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China's medical and health undertakings made great achievements (brilliant "five")


"Brilliant Twelve Five" series of reports eighth field report was held in Beijing on October 13, this reporter interviewed the rapporteur, the National Health and Family Planning Commission Li Bin, director.


Q: Overall, "second five" medical and health situation of reform and development is what? What made the results?


A: "Twelve Five-Year", especially since the party's eighteen, under the strong leadership of the CPC Central Committee and State Council, relevant departments of Party committees and governments at all levels, the community and the strong support of the masses, the national health care workers resolutely implement the central policies and arrangements, to deepen the medical and health system to speed up the implementation of medical and health services to obtain rapid development, significantly improve people's health.


Our average life expectancy in 2015 than in 2010 is expected to increase 1 years; the infant mortality rate from 13.1 ‰ in 2010 down to 2014, 8.9 ‰, the maternal mortality rate in 2010 dropped to 30/10 Wan 2014 21.7 / 100,000, both ahead of schedule, "five-second" planning objectives, in high-income countries overall health of our residents. Health differences between urban and rural residents further refine health service availability, quality of service, efficiency and public satisfaction improved significantly, for building a moderately prosperous society, to achieve "universal access to basic health services," the goal of laying a solid foundation.


Q: The CPC Central Committee and the State Council in 2009 launched a new round of medical reform, "second five" deepening medical reform has made what results?


A: "Twelve Five" period, we continue to adhere to the basic concept of the basic health care system as a public offer to all the people, adhere to the basic principles of "basic, strong grass-roots, building mechanism" to strengthen top-level design, and strengthen problem-oriented, constantly reform into depth, breakthroughs in key areas and key links. Residents personal health spending accounted for total health expenditure rose from 35.29 per cent in 2010 to 31.99% in 2014, nearly 20 years to the lowest level of the year is expected to achieve the target to 30% or less. The main results include four aspects:


First, universal health insurance system has been basically established. China has the world's largest weaving basic medical safety net, in 2015, urban basic medical insurance, basic medical insurance for urban residents, the new rural cooperative medical three basic medical insurance number over 1.3 billion, the insured rate remained at more than 95%, compared with 2010 increased by 3 percentage points. 2015 new rural cooperative medical insurance for urban residents per capita funding increased to 500 yuan, which the government subsidy standards to 380 yuan, compared to 2010 (120 million) increased by 2.2 times. Reimbursement within 2014, three basic medical insurance for hospitalization costs policy areas are up to 70%. The implementation of urban and rural residents illness insurance, the establishment of a comprehensive disease emergency relief system.


Second, the pace of reform of public hospitals was significantly accelerated. Provincial level, we determine Jiangsu, Fujian, Anhui, Qinghai Province 4 Province comprehensive reform, the reform of public hospitals as its core mission to deploy forward. The municipal level, the national contact pilot cities from 34 to 100. The county level, there are 75% of the counties (cities) and 76% of the county public hospital launched comprehensive reform of public hospitals at the county level, the year will achieve full coverage goals. In the reform process, and resolutely get rid of drugs make health mechanism, establish a scientific compensation mechanism, and actively explore modern hospital management system, steadily push forward the preparation of personnel distribution system reform.


Third, the system of essential drugs and primary Run the new mechanism has been improved further consolidated. Price of essential drugs than before the reform fell on average about 30%, to establish mechanisms for drug supply shortage, the basic protection of children's medication. Currently, all government-run township hospitals and 86 percent of all village clinics with essential drugs and zero sales slip. Hardware construction of primary health care institutions, software construction, service capacity has been significantly improved, continue to improve the treatment of rural doctors, for two consecutive years since 2014 the per capita basic public health services in the new part of all grant funds for the village doctor.


Fourth, vigorously promote social construction and health services. In the health service system planning for the social construction of reserved space, efforts to eliminate obstacles to the development of the social construction of policy barriers. The implementation of market-regulated prices for medical services provided by the non-public sector. By the end of 2014, private hospitals reached 12,500, an increase of 5478 over 2010, accounting for 48.5% of the total hospitals; clinics people often non-public medical institutions reached 1.68 billion, accounting for 22% of the total medical people number in advance 20 percent of the plan target.


Q: "Twelve Five" period, in which the achievements of the health care system and service capacity building services?


A: First, to further improve the health care system. The total amount of medical health resources continue to increase. By the end of 2014, China's medical and health institutions over 980,000 total medical personnel more than 10 million, covering urban and rural primary health service system was basically completed. Health services improved facilities, services, and further enhanced.


Second, the quality of medical and technical management has been strengthened. 2010-2013, the construction of 90 key clinical specialist. Launched the "clinical use of antibiotics special rectification activities," 2014 Nationwide Inpatient antibiotics use decreased to 41.3%, compared with 2010 decreased by 21 percentage points.


Third, to further improve the efficiency of medical services. National health institutions to carry out extensive "Miyoshi a satisfaction" "further improve the medical services plan of action", "people are satisfied with the construction of township hospitals" and other activities. In 2014, national health institutions 7.6 billion total clinic visits, hospital admissions reached 200 million inhabitants demand for health services to improve satisfaction, increase service utilization, equity enhancement.


Fourth, accelerate the development of medical and health information. The country has 14 provinces, 107 cities established a provincial, and municipal health information platform to 29 provinces to carry out the residents' health card pilot work, to varying degrees, to achieve a regional healthcare system interoperability. More than 2,000 medical institutions to carry out telemedicine. More than two medical institutions have undertaken the construction of electronic medical records, basic to tertiary hospitals within the hospital electronic medical record sharing, support networks appointment registration, the hospital shared access to examine the test results.


Fifth, scientific and technological innovation to achieve significant results. Drug Discovery and infectious disease prevention and control two major science and technology has made significant progress, the world's first advanced gastric cancer Apa imatinib therapy and a number of new drugs and generic drugs approved listing. Influenza A H1N1 influenza prevention and treatment of scientific and technological achievements of the national scientific and technological progress award. Chinese scientists Tu Yo Yo get 2015 Nobel Prize in Physiology or Medicine, Chinese scientists have achieved a breakthrough Nobel Prize zero.


Sixth, the prevention of long-term mechanism to resolve medical disputes was established. Insist on the one hand and according to law, and resolutely crack down on crimes involving doctors' medical trouble "behavior, the Criminal Law Amendment (ix) the official" medical trouble "into the sentence; the one hand and the" three a conciliation insurance "(hospital mediation, people's mediation, judicial mediation and medical risk sharing mechanisms) building long-term mechanism, showing a decline in criminal cases, and medical doctors dispute the number of medical disputes people's mediation success rate increase, involving a good situation. Meanwhile, the medical and health institutions in the country to carry out thorough professionalism education, and continuously improve service, improve service quality and level; strengthening Patient Relationship of society to promote and advocate the whole society to understand the medical limitations, respect, understanding health care provider.


Q: What do the prevention and treatment of major diseases is a major livelihood issues. "Twelve Five" period, of what has been achieved in the prevention and treatment of major diseases?


A: "Twelve Five" during some of the prevention and control of the health of residents constitute a serious threat of major diseases made more progress, such as:


- Hepatitis B. China's implementation of the priority of neonatal hepatitis B vaccination strategy to gradually carry out the crowd outside the neonatal hepatitis B vaccination work, 2009 - 2011, the country launched a 15-year-old age replant hepatitis B vaccine work, a total of 6800 million people replant prevention and control effect is remarkable. May 2012, China formally certified by the World Health Organization Western Pacific Region, realized the children under age 5 with chronic hepatitis B virus (HBV) infection below 1% target for developing countries to establish a model.


- AIDS. Overall control of the AIDS epidemic in low prevalsence level. By the end of 2014, reported the survival of infected patients and approximately 500,000 cases. AIDS behavioral intervention vulnerable population coverage of close to 80%, infection and medical treatment significantly reduced the burden on the patient's quality of life significantly improved, social discrimination has decreased, the whole society to participate in AIDS prevention and atmosphere evolved.


- Tuberculosis. "Twelve Five" period, we have the full implementation of modern TB control strategies, infectious pulmonary tuberculosis cure rate remained above 85%. Ordinary TB patients free screening and front-line anti-TB drugs, MDR-TB will be included in the new rural cooperative medical coverage of major diseases. As of the first half of this year, the national total found "Twelve Five" period and 3.87 million cases of tuberculosis patients treatment management, the reported incidence rate of tuberculosis in 2010 74.3 / 100,000 down to 65.6 / 100,000, ahead of achieving the Millennium Development Goals.


- Schistosomiasis. "Twelve Five" period, we actively implemented to control the main source of infection schistosomiasis comprehensive prevention strategy, patient medical expenses according to provisions of relief. As of 2014, the national popular 453 counties (cities, districts), and has 98.9% of the counties (cities, districts) or Transmission Control transmission-blocking standards of schistosomiasis dropped to historic lows.


- Chronic diseases. "Twelve Five" period, the completion of an integrated chronic disease prevention and control demonstration zones 265, patients with hypertension manage more than 8600 people, more than 2400 people with diabetes.


Q: What's China's implementation of public health services, "five-second" period? What made the results?


A: The basic public health services, financial assistance to countries to basic public health services from 2010 15 yuan per capita increased to 2015 per capita $ 40, services expanded from the initial 9 class 41-12 Class 45, including the establishment of health records, health education, vaccinations, prevention of infectious diseases, hypertension and diabetes and other chronic and severe mental disease management, child health, maternal health care, elder care, health supervision assist in the management of TB patients and health management, Chinese medicine health management, covering the entire process of life residents.


At the same time, countries and regions for major diseases, an important health risk factors and focus on population health issues, development and implementation of the 15 years of age replant hepatitis B vaccine, poor sight restoring cataract patients in rural maternity hospital maternity rural women "two cancer "screening, better nutrition for children in poor areas, rural harmless sanitary latrines construction and other major public health services, covering a total of nearly 200 million people, the implementation of the effect is quite remarkable. In maternal and child health project, for example, 2011-2014, rural maternity hospital maternity grant projects accumulated nearly 40 million people; by the addition of folic acid to prevent neural tube defects in the project, a total of more than 4600 million rural subsidy fertile women, the incidence of neural tube defects in newborns declined by 50% to further improve the quality of births.


Q: "Twelve Five" period, the construction of the effectiveness of health emergency response mechanism What?


A: Since SARS, China has accelerated the health emergency response system, and effectively to respond effectively to a variety of health emergencies, withstood a major test. The system has four pillars: The first pillar is a sound legal system and contingency plans. The second pillar is the efficient command and coordination mechanism to achieve cross-sectoral and inter-regional coordination of joint scientific and efficient decision-making. The third pillar is the largest infectious diseases and public health emergencies reporting system, disease information from the grassroots to the national CDC received a report that found that time is reduced to 4 hours. The fourth pillar is professional and efficient emergency response team, set up four categories of 36 national and nearly 20,000, more than 200,000 local health emergency response teams in the country subregion. 2014 Chinese public health emergency core competencies compliance rate rose to 91.5%, and effectively protect the people's lives and health and national public health security.


Q: "Twelve Five" period, China's measures taken in the building of health personnel? What made the results?


A: The long-term goal of health personnel training is the cause of sustainable development, "second five" during our medical personnel in construction has taken the following measures:


First, strengthen medical education and collaboration, deepen the reform of personnel training in clinical medicine, to achieve a closely co-ordinated and clinical resident standardization training college, graduate education, the basic formation of "5 + 3 + X" personnel training a new model (5-year clinical medicine undergraduate education + 3 years of residency standardized training or three years to master degree education of clinical medicine + X years specialist training).


The second is to promote the construction of residency standardized training system. Organize the selection of a first batch of 559 training base, it has recruited 12 thousand residents participated in standardized training.


The third is to focus on general practitioners to increase grass-roots efforts to train personnel. 2011--2014 year cumulative arrangements for GP training more than 20 million people; the "directional Order rural medical students for free culture projects," a total enrollment of 27,000 directed free medical students; start GP special post plan in Sichuan and other four provinces pilot. Per thousand by the number of general practitioners in 2012 increased to 0.81 1.26.


Q: "Twelve Five" period in the pharmaceutical industry to develop what has been achieved?


A: The "1025" period, the rapid growth of Chinese medical resources, TCM service capabilities significantly enhanced, multi-level, wide coverage of this service network basically established. Chinese Medicine Hospital Visits by the total of 360 million in 2010 to 530 million in 2014, more than 90% of the national community health service centers, 80% of the township hospitals, 65% of village clinics can provide Chinese medicine services. 2014, Chinese industrial output value of over 730 billion, compared with the "Eleventh Five-Year", an increase of 130%, herbal products import and export volume reached 4.63 billion US dollars, the international competitiveness of the Chinese medicine industry significantly.


Q: What is the development of "1025" period of medical and health undertakings made great achievements experience?


A: The "1025" period is China's medical and health services at a lower investment to achieve higher health outcomes, hard-won achievements, Mizu cherished experience. To sum up, there are five basic experience:


First, always adhere to the party leadership and the government-led. Second, always adhere to the people to maintain and develop the good health benefits. Third, always adhere to the basic conditions. Fourth, always adhere to enhance health governance. Fifth, always adhere to mobilize all social forces to participate.


Imperial Qingdao Huaren Pharmaceutical Co., Ltd.
Address: East Road, Qingdao High-tech Industrial Development Zone, No. 373

Website:www.178tlc.com         Tel:86-0532-87970001 4008-111-277    Fax:86-0532-87970003      

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