The national health and Health Commission held a press conference to introduce the work plan for solving the outstanding problems of basic medical security for the poor and the typical experience of local health poverty alleviation

[song Jizhu] good morning, media friends! Welcome to the first regular press conference of the national health and Health Commission in July We have made a small statistics This is our 18th press conference this year, and the 5th press conference on the theme of health poverty alleviation this year It is also enough to see that the whole committee and the whole industry pay high attention to health poverty alleviation In this year, we have organized the media to go to the grass-roots level for many times to see the health and poverty alleviation situation of our grass-roots level in poor areas, and all of us have published excellent, grounded and fresh reports Today, we still take poverty alleviation through health as the theme of the conference We invite him Jingguo, director of Poverty Alleviation Office of national health and Health Commission and director of finance department, Secretary of Party group of Anhui health and Health Commission, one-way former deputy inspector of Hunan health and Health Commission and full-time deputy director of Provincial Medical Reform Office, Wang Xiangsheng, member of Standing Committee of Leshan Municipal Committee of Sichuan Province and Hu Qiangqiang, vice mayor of Leshan Municipal Committee, to attend the conference today The content of this paper is to introduce the work plan for solving the outstanding problems of basic medical security for the poor Before you launch, let me briefly introduce the background On the 15-17 day of April, general secretary Xi Jinping visited Chongqing and presided over a forum to solve the outstanding problems of "two no worries and Three Guarantees" It was pointed out that to stabilize the rural poor people by 2020, they should not worry about eating, not worrying about wear, compulsory education, basic medical treatment and housing security They are the basic requirements and core indicators for the poor population to shake off poverty, and directly related to the quality of the tough battle We are also deeply responsible [song Zao] on June 23, the leading group meeting of the State Council for poverty alleviation and development deliberated and approved the guiding opinions on solving the outstanding problems of "two don't worry about three guarantees" You can see the press release on the Internet, which introduces the main contents and further puts forward the requirements for "basic medical insurance for the poor" The national health and Health Commission implemented the instructions of the Party Central Committee and the State Council, summarized the previous work experience, fully absorbed the local work experience, and formulated the work plan for solving the outstanding problems of basic medical security for the poor In order to let you better understand these situations, today we have invited the guests here to introduce to you In addition to the person in charge of the Poverty Alleviation Office of the CPC Committee, we also invite the person in charge of the relevant local health committee and the person in charge of the government They have better practices in these aspects, and have accumulated some experience, so that you can understand the policy at the same time Some of Fang's typical experiences are conducive to better reporting Now enter the guest release stage First of all, I would like to invite director general he Jinguo to introduce the work plan for solving the outstanding problems of basic medical security for the poor [he Jinguo] good morning According to the work arrangement, today I would like to introduce to you the progress of health poverty alleviation and the work plan for solving the outstanding problems of basic medical security for the poor In recent years, the national health and Health Commission, together with relevant departments, has seriously implemented the strategy of targeted poverty alleviation and targeted poverty alleviation, taking the prevention of poverty due to illness as the main direction of attack, studied and determined the "three in one" classified treatment strategy, implemented the strategy accurately and made full efforts to promote it The service capacity of medical and health institutions in poor areas has been significantly improved, and poor patients have been treated in time and the burden of medical expenses has been greatly reduced 6.7 million poor families have returned from poverty due to illness The main methods are as follows: first, poor patients get basic treatment There are 25 kinds of diseases for special treatment of serious diseases nationwide and more than 30 kinds in many places To implement the family doctor contract service for the patients with chronic diseases By the end of June 2019, 14.35 million poor patients with serious and chronic diseases in China had received basic treatment and health management services Second, the cost burden of poor patients was significantly reduced We will promote the establishment of basic medical insurance, serious illness insurance, medical assistance, and government support mechanisms We will implement "diagnosis and treatment first, payment later" and "one-stop" real-time settlement for inpatients in counties In the first half of 2019, the average proportion of medical expenses paid by individuals for poor patients in China will be controlled at 10% or so Third, the medical service capacity of poor areas has been gradually improved We will organize 1107 tertiary hospitals across the country to support 1172 county-level hospitals in 832 poverty-stricken counties in "one-to-one" way, establish a telemedicine network, and comprehensively improve the diagnosis and treatment capacity of county hospitals in poverty-stricken areas According to the dynamic management data system of health poverty alleviation in the first half of 2019, 94.5% of the poor patients have been properly treated in the county Fourth, push forward the disease prevention gate We will intensify the comprehensive prevention and control of key infectious and endemic diseases in poverty-stricken areas The rate of mother to child transmission of AIDS in Liangshan Prefecture has decreased by 25% and a quarter compared with that in 2017 More than 5.8 million children have benefited from the project of improving children's nutrition in poverty-stricken areas The three-year campaign of health promotion has been implemented in poverty-stricken areas, and China's strategy of health poverty alleviation and health is being pushed forward [he Jinguo] of course, although health poverty alleviation has made some achievements, there are still some outstanding problems that need to be solved, such as the lack of local medical care for the poor, the lack of basic medical care for the poor, the lack of doctors for medical and health institutions in a few areas, the lack of infrastructure such as housing and equipment for some institutions, etc In addition, major infectious and endemic diseases such as HIV / AIDS, tuberculosis and hydatidosis are prominent in deep poverty areas such as "three districts and three prefectures", and the task of prevention and control is very arduous In April this year, general secretary Xi Jinping chaired an important forum to solve the outstanding problem of "two worries and Three Guarantees" Recently, the leading group of the State Council on poverty alleviation and development issued the notice on the guiding opinions on solving the outstanding problems of "two no worries and Three Guarantees" In order to thoroughly implement the spirit of general secretary Xi Jinping's important instructions and the Central Committee's request for resolving the outstanding problems of "two no worries and Three Guarantees", the Commission and the relevant departments formulated and issued the work plan to solve the problem of ensuring the basic medical care for the poor There are several aspects in the document: first, it defines the standards and requirements of basic medical insurance Basic medical insurance mainly refers to the fact that all the poor people are covered by basic medical insurance, serious illness insurance and medical assistance Common and chronic diseases can be diagnosed and treated in three-level medical and health institutions at the county and village level in a timely manner, and their basic life can be guaranteed after they get serious illness and serious illness In combination with the actual situation, the work plan further refines the work guidance standards and guides all localities to do this work well Second, it puts forward three main directions to solve the outstanding problems of basic medical insurance First, strengthen the capacity building of county hospitals All eligible county-level hospitals will be included in the support scope of the national health insurance project We will increase "group" support and strengthen the construction of clinical specialties for the local disease spectrum We will promote telemedicine and achieve full coverage of telemedicine in county-level hospitals in poor counties Second, promote the mechanism construction of "County Township integration, rural integration" To solve the problem of no qualified doctors in township hospitals, a group of rural order oriented medical students were trained free of charge, a group of general practitioners were hired and a group of general practitioners were selected from county hospitals To solve the problem that there is no qualified doctor in the village health room, we should employ village doctors, send doctors from the hospital to the village health room to carry out patrol or dispatch Third, strengthen the standardization construction of rural medical and health institutions, and strive to eliminate the "blank spots" of rural medical and health institutions and personnel by the end of 2019 Third, we will comprehensively implement the three-year action of comprehensive prevention and control of key infectious and endemic diseases We will do a good job in the comprehensive prevention and control of AIDS, tuberculosis, hydatidosis and Kashin Beck disease In the near future, our committee will hold a national health poverty alleviation conference with the Poverty Alleviation Office of the State Council and the state health insurance bureau for overall deployment; and we will hold a training course to guide the local government to accurately understand and grasp the connotation standard of basic medical insurance, clarify the work tasks, and do a solid job At the same time, we will continue to carry out in-depth classified treatment and disease prevention and control in "three in one batch" to continuously improve the effectiveness of health poverty alleviation I would like to introduce these, and invite all media friends to continue to care about and support the work of health poverty alleviation Thank you! Thank you, director he Now let's welcome Shan Qianqian, Secretary of Anhui Province, to introduce the situation of health poverty alleviation [Shan Qianqian:] good morning, ladies and gentlemen, friends from the press I'm very glad to have this opportunity to attend the press conference I'd like to take this opportunity to express my gratitude to you for your long-term support for health poverty alleviation and health care in Anhui Province As we all know, rural doctors are the healthy gatekeepers of the poor and the main force in the work of getting rid of poverty In recent years, Anhui Province has made great efforts to solve the problem of rural doctors' shortage through the rural order oriented free training project, the special post plan of general practitioners and the exploration of the implementation of the system of "county management for rural use" and "establishment of turnover pool", and achieved positive results At the same time, we also realize that due to the large historical debts, the overall number of village doctors is insufficient, the quality is not high, the regional distribution is uneven, and the age is aging and the withdrawal is accelerating Under the unified deployment of the provincial Party committee and the provincial government, since May of this year, we have compared the connotation of the standard of "basic medical insurance" with that of 14022 administrative villages in 70 poverty-related counties and districts of the province, conducted village by village arrangement and repeated verification, and found that there are 168 villages without qualified village doctors, 43 of which are poor villages This situation has become the realization of "basic medical insurance" for the poor ”Highlight problems and weaknesses As we all know, the training of medical and health talents is a process of gradual progress and continuous accumulation Now it is less than two years before we can win the battle of poverty alleviation in an all-round way Relying on conventional means, we are starting to cultivate and rely on the strength of the towns and counties where the local poor villages are located It is difficult to achieve a breakthrough in a short period of time In order to achieve the goal of "having local doctors and doctors" for the poor, and resolutely win the battle of healthy poverty alleviation, our province launched the action of "100 doctors in villages" in the education work of "keeping in mind the original mind and mission", as one of the three special actions to check the problems and rectify the implementation, and selected excellent medical talents from the provincial and municipal public hospitals, starting from the beginning of July this year He has been in the village for 2 years One person will be assigned to each village as the head of the village health office The first batch of 50 people were selected from provincial public hospitals, focusing on solving 43 poverty-stricken villages with "blank village doctors" and those without qualified village doctors The rest were selected by the city, county and township as a whole, and were successively in place by the end of July this year [Shan Qianqian:] our provincial Party committee and the provincial government attach great importance to the action of "100 doctors in the village" Li Jinbin, Secretary of the provincial Party committee, and Li Guoying, governor of the province listened to the report Deng Xiangyang, member of the Standing Committee of the provincial Party committee and executive vice governor of the province, personally participated in the mobilization training meeting of the first batch of doctors in the village for mobilization and deployment In order to carry out this work, we jointly printed and distributed the work plan with the provincial education, human resources and social security departments and poverty alleviation departments We also formulated the management measures for doctors stationed in villages, compiled and printed the work instruction manual, defined the preferential guarantee policy with reference to the treatment of cadres stationed in villages to help the poor and talents assisting Tibet in Xinjiang, and encouraged the introduction of outstanding doctors to help villages This time, I was sent to the village to stay in the village, because I began to have concerns about the selection of some key hospitals from provincial hospitals to help in the village, but I was still in the process of selection