The State Council: "13th Five-Year Plan" period, the medical and health service system continues to improve healthy China's construction started well

Medicine Network October 30 - The Information Office of the State Council held a press conference on October 28, deputy director of the National Health and Safety Commission Yu Xuejun introduced the "13th Five-Year Plan" period of health and health reform and development related situation.
the 13th Five-Year Plan period, China promoted the transformation from a disease treatment-centered to a health-centered one, made remarkable progress in the reform and development of health care, continuously improved the health level of urban and rural residents, and made a good start in the construction of a healthy China.
the 13th Five-Year Plan period, life expectancy increased from 76.3 years in 2015 to 77.3 years in 2019.
health indicators are generally better than the average for middle- and high-income countries.
personal health expenditure as a percentage of total health costs fell from 29.3 per cent in 2015 to 28.4 per cent in 2019, the lowest level since the beginning of the new century.
the reform of the medical and health system, and the framework of the basic medical and health system with Chinese characteristics has been basically established.
Steadily implement graded diagnosis and treatment, promote the construction of medical associations and comprehensive medical reform at the county level, promote the construction of close county medical communities, comprehensively promote the construction of community hospitals, promote the signing of services for family doctors, upgrade the level of primary health care, and gradually optimize the allocation of high-level medical resources at the national level.
comprehensive reform of public hospitals should be pushed forward, all drugs and consumables should be abolished, the mechanism of drug supplementation should be broken down, and the reform of compensation mechanism and operation mechanism should be promoted simultaneously.
health care system, the coverage of basic medical insurance coverage is stable at more than 95%.
steadily implement the direct settlement of off-site medical treatment.
health care service system has been continuously improved, and the accessability of services has been continuously improved.
improve the county medical and health service system, 84% of the county-level hospitals reached the level of secondary and above hospitals.
2015-19, the number of beds per 1,000 population increased from 5.11 to 6.30, the number of practicing (assistant) physicians increased from 2.22 to 2.77, and the number of registered nurses increased from 2.37 to 3.18.
to speed up the development of "Internet plus health care", tele-medical services covering poor counties and remote areas at the national level.
use of information technology to optimize the service process, accelerate the promotion of hospitals above the second level generally provide appointments, consultation navigation, mobile payment and other online services, three-level hospital appointment rate of more than 50%.
effective in poverty alleviation.
Realize that there is at least one public hospital in each of the 832 poor counties, of which at least one public hospital with a population of more than 100,000 has reached the capacity of hospitals above level 2, each township and every administrative village has a health hospital and health room equipped with qualified doctors, and the common and chronic diseases of the poor people can basically get timely diagnosis and treatment.
all the poor people will be included in the urban and rural residents of basic medical insurance, major disease insurance, medical assistance system triple coverage, while the implementation of hospitalization in the county after payment and "one-stop" settlement, to reduce the burden of medical expenses advance.
adhere to accurate poverty alleviation, the implementation of classification measures to ensure that policy measures "accurate to people, accurate to disease", to crack the disease-caused poverty, disease-based poverty problems.
to take a number of major diseases focused on treatment, slow disease contract services a batch, serious illness to protect a batch of "three batch" classification treatment measures, to provide treatment services for the poor.
, more than 19 million people have been classified for treatment, basically achieving the poor patients "should be treated, should be guaranteed."
health environment and the health status of the masses in poor areas of the country have improved significantly, with a total of nearly 10 million poor households returned to poverty as a result of illness.
level of equalization of basic public health services has been further improved.
prevention and control of major infectious diseases, and the prevention and control of the new crown pneumonia epidemic has achieved significant strategic results.
per capita subsidy for basic public health services has been raised from 40 yuan in 2015 to 74 yuan in 2020.
provide 14 categories of basic national public health services free of charge to all urban and rural residents.
prevention and control of chronic diseases should be implemented.
completed the fourth and fifth batch of national comprehensive prevention and control of chronic diseases demonstration area construction, covering a total of 17.2% of the country's counties (cities, districts).
to improve the chronic disease monitoring system with chronic disease and nutrition monitoring, cause of death monitoring and tumor registration as the main body.
the premature mortality rate of major chronic diseases in China will be 10.8% lower in 2019 than in 2015.
management of maternal and child health and family planning services continued to strengthen and actively promote healthy aging.
improved its fertility policy in an orderly manner, from two children alone to two children in general, with 59.5 percent of children with two or more children in 2019.
strengthen child health and the prevention and treatment of childhood diseases.
the development of action plans for healthy children and the creation of demonstration bases for early childhood development throughout the country.
2019, the national system management rate for children under 3 years of age reached 91.9 per cent and the health management rate for children under 7 years of age reached 93.6 per cent.
speed up the improvement of the social security system and promote long-term care insurance pilot.
health and medical care services should be included in the national basic public health services.