It was learned from the Yunnan Provincial Development and Reform Commission that the “Main Tasks and Work Objectives Plan for the Five Key Reforms of the Medical and Health System in Yunnan Province in 2009†have been officially announced. The document clarifies that the five basic tasks of the basic medical security system, the basic drug system, the primary health care system, the gradual equalization of basic public health services, and the pilot reform of public hospitals will become the focus.
In terms of the medical security system, in the future, Yunnan Province will continue to increase the medical insurance payment limit and the proportion of reimbursement. The urban workers' medical insurance zui high payment limit strives to reach about six times the average annual salary of local employees, and the proportion of reimbursement for hospitalization expenses for urban employees is increased. The average reimbursement rate is not less than 70%, and the personal burden ratio does not exceed 30%.
On the issue of the basic drug system, this year, according to the “Implementation Opinions on Establishing a National Essential Drug Systemâ€, combined with the actual situation in Yunnan, the Yunnan Province’s basic drug list will be completed. Within the scope of the retail guidance price regulations set by the National Development and Reform Commission, the purchase price, distribution costs and drug add-on policies are unified to determine the specific retail price of essential drugs. In the future, the list of essential medicines in Yunnan Province will be fully included in the basic medical insurance drug list and the reimbursement of the new rural cooperative medical insurance. The proportion of basic drug reimbursement will be significantly higher than that of non-essential drugs.
In addition, 30% of government-run urban community health service agencies and grassroots medical and health institutions in Yunnan Province implement the basic drug system, and implement urban community health service institutions and grassroots medical and health institutions in Kunming, Qujing, and Yuxi municipal governments. Provincial-level centralized online public bidding and procurement, unified distribution, all equipped with the Yunnan Province essential drug catalogue varieties and implemented zero-rate sales.
In terms of the gradual equalization of basic public health services, the document clearly mentions that this year, the construction of 255 grassroots medical and health institutions will be initiated, and the planning and construction of grassroots medical and health teams with a focus on general practitioners will be completed. Study and formulate compensation mechanisms for urban and rural primary health care service institutions, implement financial subsidy policies, and link up with the basic drug zero-rate sales policy. Implement performance pay in grassroots medical and health institutions, implement subsidies for tasks such as public health services undertaken by rural doctors, propose subsidy programs, and implement subsidy funds. The implementation of nine national basic public health service projects was initiated.
Yunnan Province will also actively strive to be included in the national public hospital reform pilot this year. Study and formulate relevant supporting documents for public hospital reform pilots, and encourage social capital to invest in medical services. Advance the separation of medicines, phase out drug additions, and add pharmacy service fees. Adjusting the medical service price policy so that the pilot public hospitals gradually realize the compensation by the combination of service charges and government subsidies. In addition, we will further strengthen the operation and management of public hospitals and establish a public hospital supervision system with public welfare as the core.
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