Medical network on December 13 - a Luo Yixiao events, to the top in the process of health reform and health care in China's shenzhen, won an unprecedented high praise.
Incident almost every side of the social image of a feather, and in addition to the public in the face of public opinion, shenzhen health care reimbursement ratio also by more than 80% of the dubbed "shenzhen health care or into a big winner".
Shenzhen is the first public hospital comprehensive reform pilot cities across the country, activity in the field of health reform and health care. Social security bureau of shenzhen division director GanTao said on a BBS, "shenzhen has been is a 'low pay, high treatment pattern, capture expends rate is the lowest, and the treatment is relatively high".
People in shenzhen health care in the applause for Luo Yixiao event did not know at the same time, this has always been standing in the economic system reform front, low profile in recent years to promote the city urban management reform, is also China's first childhood health city. Even as Luo Yixiao this comparison of the critical situation, health care and basic personal burden ratio can be controlled within 20%.
Before Luo Yixiao events, all these little attention, so that the social security bureau of shenzhen are not even ready to roll in media needed information and data. In time weekly reporters call the health department, deputy director of the shenzhen city social security bureau Li Zhongji, he said, "is not yet a statistics of heavy disease risk funds for children".
Compared with a high level of health care system, the level of medical care in shenzhen and insufficient resources, was the city of the children's health.
Shenzhen health reform do state family planning commission director li gen online in China interview said that in shenzhen too fast population growth, shortage of medical health resources per capita, per capita medical and health resources in shenzhen is 1/3 of Beijing, Shanghai and guangzhou.
Nine years ago launched children health care
Unfortunate sicken Luo Yixiao, in southern weekend reported the rolle behind events: the "Matthew effect" of children health care ", became something of a "lucky". Reason is that "there is a different place, and reimbursement ratio policy disparity", in a wider urban and rural areas, because of sickness poor family.
Shenzhen set up a children's health insurance, can be traced back to nine years ago.
On September 1, 2007, the shenzhen nationwide first to promote children's health insurance policy (hereinafter referred to as "children's health insurance"). The first children's medical insurance to pay 75 yuan per person per year, the government fiscal subsidies granted 75 yuan again, such insurance cost a total of 150 yuan a year, you can get up to 200000 yuan of damages health care. Moreover, the policy allows foreign contract employees join and enjoy the same treatment in the garden in the school children, the household registration of students in the city as long as the parents either attend social insurance in this municipality with more than one year can take part in.
Public information, carry out shenzhen children's health insurance after three months, a total of 387400 people, ginseng protect children collects pay a total of children's health insurance fund 56.5339 million yuan, the accumulated medical expenses of 39.3472 million yuan, balance fund 17.1887 million yuan; A total of 44 people children deal with the serious illness of outpatient registration and 64 cash reimbursement formalities, 157 referral outside the city registration reimbursement procedures, these children with complicated diseases, such as malignant tumor, cardiovascular disease is given priority to, accounting for 53.69%.
After six months, the shenzhen to further improve the children's health care treatment, comprehensive medical coverage of the accumulation of more than one individual account "doorsill line", can be used to its already joined the children of outpatient service medical treatment of children's health.
In September 2010, social security bureau of shenzhen will be bringing children into the hospital medical insurance (second) of the basic medical insurance, on the premise of not obvious increase ginseng family burden, in 2010, for example, people only need to pay more than 100 yuan, can increase the binding type general outpatient treatment, to reduce the starting line, improve the reimbursement ratio, still can enjoy the local supplementary medical insurance related preferential policies. To the end of 2012, shenzhen contributors in children health care to 1.0306 million people.
Before this, had covered will contract employees medical insurance in shenzhen.
Shenzhen since 2003 to establish local supplementary medical insurance, supplement parallel to the basic medical insurance coverage. In December 2006, the shenzhen local supplementary medical insurance drug catalogue and the diagnosis and treatment projects increase 18 varieties, and in the adjustment, the liver transplant, a heart transplant, and malignant tumor cell immune therapy is the first supplement be incorporated into the local directory.
To launch in 2015, shenzhen 20 yuan heavy disease risk, in order to reduce the possibility of poverty due to illness, realize hospital reasonable compliance pays part of the secondary reimbursed 70% (no caps), as well as the treatment of diseases such as lung cancer, breast cancer 11 medicare catalog targeted drug reimbursement.
As of October 2016, shenzhen contributors in the basic medical insurance and local supplementary medical care for 12.797 million, at the policy level to achieve universal health care.
The premise of younger
In 2015, guangdong and Shanghai, tianjin, yunnan policies respectively, lower rate of social security. Time weekly reporters north guangshen rate of social security and comparison, after 2015 years, shenzhen pay the base and rate of social security is low compared to the domestic other cities, the burden is relatively light, reimbursement ratio was the highest.
This is closely related to the young age structure in shenzhen and other cities may find it hard to copy.
As of late 2015, the shenzhen urban resident basic medical insurance fund revenue was 1.677 billion yuan, including family and individual pay cost income 1.0539 billion yuan, fiscal expend allowance of 583.4 million yuan, at all levels of interest income 039.7 million yuan. Fund of 1.3659 billion yuan; The current balance of 311.1 million yuan. At the end of the balance funds accumulated 1.4176 billion yuan.
, according to a report in the public, by contrast, Beijing, tianjin, hubei, chongqing, guizhou and xinjiang production and construction corps six areas as a whole fund accumulated balance is less than 6 months of spending.
Urban health care system in China, all kinds of the crowd for urban workers and place unit is the main part of the medicare payment responsibility, its contribution directly affect the overall level of the supply of health care city. According to sixth census preliminary data statistical bulletin (2010), shenzhen working age population proportion data has obvious advantages in cities: 82.65% in Beijing, tianjin was 81.68%, 81.3% in Shanghai, guangzhou is 81.91%, shenzhen is 88.40%.
Health care treatment is not only related to the supply of health care, but also related to the health care needs, which is associated with an ageing population.
According to the provinces, according to statistics released by the end of 2014, the Beijing elderly population aged 60 and above accounted for 22.6% of household register population; Shanghai elderly population proportion is as high as 28.8%. Compared with Beijing and Shanghai, guangzhou, the degree of ageing is much more light. Elderly population proportion of 16.03% at the end of 2013, guangzhou, shenzhen, ageing population than just 6%, did not enter the aging stage.
But in the long run, shenzhen now adopted a policy of migrant workers integral household or make future increase in the number of elderly people, now in shenzhen, with an average age of around 30 years old, will face the aging of the future.
Medical resources short plate hard to fill
However, outsiders amazing Luo Yixiao reimbursement ratio is high, shenzhen people are hesitated to see a doctor.
Health care, treatment and management level of the leading shenzhen still face the biggest problem in health care system, shortage of resources.
According to the shenzhen municipal government, in the third quarter of 2015 to the city's public satisfaction survey window industry, medical industry in shenzhen service window satisfaction for 76.51 points, the most bottom in 24 industries. Social development research department of the state council development research center, a researcher at su Yang was also the second annual conference on population and health throughout the country and the development report said, "the supply and demand of medical services out of proportion, although is the national phenomenon, but particularly in shenzhen".
In public medical institutions of China's medical and health market, though it's been nearly 30 years of reform, but the long-term form of medical pattern is difficult to break. Taking shenzhen as an example, calculated at the end of 2015 the population of permanent residents, are equipped with the number of doctors and beds per one thousand people far less than 3, level more than developed countries. Relevant data show that by the end of 2015, only 11 3 armour hospital of shenzhen city, in 2012, Beijing has 51, there are 36 in Shanghai, guangzhou has 43. On average every one thousand people by the end of 2015, shenzhen has 3.4 beds, doctors, 2.5 n 2.8, the overload operation of the hospital, the pediatric medical resources shortage in particular.
Peking University shenzhen hospital a pediatrician told time weekly reporter, usually he want to see hundreds of children, the along while class night when the record is 289; Patients, on the other hand, make an inspection to run several trips to the hospital, hang a clinic for several days in advance booking is everywhere.
City within the regional disparity is also obvious, statistics show that more than half of the medical resources in shenzhen on 20% of the city's land area, population 37% of the original inside the special zone, 3 armour hospital also mainly concentrated in inside the special zone.
Investigate its reason, lies in shenzhen for many years did not set up corresponding medical training system. Shenzhen who appoint commissioner of medical administration Liao Qingwei has said, "a long time past, a shenzhen no medical colleges and universities, has become the shenzhen" short board "of the development of the medical treatment". That is why in recent years, vigorously introduce medical school in shenzhen - supply cycle is long, but resources for will be difficult to change the situation.
Moreover since 2009, the shenzhen public fiscal expenditure proportion of expenditure on health care industry has improved significantly. An average of about 3%, between 2005 and 2008 to 5% in 2009, 2012 and 2013, this proportion increased to 6%. Also started in 2014 in shenzhen "three projects" projects, namely to introduce famous doctor, MingYuan worldwide, clinic, shenzhen had pioneered in the whole country public hospital management office separation, medicine, first to abolish all public hospital drug weighted, introduce the innovation of health care to pay.
Is due to the shortage of health resources is difficult to make up for the moment, shenzhen is more thinking about how to build a complete system of health and welfare.
Children's health insurance for the first city of sorrow is the insufficient medical resources, and large economy is far less than in shenzhen region, generally at the same time facing the insufficient resources, and the difficulty of reimbursement ratio.
A rural hebei province leukemia parents "southern weekly" interview, because the new farmers and reimbursement ceiling of 80000 yuan, at his own expense medicine do not submit an expense account, the first time they had spent 70000 multivariate, admission ado ended up to 10000 yuan - 300000 yuan for the entire course. "Have to do your own payment first, reimbursement money after two months."
"Like compulsory education for children's health insurance backstops." On December 9, the Beijing times article this appeal. |
