“CT results can now ‘roam nationwide’!” Recently, Mr. Chen, who lives in Yichang City, Hubei Province, was referred to the Third People’s Hospital of Yichang for a knee joint re – examination due to discomfort. The doctor accessed the CT results he had taken at Xiling Community Health Service Center on the “Yijiantong” platform, which left Mr. Chen exclaiming, “How convenient!”
For a long time, patients had to carry imaging materials back and forth when seeing a doctor. Nowadays, the “bag of film” is being replaced by the “cloud”. As a pilot province for the “Medical Insurance Image Cloud Index” guided by the National Healthcare Security Administration, Hubei Province has established a three – level data – intercommunication framework. Through a unified platform, doctors can quickly retrieve patients’ historical imaging data.
Since the 18th National Congress of the Communist Party of China, the Party Central Committee with Comrade Xi Jinping as the core has always adhered to putting the people first and life first, placed ensuring people’s health in a strategic position of priority development, and comprehensively promoted the construction of a Healthy China, significantly improving people’s health levels.
The “14th Five – Year Plan” proposed: “Comprehensively promote the construction of a Healthy China.” Currently, China has built the world’s largest medical and health system.
Deepening the Reform of the Medical and Health System for Quality Local Healthcare
In Dongtai City, Jiangsu Province, drones fly back and forth between Dongtai People’s Hospital and the Linta Village Clinic in Liangduo Town. They transport the medicines needed by villagers from the central pharmacy of the county – level medical community to the village clinic and then carry the villagers’ test specimens back to Dongtai People’s Hospital. Relying on the county – level medical community, Dongtai City has effectively alleviated the shortage of primary medical resources.
During the “14th Five – Year Plan” period, China has deeply promoted the Sanming medical reform experience, focusing on building a new operating mechanism for public hospitals that maintains public welfare, mobilizes enthusiasm, and ensures sustainability, and has accelerated the construction of a hierarchical diagnosis and treatment system. Currently, 13 professional national medical centers and a national regional medical center for children have been set up, supporting 125 national regional medical center construction projects, and accelerating the realization of the goal that “serious diseases do not need to leave the province, common diseases can be solved in cities and counties, and daily diseases can be treated at the grassroots level.” By the end of 2024, 2,188 counties (cities, districts) had promoted the construction of close – knit county – level medical communities, and the process of “grassroots inspection, superior diagnosis, and mutual recognition of results” has been accelerated.
Improving the Universal Medical Insurance System to Alleviate Medical Burdens
This year in Guangzhou, Guangdong Province, after maternity insurance reimbursement, more than 7,000 new mothers spent less than 100 yuan on childbirth. In 2024, 31 provinces and the Xinjiang Production and Construction Corps included assisted reproduction in medical insurance, and the number of people enjoying various maternity insurance benefits increased by 30.2% year – on – year.
During the “14th Five – Year Plan” period, China has promoted the coordinated development and governance of medical services, medical insurance, and pharmaceuticals, achieving a transformation in medical insurance from a small coverage to a large one, from a low – level guarantee to a high – level one, and from basic management services to excellent ones.
The guarantee level has been continuously enhanced. The world’s largest basic medical insurance network has been established, with the participation rate of rural low – income populations and poverty – alleviated populations remaining stable above 99%. Currently, the reimbursement ratios for inpatient expenses within the scope of policies for employee medical insurance and urban and rural resident medical insurance reach around 80% and 70% respectively. Over the past four years and more, cross – provincial off – site medical treatment direct settlement across the country has benefited 560 million person – times, and the advance payment by insured people has been reduced by 590 billion yuan in total. The variety of clinical medications has become richer. The number of drugs in the 2024 version of the national medical insurance catalog reached 3,159, covering fields such as oncology, chronic diseases, rare diseases, and pediatric diseases. Many drugs that the public could not access or afford in the past have also been included in the medical insurance catalog.
Building a Robust Public Health System for National Protection
In 2024, Yu Mengyang, a staff member of the Changxing County Center for Disease Control and Prevention in Huzhou City, Zhejiang Province, received a new work ID and work station. As a full – time disease control supervisor, Yu Mengyang was stationed in Changxing People’s Hospital to supervise the implementation of infectious disease prevention and control responsibilities.
During the “14th Five – Year Plan” period, China has accelerated the promotion of medical – prevention coordination and integration. The pilot of the disease control supervisor system in medical institutions has been expanded to 254 cities, and monitoring of acute respiratory infectious diseases such as influenza has been carried out in 1,041 sentinel hospitals.
With public financial support, the per capita financial subsidy standard for basic public health services has reached 99 yuan. The mental health and mental health service system has been improved, and the national unified psychological assistance hotline 12356 has been launched. The health literacy level of residents has increased from 17.06% in 2018 to 31.87% in 2024, and a social trend of advocating and pursuing health has taken initial shape.
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