 Since the 18th national congress of the medical industry on July 26, China's healthcare reform has been moving towards a broader level. In 2017, the comprehensive reform of public hospitals has been unprecedented, the growth of medical expenses has continued to decline, the coverage of medical insurance has stabilized at more than 95%, and the public medical care burden has been alleviated. Experts believe that the hospital returning back to public welfare nature, the doctor sees a doctor role regression cure function, medicine, health reform this year around the break with medicine cure, establish maintenance public welfare, to mobilize enthusiasm of the public hospital operation mechanism, made great progress in controlling health care costs, effectively enhance the people's feeling. It is understood that in the second half of this year, the relevant departments will coordinate the reform of the management system, medical prices, personnel compensation, drug circulation, and medical insurance payment methods.
Progress in comprehensive reform of public hospitals is unprecedented
Since the 18th national congress, the reform of urban public hospitals has started from the pilot, from the point and the surface to steady progress. The reform of the center of gravity is transformed from the construction framework to the system construction, the reform of the hospital reform to the comprehensive reform of the county area, and the reform of the single reform to the medical, medical insurance, and medicine reform. The number of pilot cities from 17 public hospitals in 2010 expanded to 100 in 2015 and 200 in 2016.
Li bin, director of the national health and family planning commission said on July 24, at present, the public hospital reform in 20 provinces, all across the country, 242 cities and counties (cities) away, grading treatment pilot cities to expand to 321, the family doctor signed up more than 320 million people, 2017 before the end of September, will be fully opened the public hospital reform in China, all the abolition of all public hospital drug addition (except traditional Chinese medicine yinpian).
In fact, along with our country public hospital reform path gradually clear, reform tentative results, especially in the area of 3 d linkage and upper and lower linkage unprecedented, forming a batch of practical typical experience, replicable and scalable. In April this year, Beijing took the lead to cancel the drug addition, throughout the city public hospital patients on drug purchase price sale, a number of medical service price adjustment, medicare payments and financial aid synchronous follow up.
It has also brought a tangible sense of "gain" to patients. NBS survey office in Beijing has done in the middle of two tertiary hospitals according to the survey, 91.7% of the patients support reform, 82.2% of the patients to think reform grading diagnosis and treatment, more than 90% of the patients satisfaction for medical treatment.
Nationwide, public hospitals at all levels of the country have made a reasonable income structure by eliminating drugs, adjusting the price of medical services and increasing government input. The proportion of medical income in urban public hospitals has continued to decline, from 44.8% in 2012 to 43.3% in 2013, 42.2% in 2014 and 42.8% in 2015, and 39.6% in 2016. At the same time, gradually raise the proportion of medical service income in hospital revenue.
The highlight of the health care system was established
Since the small village to the big city, a coverage of the national health insurance network has gradually taken shape, which has become one of the highlights of China's healthcare reform.
According to statistics, as of the end of 2016, the number of three basic health insurance coverage (participants) reached 1.34 billion, with the participation rate reaching 98.8%, and the annual participation rate was stable at more than 95% for five consecutive years. The per capita financing standard for urban and rural residents' medical insurance integration is 620.4 yuan; The per capita financing standard for urban residents in unintegrated areas amounted to 570.2 yuan, and the total per capita financing of the new rural cooperative project reached 551.4 yuan. A total of 10 provinces have implemented the major disease insurance provincial-level coordination, and 334 prefecture-level cities (99%) have implemented the disease emergency assistance system. In 2012, the per capita basic public health service budget was 25 yuan. In 2017, the per capita basic public health services will be increased to 50 yuan.
On the other hand, over the past five years, China's health care reform has continued to deepen. People's health continues to improve, and the main health indicators of residents are generally better than the average in the middle and high-income countries, with the life expectancy rising from 74.83 years in 2010 to 76.34 years in 2016. Wu Ming, a professor in the school of public health, Peking University health science believes that in a short period of time in China to establish a universal basic medical security system, financing level and government spending increased year by year, in the improvement of residents' health services accessibility, solve the problem of expensive has played a key role.
From the central to the local, the state has invested a great deal of manpower, material and financial resources, and the universal health care system has made great progress. National health development planning commission ombudsman jian-hong yao of the economic information daily, reporter said: "more than a decade ago, the health of our country is relatively lack, then there's a phrase often, called 'prop ailment pulls a serious illness, and not die,' the situation has been greatly changed, a big thanks to the health care system construction. In the case of the current economic downturn, from central to local government, still a lot of put on health care, which fully embodies the highly concern of the government of the people's livelihood, the people also enjoy the health reform get feeling."
On the other hand, China's medical service system has made great progress, and the medical and health institutions in urban and rural areas have covered every corner. "In our 9.6 million square kilometers of land, as long as there are people, we strive to bring doctors and medical services to the people in a variety of ways." In turn, the medical service system has improved and people are more willing to go to the hospital, yao said. In 2008, the number of visits to China was 4.9 billion, rising to more than 7.9 billion by the end of 2016, with a growth rate of over 60%. The level of basic medical insurance has been gradually improved to provide institutional guarantee for all patients.
In addition, the disease insurance has been from scratch, rammed up the basic medical insurance system. In 2012, China began to pilot the medical insurance system for urban and rural residents. By the end of 2016, the insurance for urban and rural residents will be fully extended and fully covered. In 2016, the full implementation of the major workplace disease medical relief, relief scope of object from the object of urban and rural subsistence allowances, strands personnel gradually expand to rural cross tent card's poor and low-income rescue object and seriously ill patients because of sickness poor family.
China's achievements in the field of health care have been widely recognized internationally. The world bank and the world health organization (who) report that China's rapid progress towards universal health coverage has attracted worldwide attention.
The rapid growth of medical expenses has been curbed
The growth of medical expenses bears on the vital interests of the people. In the past five years, China has achieved remarkable results in controlling the increase of medical expenses in public hospitals. From the average total revenue growth in public hospitals, medical institutions revenue growth at 24.0% in 2012, in 2013 was 15.7%, and 15.3% in 2014 to 13.4% in 2015, 2016, at about 10%, is expected to control the excessively rapid growth of the national medical expenses got preliminary control. At the same time, the number of outpatient and hospitalization expenses in public hospitals decreased.
This is in line with the continuous growth of the government's investment in health care, which is inseparable from the continuous optimization of the overall cost structure. In 2016, the national fiscal health expenditure was 1.32 trillion yuan, up 10% from 2015, and 4.1 times before the start of the reform. The proportion of personal health expenses of residents has decreased continuously, and the personal burden has been reduced year by year. In 2012, it was 34.34%, 33.88% in 2013, 31.99% in 2014, 29.27% in 2015, and 28.93% in 2016. The universal health coverage target advocated by the world health organization (who) has been reached, i.e., the proportion of individual health expenditures of residents in low - and middle-income countries is not more than 30%.
Jian-hong yao said that after years of reform, there has been a great improvement in China's drug regulatory system, drug prices artificially high a degree of relief, to optimize the whole medical service cost, in addition, the drugs get reasonable standard and use.
According to the understanding, currently qinghai, Beijing, guangdong, shanxi, shandong, hebei, shaanxi and other provinces have introduced measures to reduce the high price of drug consumables. This year, the provinces (autonomous regions and municipalities) to set annual medical expenses growth control target, in 2017, the national public hospital medical costs an average growth rate control under 10%, and regularly publish the provinces, autonomous regions and municipalities directly under the main monitoring indicators sort. |
