Health is the basis for the comprehensive development of people. With the sustained economic development, the people have new requirements and expectations for improving health. In the new situation, to promote the reform and development of medical and health undertakings, for the protection and improvement of people's livelihood, and promote social harmony is of great significance, but also the current expansion of domestic demand, to maintain stable and rapid economic development of the important initiatives.
Deepening the reform of the medical and health system is committed to adhere to the public nature of public **** health care, the basic medical and health system as a public **** products to the whole population, and gradually realize the basic medical and health services for all. This is a major innovation in China's health care from concept to system, and is an inevitable requirement for building a modern nation. To adhere to the people-oriented, based on national conditions, to deal with the relationship between fairness and efficiency, government-led and play the role of the market mechanism, and focus on building a basic health care system covering urban and rural residents, and strive to meet the growing health needs of the people.
The reform of the medical and health system is a social and systematic project, and we must fully understand the long-term, arduous and complex nature of the reform. To clarify the basic framework of the reform of the medical and health system, and gradually improve the medical and health system and institutional mechanism, by 2020, so that the basic medical and health system covering urban and rural residents is basically established.
In the next three years, we should focus on alleviating the problem of difficult and expensive access to medical care for the masses, and strive to promote five reforms. The first is to accelerate the construction of the basic medical security system to achieve broad coverage, basic protection, sustainable, all urban and rural residents into the basic medical security. The second is to initially establish a national system of basic medicines, reduce the burden of basic medication costs on the public, and meet the public's basic medication needs. Third, to improve the primary medical and health-care service system, strengthen the service network and make it easier for the public to see a doctor. Fourth, promoting the gradual equalization of basic public **** health services. Major public **** health projects are being implemented to maximize disease prevention. Fifth, to promote the reform of public hospitals, pilot optimization of resource allocation, reform of the management system, operating mechanism and regulatory mechanism, and improve the quality and level of medical and health services.
To promote the five reforms, it is necessary to increase funding and effectively strengthen the supervision of funds.
[Establishment of affordable hospitals]
Public hospitals are government-invested public health institutions, but now public hospitals are engaged in "income generation" profit, resulting in the masses of people to see the doctor is expensive, difficult to see the doctor. In response to this problem, Gansu Province, Shi Dazhong 7 CPPCC members suggested that the establishment of affordable hospitals as soon as possible.
The Ministry of Health at the beginning of this year for the prevailing masses of difficult to see a doctor, the problem of expensive, proposed to establish affordable hospitals in some places. Gansu Province CPPCC member suggested that affordable hospitals must not take the old way of for-profit hospitals in the past, the implementation of medical and pharmaceutical separation, and resolutely put an end to the "medicines to support the doctor", a substantial reduction in the price of medicines, and resolutely put an end to the drug kickbacks of the crooked wind; Affordable hospitals should be the object of service is laid-off workers, living in difficult circumstances of the retired, rural migrant workers and other groups of people in need, rather than the general public enjoying medical insurance, and the public should be given the same treatment. Not the general public who enjoy medical insurance.
NPC deputies discuss the people "difficult to see a doctor, expensive"
Now the people have a wrong understanding, no matter how big or small disease, are willing to go to the big hospitals, in fact, there are more than 80% of the common diseases can be in the community clinics or small and medium-sized hospitals, and their medical costs are relatively good. The cost of medical care is also relatively low. Now the State is prepared to build affordable hospitals to alleviate the problems of difficult and expensive access to health care, but such affordable hospitals cannot be fully marketized and should be led by the government. In cities, the medical resources of public hospitals above the second level and below the third level should be integrated and transformed into community health service centers or affordable hospitals by using their mature technology and human resources, so as to ensure that people in the peripheral service radius of a certain area can all receive good treatment when they encounter common diseases.
"Affordable" should start with the removal of large prescriptions, large checks, large red packets
"Affordable hospitals" surfaced, "affordable" finally became the official language. Especially with the "strictly speaking, affordable hospitals are the first public hospitals in the true sense of the word," in the words of a spokesman for the Ministry of Health, the Ministry of Health, the reason why the establishment of affordable hospitals, because the current public hospitals are out of place, did not take up the appropriate functions. From now on, no longer need to spend any saliva, health care reform has a clear direction.
Step through the three hurdles, affordable hospitals to all the way to safety
In recent years, all over the world have opened affordable hospitals, poverty alleviation wards. The reporter saw in Jinan City Center Hospital, opened in mid-September last year for patients who do not enjoy medical insurance policy of poverty alleviation ward, only 48 beds are full every day. This fully demonstrates the strong desire of the masses for affordable medical care. Indeed, in recent years, the prices of medical services have been rising continuously, which are beyond the affordability of the general public. This time, the Ministry of Health conceived the government to promote the construction of affordable hospitals, indicating the government's determination to prioritize the protection of the poor and weak people to enjoy basic medical services.
The best way to think about this is to grasp the essence of the matter: the establishment of affordable hospitals should be put into practice
Minister of Health Gao Qiang formally proposed the establishment of a number of affordable hospitals or affordable wards around the world. Immediately afterward, Ministry of Health spokesman Mao Qun'an reiterated that affordable hospitals could be the first real public hospitals in China. In our view, this is the first time that the health authorities have sincerely accepted the public's views on hospital reform and the health care system
The emergence of affordable hospitals is a major trend, and we are wary that they will become image projects
The emergence of affordable hospitals is a major trend to address the problem of "astronomical medical fees" that have been popping up from time to time, and the emergence of affordable hospitals is an important part of the solution to the problem. The day before yesterday, a spokesman for the Ministry of Health said that the establishment and operation of affordable hospital standards, will be responsible for the financial input of the local government to develop their own, but the principle is to ensure that the purpose is not for profit, to ensure that the low-income people, including migrant populations and rural migrant workers, including the basic medical needs.
People are looking forward to the real "affordable health care" experts: should prevent "hype"
In recent days, the Minister of Health Gao Qiang's sentence, "Affordable hospitals should be established in all parts of the affordable wards! Yesterday, a spokesman for the Ministry of Health said again, the Ministry of Health proposed "affordable hospitals" this practice is to learn from the experience of Xinjiang and other places, is feasible, and will alleviate the masses of difficult to see the doctor, the problem of expensive to see a doctor has an important role.
The news has attracted widespread attention. In a "good" sound, some netizens pointed out pointedly: "do not start from the system of all changes do not hold too many illusions. National investment, universal health insurance, separation of medicine is the fundamental solution to the problem." More pointed out that "the Ministry of Health's starting point is good, the key is how to implement the problem.
Kinds of criticism on the basis of the improvement measures taken to do a good thing, or put forward a good idea.
Solving the difficult and expensive situation is more complex and requires a longer process
August 14, 49 tertiary hospitals in Beijing since June have implemented a new appointment booking, the effect is how? The reporter saw in Chaoyang Hospital, the registration queue than last month shortened by 1/4, while Tongren Hospital said its registration queue shortened by about 1 / 3. Since the implementation of the new policy, to August 11 has been 1,386,200 patients through the booking of the number of patients, the phenomenon of the major hospitals patients centralized queuing registration phenomenon can be eased. This new policy will be gradually extended to the city's tertiary hospitals this year. The city's second-tier hospitals will all carry out appointment booking services from next year.
Faced with the gradual entry into the "deep water" of the health care reform, two years, Beijing for the "low-income people can not afford to see a disease, the community can not see a disease, big hospitals can not see a disease," the actual problem, boldly promote the system, model, mechanism innovation, decomposition of 98 Specific tasks, urban and rural personal health care burden has been reduced by an average of more than 20%, the masses of "expensive" problem has been effectively alleviated, "difficult" problem is gradually "unbuttoned and untied", the results of health care reform is beginning to appear. The results of medical reform are beginning to emerge. At present, Beijing public **** health services to benefit the entire resident population, in the full implementation of the national basic and major public **** health services program on the basis of the elderly, children, women and other populations, and added 11 public **** health projects.
Innovating the health insurance system to make it affordable for the public. Beijing took the lead in realizing the full coverage of the health insurance system, establishing a "one old, one small" health insurance system for the 1.4 million old people and children who used to have no health insurance, and then integrating it with the unemployed residents into the urban residents' health insurance system. 2010, the city's participation rate in all types of basic health insurance (co-insurance) averaged more than 93%; at the same time, it set up a mechanism for growth in funding for the New Rural Co-operation, with per capita funding reaching 520% that year. At the same time, a mechanism was established to increase funding for the New Rural Cooperative Medical Insurance, with per capita funding reaching 520 yuan that year. Beijing has expanded the scope of reimbursement and raised the standard, with the level of individual reimbursement averaging more than 70 percent. The proportion of personal burden of insured enterprise workers and retirees has dropped to about 20%.
Beijing uses the "medical insurance card" project to solve the problems of "difficult reimbursement and heavy advances", etc. At present, seventy percent of the city's citizens have been holding the card to seek medical treatment, and can realize "card medical treatment, real-time settlement" in more than 1,700 designated hospitals, which can provide the best service for the public in a year.
In 2010, Beijing fully implemented the basic drug system in primary health care institutions; at the same time, the city's centralized procurement of medicines, reducing the expenditure on health insurance and the burden on the public by 3.6 billion yuan.
Innovative service model, let the masses "see the disease". The difficulty of seeing a doctor in Beijing is concentrated in large hospitals, where it is difficult to register, difficult to be hospitalized, and difficult to undergo surgery. Over the past two years, Beijing has explored appointment booking, no holiday hospitals, practicing physicians multi-practice, community chronic disease intervention, etc., to shorten the waiting time, diversion of the peak of the clinic. Beijing has opened all-day outpatient clinics in 26 hospitals on double holidays, increasing the capacity of consultation by more than 25%, equivalent to six new tertiary hospitals.In 2010, Beijing's grass-roots clinic visits amounted to nearly 60 million, accounting for 40% of the city's patients, up from 5%.
Innovation of management mechanism, so that the masses can "see the disease". Beijing has set up the "Capital Medicine and Health Coordination Committee" to promote coordination and management. Beijing will be in accordance with the public welfare, quasi-public welfare and business three directions, and actively explore the public hospital classification reform. This year, it will complete the reform of public medical care at the municipal level.
Beijing's health care reform highlights the public welfare, so far, the State Council's three-year reform program specific tasks have been completed about 80%, the city's participation rate, the basic drugs equipped with the use of 15 specific indicators have been completed ahead of schedule, the proportion of personal health care expenditures in the total cost of health down to 26%, in the country played an important role in the benchmarking and leading role.