Human Resources and Social Security Hu Xiaoyi, vice minister of: the basic medical insurance for urban personnel, the new rural cooperative urban basic medical insurance system is divided into the system do exist between the urban and rural separate, manage divide and dispersed resources and other issues With industrialization and urbanization has hastened, increasing scale of population actions, these contradictions are becoming increasingly famous.
standards in administration perquisite for urban and rural residents are catered the same health insurance policy, the central government's perquisite to the central and western districts shall be according to the criterion 60 yuan per human per year.
new three-year 850 billion yuan into the
National Development and Reform Commission Zhu Zhixin, agent director: more than 50% of the national government-run primary health care institutions to implement a basic drug system, and its most prominent function is the implementation of pharmaceutical bargains slip zero. According to prefa
tory statistics, the amounts of essential drugs declined by about 30%. Because of the Preliminary calculations, the common need to add about 200 billion investment, attach with primary health care institutions to decide the debt and subsidies to village doctors, may want extra.
compensation mechanism to establish a new primary care health facilities relative to the smooth operation and healthy development. State Council on the compensation mechanism related documents said three: first, the implementation of the government primary health care institutions existing special grants, including infrastructure and equipment purchase and other expenses, personnel expenses. Second, the adjustment of primary care medical services and health institutions fares, charges and Medicare payment policy. Third, the implementation of specific government grants and adjustment of service charges, primary health care sector is still not enough to cover recurrent proceeds the difference between the current expenditure by the government to give the yearly budget in full value.
Q: In promoting the national essential drug system implementation process, encountered monetary wage approach is faulty, not timely availability of asset and other issues, what will be on basic health care institutions to improve the wage mechanism? Whether the fiscal expenditure required for the specific measurements?
Zhu Zhixin: Since the implementation of the basic drug system, developed areas and ethnic areas the demand for ultra-large catalogue. Analysis, there are three conditions: First, there are differences approximately the drug habit. Drug commonly used in some places and the country's essential drug menu coincidence rate was merely 50%; Second, as the representative of central township hospitals primary care health institutions, clinics and has distended into hospital surgery, ultra-increasing demand for drugs directory; third some urban community health service organizations bear chapter of the referral of patients from the higher rehabilitation hospital, patients generally want to use large hospitals used by the incipient drug.
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in the narrated management services to enhance urban and rural areas, such as health insurance and the new rural residents step along contracts out-patient co-ordinating and promoting the settlement of medical expenses in a timely style while they were co-ordination arrangements. In counting, the initial establishment of consistent policies of urban and rural medical aid system.
Q: research found that the extensive bulk of medical institutions that the national essential medicines are insufficient, very few species of which pediatric patients, if based on the actual absences of the departments cared to addition the kind and amount of essential drugs?
Minister of Finance Xie: This two-year investment in new medical and health, effectively for the establishment of basic medical insurance system, strengthen the public health services, strengthen rural health and community health and so on.
2009, the national fiscal expenditure on health care arrangements for 399.4 billion yuan, containing central government spending 127.3 billion yuan. Key expenditure includes: 645 million yuan for basic medical care security system, 24.6 billion for the implementation of the basic and vital public health services, 21.7 billion yuan to support the building of primary health care institutions.
in the manipulation level, the level of care to the overall arrangements for the 3 systems. Employee health insurance this annual, solemn illness and hospital reimbursement to 75%. And residents of the fashionable rural cooperative medical warranty this annual, basically to attain 60%, and lessening the gap between health care laborers.
to resolve the practical difficulties of the moment, this year the central government to The next step will proceed to increase per capita funding for basic public health services standards, so that they will gradually convert the government pension of primary health care institutions the main outlet, into the budget management, the formation of long-term mechanism.
307 required drugs is ample?
in the design of the system when we fully take into list regional differences and drug habits of the masses, granting the supplement and some of the drugs around. The end of September this year, 14 provinces have completed a drug list additions, the addition of at least 31 species, the largest increase of 502 species.
next year, the central government will further increase its investment in medical and health sector, and further urged the regional government at always levels in full arrangements, timely delivery of health funds to ensure achievement of the national new 850 billion yuan into the mission of .
Health Minister Chen Zhu: health care reform is the world's problems, in health care reform in our country, is probably the maximum complicated reform of public hospitals. February of this year since the begin of reform of public hospitals,
斐济外长将于10月11日至14日对中国进行正式访问, 16 countries to adjoin the pilot cities and 31 provincial-level cities have gradually introduced a pilot reform procedure and the implementation of a digit of supporting policies and measures.
Q: As of immediately, a new round of medical reform in the new investment 850 billion yuan, in particular, the central government to bear the converge of 331.8 billion yuan invested in the where? How effective has the use of expenditure?
Q: health reform in government investment and a lot of money, but the consciousness of the people is not manifest, people are still hard to expensive medical treatment. May I query what the next step of reform minds in public hospitals? Solving
Q: The urban-rural and geographical distinctions in the basic medical security level greater health care system, belong to different managerial departments. State Council and relevant ministries in terms of the treatment system in area to streamline health care plan? The level of the measures in place to further improve health care?
Zhang Mao, vice minister of health: ease Second, to promote reform of payment, take the total pre-paid, paid by access of disease, full security system, the limitations on medical prices. Third, often improve the health care system to improve the level of conservation, so that the masses to further dilute the proportion of individuals to disburse. We must too strengthen public health services, so that less people obtain sick, get sick afterward, no serious illness. (Have written Reporter: Zhouting Yu, Cui fresh, Zhouying Feng, Wang Fei)
2010, the national financial disburse ashore health care budgets 443.9 billion yuan, because the year is no over, the characteristic implementation of which will surpass the rationed estimates. 138.9 billion yuan from central finance, as of the end of November, has been allocated 121.7 billion yuan aggregate, the
chief expenditures are: to promote basic medical security system, 55.6 billion yuan to support the primary health care traditions the basic drug system, ; 10 billion fund to support the implementation of basic and vital public health services 30.3 billion to support the construction of urban and rural primary health care traditions 31.65 billion yuan to promote the reform of public hospitals 3.2 billion in support to carry out medical education, where 3 billion.
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this regard, the State Council,
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The second namely apt use some efficient amounts, effortless treads, so namely the folk really feel the health attention reform, primarily reform of public hospitals has brought results. This regard, we wish apt comprehensively appliance the following fathom in the country: generally carried clinic meetings, expedience and quality patient concern; apt muster the country to build massive hospitals, public hospitals and rural grass-roots patronize for long-term mechanism; in terms of elementary medicinal expenses directly to intensify settlement ; hospitalized in public hospitals to subserve the exercising of physicians, establishing a standardized system.
into the effectiveness of new health care reform? Essential drug system will be how to improve? How to advance the reform of public hospitals? ... ... 24, the National Development and Reform Commission, Ministry of Finance, Human Resources and Social Security, the Ministry of Health and other ministries in charge of the Eighteenth Meeting of the Eleventh National People's Congress of the mutual appointment, in rejoinder to new medical reform hot issues 1 by one to give a response.
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