The Secretariat of the Leading Group on Medical Reform of the State Council and the National Health and Health Commission held a press conference on the typical experience of medical reform in the pilot provinces of comprehensive medical reform during the 13th Five-Year Plan period

On December 8th, the Secretariat of the Leading Group on Medical Reform of the State Council and the National Health and Health Commission held a series of press conferences on the 13th Five-Year Plan, inviting comrades from Sichuan, Shaanxi, Qinghai, Ningxia and other provinces to attend and introduce the typical experience of medical reform in the pilot provinces of comprehensive medical reform during the 13th Five-Year Plan period.
, press spokesman of the National Health And Wellness Commission and deputy director of the Propaganda Department, said, "Good morning to all of you."
to the special press conference organized by the Secretariat of the Leading Group on Medical Reform of the State Council and the National Health and Health Commission.
today's launch will continue to follow the "13th Five-Year Tour' - Towards Universal Health five years" this main line.
The leading group of the State Council on medical reform in 2015 and 2016 has identified two batches of 11 provinces as pilot provinces for comprehensive medical reform, and these provinces have implemented the decision-making and deployment of the CPC Central Committee and the State Council, combined with local reality, actively explored and tested in a number of areas of medical reform, and achieved many typical experiences worthy of promotion.
November 17th and 26th, we held two press conferences to introduce the progress of the seven pilot provinces of comprehensive medical reform in Shanghai, Jiangsu and Hunan.
Today's press conference we invited the responsible comrades of the Secretariat of the Leading Group on Medical Reform in Sichuan, Shaanxi, Qinghai and Ningxia provinces to introduce their important initiatives and effectiveness in deepening medical reform, and hope that the media friends here will increase the refinement and publicity of these experiences and practices, so as to better play their role as models and guides.
Below, I would like to introduce to you the guests who participated in today's press conference, they are: Ms. Xue Haining, Deputy Director of the Health Reform Leading Group of the State Council, Ms. Xue Haining, Deputy Director of the Department of Physical Reform of the National Health and Health Commission, Deputy Director of the Secretariat of the Leading Group of Sichuan Medical Reform, And Mr. Song Shigui, Deputy Director of the Provincial Health and Health Commission Mr. Yang Lichang, Deputy Director of the Secretariat of the Shaanxi Provincial Health Reform Leading Group, Deputy Director of the Provincial Health and Health Committee, Deputy Director of the Qinghai Provincial Health Reform Leading Group, Deputy Director of the Provincial Health and Health Committee, Mr.Qiyu, Deputy Director of the Secretariat of the Ningxia Hui Autonomous Region Medical Reform Leading Group, and Mr. Song Chenyang, Deputy Director of the Health and Health Committee of the Autonomous Region.
I am Hu Qiangqiang, a spokesman for the National Health And Wellness Commission.
, first of all, askEd Xue Haining Deputy Director to introduce the comprehensive pilot work of the pilot provinces of comprehensive medical reform.
. Xue Haining, Deputy Director of the Department of Physical Reform of the National Health and Health Commission and secretary of the Leading Group on Medical Reform of the State Council, ladies and gentlemen, and media friends, good morning to all of you.
welcome to attend the 3rd special press conference of the pilot typical experience of comprehensive medical reform, which is also the last of our 3 sessions.
this conference will focus on the "13th Five-Year Plan" period in Sichuan, Shaanxi, Qinghai, Ningxia four provinces of comprehensive medical reform progress.
These four provinces are located in the western part of China, and the basic level in the field of health care is still relatively weak compared to the seven provinces we have released before, but the strength and courage of these four provinces to deepen medical reform are not bad at all, and the four provinces resolutely implement the important decisions of the CPC Central Committee and the State Council. Deployment, based on the actual situation of economic and social development in the region, in the focus areas of medical reform first try, take the lead, promote medical reform from the pilot exploration, single breakthrough, and gradually turn to comprehensive promotion, system integration, in order to explore the characteristics of the western region of the road of medical reform has played a better role in model leadership.
mainly reflected in the following five aspects: First, continue to strengthen the organization of medical reform leadership and promotion mechanism.
, Qinghai and Ningxia are all headed by the provincial and autonomous region governments as the leaders of the leading group on medical reform, and promote comprehensive medical reform at a high level.
Shaanxi has perfected the organizational leadership system of provincial, municipal and county linkage, and will implement the "big disease out of the county" into the provincial government's annual target responsibility assessment scope of various cities.
, we will continue to promote the expansion of high-quality medical resources and the balanced distribution of the region.
to actively promote the national regional medical centers in the western provinces, to complement the western provinces of high-quality medical resources short board.
Sichuan Science Planning Provincial Medical Center and Regional Medical Center, the masses can enjoy high-quality medical and health services in the provinces and cities, Shaanxi to promote the construction of various forms of medical associations, built a number of specialized alliances, accelerate the development of telemedican cooperation network, Ningxia to promote the county medical and health general hospital and triple-A hospitals to establish medical associations, strengthen the construction of talent, technology, key specialties and regional medical centers.
, we will continue to deepen the comprehensive reform of public hospitals.
Sichuan fully implements the performance appraisal of hospitals at level II and above, strengthens the application of performance appraisal results, promotes the standardization, refinement and scientificization of hospital management; Shaanxi improves the external governance and internal management system of public hospitals by establishing a public hospital management committee under the leadership of the Party Committee; Qinghai promotes the reform of the public hospital compensation system, improves the incentive and restraint mechanism, implements the annual salary system for the director's target and the post performance salary system;
fourth, and continuously enhance the capacity of primary health care services.
"Blank spots" for primary health care institutions and personnel in poverty eradication areas in Sichuan, the standard construction of township hospitals and village health rooms has reached 100 percent, Shaanxi has carried out training in general practitioner training and transfer, improved subsidies for rural doctors, and continuously enhanced the capacity of primary care at the grass-roots level; Level, cross-regional transfer disk active preparation of resources, by the provincial public hospitals to send the backbone of the operation to assist primary health care institutions, so that the people in pastoral areas can enjoy quality services at home, Ningxia to promote the medical association county-level medical experts technology and services to the grass-roots flow, to help the grass-roots to enhance service capacity.
, we will continue to improve the level of health care and service capabilities.
Sichuan explores the implementation of total payment and retention of balances for close-knit medical complexes, mobilizes endogenesisive power for medical institutions to regulate medical service behavior and control medical expenses; Shaanxi accelerates the reform of the payment method of complex medical insurance based on diseases; all cities pay for diseases by disease no less than 100; Ningxia coordinates the settlement of medical insurance, The implementation of one-stop service, one-window processing, one-way settlement, Qinghai to achieve urban and rural residents medical insurance and major disease insurance provincial co-ordination and commercial insurance institutions, and the province's outpatient, special diseases, chronic diseases of the unified norms to 26 kinds of diseases, enhance the capacity of outpatient protection, residents' personal health expenses accounted for 24.9%.
In addition, the provinces have some characteristics and highlights of the typical experience, such as Ningxia to give full play to the role of the Internet and medical health, Shaanxi pilot general pharmacist system, Qinghai to promote the heritage of Chinese and Tibetan medicine innovation, as well as Sichuan and Ningxia to do real precision poverty alleviation and so on.
Up to now, we have introduced the typical experience and practice of 11 pilot provinces of comprehensive medical reform through 3 press conferences, and the next step is to ask journalists to pay more attention to, dig more typical experience practices, and report and publicize them.
thank you.
, press spokesman of the National Health and Health Commission and deputy director of the Propaganda Department, thanked Director Xue Haining.
, please give a briefing to Song Shigui, deputy director of Sichuan Province.
Shigui, Deputy Director of the Secretariat of the Sichuan Provincial Medical Reform Leadership Group and Deputy Director of the Provincial Health and Health Commission, gentlemen and friends of the press, good morning to all of you.
first of all, thank you very much for your long-term concern and support for the medical reform work in Sichuan. during the
13th Five-Year Plan" period, Sichuan Province focused on solving the problems of the masses, such as "many diseases, difficult to see a doctor, expensive to see a doctor", and comprehensively promoted comprehensive reform of public health medical services, medical security, drug supply and supervision system, and actively explored ways of medical reform in line with the provincial situation.
By the end of 2019, the province's personal health expenditure as a proportion of total health costs decreased from 29.67 percent in 2015 to 27.87 percent, achieving better than the national average for life expectancy, infant mortality, maternal mortality and other major population health indicators when the per capita health costs are lower than the national average.
specifically, there are six aspects of the approach: First, the construction of a hierarchical treatment service model.
Promote the establishment of the National Children's Regional Medical Center in Chongqing, accelerate the construction of provincial medical centers and regional medical centers, promote the development of large urban hospitals to high, fine, sharp, excellent, enhance the county hospital "service responsibility" and grass-roots "health gatekeeping" capacity.
the province built all kinds of medical associations 779, the formation of family doctors signed a team of 29,000, adhere to the use of health insurance payment policy to guide the masses to reasonable medical treatment, the province's county-wide visit rate reached more than 90%.
is to deepen the comprehensive reform of public hospitals.
all public hospitals in the province to eliminate the increase in medicines and medical supplies, adjust the price of medical services simultaneously, the proportion of medical services revenue increased to 42.53 percent.
strengthen the construction of the public hospital party, promote the construction of modern hospital management system, and deepen the reform of the establishment management and compensation system.
third-tier public hospital performance appraisal ranked 9th in the country, the forefront of the west.
reform of public hospitals in Nanzong, Chengdu, Zigong and Xinjin and Asbestos counties was praised by the General Office of the State Council.
third is to promote universal health care quality and efficiency.
the province's basic medical insurance coverage rate reached more than 98%, major disease insurance to achieve full coverage, medical insurance policy within the scope of hospital reimbursement rate of more than 75%, the actual reimbursement rate of hospital expenses reached 62%.
to actively promote pay-per-disease, DRGs pay reform pilot, in the close-knit county medical union to implement a "total payment, balance retention" management reform.
to vigorously promote the direct settlement of patients inpatient, outpatient and drug purchase networks, medical insurance management services more convenient for the benefit of the people.
fourth is to promote drug supply security reform.
, drug prices fell by 10.59 per cent compared with the last round of procurement.
province can save nearly 4 billion yuan, the first in the country to complete the provincial centralized special procurement of anti-cancer drugs, the average price reduction of anti-cancer drugs 15.18%.
To promote the centralized procurement and use of drugs organized by the state in the province, the first 25 drugs with an average price reduction of 59%, leading the establishment of eight provinces and regions of the drug centralized belt procurement linkage mechanism, improve the shortage of drug supply guarantee mechanism, promote the formation of a basic drugs-led rational drug use model.
is to strengthen the comprehensive supervision of medical and health.
provincial, municipal and county health administrative departments set up a medical institutions supervision and management committee, in the country to innovate the establishment of medical institutions, medical personnel and medical behavior of the information-based supervision mechanism, the implementation of real-time, dynamic, full supervision of medical services, was named "2019 to promote medical reform to serve the health of the people one of the ten new initiatives."
strengthen the quality and safety supervision of medicines and medical supplies, and carry out in-depth special actions to combat fraud and fraudulently defrauding medical insurance funds.
6 is to implement health precision poverty alleviation, innovatively carry out medical assistance support, public health security, medical capacity improvement, health personnel cultivation, reproductive order rectification of the five major actions, the establishment of basic medical insurance, medical insurance for major diseases, civil medical assistance, disease emergency relief, medicine love poverty relief fund and other "two insurance and three relief three funds" security policy, completely eliminate the poverty-stricken areas of primary health care institutions and personnel "blank spots."
6.25 million poor people in the province have achieved basic medical security, the proportion of individual payments for hospitalizations in the counties of poor patients has dropped to 8.05 percent, and the return of the masses to poverty due to illness has been effectively curbed.
thank you.
, press spokesman of the National Health and Health Commission and deputy director of the Propaganda Department, thanked Song Shigui, deputy director.
, the deputy director of Shaanxi Province, Yang Lichang, to introduce the relevant situation in Shaanxi.
, Deputy Director of the Secretariat of the Shaanxi Provincial Health Reform Leading Group and Deputy Director of the Provincial Health and Health Commission, Ladies and Gentlemen, Friends of the Media, Good morning, everyone.
first thank the media for their concern for Shaanxi medical reform, the following I will make a briefing on the basic situation of Shaanxi medical reform here.
The 13th Five-Year Plan, Shaanxi has taken the second batch of pilot provinces of comprehensive medical reform as an opportunity to focus on people's health, implement the concept of prevention-oriented, prevention and control combined, and highlight the problem of people's difficulty in seeing a doctor and the high cost of seeing a doctor.
in key areas and key links, sustained efforts, comprehensive medical reform pilot work has achieved remarkable results, effectively promoting the province's health and health cause of high-quality development.
13th Five-Year Plan period, the maternal mortality rate in the province decreased from 14.15 per 100,000 to 9.77 per 100,000, the infant mortality rate decreased from 6.75 per 1,000 to 2.93 per 1,000, and the infant mortality rate among children under 5 years of age decreased from 8.55 per 1,000 to 4.63 per 1,000, all of which were below the national average.
In addition, life expectancy increased from 75.7 years to 77.37 years, the main measures taken are: First, to strengthen the assessment reward, to achieve 90% of patients in the county area into the provincial government's annual target responsibility assessment scope.
to recognize the advanced cities and counties of medical reform, in the past three years, the provincial finance has come up with nearly 50 million yuan for the award.
the incentive funds for medical reform are allocated by factor method, the highest county can reach more than 3 million, the lowest is more than 1 million, the difference reached a maximum of 1.2 million yuan.
the guiding role of the grass-roots level is remarkable.
is to consolidate the "two supports" and speed up the establishment of a hierarchical diagnosis and treatment system.
First of all, to strengthen policy support, the continuous introduction of "guidance on the establishment of a hierarchical diagnosis and treatment system" "Shaanxi Province classification diagnosis and treatment of diseases of the scope of the guide" and a series of supporting documents, clear referral standards and procedures, the implementation of different levels of institutions differentiated reimbursement policy.
through the implementation of the above policies, 67 counties achieved more than 90% of patients in the county area.
Followed by the construction of the bottom of the network support, solidly promote the construction of 24 countries close medical association pilot counties, promote Yan'an Medical Group, Shiquan County, Ningqiang County, Mei County and other close medical association experience, in various forms of medical association to strengthen the system of operation, to family doctors signed the foundation of solid graded diagnosis and treatment.
third is to do "two innovations", public hospital reform quality and efficiency.
is to promote institutional innovation, give full play to the functions of the management committees of public hospitals at all levels, and make external management more efficient.
54 modern hospital management pilot hospital charters were established, taking the lead in completing the reform of the president's responsibility system under the leadership of the Party Committee.
second is to promote mechanism innovation, the general pharmacist system in the province fully implemented, the pilot hospital prescription pass rate increased by an average of 5-7 percentage points, the average medical costs fell by about 10%.
county-level general hospitals and municipal hospitals accounted for