The government convened the ‘2nd Special Commission for Medical Reform’ on the morning of the 10th and confirmed the direction of future discussions (Photo courtesy of the Ministry of Health and Welfare).
The Yoon Seok-yeol government’s blueprint for healthcare reform has been revealed. In relation to the reform of the resident training system, plans for the training of residents in tertiary general hospitals, local general hospitals and clinics are being evaluated.
On the morning of the 10th, the government held the “2nd Special Committee on Medical Reform” at the Seoul Government Complex. The meeting, chaired by President Noh Yeon-hong, was attended by government members from 6 ministries and 16 private members and discussed the detailed operation plan (draft) of the Special Committee on Medical Reform and the direction of task review reform priorities.
First, it was decided to hold meetings every month to quickly materialize the medical reform tasks, and the composition of four expert committees under the Special Committee on Medical Reform was confirmed to in-depth review the reform tasks in each field. The four expert committees are ▲Expert Committee on Medical Manpower, ▲Expert Committee on Regional and Supply System, ▲Expert Committee on Essential Medical Care and Correct Information, and ▲Expert Committee on Accident Safety Net doctors.
Furthermore, it was decided to specify the direction of the revision of the selected priority reform tasks following the first meeting, also discussing the identification of convergence reform tasks through the connection of each task and large-scale system reform.
Regarding strengthening compensation for serious and essential medical care, it was decided to discuss specific measures to strengthen compensation for serious and essential medical care, while reviewing the direction of large-scale compensation system reform. In order to improve the cost of all critical and essential medical services, we plan to specify the criteria for selecting improvement items, list the improvement items, and prepare a linkage plan so that high priority items can be reflected for first in the tariff improvement plan. .
Furthermore, based on medical cost analysis investigations, we will select the undervalued essential medical fields, intensively increase rates in such fields, and prepare an “essential medical care planning compensation plan” by correcting the distortion of the relative cost value serious and essential doctors. fields due to the inversion of the conversion index. It’s a policy.
Regarding the normalization of the medicine supply and utilization system, it was decided to reorganize the supply and utilization system to focus on function and discuss plans to promote excellent and basic hospitals in each field.
Furthermore, a strengthened primary care model will be prepared by establishing the functions and roles of primary care for the treatment of mild diseases, chronic disease management and disease prevention. To achieve this, we intend to review in detail the ▲team-based treatment system, ▲the specialist education and training system and ▲the compensation system.
Complete reorganization of the main training system including the internship system
In order to alleviate the workload of residents and improve the quality of training, a nationwide resident training and education plan will be established, the evaluation of the training environment will be strengthened, such as program certification for each hospital of training, and measures will be taken to take this into account when designating training hospitals and assigning residents.
Furthermore, the main training system, including the current internship system, has been completely reorganized to establish a substantial integrated training system for the first to fifth year within the current 4-5 year system and, to this end end, the main training curriculum and guidelines will be established. We plan to prepare comprehensive improvement measures for human and material standards, including standards for hiring specialists.
In particular, we will prepare a cooperative training system between medical institutions and a plan to strengthen regional and essential medical education during training so that residents can be uniformly trained in “higher-level general hospitals – regional general hospitals – clinics” .
In accordance with the reorganization of the training system, the costs necessary for major training will be supported by public finances, while the direction of reducing working hours for majors will also be specified, such as the revision of adequate working hours for substantial training.
Strengthen the safety net on healthcare accidents by innovating the mediation and arbitration system
We will also pursue strengthening the safety net on medical incidents. First, in order to ensure sufficient support for patients’ rights, we will prepare innovative measures for the mediation and arbitration system of medical disputes, and seek complementary measures to harmonize the “promotion of patients’ rights” and “protection of best treatment medical” within the “Special Law on the Management of Medical Accidents’ currently under discussion.
We plan to review measures to support medical accident insurance premiums focusing on essential medical care departments, and also specify measures to develop and manage effective deduction products, communicate and advise victims, and install public infrastructure for support the security management of medical institutions.
The ultimate goal of convergence is based on “transforming the medical system focused on function and performance”. ▲Redefining the role of medical institutions focusing on moderate and functional diseases. ▲Comprehensive reform of the function-focused compensation and evaluation system. ▲Strengthening of the compensation system. incentive system for the use of medical services appropriate to the function ▲Connect to the redefinition of the functions of healthcare institutions ▲Discuss the conversion of a general tertiary hospital into a specialist hospital.
President Noh Yeon-hong said: “Through intensive operation of committees and expert committees, detailed implementation plans for medical reform tasks can be prepared as soon as possible, and effective policies that can be perceived by the public can be quickly prepared forming broad consensus and social consensus through transparent and open communication.” “We will make this happen,” he said.
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