Medical network - January 10, residents' life expectancy 1 higher than that of 2015 years old, the family doctor contract services extended to the whole population, control of public hospital medical expense unreasonable growth... 9, printed and distributed by the state council "" much starker choices-and graver consequences-in" deepening the reform of medical health system planning "officially announced," much starker choices-and graver consequences-in "period of China's reform roadmap. By 2020, China health reform process what are the milestones? What ordinary people will get convenient and affordable?
Longer life expectancy
Higher than that of 2015 - residents life expectancy at the age of 1
As of 2015, China's per capita life expectancy increased to 76.34 years, the number is 1.51 higher than 2010 years old. Published in the "planning", the residents' life expectancy and puts forward the new target.
"Planning" clear in 2020, after continuous efforts, the basic set up basic medical and health system covering both urban and rural residents, everyone will have access to basic medical and health services, basic to meet the needs of people's multi-level medical and health care, life expectancy of a Chinese resident 1 higher than that of 2015 years old.
"Planning" also proposed that by 2020, the maternal mortality rate dropped to 18/10, infant mortality rate dropped to 7.5 ‰, children under the age of five mortality rate dropped to 9.5 ‰, the main health indicators in high-income countries, personal health spending accounts for the proportion of the total health expenses dropped to 28%.
Grassroots visits more convenient
Signing - basic medical and health services ability to promote the family doctor service full coverage
"The plan" proposed by one of the key task is to establish the classification system of scientific and reasonable, and set the "by 2020, the hierarchical diagnosis model gradually formed, the classification system of basic establishment conforms to national conditions" goal.
Among them, improving the capacity of grassroots medical and health services is listed as an important content. "Planning" clear, to promote rural hospitals to carry out emergency rescue, second class the following routine operation, normal delivery, at the beginning of the high risk of maternal sieve, pediatrics of traditional Chinese medicine (TCM), mental illness, aging, ability, rehabilitation and other medical services.
By 2020, all community health service institutions and in towns and townships and 70% of the village clinic of traditional Chinese medicine service ability, at the same time corresponding ability in medical rehabilitation.
"The plan" is also proposed to establish and perfect the system of signing the family doctor service. Signed in 2017, the family doctor service coverage rate of 30% or more, key crowd signing service coverage rate of 60% or more. By 2020, strive for the signing services extended to the whole population, basic realizing a complete coverage of signing the family doctor service system.
The doctor fees more reasonable
Public hospital - control unreasonable medical expenses growth Cancel the drug addition
In view of the people most concerned about "expensive", "planning" is put forward to control unreasonable medical expenses increased public hospital.
"Planning" clear, family planning and other relevant departments for public health of hospital medicine, high value medical consumables, tracking and monitoring of large medical equipment examination situation. By 2017, the national public hospital medical expenses growth to below 10%, to 2020, growth rate steady at a reasonable level.
In addition, to cancel the drug addition (excluding Chinese medicine yinpian), through the adjustment of medical service prices, increasing government investment, reform of payment, reduce hospital operating costs, etc., to establish scientific and reasonable compensation mechanism.
From the aspects of drug supply security system, the planning is put forward to promote medicine apart, take comprehensive measures to cut off the hospitals and medical personnel and medicine, material between the interests of the chain.
Reimbursement is more convenient
- promoting basic health nationwide network and long-distance medical settlement directly
In terms of medical security system, put forward "planning", by 2020, basic medical insurance rates steady at more than 95%. In addition to speed up the building long-distance medical direct settlement mechanism and promote the basic medical insurance nationwide network and long-distance medical direct settlement, strengthen the collaboration ginseng to go to a doctor, convenient to the masses and settlement, to reduce the "errands", "mat endowment".
Clear planning, establish and improve the different referral policy measures, the long-distance medical direct settlement and improve medical resources sinking, promote the construction of medical association, to establish hierarchical diagnostic system to connect and coordinate.
According to "planning", by 2017, realize the basic meet the requirements of referral to a long-distance medical hospitalization expense settlement directly. By 2020, regulate medical insurance fund balance mechanism should be established and gradually achieve health insurance provincial plan as a whole, the basic medical insurance policy within the scope of reimbursement ratio stable at around 75%.
Low prices, life-saving medicine no longer hard to find
- support low-cost drugs production guarantee market supply
Introduced the "planning" and specifically, to solve good cheap drugs, "life-saving medicine", "orphan drug" and children's drugs supply problems.
Specific measures reflects in: supporting the pharmaceutical production at a lower price, security market supply and keep prices basically stable; Establish and improve the shortage of drug monitoring and warning and grading coping mechanism, accelerate the shortage of pharmaceutical production; Support the construction of concentrated production base of small drug varieties, dosage of continuing small, clinical necessary, market supply drugs designated production pilot.
In addition, the plan explicitly guarantee mechanism to improve children's drugs, health emergency medicine. To strengthen the market monitoring for API market supply of drugs, encourage production capacity.
Number of gp is more plentiful
More than 2020 people - a total of 2020
The use of talent fostering and the sound incentive evaluation mechanism is also one of the task of "planning". This among them, strengthen personnel training general practitioners is listed as one of important content.
"Planning" is put forward, by 2020, initially established a full of vigor and vitality of the GPS system, the basic form a unified, standardized general practitioner training mode, thousands of residents between urban and rural areas have 2-3 gp, who qualified general practitioners have a total of more than 300000 people. This also means that gp shortage is expected to get some relief. |
