Public Health System Reform (Draft for Soliciting Opinions) Request for Comments

On October 14th, the “Opinions on Deepening the Reform of the Pharmaceutical and Health System (Draft for Soliciting Opinions)” (hereinafter referred to as the “Draft for Soliciting Opinions”) was publicly solicited from the public for soliciting opinions, which aroused extensive attention from all walks of life and was proposed for the “Draft for Comment”. Valuable comments and suggestions. The solicitation process officially ended at 24:00 on November 14. As of 16:00 on November 14th, a total of 35,260 feedbacks were received through the Internet, faxes, and letters.

All sectors of society have participated in the solicitation of opinions. From the countryside to the city, from the central government to the grassroots, from medical personnel to ordinary people, all aspects of the masses have put forward their own views and suggestions, fully embodying the general public's medical and health care system. Concern and support for reform. Among them, 55% of the total number of opinions were expressed by medical professionals with medical personnel as the mainstay, and 20% of the total number of people were farmers, migrant workers, and employees. The people who gave their opinions were mainly low- and middle-income working-class workers. The annual income was less than 50,000 yuan and accounted for about 95% of the total. The people who express opinions through the Internet are mainly young and middle-aged people, and people aged 15 to 59 account for 97% of the total; the people who express opinions through letters channels are mostly old people. The people of all provinces, autonomous regions, and municipalities directly under the Central Government all participated in the solicitation of opinions. Some people from Hong Kong, Macao, Taiwan, and overseas also sent opinions and suggestions.

From the overall evaluation of the “Draft for Comment”, more than 90% of the people gave positive comments and suggestions. The general public believes that the “Draft for Soliciting Opinions” is a guideline that is in line with China’s national conditions. With clear direction and comprehensive content, it has for the first time proposed some basic reforms such as establishing a basic medicine system and equalization of basic public health services. It is a major health reform. progress. The masses generally agree with the five key tasks that the “Draft for Comment” clearly puts forward, such as speeding up the universal coverage of the basic medical insurance system, establishing a basic medicine system, improving the primary medical and health service organizations, promoting the equalization of public health services, and promoting pilot reform of public hospitals. And placed high expectations.

Many people said that as regards major guiding opinions such as medical reform, the government has openly solicited opinions from the community. For the first time in our country, it fully shows respect for public opinion, and it also expresses that the state must solve the problem of people's livelihood, which is difficult to see and expensive to see. The determination and sincerity. At the same time, many people have pointed out that the pharmaceutical reform involves a wide range of situations and the situation is complex. It is the focus and difficulty of China's reform. The success of medical reform is focused on the implementation and it is expected that the medical reform will introduce effective supporting documents and implementation measures as soon as possible.

From the specific content of the opinions of the masses, the people are paying attention to a wide range of issues. Among them, the opinions on strengthening the construction of the medical and health service system are the most, accounting for 37.8% of the total. The opinions on improving the construction of the medical security system account for 25.9% of the total. The opinions on the construction of the drug supply assurance system accounted for 24.7% of the total, and opinions on strengthening the construction of the public health service system accounted for 8.4%. More focused opinions include: increasing government investment, deepening the reform of public hospitals, guaranteeing the treatment of medical personnel, strengthening the construction of county hospitals, township hospitals, improving the capacity of community health services, developing the cause of Chinese medicine, improving the medical security system, and improving the overall plan for serious diseases. , Remedy the reimbursement of medical insurance in different places, reduce drug costs, establish a basic drug system, and regulate the methods of drug bidding, procurement, and distribution. In addition, some people put forward specific suggestions for wording amendments to the “Draft for Comment”.

Since the consultation activities began, the Inter-ministerial Coordination Working Group Office for the Deepening of the Medical and Health System Reform has also received opinions from the grassroots gathered by relevant departments and regions through seminars and research, and received comments from various democratic parties. The office carefully collected and classified all the opinions received and analyzed them one by one. Recently, on the basis of fully considering the opinions of all parties, and in accordance with the requirements for promoting the healthy and sustainable development of China's medical and health undertakings, the "Draft for Soliciting Opinions" will be further revised, and the implementation documents will be researched and improved to deepen, refine, and materialize various policies. Measures to clarify the priorities and steps of recent reforms and accelerate the process of reforming the medical and health system.

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