How to speed up the development of medical and health undertakings?

Deepening the reform of the medical and health system is an important task put forward by the Central Committee of the Communist Party of China's Decision on Comprehensively Deepening the Reform adopted by the Third Plenary Session of the 18th CPC Central Committee. Although the expression of the "Decision" on deepening the reform of the medical and health system is not long, it is very powerful and contains a lot of gold. The aspects involved reflect new ideas, new requirements, new policies and new measures to deepen the reform of medical and health system, and clarify the focus and direction of deepening the reform of medical and health system in the future, which is of special significance at the critical moment when the new round of medical and health system reform is in the stage of connecting the past with the future.

Since the founding of New China, especially since the reform and opening up, China's medical and health undertakings have made remarkable achievements. The medical and health service system covering urban and rural areas has basically taken shape, the ability of disease prevention and control has been continuously enhanced, the population covered by medical security has gradually expanded, the level of health science and technology has been rapidly improved, and the people's health level has been significantly improved. The main health indicators of residents rank among the top in developing countries.

In April 2009, the reform of the medical and health system was implemented. Under the leadership of the CPC Central Committee and the State Council, all regions and relevant departments have conscientiously implemented the central government's decision-making arrangements, increased investment and promoted five key reforms as a whole in accordance with the basic principles of ensuring the foundation, strengthening the grassroots and building mechanisms, and achieved remarkable progress and initial results. The framework of the basic medical security system covering urban and rural residents has initially taken shape. The number of employees' basic medical insurance, urban residents' basic medical insurance and the new rural cooperative medical system reached 654.38+0.3 billion, the level of financing and security was significantly improved, the scope of protection was expanded from serious illness to minor illness, and urban and rural medical assistance was continuously increased. The national basic drug system was initially established, and all grass-roots medical and health institutions organized by the government implemented the basic drug system, and the drug safety guarantee was significantly strengthened; The comprehensive reform of grassroots medical and health institutions with the core of breaking the mechanism of "supplementing medicine with medicine" has been promoted simultaneously, and a new mechanism to ensure public welfare, mobilize enthusiasm and ensure sustainability has begun to take shape. The basic medical and health service system has been continuously improved, the service capacity of traditional Chinese medicine has been gradually enhanced, and the construction of the general practitioner system has started. The level of equalization of basic public health services has been continuously improved. 10 National basic public health services are provided free of charge to urban and rural residents, and major national public health service projects are fully implemented. The pilot reform of public hospitals was actively promoted, measures to facilitate the people and benefit the people were comprehensively pushed forward, and diversified medical services were steadily promoted. The framework of basic medical and health system with China characteristics has been initially established, and the health cause is undergoing structural changes. The guiding role of public financial investment in grassroots, rural and public health has been continuously enhanced, and the number, education and knowledge structure of grassroots health talents have been continuously improved.

National health indicators have improved significantly, and the people have gained more health benefits. According to the data of the fifth population census in 2005, the average life expectancy in China is 73.0 years. By the end of 20 1 1, the maternal mortality rate will be 26.1110,000; The infant mortality rate is 12. 1‰. The people's feelings of seeing a doctor have been greatly improved. /kloc-the proportion of families who can reach medical institutions within 0/5 minutes has increased to 83.3%, and in rural areas it has increased to 80.8%. The proportion of rural residents who did not see a doctor for two weeks dropped from 20 1 1 year to 6. 1%, and that of urban residents dropped to 4.0%.

Individual, government budget and social expenditure accounted for 35.5%, 28.6% and 35.9% of the total health expenditure of 20 10, respectively, and the fairness, accessibility and convenience of people's medical treatment were improved.