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医药卫生体制改革意见发布 加快分级诊疗建设

2016-11-08 19:55:50   新华网

原标题:中共中央办公厅国务院办公厅转发《国务院深化医药卫生体制改革领导小组关于进一步推广深化医药卫生体制改革经验的若干意见》

新华社北京11月8日电近日,中共中央办公厅、国务院办公厅转发了《国务院深化医药卫生体制改革领导小组关于进一步推广深化医药卫生体制改革经验的若干意见》,并发出通知,要求各地区各部门结合实际认真贯彻落实。

《国务院深化医药卫生体制改革领导小组关于进一步推广深化医药卫生体制改革经验的若干意见》全文如下。

深化医药卫生体制改革是党中央、国务院作出的重大决策,是全面深化改革和全面建成小康社会的重要任务。为进一步巩固和扩大医改成果,现就推广深化医药卫生体制改革经验提出如下意见。

一、深化医改取得重大进展和明显成效

新一轮医改启动以来特别是党的十八大以来,各地区各有关部门认真贯彻落实党中央、国务院决策部署,坚持把基本医疗卫生制度作为公共产品向全民提供的核心理念,坚持保基本、强基层、建机制的基本原则,坚持统筹安排、突出重点、循序推进的基本路径,攻坚克难,扎实推进改革各项工作,深化医改取得重大进展和明显成效。主要表现在:全民医保制度基本建立,基本医疗保险参保率稳固在95%以上,覆盖人口超过13亿人,2016年城乡居民医保财政补助标准达到人均420元,城乡居民大病保险全面推开,保障水平大幅提升。公立医院综合改革持续拓展深化,全国1977个县(市)全面推开县级公立医院综合改革,公立医院综合改革试点城市扩大到200个,科学的管理体制和运行机制正在形成。基层医疗卫生服务体系不断健全,基本实现乡乡有卫生院、村村有卫生室,服务能力明显提高。基本公共卫生服务均等化程度大幅提升,实施12大类45项国家基本公共卫生服务项目,覆盖居民生命全过程,惠及亿万群众。药品供应保障体系进一步健全,实行国家基本药物制度,推行公开透明的公立医疗机构药品省级网上集中采购,逐步建立以市场为主导的药品价格形成机制。分级诊疗制度建设加快推进,全国超过一半的县(市)开展了基层首诊试点,县域内就诊率达80%以上。个人卫生支出占卫生总费用比重持续下降,由2008年的40.4%下降到30%以下;基本医疗卫生服务可及性明显提升,80%的居民15分钟能够到达医疗机构;人民群众健康水平显著提升,人均预期寿命达到76.34岁,比2010年提高1.51岁,人民健康水平总体上优于中高收入国家平均水平,用较少的投入取得了较高的健康绩效。实践证明,深化医药卫生体制改革方向正确、路径清晰、措施有力,改革成果广泛惠及人民群众,在解决看病就医问题、提高人民群众健康素质、维护社会公平正义、促进经济社会发展等方面发挥了重要作用。

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