How to Deepen the "Key Points" of Medical Reform and Move the Medical Service System from "Existing" to "Excellent"?

2023-07-31

China's average life expectancy has increased to 78.2 years, and the world's largest basic medical security network has been established. Its main health indicators are among the top in middle-income countries... For more than a decade, China has continuously deepened the reform of the medical and health system, focusing on solving the problem of difficult and expensive medical treatment for the people. What are the key tasks currently facing deepening medical reform? In what areas are the common people expected to continue to improve their sense of gain? At the 2023 National Deepening Medical Reform Experience Promotion Conference and China Health Development Conference held in Jinan, Shandong from July 29th to 30th, multiple industry experts reviewed the list of past medical reforms and looked forward to the next stage of the "roadmap". Whether there can be more high-quality medical services at the doorstep to promote the deepening of medical reform is an important goal, which is to "solve serious diseases in our province, solve general diseases in cities and counties, and solve headaches and fever in towns and villages". At present, China has identified 125 national and regional medical center construction projects, and the medical service "highland" covers all provinces with weak resources. In 2021, the first batch of cross provincial medical treatment for relevant specialties in national regional medical centers decreased by 9.3% compared to 2019. The national regional medical center has basically completed its planning and layout, and the next step is to promote the establishment of a corresponding management system and operating mechanism, "said Zhu Hongbiao, a first level inspector of the System Reform Department of the National Health Commission. Balanced distribution of high-quality medical resources, and the level of diagnosis and treatment at the grassroots level is also continuously improving. As of the end of 2022, 87.71% of county-level hospitals in China have met the basic standards for medical service capacity, and a total of over 30000 township health centers and community health service centers have met the service capacity standards. Zhu Hongbiao stated that in the future, he will continue to plan and build provincial-level regional medical centers, continuously improve the medical level of prefecture, city, and county level, strengthen the construction of community and rural medical and health service capabilities, improve the system and mechanism for promoting graded diagnosis and treatment, and promote the inheritance and innovative development of traditional Chinese medicine. With a long-term perspective, in order for the people to enjoy more high-quality medical services at their doorstep, it is necessary to deepen the reform of public hospitals guided by public welfare, and develop and strengthen the medical and health team. Previously, public hospitals across the country had already cancelled drug and medical consumables bonuses. How to consolidate the public welfare foundation of public hospitals, while ensuring the source of salary for public hospital personnel and mobilizing the enthusiasm of medical personnel, has become an urgent task. The next focus is to continuously consolidate and improve the operation of the new mechanism, "said Zhu Hongbiao. How to further reduce the personal self payment burden of the people? According to the latest 2023 basic medical insurance financing standards for urban and rural residents, the per capita financial subsidy standard is 640 yuan per person per year. Ten years ago, this standard was 280 yuan. Statistical data shows that in recent years, China's government health expenditure and social health expenditure have continued to increase, and the proportion of personal health expenditure to total health expenses has continued to decrease to 27.7%. But some ordinary people have not felt a significant decrease in the medical expenses they actually take out of their pockets, "said Xu Shuqiang, director of the China Hospital Development Research Institute at Shanghai Jiao Tong University. One important reason is that the burden of expenses outside the scope of basic medical insurance reimbursement is still relatively heavy. On the one hand, we need to continue to address the high cost of medical treatment, and on the other hand, the low price of medical services and some medical institutions experiencing losses. How to

Edit:Hou Wenzhe    Responsible editor:WeiZe

Source:XinhuaNet

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