It is predicted that by 20 15, the average life expectancy in China will increase by 1 year compared with 201year. The infant mortality rate dropped from 13. 1‰ in 20 14 to 8.9‰ in 20 14, and the maternal mortality rate dropped from 30/ 10 to 2/kloc-0 in 20 14. The health gap between urban and rural residents has been further narrowed, and the accessibility, service quality, service efficiency and mass satisfaction of medical and health services have been significantly improved, laying a solid foundation for building a well-off society in an all-round way and realizing the goal of "everyone enjoys basic medical and health services".
A: During the Twelfth Five-Year Plan period, we will continue to adhere to the basic concept of providing the basic medical and health system to the whole people as a public product, adhere to the basic principle of "ensuring the basics, strengthening the grassroots and building mechanisms", strengthen the top-level design, strengthen the problem orientation, continuously push the reform deeper, and make breakthroughs in key areas and key links. The proportion of residents' personal health expenditure in the total health expenditure decreased from 35.29% in 20 10 to 3 1.99% in 20 14, which is the lowest level in recent 20 years, and it is expected to achieve the goal of falling below 30% within this year. The main achievements include four aspects:
First, the universal medical insurance system has been basically established. China has woven the largest basic medical insurance network in the world. In 20 15, the number of people participating in three basic medical insurances, namely, urban workers' basic medical insurance, urban residents' basic medical insurance and new rural cooperative medical care, exceeded1300 million, and the participation rate remained above 95%, which was 3 percentage points higher than that in 20 10. In 20 15, the per capita financing of the new rural cooperative medical system and urban residents' medical insurance increased to about 500 yuan, and the government subsidy standard increased to 380 yuan, which was 2.2 times higher than that in 20 10 (120 yuan). In 20 14 years, the reimbursement rate within the scope of the three basic medical insurance hospitalization expenses policies reached more than 70%. Implement serious illness insurance for urban and rural residents and comprehensively establish an emergency rescue system for diseases.
Second, the pace of reform of public hospitals has obviously accelerated. At the provincial level, we have identified Jiangsu, Fujian, Anhui and Qinghai provinces as pilot provinces for comprehensive reform, and made the deployment and promotion of public hospital reform the core task. At the municipal level, the number of national pilot cities has increased from 34 to 100. At the county level, 75% of counties (cities) and 76% of county-level public hospitals have started the comprehensive reform of county-level public hospitals, and the goal of full coverage will be achieved this year. In the process of reform, we will resolutely break the mechanism of supplementing doctors with drugs, establish a scientific compensation mechanism, actively explore the modern hospital management system, and steadily promote the reform of the establishment and personnel distribution system.
Third, the basic drug system and the new mechanism of grass-roots operation have been further consolidated and improved. The price of essential drugs has decreased by about 30% on average compared with that before the reform, and a mechanism to ensure the supply of medicines in short supply has been established, basically ensuring the use of medicines by children. At present, all government-run township hospitals and 86% village clinics are equipped with essential drugs, and zero-difference sales are implemented. The hardware construction, software construction and service capacity of primary medical and health institutions have been significantly improved, and the treatment of rural doctors has been continuously improved. Starting from 20 14, all the new funds for per capita basic public health service subsidies were used for rural doctors for two consecutive years.
Fourth, vigorously promote social medical and health services. In the planning of medical and health service system, space is reserved for social medical services, and efforts are made to eliminate policy obstacles that hinder the development of social medical services. The medical services provided by non-public medical institutions shall be subject to market-regulated prices. By the end of 20 14, there were 5478 private hospitals 12500, an increase of 5478 compared with the end of 20 10, accounting for 48.5% of the total number of hospitals. The number of patients in non-public medical institutions reached 65.438+0.68 billion, accounting for 22% of the total number of patients in the country, achieving the planning goal of 20% ahead of schedule.