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Cctv news(Focus Interview): Today’s ten-year answer sheet, we open this answer sheet for the construction of a healthy China. General Secretary of the Supreme Leader pointed out: "The most important indicator of modernization is people’s health, which is the basis of people’s happy life. Grasping this matter, people first and life first should be an idea that the whole party and society must firmly establish. " Since the 18th National Congress of the Communist Party of China, the CPC Central Committee with the Supreme Leader as the core has adhered to the people-centered development thought, put people’s health in a strategic position of giving priority to development, continuously deepened the reform of the medical and health system, and constantly improved the health and health system, thus effectively alleviating the problem that it is difficult for people to see a doctor. China’s health undertakings have moved from "treating diseases as the center" to "taking people’s health as the center", striving to ensure people’s health in an all-round and full-cycle manner.

Zhong Jing is a village doctor in the clinic of Longhe Village, Longchang Town, Zhenfeng County, Guizhou Province. In the past ten years, the biggest change has been the change in the working environment of the clinic. When he first came, the house was small and dark. Five years ago, Zhong Jing moved to a three-story clinic. The first floor was a general clinic, the second floor was a Chinese medicine clinic, and the third floor was a lecture hall.

Longhe Village is located in the mountainous area. For a long time in the past, the health infrastructure was weak. This kind of situation is common in many villages in China, especially in remote areas. In this regard, the General Secretary of the Supreme Leader pointed out that it is necessary to promote the downward shift of the focus of medical and health work and the sinking of medical and health resources, promote the equalization of basic public services in urban and rural areas, provide safe, effective, convenient and cheap public health and basic medical services for the masses, and truly solve the problem of difficult and expensive medical treatment for grassroots people.

In the past ten years, the change of medical conditions in this small mountain village is beyond Zhong Jing’s and the villagers’ imagination. Zhong Jing said that ten years ago, there were thirty or forty kinds of drugs in the clinic, and because of the price of drugs, villagers were generally afraid to come to see a doctor because of minor illnesses. Now it’s different. The medicines in village clinics are all centrally purchased by the state, with zero price difference, more than 100 kinds of commonly used medicines, and the prices are open and transparent. In addition, all villagers have medical insurance for urban and rural residents, and the clinics can settle the reimbursement in real time. When villagers take medicines, they only need to pay their share.

In addition to the daily outpatient service, Zhong Jing also taught herself Chinese medicine. In her spare time, she will provide free physical therapy, moxibustion, scraping and cupping for the villagers on the second floor, which are very popular among the villagers. Besides being in the clinic, Zhong Jing will go from village to village, because in recent years, besides being a village doctor, she has a new identity — — The villagers’ contracted family doctors.　

In the past ten years, China’s primary medical service capacity has been continuously enhanced, and the primary medical and health institutions that meet the service capacity standards account for 53%; Central township hospitals are equipped with large-scale equipment such as CT, and hospitals are equipped with equipment such as B-ultrasound, digital X-ray photography system and automatic biochemical analyzer. The rate of common diseases and frequently-occurring diseases in the county is over 90%, and the level of diagnosis and treatment in primary medical and health institutions is constantly improving.

Jiao Yahui, director of National Health Commission Medical Administration and Hospital Authority, said: "It can be said that our country now has clinics in every village, health centers in every township, and at least one public hospital run by the government in every county. Especially since 2016, the conditions of hardware facilities and equipment of county hospitals in more than 800 poverty-stricken counties across the country have been greatly improved. The number of beds in county hospitals in our country has increased by 14% on average, and the average increase of equipment above 10,000 yuan is 51%. Since the 18 th National Congress, the entire medical service system in the county, including the improvement of capabilities, has laid an important foundation for improving the health and health level of rural county residents. "

Li Zheng is a doctor from the Department of Critical Care Medicine of Beijing Children’s Hospital. In the past two years, because of the construction of the national regional medical center, he came to Zhengzhou and served as a special director in the Department of Critical Care Medicine of Zhengzhou Hospital of Beijing Children’s Hospital. Li Zheng’s work place has changed, and his content has also changed a little. He not only has to treat critically ill children, but more importantly, he has to lead local doctors in discipline construction. Li Zheng often tells colleagues that we should improve our position. We are a national regional medical center and strive to build the department into the best in China and close to the international advanced level.

The National Regional Medical Center is an important work of the Supreme Leader General Secretary’s personal planning, deployment and decision-making. Its core content is the expansion of high-quality medical resources and the balanced regional layout. In July 2019, the ninth meeting of the Central Committee for Comprehensively Deepening Reform reviewed and adopted the pilot work plan for the construction of national regional medical centers.

Zhengzhou Hospital, Beijing Children’s Hospital, is one of the first 10 pilot units. Based on Henan Children’s Hospital, Zhengzhou Hospital is fully managed by Beijing Children’s Hospital.

Zhou Chongchen, president of Zhengzhou Hospital of Beijing Children’s Hospital, said: "Beijing experts have been in our hospital for a long time for surgery, rounds and scientific research guidance, which has greatly improved the discipline construction of our hospital. Difficult and severe diseases, rare diseases and rare diseases, including core technologies, have greatly improved and broken through. "

Zhang Bin, from the dermatology department of Beijing Children’s Hospital, has been visiting Zhengzhou for two years. She has seen many old patients and received a "Welcome to Zhengzhou" card from children.

In order to better build a national regional medical center, Zhengzhou Hospital of Beijing Children’s Hospital introduced the dual-director management mode in nine key disciplines. That is to say, experts from Beijing Children’s Hospital are appointed as special directors to undertake tasks such as discipline development, clinical diagnosis and treatment, scientific research and teaching, and personnel training, including Li Zheng from the Department of Critical Care Medicine.

Li Zheng said: "After coming, I found that with the support of the national regional medical center construction project, the hardware conditions are very good. What is lacking is the concept of serious illness that is in line with international standards, and there is a lack of standardized and streamlined treatment system."

Li Zheng has been in Zhengzhou for two years, insisting on teaching in small classes every week, organizing difficult case discussions, and actively promoting the process and standardization of critical care medical treatment. He often said, "Every time the technology is improved, the chances of successful treatment are increased."

In the two years since the national regional medical center construction project was listed, in 2021 alone, Beijing Children’s Hospital sent a total of 461 experts to Zhengzhou, and at the same time, Henan Children’s Hospital sent its backbone to Beijing for further study, which trained a team of subjects that Henan could not take away.

Zhou Chongchen said: "From 2016 to 2021, the transfer rate of Henan to Beijing dropped by 51.70%, and the transfer rate of Henan children to Beijing dropped sharply, so that children in Henan could enjoy national high-level health care services at their doorstep."

In order to let more people enjoy the services of national diagnosis and treatment level nearby, up to now, three batches of 50 national regional medical center projects have been implemented, basically covering provinces with relatively weak medical resources. The nationwide planning and layout will be completed before the end of this year.

Wang Ru is the director of the medical insurance department of Peking University People’s Hospital. In short, her job is to ensure that medical insurance patients see a doctor, and she ensures that patients’ reimbursement can be smooth. The medical insurance policy has changed a lot in recent ten years, with wider coverage and more convenient reimbursement. Many disciplines in Peking University People’s Hospital rank in the front of the country, attracting many patients from different places to see a doctor, and the hospital window can be settled and reimbursed in time.

The medical security system is an important part of the people’s livelihood security system, and the General Secretary of the Supreme Leader has presided over many meetings to consider issues related to medical security. Since the 18th National Congress of the Communist Party of China, the reform of medical insurance system has been deepened, medical insurance services have become more convenient and service efficiency has been continuously improved. Peking University People’s Hospital has started to implement inter-provincial settlement of hospitalization since 2017.

Not long ago, the reporter met Ms. Zhao from Heilongjiang at the settlement window of the inpatient department of Peking University People’s Hospital. Ms. Zhao told reporters that six years ago, her lover also had an operation here. The operation was very successful, but the reimbursement was very troublesome. Whether it can be settled in different places not only puzzles patients, but also puzzles doctors.

Jiang Guanchao, chief physician of the Department of Thoracic Surgery of Peking University People’s Hospital, said: "In the past, one of the main reasons for patients’ entanglement was the problem of settlement. Now patients are relieved of worries and concentrate on seeing a doctor. We don’t have to think too much about the patient’s expenses, what kind of treatment should be done, and it will be finished according to the standard. "

In 2019, the pilot project of nationwide unified inter-provincial medical online filing service was launched. In 2021, the direct settlement of general outpatient expenses across provinces will also achieve full coverage of the overall area. With the help of information technology, mobile phones can handle medical records in different places and apply for electronic medical insurance cards, making it more convenient and efficient for people to use basic medical insurance.

By the end of 2021, the basic medical insurance had covered 1.36 billion people, the participation rate was stable at over 95%, and universal medical insurance was basically realized.

Zheng Gongcheng, a professor at China Renmin University and president of China Social Security Society, said: "In recent years, medical security has made all-round progress. The general secretary has said that without the health of the whole people, there will be no overall well-off society, and without the health of the whole people, there will be no cornerstone for our common prosperity. In the future, we have stood at a new starting point for building a well-off society in an all-round way. Our goal is to solidly promote common prosperity, but only when the people are healthy and common prosperity makes sense. "

This decade has witnessed the greatest progress in China’s health undertakings and the increasing sense of health acquisition of ordinary people. The problem of people’s difficulty in seeing a doctor has been effectively alleviated, the three-tier network of medical and health services covering urban and rural areas has been continuously improved, and 90% of families can reach the nearest medical point within 15 minutes. The problem of expensive medical treatment for the masses has been alleviated. The national list of essential drugs has increased to 685, and the proportion of residents’ personal health expenditure to total health expenditure has dropped to 27.7%, the lowest level in 20 years. The average life expectancy has increased from 74.8 years to 78.2 years, the health literacy level of residents has been continuously improved, and the people have paid more attention to the quality of life and health and safety. From health to well-off, Chinese held up a well-off society in an all-round way with the health of the whole people.