Medical network - on January 9, deepening reform of public hospitals last, add 100 grading treatment pilot cities, health coverage of 95%... A new round of medical and health system reform into the eighth year, good health reform has been from foundation to improve quality, from the individual breakthrough to advancement, face to face with deep problem in system and mechanism, promote the reform of key areas and crucial links as a whole, brought health bonuses for 1.3 billion people.
From a prelude to open in 2017, to 2017 "much starker choices-and graver consequences-in" running, and then to the "healthy China" in 2030, reform the people's livelihood hot what reform let us look forward to? What "healthy China" will present a picture?
Hierarchical diagnosis: seventy percent of the country to carry out the pilot built reasonable medical treatment order
Hierarchical diagnosis is to to adjust the pattern of medical resources, is seen as effectively improve public feelings, straighten out the most effective tools for medical order. Has currently, hierarchical diagnosis and treatment in 200 public hospital comprehensive reform pilot cities rolled out, more than half the county to carry out the pilot first option at the grass-roots level, within the county JiuZhenLv above 80%.
Under the state council on the promotion of the construction of classification system of diagnosis and treatment guidelines ", points out that in 2017, our country will be more than 85% of the pilot cities to carry out the classification diagnosis and treatment, city level 3 general hospital outpatient clinic visits of medical and health institutions significantly lower proportion of the total outpatient visits, grassroots health institutions construction success rate will exceed 95%, grassroots health institutions ZhenLiaoLiang total ZhenLiaoLiang rate will exceed 65%.
By 2020, the classification ability comprehensive medical services, safeguard mechanism gradually perfect, the classification system of basic establishment conforms to the national conditions. By 2030, the first option at the grass-roots level, two-way referral, upper and lower linkage, slow partition of reasonable medical order, completed the classification system of mature and perfect.
"Form to adapt to the situation of the grading system is part of the overall design of the China's medical reform." Original Fu Hongpeng, a researcher at the Chinese health development research center of the ministry of health said, as the pinnacle of this reform, hierarchical diagnosis and treatment has a long way, still need to give full play to the regulation of health policy guiding, practice the "three medical linkage", support the construction of medical institutions, in order to "grassroots" escort hierarchical diagnostic presentation deep line amplification.
The family doctor: more than 30% coverage, signed around 15 minutes of basic medical services
As leverage grading diagnosis and treatment of "rusty gear" important driver, the family doctor is the basis of the "good see disease" patients. Health under the state council office issued the signing of promoting family doctor service guidance ", points out that in 2017, signing the family doctor service coverage will reach more than 30%, the key crowd signing service coverage above 60%, basic medical services covering common disease and frequently-occurring disease diagnosis and treatment of traditional Chinese and western medicine, the path of the rational use of drugs and medical guidance and referrals, etc.
Signed by 2020, to the family doctor services extended to the whole population, residents formation and long-term stability of the service contract relations, the basic realizing a complete coverage of signing the family doctor service system. By 2030, signing the family doctor service, perfect "treatment, rehabilitation, long-term care service chain, 15 minutes to basic medical and health services basic formation, generally have the ability to residents health the gatekeeper at the grass-roots level.
As an important gripper, build system of family doctor diagnosis and treatment of primary care personnel training aspects of power? Who in Beijing development planning commission of grassroots health commissioner jun-feng xu advice, healthy "gatekeeper" thriving force, in addition to strengthen the cultivation orientation, still need in income distribution, the title promotion, awards, etc in directing to tilt, with incentive mechanism treatment "stay". The "healthy China 2030" planning outline, points out that by 2030, the population of permanent residents in every thousand (assistant) practicing doctors will amount to 3 people, a registered nurse reached 4.7, will equal the basic elements of a high quality medical resources allocation in China.
Universal health care: "health care roaming" universal coverage, health system mature stereotypes
At present, our country through the insurance of worker medical treatment, new agriculture, urban residents medical treatment insurance, set up a cover 96.5% of the nation's health care network, and through a serious illness insurance, commercial insurance and charity relief gradually perfecting the medical security system, changed the past "slight illness to carry, etc. In addition, the end of 2016, the national long-distance medical settlement system has passed the preliminary acceptance.
Relevant head of human resources and social security said, in 2017, our country basic implementation will meet the requirements of referral direct settlement cost of long distance medical hospital, establish a relatively perfect system of a serious illness insurance, realizing a complete coverage of a serious illness insurance, urban and rural residents' medical security fairness significantly increase.
In 2030, universal health care system will be mature and finalize the design, health management service system will be perfect, efficient, in the form of basic medical insurance as the main body, a variety of other supplementary insurance and commercial health supplement multi-level medical security system to improve.
Said He Chuanqi, director of the Chinese academy of sciences research center of China's modernization, the reform of medical insurance management and payment methods, improve the ginseng of medicare payment policy, to realize the sustainable balance of medical insurance fund at the same time, still need to accelerate the basic medical insurance different ground settlement, strengthen medicare treatment "portability", make the country more than 200 million relocated retiree and floating population, no longer to see the doctor for "advance expenditure" or "broken".
Medicine control fee: personal spending accounted for less than 30%, from the source stuck "moisture"
Respect to the broad masses of ordinary people, the key is to rationalize price, this is also an important breakthrough of the health system engineering. Since 2012, the residents' personal health spending accounts for the total health expenses as the lowest level in 20 years, 200 reform pilot city public hospitals to cancel the drug addition, take the market as the leading drug pricing mechanism to build.
Reduce personal medical expense, ginseng protect patients will effectively reduce the burden of residents to see. Under the state council issued the city public hospital comprehensive reform pilot guidance ", by 2017, China will explode with medicine cure, personal health spending accounts for the proportion of the total health expenses will be reduced to below 30%, the pilot city public hospital medicine proportion (excluding Chinese medicine yinpian) overall to around 30%; One hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20.
The health service and guarantee strength will continue to increase. Countries, director-general of the department of health and family planning commission system reform Liang Wannian said that by 2020, personal health spending accounts for the proportion of the total health expenses will drop to 28%, to 2030, this proportion will fall to about 25%. At the same time, relevant departments will strengthen the drug price and high value medical consumables price regulation, establish drug price information detection and information disclosure system, from source stuck "moisture".
Liang Wannian said, the realization of medical fees to eliminate "expensive", still need through regulating the behavior of diagnosis and treatment, and reduce drug, consumables, etc. Make room, dynamically adjust the medical service price, build a reasonable compensation mechanism and mode of payment, make public hospital regression commonweal orbit. |
