What are the differences and changes in medical and health services before and after 30 years of ref

Reducing the gap between urban and rural areas, establishing universal medical insurance, etc.

China's average life expectancy is expected to increase by 1 year by 2015 compared with 2010; The infant mortality rate has dropped from 2010 to 2014, and the maternal mortality rate has dropped from 3010,000 in 2010 to 100,000 in 2014.

The health gap between urban and rural residents has been further narrowed, and the accessibility, service quality, service efficiency and public satisfaction of medical and health services have been significantly improved, laying a solid foundation for building a moderately prosperous society in an all-round way and realizing the goal of "basic medical and health services for all".

The universal medical insurance system has been basically established. In 2015, the number of participants in the three basic medical insurances of basic medical insurance for urban employees, basic medical insurance for urban residents, and new rural cooperative medical care exceeded 1.3 billion, and the participation rate remained above 95%, an increase of 3 percentage points compared with 2010.

The pace of reform of public hospitals has accelerated significantly. At the provincial level, we have identified four provinces, Jiangsu, Fujian, Anhui and Qinghai, as pilot provinces for comprehensive reform, and have taken the reform of public hospitals as the core task to deploy and promote the situation. At the municipal level, the number of state-level pilot cities has increased from 34 to 100.

The basic drug system and the new mechanism for grassroots operation have been further consolidated and improved. Essential drugs** have dropped by about 30% on average compared with before the reform, and a guarantee mechanism for shortage of drugs has been established to basically guarantee children's medication.

A nationwide network of medical services has been established.

The achievements made in the past 10 years of medical reform are multifaceted, including the improvement of the health level of the people, the construction of the health and medical team itself, the expansion of the entire health resources and the development of medical science and technology.

1.From the 80s to the mid-90s of the 20th century, the main task of reform was to develop the health industry, enhance the vitality of medical and health institutions, expand the provision of services, and alleviate the contradiction between supply and demand.

2.After the victory over the SARS epidemic, we put forward a people-oriented scientific outlook on development, attached great importance to the overall development of the economy and society, attached great importance to and strengthened health work, and made new achievements in various tasks on the basis of the past.

3.Solid progress has been made in the prevention and treatment of major diseases, and public health services and support capabilities have been improved. The capacity to respond to infectious diseases and public health emergencies (such as SARS, avian influenza, etc.) is on the rise.

4.The development of community health services is accelerating, and a new urban health service system is taking shape. The number of community health services is increasing, and the number of health workers has increased by about 100,000.

5.In 2003, the total national health expenditure was 100 million yuan, of which social and personal health expenditures accounted for the sum respectively.

The medical and health undertakings are related to the health of hundreds of millions of people and the happiness of thousands of households, and are major livelihood issues. Deepening the reform of the medical and health system, accelerating the development of medicine and health, adapting to the growing medical and health needs of the people, and continuously improving the health quality of the people are the inevitable requirements for implementing the scientific outlook on development and promoting the comprehensive, coordinated and sustainable development of the economy and society, and are important measures to maintain social fairness and justice and improve the quality of life of the people, and it is a major task to build a well-off society and a harmonious socialist society in an all-round way.

Since the founding of the People's Republic of China, especially since the reform and opening up, China's medical and public health undertakings have made remarkable achievements, the medical and health service system covering urban and rural areas has been basically formed, the ability to prevent and treat diseases has been continuously enhanced, the population covered by medical security has gradually expanded, the level of health science and technology has been rapidly improved, the health level of the people has been significantly improved, and the main health indicators of residents are in the forefront of developing countries. In particular, since the major victory in the fight against SARS, the first investment at all levels has increased, the development of public health, rural medical and health care and urban community health has been accelerated, and breakthroughs have been made in new rural cooperative medical care and basic medical insurance for urban residents, laying a good foundation for deepening the reform of the medical and health system. At the same time, it should also be noted that the contradiction between the current development level of China's medical and health undertakings and the health needs of the people and the requirements of coordinated economic and social development is still relatively prominent.

The development of urban and rural and regional medical and health undertakings is unbalanced, the allocation of resources is unreasonable, public health and rural and community medical and health work are relatively weak, the medical security system is not perfect, the order of drug production and circulation is not standardized, the hospital management system and operation mechanism are not perfect, the health investment is insufficient, the medical expenses are too fast, and the personal burden is too heavy.

From now to this year, it is a critical period for China to build a moderately prosperous society in an all-round way, and the tasks of medical and health work are arduous. With the development of the economy and the improvement of people's living standards, the masses will have higher requirements for improving medical and health services. Industrialization, urbanization, population aging, changes in the spectrum of diseases and changes in the ecological environment have all brought a series of new and severe challenges to medical and health work.

Deepening the reform of the medical and health system is a strategic choice to accelerate the development of the medical and public health undertakings, an important way to realize that the people can share the fruits of reform and development, and an urgent desire of the broad masses of the people.

Deepening the reform of the medical and health system is a social systems engineering project that involves a wide range of areas and is very difficult. China's large population, low per capita income level, large gap between urban and rural areas and regions, and the basic national conditions of being in the primary stage of socialism for a long time have determined that deepening the reform of the medical and public health system is a very complex and arduous task and a gradual process. Therefore, to deepen the reform of the medical and health system, we must not only strengthen our determination and step up the progress, but also carefully organize and steadily implement it to ensure the smooth progress of the reform and achieve the expected goals.

Addressing the most basic needs of the broadest masses of the people, ensuring social stability and stability, and consolidating the foundation of governance.

This is a question that ordinary people, especially rural people, feel the most.

When peasants fall ill, they simply cannot afford to be sick because they do not have medical insurance, and some people can only wait for death after they get sick.

How many peasants are there in China, it's sad to say!

It is necessary to reform medical care, and it must be changed to make it affordable for farmers to get sick.

In 2009, it proposed to deepen the reform of the medical and health system. In accordance with the spirit of the 17th National Congress of the Communist Party of China, in order to establish a medical and health system with Chinese characteristics, gradually realize the goal of everyone enjoying basic medical and health services, and improve the health level of the whole people, it is proposed to deepen the reform of the medical and health system.

Legal basis: Article 1 of the Opinions of the Communist Party of China *****on Deepening the Reform of the Medical and Health System" is the guiding ideology of deepening the reform of the medical and health system. Guided by the first-class theory and the important idea of "three elders and only one representative", we will thoroughly implement the scientific concept of development, proceed from China's national conditions, learn from international beneficial experience, focus on achieving the goal of everyone enjoying basic medical and health services, and strive to solve the most concerning, direct and realistic interests of the people.

Adhere to the public welfare nature of public health care, adhere to the principle of prevention first, focus on rural areas, and pay equal attention to traditional Chinese and Western medicine, separate administrative affairs, separate management, separate medicine, and separate for-profit and non-profit, strengthen responsibility and investment, improve national health policies, improve the system and lead training system, strengthen supervision and management, innovate the system with a good mechanism, encourage social participation, build a basic medical and health system covering urban and rural residents, continuously improve the health level of the whole people, and promote social harmony.

1. The prevention and treatment of major diseases should be carried out.

2. The development of community health services has been accelerated, and a new urban health service system is being formed. 3. The management of medical institutions has been strengthened, and medical services have been more standardized, 4. The coverage of medical insurance for urban workers has been further expanded, and the medical insurance for urban residents has begun to be piloted, 5. The coverage of the new rural cooperative medical system has been expanded, and rural work has been strengthened. 6. The work of traditional Chinese medicine has been steadily promoted, the cause of traditional Chinese medicine has been further developed, and 7. The investment in health care has increased significantly.