Chinese medicine a new way? Issued a document to promote multisectoral "medical support integration"

Recently issued the "State Council General Office of Health and Family Planning Commission and other departments combined notice guidance on promoting health and pension services" (Guo Ban Fa [2015] No. 84) on the State Department Web site. The development of the Chinese medicine industry has been facing many difficulties. The number 84 appears in the text the word "Chinese medicine health care", perhaps in the direction of the way the pharmaceutical industry's future development.

In this paper many references to "Chinese medicine", including the proposed "for the elderly to provide medical check-rounds ...... Chinese health care and other services," "give full play to Chinese medicine (including national medicine, the same below) preventive health characteristics and advantages, vigorously develop Chinese medicine and pension services combined range of services products, "and so on.

In fact, in many documents, there are similar wording to encourage development of Chinese medicine. But the market is much smaller than the size of traditional Chinese medicine chemical drug, in the drug registration application up in recent years, almost no approved varieties of Chinese medicine, the development of the Chinese medicine industry has been facing many difficulties. Coupled with the industry is small, scattered, chaotic situation, making the market medicine mixed products, affecting the reputation of Chinese medicine, and has not stopped the "anti-Chinese medicine" wave of development which gave the cast a shadow over the Chinese medicine industry.

Of course, there are some experts insist that Chinese medicine is a treasure of history left to China, can play an important role in the new health care reform process, especially in health care, disease prevention.

And the No. 84 paper, the term appears more directly "in the medical and health pension." This may be a way out in the direction of the future development of the pharmaceutical industry.

A full understanding of the importance of promoting the health and pension services combining

China is the world's most populous country in the elderly, aging faster. Disability, partial disability a substantial increase of the elderly population, demand for health services and life care needs of the elderly increasingly significant trend superimposed, health care services increasingly strong demand, the limited health care and pension services resources, and relatively independent of each other service system can not meet the needs of older persons, the urgent need to provide health care for the elderly and pension combined services. Health and pension services combined, is a major livelihood issues of common concern to the community, is a positive long-term plan to deal with an aging population, is an important economic growth point of China's economic development under the new normal. Accelerate health and pension services combined, help meet people's growing multi-level, diversified health care service needs, and expand domestic demand, stimulate consumption, increase employment and help to promote the sustained and healthy economic development and social harmony and stability of steady growth, promoting reform, structural adjustment, benefit people's livelihood and building a moderately prosperous society of great significance.

Second, the basic principles and development goals

(A) basic principles.

Basic security, and rural development. The retirement security of older basic health needs in the first place, there is a demand for disability, partial disability elderly in institutions as the basis, good rehabilitative care, efforts to protect the health care service needs of older persons with special difficulties; for most the elderly, community-based and home-based care, the medical support through the organic integration, to ensure universal access to basic health care services. Promote universal service and joint development of personalized service to meet the multi-level, diverse health retirement needs.

Government guidance and market-driven. Governments play a guiding role in the development of plans and introduce policies to guide, regulate the market, to create an environment and other aspects of co-ordination of all resources, promote mutually beneficial development pattern. Full market play a decisive role in the allocations of resources, and create equal participation, fair competitive market environment, fully mobilize social forces of enthusiasm and creativity.

Deepen reform, innovation mechanism. Accelerate the transformation of government functions, innovative services and the supply of financial security, and actively promote government procurement of services, to stimulate the body potential and vitality of various services to improve the health and raise the level of service combined with efficiency. Strengthen coordination among various departments to enhance policy guidance and service supervision and systematic work synergistically to promote the integration of the development industry.

(B) development goals.

By 2017, combined with policies to support health systems, standards and management system initially established, professional health support to meet the needs of personnel training system combining the basic form, and built a number of both health and pension service qualification and ability or health institutions pension institutions (hereinafter referred to as the medical support binding mechanism), and gradually improve primary health care institutions ability to provide on-site service for the elderly at home, more than 80% of medical institutions opened registration for the elderly, medical care and other services to facilitate the green channel, 50% over pension institutions to provide health services in various forms for stays elderly, the elderly and health care service can be significantly improved.

By 2020, in line with national conditions and medical support binding institutional mechanisms and policies and regulations basically established, health care and pension services to achieve an orderly sharing of resources, covering urban and rural areas, appropriate scale, reasonable function, combined with an integrated continuous medical support network basically formed. primary health care institutions the ability to provide on-site service for the elderly at home has improved significantly. All medical institutions opened registration for the elderly, the green channel for medical treatment and other convenient services, all pension institutions can stay in different forms to the elderly health services, basic health care services adapted to the needs of the elderly.

Third, the key tasks

(C) establish and improve medical and health institutions and cooperation mechanisms pension institutions. Encourage pension institutions with neighboring medical institutions to carry out various forms of cooperation agreements, establish and improve the coordination mechanism, based on the principle of mutual benefit, a clear responsibility of both parties. Medical and health institutions as pension agency opened a green channel schedule an appointment for the elderly to provide medical check-rounds, health management, health care consulting, medical appointments, emergency first aid, Chinese health care and other services to ensure that the elderly can stay timely and effective medical treatment. Pension institutions equipped with the qualified medical institutions as hospitals (including TCM hospitals) admitted to post-rehabilitation care facilities for older persons. Encourage the general hospitals (including TCM hospitals, the same below) and the pension agency to carry out coordinated assistance and cooperation to build. Through the construction of the Commonwealth of medical pension and other methods, the integration of medical care, rehabilitation, pension and care resources to provide treatment of hospitalized elderly, rehabilitation care, hospice care and life stable integration of health and pension services.

(Iv) support the pension agency to carry out medical services. Pension institutions according to service needs and their ability to apply the relevant provisions set up geriatric hospitals, rehabilitation hospitals, nursing homes, Chinese medicine hospitals, hospice, etc., can also be equipped clinic or nursing station, improve the pension agency to provide basic medical services Ability. Medical institutions, pension institutions set up to comply with national laws, regulations and administrative department of health planning, the relevant provisions of Chinese medicine administration, in line with basic standards of medical institutions, in accordance with regulations by the relevant departments to implement the access and management, according to the law to carry out medical and health services in accordance with regulations . Health planning administration and medical management departments should intensify policy planning and technical support and guidance. Medical institutions, pension institutions set up, in line with the conditions according to the provisions included in the urban and rural basic medical insurance program. Encourage practitioners to the medical institution pension institutions provided more practice, have the relevant expertise to support physicians and professionals in the pension agency to carry out standardized health services for disease prevention, nutrition, health and other non-medical Recuperation behavior.

(V) to promote the extension of health services to communities, families. Fully relying on the community for services and information network platform, to achieve seamless primary health care service agencies and community organizations. Health Jishengxitong play service network advantages, combined to carry out basic public health services for the elderly to establish health records, and to provide health management services for over 65 years old, in 2020 over 65 years old and health management rate of over 70%. Encourage community elderly, illness, disability, partial disability and family planning and other special family mobility or elderly people is indeed difficult to provide regular medical examinations, home rounds, family bed, community care, health management, and other basic services. Promote primary health care institutions and medical personnel and community home care combined with the establishment of the service contract relationship with the elderly home for the elderly to provide continuity of health management and health services. Improve the ability of primary health care institutions for the elderly at home to provide on-site service, standardize medical services and nursing home elderly will comply with medical expenses included in the scope of Medicare payments.

(Vi) encourage social forces to run health support binding mechanism. Encourage social forces pension for the elderly health needs through market-oriented mode of operation, combined with support agencies and organizing health geriatric rehabilitation, aged care and other professional medical organizations. In the development of health and pension-related planning, social forces doctors to give support binding mechanism to make room. Accordance with the "entry at" principle, who meet the qualifications of planning conditions and access can not be restricted for any reason. Integration approval procedures, clear and shorten the approval time, encourages areas to provide convenient one-stop service. Through franchising, public buildings private, public office to help other models, support social forces combine to support non-profit health organization. Support preventive health care companies around the elderly, health care, rehabilitation care, life care, spiritual comfort and other aspects of demand, and actively develop safe and effective food and drug rehabilitation aids, daily care, culture and entertainment products and services supplies appliances, the elderly.

(Vii) to encourage health care institutions and pension services convergence. Encourage local local conditions and take several forms of medical and health care service integration and development. Health care service co-ordination and distribution of resources, focus on strengthening geriatric hospitals, rehabilitation hospitals, nursing homes, hospice institution-building, resource-rich areas of public hospitals can actively and steadily to some public hospitals into rehabilitation, aged care and other continuing medical mechanism. The ability to improve the overall hospital services for older patients, conditions in the general hospitals to set up geriatrics, chronic disease prevention and rehabilitation of the elderly do care related work. Improve primary health care institutions rehabilitation, nursing beds accounted for, according to the conservation of the elderly to encourage their additional demand for services, hospice beds. Full implementation of preferential policies elderly care, health care institutions for the elderly in particular, to the elderly, illness, disability and partial disability elderly registration, treatment, referral, medicine, charges, polyclinics and other medical care facilitation services. Qualified medical and health institutions through a variety of forms, according to the law to carry out pension services in accordance with regulations. Encourage healthcare institutions and medical volunteers to work at all levels to carry out a regular clinic for the elderly. Give full play to Chinese medicine (including national medicine, the same below) the advantages of preventive health care specialties, vigorously develop the Chinese medicine and pension services combined range of services products.

Fourth, safeguard measures

(Viii) improving the investment and financing and fiscal policy price. For qualified medical support binding mechanism related support required to implement the policy. Broaden the market channels of financing, government and social capital to explore cooperation (ppp) investment and financing mode. Encourage and guide various types of financial institutions to innovative financial products and services, increase financial support for the medical field binding support. Areas where conditions permit can be produced by co-financing the financial and industrial capital investment fund to support the health industry with the development of the medical support. Social welfare lottery used to support the implementation of an appropriate combination of the medical support services. Actively Promoting the Government to buy basic health care services, and gradually expand the scope of services to purchase, improve the purchase of services, all types of business entities equal participation.

(Ix) to strengthen the planning and land protection. Governments at all levels in land use planning and urban planning in the overall consideration of the medical support combine institutional development needs, good land use planning. Medical support to non-profit organizations combined, can be taken allocations, give priority to land; for-profit health support binding mechanism should lease, and other paid ways to protect the land, the pension agency set up medical institutions can be in supporting construction projects medical services related to the requirements as a condition of land, and clearly can not be split for sale. Legally required bidding auction to sell the land, it shall take the tender auction listing to sell.

(X) explore the establishment of a multi-level security system of long-term care. Continue to do the elderly care services. Further development, including long-term care insurance business, including a variety of aged care insurance products, encourages areas to explore the establishment of long-term care insurance system, and actively explore diversified insurance funding model to ensure long-term care needs of the elderly. Encourage older persons to insure long-term care insurance products. Establish a sound long-term care program content, service standards and quality evalsuation of industry norms and institutional mechanisms, explore the establishment of the home, the community and other professional bodies to a more robust professional care service delivery system.

Implement the comprehensive training hemiplegic limb, cognitive rehabilitation perceptual function, activities of daily living assessment and other medical rehabilitation projects into the scope of the basic medical insurance policy for the disability, partial disability elderly rehabilitation treatment provide protection.

(Xi) strengthening of personnel. Good job classification, the system of professional and technical training and continuing medical education and other aspects of convergence of pension institutions and health facilities medical staff treated equally. Improve the pay, job classification and other incentives to encourage health care workers to raise health institutions combined practice. The establishment of medical and health institutions and health personnel training support binding mechanism rotation mechanism to promote the orderly flow of talent. The geriatrics, rehabilitation, nursing personnel as the badly needed talent into health planning staff training programs. Strengthen professional skills training, and vigorously promote the old-age care workers and other professional skill. Support institutions of higher learning and secondary vocational schools additional relevant courses, speed up the training aspects of geriatrics, rehabilitation, nursing, nutrition, psychology and social work professionals.

(Xii) strengthen information support. Active retirement and community services information Huimin pilot, the elderly use the basic information files, electronic health records, electronic medical records, etc., to promote community-based care services and information platform for regional population health information platform for docking, integration of information resources, information sharing, Medical support services carried out in combination provide information and technical support. Organization of medical institutions for the pension agency telemedicine services. Encouraged to explore a new model based on the combination of the medical service support Internet services more convenient and targeted.

Fifth, organization and implementation

(Xiii) to strengthen organizational leadership and departmental collaboration. All localities and departments should attach great importance to promote the medical support combine work in an important position, into the policy and the promotion of medical reform pension, health service industry overall deployment, all localities should promptly formulated to promote the combination of the medical support measures, planning systems and specific programs. All relevant departments should strengthen synergy, implement and improve the relevant preferential policies, jointly supported by the medical support with the development. To promote the development and reform department of health and pension services combined into the national economic and social development plan. Health planning, civil affairs and development and reform departments should do a good job planning convergence pension institutions and health-building institutions, to strengthen cooperation in the planning and approval and other aspects of the development of institutions and to improve the medical support combine to provide health and home care services for the elderly standards and strengthen supervision. Financial departments should implement the relevant investment policies, and actively support the development of the medical support binding. Human resources and social security, health and family planning departments to qualified medical support binding mechanism into rural and urban basic medical insurance program. Land and resources to effectively protect the health of the binding mechanism to support the supply of land. Urban and rural planning departments to co-ordinate planning and land layout combined with the medical support agencies. Aging departments to do the medical check-binding mechanism to support the legitimate rights and acceptance of security work home health care services for older persons. Medical management departments to study and formulate relevant service standard pharmaceutical norms and strengthen supervision, strengthen Chinese medicine appropriate technology and product promotion services, strengthen medical and health personnel training pension, good pension in medical and health work.

(Xiv) a good job pilot demonstration. Countries in selected, representative regional organizations to carry out the medical support combined pilot, planning and construction of a number of distinctive features, an exemplary combination of strong medical support pilot projects. All localities should actively explore the actual promotion of effective forms of health support combined, each province (autonomous regions and municipalities) set up at least one provincial pilot areas, and accumulated experience, and gradually open. Health planning, civil affairs departments should work together with relevant departments to closely follow the progress of the country, to help solve the major problems in the pilot, sum up experience and dissemination of good practices, and improve relevant policies and measures.

(15) Strengthening the supervision and examination. All localities and departments should establish a policy combining support for the implementation of the medical situation, combined with the medical support service coverage, health care institutions and pension institutions seamless extent, the quality of elderly care service, the elderly satisfaction as the main indicator of the assessment evalsuation system, strengthen the performance appraisal. Health planning, civil affairs departments should work together with relevant departments to strengthen supervision of the medical support combine work regularly informed of the progress of work to local circumstances, to ensure that all policies and measures implemented.