It is 1 300 million people's health opening " The good prescription "

It is 1,300 million people's health opening " The good prescription "
As everyone knows, the medical reform is a world difficult problem. Place China within the range of low income countries of China, still has nearly 100 million population below the poverty line, nearly 500 million people's relative poverty. Want, set up, cover 1,300 million basic health care system of population by one, let everybody enjoy the basic health care to serve, itself is it is challenged that one is enormous. Face this world " Persistent ailment " ,Our government has not shrunk back, has not avoided, but open a " China's prescription " . The person in charge of office of medical reform of the State Council says, in the past year, all parts cooperate, make joint efforts with every department actively, round " protect the basic, strong basic unit, build the mechanism " firmly Requirement,key five items reform when advancing steadily, be it appear constantly for to last result medicined. Basic medical treatment ensures the system to improve and regard medical insurance of urban residents, worker's medical insurance, new agricultural shutting and medical rescue in urban and rural areas as the subject constantly, the basic medical security system of covering all residents in urban and rural areas has already taken shape tentatively, and complete progressively. Last year, the coverage rate of the medical insurance was further expanded. The basic medical insurance of national urban and rural residents effects an insurance the number of people exceed 1,260 million. Worker's medical insurance and medical insurance of urban residents effect an insurance the number of people is up to 429 million, increase by 6.8% on the basis of 2009, have finished the goal that the number of people reaches 410 million of effecting an insurance ahead of time; Closure and bankruptcy retired personnel and difficult enterprise worker of state-owned enterprise effect an insurance the problem is solved properly; Join and shut the number of people and up to 834 million newly and agriculturally jointly, join the shutting rate continuously steady and above 90%. This person in charge says, more than 90% of the pool areas have realized and sought medical advice in the pool area of the basic medical insurance the settling immediately of expenses at first at present, about 60% of areas realize the pool at city level of the basic medical insurance of the city, Beijing-Tianjin Shanghai and Tibet realize the provincial pool. The third Chongqing, Tianjin, Ningxia,etc. are provincial ' District, city) And more than 170 cities, countieses have implemented the pool in urban and rural areas of the basic medical insurance. The basic medicine system moved forward in the basic unit last year steadily, the institutional improvement of basic medicine was on the basis of continuing expanding coverage rate, improve the basic medicine and purchase the mechanism and medical compensation mechanism of health organ of basic unit, form a complete set and advance the reform of organization at the basic level, the system manifests progressively the effect. This person in charge says, the system coverage rate of basic medicine is further expanded. Already about 60% of governments have run the medical health organ in the basic unit and already implemented the basic medicine system in the whole country, sell a difference rate of medicines. 8 provinces (district, city) such as Anhui, Jiangxi First push away within the range of the whole province. Basic the intersection of medicine and zero difference lead price drop 30% about on average sell. Last year, the national basic medicine system policy system was further improved. Leading provincial non-profit-making medicines of government concentrate on calling for bid in the platform in 31 provinces (the district, city) Set up extensively, regard province as the unit, quantity price and get in touch, employ and adopt unifying, contract management, basic medicine provided and delivered in unison to bid and purchase the mechanism to set up and popularize progressively. The service system construction of health care at the basic level was obviously strengthened last year, the governments at all levels " strong basic unit " once As the impetus of the reform, the service system of health care at the basic level is built and has been strengthened in hardware and software construction aspect conscientiously. This person in charge introduces, on the basis of construction of 2009, the central authorities arrange in nearly 900 hospitals at county level of financial support again, the health clinics in towns and townships, 1228 cities community hygiene service organization and 11250 clinic construction of village of outlying district of 1620 centres, the construction task that the implementing scheme of the medical reform is booked ahead of time is basically finished; Secondly, team's construction plan of health care at the basic level taking complete doctor as the focal point starts implementation in an all-round way, 16,000 medical workers at the basic level participate in complete doctor's job-transfer training; Moreover, making a diagnosis and resident's health control of leading the basic unit to serve center and transfer to common disease, frequently-occurring disease progressively comes up, make great efforts to make urban and rural residents not get off the villages and towns, can enjoy the convenient and effective and cheap basic health care service without going out of the community. The basic public health service is equal progressively to melt last year, all parts provide 9 kinds of basic public health such as file administration of the health, health education for urban and rural residents, serve, serve with 7 items of great public health free, the equal competence of melting of the basic public health service is further improved. It is introduced, every province (district, city) Per person implement basic public health service funds of 15 yuan completely. The filing rate of health files of urban and rural residents reaches 48.7% and 38.1% separately, national pregnant and parturient women, system management rate of children under the age of 3 reach 84% and 81.5% respectively, the rural woman's rate of giving birth in hospital exceeds 96%. Standardizing the management to further popularize of main chronic non-Communicable disease, 35,500,000 hypertension patient, 9,190,000 diabetics and 1,700,000 heavy mental patients get standardized management. At present, the crowd under the age of 15 reseeds hepatitis B vaccine, women of child-bearing age " the second cancer " Check, the intersection of cataract and free operation of regaining one's sight, change, change, organize implementing effectively by cooking stove and the intersection of person who change lavatory and 7 great the intersection of public health and service item by stove, improve residents' health level effectively. The public hospital reform pilot project starts to it is introduced, Shanghai, Zhenjiang, An'shan,etc. 16 countries that the central authorities fix contact pilot city and every province (the district, city) especially in an all-round way The definite pilot unit starts the pilot project in an all-round way, launch the innovation of mechanism of the system actively. Last year, the public hospital reform pilot project was explored and further deepened. Launch public hospital in charge of, run, separate actively, government affairs separate and medicine separate, set up corporate governance structure and improve compensation mechanism reform. Already 1200 tertiary hospitals have booked the clinic in the whole country at present, the peak go to a doctor and divide in period to go to a doctor by mistake, more than 3800 hospitals (including 1064 tertiary hospitals) Popularize the high-quality care, manage the clinical route in pilot project of more than 1300 hospitals. Last year, our country further improved the public hospital and mechanism of medical division of labor and coordination of work of health organ of basic unit. The country continues implementing ten thousand doctors and supporting the rural hygiene project, organize the urban hospital medical worker to go to the hospital at county level and health clinics in towns and townships to launch medical care and technological guidance. In addition, also organize 1100 tertiary hospitals and 2381 hospitals at county level including military hospital to set up and cooperate and support the mechanism geared to the needs of the job for a long time, have improved the service ability at the basic level. (staff reporter Jin ZhenYan)

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