On July 22nd, the conference on the joint research results of medical reform jointly organized by the World Bank, the World Health Organization and the Ministry of Finance, the National Health and Family Planning Commission, and the Ministry of Human Resources and Social Security was held in Beijing. At the meeting, Mr. Evans, Senior Director of the World Bank Health and Population Global Practice Development Bureau, introduced the results of the joint research on medical reform.
In recent years, China has made great achievements in the field of health care. The incidence of tuberculosis has fallen dramatically, with a basic decline of half. Evans pointed out: "The maternal mortality rate has dropped by 2/3, the infant mortality rate has dropped by 3/4, and the life expectancy of residents has also increased. From 70 years in 1995 to 76.34 in 2015." From the current point of view, the most important achievement of China's medical reform is the coverage of China's medical insurance. We have seen both in rural areas and cities. Basically, China has achieved universal coverage of medical insurance. In addition, the improvement of the situation in public hospitals is also very gratifying. The system of grading diagnosis and treatment and the reform of the pharmacist system have been established, and the construction of primary medical institutions has been strengthened.
However, the problem of medical reform is also facing enormous challenges. As China's population ages, the number of people with chronic diseases continues to rise. More than 80% of deaths each year are caused by chronic diseases. A related point is that the rapid increase in medical expenses will bring about the quality of medical care and the problem of patient satisfaction. In order to solve the above problems, the joint research results of medical reform have proposed the following eight key reform areas:
First of all, the medical reform should focus on the needs of the people. From preventive health care to rehabilitation, it is necessary to maintain continuity of services, and medical institutions at different levels collaborate. It is important to build an interdisciplinary team that cannot be served by a single specialist. At the same time, we must follow the principle of evidence-based medicine. We must strengthen monitoring, evaluation, and feedback, and focus on the health outcomes of patients.
The second area of ​​focus is to improve the quality of service and the patient experience. We should pay attention to the coordination mechanism at the national level and try to improve the quality of service. We provide services through standardized methods, so that the quality of medical services in different locations can be compared. We should develop corresponding quality monitoring tools to supervise the services of different medical institutions. quality.
The third point is to strengthen public participation in the process of providing medical services. We call it the strengthening of the public's participation in the people-oriented integrated service model, to enhance the patient's health literacy, strengthen patient self-management, and promote joint decision-making between doctors and patients.
Ensuring an enabling environment for the public to participate in the provision of services. For example, Evans said that the Anhui Provincial Health Planning Commission will receive reports from various medical institutions every day. For example, the day before, they are concerned about the surge in the number of children in medical institutions, and the next day will be broadcast by local pediatricians. Some suggestions for parents are what should be done when the symptoms appear, which strengthens the participation of citizens in medical services.
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