Ten years of "transcript" of health care business: per capita life expectancy increased to 78.2 years old, and grass -roots disease prevention and treatment ability continued to improve
Author:21st Century Economic report Time:2022.09.07
The 21st Century Business Herald reporter You Fangming reported that the health care of the health was related to the well -being of the people's livelihood. In the past ten years, the strategy of healthy China has been fully implemented, and the health of the people's health has been fully guaranteed; the long -term balanced development of the population is further improved, the health level of "one old and one child" has further improved; ; Public health protection network is tightly woven, more effective and effective in infectious diseases, chronic diseases, occupational diseases, and local disease prevention and control; the overall quality of the health talent team is continuously improved, the medical technology capabilities and quality levels are both improved; the traditional Chinese medicine adheres to the innovation and the development of inheritance, so More people are convenient for Chinese medicine and use traditional Chinese medicine; the development of health and science and technology is changing with each passing day, and participating in global health governance is deeper and wider.
On September 7, the Central Propaganda Department held a press conference to introduce the situation related to the development and achievement of health and health since the 18th National Congress of the Communist Party of China.
Li Bin, deputy director of the National Health and Health Commission, said that in the past ten years, it is the most improved in my country's health and health. The per capita life expectancy increased from 74.8 to 78.2 years, achieving a historic leap. The main health indicators ranks among the forefront of medium and high -income countries, and the health rights and interests of the people are fully guaranteed. It will continue to improve the national health policy, provide comprehensive and full -cycle health services for the people, and build a health foundation for achieving the second century -old goal.
Crack "It is expensive to see a doctor"
Deepening medical reform aims to promote the transformation of "cure disease" into "centered on people's health" and solve the two key difficulties of seeking medical treatment and expensive medical treatment.
The key to cracking the doctor is the activation and improvement of high -quality medical resources. Over the past ten years, the National Health Commission has further promoted the construction of the hierarchical diagnosis and treatment system and system, and took multiple measures to promote the establishment of a new pattern of orderly medical treatment and diagnosis and treatment.
According to Zhu Hongbiao, the person in charge of the Reform Department of the System of the National Health and Health Commission, by increasing financial investment, the total medical resources have further increased. Compared with 2011, the number of medical institutions across the country increased by 8%, the number of beds increased by 83%, and the number of health personnel increased by 62%.
On the basis of the increase in total, it is necessary to promote the expansion of high -quality medical resources and the balanced layout of the regional. At present, there are 12 national medical centers in professional categories and 50 national regional medical centers. During the "Fourteenth Five -Year Plan" period, about 120 provincial regional medical centers will be constructed to improve the diagnosis and treatment level of relevant specialists in relatively weak regions of high -quality medical resources, narrow the gap with the national advanced level, and significantly reduce cross -provincial and cross -regional medical population. In 2021, the first batch of cross -provincial medical treatment of the first batch of national regional medical centers decreased by 9.3%compared with 2019, and the order of medical treatment became more reasonable.
In addition, the state also builds a hierarchical diagnosis and treatment system focusing on the construction of medical federations. At present, 15,000 medical consortia are formed to promote high -quality medical resources. In 2021, the number of two -way referrals reached 28.8 million. The two -way referral structure was obviously optimized. The hierarchical diagnosis and treatment system was achieved in staged results.
Cracking is expensive, collection is an important starting point. All public hospitals have canceled drugs and consumables, and the basic medical security capacity has steadily improved. Promote the centralized procurement and use of national organizational drug consumables. The average price reduction of drugs has been selected in the seven batches of collection of drugs exceeded 50%. The average price reduction of the two batches of consumables exceeded 80%.
Zhu Hongbiao said that in the past ten years, the reform -centered reform orientation has become more prominent. Leading the concept of great health, putting prevention in a more prominent position, and implementing a healthy Chinese action, the concept of "everyone is the first responsible person in their own health" is more deeply rooted in people's hearts, strengthened the prevention and treatment of major diseases and the management of chronic diseases, reforms and improves diseases Control system, give full play to the unique advantages of traditional Chinese medicine, carry out the combination of medical care, and continue to innovate the development of health and health care.
"We will be based on national conditions and give full play to the institutional advantages, and continue to explore the worldwide problems of medical reform in Chinese -style methods." Zhu Hongbiao said.
The health level of "one old and one child" further improves
In the new era, my country's population development has faced profound changes. In the context of the significant slowdown in the growth rate of the total population, the continuous decline in fertility, and the deepening of aging, the importance of doing a good job of "one old and one child" health guarantee is self -evident.
Du Xixue, the person in charge of the Development Department of the National Health and Health Commission, introduced that in 2021, the national maternity mortality rate was 16.1/100,000, the infant mortality rate was 5.0 ‰, and the mortality rate of children under 5 years old was 7.1 ‰, which was compared to 2012, respectively, respectively, compared with 2012, respectively, respectively. Fall 34.3%, 51.5%and 46.2%.
From the global perspective, the mortality rate of maternal mothers in my country is far lower than the median level of 43/100,000 in the medium -to -high -income countries, and the mortality rate of infant mortality and children under the age of 5 are lower than the average of 9 ‰ and 11 ‰ of the medium -to -high -income countries. Level. The core index of the health of Chinese women and children ranks among the forefront of high -income countries in the world, and has been listed as one of the 10 countries with high performance of women and children in the world by the World Health Organization.
Du Xixue said that it will further promote the high -quality development of maternal and child health through the measures of "two improvements", "two elimination" and "one promotion".
"Two improvements" is the mother -to -child safety action improvement plan and health children's action improvement plan; "two elimination" is to launch the implementation of AIDS, syphilis, and hepatitis B maternal and baby communication action plans and accelerate the elimination of cervical cancer action plans; "one promotion" is passed through through The implementation of breastfeeding promotion action plans to promote the good growth and development of infants and young children and the formation of intimacy of maternal and infants. In terms of implementing "healthy aging", Wang Haidong, the director of the Department of Old Health and Health of the National Health Commission, emphasized that it will continue to carry out a healthy Chinese actions -the elderly health promotion actions and continuously improve the health literacy of the elderly. Comprehensive hospitals above the level should set up senile medical disciplines; provide 40 million disabled energy and some disabled elderly people from professional institutions to home -chain long -term care services; Combined integrated health care service system.
Wang Haidong said that during the "Fourteenth Five -Year Plan" period, he will be committed to establishing a comprehensive continuous continuous and continuous health service that covers urban and rural areas with a comprehensive continuous and continuous "six -in -one" "six -in -one" "six -in -one" "six -in -one" "six -in -one". The system, effectively enhance the health of the elderly.
Build a grass -roots hygiene health net bottom
Grassroots are the bottom of the medical and health undertakings. The ability of grass -roots medical and health institutions is strong, which is directly related to the solution of the common people to see a doctor for medical treatment.
Zhu Hongbiao pointed out in a reporter from the 21st Century Business Herald that the strong base layer has always been the top priority of health and health. In recent years, grass -roots levels of disease prevention and treatment and health management have continued to improve.
First, the grass -roots medical and health networks basically achieve full coverage, and the service's availability is further improved. As of the end of 2021, nearly 980,000 grass -roots medical and health institutions across the country, including 35,000 township hospitals, 599,000 village clinics, and 36,000 community health service centers and service stations.
Second, service capabilities continue to increase, and residents' recognition has gradually increased. Formulate service capacity standards and improve infrastructure conditions. In 2021, the diagnosis and treatment services of grass -roots medical institutions were 4.25 billion, accounting for 50.2%of the total diagnosis and treatment of national medical and health institutions.
Third, the number of grass -roots health personnel has increased significantly, and the structure has been continuously optimized. In the past ten years, the total number of grassroots medical and health institutions has increased from 3.437 million to 4.432 million. The proportion of practicing physicians and practicing assistants in the village medical team has increased from 18.5%to 41.5%. Communication has been strengthened, and health education and guidance have been strengthened.
The fourth is the expansion of basic public health services to promote fairness. The subsidy standard for basic public health service funding for basic public health services has been increased from 25 yuan in 2012 to 84 yuan. Projects carried out by grass-roots institutions have expanded from 10 categories to 12 categories. They are patients with high blood pressure, diabetes, and tuberculosis. A 6 -year -old children, maternal mothers, 65 -year -old and above elderly people provide more than 1 billion health management services. The implementation of these projects has effectively promoted the improvement of urban and rural residents' health.
A set of data given by Li Bin also reflects the effectiveness of grass -roots health and health work. In the past ten years, my country's medical and health services covering urban and rural areas have continued to improve. 90%of families can reach the nearest medical site within 15 minutes. By 2021, the total number of health personnel in my country will reach 13.983 million, and the scale of various talents will continue to grow, and the proportion of grass -roots health professional and technical personnel will reach 72%. Strengthen medical consortia, medical communities, and comprehensive medical reform in the county area, 50%of county hospitals can perform complex surgery. Promote the solution of major diseases in this province, general diseases in cities and counties, headache and brain fever in towns and villages.
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