The 5 key points of health reform have all started to implement the urban and rural insured more than 1.2 billion

Source: Internet
Author: User
Keywords Emphasis health reform urban and rural all insured
In this year, fiscal health expenditure at all levels was 390.2 billion yuan, an increase of 38.1% per cent from 2008. Among them, the central fiscal health expenditure of 127.7 billion yuan, an increase of 49.5% than 2008. As of now, the 5 key points of health reform have all been implemented--the new medical reform has been a year without our correspondent Baijian Wang Junping Urban and rural insured more than 1.2 billion according to the "2009 China Health Service Development briefing" shows that in 2009, the proportion of Chinese residents ' personal health expenditure continued to decline. It is benefited from the establishment of medical security system covering urban and rural residents in China. 2009, the number of urban and rural residents insured more than 1.2 billion.  Among them, the number of urban workers and urban residents insured amounted to 401 million, and the number of new farmers and insured persons reached 833 million. "With Medicare, the hospital is no longer flustered. Taking part in the new farming combined, the doctor can relieve a lot of burden. "Xinjian County Chang Village, Jiangxi Province, farmers 邹槐 root holding green" new agricultural combination of the certificate. 邹槐 's eyes are almost blind because of diabetes.  This April, he in Nanchang First hospital to do surgery, a total of more than 13,000 yuan, discharge the same day he was in the hospital of the new farmers straight reported point reimbursed nearly 4700 yuan, which is equivalent to his small six months of income. Today, more than 90% of Chinese farmers can be reimbursed for medical treatment.  From this year onwards, the new rural cooperative medical system will raise the funding standards, the level of government subsidy levels to 120 yuan per person per year, and appropriately improve the level of personal contributions. Last year, urban residents ' health insurance was carried out nationwide.  14.62 million university students, 22.86 million flexible employment personnel, 43.35 million migrant workers participated in urban basic medical insurance, 6.28 million closed bankrupt state-owned enterprises retired personnel into urban workers health insurance. At present, more than 50% of the country to achieve the cost of medical treatment in a timely manner, Beijing, Fujian, Tianjin and other places vigorously promote medical treatment "one card", simplified reimbursement procedures, to facilitate the public medical treatment.  Jiangsu, Zhejiang, Shanghai, Anhui 4 Provinces (cities) in the pan-Yangtze River Delta region to carry out off-site medical cooperation.  The price of essential drugs has fallen by 30% this year, the Zhang Wengang of bronchitis in Jiangsu province Suzhou Pingjiang Community Health Service station infusion, surprised to find: the day before he with Levofloxacin and Clindamycin, a total of 148 yuan spent; the same medicine, after the implementation of the basic drug system, the price has dropped to 87 yuan. Last August, the National basic drug system was introduced. The National Basic Medicines catalogue includes 307 kinds of regular drugs, all of which are included in the reimbursement Catalogue of basic medical insurance drugs. The basic drug system has been implemented in 30% of primary health care institutions, including 19,664 Township hospitals in 1030 counties (municipalities and districts), and 8,527 government-run Community health service institutions, representing 33.1% and 45.72% of the total number of national institutions.  In addition, 15 provinces and municipalities have included some village health rooms in the implementation of the basic drug system, 12 provinces and municipalities have supplemented the basic drug varieties, the addition of drugs are zero-rate sales. Currently, 30 provinces and municipalities have finishedAs the first tender for the essential drugs, 28 provinces and municipalities have begun to implement the 0 differential sales of essential drugs.  From the areas where the basic drug system has been implemented, the price of basic drugs has dropped by an average of about 30%, the burden of basic medicines for the masses has been reduced, and the number of patients attending primary health care institutions has increased markedly. Primary medical Service revitalized a year, the basic health service system of our country is further perfected. 2009, the central arrangement of 20 billion yuan investment, launched 986 County hospitals, 3549 Centers Township hospitals, 1154 Community Health Service Center construction, has 45% of the project completed and put into use. In addition, all over the country also self-financing 20.1 billion yuan to build primary medical and health institutions.  At present, all the cities in the country and 93% of county-level counties carry out Community health services, to create a convenient, fast, high-quality "health Service Circle." In order to establish a reasonable triage system, all over the country through training, targeted recruitment, counterpart support and other forms to complement and improve the primary health service capacity, the cumulative for township hospitals recruit 14170 practitioners, training rural and urban Community health service personnel 980,000 people.  A total of 1091 three-level hospitals and 2,184 County-level hospitals have formed a counterpart support relationship. The pilot of public hospital reform was launched at the end of 2009, the total number of hospitals in China was 19,822, of which 14,086 were public hospitals.  2009, the National hospital attendances reached 1.85 billion, of which public hospitals amounted to 1.71 billion people, accounting for 92.4% of the total number of hospitals, public hospital reform is the "play" of health reform. February 21 this year, "Public hospital reform pilot Guidance" issued, public hospital reform pilot officially launched. In accordance with the principle of first pilot and gradually pushing away, the public hospital reform has been chosen from 1 to 2 cities or urban areas respectively. 16 cities as state-linked public hospital reform pilot cities.  The direction of reform is to uphold public hospitals ' public welfare nature and dominant position. To make people benefit is an important goal of public hospital reform. At present, the appointment of diagnosis and treatment services in the three-level hospital in full development, 112 disease species of clinical pathway management began pilot, "first diagnosis and payment" system was pushed away. Many places have carried on the bold exploration in the public hospital compensation mechanism, the operation mechanism, the management system and so on, has laid the foundation for the deepening public hospital reform.
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