The new healthcare reform will start from focusing on solving the problem of "difficult and expensive to see a doctor" which is strongly reflected by the people, and will focus on solving the following five problems in 2009-2011:
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The first is to accelerate the construction of the basic medical security system, the basic medical insurance for urban workers, the basic medical insurance for urban residents and the new rural cooperative medical insurance (co-operation) rate of more than 90%, and improve the urban and rural medical assistance system, significantly reduce the burden of personal medical expenses of urban and rural residents.
In 2010, the financial subsidy standard for urban residents' basic medical insurance and new rural cooperative medical care at all levels was raised to 120 yuan per person per year. 146,812 farmers participated in our region in 2010, with a participation rate of 95.18%, and the reimbursement ratio of hospitalization expenses within the policy scope of the New Rural Cooperative Medical Insurance within the co-ordinated area was 63.05%, with a maximum payment of 20,000 yuan for the New Rural Cooperative Medical Insurance Co-ordination Fund.
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The second is the initial establishment of the national basic drug system. The establishment of a relatively complete system of selection, production and supply of essential drugs, the use and reimbursement of medical insurance. 2009, the State announced the catalog of 307 kinds of essential drugs; our government-run primary health care institutions are all equipped with and use essential drugs, and the implementation of zero-differential price sales.
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The third is to improve the primary health care service system, accelerate the construction of the three-tier medical and health service network in rural areas and community health service organizations in cities, and give play to the leading role of county hospitals, so as to build a relatively complete primary health care service system in three years.
The fourth is to promote the gradual equalization of basic public **** health services. Starting in 2009, basic public **** health services such as disease prevention and control, maternal and child health care, and health education will be gradually and uniformly provided to urban and rural residents.
Sound urban and rural public **** health service system, improve the public **** health service funding mechanism, by 2010, the per capita basic public **** health service funding standards in our region amounted to 21.5 yuan.
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The fifth is to promote the pilot reform of public hospitals, promote the reform of public hospitals compensation mechanism, increase government investment, improve the economic compensation policy of public hospitals, and gradually solve the problem of "medicines to compensate for the medical".
Expanded information:
China announced the National Essential Drugs Catalog in 2009 and established a management mechanism for the selection and adjustment of the National Essential Drugs Catalog, which is regularly adjusted and updated.
According to this Implementation Plan, China will establish a system for the preferential selection and rational use of essential medicines, and all retail pharmacies and medical institutions should be equipped with and sell national essential medicines to meet the needs of patients. From 2009, all government-organized primary medical and health care institutions will be equipped with and use basic drugs, and all other types of medical institutions must also use basic drugs according to regulations.
The Implementation Program states that patients are allowed to buy drugs from retail pharmacies with a prescription. Essential drugs are all included in the basic medical insurance drug reimbursement catalog, and the reimbursement rate is significantly higher than that of non-essential drugs.
The establishment of a national essential drugs system is of great significance in ensuring the fair accessibility, safety and efficacy of medicines for the people and reducing the burden of medicines on the public.
According to the definition of the World Health Organization (WHO), essential medicines are those that meet the health care needs of the majority of the population, are available in sufficient quantities and suitable dosage forms at all times, and are affordable to individuals and communities.
To this end, the newly announced Implementation Program clearly states that the state sets retail guide prices for essential drugs. Provincial people's governments, based on the bidding situation within the range specified in the national guide price to determine the unified purchase price of basic drugs in the region, which includes distribution costs. Government-organized primary health care institutions to implement zero-differential sales at the purchase price.
At the same time, to initially establish the basic drug supply guarantee system. Give full play to the role of the market mechanism, promote the merger and reorganization of drug production and distribution enterprises, the development of unified distribution, to achieve the scale of operation; encourage the development of retail pharmacies chain operation. Basic medicines used by government-organized medical and health institutions shall be purchased through public tenders by institutions designated by the provincial people's governments, and shall be uniformly distributed by the distribution enterprises selected through the tenders.
Baidu Encyclopedia - New Medical Reform Program
China People's Government Website - New Medical Reform Program Interpretation: China to Publish National Essential Drugs Catalog
Baidu Encyclopedia - New Medical Reform