Li Keqiang: consolidating achievements and formulating the 12th Five Year Plan for medical reform

Source: on November 29, 2011, Li Keqiang, member of the Standing Committee of the Political Bureau of the CPC Central Committee, vice premier of the State Council and leader of the leading group for deepening the reform of the medical and health system of the State Council, presided over the 10th plenary meeting of the leading group for deepening the reform of the medical and health system of the State Council He stressed that we should fully recognize the achievements of the medical reform over the past two years, consolidate and develop the phased achievements of the reform, face up to the difficulties and challenges, innovate the system and mechanism, formulate the 12th Five Year Plan for the medical reform, and continue to push the medical reform into depth The meeting reviewed the interim evaluation report on the implementation of the recent key implementation plan for the reform of the medical and health system (2009-2011), the plan for deepening the reform of the medical and health system during the 12th Five Year Plan period (2012-2015), and the opinions on the pilot reform of county-level public hospitals The meeting believed that since the reform of the medical and health system more than two years ago, the five key tasks have achieved phased results, and all the target tasks can be completed as scheduled The basic medical security system has basically achieved full coverage, with the number of urban and rural insured people reaching 1.295 billion and the population coverage rate reaching 95%; the basic drug system has been initially established at the grass-roots level, and the price of basic drugs has decreased by 16.9% compared with that before the implementation of the system, and the burden of drug use has been significantly reduced: the basic medical and health service system has been gradually improved, and the number of visits by the basic medical and health institutions has increased significantly before this year In the third quarter, the year-on-year growth was 13.2%; the state invested more in basic and major public health services, benefiting hundreds of millions of people; the pilot reform of public hospitals and the pilot comprehensive reform of county-level hospitals were carried out in an orderly manner Li Keqiang pointed out that during the "12th Five Year Plan" period, China's economic and social development has taken on a new stage, with the acceleration of industrialization and urbanization, and the trend of aging population Medical reform is an urgent need to ensure and improve people's livelihood Whether it is to promote the equalization of basic public health services, promote the resolution of poverty caused by illness and return to poverty due to illness, or better meet the growing health needs of residents, and achieve the goal of increasing life expectancy by one year by 2015, it is necessary to improve the level of medical and health services With the deepening of the medical reform, the difficult problems of the reform will appear, the institutional contradictions will be exposed, and the work will be more difficult It is very important to plan the 12th Five Year Plan of medical reform as a whole for consolidating the achievements of medical reform and ensuring the realization of the goal of medical reform in 2020 Li Keqiang said that in formulating the 12th Five Year Plan for medical reform, we should thoroughly implement a series of decisions and arrangements made by the CPC Central Committee and the State Council on medical reform, Adhere to the basic medical and health system as the core concept of public products to provide to the whole people, adhere to the basic principles of ensuring the basic, strengthening the grass-roots, and building mechanisms, adhere to the policy of prevention first, focusing on rural areas, and attaching equal importance to both Chinese and Western medicine, make overall arrangements, highlight the key points, and advance in sequence, promote the basic medical insurance from "expanding the scope" to "improving the quality", and the basic medical and health institutions from The reform of public hospitals has changed from "local pilot" to "overall promotion", the construction of medical and health system has changed from "hardware" to "service", and the security network for urban and rural residents to see a doctor has been continuously built to lay a solid foundation for the realization of the goal of basic medical and health services for all Li Keqiang stressed that the medical reform is a grand system project and also a major institutional innovation The next work must grasp the key links and promote key breakthroughs: first, improve the basic medical insurance system for all On the basis of continuing to improve the rate of urban and rural residents' participation in insurance, we will further improve the standard of government subsidies, explore the establishment of a major and major disease guarantee mechanism, and actively develop commercial health insurance Second, we will consolidate and improve the national basic drug system, expand the scope of implementation of the system to village clinics and non-governmental grass-roots medical and health institutions, establish a new order for drug production and circulation, rationalize the drug price system, and consolidate and improve the new mechanism for the operation of grass-roots medical institutions Third, we should comprehensively promote the reform of public hospitals, adhere to the public welfare nature of public hospitals, promote the separation of political affairs, management and management, medicine, profit-making and non-profit, reform the mechanism of "medical supplement with medicine", improve the management system of public hospitals, and provide convenient services for the people Strengthen the construction of medical and health talents We should give full play to the role of medical personnel as the main force of medical reform and mobilize their enthusiasm to participate in the reform We should increase the proportion of government health investment, do our best, do what we can, and make it sustainable We will encourage and guide social capital to set up medical institutions, form a diversified pattern of running hospitals, and develop and improve non basic medical and health services Li Keqiang said that county level hospitals play an important role in China's medical and health service system We need to promote comprehensive reforms in the management system, operation mechanism, compensation mechanism, personnel distribution, drug supply and supervision system as a whole, establish and improve the management system, improve the service capacity, guarantee the basic medical and health services of county residents, and strive to ensure that residents cannot go out of the county for daily medical treatment The head of the medical reform office of the State Council and the head of the Ministry of health made a report at the meeting, and the members of the leading group for deepening the reform of the medical and health system of the State Council and the heads of relevant departments attended the meeting.