The system coverage rate of basic medicine exceeds eighty percent
The State Council deepens the office of leading group of system reform of the medical and health to introduce on the 13th, by the end of March this year, the medical insurance of national urban residents, with shutting the clinic to conduct the coverage rate to further expand newly and agriculturally, the coverage rate exceeds 80%, already over 42,000 governments have run the medical health organ (including community health Center in the city and health clinics in towns and townships) in the basic unit in the whole country Implemented the basic medicine system, relatively improved by nearly 20 percentage points at the end of last year.
According to national development and reform committee Deputy Directors, introductions of medical reform Sun Zhigang, director of office of the State Council, concentrate on supervising and guiding and surveying and studying the situation to see the national relevant province since the first quarter, the whole people's medical insurance construction has notable effect, the system coverage rate of basic medicine is expanded steadily, the public hospital reform pilot project is explored and deepened progressively.
The coverage rate of the basic medical insurance continues expanding
Up to March, the coverage rate of the national basic medical insurance continues consolidating and expanding, the urban basic medical insurance effects an insurance the number of people exceeds 440 million. About 82.7% and 89.4% of the pool areas have launched the medical insurance of urban residents with shutting the pool of clinic newly and agriculturally respectively in the whole country, the forward goals that generally launch moves forward steadily.
At present, 16 provinces (the district, city) such as Jiangxi, Tianjin, Chongqing, Shaanxi Having launched the medical insurance clinic pool of urban residents within the range of the whole province, 9 provinces (the district, city) such as Shanghai, Chongqing, Zhejiang, Shandong In all counties ' Municipal or district) Have shut the pool of clinic newly and agriculturally.
In addition, 11 provinces (the district, city) Have issued new agricultural file which shuts the reform of means of payment. Tianjin, Chongqing, Ningxia and some cities, counties explore that implement the pool in urban and rural areas of the basic medical insurance.
More than 40,000 family medicine defends the organization and implements the basic medicine system
Already over 42,000 governments have run the medical health organ (including community health Center in the city and health clinics in towns and townships) in the basic unit in the whole country Having implemented the basic medicine system, the coverage rate reached 82.6%, relatively improved by nearly 20 percentage points at the end of last year. Among them, 16 provinces (the district, city) such as Beijing, Anhui Push away in an all-round way, 13 provinces (the district, city) It exceeds 60% to implement the range.
Following Anhui Province, Shandong, Having finished the new round of basic medicine to purchase, the result is obvious.
Two provinces of Yunnan, Heilongjiang have started the new round of basic medicine to purchase the work formally. Hubei, the Inner Mongol,etc. 9 piece provincial ' District, city) Purchase mechanism's file after issuing the new basic medicine, and entered the preparation stage to purchase the work.
All parts advance the medical comprehensive reform of health organ of the basic unit steadily. 14 piece provincial ' District, city) Having made or adjusted and issued the new compensation mechanism file, 15 provinces (the district, city) Have already basically cashed the salary of performance with the formation of production and construction of Xinjiang.
Heilongjiang, Jiangxi,etc. 15 piece provincial ' Market) Basically implementing the government will subsidize the medical difference of regular revenue and expenditure of health organ in the basic unit and subsidize specially, 11 provinces such as Sichuan, Yunnan have implemented and subsidize in some areas. Jiangsu, Shanxi 6 province set about, implement, amalgamate, make a diagnosis fee and issue relevant medical insurance, wipe out policy generally.
Further perfect the service system of health care at the basic level
At present, the hospital, city community health Center and health clinics in towns and townships of centre completion rate at county level which the central authorities invest in and support to build will exceed 50% in most province 2009 and 2010 of the whole country, and started work of personnel training at the basic level such as the medical complete doctor's job-transfer training of health organ of the basic unit for 2011 years.
In addition, the basic public health in 2011 is served and launched in order progressively. According to the preliminary statistics, 52,854,000 hypertension and diabetic has got the standardized slow disease to manage in the whole country.
In pilot public hospital reform, country jointly operate China and foreign countries already examination and approval authority of medical organization transfer to provincial health authorities, allow the medical service providers of Hong Kong, Macao, Taiwan to set up the individual proprietorship hospital in some province and cities, run hospital the social capital to include in the national clinical key specialized department and build the project support range.
Sun Zhigang says, at present, some outstanding difficulties and problems exist in the medical reform, it is uneven to mainly display in regional progress, new mechanism's construction lags behind, new medical personnel system, distribution system and mechanism's construction of provincial centralized purchasing of basic medicine of health organ of basic unit demand urgently to move forward and strengthen.
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