Chinanews.com, October 28th. During the "13th Five-Year Plan" period, how to deepen the reform of the medical and health system to alleviate the problem of poor and expensive medical treatment?

At the press conference held by the State Council Information Office on the afternoon of the 28th, Yu Xuejun, deputy director of the National Health Commission, responded to this, saying that in solving the difficulty of medical treatment, the main task is to promote the sinking and balanced allocation of high-quality medical resources; In terms of the cost of medical treatment, efforts are made to reduce the price of medicines as a breakthrough, and implement the three-medicine linkage.

　　Yu Xuejun said that during the "Thirteenth Five-Year Plan" period, the Party Central Committee and the State Council will integrate the deepening of medical reform into the overall deployment of comprehensive deepening of reform.

Positive results have been achieved in solving the problem of unsightly and expensive medical treatment, which is prominent from the masses.

First of all, in solving the difficulty of seeing a doctor, the main task is to promote the sinking and balanced allocation of high-quality medical resources.

　　The first is to advance the construction of regional medical centers in an orderly manner, taking into account the flow of disease types and other factors, launching pilot projects in 8 provinces, and gradually optimizing the allocation of high-level medical resources at the national level.

Promoting the construction of medical consortium and comprehensive medical reform at county level, 84% of county-level hospitals have reached the level of hospitals above the second level.

In 2019, the consultation rate of common and frequently-occurring diseases in counties nationwide has reached about 90%.

　　The second is to strengthen the integration of resources and services.

The number of urban medical groups established nationwide has reached 1,408, county medical communities have reached 3346, and cross-regional specialist alliances have reached 3924.

At the same time, we will promote the contracted services of family doctors, pilot the construction of community hospitals, and improve the level of primary care.

　　The third is to continue to deepen the "decentralization, management and service" to promote the development of the health industry and social medical standards.

The fourth is to accelerate the development of "Internet + medical and health" and greatly expand the coverage of telemedicine services.

　　Yu Xuejun said that in 2019, more than 21.723 million telemedicine services were carried out nationwide.

As of the end of 2019, 258 prefectures and cities have achieved all-in-one medical care in the region.

Using information technology to optimize the service process, online services such as appointments for diagnosis and treatment, medical navigation, and mobile payment are generally implemented in hospitals above the second level.

The rate of appointments in tertiary hospitals exceeds 50%.

　　Yu Xuejun pointed out that in terms of alleviating the cost of medical treatment, efforts should be made to reduce the price of medicines as a breakthrough point and implement the three-medicine linkage.

The main measures:

　　The first is to promote the centralized procurement and use of drugs organized by the state, and strive to reduce falsely high drug prices.

The average price drop of the first batch of 25 pilot drugs in 4 municipalities and 7 sub-provincial cities reached 52%, and then expanded to the whole country. The second batch of selected drugs dropped by an average of 53%.

Carry out drug price negotiations and implement zero tariffs on imported anti-cancer drugs.

Improve the national essential drug system, standardize drug use management, and ensure the supply of drugs in short supply.

　　The second is to comprehensively promote comprehensive reform of public hospitals.

Eliminate all bonuses for drugs and consumables, break the mechanism of supplementing medicine with drugs, carry out modern hospital management trials, and comprehensively promote quality-centric and public welfare-oriented performance evaluation.

　　The third is to improve the universal medical insurance system.

Establish a unified medical insurance and critical illness insurance system for urban and rural residents.

The per capita financial subsidy standard is increasing year by year, the diversified compound payment method is improved, the medical treatment system is established and perfect, and the commercial health insurance is actively developed.