In 215, the China Health Statistics Yearbook announced that the medical reform has changed in these years.

the future is bright and the road is tortuous. haven't the medical reform been effective in recent years?

The average life expectancy in China is expected to increase by one year by 215 compared with 21; The infant mortality rate dropped from 13.1‰ in 21 to 8.9‰ in 214, and the maternal mortality rate dropped from 3/1, in 21 to 21.7/1, in 214, all of which achieved the goal of the Twelfth Five-Year Plan ahead of schedule, and the health level of Chinese residents was generally at the level of middle-and high-income countries. The health gap between urban and rural residents has been further narrowed, and the accessibility, service quality, service efficiency and mass satisfaction of medical and health services have been significantly improved, laying a solid foundation for building a well-off society in an all-round way and realizing the goal of "everyone enjoys basic medical and health services".

A: During the Twelfth Five-Year Plan period, we will continue to adhere to the basic concept of providing the basic medical and health system to the whole people as a public product, adhere to the basic principle of "ensuring the basics, strengthening the grassroots and building mechanisms", strengthen the top-level design, strengthen the problem orientation, continuously push the reform deeper, and make breakthroughs in key areas and key links. The proportion of residents' personal health expenditure in the total health expenditure decreased from 35.29% in 21 to 31.99% in 214, which is the lowest level in recent 2 years, and it is expected to achieve the goal of falling below 3% this year. The main achievements include four aspects: < P > First, the universal medical insurance system has been basically established. China has woven the world's largest basic medical insurance network. In 215, the number of people participating in three basic medical insurances, namely, urban workers' basic medical insurance, urban residents' basic medical insurance and new rural cooperative medical care, exceeded 1.3 billion, and the participation rate remained above 95%, which was 3 percentage points higher than that in 21. In 215, the per capita financing of the new rural cooperative medical system and urban residents' medical insurance increased to about 5 yuan, and the government subsidy standard increased to 38 yuan, which was 2.2 times higher than that in 21 (12 yuan). In 214, the reimbursement rate within the scope of the three basic medical insurance hospitalization expenses policies reached over 7%. We will implement serious illness insurance for urban and rural residents and comprehensively establish an emergency rescue system for diseases.

Second, the reform of public hospitals has been significantly accelerated. At the provincial level, we have identified Jiangsu, Fujian, Anhui and Qinghai provinces as pilot provinces for comprehensive reform, and deployed and promoted the reform of public hospitals as the core task. At the municipal level, the number of national pilot cities has increased from 34 to 1. At the county level, 75% of counties (cities) and 76% of county-level public hospitals have started the comprehensive reform of county-level public hospitals, and the goal of full coverage will be achieved this year. In the process of reform, we will resolutely break the mechanism of supplementing doctors with drugs, establish a scientific compensation mechanism, actively explore the modern hospital management system, and steadily promote the reform of the establishment and personnel distribution system.

Third, the basic drug system and the new mechanism of grass-roots operation have been further consolidated and improved. The price of essential drugs has decreased by about 3% on average compared with that before the reform, and a mechanism for ensuring the supply of drugs in short supply has been established, which basically guarantees the use of drugs by children. At present, all government-run township hospitals and 86% village clinics are all equipped with essential drugs and are sold at zero difference rate. The hardware construction, software construction and service capacity of primary medical and health institutions have been significantly improved, and the treatment of rural doctors has been continuously improved. Since 214, all the newly added funds of basic public health service subsidies per capita have been used for rural doctors for two consecutive years.

Fourth, vigorously promote social medical services and health services. In the planning of medical and health service system, space has been reserved for social medical service, and efforts have been made to eliminate policy obstacles that hinder the development of social medical service. Market-regulated prices shall be implemented for medical services provided by non-public medical institutions. By the end of 214, there were 12,5 private hospitals, an increase of 5,478 compared with 21, accounting for 48.5% of the total number of hospitals; The number of patients in non-public medical institutions reached 1.68 billion, accounting for 22% of the total number of patients in the country, and the planned target of 2% was achieved ahead of schedule.