The General Office of the State Council issued a notice on the 9th and issued the "Summary of the Work of the Medical and Health Care System Reform in 2014 and the Tasks of the Key Tasks for 2015" (hereinafter referred to as the "Tasks"), which clearly eliminates the use of medicine to supplement the medicine and promotes the establishment of a scientific compensation mechanism. All county-level public hospitals and pilot city public hospitals have all canceled drug additions (except for Chinese herbal medicines) and reduced the drug prices.

Will compensate hospital operating costs

With the elimination of medicine supplementing medicine, how to provide medical care is a problem that needs to be solved.

The “Tasks” require that public hospitals be compensated for by changing the three channels of service fees, drug addition revenue, and government subsidies to service fees and government subsidies. Through reasonable adjustment of medical service prices, increased government investment, and reform of health insurance payments. Ways to reduce hospital operating costs and establish scientific and reasonable compensation mechanisms. The expenses for hospital storage, storage, and depletion are included in the hospital's operating costs to be compensated.

Governments at all levels must implement the responsibility of investing in public hospitals as required. The central government provides subsidies to counties (cities) and newly-added pilot cities. Local governments must adjust their expenditure structure, increase their investment, and increase government investment into their budgets.

The price guarantee does not increase the burden on the people

Regarding the prices of medical services that most people are most concerned about, the “Tasks for Work” also proposes reform plans.

The “Tasks for Work” requires the study and formulation of guidance documents for conducting pilot reforms in the pricing mechanism for medical services. Under the premise of guaranteeing healthy operation of public hospitals, affordable medical insurance funds, and no increase in the burden on the people, the principle of “total quantity control, structural adjustment, ups and downs, and gradual phasing in place” should be adhered to, and prices for inspections of medicines, consumables, and large-scale equipment should be reduced. To increase the price of medical services that embody the value of medical services for medical personnel.

Gradually revise the parity relationship between medical institutions at different levels and medical service projects, and establish a dynamic price adjustment mechanism based on changes in costs and income structure. Medical service prices, health insurance payment, and grading diagnosis and treatment policies should be linked to each other.

It is forbidden to set the income index of medical staff

"Working Tasks" stipulates that a salary system that meets the characteristics of the health care industry should be established.

The relevant departments of the State have speeded up the research and formulation of the salary system reform plan that is in line with the characteristics of the medical and health industry, and selected some regions or public hospitals to carry out pilot reforms of the public hospital salary system.

Pilot cities and counties (cities) that are not included in the scope of the pilot reform of the public hospital pay system can first explore ways to formulate a method for verifying the total amount of pay for public hospitals.

Perfecting the performance-based wage system embodies the advantages of more work, more rewards for superior performance, and rationally widening the income gap.

The Task Force stressed that it is forbidden to set income-generating targets for medical personnel. The remuneration of medical personnel must not be linked to the income from drugs, consumables, and medical examinations.