Report from our correspondent (Reporter Peng Xiaofei) yesterday, the National Health and Family Planning Commission held a special conference to introduce the key tasks of deepening medical reform in 2017. It is reported that this year’s national financial expenditure on medical and health care reached 1.4 trillion yuan, 4.4 times that before the launch of medical reform in 2008. At the same time, it is proposed that all urban public hospitals in the country should cancel drug addition (except Chinese herbal pieces) before September 30.
According to reports, in 2017, China will issue 14 policy documents to promote the construction of five systems, including graded diagnosis and treatment, modern hospital management, universal medical insurance, drug supply guarantee and comprehensive supervision, so as to implement responsibilities, check and grasp.
In terms of the construction of grading diagnosis and treatment system, the pilot scope will be further expanded this year, and the grading diagnosis and treatment pilot and family doctor signing services will be expanded to more than 85% of the cities, from the elderly, pregnant women, children, people such as the disabled, patients with chronic diseases and severe mental disorders, etc. start with demand-oriented family doctor signing services. In 2017, the coverage rate of contracted services for key groups reached more than 60%, bringing all poor people into the scope of contracted services for family doctors.
Before July 31 this year, all cities and cities should come up with the implementation plan of comprehensive reform of urban public hospitals. Before September 30, all urban public hospitals in the country should cancel drug addition (except Chinese herbal pieces). Gradually increase the proportion of medical service income in the total hospital income. By the end of 2017, the proportion of drugs in public hospitals (excluding Chinese herbal pieces) in the first four batches of 200 pilot cities had dropped to about 30%, and the medical Income (excluding drug income) was 100 yuan. The sanitary materials consumed in the middle dropped below 20 yuan.
In addition, the reform of payment methods is carried out. In the first four batches of 200 pilot cities, the payment method reform was implemented, and the number of diseases charged by disease should not be less than 100. At the same time, the proportion of appointment referral to outpatient visits in public hospitals should reach more than 20%.
The financial subsidy for medical insurance for urban and rural residents is raised from 420 yuan to 450 yuan per person per year, and the personal payment standard is raised simultaneously to expand the scope of drug use guarantee. Provinces (autonomous regions and municipalities) set annual growth control targets for medical expenses. In 2017, the average growth rate of medical expenses in public hospitals nationwide was controlled below 10%. Regularly publish the ranking of major monitoring indicators of each province (autonomous region and city).
Health care will continue to be the key area of financial investment. Song Qichao, deputy director of the social security department of the Ministry of Finance, said that in 2017, the national budget for medical and health expenditure was 1404.4 billion yuan, 4.4 times that of 2008 before the start of medical reform. In order to support the reform of public hospitals, the central government continued to arrange subsidy funds according to the standard of 3 million yuan subsidy for each county and 20 million yuan subsidy for each new pilot city.
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our report (Reporter Peng Xiaofei) yesterday, the National Health and Family Planning Commission held a special conference to introduce the key tasks of deepening medical reform in 2017. It is reported that this year, the National Finance’s expenditure on medical and health care reached 1.4 trillion yuan, which was in 2008.