Minister of Health Chen Hao Talks about the Key Points of Medical Reform during the Twelfth Five-Year Plan Period

The total cost of health in China has continued to rise. It reached 1.9 trillion yuan last year. What are the new restrictions? Yesterday morning, Minister of Health Chen Qi attended the launch of the project of “first consultation, post-settlement and settlement” of Cancer Center of Sun Yat-sen University. In his speech, he revealed the key points of the “12th Five-Year Plan” period. Deputy Governor Lei Yulan, Vice Chairman of Provincial CPPCC and Director of Public Health Yao Zhibin attended the launching ceremony.

It is reported that the hospital cooperates with the Bank of China. Patients can apply for a medical card in the self-service system of the hospital with a second-generation ID card. A certain amount of fees can be pre-stored in advance. The medical card can be used for recharging, registration, and payment at the self-service terminal. , query guides, check the test results, print a list of operations and other operations. The hospital will use the intelligence of the information system to adopt the principle of “secondary killing” and “first come, first served” in the process of booking registration and appointment inspection to ensure the fair use of medical resources. Any part of the diagnosis and treatment can be self-deducted, one or more days (multiple times) of diagnosis and treatment, can be settled at one time, greatly optimizing the medical treatment process, according to statistics, at least 5 times of queuing links have been reduced, effectively solving the long and time-consuming problem. At present, the hospital is in communication with the provincial and municipal health insurance management departments and hopes to link the medical insurance card with the diagnosis and treatment card as soon as possible so that the insured citizens can benefit.

Chen Hao said that this year is the first year of the “12th Five-Year Plan” and the year of the three-year medical reform. The state has already listed “life expectancy per capita increased by 1 year” as the core indicator of the 12th Five-Year Plan. To achieve this goal, we must strengthen the prevention and control of chronic diseases, including cancer, in the cities, and in the rural areas we must strengthen the prevention of chronic diseases and infectious diseases, and the health care of women and children.

He disclosed the idea of ​​resolving the medical problems and expensive medical treatment. To solve the difficulty of seeing a doctor, the key is that hospitals must “link up and down”. Large hospitals help basic-level hospitals, allow them to effectively improve their standards, take on the task of prevention and treatment of frequently-occurring diseases and common diseases, and gradually realize “first-diagnosis at the grass-roots level” to change major hospitals. Overcrowded situation.

In terms of medical expenses, Chen Hao disclosed that in 2010 China's total health expenditure has reached 1.9 trillion yuan, accounting for 5% of GDP. Among them, there are problems with the high price of drug consumables and the lack of public welfare factors in the hospital's compensation mechanism. At present, China has more than 95% of the population enjoying medical care and has basically achieved the goal of “broad coverage.” The next step is to improve the level of protection, with the focus on improving the level of medical insurance reimbursement for major illnesses. During the “Twelfth Five-Year Plan” period, the reform of the basic medicine system and the medical insurance payment system must be carried out in a two-pronged manner, breaking the system of “taking medicine to support medicine” and ensuring government investment, and gradually easing “expensiveness”. At the same time, he disclosed that in the future, the doctor will “pay for packages” according to the type of disease.