The Ministry of Health and other 7 ministries and commissions jointly issued the "Notice on Accelerating the Pilot Work of New Rural Cooperative Medical Care"
Release time: 2006/5/15 11:09:18 Visitors: 52623
The Ministry of Health and other 7 ministries and commissions jointly issued the "Notice on Accelerating the Pilot Work of New Rural Cooperative Medical Care" -------------------------------------------------- ------------------------ Ministry of Health, National Development and Reform Commission, Ministry of Civil Affairs, Ministry of Finance, Ministry of Finance, Documents, Ministry of Agriculture, State Food and Drug Administration, State Administration of Traditional Chinese Medicine and Pharmacy
Wei Nong Wei Fa  No. 13
Notice on Accelerating the Pilot Work of New Rural Cooperative Medical Care
Provinces, autonomous regions, municipalities, cities with separate plans, health and development bureaus, development and reform commissions, bureaus of civil affairs, bureaus of finance, bureaus of agriculture (forests), bureaus of food and drug supervision, bureau of traditional chinese medicine, Xinjiang Production and Construction Corps Bureau, Development and Reform Commission, Democracy Bureau, Finance Bureau, Agriculture Bureau, Food and Drug Administration: Since the launch of the pilot project of the new rural cooperative medical system, there has been clear understanding, strong organization, solid work, and steady progress in various places. It has achieved obvious results and has been welcomed by the majority of farmers. In order to explore the new situation, it is necessary to improve the medical security work for farmers and gradually improve The new rural cooperative medical system has accumulated experience. In accordance with the spirit of the 101st executive meeting of the State Council and the 2005 National New Rural Cooperative Medical Care Pilot Work Conference, starting from 2006, relevant policies will be adjusted, efforts will be accelerated, progress will be accelerated, and new rural cooperative medical care pilot work will be actively promoted. The relevant issues are notified as follows: I. High Attention to Pilot Work of New Rural Cooperative Medical Care Establishing a new rural cooperative medical system is a major measure to solve the problem of peasants' difficulty in seeing a doctor based on China ’s basic national conditions. It is aimed at improving farmers' health, alleviating peasants' poverty due to illness, returning to poverty due to illness, coordinating urban and rural development, and realizing a well-off society Social goals play an important role. Relevant departments must fully understand the significance of piloting new rural cooperative medical care from the perspective of governing for the people, people-oriented, and building a harmonious society. In accordance with the deployment and requirements of the State Council, they must unify their thinking, define goals, organize carefully, and work hard. This important event for the benefit of the peasants should be grasped, implemented, and done well. Relevant departments of provinces (autonomous regions and municipalities) must conscientiously organize investigations and studies, improve the pilot scheme, standardize the operating mechanism, and form 2 to 3 more mature pilot models for reference in future promotion. Clarify the goals and requirements of the pilot expansion The provinces (autonomous regions and municipalities) should, on the basis of conscientiously summing up the pilot experience, increase their efforts, improve relevant policies, and expand the trial of new rural cooperative medical services. In 2006, the number of pilot counties (cities, districts) in the country will be about 40% of the total number of counties (cities, districts) in the country; it was expanded to about 60% in 2007; it was basically implemented nationwide in 2008; and a new rural cooperative medical system was implemented in 2010 Basically cover the goals of rural residents. The eastern region can speed up its progress on the basis of standardized management, and areas with conditions can explore various forms of rural medical security measures. In advancing the pilot work, all regions must implement the principles of voluntariness, mutual assistance, openness, and service, adhere to the voluntary participation of farmers as a family unit, and do not engage in compulsory orders; adhere to the mutual aid nature of the cooperative medical system to mobilize farmers to jointly resist disease risks ; Adhere to openness, fairness, and fairness, standardize operations, and strengthen supervision; adhere to convenience and benefit the people, and truly benefit farmers. 3. Strengthening Central and Local Fiscal Support In order to reflect the party's and government's concern for farmers 'health, improve farmers' level of benefits, and guide farmers to participate actively, starting from 2006, the central government will provide subsidies for each of the farmers participating in the new rural cooperative medical care except for urban areas in the central and western regions. From 10 yuan to 20 yuan, the local finance should increase by 10 yuan accordingly. For provinces (autonomous regions and municipalities) with financial difficulties, they can increase by 5 yuan in 2006 and 2007, respectively, and be implemented in two years. Cooperative medical subsidies increased by local finances should be mainly borne by provincial finances. In principle, they should not be shared equally among provinces, cities, and counties, and cannot increase the financial burden of difficult counties. The farmers' individual payment standards will not be raised for the time being. At the same time, the pilot areas (cities and districts) of the six municipalities in Liaoning, Jiangsu, Zhejiang, Fujian, Shandong, and Guangdong, which are agricultural districts with a proportion of more than 70% of the total population in the central and western regions, are included in the scope of central financial assistance. The central government has allocated subsidy funds to Liaoning, Jiangsu, Zhejiang, Fujian, Shandong, and Guangdong provinces in accordance with a certain percentage of the central and western regions' subsidy rates. The financial departments at all levels must conscientiously implement the new rural cooperative medical subsidy funds, make full arrangements in the budget at the beginning of the year, and allocate them in time to provide the necessary financial guarantee for the smooth development of the new rural cooperative medical system. 4. Continuously improve the mechanism for raising and supervising cooperative medical funds All localities should seriously summarize the good practices of the pilot units, actively explore the individual payment methods of farmers, give full play to the role of grass-roots organizations, and establish stable funding mechanisms. If the individual farmer volunteers, after discussion and consent of the villager's congress, the villager's self-government organization may collect the individual farmer's payment on his behalf. It is necessary to strengthen fund management, ensure that special accounts are stored, that special funds are used exclusively, and that the closed operation of funds is strictly implemented to ensure that all cooperative medical funds and interest are used for participating farmers' medical subsidies. It is necessary to establish and improve cooperative medical review and reimbursement methods that are convenient for both farmers and supervision, implement county, township, and village publicity systems for fund use management, make cooperative medical reimbursement as an important part of the disclosure of village affairs, and explore farmers' participation in supervision and democratic management. Long-term mechanism to ensure farmers' right to information and supervision. It is necessary to strengthen the special audit on the management and use of cooperative medical funds, to identify problems and correct them in a timely manner. V. Formulate and adjust scientifically and rationally the compensation plan for medical expenses of farmers With the increase in the number of trials and the increase in the level of government subsidies, all localities must carefully calculate and analyze and scientifically formulate and adjust compensation plans for farmers' medical expenses based on the analysis and summary of the cooperative medical system and fund operation. The formulation and adjustment of the plan should master the following principles: First, based on the establishment of the risk fund, adhere to a balanced balance of income and expenditure of the cooperative medical fund with a slight balance; second, the newly added central and local fiscal subsidy funds should be mainly used for major illnesses. The pooled funds can also be used appropriately for small medical expenses subsidies and increase the level of subsidies for cooperative medical services. The third is that the compensation plan must be taken into consideration and the differences between neighboring counties should not be too large. The fourth is that the adjustment of the compensation plan should be implemented from the new year. To maintain the continuity and stability of policies. Strengthening the capacity building of cooperative medical management All pilot counties (cities and districts) shall strengthen the construction and management of handling agencies. The establishment of the cooperative medical agency shall be resolved in accordance with regulations, and at the same time, insurance companies shall be supported to participate in the pilot of cooperative medical business services. In accordance with the basic principles and policy requirements of the new rural cooperative medical system, the rights and obligations of relevant government departments, handling agencies (insurance companies) and designated medical institutions should be clarified, the legitimate rights and interests of participating farmers should be protected, and convenient and good services should be provided for farmers. . It is necessary to continue to strengthen the policy and business training of cooperative medical managers and handlers, and improve the cooperative medical management capabilities. It is necessary to speed up the construction of cooperative medical information, gradually implement online review and reimbursement, supervision and information transmission, and strengthen standardized management. The financial departments of the pilot counties (cities, districts) shall include the personnel and working expenses of the operating agencies in their annual budgets and guarantee that they shall not be drawn from the cooperative medical fund. Local people's governments at all levels should appropriately provide start-up funding for newly added pilot counties (cities, districts). The central government will support the pilot work in the central and western regions through special transfer payments. Seventh, to further solve the problem of medical treatment for poor farmers It is necessary to establish and improve the rural medical assistance system and do a good job of connecting with the new rural cooperative medical system. Increase the support of governments at all levels for medical assistance funds, give full play to the leading role of civil affairs departments, mobilize social forces such as Red Cross, foundations, charitable organizations and various enterprises and institutions to raise funds through multiple channels. Further improve relevant policies and measures, clarify the scope of assistance, raise the level of assistance, and focus on solving the problems of the rural five guarantee households and poor families. While helping the recipients to participate in cooperative medical care, appropriate subsidies should be given to those who are burdened by medical expenses that are too heavy and difficult to bear. In view of the fact that the income of the poor families in the rural areas is low and the living difficulties are large, more preferential policies should be given to rural aid recipients in the pilot work of the new rural cooperative medical system. Through the coordination and complementarity of the new rural cooperative medical care and medical assistance, the outstanding problem of poor farmers seeking medical treatment is solved together. Strengthening supervision of rural medical services Health administrative departments at all levels should strengthen supervision of medical institutions 'service behaviors and expenses, take effective measures to curb the unreasonable increase in rural medical expenses, and reduce the burden of farmers' medical expenses. It is necessary to establish an entry and exit system for designated medical institutions of cooperative medical care and introduce a competition mechanism; formulate a catalog of basic medical drugs and diagnosis and treatment of cooperative medical care, strictly stipulate the proportion of drugs and diagnosis and treatment expenses outside the catalogue to the total medical expenses, and implement a patient review and signature system; Control the increase of the average hospitalization expenses and average outpatient expenses of the designated medical institutions, and control the proportion of the revenue of pharmaceuticals in the designated medical institutions. It is necessary to strengthen the supervision of township health centers and maintain the public welfare nature of public health centers. To pay attention to and strengthen the application of traditional Chinese medicine and ethnic medicine, eligible Chinese medicine medical institutions should be included in the scope of designated medical institutions, and appropriate Chinese medicine and traditional Chinese medicine diagnosis and treatment projects should be included in the list of cooperative medicine basic medicines and diagnosis and treatment to meet the farmers' needs for Chinese medicine. Demand for medicine and ethnic medicine. The competent price department shall, together with the administrative department of health, explore the establishment of practical rural medical service project specifications and medical price standards. Nine, continue to strengthen the construction of rural drug supervision and supply network It is necessary to continue to strengthen the construction of a rural drug supervision network, promote the construction of a rural drug supply network, make full use of existing networks and personnel, establish a drug supply and marketing system and supervision system that is suitable for rural conditions, standardize drug supply and marketing channels, strengthen quality supervision, and crack down on illegal drug operations. activity. Gradually promote the centralized procurement or follow-up procurement of medicines in rural medical and health institutions; county-level medical institutions or township hospitals can also purchase medicines for village clinics; encourage drug chain enterprises to extend to the countryside and implement centralized distribution to rural primary medical institutions. Through the establishment of various forms of rural drug supply channels, farmers are guaranteed to use drugs safely, effectively and economically. X. Speed up the construction of rural health service system It is necessary to strengthen the construction of rural medical and health infrastructure and improve the rural medical and health service system and network at the county, township and village levels. Bring the construction of the rural health service system into the “Eleventh Five-Year Plan”, focus on strengthening the capacity building of county and township medical and health institutions, and give appropriate support to the construction of village clinics in infectious diseases and endemic areas in the central and western poor areas. Governments at all levels must concentrate their efforts to run a public health center in each township and town, and be managed by the county-level government. Where conditions permit, according to the actual situation, through the integration of existing health resources, rural community health service institutions can be established to better undertake public health work such as rural disease prevention and control, basic medical care, and health education. All localities should clarify and implement the responsibilities of public health work at the township and village levels in conjunction with the reform of township institutions. Governments at all levels should establish and improve the mechanism for ensuring rural health funding in accordance with the principle of clear responsibility and reasonable burden. Eleventh, strengthen the construction of rural medical teams Strengthen the training of rural health technicians, establish a lifelong education system, and improve the professional knowledge and skills of rural health personnel. Medical colleges and universities should strengthen the training of health professionals for rural needs, and expand the trials of targeted admissions. To study and formulate preferential policies for the promotion of rural health technicians, and encourage rural health technicians to work with peace of mind. To establish a long-term mechanism for urban health to support rural areas, urban hospitals must select medical staff to take turns to county-level hospitals and township health centers to help them carry out medical services and technical training. Before a city doctor can be promoted to the attending or deputy chief physician, he must have accumulated 1 year of service in a county or township medical institution. Newly recruited university graduates from urban medical and health institutions will serve in rural medical and health institutions in batches for one year after obtaining a doctor's license, and the service period can be calculated as the time that urban doctors must go to rural services before being promoted as the attending and deputy chief physician . County-level hospitals should also establish a fixed-point assistance system for township and village medical institutions. It is necessary to formulate policies to guide medical school graduates to volunteer services at the grassroots level in rural areas. 12. Strengthen the organization and leadership of new rural cooperative medical care All localities should regard the establishment of a new rural cooperative medical system as an important measure to safeguard farmers 'health rights, improve farmers' comprehensive quality, practically solve the "three rural" issues, and build a new socialist countryside. , Organize all forces, and actively support this work. Relevant departments should clarify their responsibilities, strengthen coordination and cooperate closely. The health department should give full play to the role of the competent authority to strengthen management and policy guidance; the financial department should strengthen the review and supervision of fund raising and use; the agricultural department should cooperate with the publicity and promotion work, assist in the management of fundraising, and supervise the use of funds; Civil affairs departments should do a good job in rural medical assistance and support the establishment and improvement of cooperative medical services; food and drug supervision departments should strengthen rural drug supervision and cooperate with the healthy development of new rural cooperative medical trials; traditional Chinese medicine management departments should focus on new rural cooperative medical services Give full play to the advantages and functions of Chinese medicine. It is necessary to strengthen public opinion and guidance, strive for the understanding and support of the whole society, and mobilize the enthusiasm of farmers to participate in cooperative medical care. Through unremitting efforts, a new rural cooperative medical system that meets China's national conditions, meets the level of rural economic development and farmers' medical and health needs has been gradually established in China.
Ministry of Health Ministry of Civil Affairs National Development and Reform Commission
Ministry of Finance and Agriculture Ministry of Food and Drug Administration