Guangzhou New Rural Cooperative Reimbursement Cap Increased to 150,000

From the Guangzhou Health Work Conference held yesterday (22), we learned that the level of new rural cooperative medical care in Guangzhou will be further improved in 2012. The per capita financial subsidies will be no less than 240 yuan, and the average per capita fund-raising level will be no less than 320 yuan. The ceiling is raised from 100,000 yuan per year to 150,000 yuan.

According to Huang Yulie, director of the Guangzhou Municipal Health Bureau, “Last year the new rural cooperative reimbursement ceiling was 100,000 yuan per year, and the annual reimbursement limit was 150,000 yuan per year. Participating farmers suffered from malignant tumors, end-stage renal disease, severe schizophrenia, etc. More than a dozen patients with severe nature can be treated in outpatient clinics, and the reimbursement expenses at the designated hospitals (defined by the district health bureau and hospital level) for outpatient treatment also increased by 10,000 yuan to 30,000 yuan per year. Huang Rong, director of the Bureau of Agriculture and Health, also disclosed that the proportion of inpatient reimbursement for farmers participating in hospitals at the town/district (prefecture) level this year will also increase from the original 75% and 65% to 5% each, further reducing the number of participating farmers. burden.

The informatization construction will also become the focus of Guangzhou's health work in 2012. According to reports, Guangzhou will focus on promoting the use of citizen health cards this year, and gradually implement a card on hand. It can be used to connect different hospitals for medical treatment and promote the mutual recognition of medical treatment between medical institutions. Not only that, Guangzhou will also complete the construction of an intensive appointment medical treatment system within the year this year, gradually opening up the general outpatient clinics and expert clinics of the tertiary hospitals so as to prevent the public from getting together to see a doctor.

Based on the comprehensive advancement of 9 categories of 28 basic public health services last year, Guangzhou will also include public health emergency incident reporting and treatment, and health supervision and co-management services into basic public health service projects this year.

The per capita outpatient fee for public hospitals is 214 yuan/time

The issue of rising medical expenses has become the focus of this meeting. According to the author, the total number of outpatient visits in Guangzhou last year reached 71.167 million person-times, an increase of 6.9% from the previous year, and the hospitalization volume increased by 11.4%. Not only that, the average increase in per capita outpatient expenses was 4.9% (calculated at comparable prices, excluding the CPI increase and other factors), of which public hospitals represented by the top three hospitals rose by 5.2%, reaching 213.87 yuan each time. Guangzhou's per capita (the city's permanent residence, temporary population, regardless of illness or not) total health expenditure is 3,084.31 yuan.

Although the average cost of hospitalization rose from 1,2950.1 yuan in the previous year to 1,3279.5 yuan, according to comparable prices, the per capita hospitalization cost actually decreased by 1.1%, which was the first time in similar statistics in recent years.

Last year, Guangzhou implemented a basic drug system in government-run community health service institutions. According to Huang Yulie's introduction, the outpatient expenses and hospitalization costs for the city's government-run hospitals have been reduced. "The average cost for outpatient visits was 100.5 yuan, which was a drop of 10.5% from the previous comparable price; the per capita hospitalization cost was 3862.6 yuan, which was higher than before." Comparable prices have fallen by 1.1%. Last year, the number of visits to basic medical and health institutions reached 45.61% of the total visits to the city."

The total health expenditure per capita (per capita living in the city, temporary population, regardless of sickness or illness) of the general public in Guangzhou is 3,084.31 yuan. According to the person in charge, "although it increased by 11.11% from the previous statistical year, it was far lower than GDP. The growth rate, on the other hand, shows a downward trend in the proportion of actual expenditures incurred by residents when they seek medical treatment.” According to the analysis of the responsible person, the burden on the residents was increased due to rising costs, mainly due to medical insurance and the medical insurance system of the new rural cooperative medical system. The proportion of government spending has increased.

The analyst also pointed out that the rise in medical expenses is also closely linked to the rise in price index and the increase in manpower cost last year. Tang Xiaoping, deputy director of the Guangzhou Municipal Health Bureau, said that Guangzhou will control the unreasonable growth of medical expenses by improving the distribution system for public hospitals, implementing clinical pathways and strict cost accounting.