China's basic drug prices drop 30% the absolute cost of medical treatment is still rising

Health Minister Chen Zhu (second right) answered the question. Xinhua News agency yesterday, the NPC Standing Committee of the 18th meeting of the State Council on deepening the work of the medical and health system reform report to conduct a special inquiry.　　To further improve the level of health care, 850 billion of health care investment, the safety of medication, the difficulty of seeing a doctor and other issues become the focus of questions, the Ministry of Social Affairs, Ministry of Finance, Development and Reform Commission, the Ministry of Health and other 5 ministries to answer questions.　　Ministry of the Ministry of >> the personal medical burden of the Department of Finance decreased by 2.2% in 2009, the proportion of personal hygiene expenditure in China fell by 2.2% from 2008 to 40.4%, reflecting the reduction of the medical burden of the masses. In response to a question, Treasury Secretary Xuren pointed out that since the start of the reform of health care system, the effectiveness has been preliminarily revealed. From this year's central budget implementation, the rural health care investment reached about 80 billion yuan.　　This year, local levels of fiscal health and health spending budget 305 billion yuan, a 36.5% increase than the 2009 budget. Since the start of the reform of the medical and health system, with the increasing of government health investment and the steady progress of various reform measures, the personal medical burden of the masses has been further alleviated, and the problem of "difficult to see a doctor and expensive to see a doctor" has been alleviated initially. According to statistics, the proportion of government health expenditure and social health expenditure combined with total public health costs increased from 59.6% in 2008 to 61.8% in 2009, increased by 2.2%, corresponding to the proportion of personal hygiene expenditure from 2008 to 40.4%,　　Decreased by 2.2%, reflecting a reduction in the medical burden of individuals. Next year, the central government will continue to increase its investment in medical and health care in accordance with the proposals of health reform and the implementation of the plan, to ensure that the task of adding 331.8 billion yuan to the central government can be successfully completed.　　At the same time, the local financial departments at all levels are urged to increase investment in health care reform in full and timely allocation of medical and health funds to ensure the completion of the national new 850 billion yuan task. >> the absolute number of medical expenses in the Ministry of Health is still rising. Health Minister Chen Zhu said that a recent statistics, in the size of hospitals in the diagnosis and treatment activities, outpatient capacity of 90% in public hospitals, 91% in the public hospital hospitalization. "In the light of the rising costs, the paradox is that the cost of quality care is very low, but the proportion of drugs is too high." Chen Zhu said, recently in the attention to control the drug addition, the big diagnostic list came out, especially large equipment cost is very high, and a lot of unreasonable, because the problem with large equipment inspection found few.　　So recently, on the basis of total control, adjust the price structure appropriately to bring down the unnecessary large diagnostic costs, and to improve the treatment of those at risk positions such as quality care, front-line doctors, residents, attending physicians, etc., and to promote self-discipline in the health system. Vice Minister of Health, Zhang MaoThat the problem of expensive medical treatment is mainly the increase in health care costs too fast, while the proportion of individual payments, although the overall proportion has declined, but the absolute number is still increasing, so the public to see the problem of expensive to see more strongly.　　>> 8 bottles per capita last year the National Development and Reform Commission deputy director Zhu Zhixin said, according to preliminary statistics, the price of basic drugs fell by about 30%. Zhu Zhixin said that the implementation of a basic drug system is a very important goal, is to ensure the safety of drug use at the grassroots level, in the past because of "drug-raising" this poor system, the grassroots overuse of the situation is very serious, last year, the entire Chinese infusion 10.4 billion bottles, the equivalent of 1.3 billion people each infusion 8 bottles is much higher than the international 2.5-3.3 level.　　This overuse of drugs endangers the health and safety of the people.　　>> People's Department expands the scope of residents ' health insurance payment The deputy Minister of Human Resources and social Security, Hu Xiaoyi, said China will gradually expand the scope of payment for urban and rural residents. Hu Xiaoyi said that now is the level of workers ' health care is relatively higher, such as the large disease and hospitalization reimbursement ratio, or is called the proportion of pay, this year reached about 75%. The original proportion of the new farmers ' and residents ' health insurance is comparatively low, in 2008, the new farmers only 38% of the reimbursement ratio, the residents only 50% of the reimbursement ratio, by 2009, the gap is close to 50%-55%, this year's urban residents of health care and new farming combined reimbursement ratio can basically reach 60%,　　And workers ' insurance coverage gap is narrowing. Hu Xiaoyi said that in the insurance management, as far as possible to break the boundaries between urban and rural areas, especially for the flexible employment of migrant workers, the provision of a voluntary choice to participate in the urban residents of the medical insurance system or the domicile of the new rural system. With the emphasis of peasant workers, it is clear that trans-system and trans-regional transfer method. In the government's subsidy standard, to the urban and rural residents of health care has stipulated the same policy, especially in the central subsidy of the standard, the central government subsidies to the Midwest 60 Yuan/person/year, which is not divided into urban and rural areas.　　In the future, when raising the subsidy standard, it should also be considered in accordance with the requirements of urban and rural planning. During the "Twelve-Five" period, the Ministry will expedite the issue of a national social Security card, the initial plan to increase the circulation of social security cards to more than 800 million.　　We will continue to co-ordinate arrangements to improve the treatment of basic medical security in urban and rural areas and gradually narrow the gap between the urban and rural areas. Members suggested that various health care management Hasbagen members pointed out that staff health care, residents of health care by the People's social department, the new rural and medical assistance by the health and Civil affairs departments, three departments have set up specialized agencies or designated personnel to engage in basic medical security work, each sentinel medical institutions are respectively set up staff insurance , residents ' health insurance, the new Farm-combined Reimbursement window, each hospital has almost three or four windows responsible for the settlement work, resulting in the management system is not smooth, handling resources and waste coexist. HeIt is suggested that the workers ' health insurance and residents ' health insurance, new farming and rural medical assistance be merged into one department management gradually. According to statistics, at the end of October this year, the number of urban workers and urban residents insured 424 million, the number of new farming combined to reach 835 million, two figures add up to about 1.26 billion, "this figure shows that the whole country is covered, and the reality is not so." Zheng members analysis, due to division of the Department, the Division of handling, the number of repeated participation is estimated at more than 100 million, wasting resources. (Beijing Times newspaper reporter Guo Eidi peng Ye Zhou)