The main health indicators of Chinese residents rank among the top in middle- and high-income countries (Big Health Observation)
As of 2023, my country's infant mortality rate has dropped to 4.5‰, the mortality rate of children under 5 years old has dropped to 6.2‰, and the maternal mortality rate has dropped to 15.1/100,000. The main health indicators of our residents are at the forefront of middle- and high-income countries.
The National Health Commission recently held a press conference to introduce the positive results achieved by my country's comprehensive promotion of high-quality development of health services.
More than 18,000 medical consortiums have been built across the country
"In recent years, the National Health Commission has actively played its leading and coordinating role in medical reform, and worked with relevant departments to strengthen the reform coordination of medical care, medical insurance, and medicine, and promote medical reform to achieve new results." Zhuang Ning, deputy director of the Department of Physical Reform of the National Health Commission explain.
Since my country launched a new round of medical and health system reform in 2009, it has been actively promoting the expansion and balanced distribution of high-quality medical resources.
According to Zhuang Ning, the specific approach is to build national medical centers, national regional medical centers, and provincial regional medical centers to strengthen relevant clinical key specialties and solve the problem of cross-regional medical treatment for the masses.
According to statistics, the first four batches of 76 national and regional medical centers have built more than 460 specialties and developed more than 6,200 new medical technologies. The average number of patients transferred for medical treatment has dropped by about 30% compared with before the construction.
The treatment rate for common and frequently-occurring diseases in the county reaches over 90%.
Thirty provinces have established provincial-level Internet medical supervision platforms, and more than 2,700 Internet hospitals have been approved and established nationwide.
"Comprehensively promote the close county medical community and other work, integrate and optimize resources, and explore the provision of integrated and continuous medical and health services for the masses." Zhuang Ning said that in terms of medical insurance, we will further improve the universal medical insurance system and the per capita financial subsidy standard for resident medical insurance. Increased to 640 yuan, the employee medical insurance general outpatient protection level has been continuously improved; in terms of medicine, the breadth and depth of centralized procurement of pharmaceutical consumables have been further expanded to further reduce falsely high prices.
At the same time, we will revise and improve the medical insurance drug catalog, improve the basic drug system, speed up the registration and listing of urgently needed and shortage drugs, children's drugs, and innovative medical devices, and strive to meet the drug needs of the people.
The hierarchical diagnosis and treatment system is one of the important contents of my country's deepening of medical reform.
"The National Health and Medical Commission closely focuses on the institutional framework of 'first diagnosis at the grassroots level, two-way referral, separation of acute and chronic diseases, and linkage between upper and lower levels', using the construction of medical consortium as the carrier, and taking the hierarchical diagnosis and treatment of common diseases, frequently-occurring diseases, and chronic diseases as the breakthrough point. We will continue to improve the top-level design and build a more scientific hierarchical diagnosis and treatment pattern," said Jiao Yahui, director of the Department of Medical Affairs of the National Health Commission.
As of the end of 2023, more than 18,000 medical consortiums of various forms have been established across the country, and the number of two-way referrals nationwide has reached 30.3217 million, an increase of 9.7% compared with 2022.
In order to further solve the problem of medical treatment for the masses, the National Health Commission will actively carry out pilot projects for the construction of compact urban medical groups to promote the formation of a scientific and orderly medical treatment pattern and a systematic and continuous diagnosis and treatment pattern; encourage various localities to explore the construction of "smart medical alliances", Promote information exchange, data sharing, smart interconnection, and mutual recognition of results among medical institutions within the medical consortium; continue to work with the Central Organization Department to provide "group-based" support for medical talents, including aid to Tibet, Xinjiang, and Qinghai, and rural revitalization in 158 countries Focus on supporting the county people's hospital.
The public health protection network is further strengthened
In recent years, my country's disease control work has made significant progress, disease prevention and control capabilities have been continuously improved, and various comprehensive prevention and control measures for infectious diseases have been actively implemented.
"The relevant laws, regulations and policy systems for the emergency response to infectious disease epidemics have been continuously improved, and the emergency management system and mechanisms have been continuously optimized. A public health emergency emergency plan has been basically formed, covering multiple types of diseases and covering the country, provinces (autonomous regions and municipalities directly under the Central Government). ), city and county level 4-level infectious disease emergency response plan system; relying on the national and provincial centers for disease control and prevention, 20 national acute infectious disease prevention and control teams have been established, covering 17 provinces." Deputy Director of the General Department of the National Administration of Disease Control and Prevention Director Qin Xingqiang said.
Since the "14th Five-Year Plan", the central budget has allocated a total of 13.1 billion yuan to support the construction of a disease control system at the national, provincial (autonomous region, municipality), city, and county levels.
In 2023, the central government will allocate 17.687 billion yuan in funds for disease control projects through transfer payments to be used for prevention and control of major infectious diseases, endemic diseases, etc.
According to Qin Xingqiang, the average reporting time of my country's infectious disease network direct reporting system has been shortened from the original 5 days to the current 4 hours. The national level has established a technical system for rapid identification of 300 pathogens within 72 hours. 100% of provincial and 90 % of municipal CDCs have nucleic acid testing and virus isolation capabilities.
The vaccination rate of the immunization program remains above 90%.
Through reasonable distribution, online reservations, door-to-door services, etc., we will continue to improve the accessibility and convenience of vaccination services.
Thanks to these measures, my country has achieved remarkable results in the prevention and control of infectious diseases, and the public health protection network has been further strengthened.
In terms of prevention and control of emerging infectious diseases, major and decisive successes have been achieved in the prevention and control of the new coronavirus epidemic, and infectious diseases such as human avian influenza and plague have been effectively dealt with.
In terms of prevention and control of major infectious diseases, the rapid rise of the AIDS epidemic in key areas has been effectively curbed; the mortality rate of tuberculosis has been maintained at a low level; all counties where schistosomiasis is endemic have reached transmission interruption status; measles, Japanese encephalitis and other vaccines can prevent The incidence of infectious diseases has dropped to an all-time low.
"In the next step, we will comprehensively promote the construction of an intelligent multi-point trigger infectious disease monitoring and early warning system, focusing on new emerging infectious diseases, and continuously improve the ability of early detection, scientific assessment, and timely warning of infectious diseases." Qin Xingqiang said.
Traditional Chinese medicine has won wide acclaim from the international community
Last year, the implementation plan for a major project to revitalize and develop traditional Chinese medicine was released.
The State Administration of Traditional Chinese Medicine, the National Health Commission, and the National Development and Reform Commission have taken the lead in establishing an inter-departmental working mechanism with relevant departments. The central government has invested nearly 13 billion yuan to promote key tasks and major engineering projects to basically achieve "double and half".
"Positive progress has been made in the construction of a high-quality and efficient traditional Chinese medicine service system, with the number of community health service centers and traditional Chinese medicine clinics in township health centers increasing to more than 40,000," said Ouyang Bo, deputy director of the Comprehensive Department of the State Administration of Traditional Chinese Medicine. According to preliminary estimates, the number of traditional Chinese medicine clinics in 2023 will be The total number of diagnoses and treatments in quasi-medical and health institutions was 1.28 billion, and the number of discharges was 41.486 million. Traditional Chinese medicine has played a positive role in serving people's health.
Work on the inheritance and innovation of traditional Chinese medicine has been steadily advanced.
According to Ouyang Bo, 46 national traditional Chinese medicine inheritance and innovation centers have been established, and 50 dominant diseases treated by traditional Chinese medicine, 52 integrated diagnosis and treatment plans of traditional Chinese and western medicine, 100 appropriate technologies and 100 traditional Chinese medicine varieties with unique curative effects have been selected and released.
The first batch of 74 books in the "Health Volume" of "Chinese Medicine Collection" was officially published, marking a major milestone in the compilation of ancient Chinese medicine books.
"The team of talents with special characteristics of traditional Chinese medicine continues to grow, cultivating 50 Qihuang scholars, 500 national outstanding clinical talents of traditional Chinese medicine, 100 young Qihuang scholars, 35 traditional Chinese medicine innovation teams, and building 321 high-level key disciplines of traditional Chinese medicine." Ouyang Bo said.
Under the guidance of these measures, the influence and communication power of traditional Chinese medicine continue to increase.
Traditional Chinese medicine cultural products such as the "China Traditional Chinese Medicine Conference" and the "Light of Wisdom" Traditional Chinese Medicine Culture Exhibition have attracted widespread attention from the society. The level of Chinese citizens' traditional Chinese medicine health and cultural literacy has continued to improve, reaching 22.56%.
The content of traditional Chinese medicine has been included in the joint declaration between my country and nine countries including Belarus, as well as the list of outcomes of the China-Central Asia Summit. The international traditional medicine clinical trial registration platform built by the China Center for Evidence-Based Medicine in China has successfully been recognized as a first-level registration institution by the World Health Organization. Medicine has won wide acclaim from the international community.
Xiong Jian