Tuesday, January 29, 2013

The health care expenditure of state revenue adds up to 249 billion yuan Ensure the medical reform to implement

The health care expenditure of state revenue adds up to 249 billion yuan Ensure the medical reform to implement
Sino-Singaporean network, December 22 national development and reform committee director Zhang Ping expresses on the 22nd, since the medical reform was implemented, the health care expenditure of state revenue has reached 249 billion yuan totally, have ensured the medical reform to implement effectively. The system reform of the medical and health is being advanced solidly steadily, the total situation is good, but there are some problems and deficiency. The 18th meeting of the 11th Standing Committee of the National People's Congress holds the second plenary session today. National development and reform committee director Zhang Ping is entrusted by the State Council, reports the working condition of deepening the system reform of the medical and health to Standing Committee of the National People's Congress. Zhang Ping says, on the whole, every key reform has made positive progress and preliminary effect at present, lay a solid foundation for finishing the implementing scheme of three years of the medical reform in an all-round way, too for should maintain the society, play an important role steadily while being harmonious, to international financial crisis. Especially with " Four items basically " Overall for promotion,it is basic intension of health care system getting clearer progressively,government be strengthened notably to be lasted basic responsibility, fairness and accessibility of medical care are obviously improved, the broad masses get the material benefit that the reform brings conscientiously. Zhang Ping points out, practice of the reform fully proves, medical reform direction, focal point and implementation step that the central authorities fix are correct, accord with the people's vital interests requirement, accord with the objective law of development of medical hygiene industry and fundamental realities of the country of China. Zhang Ping points out, at present, the system reform of the medical and health is being advanced solidly steadily, the total situation is good, but some problems and deficiency exist too. Especially gradual to deepen with reform, the interests pattern begins to be adjusted, the profound contradiction that the medical and health accumulates for a long time concentrates on appearing, some new situation, new problem are emerging constantly, complexity and arduousness of more prominent medical reform. First, the progress of the regional reform is uneven. Generally speaking, all parts carry out central authorities' medical reform spirit conscientiously, combine and make the implementing scheme actually, the positive organization implements, but the progress exists unevenly. Second, the basic medicine system meets some questions, some places reflect there are partial and few basic medicine varieties, some basic medicine countries guide prices a bit high, the basic medicine bids and purchases the mechanism unstandardly, the medical compensation mechanism of health organ in the basic unit is imperfect. Zhang Ping points out, stresses the question to these, we have carried on serious research together with the related departments, have proposed the concrete solution, first, start basic medicine catalogue and guide price to adjust the mechanism dynamically as soon as possible, make basic medicine variety and guide price accord with the reality at the basic level further; Second, centre on basic medicine quality, price and supply three key elements, put forth effort provincial the intersection of centralized purchasing and way that price get in touch of advancing etc.; Third, set up normal multi-channel compensation mechanism, improve the corresponding performance examination method, in order to invest changing the mechanism, advance the medical comprehensive reform of health organ of the basic unit in a more cost-effective manner. Zhang Ping further points out, recently, after the State Council sanctions, General Office of the State Council has printed and distributed " instruction on setting up and standardizing the government and running the basic medicine of medical health organ in the basic unit and purchasing the mechanism " with <>, instruct all parts to accelerate setting up basic medicine centralized purchasing mechanism and medical compensation mechanism of health organ of basic unit, guarantee the basic medicine system implements, makes the effect smoothly. Third, the public hospital reform still needs to further investigate. Make sure progress since public the intersection of hospital and the intersection of reform and pilot project start, yet there is relatively loud disparity from the expectation of the various circles of society. Will further define basic thinking and implementation step of the public hospital reform, encourage all parts to be bold in blazing new trails, summarize and popularize the ripe experience in time. At present, Ministry of Public Health is studying the public hospital and reforming the key task as soon as possible together with the related departments. Fourth, the support policy of the village clinic remains to be complete, mainly concentrate in rural doctor's identity treatment, supporting parents to ensure, leave no successor etc., especially after the basic medicine system is implemented, drop because of the medicines price of the health clinics in towns and townships, assign and run to the health clinics in towns and townships in the intersection of village and the intersection of patient and part that clinic go to a doctor originally, make the rural doctor's real revenue influenced. Ping Zhang say in addition basic medical treatment ensure and basic public health serve and at the basic level service system build, have that demand perfection urgently still too. And one is that the horizontal disparity of raising funds between three basic medical insurance systems is greater, disparate development is dispersed and managed, have not merely caused and handled and managed the repeated construction of resource, personnel and effected an insurance repeatedly, ensure competence to be unbalanced, the difficulty of settling account that further strengthen the medical insurance and concern and shift and continue seeking medical advice with the strange land too; Second, quality criteria and result of the basic public health service are appraised and awaited further thinningly, consciousness and level of the public health service at the basic level need to further improve yet; Third, still there is disparity in medical service level especially the demands of medical worker's engineering level and the broad masses and requirement of the reform of health organ in the basic unit, some hospitals at county level and health clinics in towns and townships build related fund problems such as uncomplete, construction of ultra scale,etc.. Zhang Ping points out, these questions appearing in the reform, the majority is in reforming the anticipated range, also some is the new problem appearing when implemented in reform. With the critical stage of one gram of a difficult ones of assaulting fortified position that the reform is entered, new situation, new problem will also appear successively. To various questions and difficulties appearing in the reform, will pay close attention to, treat conscientiously, discuss and make the effective policies and measures to analyse and explain one by one in time. (put in order according to the Chinese network written broadcasting live)

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