New round of basic drug purchase prices are down 30%

In the first year of the “Twelfth Five-Year Plan”, the new health care reform, which is related to the health of 1.3 billion people across the country, continued to advance and achieved remarkable results. Sampling surveys show that the satisfaction of the urban and rural residents with the new medical reform has been rising along with the reform process.

The 12th Five-Year Plan outlines that a sound health care system should be established and prioritized to meet the basic medical and health needs of the masses. At present, the basic medical and health system has been initially provided to all citizens as a public product, and 95% of urban and rural residents in the country enjoy basic medical protection.

95% of urban and rural residents in the country have basic medical insurance, and residents no longer “get serious illnesses and minor diseases”

Story: In August 2011, the granddaughter of Zheng Shuxue, a farmer from Yang Dachengzi Town, Gongzhuling City, Jilin Province, had undergone a congenital heart surgery at a top-three hospital in the province. After the reimbursement of the new rural cooperative medical insurance system, together with the serious illness of children in rural areas, Zheng Shuxue, who has an operating cost of about 40,000 yuan, only took 10%, which greatly reduced the burden on the family.

The basic medical security system in China has covered all urban and rural residents. As of the end of 2011, the number of urban and rural residents participating in the “Three Medicares” for urban employees' medical insurance, urban residents' medical insurance, and new rural cooperative medical insurance exceeded 1.3 billion, an increase of more than 30 million over the target. The participation rate reached 95%, exceeding the plan by 5 percentage points. Nearly 8 million retirees from bankrupt companies and employees from difficult enterprises were all included in the basic medical insurance. The problems left over by the history of these people who are ill-prepared for medical treatment are properly resolved.

The annual per capita subsidy standards for urban residents' medical insurance and new rural cooperative medical care have increased substantially, reaching 200 yuan. At the same time, the urban residents' medical insurance and the new rural cooperative clinics have basically achieved full coverage.

Serious illness is one of the important factors that cause a family to become poor due to illness and return to poverty due to illness. The new medical reform will increase the rescue efforts for serious illnesses. In 2011, it raised 18.8 billion yuan in funds. Relief targets were gradually covered by low-income families and five-guarantee households to elderly people with low-income serious illnesses, severe disabilities, and low-income families.

China's basic medical insurance system for all people has taken shape. The world’s largest basic medical security safety net provides institutional guarantees for “medical treatment” and takes a critical step in the enjoyment of basic medical and health services for all.

Zero sales of basic drugs, purchasing prices dropped by 30%, and the burden of medication for the masses decreased

Story: In November 2011, the 65-year-old Zhao Guirong's aunt was hospitalized for treatment of thrombosis in the center of the Sanchakou Korean Township in Dongning County, Heilongjiang Province. She said that in the past, the two bottles of "Shanxuetong" required more than 100 yuan, and they also reported less. Today, a bottle of blood is only twenty to thirty dollars. Together with the high reimbursement quota of the new rural cooperative medical system, it is no longer afraid to see a doctor.

"An ambulance rang and a pig was raised." For a long time, people at the grassroots level, especially farmers, have a higher cost of seeing a doctor, and a large part of them spend on medicine. To this end, China has implemented a basic drug system.

At the end of July 2011, the government of our country set up a basic-level medical and health institution to implement zero sales of essential drugs. At present, the basic pharmaceutical systems of the seven provinces of Shanghai, Chongqing, and Yunnan and the Xinjiang Production and Construction Corps have already covered the village. Pursuant to the new procurement method, various regions have successively launched a new round of procurement of essential drugs, and the price has dropped by an average of 30% from the previous round of purchase prices. The burden of drug use for the masses has dropped, and the behavior of drug users at the grassroots level has gradually been regulated.

With the drop in drug prices and the increase in Medicare reimbursement quotas, this "one drop one liter" has given the people more benefits, especially when the people go to the grassroots for medical treatment.

The zero-difference sales of essential medicines led to the comprehensive reform of primary health care institutions. Through reforms, the compensation mechanism at the basic level of medical and health institutions has changed from the past to the increase in drug addiction as the main source of financial assistance, public health service funds, and general medical treatment fees. At present, comprehensive reforms have been basically completed.

The sample survey data shows that the monthly salary of medical workers at primary health care institutions has increased by about 600 yuan after comprehensive reforms have implemented performance-based wages.

Urban and rural primary health care institutions have been gradually improved, and residents have been able to see the nearest medical facility.

Story: In December 2011, Li Xueyuan, a 65-year-old Chongqing resident, said: “In the past, the community health service centers were in poor condition and they had to go to large hospitals to get sick. Nowadays, the environment is much better and the facilities are complete. Went to the big hospital."

Large hospitals are overcrowded and grassroots medical and health institutions are few. In order to let the people get close to the doctor, the new medical reform will focus on strengthening the hardware and software construction of primary health care institutions.

By 2011, 2233 county-level hospitals supported by the central government (including 158 county-level Chinese hospitals), more than 6,200 center township hospitals, and 25,000 village clinics have been basically completed. At present, it has been basically achieved that villages have health rooms, townships and townships have health centers, and each county has county-level hospitals up to standard.

In the city, the central government invested 4.15 billion yuan to support the construction of 2,382 community health service centers. At present, the completion rate of construction projects exceeds 75%.

In July 2011, the State Council issued the "Guiding Opinions on Establishing the System of General Practitioners", and made it clear that more than 50,000 grass-roots medical and health institutions throughout the country have appropriate general practitioners. At the same time, various initiatives are taken to attract talents to the grassroots. In 2011, more than 15,000 grass-roots workers in various places were assigned to transfer training for general practitioners, and 674,000 person-times, 518,000 person-times and 1.198 million person-times were trained for township health centers, urban community health service agencies, and village clinics.

The basic medical and health service network covering urban and rural areas has basically been completed. In particular, the contradiction between inadequate resources in rural and rural areas and rural areas has been effectively alleviated. From January to September last year, the number of urban and rural residents who went to basic medical and health institutions increased by 310 million person-times, an increase of 13.2%.

Basic public health services have been provided to 400 million people, and the residents have had a “gatekeeper”

Story: In July 2011, Dan Guilan, a resident of the shipping warehouse community in Dongcheng District of Beijing, came to the community health service station and found his health management doctor, Xie Jibo, to review the treatment of diabetes. Thanks to Xie Jibo's long-term follow-up treatment, Dan Guilan's diabetic foot condition was controlled.

In 2011, the per capita basic public health service funding standard increased to 26.5 yuan. As of the end of September 2011, the number of standardized electronic archives in the country has reached 433 million; more than 59 million hypertension and diabetics have received standardized management; 81.75 million older people over the age of 65 have received free health checkups. A total of nearly 190 million people have benefited from major public health service projects.

The promotion of basic public health services and the construction of the family physician team drastically promoted the transition of the health development model from serious disease treatment to comprehensive health management. Doctors no longer wait for patients to come to their homes, but instead volunteered to provide services for the people and promote basic medical care. Improvement of relations. Meng Qingyue, Dean of the School of Public Health at Peking University, said: "This is a historic change."

In 2011, the country identified 17 pilot cities for the reform of public hospitals, and the number of public hospitals participating in the reform pilot nationwide reached 2,299. In this year, as the most abundant medical resources in Beijing, the per capita hospitalization cost fell for the first time in 10 years. Compared with the same period of 2010, the per capita drug saving cost was 586 yuan. (Li Hongmei)