First, the challenge of an aging population.
China has the largest elderly population in the world. The elderly population has a strong demand for health services such as medical treatment, nursing, rehabilitation and life care, which brings great challenges to the supply of medical and health resources and services.
Second, the challenge of new urbanization.
The new urbanization has brought about a series of changes in health influencing factors, which put forward higher requirements for social governance and optimizing the allocation of medical and health resources. China has a large floating population.
Third, the challenge of disease spectrum changes.
On the one hand, the prevention and control situation of typical diseases in developing countries is still grim, such as hepatitis, tuberculosis and other traditional infectious diseases.
On the other hand, in the process of economic and social transformation, the living environment and lifestyle of residents have changed rapidly, and chronic diseases have become the main health problems. There are more than 260 million patients with chronic diseases in China, and the deaths caused by chronic diseases account for 86.6% of the total deaths, resulting in a disease burden exceeding 70% of the total disease burden.
Fourth, the challenge of globalization.
Globalization has brought more threats of emerging and sudden infectious diseases, and posed new challenges to national public health and safety.
Extended data:
First, during the "Thirteenth Five-Year Plan" period, the participation rate of basic medical insurance should be stabilized at over 95%.
1. Promote the establishment of a stable and sustainable financing and security level adjustment mechanism.
Continue to raise the per capita government subsidy standard for basic medical insurance. Improve personal accounts and explore the overall planning of outpatient expenses. Try out long-term care insurance. Promote the implementation of basic medical insurance and maternity insurance.
2. Further enhance the ability to prevent serious illness and take the bottom line.
Achieve full coverage of major illness insurance for urban and rural residents. We will improve the system of assistance for serious and serious diseases and emergency assistance for diseases, and improve the medical assistance system.
3. Reform the management and payment methods of medical insurance.
Accelerate the integration of medical insurance policies and handling management for urban and rural residents, and implement the "six unifications" of coverage, financing policies, guaranteed treatment, medical insurance catalogue, fixed-point management and fund management. Strive to realize the national networking of basic medical insurance and direct settlement of medical treatment in different places by 20 17. Deepen the reform of payment methods. Accelerate the development of commercial health insurance.
Second, further improve the medical service system.
1, improve the ability of medical and health services.
Strengthen the grassroots and make up the shortcomings. Each county will focus on running 1-2 county-level public hospitals, and the standardized compliance rate of primary medical and health institutions will reach over 95%, creating a 30-minute primary medical service circle. Focus on increasing pediatric medical resources. Full implementation of clinical pathway.
2. Strengthen the construction of medical and health teams.
We will implement the national medical and health personnel guarantee project and the training plan for general practitioners and pediatricians, improve the standardized training system for residents, and speed up the training of a number of general practitioners. Fill all kinds of short-term talents such as pediatrics, psychiatry, geriatrics, nursing, first aid and rehabilitation.
3. Improve health information services and big data application capabilities.
We will fully implement the "internet plus" health care service and build an interconnected population health information platform among countries, provinces, cities and counties. By 2020, the three databases of population information, electronic health records and electronic medical records will basically cover the whole country, and information will be updated dynamically. Promote the application of big data in the medical and health fields.
4. Accelerate the innovation of medical science and technology.
Initiate the implementation of the national major project "Health Protection Project" and implement the innovative development project of high-performance medical devices.
People's Network-Deepen the reform of the medical and health system and strive to promote the construction of a healthy China.