The access to medical and health services for residents has improved

Recently released "National Sixth Health Service Statistics Survey Report" shows that compared with the fifth survey, China's medical and health services access to improve, residents' basic medical security coverage and security level further improved, the increase in hospital costs slowed.
In September 2018, the National Health and Health Commission launched the sixth National Health Service Survey, which covered 156 counties (cities and districts) in 31 provinces (autonomous regions and municipalities directly under the central government) and covered a total of 94,076 households.
, the report points out that, overall, with the steady improvement of the level of medical security and the continuous progress of the construction of the health service system, the demand for medical services of residents has been released continuously, and the effect of the implementation of the hierarchical diagnosis and treatment system has been shown.
2018, 87.1% of the residents were in the county medical institutions, and the proportion of rural residents in the county medical institutions was more than 90%.
problem of medical treatment can basically be solved in the county area.
report shows that the access to health services in urban and rural areas has improved further, especially in less developed areas such as the western region and rural areas.
the same time, the proportion of urban and rural areas that do not have hospitalization due to economic difficulties has declined from 18.3 per cent and 24.5 per cent in 1998 to 9.0 per cent and 10.2 per cent in 2018.
On the other hand, 89.9 per cent of households in 2018 had access to the nearest medical point within 15 minutes, especially in rural areas in the west, where the proportion of households reaching the nearest point within 15 minutes increased from 69.1 per cent in 2013 to 82.6 per cent in 2018;
, the average waiting time for hospitalization was about 1.5 days and for hospitalization in rural areas was 1.3 days.
from the demand side feedback, residents of common diseases and frequent hospitalization is not difficult.
In terms of health insurance coverage and utilization, the report shows that the coverage of basic medical insurance in the survey areas reached 96.8%, an increase of 1.7 percentage points over 2013, and the participation rate of basic medical insurance for urban and rural residents was 96.1% and 97.6%, respectively.
2003, with the gradual expansion of medical insurance coverage and the gradual improvement of the level of social health care, the level of reimbursement for hospital expenses has increased year by year, reaching 55.4% by 2018.
report, the growth rate of medical expenses has slowed and the increase in costs has been controlled to some extent.
2018, the average hospitalization cost for residents was 10023 yuan, a much lower increase than the increase in GDP and urban and rural residents' income over the same period.
the average annual increase in hospital costs from 2013 to 2018 was 1.4%, significantly lower than the 8.2% growth rate from 2008 to 2013.
patient experience improved, the overall satisfaction of urban and rural residents with outpatient services improved by 80.0%, an increase of 3.5 percentage points over 2013, and the patient experience improved.
, there were 5.8, 5.2 and 3.3 percentage points increases in the cost of visits, attitudes towards health care providers and the environment of visiting institutions, respectively, compared with 2013.
overall satisfaction rate with inpatient services was 75.0%, an increase of 7.8 percentage points over 2013, and 5.6 and 3.6 percentage points higher than in 2013 for hospital costs and attitudes towards health care workers.
report shows that basic public health services in urban and rural areas have been implemented and health management of key population groups has improved.
, for example, immunization programmes and child and adolescent health services have been further improved.
rate of vaccinations for children under 5 years of age has stabilized at more than 99 per cent.
the level of maternal health management and services continued to improve, with antenatal check-up rates of 99.2 per cent and hospital births of 98.6 per cent, an increase over 2013.
(down to 2nd edition) (1st edition above) and, for example, the utilization rate of basic public health services for the elderly is high.
66.2% of people aged 65 and over had a health check-up, and 76.1% and 72.6% of people aged 60 and over with high blood pressure and diabetes were followed up within 12 months.
, the healthy behavior of urban and rural residents has shifted to the good.
the proportion of people who take part in physical exercise is on the rise, with 49.9 per cent of the population aged 15 and over regularly taking part in physical exercise, an increase of 22.1 percentage points compared with 2013.
report also gives a hint of the situation facing the development of health and health undertakings in the future.
, for example, an ageing population and a growing number of chronic diseases, will pose unprecedented challenges to health services.
, the construction of the hierarchical diagnosis and treatment system has a long way to go, and the reasonable control of medical and health expenses is still facing challenges.
, the report notes in particular that the National Health Service Survey, as a realistic task, should pay more attention to the balanced distribution of resources for public health services.
it is understood that the National Health Service Survey is an important part of the national health statistics survey system, since 1993, every five years nationwide.