BEIJING, May 11 (Xinhua) — regarding the topic of financial budget for medical reform this year, Song Qichao, deputy director of the social security department of the Ministry of Finance, said at the special conference on key tasks of deepening medical reform in 2017 today that, the national budget for medical and health expenditure is 1404.4 billion yuan this year, which is 4.4 times that of 2008 before the start of medical reform, and 5.1 percent higher than the same-caliber expenditure in 2016.
Data Map: on May 10, a medical staff was taking blood pressure for students in Rong’an County Special Education School, Liuzhou city, Guangxi province. Tan Kaixing photo
In response to a reporter’s question, how much is the financial budget for medical reform in 2017? When the Ministry of Finance supported medical reform in this respect, Song Qichao said that the task of medical reform in 2017 was very heavy, according to the spirit of last year’s National Health and Health Conference and the overall work plan of the State Council’s medical reform this year, finance at all levels will continue to regard medical and health as the key area of financial support and invest plus-sized, support the key work of medical reform.
Song Qichao said that the national budget for medical and health expenditure was 1404.4 billion yuan this year, 4.4 times that of 2008 before the start of medical reform, and 5.1 percent higher than that of the same caliber expenditure in 2016, compared with the same period, the national fiscal expenditure budget increased by 1.9 percent age points, and the proportion of medical and health expenditure in the national fiscal expenditure increased to 7.2 percent. Before the start of medical reform, the figure was 5% in 2008, and the proportion increased to 7.2 percent in 2017, an increase of 2.2 percent age points. You may think that this 2.2 percent age point is not high, but think about it. From 2008 to 2017, the scale of national fiscal revenue and expenditure has increased significantly, and the relative proportion may not be very high, but the absolute increase is very high. Among them, the budget of the central government’s medical and health expenditure was 398.2 billion yuan, 4.7 times that of 2008 before the start of medical reform, 7.7% higher than the same caliber expenditure in 2016, the increase of central fiscal expenditure budget was 1.6 percent age points higher than that of the same period. This is the overall arrangement of this year’s budget.
Song Qichao said that this year we will focus on supporting the promotion of medical reform from the following aspects.
— Support to improve the level of basic medical insurance. The financial subsidy standard for new agriculture and urban residents’ medical insurance increased from 420 yuan per person per year in 2016 to 450 yuan this year, and the per capita increase was 30 yuan, which was the eighth consecutive year of raising the financial subsidy standard. The new rural cooperative medical system was established in 2003. At that time, the financing standard was “three-three system”. Each person of the central finance subsidized 10 yuan per year, and each person of the local finance subsidized 10 yuan per year, each individual pays 10 yuan per year, that is, 20 yuan of financial subsidy in 30 yuan and 10 yuan for individual payment. After 14 years, the overall financing scale in 2017 has reached 630 yuan, 21 times that of 2003. Among them, the financial subsidy standard increased from 20 yuan in 2003 to 450 yuan, 22.5 times. Personal payment increased from 10 yuan in 2003 to 180 yuan this year, which is 18 times. We should also vigorously promote the reform of medical insurance payment methods and give full play to the role of medical insurance funds in guiding medical behaviors and controlling the unreasonable growth of medical expenses. Support to promote the settlement of medical treatment in different places of basic medical insurance, and facilitate the masses to see medical treatment.
— Support the comprehensive reform of public hospitals. This year, the reform of the entire public hospital has been fully launched throughout the country. The central government continues to grant 3 million yuan to each county and 20 million yuan to each new pilot city, the municipal district of each city grants 1 million yuan to arrange subsidy funds to support the comprehensive reform of public hospitals nationwide. At the same time, it will also carry out the performance evaluation work of public hospitals with the medical reform office of the State Council and other departments, and establish a linkage mechanism between the assessment results and the central financial subsidy funds. Implement the requirements of the notice of the General Office of the State Council on encouraging and supporting local plus-sized with obvious achievements in real work, and reward cities and counties with obvious achievements in the comprehensive reform of public hospitals. In addition, this year, central-level public hospitals should also fully participate in the reform of local public hospitals. The central government should also support this work and give rewards and subsidies.
— Support to improve the quality of public health services. In 2017, the per capita funding standard for basic public health services increased from 45 yuan last year to 50 yuan. It is also necessary to further adjust and optimize basic public health and major public health service projects, plus-sized performance appraisal efforts, improve the implementation effect of public health service, and enhance the sense of acquisition of the masses.
— Support the establishment of grading diagnosis and treatment system. We will continue to arrange subsidy funds to support the implementation of various training programs for grassroots personnel such as “training medical students for free in rural order orientation”, “Ten thousand doctors support rural areas”, and participation of General Practitioners in standardized training, accelerate the improvement of grassroots service capabilities. Support demand-oriented family doctor signing services, carry out various forms of medical association construction pilot, and provide continuous and integrated basic medical care and health management services for the masses.
— Support deepening the reform in the field of drug production and circulation. Support the implementation of “several opinions on further reform and improvement of drug production, circulation and use policies”, and vigorously promote the “two-vote system” in the pilot provinces of comprehensive medical reform and the pilot cities of public hospital reform “, promote the consistency evaluation of the quality and efficacy of generic drugs, effectively solve the problem of high drug prices, and ease the burden of drug costs for the masses.
Song Qichao said that at the same time, medical reform funds are the “life-saving money” of the masses “. The financial department attaches great importance to the supervision of medical reform funds and will further plus-sized efforts to ensure the safe, standardized and effective use of funds. One is to strengthen the supervision of medical insurance funds. Supervise and urge all regions to implement “Opinions on Strengthening the budget management of basic medical insurance funds and playing the role of medical insurance funds in controlling fees”, attach great importance to the sustainability of medical insurance funds, and strengthen the analysis of the income and expenditure of medical insurance funds, on the basis of actuarial science, early prevention and resolution of fund operation risks. The second is to strengthen the financial budget management of public hospitals. Supervise and urge all regions to implement the guiding opinions on strengthening the financial and budget management of public hospitals, establish and improve the overall budget management, cost control, financial reports, information disclosure, the chief accountant and the third party audit system regulate the economic operation of the hospital. The third is to improve the use efficiency of public health funds. Further integrate public health service projects and promote the overall use of funds. In plus-sized, with the National Health and Family Planning Commission, the performance evaluation scope of basic public health services was expanded to all provinces in the country to improve the use efficiency of public health funds.
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zhongxin.com, May 11, in response to the topic of financial budget for medical reform this year, Song Qichao, deputy director of the social security department of the Ministry of Finance, said at the special conference on key tasks of deepening medical reform in 2017 today that the national financial Medical and health expenditure is in advance.