2015 health and family planning statistical bulletin: the growth rate of medical expenses has been controlled

Source: xinhua.com on July 20, 2016, the statistical bulletin on the development of health and family planning in 2015 issued by the national health and Family Planning Commission showed that the average life expectancy of Chinese residents reached 76.34 years in 2015, an increase of 1.51 years over 2010 The infant mortality rate decreased from 8.9 ‰ in 2014 to 8.1 ‰ in 2015, and the maternal mortality rate decreased from 21.7/100000 to 20.1/100000, all of which achieved the 12th Five Year Plan and the United Nations Millennium Development Goals in advance, and the health level of residents was generally at the average level of middle and high-income countries Professor Chen Yude from Peking University Medical Department was invited to interpret the bulletin According to the bulletin, the proportion of personal health expenditure decreased to below 30% According to the preliminary accounting of the national total health expenditure, the proportion of government and social health expenditure increased from 68.01% in 2014 to 70.03% in 2015, and the proportion of personal health expenditure decreased from 31.99% in 2014 to 29.97% in 2015, realizing the 12th Five Year Plan The planning goal has been reduced to less than 30% proposed by the World Health Organization According to the bulletin, in 2015, private hospitals accounted for 52.6% of the total number of hospitals, an increase of 4.1 percentage points over 2014; private hospitals accounted for 19.4% of the total number of beds, an increase of 2.6 percentage points over the previous year; non-public medical institutions accounted for 22.3% of the total number of outpatient clinics in China, an increase of 0.2 percentage point over 2014 Chen Yude said that at present, most of the newly added private hospitals in China have a small scale In the future, we should further improve and implement the policy of running medical services by the society, and promote the scale and higher level development of non-public medical institutions According to the bulletin, the growth rate of outpatient inpatient volume slowed down According to the bulletin, the total outpatient volume increased by 1.3% in 2015, and the average number of visits by residents was 5.6 times, the same as that in 2014; the total inpatient volume increased by 3.0% in 2015, and the annual inpatient rate increased from 15.0% in 2014 to 15.3% in 2015 The growth rate of residents' medical service utilization slowed down significantly in 2015 The total number of outpatient services increased by 1.3% over 2014, lower than the average annual growth rate of 6.8% in the previous four years; the total number of inpatients increased by 3.0% over 2014, lower than the average annual growth rate of 9.6% in the previous four years At the same time, the bulletin shows that the increase of medical expenses of patients is lower than the average level of the previous four years, basically the same as that in 2014 In 2015, the average outpatient cost of the hospital increased by 6.3%, lower than the average annual increase of 7.2% in the previous four years, 0.3 percentage points lower than that in 2014; the average inpatient cost increased by 5.6%, lower than the average annual increase of 6.0% in the previous four years In 2015, the growth rate of medical expenses for patients was lower than that of per capita income of urban and rural residents (8.2% for urban residents and 8.9% for rural residents) According to Chen Yude, the rapid urbanization and aging of population, the change of disease spectrum, the improvement of residents' medical demand, the development of medical science and technology, the rise of prices, the change of the scope and proportion of medical insurance reimbursement, etc will have an impact on the growth of patients' expenses The key and difficulty of medical reform is to control the unreasonable growth of medical expenses According to the communique, patients still concentrated in high-level hospitals, the total number of medical and health institutions in China reached 7.7 billion in 2015, an increase of 100 million or 1.3% over the previous year In 2015, the total number of outpatient visits of primary medical and health institutions was 4.34 billion, accounting for 56.4%, 1.0% lower than that in 2014, but the number of outpatient visits of community health service centers (stations) and township hospitals accounted for 23%, 0.2% higher than that in 2014; the number of outpatient visits of hospitals reached 3.08 billion, accounting for 40.0%, 0.9% higher than that in 2014 Percentage points, of which the diagnosis and treatment volume of tertiary hospitals accounted for 19.5% of the total diagnosis and treatment volume, 1.1 percentage points higher than that in 2014 Chen Yude said that the growth rate of outpatient service in the hospital was faster than that in the basic level, indicating that patients are still concentrated in high-level hospitals We should speed up the implementation of hierarchical diagnosis and treatment, the first diagnosis at the grass-roots level, and the joint treatment of the upper and lower levels, and guide urban and rural residents to seek medical treatment at the grass-roots level first, make rational and orderly use of medical resources, and reduce medical expenses.