I. Classified diagnosis and treatment system is taking shape
The healthcare reform plan proposes that by 2020, a classified diagnosis and treatment model will gradually be formed, and a classified diagnosis and treatment system will be established in line with national conditions. Yao Jianhong said that 94.7 percent of cities above prefecture level are now carrying out graded diagnosis and treatment pilots, and more than 80 percent of residents can reach the nearest medical point within 15 minutes.
The formation of a hierarchical diagnosis and treatment system is inseparable from the construction of medical associations, telemedicine and family doctor services.
At present, all tertiary public hospitals nationwide are involved in the construction of medical associations. Telemedicine services have been gradually promoted, focusing on poor counties and remote areas. Family doctor contracting services have been steadily implemented, with more than 356,000 family doctor teams formed.
In the construction of the primary medical and healthcare service system, supporting policies have been continuously improved. The reimbursement rate for primary outpatient medical insurance has been raised, the starting line for referral patients has been calculated continuously, long-lasting and extended prescriptions have been implemented, and drug links between primary and higher-level hospitals have been strengthened.
II. The construction of a modern hospital management system is steadily advancing.
"Drugs for doctors" was once a major problem in public hospitals, and in September 2017, all public hospitals nationwide launched comprehensive reforms and canceled their drug markups (excluding traditional Chinese medicine).
In order to abolish the drug markup to reduce the reasonable income, most provinces through the adjustment of medical service prices to compensate for 80%, the government subsidized 10%, the hospital internal digestion 10%.
Meanwhile, the results of the pilot pay system reform are beginning to show. The scope of the pilot has now been expanded to all cities, and the proportion of personnel expenditure in the operating expenditure of public hospitals nationwide has increased from 28% in 2010 to 36% in 2017.
Third, the universal health insurance system is gradually improving
The health care system is vital to the nation's economy and people's livelihood. Yao Jianhong pointed out that the number of people enrolled in basic medical insurance exceeds 1.3 billion, and the participation rate is solidly above 95 percent.
The per capita financial subsidy standard of basic medical insurance for urban and rural residents was raised from 240 yuan in 2012 to 490 yuan in 2018, and the reimbursement ratio of outpatient and hospitalization expenses within the policy scope has stabilized at about 50 percent and 70 percent respectively. Of the national financial healthcare expenditure, medical insurance funding increased from 565.7 billion yuan in 2015 to 691.6 billion yuan in 2017.
The CNN reporter learned from the press conference that as of the end of September, the number of China's cross-provincial medical treatment designated medical institutions reached 13,995, with a cumulative total of 1,063,000 direct settlements for cross-provincial medical treatment. Medical expenses amounted to 25.61 billion yuan, with the fund paying 58.6 percent.
In addition, a series of medical insurance system reforms have reduced the burden of residents' medical care as reforms of the medical insurance payment method continue to advance and the health poverty alleviation project is being implemented in depth.
The proportion of individual medical expenditure continues to decline, with the average proportion of medical expenses for the poor population at 16% in 2017, and the problem of poverty returning to poverty gradually easing.
Fourth, the drug supply guarantee system is getting better.
Yao said the shortage of drugs has been ensured by reforming the drug approval system, promoting the evaluation of the quality and efficacy of generic drugs, and implementing the "two-ticket system" for the purchase and sale of drugs. For the 139 clinical shortage drug list, the vast majority have resumed production and supply.
In order to reduce the burden of drug costs on the public, the State has implemented zero tariffs on imported drugs, organized pilot centralized procurement of medicines, lowered the purchase price of anti-cancer drugs, and carried out national negotiations on drug prices.
The State has conducted national drug price negotiations, and on the basis of negotiations on 39 patented and exclusively produced drugs (with an average price reduction of about 50 percent), it has conducted national negotiations on medical insurance access for 17 anti-cancer drugs, with an average reduction of 56.7 percent.
In order to further improve the basic drug system, the State issued the Opinions on Improving the National Basic Drug System, and released the 2018 version of the National Basic Drug Catalog in October this year, the number of which was increased from 520 to 685, basically covering the main clinical diseases.
V. Accelerating the Establishment of a Comprehensive Supervision System
While gradually promoting comprehensive supervision of the entire industry, we continue to implement the national supervision and sampling program, focusing on strengthening the supervision of drug quality and healthcare services.
In the process of promoting intelligent monitoring of medical insurance, information technology should be fully utilized. Yao said more than 90 percent of the region as a whole to carry out intelligent monitoring of health care services, and gradually realize the outpatient clinics, hospitals, drug purchases, a variety of medical services behavior of comprehensive monitoring.
Sixth, the reform of related areas to accelerate
In terms of basic public **** health services, Yao Jianhong said the per capita subsidy level was raised from 40 yuan in 2015 to 55 yuan in 2018.
In terms of deepening the training of medical personnel, incentives for the training and use of general practitioners have been improved. By the end of 2017, there were 253,000 general practitioners nationwide, with an average of 1.81 general practitioners per 10,000 people.
In the development of "Internet + medical health", the integration of the Internet with medical services, public **** health and other services should be promoted. Yao Jianhong said that the current "Internet + medical health" presents a good situation.
Seven, improve the level of utilization of medical and health services
With the implementation of the health care system reform, "difficult to see a doctor, see a doctor" problem has been effectively alleviated, the level of utilization of medical and health services for the residents continue to improve.
Statistics showed that the average number of visits by residents increased from 5.6 in 2015 to 5.9 in 2017, and the annual hospitalization rate increased from 15.3 percent to 17.6 percent.
Materials provided at the meeting showed that the number of outpatient visits to the nation's medical institutions reached 8.18 billion in 2017, an increase of 490 million or 6.37 percent from 2015, while the number of hospitalizations reached 244.36 million, an increase of 33.83 million or 16.07 percent from 2015.
Healthcare reform, as a major livelihood project, has not only reduced the medical burden of residents, but also been widely recognized by the international community.
The Lancet, the world's leading medical journal, published a ranking of 195 countries and regions in terms of "accessibility and quality of healthcare," and found that China's healthcare has been developing rapidly and the quality of healthcare has been improving, making China one of the five countries that have made the most progress in the world.
The World Health Organization and the World Bank report that China is rapidly moving toward universal health coverage and more balanced access to basic health services.