Solve the problem of the national health institutional arrangement

The 2016-03-09

Source: health

Report from our correspondent (reporter zhi-yong liu) on March 8th, 12th session of the National People's Congress four conference news center held a press conference, invited li bin, director of the national health and family planning commission, deputy director of the ma xiaowei, Wang Peian, deputy director of the implementation of comprehensive two child policy, medical and health system reform issues related to answer questions from Chinese and foreign journalists. , said li bin is actively conducted "much starker choices-and graver consequences-in" health and health planning and the planning of deepening reform, promoting the construction of "healthy China" to determine the total target, strategic priorities and major tasks and safeguard measures, for a period as a whole to solve the current and future national health problems make institutional arrangements.

Ensure full two child

Enhance women's and children's services

Li bin, at present, our country pregnant women by inputting rate increased significantly than the same period last year, some major cities in the middle of "hard to get a bed". Two child supporting policies, implement comprehensive family planning system will strengthen maternal and child health care service ability construction, increase of obstetrics and gynecology and pediatrics beds, and child hygiene promotion brochures, strengthen the treatment ability of the critical maternal and newborn, etc.

In the aspect of strengthening the construction of pediatric medical service system, "li said," much starker choices-and graver consequences-in "period, strive to achieve every provinces (autonomous regions and municipalities) can have a children's hospital, set up a permanent population of more than 3 million prefecture at children's hospital, second class above general hospital to set up the pediatric; Provinces, cities and counties to set up a government held the standardization of maternal and child health care institutions, the child family as gp, family doctors focus on signing at the grass-roots level. At the same time, strengthen the psychiatry pediatric talents together to solve the problem, pediatrics and son surgery will be incorporated into the resident standardization training, strive to pediatric residency in 2020 to recruit more than 30000.

Li stressed that the tilt to the pediatric medical institutions pay distribution, may not be linked to business income, to ensure that the pediatric medical staff income is not lower than or higher than that of other professional qualification of the medical staff income average is a hard and leverage. Reasonable price rises to pediatric medical services, and address the pediatric drug security problem, we will accelerate the establishment of a children's medicine, according to the examination and approval of special channel bidding fixed-point production of children's drugs. At the same time, to strengthen children's disease prevention, to carry out the basic public health services, completes the vaccination, strengthen the management of children's health.

The implementation of the medical combination

Continuous standard health service for the old man

2015, our country over 60 of 220 million people, accounting for about 16% of the total population, the aging population in health care, care, nursing, rehabilitation demand rapid growth, bring challenge to health resources. Li bin, said both home endowment and institution endowment, have to plan as a whole resources, implementing medical combination, solve the problem of the elderly LaoYouSuoYi, old be raised. At present, our country has carried out the medical, a combination of pilot work around in the investment and financing, and land price, tax policy, such as talent construction and information construction, to publish relevant support policies, encourage the open nature of the hospital, rehabilitation care, support endowment institutions set up the clinic, nursing station, rehabilitation for the elderly treatment, hospitalization, nursing and other integrated services. At present, 4609 hospitals across the country had been signed a service agreement with pension institutions.

Li bin, said the pension that occupy the home is still the main channel of pension in our country, to vigorously promote the medical and health institutions, gp, family doctor first and signed a contract to carry out the service have the old man's family, the elderly, common diseases, such as high blood pressure, diabetes, cardiovascular disease and other chronic disease management, for the old man home endowment, specification, comfortable health service continuously, promote the elderly can comfortably at home, "there are some good practice the basic example, we want to promote these good experience, combine the national medical keep well implement".

Promote grading diagnosis

Talent problem is mainly treatment

By the end of 2015, a total of nearly 45000 registered doctors practicing more, 36.7% of the doctors from tertiary medical institutions, 28.4% came from secondary medical institutions. Li bin, said more experts to the common people's home to the crowd to see a doctor, this is a welcome phenomenon. "Multi-point start practicing good, but I still need to continue to work hard, for the healthy and orderly development of practice, more further provide some good policy."

Ma xiaowei said that a new round of reform of the major initiatives is the grading system is put forward, on the international no grading diagnosis and treatment of the state, the doctor is in accordance with the level of medical institutions, it can obtain the effective utilization of resources. Common disease, frequently-occurring disease in grassroots medical institutions to solve, once suffering from severe to superior medical institutions. To establish such a pattern of medical treatment is the key to realize the first option at the grass-roots level, first option at the grass-roots level is the key talent, talent problem is policy issues, policy issues are mainly treatment and career issues.

Ma xiaowei said, realizes the classification diagnosis and treatment in communities in regional medical center, supported by key subject, solve the problem of area separately; In county hospital construction as the gripper, solve the problems of the urban and rural areas apart, 90% of the patients can solve the problem of diagnosis and treatment in county hospital; With chronic disease, common disease, frequently-occurring disease for gripper, advancing slowly apart, look sharp, the hospital hospital see slow below, at the same time solve the problem of separated up and down. Over time, such a policy can achieve medical pattern and orderly, rational distribution of medical resources, health care costs in properly. The classification system can implement, the ability to solve the problem of hospital in our country can be raised to a new level.

Aiming at the problem of patent medicine is expensive, "li said the national health and family planning commission has organized the patent medicine price negotiations, involving five varieties in the field of cancer therapy," negotiation effect is ideal, "cut in more than 50%, is working with health care department for final cohesion, be included in the relevant insurance reimbursement directory. Li stressed that promote health care reform must realize 3 d linkage, medical treatment, medicine, health care, completes the cohesion, this is also the task put forward by the government work report this year.

The graph is li bin, director of the national health and family planning committee answer questions from Chinese and foreign journalists in the press conference. The xinhua news agency reporters Chen Junqing perturbation