Wen Jiabao: Realize everybody enjoys the basic health care service by 2020

Wen Jiabao: Realize everybody enjoys the basic health care service by 2020
Wen Jiabao: Realize everybody enjoys the basic health care service by 2020
The latest " Seeking Truth " magazine of electricity issued Standing Committee of the Political Bureau of the CPC Central Committee on April 1 in www.chinanews.com, Premier of the State Council Wen Jiabao's article is " about developing the social cause and improving several questions of the people's livelihood ", among them specially propose, should advance the reform of medical and health system actively and reliably, and point out, by 2020, will basically set up the basic health care system of covering urban and rural residents, realize everybody enjoys the basic health care service. The article points out, the medical and health question includes two respects in fact: First, someone comes to offer medical treatment service, it is a medical hygiene industry question; Second, who comes to pay the hospitalization cost, it is the medical treatment that ensures the question. In recent years, development of China's medical hygiene industry has notable effect. However, the people, to " difficulty of seeing the doctor " at present , " it is expensive to see the doctor " Reflection return comparison strong. Profound contradiction and reason mainly have three respects: First, medical care supplies the total amount relatively insufficient, lag behind in the development level of economics and society, especially the medical care that social forces offers is not tall in proportion, do not form pluralistic medical care to supply the system, can't meet masses' diversified medical care demands. Second, the health care is unbalanced in resource distribution, too much resources especially high-quality resources centre in the city, the city mainly concentrates on the large state-run hospital, and medical care such as the remote countryside, urban community and basic unit of factories and mines are more scarce, cause countrymen to go down town to see the doctor, urban people should go to the large hospital to see the doctor, have further increased medical care and supplied the tense pressure. Third, in urban and rural areas medical security system complete, especially rural medical treatment ensure system set up, ensure competence to be lower just, the medical expenses that urban and rural residents individuals afforded are higher. For this reason, in 2009, the central authorities will make the great decision of deepening the system reform of the medical and health. According to the reform goal, by 2020, will basically set up the basic health care system of covering urban and rural residents, realize everybody enjoys the basic health care service. It is two respects to summarize: First, make everybody have basic medical guarantee; Second, it let by everybody it enjoy it is convenient can and health cares basic serve. Let all people's diseases be cured to some extent, this is that China's medical hygiene industry develops the great change from idea to system. Basic the intersection of health care and system including the intersection of public health and service, medical care, medical treatment ensure, the intersection of medicines and the intersection of supply and the intersection of person who ensure and four major systems, it is sound this system it is progressively been for every one, a long-term one is even for arduous course. Before the end of 2011, advance basic medical treatment to ensure the system especially, five reforms such as national basic medicine system, service system of health care, serving, public hospital reform pilot project of basic public health at the basic level. In order to guarantee the reform is implemented smoothly, the central authorities especially make the financial resources and ensure arranging, the governments at all levels invest 850 billion yuan from 2009 to 2011 to plan, among them the central government invests 331,800 million yuan. The central authorities encourage all parts to launch a pilot project boldly, carry on reform exploring and innovation of mechanism of system. Article emphasize medical reform world difficult problem, in one 1,300 million big country of population under China, it is not really an easy thing to settle the medical and health problem well. This government should insist on being based on the national conditions, set up the medical and health system of distinct Chinese characteristics, the basic health care service level should be consert with socio-economic development, in conformity with the people's endurance. The government should fulfil the duty well, stress the focal point of work, solve the broad masses of the people's basic health care guarantee and service demand preferably; Meanwhile, encourage social forces to enter the medical and health field in many kinds of way, meet the different levels crowd's diversified demands. In the next period, should pay special attention to three respect work: First, further strengthen the system construction of the public health, promote the basic public health to serve progressively equally and melt. Offer public health service, ones that have priority most in medical and health in the government, the most basic duty. Implement conscientiously and improve the national basic public health service item constantly, expand the service range, improves and serves the standard, offer basic public health services such as disease preventing and cotrolling, mother and child care, health education,etc. to urban and rural residents in unison steadily, realize everybody enjoys. Set up unified resident's health file in the whole country progressively, improve people's self- health care consciousness and public health management level. Second, accelerate the sound basic medical security system in urban and rural areas, lighten masses' medical expense burden conscientiously. The total direction is, accelerate being set up and improved and ensured as the subject by basic medical treatment, supplemented by other various forms supplement medical treatment and commercial health insurance, cover the multi-level medical security system of urban and rural residents, realize everybody enjoys the basic medical guarantee. Accelerate improving urban worker's basic medical insurance, basic medical insurance, new rural cooperative medical service and four systems of medical rescue in urban and rural areas of urban residents especially recently. From assuaring especially serious disease starts, extend towards little disease of clinic progressively, improve and ensure the standard constantly, and the one that did well between the systems was connected, narrowed different systems and ensured horizontal disparity. Accelerate exploring the basic medical guarantee management system of integration of urban and rural areas. In addition, should encourage people's organizations such as the trade union,etc. to develop the activity of helping each other in diversified forms of medical treatment, guide all kinds of organizations and social charitable medical rescue of personal development, develop commercial health insurance actively. Third, the reform and improving medical service system, raise efficiency and quality of medical services in an all-round way. Insist on government's leading factor and give play to the role of market mechanism to combine together, what the government wants to safeguard public health care service is public beneficial, promote the social justice to be just; Meanwhile, pay attention to giving play to the role of market mechanism, mobilize social forces to participate in, promote the forming of ordered competition mechanism, raise operational efficiency of the health care, service level and quality. Should optimize the resource distribution of the health care, newly-increased hygiene resources slope to weak links such as countryside and urban community,etc. especially, further sound with hospital at county level as the locomotive, health clinics in towns and townships and village clinic are as the rural health care service network on foundation, improve the service system of new urban health care based on community. Advance the reform of public hospital in insisting on the public beneficial foundation, perfect the medical compensation mechanism of health organ in the basic unit. Relax the entry threshold, advance fair play, encourage and lead the social capital to develop health care industry. Accelerate setting up medicines based on national basic medicine system and supplying the security system, ensure the people to use medicine safely. The basic medicines all include in the catalogue of submitting an expense account of medical insurance medicine. Further standardize the order of circulating of the production of medicines.


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