Medical network - March 13, March 11, li bin, director of the national health and family planning commission, deputy director of the Wang Peian and health care, deputy director of the state council office director Wang Hesheng on "' much starker choices-and graver consequences-in 'first year of health reform and development of family planning" the relevant question answered questions from Chinese and foreign journalists.
According to the requirements of the government work report this year, 2017 will comprehensively push the comprehensive reform of public hospitals, cancel all drug addition. This means that the public medical institutions in China will completely farewell "medicine cure" era. Wang Hesheng in response to reporters' questions, cancel "to the medicine cure" mechanism is the key of the deepening the reform, is also the most difficult task of this year "crack".
According to its introduction, in 2009 a new round of reform has been to cancel the "drug addition" as a break "to the medicine cure" dimension and approach to mechanism. 2011 grassroots public medical institutions in all government cancelled the drug addition. The abolition of all public hospitals at the county level in 2015, drug addition. In 2016, 200 public hospital comprehensive reform pilot cities all cancelled the drug addition. Public hospital medicine proportion fell to 46% from 46% in 2009, to a certain extent reduce the medical burden of the masses. According to incomplete statistics, this year is expected to save the drug again cost 60 billion ~ 60 billion yuan.
Wang Hesheng, points out that eliminating the drug addition, break "with medicine cure" mechanism, must adhere to three principles: first, we must insist on the public welfare of public hospitals, unswervingly napublic welfare written on the flag of health career. Second, we must adhere to the "3 d linkage" hit "combination", strengthen the reform of holistic, systematic, and collaborative. Third, must adhere to the interests of the reasonable guidance and incentive mechanism, arouse the enthusiasm of medical personnel, give full play to the principal role of the medical staff.
For how to implement a break "to the medicine cure" mechanism, Wang Hesheng think the key is to according to the thinking of "vacate basket change a bird", according to the empty room, which breaks down the path of the structure, cohesion mechanism, establish a new mechanism. Make room, is to carry out the production circulation use of drugs all process reform, to squeeze drug prices artificially high moisture, but also to carry out the reform of medical insurance payment, to inspire the hospital and medical staff rational drug use, control the cost of endogenous power. Restructuring, is to reduce drug prices and regulating the behavior of medical service to vacate the space used to adjust the medical service price, want to cut down the price of the inspection, the price of the services to be brought, reflect the value of medical personnel technical services, optimize the structure of income of hospital. Cohesion, is the health insurance payment and financial aid, health insurance payment and financial aid policy to step up, seamless docking, ensure that the burden did not increase as a whole.
Wang Hesheng said, have practical experience in these aspects, fujian sanming, and anhui province last have trip out of the way, out of such a path, are widely recognized by society. "In addition, to fully protect and arouse the enthusiasm of the medical staff. The health care industry training cycle is long, occupational risk is high, the technical difficulty is big, bear heavy responsibility, is different from general industry. In view of the current medical personnel care about the most problem such as salary, development space, professional environment, we will earnestly implement xi general secretary's speech in the conference in the national health and health spirit, build system of compensation in accordance with the health care industry characteristics, actively carry out the pilot reform of public hospital compensation system. To improve the medical staff performance appraisal system, to cut off the medical staff contact with medicines and chemical reagents, consumables and other interests, ensure that medical staff work more, superior blue-chip reward, continue to deepen reform of the personnel system, improve the system of medical personnel training to cultivate, to broaden the career development space. In addition, but also in accordance with the law to crack down on illegal crime involving medical, maintain normal medical order, and to build a harmonious doctor-patient relationship."
In terms of a serious illness insurance to promote work, li bin said that this year's main new concentrated in nine kinds of serious illness, because of sickness poor households in rural areas and because of sickness poor personnel for centralized treatment.
In advance payment reform, "li said, mainly introduced this year is given priority to with diseases of payment reform, conditional place, at the same time to carry out the pilot reform of DRGs.
For journalists asked about 45 kinds of new drugs included in the national price negotiations this year, li bin, said this year family planning department of health under the people club department, according to the needs of clinical, and select a group of varieties may conduct price negotiation. Whether to choose several, what kind of, this is produced by who to several kinds of medicine, at present this work has not been finalized. Determine later, information will be disclosed. The general rule is: first, it is urgent clinical needs. Second, the practice shows that the curative effect is better. Third, the price is quite high, the burden heavier to choose in this class of drugs.
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QuWeiGuo:
You friends, good morning. Welcome to the twelfth session of the fifth meeting of the National People's Congress news conference, press conference theme of the game was "' much starker choices-and graver consequences-in 'first year of health reform and development of family planning". Today we are pleased to invite to the national health and family planning commission director ms li bin, deputy director of the national health and family planning commission, Mr Wang Peian, deputy director of the national health and family planning commission, the state council reform Mr Wang Hesheng, director of the office, on the subject to answer your questions.
First of all, please welcome li bin, director of the.
Li bin:
You, my friends, good morning. First of all, I take this opportunity to care for a long time to support health reform and development of family planning career you friends, friends from all walks of life to express our heartfelt thanks to you for.
Over the past year, the strong leadership of the CPC central committee with comrade xi for the core, the reform of health and health development in our country and the importance of progress has been made, the iconic event there are four things:
One is the party central committee and the state council held a national health and health conference for the first time since the new century, established the party's work of health and health policy in the new period, open the "healthy China" of the construction of the new campaign. 2 it is formulated the party central committee and the state council issued the "healthy China 2030" planning outline, the formulation and implementation of the state council "" much starker choices-and graver consequences-in" health and health plan ", "" much starker choices-and graver consequences-in" deepening health reform plan ", is "a planning outline, two", marked the health construction in China, from thoughts to strategy, design basic form from the top of the platform to the action. Third, the standing committee of the National People's Congress examined and approved the law of the People's Republic of China law of traditional Chinese medicine, through the law, to China's revitalization and development of the cause of traditional Chinese medicine is extremely far-reaching influence. Four is in Shanghai, our common success and who held a global health promotion conference, issued a "Shanghai declaration", this also is in the field of global health promotion on further shows the idea, scheme and practice in China.
This year is our party and national undertaking development has important significance for a year, this year's task is very heavy. Premier li keqiang's government work report, especially do to improve and guarantee the people's livelihood issues important to deploy. The report is practical, full of governing for the people's feelings. He pointed out that in the report is the ruling of the people's livelihood, the will of the ruling, keep in mind, carry on the shoulder. So this year is to carry out the years, we work of the whole system is to seriously implement the party central committee and the state council's decision to deploy and implement the government work report of the proposed various tasks, to greet the 19 big victory party congress with honours.
Here, by my colleagues and I answer your questions. thank you
1, the health of China
Xinhua: first of all, thank you, director li bin in the "two sessions" during a guest xinhua concerns, "the voice of the minister" response netizens in the Internet caused a warm response. My question is, in 2016, the party central committee and the state council issued the "healthy China 2030" planning outline ", promoting the construction of "healthy China" will be referred to an unprecedented height. This year's government work report also explicitly put forward the construction of "healthy China" as an important task of national health development planning commission how to further promote a healthy future construction in China, to ensure everyone shall have the right to health? thank you
Li bin:
Health comes to everyone's vital interests, involving thousands of well-being, happiness is significant livelihood of the people. Since the eighteenth congress, the party central committee with comrade xi as the core to the people as the center of the development of ideas, attaches great importance to improve the level of the people's health, formulated the "healthy China" the major policies of the construction, it is a long-term task, and then focuses on the implementation.
This year, our main task is to refine the roadmap and timetable for construction drawing, around the three aspects: "1, 5, 3" pays special attention to the important tasks to carry out the work. "1" is firmly grasp the "healthy China" the construction of the main line. "5" is to deepen the reform. Establish the five basic medical and health care system. These five system is hierarchical diagnosis system, the modern hospital management system, universal health care system, drug supply security system and comprehensive supervision system. This year we should deepen reform of the column frame beam task well. Of course reform also impossible to pump, we want to in the process of advancing the reform of, constantly study new situations and solve new problems, this itself is a logic of the development of things, always on the road system and policy of self-improvement. "3" is to improve the livelihood of the people. We must carry out three actions: one is to promote health poverty alleviation project, to be precise ShiCe, solved because of sickness poor, Chinese problem because of illness. 2 it is to further implement the selected action, improve the medical service needs of patients, from registered medical, nursing, ambulatory surgery, the daytime emergency treatment, emergency treatment and service attitude, to improve our service from the details, improve the masses go to a doctor of the acquisition. Third, vigorously carry out the patriotic health campaign, this year marks the 65th anniversary of the patriotic health campaign, to grasp the opportunity, further promote the concept of great health, health, work hard to change water supplier, urban and rural environmental renovation, major disease prevention and control of work, make each of us has a health the first responsible person, constantly improve the health quality.
"Healthy China" construction is a systematic project, involving many aspects, each domain, involving many departments of responsibility, also needs the joint efforts of the whole society, need everybody sharing. We must advance one step a footprint to the work, make more than 1.3 billion people to be more healthy attitude into a well-off society in an all-round way. thank you
2, couplet of medical
The central people's broadcasting station, central radio website, wide central news journalist client: my question is for li bin, director of the. Prime minister in the government work report, this year to launch a variety of forms of comprehensive construction experimental unit of medical association. Excuse me, couplet of current medical pilot form have? Next, who is planning commission which will carry out the work carries out the relative requirements? thank you
Li bin:
As is known to all, relatively insufficient medical resources of high quality in our country, mainly concentrated in the big cities, distribution is not balanced. The medical service system pattern and the needs of the people's hospital between is not enough to adapt to, do not match, so there is big hospitals are overwhelmed. How to alleviate this contradiction, promote the sink of high quality resources, center of gravity down? The first is to through the reform to establish the classification system. The grading system is our basic medical system with Chinese characteristics, medical couplet body is one of the important gripper, and establish the classification system is also a kind of system innovation, is through a variety of forms of couplet of medical, we now relatively fixed unicom up down the pattern of the vertical and horizontal, forming a reasonable layout, so that you can solve the problem of the crowd to see difficulties, further optimize the service system, enlarge effect of medical resources, the public can also watch the sick at home. Through medical couplet body construction, large hospitals can be willing to part with or use, can connect to the grassroots agencies, the people to want to go to see a doctor at the local level.
In primary exploration practice, generally there is several forms: first, the city's medical couplet body, have a plenty of close, some relatively loose. Mainly led by tertiary hospitals as a unit, absorbing and grassroots medical institutions to take part in the secondary hospital, forming a couplet of medical. So, from the internal mechanism, makes the high quality resources we can supply in time, to the grassroots level. Beijing 20:30 liu jianhua calls community service center, for example, it and hospital affiliated to the capital university of medical sciences, revival of couplet of hospital is a medical, it around people very trustworthy, willing to receive services, and even some residents are moved away and return to rent a house, living near the service center to accept the service. There are many other places are also created a good form.
Second, within the scope of the county, is now a good a form called "medical body together". The medicare payment reform and combining medical body of construction, from the prevention, treatment, rehabilitation, integration service, the county, township and village. Have medical body, residents can get better medical and health services at the grassroots level, then the masses not only spend less, couplet of medical and medical body will also get the corresponding incentive and a reward. Such as anhui tianchang, they organized a county two medical body, effect is better.
In 2016, anhui tianchang medical men to turn patients than in turn in the body of patients, that is to say a lot of people are left to see the doctor at the local level. A serious illness to the county, ailment or rehabilitation will stay at the grass-roots level.
Third, the federation is an alliance of specialty in specialty. Junior coalition is often across regions, such as some eye junior coalition, pediatrics, obstetrics and gynecology. As Beijing children's hospital is a leading specialist children alliance units, they through staff training, mysterious illness consultation, through the counterpart support, some of the children's hospital doctors can also go to other hospital of the union service.
Fourth, in remote areas, we carry out the remote medical treatment, telemedicine network is established. This form is also very good. In 2016, we arranged the place and the army of 889 tertiary hospital, to counterpart support poverty-stricken counties, 1149 county hospitals, realizing a complete coverage of the counterpart to assist national poverty county. Function of remote medical treatment is very big, for example, last August, mine fire accident which happened in a certain province respiratory damage when there are more than 30 people, including five personal injuries were severe. China-japan friendship hospital in respiratory is of great advantage, through the emergency system was put forward china-japan friendship hospital, please sent experts to support, china-japan friendship hospital to see this kind of situation, immediately opened the remote medical treatment, severe experts, an expert entire journey through the remote health care organizations to guide local hospital for emergency treatment. After three days, all the injured out of danger, and no severe complications. If using traditional methods, our experts from Beijing in the past, this time is relatively long some, is likely to delay the best rescue time.
Through a variety of forms of couplet of medical construction, we actively, adjust the distribution of medical resources effectively, it is also a perfect medical service system, medical service supply side an important measure of the structural reform. According to the requirements of the prime minister, a government report, this year we have all of the tertiary hospitals have to take the lead to participate in the construction of couplet of medical, we believe that our solution to the problem of hospital will be more and more. thank you
3, drug addition
China RenKouBao reporter: deputy director of the question I would like to ask Wang Hesheng. "To the medicine cure" in our country has continued for many years, this year, prime minister offered to cancel all drug addition, it is a huge change. The abolition of all I want to ask is, drug addition what is the background, the landscape of the health reform in our country in what position, how should we achieve? thank you
Wang Hesheng:
First of all, I would like to thank the media attention and friends concerned about the health care work. According to the requirements of the government work report this year, 2017 will comprehensively push the comprehensive reform of public hospitals, cancel all drug addition. This means that the public medical institutions in China will completely farewell "medicine cure" era.
Before the reform, public hospital is through a service charge, medicine addition income and government subsidies of the three channels. After the reform, we will cancel the drug addition, became a service charge and government subsidies two channels. Promoting public hospital comprehensive reform, the core is to break "with medicine cure" mechanism, establish the maintenance public welfare, arouse enthusiasm, ensuring the sustainable operation mechanism, the target is people's benefits, medical workers encouraged, health development, the party and the government over the people. It should be said that in order to achieve such a goal, change before running mechanism, is very difficult. Because it not only involves the interests of deep adjustment, change the system and mechanism, and involves the reform of medical treatment, health care, medical 3 d linkage. Said so, we cancel the mechanism "to the medicine cure", is our top priority to deepen reform, is also the most difficult task of this "crack".
"Drug addition" policy is the '50 s difficult period has a policy, it was positive. However, with the rapid development of our country's economic and social, "medicine to cure" gradually evolved into a profit-seeking mechanism, excessive, serious problems such as large infusion, abuse of antibiotics, push the medical expenses, weaken the public welfare of public medical institutions, harm the interests of the masses, the masses of the people reflect strongly, we urgently need to solve by reform.
Since a new round of reform in 2009, we have to cancel "drug addition" as a break "to the medicine cure" dimension and approach to mechanism. 2011 grassroots public medical institutions in all government cancelled the drug addition. The abolition of all public hospitals at the county level in 2015, drug addition. In 2016, 200 public hospital comprehensive reform pilot cities all cancelled the drug addition. It should be said that we gradually cancel the drug addition, lower drug costs each year, public hospitals of medicine ratio fell to 46% from 46% in 2009, to a certain extent reduce the medical burden of the masses. According to incomplete statistics, this year is expected to once again save the drug costs RMB 600-70 billion.
Eliminating the drug addition, break "with medicine cure" mechanism, must adhere to three principles: first, we must insist on the public welfare of public hospitals, unswervingly napublic welfare written on the flag of health career. Second, we must adhere to the "3 d linkage" hit "combination", strengthen the reform of holistic, systematic, and collaborative. Third, must adhere to the interests of the reasonable guidance and incentive mechanism, arouse the enthusiasm of medical personnel, give full play to the principal role of the medical staff.
Question on how to implement explode "taking medicine cure" mechanism, I think, the key is to according to the thinking of "vacate basket change a bird", according to vacate, structure, cohesion between path to break the old mechanism, establish a new mechanism. Make room, is to carry out the production circulation use of drugs all process reform, to squeeze drug prices artificially high moisture, but also to carry out the reform of medical insurance payment, to inspire the hospital and medical staff rational drug use, control the cost of endogenous power. Restructuring, is to reduce drug prices and regulating the behavior of medical service to vacate the space used to adjust the medical service price, want to cut down the price of the inspection, the price of the services to be brought, reflect the value of medical personnel technical services, optimize the structure of income of hospital. Cohesion, is the health insurance payment and financial aid, health insurance payment and financial aid policy to step up, seamless docking, ensure that the burden did not increase as a whole.
In these areas, we have practice experience, fujian sanming, and anhui province last have trip out of the way, out of such a path, are widely recognized by society.
In addition, but also fully to protect and arouse the enthusiasm of the medical staff. The medical profession training cycle is long, occupational risk is high, the technical difficulty is big, bear heavy responsibility, is different from general industry. In view of the current medical personnel care about the most problem such as salary, development space and professional environment, we will earnestly implement xi general secretary's speech in the conference in the national health and health spirit, build system of compensation in accordance with the health care industry characteristics, actively carry out the pilot reform of public hospital compensation system. To improve the medical staff performance appraisal system, to cut off the medical staff contact with medicines and chemical reagents, consumables and other interests, ensure that medical staff work more, superior blue-chip reward, continue to deepen reform of the personnel system, a sound system of medical personnel training to cultivate, to broaden the career development space. In addition, but also in accordance with the law to crack down on illegal crime involving medical, maintain normal medical order, and to build a harmonious doctor-patient relationship. thank you
4, "two children" policy
CCTV, CCTV net, CCTV mobile news reporter: my question is about the comprehensive two child policy. Learned in our interview, since the two child policy implementation, a lot of people reflect birth "two children" pressure is larger. Could you tell me who planning commission, we investigated what factors influence whether the birth will of the masses, policy implementation for a year, the fertility rate in our country overall is what kind of level, our country will take positive measures to encourage the masses according to the policy of birth? thank you
Li bin:
The implementation of the policy of "two children" can be said to be every concern, everyone CARES about, when I was in "minister channel" also answers the question, then it is the trouble of "sweet" to sum up the media. Just now, the reporter also puts forward some problems, please answer Wang Peian comrades.
Wang Peian:
Thank you for the media to ask questions. Comprehensive two child policy is the eighteenth big since the party central committee with comrade xi as the core, according to the population's own law of development, according to population and adapt to the economic and social development situation, the coordinated development of population and resources and environment condition to make scientific decisions. This policy is carried out formally since early last year, from more than a year, can be summed up in two words: a word called early results show that a word is called a accord with anticipation.
Just a reporter friend put forward the factors that affect the childbearing willing, in 2013, 2015, our committee organized the special research, survey, mainly for three reasons: first, the women's career development, gave birth to the child after his mother's employment and employment issues. Second, infant care difficulties. Child-care especially to children under the age of three child-care relative lack of resources, most households depend mainly on grandparents tending the third generation. Third, the economic pressure.
In 2015, 2016 children under the state council working committee office and the all-china women's federation of women institute also made the special investigation, the results showed that 83.1% of women believe that their fertility decision-making and the three aspects of reasons, and the results of our research is consistent.
As of the end of December, policy implementation just for one year, the national hospital birth babies live birth number is 18.46 million. The actual birth is greater than the number, the number of children because hospital births reached 99%. This number is born of the largest in China since 2000 year, than during the period of "twelfth five-year" annual average birth population increased by 1.4 million. Last year's total fertility rate reached 1.7%, and the new century, the total fertility rate has been hovering between 1.5 to 1.6. These data show that the effect of two child policy implementation is quite obvious, fairly optimistic.
Previously in anticipation, plus two words here, called "fully comply with the anticipation". Comprehensive two child policy decision prior to the policy implementation, according to the central deployment and requirements, we organize a thorough internal investigation study and analysis, using a variety of models are compared, and measuring the organization of the symposium has more than 90, the study of more than 100 words.
Two children born according to the results, in line with the overall target population is 90 million. Because of the effect of a variety of reasons, in addition to introduce the reason just now, and the cause of the age, also don't want to or can't have two reasons for the health of children, we believe that in 90 million only 28% in the target population can have children.
There is a judgment, in the period of much starker choices-and graver consequences-in comprehensive two child policy, under the influence of the size of the population is born each year in 17 million - 19 million. Just to tell you that our hospital childbirth on the number of live births, 18.46 million, the gauge head a up a statistical data. I can responsibly tell you that fertility situation completely accords with anticipation.
If a word again, China's population problem is not lack of quantity, not just now is not short, in the coming decades, the future will not lack of population in one hundred. To the peak in 2030, we have around 2030, by the year 2050 and 1.4 billion m people, by the end of the century there are more than 1.1 billion people. We should pay attention to the quality of the population of China, but also to pay special attention to the structure of China's population problem. This was a response to the second question.
Response to the third question, the central attaches great importance to the research to solve the trouble back at home of the parenting, clearly put forward to build a family development support system, encouraging the policy fertility. For some time, by commission jointly with the national development and reform, education, transportation, travel, federation of trade unions, women's federations and other departments to strengthen maternal and child health service supply, reasonable planning and obstetrics, pediatrics, education and other resources, to promote construction of standardized and facilities, safeguard the employment rights and interests of women. Drive around to further improve the system of extension of maternity leave, establish paternity leave, increase service measures huimin polity. Some places to explore to solve the outstanding problems facing the masses to rear children, such as elastic leave nanjing government to promote elementary school, the school provides students with delay care services, Shanghai women's federation will lead the construction community child custody, improving the community public service system, and so on, widely praised by the society.
Next, by commission will jointly with the relevant departments in accordance with the requirements of the central problem oriented, sum up the experiences of places, according to the division of work plan and tasks, to further improve tax, social security, housing, employment policy, priority allocation maternal and child health, nursery education, preschool and primary and secondary schools and other public service resources, to build a family friendly society environment and encourage the masses as fertility policy, keep the moderate fertility level, promote the population long-term balanced development.
About child-care resources shortage and under the age of three, according to the requirements of the central leadership by party attaches great importance to, this more than a year to do a thorough investigation and study, the general idea is national level mainly plan, make policy research, policy, and set standards, in accordance with the regulation, to mobilize the various aspects to establish child-care facilities, construction, everyone concerned with this problem.
I'll introduce population structure with you. In 2015, according to the international caliber 15-64 - year - old China's working-age population accounts for 73% of the population, the number is 1.003 billion, in 2020 and 985 million, to 2030 and 952 million, in 2050 and 800 million. Now, the population of working age population proportion is 66%, and 67% of Europe, Japan is 61%. In addition, the European and American developed countries working age population of only 730 million, but it is the output of labor productivity is much higher than us. So, the number of China not only is now no shortage of labor force, later the level of development of science and technology, there are many alternative measures and ways to the amount of labor force, more is not a problem.
From an ageing population, 2015, 65 - year - old or older is accounted for 10.3%, is 15% in the United States, Europe is 18%, Japan is 19%. From the women of childbearing age in the population proportion, China accounted for 26% of women of childbearing age, America now accounts for 23%, European 23%, only 20% in Japan. After we adjust policy, policy effect will affect the future population structure. The next step will be jointly with relevant departments in accordance with the requirements of the central problem oriented, summarize the experiences of places, according to the division of work plan and tasks, to further improve the public service resources, promote the population long-term balanced development. Thank you very much!
5, serious illness insurance
Phoenix satellite TV, phoenix TV reporter: excuse me, li, director of the past we saw some people got a serious illness in the phoenix media don't have the money to heal, right now, please? In addition, serious illness insurance can truly protect had a serious illness? thank you
Li bin:
A serious illness insurance is on the basis of the basic medical insurance, the higher cost of the patients with serious illness to further ensure, to prevent the occurrence of catastrophic spending family due to illness. We started the pilot from 2012, has now been fully implemented. Last year, a serious illness insurance has covered more than 1 billion urban and rural residents, is arguably should protect and defend the cumulative compensation fund has more than 30 billion yuan. The proportion of patients with serious illness hospitalization expense actual reimbursement, the national average is 70%, some provincial higher, such as qinghai reached 80%, and benefit the population is about 10.1 million m, the number more than in 2015 nearly 2015 person-time, to say the effect is obvious. Through the implementation of a serious illness insurance, the burden of some families suffer from a serious illness are less obvious. Such as leukemia children, some cost is very high. Through a serious illness insurance reimbursement, the burden is reduced obviously.
This year, we are in a poor area of the country, especially in poor rural card to register, increase the intensity of a serious illness insurance work, who suffer from a serious illness, all can enjoy a serious illness insurance reimbursement. As the basic health care funding level to further improve, will ensure the basic medical insurance reimbursement proportion is lower, on the basis of further increase the raise a serious illness insurance, which makes a serious illness insurance has the new increase number of benefit and benefit more.
One is to reduce the pay line. Cancel the rural poor in the county in the starting line of average outpatient service, poverty population within the county hospital diagnosis before paying, out of the hospital, as long as pay themselves should burden that part is ok. The second is to increase convenience. Improve the basic medical insurance, serious illness insurance, medical treatment, commercial insurance, emergency rescue "one-stop" "one-stop" service, convenient to the masses. Three is to improve the precision. The rural poor special relief work of a serious illness. I also told many times, this year the main new concentrated in nine kinds of serious illness, because of sickness poor households in rural areas and because of sickness poor personnel for centralized treatment.
In general, is to continually improve the effectiveness of a serious illness insurance, on the basis of the basic medical insurance pratt &whitney, precise ShiCe again, to have a serious illness who give special care. This is a good way of existing level in our country, and build a universal coverage of the bottom line, to the greatest extent to solve the problem because of a serious illness of poverty of the Chinese masses. thank you
6, basic health care
Modern express reporter: director li: hello, "a doctor" difficulty and high cost has been the common people poking fun at a problem, we have noticed that specifically mentioned in this year the government work report to perfect the basic medical insurance system, including expanding drug coverage, direct settlement cost of long distance medical hospital and so on. Excuse me li, director of the national health development planning commission will next how to implement, is there any specific policy measures? thank you
Li bin:
Basic medical insurance system is to achieve social equity and justice, the realization of social harmony and stability of a "YaCangShi", the CPC central committee and state council attaches great importance to the construction of the system, over the past few years through the efforts, we have woven the a piece of the world's largest health care network, covering more than 1.3 billion people, so it provides effective guarantee for all sickness.
This year's prime minister in the government work report has clearly put forward that urban and rural residents basic health care government allowances from 420 yuan to 450 yuan, to further increase capital investment, continuously improve people's health and well-being. We are going to good use the money well, must be used on the blade, make it play a better role. Mainly take the following measures:
One is to expand drug coverage. In 2017, has been printed version of the basic medical insurance drug catalogue, more than 2009 new catalog 339 varieties, including children's drugs added 91 varieties. I speak here last year, country to pass on some urgent clinical needs, curative effect is good, the burden and heavy drug nation talks, cuts of over 50%. Last year, as it were, is said to do, do the price to more than 50% of the drug, bring the positive patients suffer from the serious illness. Here, you can also tell everyone a good news, national negotiations last year the price of drugs, this year already all into the scope of coverage, the masses can be carried out in accordance with the proportion of reimbursement.
Second, many measures simultaneously, lower prices, through the reform of drug circulation to reduce circulation, in comprehensive reform pilot provinces and public hospital reform pilot city to implement the "two votes", compression space, cut down the false high drug prices. While encouraging cross-regional joint procurement, especially for patent medicine, exclusive varieties including some high-value consumables to encourage joint procurement, procurement, to reduce the price. This year, but also through a variety of measures, including some high value medical consumables pilot to carry out the national price negotiations, reduce prices artificially high. Just Wang Hesheng comrade also says that this year will cancel all drug addition, cut off the hospital drugs used in the link profit-driven such internal relations. So that in use process, without the benefit drive, drugs will become hospital running a cost in the future, the hospital will have the inner motive power of active control medical costs.
Third, accelerate reform of the mode of payment. Payment reform is an effective form of control increase of medical expenses, and international practice. This year, mainly is given priority to with diseases of payment reform, conditional place, at the same time to carry out the pilot reform of DRGs, this is also a way which is widely used in developed countries. Through such reform, must first have a foundation, is to be able to standardization, standardization of treatment. We have more than 1000 kinds of clinical pathway, which is the norms and standards, to ensure the quality of medical treatment according to this. This year has been more than 7000 medical institutions, we will continue to focus on the job.
About basic health nationwide network reporter friend mentioned and different settlement of the problem, this is also a promise of the present administration related department, also made a written pledge to fulfill a military order around. Last year after a year of efforts, has achieved in the province of different ground settlement directly, this is the last year's goal, we finished task. Also stepped up efforts this year, according to the requirements of the government work report, accelerating the information system construction and networking of the country's work, we need to improve the inter-provincial long-distance medical cooperation mechanism. Now there are eight province has carried out the pilot. China's large population, a long-distance direct settlement needs to be hospitalized the national plan as a whole, the current directory, there are plenty of different reimbursement policies. To complete this task, we still have to refine the work carries out this year, increase the intensity of propulsion, to ensure complete the task on time. This is the prime minister said in the report, some should do the practical work, we should try to do better.
7, the family doctor
Qilu evening news journalist JiLuYi point the client: can you tell me the Wang Hesheng, deputy director of the word "family doctor" in 2016, special hot, everybody pay special attention to, but think more far from us. I think excuse me, when people can have their own family doctors, the family doctor can provide us with what service, is there a timetable? thank you
Wang Hesheng:
Director li just now in answer said to cure a long-distance medical reimbursement and settlement, if can realize hierarchical diagnosis and treatment, a very important key gripper is should have a family doctor, want to have a medical. In these aspects, if we can't work well, the family doctor grassroots medical level ascending, hierarchical diagnosis and treatment is not easy to implement. Sign so the family doctor service is a critical job.
In 2016 the reform office and other seven departments of the state council jointly issued "about promoting signing the family doctor service guidance", across departments according to the file spirit actively promoted. Now there are 200 pilot cities to carry out the work, the reform of public hospitals pilot cities signing the family doctor service rate has reached 22.2%, the key population coverage reached 38.8%. It should be said has been accomplished the scheduled tasks indicators in 2016.
From the point of now implementation, the masses of trust, satisfaction and feeling of family doctor also is improving. Xi general secretary pointed out that in the New Year this year, many people have their own family doctors, signing residents have begun to enjoy the family doctor to provide basic medical and public health and the health management service agreement, and there are many areas to optimize the service content, meet the diverse needs of the masses and formed some experience has distinguishing feature very much. Created such as xiamen of fujian province "three division condominium" mode, it is "three", big hospitals of the specialist is responsible for the diagnosis, the family doctor is responsible for tracking treatment, health management division in health education, the "three t condominium" signing jointly promoted the family doctor service ability and level.
Yancheng dafeng in jiangsu province area, in view of different crowd, such as the elderly, children, slow patients chose the pertinence, high recognition and implementation of the "personalized service pack" with good effect. These service packs for the masses, by the masses to choose, to meet the diversified health needs of the masses. Again, for example, also introduced a policy of hangzhou, zhejiang province, signed first diagnosis, residents in the community outpatient care fu biao cut of 300 yuan, by the family doctor referral to yield superior hospital treatment, according to the basic expenses reimbursement ratio, which is a very special experience.
Shanghai put forward the "1 + 1 + 1" the signing of policy design, signing residents in choosing a family doctor at the grass-roots level, on the basis of also choose a secondary hospital, is the district hospitals, and then choose a municipal level 3 hospital combination, for ordinary people to enjoy a series of preferential policies. These measures make the family doctor by signing the trust of the residents.
Just ask the next step of work, we will together with the relevant departments to further promote the typical experience, intensify signing service propulsion. Signing this year, the family doctor service work will be expanded to more than 85% of the city, signed a service coverage to reach more than 30%, the key crowd coverage to reach more than 60%. Across from the preference of the elderly, maternal and child, slow patients, the disabled and other key crowd, do fine, do real contract service content, improve the quality of services, achieve a good, service, a signing. Must build contract signing of incentive mechanism, to make our family doctor multi-tube downward, manage and tube is bad, arouse the enthusiasm of the service, play to the role of the good family doctor health "gatekeeper".
Our goal is that by 2020 the family doctor signing services will strive to expand to the whole population, basic realizing a complete coverage of signing the family doctor service system. thank you
8, price negotiation,
Bloomberg news reporter: national health development planning commission last year began on drug prices in the first round of negotiations, another year has 45 kind of drugs was elected to the scope of negotiations. I want to ask, what is in the 45 kinds of medicines are from foreign production of pharmaceutical companies, national health development planning commission intends to reduce the price? thank you
Li bin:
Thanks for bloomberg this friend. Indeed, I also mentioned just now, the country negotiation is an effective form of lower drug prices, but not the only one form. After its launch attempt last year, and achieved good effect. So this year one club, health, family planning departments according to the needs of clinical, and select a group of varieties may conduct price negotiation. Whether to choose several, what kind of, this is produced by who to several kinds of medicine, at present this work has not been finalized. Determine later, information will be disclosed. Production of this kind of medicine enterprises, we are also open attitude. The general rule is: first, it is urgent clinical needs. Second, the practice shows that the curative effect is better. Third, the price is quite high, the burden heavier to choose in this class of drugs. thank you
QuWeiGuo:
In the interest of time, the press conference to the end. Thank you all for journalists. See you later. |
