Five departments talk about deepening the system reform of the medical and health

Five departments talk about deepening the system reform of the medical and health
[This afternoon of report of www.xinhuanet.com, Chinese Government net ], Chen Zhu, minister of Ministry of Public Health, Wang Jun, Vice Minister of Ministry of Finance, human resources and Hu XiaoYi, Vice Minister of social security department, Deputy Director of development and reform committee, medical reform Sun Zhigang, director of office of the State Council put up with " Deepen the system reform of the medical and health " Relevant problem answer the questions of correspondents at home and abroad. Please pay close attention to. [2011-03-0914:28:59][Every friends from the press host Su HaiHe ], Good afternoon! Welcome to interview, we hold the tenth press conference of the press center today, the relevant problem of deepening the system reform of the medical and health answers the questions of correspondents at home and abroad. Please allow me to introduce every honoured guest giving an interview at first: Mr. Chen Zhu, minister of Ministry of Public Health, the Deputy Director of development and reform committee, medicine of the State Council correct director Mr. Sun Zhigang, Mr. Wang Jun, Vice Minister of Ministry of Finance, human resources and Mr. Hu XiaoYi, Vice Minister of social security department. [2011-03-0914:33:52][HaiHe Su ] welcome everybody give an interview, today the intersection of interview and the intersection of time and about 1 hour of us, do not offer interpretation, please question in Chinese. If nobody knows Chinese, can question in English. The newspaper own media unit before each reporter questions, each reporter proposed a question in principle. Begin to question now. [2011-03-0914:35:03][Chinese radio network reporter of Central People's Broadcasting Station ], we know that advancing the medical reform needed obviously increasing the input in governments, we know too at the same time, some areas with comparatively difficult finance, reflect now the pressure is relatively large, in order to advance the medical reform, what measures the central authorities will take next to help them to solve the difficulty, relieve the pressure conscientiously. Ask Vice Minister Wang Jun to answer, thanks. [2011-03-0914:35:36][Wang Jun, Vice Minister of Ministry of Finance, ] this problem which you say really exists, but in order to alleviate the difficulty of finance at the basic level, especially the pressures of the expenditure of some difficult counties, state revenue, provincial finance, finance at city level do the best for support, the finance at county level adjusts the expenditure structure by every possible means too, make all-out efforts to support the medical reform. This is a total concept. [2011-03-0914:39:18][Wang Jun ] explains as the state revenue, our relieving the finance at the basic level by every possible means during these years, especially the pressure of the expenditure of the difficult county. I can introduce several jobs that we do, first to you briefly, we have strengthened the input power on medical health organ in the basic unit, strengthening the input power on medical health organ in the basic unit lightens the expenditure pressures of these difficult counties conversely. Include specifically: First, increase the input in hardware. Including the capital construction which the development and reform committee arranged, purchase and subsidize and reach more than 53 billion yuan altogether with including the apparatus which the state revenue arranges. Second, we strengthen the supporting of the software. Our ministries and commissions are strengthening the building of contingent, personnel training of the medical health organ in the basic unit together, I have probably calculated, have ten actions. Every measure is with money, for example recruit the medical worker that the basic unit works, organize the coordinated cooperation, encourage university students to their job-transfer training, and recruit medical science to grow in order orientation. By virtue of time, I do not enumerate one by one, have the amount of one ten, every one brings the money, we strengthen the personnel training work of the medical health organ. [2011-03-0914:43:21][The third Wang Jun ] is with public health and increasing that the medical treatment ensured the respect to be put into, solvency has been strengthened. Solvency has been strengthened, the compensation which the medical health organ in the basic unit received through one's own good service, on more. Their pressure is small, the financial pressure of making up the difference at county level is small too. Fourth, we take measures to improve the treatment of the medical worker at the basic level. The treatment salary of the medical worker at the basic level of the national policies and regulations should link up with average income level of the local public institution, state revenue arrange for some money subsidize, wait a moment for we, construction aspect of software, take a lot of measures too also every year. This is to medical health organ and the personnel's work. [2011-03-0914:44:50][Wang Jun ] second, we implement the basic medicine system, cancel the addition of medicines to the basic unit, advance comprehensive health care reform, offer certain subsidy too, we ask " award mend policy " ,To support them to do the reform well, support them to cancel the addition of medicines, we have arranged 12 billion yuan in three years. [2011-03-0914:46:15][Wang Jun ] third, we have adjusted the sharing system of the special fund of the health care, in order to lighten the expenditure pressure of the central and west regions. As everybody knows, we shut beginning from 50 newly and agriculturally originally, individual took 10 yuan, state revenue took 20, take 20 in local finance at all levels, that is to say, in case of that the finance is shared, the mechanism shared in Fifth Five-Year Plan Period that it's proved, we adjusted the sharing system to the newly-increased part from this year, took 8, local finance and took 2 to the state revenue of the western region, as to the middle part, the state revenue takes 6, local finance and takes 4, only on this one, increase central financial the intersection of input and 14,100 million, 14,100 million these, go down, one that is in this year shut while being agricultural while being new and adjust, mark, the intersection of urbanite and medical insurance, the financial pressure in the locality will be obviously lightened. [2011-03-0914:50:28][Wang Jun ] fourth, in addition, the state revenue has also implemented a policy since last year, until come, say, give finance difficult county to eat " the low insurance " popularly ,The statement sets up and improves the security mechanism of the basic financial resources at county level normally. We when calculating, want, can make sure, have financial resources ensure basic demand the county, including people's livelihood demand, including the fund demand of the medical reform, if can not reach this lowest security system, state revenue and provincial finance should be mended to the lowest security system. Like countryside the intersection of low insurance and households of low insurance compensate, want, give, mend get most low security system. The state revenue took 47,500 million yuan last year, the state revenue should take 77,500 million yuan this year. [2011-03-0914:52:09][Wang Jun ] the fifth, the state revenue has been still devoting more efforts to local general transfer payment constantly during these years. The efforts of general transfer payment has been strengthened, just mean to the difficult county of the finance will be further sloping, the concrete input proportion is, the general transfer payment of the locality of state revenue increase by 29.4% than 2008 in 2009, will increase by 17% in 2010, increase by 18 this year . 5%. This sum of money goes down, the general transfer payment of the state revenue reaches more than 1,000 billion yuan, then much money will be subsidized to the finance of difficult county. [2011-03-0914:54:07][Wang Jun ] the sixth, and innovation that we have also done some reforms in respects such as the whole job requirementses, service platforms, supervision and management system,etc., that is to say that requires the finance at all levels to deepen the understanding, strengthen, try every means to guarantee the promotion of the medical reform. [2011-03-0914:55:19][Wang Jun ], what I want to emphasize is finally, all sorts of measures that the state revenue takes relieve, dissolve the financial difficulty of the basic unit, ensure the medical reform of the difficult area to need, this is right, and will further strengthen. Meanwhile, I want, say difficult financial department of area those, Ministry of Health, the intersection of National Development and Reform Commission and department, people protect department try every means to overcome the difficulty too, adjust the expenditure structure under the leadership of the local government of Party Committee, is devoting more efforts to supporting constantly, ensure the expenditure of several people's livelihood including medical reform to need. Thank you for your questions. [2011-03-0914:57:34][Farmers' Daily reporter ] asks minister Chen, the government will bring from 120 yuan up to 200 yuan the new agricultural subsidy shut in 2011, this range is very large, but it is still very low to ensure competence. Ministry of Public Health launched children's leukemia and congenital heart disease guarantee in the countryside last year, the new agricultural proportion that submits an expense account jointly is up to more than 70%, could you tell me minister Chen, under lower fund-raising condition at present, how could accomplish higher guarantee level, how to guarantee the safe operation of the fund? Thanks. [2011-03-0914:58:42][Chen Zhu, minister of Ministry of Public Health, ] thanks you for your questions. In fact your question is how a guarantee level related to new rural cooperative medical service is improving constantly, problem of letting peasants more benefited. Vice Minister Wang Jun had already talked about just now, state revenue and the local finance, to shutting newly and agriculturally of this year, know the intersection of justice and Vice Minister, can mention, can improve to the intersection of urban residents and competence that medical insurance subsidize greatly too too in a moment. It is relatively lower to but subsidize competence newly and agriculturally jointly, it was 120 yuan last year, it is 200 yuan this year. This is determined by our national conditions, under the situation of relatively lower input, how can have outputs of better health benefit? Should say and shut the system newly and agriculturally as the Central Party Committee, the State Council in order to help peasants to solve and resist the great action of the disease risk, during a few years, really took a development path with Chinese characteristics. [2011-03-0915:01:22][Chen Zhu ] is in 2003 at the beginning, there is only a level of 30 yuan of per person newly and agriculturally jointly, it was relying mainly on comprehensive arrangement for serious disease at that time. In practising the course, when the competence of raising funds is improving constantly, we have put forward the question of the pool of clinic, because if small disease watch, tow what of serious disease, can bring the enormous disease risk too. [2011-03-0915:03:11][Chen Zhu ] passed a few years' efforts, at the fund-raising level of 120 yuan last year, this was the subsidy of a government, in addition, the part which peasants handed in, under the fund-raising level of 150 yuan altogether, have realized the submitting an expense account rate can be up to 60% within the range of policy in hospital, meanwhile, realized the pool of clinic in 60% of the areas. Last year, submitting an expense account and binding the line in policy range reaches 6 times of net income of peasant, only 30,000 yuan. There are 1,100 million benefited peasants in the whole country. [2011-03-0915:04:25][Chen Zhu ] and just like you mentioned just now, we are while protecting basically, also exploring that protects the diseases of some focal points. Serious disease of children at first, under support of Ministry of Finance, we and serious disease of Ministry of Civil Affairs succour, form civilian call " a station type " as Connect,choose we two piece children, for congenital heart disease of children in every one, another one is the child's leukemia, 6 kinds two kinds altogether. I prove here, it is not free completely, actually submitted an expense account 70% newly and agriculturally jointly, then for 20% of the compensation by fund that serious disease succour according to the situation of the family, adding together can be up to 90% or compensation higher to the difficult family. [2011-03-0915:05:12][Chen Zhu ] rural children " The second disease " The ones that ensured though launch time non- long, has made very good result while working. By the end of last year, issue from the file, it is half a year, because the policy is carried out to have a time difference in fact, more than 4,000 infants have been succoured already. Probably have more than 480 cases of leukemia, totally the relieving rate has exceeded 3/4. About 4,000 congenital heart diseases, success rate of operation is very high, the cure rate has exceeded 95% under most situations. [2011-03-0915:06:44][Chen Zhu ] in a situation that the competence of raising funds further promotes, our benefited one should be further expanded on one hand this year, in addition even if rate of submitting an expense account in policy range should be further promoted, the pool of clinic will be further pushed away at the same time. At the request of leading group of the medical reform of the State Council, the rate of submitting an expense account in policy range should be up to 70% this year, and submit an expense account upper limit should reach 50,000 yuan, the pool of clinic is being pushed away again at the same time, so this costs strength greatly. [2011-03-0915:09:09][Chen Zhu ] ensures to serious disease, changes to the affair in medicine of this year of what has been sent according to State Council office for the previous period, require children " The second disease " Pilot projects should be generally pushed away to the whole country, will expand pilot number that serious disease will be ensured at the same time. Refer to women in the Premier's government work report " Second cancer " Sift checking to treat and cure with serious disease, cervical cancer and breast cancer are what the society highly pay close attention to, curative effect is more precise too, and we have already checked the early sieve, the expenses can get very good control too. The Premier mentioned the question of cancer when and the netizen talked on February 27, refer to chronic the whole renal function at the same time ' Uremia) Question,pieces of problem we but also study. [2011-03-0915:10:40][This year of Chen Zhu ], according to the unified plan of the leading group of the medical reform of the State Council, the problem that serious disease ensures is studied together by Ministry of Public Health, the human resources, social security department, Ministry of Finance, four departments of Ministry of Civil Affairs, above the foundation of the pilot project last year, could let more unfortunate families enjoy the good news that the medical reform was brought to them this year. [2011-03-0915:11:1 6][What I want to say is it will be Zhu Chen ], shut, raise funds level low while being agricultural while being new, but it is a most populous guarantee system covered in the world with, cover more than 800 million people. And its management is the management of the closed operation from the beginning, this point gets much instruction of the financial department. That is to say to shut funds and can only be used newly and agriculturally for the diagnosing the illness and seeking medical advice and compensating of peasants, can not use as any other uses. In addition, have also set up open and clear supervision mechanism. [2011-03-0915:12:28][Chen Zhu ] Ministry of Health undertakes this job, though working pressure is very big, we feel the mission is glorious, we want to be responsible for the job of this respect, should consider how the limited fund give full play to benefit at the same time. We can say the responsibility in this respect requires us to shut being new and agricultural the fund to make good use of, utilize our professional advantage to build the system of the hygiene service well, especially in countryside, basic unit. Because as the system of a fund-raising with lower level should make the good benefit, is this service? The dust brilliant ��'s lemon moat interconnected system of Cuo of the tide kills ���Ӧ�'s lemon of chaste tree and regrets to whistle �� is imitated in fact! [2011-03-0915:15:25][Zhu Chen ] Wang Jun Vice Minister mention the state revenue, in recent years already just now, especially since the medical reform is implemented, to the countryside, to the huge financial support of the basic unit. Can make it more convenient for peasants to diagnose the illness and seek medical advice unless building the service system of the basic unit, the cost can be further reduced too at the same time. So, during reform and public hospital reform of the rural health care system this year, we have stressed a focal point, just want the tap of a medical network of tertiary hygiene of village of a county, namely the county hospital is good in construction. We have one to calculate, about 80% of the diseases of peasant can be solved in the county hospital at present, if we can accomplish 90% of the diseases, include serious disease of some comparative difficulties can be solved in the county hospital, realize serious disease is not basically gone out of of the county, so new agricultural benefit shut can perform better. Arrange to require health authorities to be be responsible for service ability of the hygiene in such a system, and also is responsible for the event that management and benefit of the medical insurance fund are maximized, we think this kind of system is the system which accord with the national conditions. [2011-03-0915:17:00][Zhu Chen ] equal to the intersection of supervision and, some problems store in even while being agricultural while being new, mainly management is indifferent, the team is relatively more weak, the information-based means can not still catch up with. So we want the efforts that three respects strengthen management from administration, auditing, informationization this year, it is more convenient to make the masses see the doctor, make the masses take a fancy to the disease, and can see the good disease. [2011-03-0915:18:03][Chen Zhu ], I think if we work solidly so, the horizontal constant improvement with raising funds, can have already in charge ofed to live, manage the seeing the doctor and seeking medical advice of common disease, frequently-occurring disease well, while can strengthen the society and pay close attention to degree greatly, will obviously cause and cause and return to poorly and due to illness poorly due to illness, but we have been already the precise treatment effective in cure, guarantee efforts of the great disease of scheme of diagnosis at present, and can control the expenses. I think we take one high suitable for the intersection of we and the intersection of hygiene and ensure and road that hygiene serve of national conditionsing input-output ratio probably. Thanks. [2011-03-0915:21:08][Reporter of CCTV ], I want to question the relevant data about the medical reform of Mr. Wang Jun, Vice Minister of Ministry of Finance, according to the medical reform scheme, from 2009 to 2011, it should be 850 billion yuan that the governments at all levels will increase newly and invest, the input of the central government should be 331,800 million yuan. Two years passed by now, could you tell me what if this invests situation implemented? Have realized anticipated goal and task? What will the budget in 2011 probably be? Which respect be used in mainly? Thanks. [2011-03-0915:24:02][Wang Jun ], the Central Party Committee, the State Council determine to finish five key reforms of the health care in three years in 2009, our department did one to calculate together together at that time, the government should ensure the implementation of these reforms, the finance at all levels of the whole country should increase the input of RMB 850 billion, among them the state revenue should increase 331,800 million input, this is calculated and was written into the medical reform scheme, turned into the tasks of financial departments at all levels later. Exactly as you mentioned just now, after two years, had begun in the third year, how well was this task finished? I want to tell you several great concepts: [2011-03-0915:28:28][Wang Jun ] first, by the look of total amount, three years are put into finishing excessly or satisfactorily. Four small concepts that I say, the first small concept, the figure that I give to you is final accounts counting, execution number in 2010 of 2009 now, because final accounts have not come out yet. The budget in 2011 is counted, these three figures are always added, after settling out in the future, also have some changes to carry out this year. The second small concept, this number three is added up, 1,409,900 million yuan of financial accumulative total expenditure at all levels of the whole country, among them the state revenue is 448,600 million yuan. The third small concept, this was added up to in three years, I said just now increase by 850 billion yuan newly, state revenue 331,800 million among them, that, on the issue that there is a base figure, so third young concept base figure for 2008 275,700 million of the whole country, the central authorities are 82,600 million yuan among them. The fourth small concept, increase few newly on earth? The national finance is put into increasing by 1,134,200 million yuan newly in three years, among them the newly-increased state revenue invests 365,900 million yuan. We can say by the look of total amount, the input to be calculated of the central authorities than before increases by 34,100 million yuan, 284,200 million yuan of increase of 850 billion yuan calculated than before in the whole country. If include the financial fund that arranged to use during these three years or use soon previous year again, this figure may also be a little larger, the whole country exceeds 300 billion yuan. [2011-03-0915:28:58][The intersection of Jun Wang ] and second, divide, come, watch year, assign annual the intersection of account and all can find on the net, I do not offer. By virtue of time, I introduce four small concepts too. The first small concept, the financial hygiene input during these years, a step in one year, it will be more than 300 billion yuan in 2009, it will be more than 400 billion yuan in 2010, it was more than 500 billion yuan in 2011. The budget arrangement in 2011, everybody knows it is 536 billion yuan. The second small concept, the increasing degree that government's hygiene is invested should be higher than frequently The increasing degree of the sex expenditure, this is the requirement that a medical reform scheme is put forward for us too, we have accomplished. The third small concept, should improve government's hygiene and put one's back into and take the proportion in the all-inclusive cost of the hygiene progressively, we have accomplished this one too. The all-inclusive cost of the hygiene, the number in 2010 has not come out yet. Put from the government in the hygiene all-inclusive cost of 2009 into looking, has increased by 2.5 percentage points compared with 2008. Since 2003, the government puts one's back into and takes the proportion in the all-inclusive cost of the whole hygiene to increase, calculate that coming down increases 17 pieces of the amount of percentage point from 2003 to 2009. After the government puts into increasing, the proportion in the all-inclusive cost of the hygiene increases, mean the proportion that individual bears in the corresponding decline. The fourth small concept, take the proportion of the whole expenditure in financial health care input, improve from 4.57% in 2008 to 5.35% of 2011 years, improve by 0.78 percentage points, improve by 0.2 percentage points every year. The intersection of health care and expenditure among them, account for central proportion of expenditure, 2.28% improve 3.18% for 2011 years from 2008, having improved by 0.9 percentage points, improve by 0.3 percentage points every year, the improvement of this proportion is more difficult to improve than absolute volume. [2011-03-0915:33:50][Wang Jun ] third, by the look of input structure, every key reform has got better guarantee, especially reflected the requirement of leading group of the medical reform of the State Council well. As to this, Premier Wen, vice-premier Li Keqiang all care very much, requires us to protect the basic, strong basic unit, build the mechanism constantly, is it given to more the broad masses of the people as much as possible that that is to say? � neon rose pray Qian N second step cloth father Fang> are there mothers; The threshold of � stable protects �� oh the large bamboo or straw hat with a conical crown and broad brim stirs the vote U department and repeatly able to bear one degree of Huang ��'s decayed tooth ���� Salty Ba is stopped The core of �'s sheath rewards L Ba Cou �� rose to take off and sneak with Chu; � is tried V best to wake up argon general �� Large Ai Fen �� towering empty sour �� Hao ? 30 billion yuan, will account for more than 50% of the whole health care expenditure of state revenue. The second small concept, slope to the basic unit. I have already given some examples when answering this reporterette's questions just now, I say a little more total concepts. We have sloped to basic unit such as countryside and urban community during these years, have supported the construction of the medical hardware of health organ of basic unit, software, support to implement the basic medicine system, cancel the addition of medicines in the medical health organ of basic unit. The state revenue invests three years to exceed 110 billion yuan altogether, accounts for 24%. Third small concept, to build the mechanism and slope. Building the mechanism, I can cite a small example, we propose the public health should be equal progressively to melt, for build the mechanism, the intersection of we and guarantee in public health, the intersection of per person and 15, we make sure equality, equality that pay in urban and rural areas at the area, all 15 yuan, whether no matter urban residents or countrymen, no matter the people or western people in the east, subsidize it according to the standard of 15 yuan without exception, ensure the basic public health rights and interests to be implemented. We spent 90 billion yuan in public health, accounted for 20%. The fourth small concept, we slope to the Midwest. We support to narrow the disparity that health care serve between the area, whole this three annual state revenue subsidizes the fund of the locality, to the subsidy of the Midwest to account for to subsidize more than 80% of total value. So, largest to the limit perhaps slope comes to the Midwest. [2011-03-0915:37:37][Certainly Wang Jun ], the medical reform is a difficult problem in whole world. Our medical reform has already obtained the obvious achievement, with the increasing that is put into, promotion of work, will also obtain bigger achievement, but the difficulty in the future is numerous. I am in the Ministry of Finance, we can divide the work very well while thanking a minister, let me contact the tax policy directly, in charge of income, other end let us contact financial social insurance, another head contact whole accountant work. I know " Twelve five " During this time, our task is that the people's livelihood have priority. But the voice that everybody derates is very high, what scientific process, management that finely melt this gives to us!, how can serve the overall situation and can guarantee the focal point, have put forward more higher requirements, we will carry out the decision of the Central Party Committee, the State Council conscientiously with related departments, the intersection of implementation and policy that people's livelihood have priority, support medical reform, serve medical reform, make the intersection of medical reform and work can get, move forward deeper, more sturdily and extensively and effectively, let the people receive increasingly many material benefit. Thank you for your questions. [2011-03-0915:39:00][Reporters of CCTV, Chinese network TV station ], I have a question to ask director Sun Zhigang, everybody knows there are many large hospital patients, one of the difficult important reasons of seeing the doctor is the county a tertiary medical organization in the village is still a weak link now, which concrete measures does the country have in supporting the county in the tertiary medical organization in the village in a more cost-effective manner next? Especially further received a training of the support of the respect to medicine of village? Thanks. [2011-03-0915:39:51][Deputy Director of development and reform committee, medical reform Sun Zhigang, director of office of the State Council ] express gratitude to you for your concern to that medicine change. The construction of tertiary medical network of village of paying much attention to the county in central authorities, in the medical reform invest the first two years, the central authorities arrange for the fund to support nearly 2000 hospitals at county level, construction of nearly 20000 medical organizations at the basic level in urban and rural areas together. The condition of seeking medical advice that ordinary people see the doctor in the basic unit improves bigger than the past now, we will continue making the investment this year, will finish the set task to the hospital at county level and medical organizational construction of basic unit in urban and rural areas in an all-round way. Meanwhile, we are taking measures to strengthen the building of contingent of health care of the basic unit, the strength that the flower has been very large has strengthened the medical building of contingent of the basic unit during these years, including the complete doctor's outfit, a very important job of ours is to strengthen the building of contingent at the basic level through the multiple channel this year, plan through two years all medical health organs of basic unit can mix the qualified complete doctor in the whole country. [2011-03-0915:41:59][Other of Sun Zhigang ], we should start the information construction of medical organization of the basic unit this year. [2011-03-0915:42:15][Sun Zhigang ] at the basic level health clinics in towns and townships pass implement basic the intersection of medicine and system, the whole country have 60% medical organization of basic unit implement the basic medicine system now, because of implement basic the intersection of medicine and system, basic medicine cancel the intersection of medicines and addition, price of medicines drop greatly, drop by about 30% on average, ordinary people have received very obvious material benefit from it. The medical organization at the basic level, through making the basic medicine Degree, return to the public beneficial public institution, its development expense is born by government, the expense difference part managed is compensated through many channels by the government too. The system that actually mends medicine with medicine than before in this respect is much better. [2011-03-0915:42:53][Sun Zhigang ] we should take measures to further strengthen the network bottom construction of the tertiary network this year, to construction and management of the village clinic, how to improve the treatment of medicine of village, guarantee the bottom of the network is not broken. We support all parts to take measures to strengthen the construction of clinic of the village and improve the treatment of medicine of village, we are discussing and making the policy too at the same time, how to further stabilize medicine of village, improve the treatment of medicine of village. I want to pass the reform of the medical system in the basic unit and enhancement of medical system construction of the basic unit, the enhancement of medical building of contingent of the basic unit, the county village is tertiary the service ability of the health care network will be further strengthened. Thanks. [2011-03-0915:43:18][China Youth News reporter ], I have a question to ask Vice Minister Hu XiaoYi, the governments at all levels have strengthened to the subsidy of the medical insurance in recent years, we know too the level last year had reached per person's at least 120 yuan level. My question is, besides continuing heightening the level which subsidized in the future, what measures we have to really heighten the level which ensured, let the people get material benefit. Thanks. [2011-03-0915:44:17][Human resources and Hu XiaoYi, Vice Minister of social security department, ] thank you for your questions. The situation on increasing input in the governments at all levels, Vice Minister Wang Jun had already done very well just now, very overall introduction. Have really proved this from the information which this department of ours gathers too like this, the subsidy that it is only the medical insurance to urban residents of the finance at all levels in the past three years has reached more than 46 billion yuan, if add it to the subsidy of worker's medical insurance system, has reached 106,800 million yuan in the past three years, if it is more to add to new agricultural subsidy shut. Has the finance at all levels been strengthened to the subsidy of the system of medical insurance, driven the growth of the medical insurance income too? ? Medical insurance of worker in the cities and towns in 009 years and resident's medical insurance raise an increase of 63 billion, raised an increase of 58,600 million again last year, what thing was the money done? Have mainly done three things: The first thing, expand coverage rate of medical insurance, since the new medical reform, it is only 2009, 2010, only in cities and towns, we increase, effect an insurance number 114 million people. Everybody knows what made medical reform in the world inside this time slot is not a country of ours, but we can increase the cover of the basic medical guarantee of more than 100 million people in two years, I think it is amazing. This is the biggest thing that we do. It is added up that in urban and rural areas, three basic medical treatment at present ensure the system to already cover over 1,260 million people, striding forward towards the goal of the whole people's medical insurance. [2011-03-0915:48:00][Hu XiaoYi ]'s second thing, improve and ensure competence. Everybody knows, I no longer say to improve a lot of examples of ensuring competence, I only say the expenditure situations of these three years, expenditure that worker's medical insurance and resident's medical insurance will be total in 2009 has been propped up 71,300 million more than 2008, last year and so many as to prop up 73,700 million again, raised an increase of 63 billion in the year before last, but propped up 71,300 million more, raised an increase of 58,600 million last year, but propped up 73,700 million more, prop up and all greater than increasing income again, the advantage is at ordinary people's place. Having heightened the level which ensured, minister Chen Zhu introduced the situation that shut newly and agriculturally too just now, the medical insurance of urban residents is so too, the proportion of submitting an expense account in the system is all up to 60%. [2011-03-0915:50:27][Hu XiaoYi ]'s third thing, concentrating solves a batch of outstanding questions left over from history. The project of state revenue is put into 50,900 million, the local finance has increased input too, has concentrated on solving 8 million countries and having basic medical guarantee problem which close the bankrupt enterprise and other retired personnel who close the bankrupt enterprise, include them all in the basic medical guarantee. Solve a great question left over from history in this way. [2011-03-0915:53:46][Hu XiaoYi ] the governments at all levels are still continuing increasing input now, still what shall we do? Still do four things: First, the proportion that the one that continue raising basic medical treatment and ensure in the policy range of the system submits an expense account, want, strive, reach serious disease register 70% about in hospital this year; Second, improve and bind the line ' Pay the limit at most) ,Minister Chen said just now, the countryside is reached 6 times of per capita net income of peasant, the city would get 6 times of per capita disposable incomes of resident. One is at the same time" And is not lower than 50,000 yuan " ,The one that that is to say the poorest county paided bound the line and can't be lower than 50,000 yuan either, this is a problem of solving serious disease. Third, generally launch the pool of clinic. Everybody knows if only keeping the institute, the benefited crowd is probably about 10%, reach 11% at most, but should pursue the pool of clinic in an all-round way, benefited one can be more than 50%. So launch the pool of clinic in an all-round way, can include frequently-occurring disease, chronic disease that masses' burden is heavier in the basic medical guarantee, make the masses benefited. Fourth, do a good job of improving the medical treatment of great disease and ensuring competence with related departments, minister Chen introduced children's two kinds of diseases, the women's second cancer just now, all of us cooperate and do well, make the masses benefited. [2011-03-0915:57:26][Other of Hu XiaoYi ], guarantee fund's security. The country is increasing and putting one's back into, paying the fees to increase of the masses, the unit one pays the fees and increases too, the scale of the fund is increasing constantly, we carry out every financial rule strictly, the funds all deposit the special family of fund finance of the social security, manage two lines of revenue and expenditure, strengthen the control to that the medical insurance fund uses at the same time, prevent extracting the behavior of swindling etc.. We should strive to make every fen flower in increasing the people's material benefit through the efforts of various fields. Thanks. [2011-03-0916:00:04][China reforms a newspaper reporter ] I have a question, could you tell me director Sun Zhigang, we know the new round of medical reform that will begin in 2009 emphasize the public hospital come back public beneficially. But we know, because these hospitals have been emphasizing the economic benefits for many years, so the difficulty of advancing this job is very great. You try hard to recommend the medical comprehensive reform of health organ of the basic unit during serving as the Anhui Province Vice Governor, have made the achievement of world interest in building the mechanism. Please introduce the effective experience of the medical reform of Anhui, how to generalize to the whole country these effective methods? The public hospital also takes except popularizing the basic medical medicine system What measures are wanted to follow up? Thanks. [2011-03-0916:10:10][Sun Zhigang ] expresses gratitude to you for your concern about medical reform, especially concern about the medical reform of Anhui. In five key reforms which we advance, one implement the basic medicine system, the basic medicine system is a brand-new system, the national related departments make the basic medicine catalogue, regard province as the unit to bid and purchase in unison, deliver to the medical health organ in the basic unit, the medical health organ in the basic unit cancels the addition of medicines, sell a difference rate. [2011-03-0916:15:00][Sun Zhigang ] in fact health clinics in towns and townships and the community health Center, especially the health clinics in towns and townships, key mechanism to mend mechanism of medicine with medicine, benefited to come on, compensate operation of hospital by sell whom medicine get mainly. Form the interests and drive the mechanism as time passes, after implementing the basic medicine system, cancel the addition of medicines, cut off and mend the interests roller chain which cures the mechanism with medicine. [2011-03-0916:15:42][Sun Zhigang ] set up in mend with medicine, cure a great deal of item at the mechanism originally, for example, management system, personnel system, distribution system,etc. lose basis that exist just, expose a lot of questions and contradictions, make the whole mechanism unable to run. If only take the money and compensate the price differential of medicines by the finance, it is very difficult to solve so many problems. Mend mechanism of medicine, abolish with medicine, with what kind new mechanism come on, replace old mechanism, with what kind of method sets up new mechanism, these two questions must be answered, can't do without answering this thing. [2011-03-0916:15:52][In Sun Zhigang ]'s practice, we have found the correct answer. Must pass the method of the comprehensive reform, including advancing management system, personnel system, distribution system, medicines purchase and supply system and funds ensure a series of coordinated reform of the system to abolish the mechanism of mending medicine with medicine completely, while avoid getting back to " Mess " ,Set up a brand-new one, insist public beneficial and arousing enthusiasm, ensuring the sustainable new mechanism full of vigorly. [2011-03-0916:16:31][Sun Zhigang ] makes the medical health organ in the basic unit get public beneficially through construction and operation of this new mechanism, but not profit-making enterprises; Make doctor come back, get cure the disease anti- disease role, businessman to promote medicines; Make medicines come back the function curing the disease rather than tool that made money. Through setting-up and operation of this new system at the same time, can it be from medicines by a wide margin to enable ordinary people? It admit land island ostrich stir dirt of � of apple receive product �� tool instrument rose, we of Song rectify to offer to is the colors enough for � quarrel to stir barium rose water �� pace up and down after coughing to ditch bag sedan-chair Pan �� of Pu 1 my darling for the �� s after lasting Jin to neon reason �� ditch every Ji �� holds the real rose of �� and rectifies to offer to reason milk Gou to turn back! [2011-03-0916:17:15][Explore in this respect that has carried on the comprehensive reform according to this kind of thinking in Sun Zhigang ] Anhui. The result of this reform is very good now, we set up a new management system, every villages and towns have a house of health clinics in towns and townships where the government ran, each community has a community health Center which governments runs. [2011-03-0916:18:18][Sun Zhigang ] carry on personnel allocation, determine a post indefinite people, work out, have great innovation while being managerial, work out it just in order to recruit personnel, check and ratify revenue and expenditure, the basis subsidized. All personnel, no matter originally or work out while working out outside, competed for posts without exception, it is employed that whole, ready to accept a higher or a lower post and coming in as well as get out, this is the reform of personnel system. Distribute and arrange nearly 20,000 people together. Meanwhile, having entered nearly 20,000 people, there are education, have working qualification, the team got obvious optimization. [2011-03-0916:18:33][Sun Zhigang ]'s distribution system, set up the distribution incentive mechanism reflecting the performance and examining, pull open disparity, arouse the enthusiasm of medical worker. Medical procurement mechanism, we have adopted the new method of bid and purchase, make the price bade and purchased drop greatly than before. Cancel the addition in the health clinics in towns and townships without exception, sell a difference rate, medicines drop by about 50% on average. [2011-03-0916:18:51][Sun Zhigang ]'s funds ensure the respect, the task, method that authorizes revenue and expenditure, performance examining, difference to subsidize that authorize, need to examine the health clinics in towns and townships every year, the amount of money of result and subsidy examined is got in touch, examine everybody, result and personal income examined are got in touch. [2011-03-0916:18:57][Sun Zhigang ] this set of reforms have brought a brand-new mechanism, is well received by the broad masses of the people and vast medical staff member of health organ of basic unit. But also need improving and consolidating during the reform constantly, for example the performance is being examined, how could examine, appear well and not bad, if how be could relatively good, many questions need to carry on the discussion inside. We carry on standardized construction to the clinic of more than 16000 villages, manage integratively at the same time, the provincial finance will certainly be subsidized while returning medicine to the village, and encourage all cities and counties to subsidize the village clinic, it is steady that the village cures the team. [2011-03-0916:19:31][I go to the health clinics in towns and townships of the town of golden ox of Lujiang county of Chaohu to investigate Sun Zhigang ], a pair of old married couple's same diseases, the same medicines, more than 230 yuan before the reform, 84 yuan after the reform, elder person is very moved, very glad. The health clinics in towns and townships are our public hospital of the basic unit the most in fact, during the public hospital reform, draw lessons from this line of reform methods of health clinics in towns and townships, OK? I think that many questions are communicating. [2011-03-0916:20:15][Sun Zhigang ] for example, raise mechanism of medicine with medicine, I think no matter what kind of hospital, you should and improve and serve and obtain incomes by improving medical technology, but should not make an issue of question of selling medicine, should not make an issue of addition of medicines. But it is more complicated for the public hospital to reform, still not merely mend the question of medicine with medicine. [2011-03-0916:20:30][This kind of reform of personnel system which Sun Zhigang ] adopts in the reform of health clinics in towns and townships, distribution system are reformed, abolish and raise the change, funds which cure the mechanism, medical procurement mechanism and ensure a series of reform methods such as the change of the system,etc. with medicine, we should give us and inspire when studying the public hospital and reforming, I believe our public hospital reforms Put forward according to the central authorities " Four are parted " Requirement,it is serious, boldly explore by we China real hospital the ways basics of the reforms public if you can't can unquestionably find, suit. Thanks. [2011-03-0916:20:43][Reporter of People's Daily ] asks director Sun a question, the medical reform is the vital interests of the people of the relation, it is a very great people's livelihood project. Though no successful modes of medical reform in whole world, if the direction of the reform is on the track of direction in which common people expect, I think I can be approved by common people. Last year, you were in making the expectation of common people, what kind of achievement do you think you had made? Will relieve in the future " The difficulty and high cost of getting medical treatment " Respect,you also have what kind movement? Thanks. [2011-03-0916:21:06][Sun Zhigang ] thanks. Having probed boldly in advancing the medical reform at the basic level in Anhui, it is under carrying out the decision of the Central Party Committee, the State Council to dispose conscientiously, combine and carry on actually. Anhui is studying at first in advancing the medical reform at the basic level how the basic medicine system is while carrying out, also opinions are inconsistent. [2011-03-0916:24:43][In this case Sun Zhigang ], our method is to go down to the grass-roots units and make investigations, dissect " sparrows " ,Analyze the question, everything proceeds from the reality, what problem through going down to the grass-roots units, making investigations, dissecting the health clinics in towns and townships and existing on earth repeatedly, the it mends mechanisms of medicine with medicine to be how form, how initiate a lot of concrete problems, how to solve this problem, through a large number of practices of investigations, our understanding has been unified. [2011-03-0916:25:01][Sun Zhigang ] reviews this piece of experiences, I have a very important experience, everything proceeds from the reality, we can unify the thought and knowledge; All proceed from the reality, we can find the method which solve the problem. Our medical reform must work for the interests of the people. [2011-03-0916:26:08][Sun Zhigang ] is when organizing medical reform in Anhui, we feel this is games of interests deeply, involve the interests of the government, the people's interests, interests, interests, interests, interests producing enterprise, interests of the enterprise in circulation of enterprise of medical worker of hospital, still involving the interests of a lot of respects, you sound reasonable, it is contradictory each other that it is together that synthesize, what about in each other contradictory cases? Through analyze, think, have only people loud in interests, our medical reform must make the people of China receive true material benefit deep we. (on-the-spot a applause) [2011-03-0916:26:34][Sun Zhigang ], we want all interests to obey the benefit of the people of China, only put the people's interests first, meet it under the prerequisites of the people's interests at first, and then consider the interests of other respects. Once we confirm relation of this interests, the view that we agree on the issue that a lot. [2011-03-0916:26:54][Sun Zhigang ] is the year assaulting fortified position of medical reform this year, break through this difficult problem in the world, in dealing with a great deal of interests relations, we should insist all the time people's interests are great, insist all the time everything proceeds from the reality. [2011-03-0916:27:00][Sun Zhigang ] medical reform have first very much important guidelines, it is " protect the basic, strong basic unit, build the mechanism " that the central authorities put forward ,This has pointed out a very correct road to us, we explore according to this road, can unquestionably find the method which solves the problem. I believe, though medical reform is so difficult, under the leadership of the Central Party Committee, the State Council, there is support of national people, we can unquestionably make the effect. Thanks. [2011-03-0916:27:21][Host Su HaiHe ] thank you, by virtue of time, we have already exceeded scheduled time greatly, and the arrangement of the next press conference. [2011-03-0916:27:43][Host Su HaiHe ]'s today's press conference leaves it at that, thank every friend from the press. [2011-03-0916:27:59]

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