national health and family planning commission, deputy director of the state council reform office director Wang Hesheng salt of perturbation (yuan)
on February 12th, the scio on deepening reform and improve the medical service a reporter asked about the circumstance. According to the national health development planning commission, deputy director of the state council reform do Wang Hesheng, director of the introduction, the contributors in the basic medical insurance in China more than 1.35 billion, rates steady at more than 95%. 2017 urban and rural residents basic health care per capita fiscal subsidy standard raised to 450 yuan, the medical insurance directory 375 new medicines, safeguard scope expands unceasingly, improve reimbursement ratio.
Wang Hesheng said, on the basis of the basic medical insurance pratt &whitney, build system of urban and rural residents a serious illness insurance, covering 1.05 billion people, a serious illness patient compliance medical expenses rate increase by about 12% on average. Launched in 2013, a disease emergency rescue system, has nearly 700000 person-time. Basic medical insurance, serious illness insurance, medical treatment, disease, emergency relief and charity relief, supplementary medical insurance and commercial health insurance to connect, form a diversified multi-level universal health care system. To carry out the settlement is directly across the province long-distance medical expenses, let people see the doctor running errands, and less less mat endowment.
promote the reform of medical insurance payment methods, carried out more than 200 cities macro-reforms number of disease to reach more than 100. Vigorously implement the health poverty alleviation projects, rural cross tent card poor individual out-of-pocket medical expense ratio decreased from 43% in 2016 to 19% in 2017. Start the rural poor work special treatment of a serious illness, at present has treatment for serious illness such as esophageal cancer, end-stage renal disease, children leukemia patients 476000 person-time, cure rate is 85.6%.
has 68 cities in 30 provinces across the country fully implemented the reform of public hospital compensation system work, and constantly expand the scope of the pilot.
Wang Hesheng said that at present our country is gradually improve the system of performance appraisal, do work more, superior blue-chip reward. Prohibit the incomes of medical personnel with medicines and chemical reagents, consumables, inspection and other business income, scientific control unreasonable medical expenses increased, government-run medical institutions of medical treatment cost increase from 21% in 2010 to 10% by 2017. Gradually establish maintenance public welfare, mobilize enthusiasm, ensuring the sustainable operation mechanism, public hospital public welfare significantly improved.
at present our country conducted drug whole process reform, efforts to reduce prices artificially high.
in the production process, to encourage innovation, to develop generic consistency evaluation of curative effect. Strengthen the shortage of drugs, cheap drugs supply security and children’s drugs, the integrated use of market targeting precise measures, such as matching and fixed-point production is a good way to solve the urgent clinical needs by more than 130 drug shortages.
in circulation, the comprehensive reform pilot provinces and four batch of pilot cities to implement drug distribution reform of public hospitals & other; Two votes & throughout; The conduct of parties, further standardize circulation field. In the use of link, through the centralized bid procurement, drug prices state talks, control unreasonable drug use a variety of measures, such as lower drug prices. The latest round of units in the provinces drug centralized purchasing prices dropped more than 15% on average.
currently more than 4100 hospitals can provide information query and push service for patients, 4 times that of three years ago.
Wang Hesheng said that since 2015, further improve the medical service in China should be a plan of action, promoting the development of the medical service quality. Implement & other; A reservation two shorten & throughout; : all tertiary public hospital in booking diagnosis; Outpatient service in recent three years, the average waiting time more than 10 minutes, some hospitals to shorten more than 1 hour. The average shorten within 10 days of such confinement.
by optimizing service process, by means of information technology, implementation of ambulatory surgery and other measures to reduce queuing times, shorten payment and waiting time, more than 4100 hospitals can provide information query and push service for patients, 4 times that of three years ago, effectively reduced the repetition of patients in the hospital queue to expend and hospital visits back and forth.