The data from the National Health Reform Office System Work Conference on February 8 showed that the level of basic medical insurance for urban and rural residents improved significantly in 2011. The number of basic medical insurance participants exceeded 1.3 billion, coverage reached 95%, and the NCMS and the urban residents’ medical insurance government The subsidy standard has increased from 120 yuan per person per year in 2010 to 200 yuan in 2011, and the proportion of reimbursement within the policy range has increased from 60% to about 70%.
Since the "Opinions on Deepening the Reform of the Medical and Health Care System" issued in April 2009, the medical reforms have followed the trend and achieved the coverage of the medical security system, the improvement of the primary health care service system, and the equalization of basic public health services. Certain results.
See a doctor, there is a place
It was in May 2009 that the reporter went to Xinjiang for an interview. In the health center of the town of Mashkant, Shache County, Kashgar region, Tawaguli Shawti from Guli Bagh Village is already recovering from medical treatment.
He had surgery for lipomas, and he also stayed for 7 days. All medical expenses were only 100 yuan. He told reporters that if it was a few years ago, it would take two or three thousand. Now, with so little money, it is because he has participated in a new type of rural cooperative medical care. He only pays 10 yuan each year, and he is not afraid of minor illnesses or major illnesses.
In the new round of medical reforms, the central government has invested more than 60 billion yuan to strengthen the standardization of grass-roots medical and health service systems, and the standard of medical subsidies for new rural cooperative medical services and urban residents has been raised to 200 yuan. The reimbursement rate for hospitalization expenses within the scope of urban residents' medical insurance and the new rural cooperative medical policy has reached about 70%, and the maximum payment limit is not less than 50,000 yuan. The level of equalization of basic public health services has been markedly improved. The annual per capita subsidy standard has reached 25 yuan, the basic medical service capacity has been significantly improved, the hardware facilities have been significantly improved, and basically villages have health rooms, and townships and townships have health centers. Each county has There are standard county hospitals.
Take medicine and afford it
For a long time, it is a basic problem to look for expensive patients and to take expensive drugs. In particular, for some long-term cases, the cases of poverty caused by illnesses are numerous.
The new medical reform has established the national essential medicine system. The country has established a list of essential medicines including 307 common drugs. By the end of July 2011, sales of zero sales of essential medicines had been fully covered in advance by government-run grassroots medical and health institutions. Among them, Shanghai, Chongqing, Yunnan, Tibet, Gansu, Qinghai, Ningxia, Sichuan, Hainan, Hubei 10 provinces and cities and Xinjiang Production and Construction Corps have covered the village. The actual sales price of essential medicines in basic medical and health institutions fell by an average of 30% from the average before the implementation of the system, and the mechanism of “remedy for medicine†in basic medical institutions was abolished.
Professor Li Ling from Peking University introduced the example of the outpatient clinics of township health centers and community health service agencies run by the government. The outpatient medical expenses of township hospitals in 2009 were 28.8 yuan, and it was reduced to 28.7 yuan in 2010; the outpatient clinics of community health service agencies The average drug cost was 63 yuan in 2008, and it decreased to 58.7 yuan in 2010, indicating that the role of the basic drug system in controlling the rise in drug costs is gradually emerging.
Serious illness can protect
Sun Zhigang, deputy director of the National Development and Reform Commission and director of the State Council's Medical Reform Office, pointed out that the protection of major diseases is a major shortcoming in the medical security system. This year, we must explore this aspect.
He said that we must give full play to the basic medical insurance, medical assistance, commercial health insurance, various forms of supplementary medical insurance and social charity synergy to solve the problem of patients with severe diseases caused by poverty, build a solid medical protection bottom line. At the same time, we must accelerate the real-time settlement of basic medical insurance, improve the transfer and settlement policy of medical insurance relations, promote the convergence of various basic medical insurance systems; actively promote medical insurance for medical treatment and facilitate medical care for insured personnel; strengthen management of basic medical insurance fund revenue and expenditure, and reform The payment method is to actively promote payments by disease category (disease group), per capita payment, and total amount advance payment nationwide to enhance the constraining effect of medical insurance on the growth of medical expenses.
The Ministry of Health this year has implemented comprehensive reforms to eliminate county-level hospitals with medicine as the core of medicine in more than 300 county-level hospitals nationwide.
Sun Zhigang stated that in the reform of public hospitals, it is necessary to place public hospital reform at the county level in a prominent position, expand and deepen the reform of major urban hospitals, vigorously promote measures to facilitate the benefit of the people, actively encourage the community to provide medical services, and continuously satisfy the growing diversity of the people. Health care service needs. (Yin Xiaoyu)
Since the "Opinions on Deepening the Reform of the Medical and Health Care System" issued in April 2009, the medical reforms have followed the trend and achieved the coverage of the medical security system, the improvement of the primary health care service system, and the equalization of basic public health services. Certain results.
See a doctor, there is a place
It was in May 2009 that the reporter went to Xinjiang for an interview. In the health center of the town of Mashkant, Shache County, Kashgar region, Tawaguli Shawti from Guli Bagh Village is already recovering from medical treatment.
He had surgery for lipomas, and he also stayed for 7 days. All medical expenses were only 100 yuan. He told reporters that if it was a few years ago, it would take two or three thousand. Now, with so little money, it is because he has participated in a new type of rural cooperative medical care. He only pays 10 yuan each year, and he is not afraid of minor illnesses or major illnesses.
In the new round of medical reforms, the central government has invested more than 60 billion yuan to strengthen the standardization of grass-roots medical and health service systems, and the standard of medical subsidies for new rural cooperative medical services and urban residents has been raised to 200 yuan. The reimbursement rate for hospitalization expenses within the scope of urban residents' medical insurance and the new rural cooperative medical policy has reached about 70%, and the maximum payment limit is not less than 50,000 yuan. The level of equalization of basic public health services has been markedly improved. The annual per capita subsidy standard has reached 25 yuan, the basic medical service capacity has been significantly improved, the hardware facilities have been significantly improved, and basically villages have health rooms, and townships and townships have health centers. Each county has There are standard county hospitals.
Take medicine and afford it
For a long time, it is a basic problem to look for expensive patients and to take expensive drugs. In particular, for some long-term cases, the cases of poverty caused by illnesses are numerous.
The new medical reform has established the national essential medicine system. The country has established a list of essential medicines including 307 common drugs. By the end of July 2011, sales of zero sales of essential medicines had been fully covered in advance by government-run grassroots medical and health institutions. Among them, Shanghai, Chongqing, Yunnan, Tibet, Gansu, Qinghai, Ningxia, Sichuan, Hainan, Hubei 10 provinces and cities and Xinjiang Production and Construction Corps have covered the village. The actual sales price of essential medicines in basic medical and health institutions fell by an average of 30% from the average before the implementation of the system, and the mechanism of “remedy for medicine†in basic medical institutions was abolished.
Professor Li Ling from Peking University introduced the example of the outpatient clinics of township health centers and community health service agencies run by the government. The outpatient medical expenses of township hospitals in 2009 were 28.8 yuan, and it was reduced to 28.7 yuan in 2010; the outpatient clinics of community health service agencies The average drug cost was 63 yuan in 2008, and it decreased to 58.7 yuan in 2010, indicating that the role of the basic drug system in controlling the rise in drug costs is gradually emerging.
Serious illness can protect
Sun Zhigang, deputy director of the National Development and Reform Commission and director of the State Council's Medical Reform Office, pointed out that the protection of major diseases is a major shortcoming in the medical security system. This year, we must explore this aspect.
He said that we must give full play to the basic medical insurance, medical assistance, commercial health insurance, various forms of supplementary medical insurance and social charity synergy to solve the problem of patients with severe diseases caused by poverty, build a solid medical protection bottom line. At the same time, we must accelerate the real-time settlement of basic medical insurance, improve the transfer and settlement policy of medical insurance relations, promote the convergence of various basic medical insurance systems; actively promote medical insurance for medical treatment and facilitate medical care for insured personnel; strengthen management of basic medical insurance fund revenue and expenditure, and reform The payment method is to actively promote payments by disease category (disease group), per capita payment, and total amount advance payment nationwide to enhance the constraining effect of medical insurance on the growth of medical expenses.
The Ministry of Health this year has implemented comprehensive reforms to eliminate county-level hospitals with medicine as the core of medicine in more than 300 county-level hospitals nationwide.
Sun Zhigang stated that in the reform of public hospitals, it is necessary to place public hospital reform at the county level in a prominent position, expand and deepen the reform of major urban hospitals, vigorously promote measures to facilitate the benefit of the people, actively encourage the community to provide medical services, and continuously satisfy the growing diversity of the people. Health care service needs. (Yin Xiaoyu)
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