China News Service, June 6 (Xinhua) According to the National Health and Welfare Commission website, on June 5, the National Health and Health Commission released the "2019 my country Health and Health Development Statistical Bulletin". The Communiqué shows that the average life expectancy of residents has increased from 77.0 years in 2018 to 77.3 years in 2019. The maternal mortality rate has dropped from 18.3 per 100,000 to 17.8 per 100,000, and the infant mortality rate has dropped from 6.1‰ to 5.6‰.
Data map: People participate in medical examinations in hospitals China News Service reporter Zhang Changshe
The total amount of medical and health resources has gradually increased, and the composition of the health workforce has been further optimized. The Communiqué shows that by the end of 2019, the total number of medical and health institutions nationwide reached 1007545. Compared with the previous year, the number of hospitals increased by 1,345, and the number of primary-level medical and health institutions increased by 10751. There were 8.807 million beds in medical and health institutions nationwide. Among the hospitals, beds in public hospitals accounted for 72.5%, and private hospitals accounted for 27.5%. The number of beds in medical and health institutions per 1,000 population increased from 6.03 in 2018 to 6.30 in 2019. The Communiqué pointed out that at the end of 2019, the total number of health personnel nationwide reached 12.928 million, an increase of 628,000 from the previous year, or 5.1%. In 2019, there were 2.77 licensed (assistant) physicians per 1,000 population, 3.18 registered nurses per 1,000 population; 2.61 general practitioners per 10,000 population, and 6.41 personnel in professional public health institutions per 10,000 population.
The total amount of health financing increased and the structure was optimized, and the personal burden of residents' medical and health expenses was relatively alleviated. The "Gazette" shows that the total national health expenditure in 2019 is expected to reach 6519.59 billion yuan. Among them, government health expenditure was 1,742.85 billion yuan, accounting for 26.7%; social health expenditure was 2,927.80 billion yuan, accounting for 44.9%; personal health expenditure was 1,848.95 billion yuan, accounting for 28.4%. The total health expenditure per capita is 4656.7 yuan, and the total health expenditure accounts for 6.6% of GDP. According to preliminary calculation results, personal health expenditures in total health expenditures in 2019 decreased by 0.25 percentage points from the previous year, and the proportion of total health expenditures in GDP increased by 0.15 percentage points from 2018. In addition, the national basic public health service project per capita basic public health service financial subsidy standard will be increased from 55 yuan in 2018 to 69 yuan in 2019.
The utilization of residents' medical services has increased, and the utilization rate of beds in public hospitals has increased. In 2019, the total number of medical consultations in medical institutions nationwide reached 8.72 billion, an increase of 410 million or 4.9% over the previous year. Residents visited medical institutions at an average of 6.2 visits, an increase of 0.2 visits from 2018. Compared with the previous year, the number of hospital visits increased by 260 million, and the number of visits by primary-level medical and health institutions increased by 120 million. In 2019, the number of hospital admissions for medical and health institutions nationwide was 2.6596 million, an increase of 11.43 million or 4.5% over the previous year, and the annual hospitalization rate was 19.0%. The admissions of public hospitals were 174.87 million, accounting for 82.6% of the total number of hospitals; private hospitals were 36.96 million, accounting for 17.4% of the total number of hospitals.
The "Gazette" specifically pointed out that in 2019, the utilization rate of hospital beds nationwide was 83.6%, of which: 91.2% were public hospitals. Compared with the previous year, the utilization rate of hospital beds decreased by 0.6 percentage points, but that of public hospitals increased by 0.1 percentage points. The average hospital stay of hospital dischargers in 2019 was 9.1 days, and the average hospital stay of hospital dischargers decreased slightly from the previous year. In 2019, doctors in hospitals are responsible for 7.1 person-times per day and 2.5 bed days in hospital, which is basically the same as the previous year.
The growth rate of medical expenses in public hospitals remained stable, and the average increase in sub-costs was kept within 4% for four consecutive years. Calculated at comparable prices, the average outpatient expenses per hospital and per capita hospitalization expenses of public hospitals in 2019 increased by 2.7% and 2.1%, respectively, a decrease of 1.0 percentage point and 0.1 percentage point from last year, which was lower than the average increase of 0.4 percentage point and 0.9 percentage point of the hospital. .
The total number of staff in village clinics and community health service institutions has increased, and the service capacity of primary-level medical institutions has steadily improved. Statistics show that in 2019, the outpatient service volume of township health centers and community health service centers (stations) reached 2.03 billion person-times, an increase of 110 million person-times or 5.7% over the previous year, which is higher than the national total growth rate of diagnosis and treatment (4.1%). It accounts for 23.3% of the total outpatient clinics in the country, and its proportion has increased year by year. In 2019, it increased by 0.2 percentage points from the previous year.
The Bulletin shows that in 2019, there were 1.48 beds in township health centers per 1,000 rural population, compared with 1.43 in 2018; there were 1.56 people in township health centers per 1,000 rural population, compared with 1.49 in 2018. At the end of 2019, a total of 616,000 village clinics were set up in 533,000 administrative villages across the country, with a population of 1.446 million. Compared with the previous year, the number of village clinics decreased by 6 million, and the total number of personnel decreased. In addition, 35013 community health service centers (stations) have been established nationwide, and the number of community health service centers (stations) has increased by 27,000 from the previous year, an increase of 4.7%.