Jilin Province Continued to Deepen the Medical and Health System Reform
"Deepening the medical and health system reform” and "improving health care" is still the focus discussed by this year’s NPC and CPPCC under the main line of healthy China construction. As the new-round medical and health system reform has lasted for eight years from March 2009 to now, what answer does the province hand over? The province's insured rate of workers reached 100% and the urban and rural residents’ insured rate was stabilized at 98%, basically achieving the universal health insurance; the province’s five most powerful three-level grade-A hospitals including Jilin University’s First Hospital established a medical union with the province's nine cities (prefectures) and 43 counties (cities, districts), allowing the masses to be able to enjoy provincial experts’ diagnosis and treatment services at the door. "Around solving the hard and expensive to get medical treatment for the masses, we are working to allow more people to feel the benefits of the medical and health system reform”, said the provincial health and family planning committee system reform director Wen Rixuan during an interview on March 10.
Over the past few years, the provincial Party committee and government have attached great importance to deepening the medical and health system reform work, included deepening the medical and health system reform into the important content of comprehensively deepening reforms, adhered to linkage of medical insurance, medical treatment and medicines, increased exploration, innovated in systems and mechanisms, comprehensively deepened the medical and health system reform and achieved remarkable results in reducing the masses’ burden of medical treatment,improving the enthusiasm of medical staff, maintaining the healthy operation of hospitals and other aspects.
In 2016, the province's provincial public hospitals’ average medical expenses per time dropped 9.69% over 2015 and per capita hospitalization cost growth dropped to 1.31% in 2016 from 8.98% in 2015. Changchun City, Yanbian Prefecture, Tonghua City and Songyuan City, as a national city-level public hospital comprehensive reform pilot, all started the comprehensive reform with cancelling the system of compensating doctors with drugs as the core.
Established city-, county- and town-level medical unions dominated by the government and led by provincial three-level hospitals to achieve the orderly subsidence of high-quality medical resources so that the new medical treatment order "grass-roots first visit, two-way referral, separate treatment of acute and chronic diseases, and up and down linkage” has continued to improve. In 2016, the province's medical unions’ coverage rate has reached more than 90%, the province's primary health care institutions’ diagnosis and treatment volume has reached 43.1% of the total, the grass-roots medical institutions’ integrated service capability and performance has been greatly improved, and patients’ medical process has been fully optimized.
The province has established a multi-level universal health care network closely combining basic health insurance with serious illness insurance, medical assistance, social charity relief and emergency response. Urban and rural residents’ basic health insurance should “insure all that should be insured”, the government’s per capita subsidy standards increased to RMB 420, the hospitalization expenses’ reimbursement ratio within the policy scope reached more than 75% and the highest compensation increased to RMB 200,000; urban and rural residents’ basic medical insurance system’s “six unifying” policy was comprehensively promoted; comprehensively implemented the serious illness insurance system for urban and rural residents, directly benefiting 610,000 serious illness patients.
The province's public medical institutions have fully equipped and given priority to using essential drugs, established a provincial "five unifying” mode-based pharmaceutical procurement service platform, and achieved docking with the national platform. The provincial centralized tender for drugs and high-value medical supplies progressed orderly. By strengthening the daily supervision of production and circulation, the problem that the price of medical equipment is too high was effectively curbed.
Comprehensively implemented the plan of getting rid of poverty with health and family planning support and issued the new rural cooperative medical system’s “five improvements, one reduction, one increase and three exemptions” subsidy tilt policy for the poor put on record. The province's poor people and urban and rural vulnerable groups all enjoyed the treatment of reducing the serious illness insurance standard by 40% and improving the fractional payment ratio by 5%. In 2016, the province's poverty-stricken population’s new rural cooperative medical system policy benefited people for 73,530 person times and the actual amount of compensation reached RMB 63.306 million. Fully started the implementation of “10,000 qualified doctors to countryside for poverty alleviation” and the province, city, county, town and village medical teams sent doctors for 20,393 person times in the year, making a diagnosis and treatment for 467,153 person times, so that the poor people’s health rights and interests have been effectively protected.
This year, the province will fully promote the construction of “five systems”, such as classified medical treatment, modern hospital management, universal health insurance, drug supply guarantee and comprehensive supervision, continued to fully deepen the medical and health system reform, and created a good medical and health environment for building healthy Jilin and improving the people's well-being.