for coordination and coordination、Cultivated all kinds of medical insurance procedures，Director of the Medical Insurance Center in principle is also the director of the medical reform office of the same level as concurrently as。

 

  Basic medical insurance for urban employees and urban and rural residents、Commercial Insurance of Diseases、Medical assistance of major illnesses in the city、County Medical Insurance Center Implementing & ldquo; One -stop & rdquo; service。Improve the level of protection，Establish a stable funding growth mechanism，By 2020 urban and rural residents per stake betting appcapita stake online sports bettingfundraising level、The proportion of government subsidies is not lower than national standards。Gradually expand the scope of non -drug diagnosis and treatment of traditional Chinese medicine，Properly increase the proportion of reimbursement of Chinese medicine。Comprehensive implementation of urban and rural residents' major illness insurance system，Based on the reimbursement of basic medical insurance，Reporting ratio is not less than 50%。