China's health reform should advance along the eight direction

The 2016-07-25

Source: health

Report from our correspondent (chief reporter han) moves on July 22, by the "three five" (i.e., the world bank, the world health organization (who) and the ministry of finance, the state health and family planning commission, the ministry of human resources and social security) took two years to complete the reform of joint research report published in Beijing. Titled "deepening the reform of Chinese medicine and health care system, the construction based on the value system of high quality services to provide" studies suggested that China should further from the hospital as the center, focusing on the service quantity and drug sales model, focusing on health outcomes, pay more attention to improving the quality of basic health services and the establishment of the high value of medical and health service system, promote the greater use of health services at the grass-roots level, reduce reliance on a higher cost of hospital services.

According to the report, and many other countries in the world, Chinese medicine health reform and development is also facing many challenges. Trend of population aging is accelerated, chronic diseases have become the most important health threats, the demand for medical and health services improve pulled a variety of factors such as health costs continue to grow. To this end, China urgently needs to establish a people-oriented integrated health service system in response to new challenges.

Report in 20 more than 30 background research, case analysis, 21 provinces (cities) in China to carry out, on the basis of field investigation, eight reform Suggestions, including: establish a "people-oriented quality integration services" new mode, the core role of strengthening primary health services, service needs of individual and family health organization, through information technology tools and data sharing, coordinate to establish institutions at all levels of health services system. Continuously improve medical service quality, improve patient satisfaction, establish national coordination mechanism, leading service quality improvement, and national unity in the detection of the quality of health services. To improve the health literacy, strengthen the management of patients with self health. Promote the reform of public hospitals, improve the performance of public hospitals, to make it more difficult on the treatment of severe, routine service to basic health services. Straighten out the service provider's incentive mechanism, no longer pay by project, providing treatment to patient health outcomes rather than the quantity or quantity as the basis of payment. The advancement of medical staff, strengthening the construction of health manpower, provide them with better pay and more support. Allow qualified private medical institutions to provide cost-effective health services, and public institutions for fair competition, coordination development, and to establish proper market supervision mechanism. According to the burden of disease, population distribution and daily health service demand, determine the priorities of health public capital investment.

According to the report, helps to promote the reform greatly reduced the cost of health in China. Estimates show that if not further deepen the reform, China's health costs are expected to be increased from 3.531 trillion yuan in 2014 to $2035 in 15.805 trillion, an average annual rate of 8.4%; Health spending as a share of GDP rose from 5.6% in 2014 to more than 9% in 2035, more than 60% of the incremental spending growth from hospital services. The report suggests China in 10 years or so time and promote the full implementation of the reform.