(In the past ten years in China) National Health Commission: It is difficult to effectively alleviate the difficulty of seeing a doctor, and the cost of seeing a doctor can be reduced
China News Service, Beijing, July 22 (Reporter Li Chun) The National Health Commission held a press conference on the 22nd to introduce the progress of deepening medical reform since the 18th National Congress of the Communist Party of China.
Xu Shuqiang, director of the Department of System Reform of the National Health and Medical Commission, said that the difficulty of seeing a doctor for the public has been effectively alleviated, and the problem of expensive medical treatment has been alleviated.
"Medical reform is a major livelihood project involving thousands of households." Xu Shuqiang said that since the establishment of the current government, it has adhered to the idea of "one transformation and two priorities", that is, the transformation from "focusing on treating diseases" to "focusing on people's health" ” A series of important reform measures have been launched to solve the two key and difficult problems of difficult and expensive medical treatment, and the medical reform has achieved remarkable results.
Specifically, Xu Shuqiang said that the problem of people's difficulty in seeing a doctor has been effectively alleviated.
In response to the flow of people seeking medical care in different places and key diseases, 10 professional national medical centers have been set up, 50 national regional medical centers have been established, and 15,000 medical consortia have been established to promote the expansion and sinking of relevant high-quality medical resources.
In 2021, the first batch of national regional medical center-related specialists to seek medical treatment across provinces will drop by 9.3% compared with 2019, and the medical treatment order will become more reasonable.
Strengthen the construction of primary medical and health institutions and the training and training of general practitioners, improve the contract service of family doctors, and continue to improve the capacity of primary medical and health services.
Xu Shuqiang said that the problem of expensive medical treatment for the public has been alleviated.
Promote the centralized procurement and use of pharmaceutical consumables organized by the state to reduce falsely high drug prices. The average price of selected drugs in the seven batches of centralized procurement that has been carried out has been reduced by more than 50%, and the average price of two batches of consumables has been reduced by more than 80%. The total cost savings is about 300 billion yuan ( RMB).
Deepen the reform of the review and approval system, speed up the launch of new and good drugs, promote the consistency evaluation of drugs, and reduce the public's drug burden.
Basic medical insurance is basically implemented nationwide at the municipal level, and hospital and outpatient expenses are directly settled across provinces.
In 2020 and 2021, the proportion of personal expenditures in total health expenditures will drop to 27.7% for two consecutive years.
Xu Shuqiang said that the efficiency of the medical and health system has continued to improve.
The comprehensive reform of public hospitals will be comprehensively carried out. All public hospitals will abolish the addition of drugs and consumables, break the mechanism of supplementing medical care with drugs, simultaneously promote the reform of compensation mechanism and operating mechanism, and establish and improve a modern hospital management system.
Collaborate to promote the reform of medical service prices, medical insurance payment methods, personnel compensation and other fields, and promote the high-quality development of public hospitals.
Strengthen the comprehensive supervision of the medical industry, increase the punishment for violations of laws and regulations, and standardize the "Internet + medical" service model.
Carry out performance appraisal of public hospitals to guide the improvement of medical quality and efficiency.
In 2020, the outpatient appointment rate of tertiary public hospitals reached 56.6%, the level of rational drug use has been steadily and gradually improved, and the proportion of essential drug prescriptions for outpatients has increased year by year.
Xu Shuqiang also said that the reform orientation centered on health is more prominent.
Promote medical care, medical insurance, medicine and other aspects, and reform and improve relevant systems under the guidance of the concept of big health.
Put prevention in a more prominent position, implement the Healthy China Action, guide departments, localities, and medical personnel to change their thinking and work patterns, and promote the concept of "everyone is the first person responsible for their own health" to be more deeply rooted in the hearts of the people.
Strengthen the prevention and treatment of major diseases and the health management of chronic diseases, reform and improve the disease prevention and control system, give full play to the unique advantages of traditional Chinese medicine in preventive health care, disease treatment and rehabilitation, promote the construction of the elderly health service system, carry out the combination of medical care and health care, and promote the development of health care. innovation.
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