Ministry of Health Officials: China Has the Largest System in the World

Sun Yang, Deputy Director of the Department of Medical Management of the Ministry of Health, Guo Yanhong, Deputy Director of the Department of Medical Affairs, and Wang Yuxi, Deputy Inspector of the Planning and Finance Department, made guest nets this afternoon, accepting the topic of “innovating the institutional mechanisms and striving to solve the problems of seeing a doctor and expensive doctor” Interview and interact with netizens. This interview was the sixth in the series of national rectification work interviews.

Sun Yang said that the new round of medical reform began in 2009. After three years, under the leadership of the Party Central Committee and the State Council, localities and departments have conscientiously implemented the country’s overall deployment and decision-making, and coordinated the promotion of five key reforms. The content of these five reforms basically achieved the phased goals:

The first is that universal health coverage has basically achieved full coverage. By the end of 2011, the combined number of employees, urban residents, and new rural cooperatives reached 1.3 billion people, and the coverage rate reached 95%, which is very impressive. China now has the world's largest medical insurance system, and the government subsidy standards for urban residents' medical insurance and NCMS rural medical care are also greatly increased. In 2008, the per capita subsidy was 80 yuan. By 2011, the government subsidy has reached 200. yuan. Moreover, the scope of protection from hospitalization has been extended to out-patient coordinating, urban and rural medical assistance, illness relief efforts are also increasing.

The second is the establishment of a national basic drug system. The basic drug system has grown from nothing, especially at the grass-roots medical and health institutions. It is also very remarkable. Through the basic drug system, the overall comprehensive reform of the overall primary Health care institutions will be promoted.

The third is that there has been great progress in the establishment of the primary health care service system. In the past three years, the central government has invested a total of 63 billion yuan, supporting the construction of 2,200 county-level hospitals and 33,000 grass-roots medical and health institutions. In the past three years, the country has also introduced a general practitioner training system that has raised 10,000 yuan. Many general practitioners have strengthened the construction of grass-roots talent echelons. The network covering primary and secondary health care in urban and rural areas was initially established, and the “bottom” function of grass-roots services began to appear.

The fourth is to increase the promotion of equalization of basic public services. The basic public health service has been upgraded to ten types of projects. The per capita cost has been raised to 25 yuan, and the 1.3 billion people in the country have enjoyed it. This is a very big project.

The fifth is the pilot reform of public hospitals. Seventeen countries have contacted pilot cities and 37 provincial-level pilot areas. After three years of exploration, they have achieved good experience in some major institutional mechanisms, especially the “four separate” areas. .

Sun Yang said that overall, the three-year medical reform started very smoothly and the progress was very smooth. The reform has effectively promoted the protection of people's livelihood and improvement of the people's livelihood. It also strengthened social development and promoted social fairness. After three years of hard work and exploration, the consensus of the entire social reform has become more and more consistent, and confidence is more firm than in the early days of reform. If we follow this route and proceed with this momentum, reforms will surely succeed. In the end, the Party and the government will win the hearts of the people, the people will get benefits, the medical staff will also be encouraged, and the health industry will achieve such a win-win situation.