According to the survey, the growth rate of medical expenses in the country's basic medical insurance coverage rate of 96.8% has slowed

Medicine Network January 29 - The National Health and Health Commission WeChat Public No. 28 released the "National Sixth Health Service Statistics Survey Report" (hereinafter referred to as the "Report").
report, the coverage rate of basic health insurance in the survey areas reached 96.8 percent, an increase of 1.7 percentage points over 2013, and the participation rate of basic health insurance coverage for residents in urban and rural areas was 96.1 percent and 97.6 percent, respectively.
in terms of costs, the report data show that the growth rate of medical expenses in the survey area has slowed, and the increase in costs has been controlled to a certain extent.
national health service statistics survey is an important part of the health statistics survey system.
1993, it has been carried out nationwide every five years, with the aim of obtaining information on residents' health status, health service needs and residents' sense of access through the demand-side survey, reflecting the effectiveness of health reform and development in China.
September 2018, with the approval of the National Bureau of Statistics, the National Health and Health Commission launched the sixth National Health Service Survey, which covered 31 provinces (autonomous regions, municipalities directly under the Central Government), 156 counties (cities, districts), 752 townships (streets), 1561 administrative villages (residential committees) and 94,076 households.
under the guidance of the Planning Department of the National Health And Health Commission, the Statistical Information Center of the National Health and Health Commission organized the Health and Health Commission of 31 provinces (autonomous regions and municipalities directly under the Central Government) and the relevant units of sample counties (cities and districts) to complete the investigation tasks.
the survey, the Statistical Information Centre organized and compiled the Report.
results are as follows: more than 90% of rural residents in the county area, residents' access to health services improved overall, the implementation of the hierarchical diagnosis and treatment system appeared.
2018, 87.1% of the residents were in the county medical institutions, and the proportion of rural residents in the county medical institutions was more than 90%.
major medical problems of residents can basically be solved in the county area.
access to urban and rural health services has been further improved, especially in less developed areas such as the western regions and rural areas.
on the one hand, the proportion of urban and rural areas that do not have hospitalization due to economic difficulties decreased from 18.3 per cent and 24.5 per cent in 1998 to 9.0 per cent and 10.2 per cent in 2018, reflecting a marked improvement in the difficulty of accessing the services required due to economic difficulties.
on the other hand, in 2018, 89.9 per cent of households had access to the nearest medical point within 15 minutes, especially in rural areas in the west, and the proportion of households with access to the nearest medical point within 15 minutes increased from 69.1 per cent in 2013 to 82.6 per cent in 2018.
, 3.2 per cent of the rural areas in the western part of the survey needed more than 30 minutes.
, the average waiting time for hospitalization is about 1.5 days, and the average waiting time for hospitalization in rural areas is 1.3 days.
from the demand side feedback, residents of common diseases and frequent hospitalization is not difficult.
2018 survey compared with five years ago, with the steady improvement of the level of health care and the health service system construction, the need for medical services continues to be released.
report noted a decrease in the proportion of residents in the survey area who did not have access to medical services.
88.1 per cent of the two-week illnesses of the residents surveyed were treated under the guidance of medical personnel, and 1.7 per cent of the two-week illnesses were untreated.
0.59 per cent of patients who were unable to receive any treatment because of financial difficulties, a marked downward trend compared to the 2013 survey.
13.7 per cent in the survey area, an increase of 4.7 percentage points from 9.0 per cent in 2013.
urban areas increased from 9.1 per cent to 12.9 per cent and in rural areas from 9.0 per cent to 14.7 per cent.
Basic health insurance coverage reached 96.8 percent, and the growth rate of medical expenses slowed in terms of health insurance coverage and utilization rate, the report data showed that the coverage rate of basic medical insurance in the survey areas reached 96.8 percent, an increase of 1.7 percentage points over 2013, and the participation rate of basic medical insurance for residents in urban and rural areas was 96.1 percent and 97.6 percent, respectively.
coverage of the poor has been increasing year by year, and has exceeded that of the whole population, reaching 97.8%.
proportion of people who received basic medical reimbursements reached 91.1 per cent, an increase of 1.1 percentage points over 2013.
more than 90 per cent of inpatients were reimbursed for their medical expenses.
the level of medical insurance compensation has been further improved.
since 2003, with the gradual expansion of medical insurance coverage and the gradual improvement of the level of social health care, the level of reimbursement for hospital expenses has increased year by year, reaching 55.4% by 2018.
, China's health insurance coverage and utilization rate are steadily improving, the level of protection further improved.
in terms of costs, the report data show that the growth rate of medical expenses in the survey area has slowed, and the increase in costs has been controlled to a certain extent.
2018, the average hospitalization cost for residents was 10023 yuan, a much lower increase than the increase in GDP and urban and rural residents' income over the same period.
the average annual increase in hospital costs from 2013 to 2018 was 1.4%, significantly lower than the 8.2% growth rate in 2008-2013.
patient experience improved, the health management improvement data of key population groups showed that the overall satisfaction of urban and rural residents with outpatient services was 80.0%, an increase of 3.5 percentage points over 2013, and the patient experience improved.
5.8, 5.2 and 3.3 percentage points higher than in 2013, respectively, in terms of the cost of visits, the attitude of health care workers and the environment of visiting institutions.
overall satisfaction rate with inpatient services was 75.0 per cent, an increase of 7.8 percentage points over 2013.
, the cost of hospitalization, the attitude of health care workers, and the seriousness with which health care workers listened to their illness increased by 5.6, 3.6 and 3.3 percentage points respectively compared with 2013.
basic public health services in urban and rural areas have been implemented and health management of key population groups has improved.
, for example, programme immunization and child and adolescent health services have been further improved.
the vaccination rate for children under 5 years of age was stable at more than 99%, 54.8% of children and adolescents aged 18 and under had received various health check-ups in the past year, and common diseases such as diarrhoea and pneumonia received better treatment.
health management and services continue to improve.
survey showed that the rate of prenatal care for pregnant women was 99.2 per cent, the rate of five and above antenatal visits was 88.2 per cent, the rate of post-natal visits was 74.6 per cent, and the rate of hospital delivery was 98.6 per cent, an increase over 2013.
data show that the utilization rate of basic public health services for the elderly is high.
survey showed that the proportion of people aged 65 and over who had a health check-up reached 66.2%, and the proportion of people aged 60 and over with high blood pressure and diabetes who received follow-up within 12 months was 76.1% and 72.6%, respectively.
, the health behavior of urban and rural residents has shifted to the good.
the proportion of people who take part in physical exercise is on the rise, with 49.9 per cent of the population aged 15 and over regularly taking part in physical exercise, an increase of 22.1 percentage points compared with 2013.
report suggests the situation facing the development of health and health undertakings in China in the future.
, on the one hand, an ageing population and an increasing number of chronic diseases will pose unprecedented challenges to the health service system.
the other hand, the construction of the hierarchical diagnosis and treatment system has a long way to go, and the reasonable control of medical and health expenses still faces challenges.