The fourth national hygiene service investigation result is announced

The fourth national hygiene service investigation result is announced
The fourth national hygiene service investigation result is announced
It is reported ' Reporter Zhang CanCan) More than 1 billion people enjoy basic medical treatment, ensure, everybody it enjoys goals that basic medical treatment ensures to be already more and more competent and more and more near. On February 27, Ministry of Public Health announces the fourth national hygiene service investigation result. The investigation reveals, 70% of the urbanites, 90% of the rural residents have various social medical insurance, obviously increased than 5 years ago. This investigation is inquired healthily investigation, organization's questionnaire investigation, medical worker's questionnaire investigation and 4 parts of case study make up by the family. The family inquires healthily that investigates that involves 31 provinces, districts, cities in the whole country, 56400 households, nearly 200,000 urban and rural residents in all are polled. More than 1 billion people enjoy the basic medical guarantee The third national hygiene service investigation released in 2004 reveals, 44.8% of the urban population, 79.1% of the people in the countryside did not have any medical guarantee. This investigation reveals, it is 71.9% that residents of urban areas have the proportions of different social medical insurance, among them it is 44.2% to participate in the proportion of the urban worker's medical insurance, has increased by 14 percentage points compared with 2003, the rate of joining insurance of the basic medical insurance of urban residents is 12.5%. Rural residents have the proportions of different social medical insurance people to reach 92.5%, investigating residents have participated in the new rural cooperative medical service, 2.9% have other social medical insurance of 89.7%. By the end of September of 2008, will participate in and shut to population and reach 814 million people newly and agriculturally in the whole country, the basic medical insurance of national urban residents effects an insurance the number of people reach 42,910,000 in 2007, at the end of 2007, the urban worker's basic medical insurance of the whole country effects an insurance the number of people reaches 180 million. That is to say, more than 1 billion Chinese have already enjoyed the basic medical guarantee. In addition, urban and rural residents paid hospitalization cost for competence but been improved. The investigation finds, in the residents that the urban worker's medical insurance covers, all hospitalization costs or part of 72.6% of the door emergency call patients has submitted an expense account, or paid from the medical insurance card directly; 94.8% in hospital hospitalization cost of patient submit an expense account, it accounts for 66.2% in hospital the expenses of its to submit an expense account. In the crowd who enjoys basic medical insurance systems of urban residents, there are 1/3 emergency calls patient's hospitalization costs to submit an expense account; 79.3% in hospital hospitalization cost of patient submit an expense account, it accounts for 49.2% in hospital the all-inclusive cost of its to submit an expense account. In the residents that the new rural cooperation medical treatment system covers, 33.5% of the clinic patients submit an expense account or pay from family's account, 65.6% of the clinic patients need to totally pay the medical expenses for itself; Have 85.3% in hospital hospitalization cost of patient submit an expense account, obtain submit an expense account, account for 34.6% to in hospital all-inclusive cost it. The patient has not gone to a doctor the proportion has dropped in the third national hygiene service investigation, the proportion that the China patient in urban and rural areas should go to a doctor but not go to a doctor is 48.9%, patients should have been in hospital but not the proportion in hospital has been up to 29.6%. In this investigation, have illness coming on newly in two weeks the proportion has been 38% that the example has not gone to a doctor, the doctor diagnoses that in hospital but notting, the proportion in hospital has been 21% to need, drop to some extent compared with 2003. In going to a doctor the case, 70% of the patients take the pharmacy to purchase medicines, self- medical way to treat, lack some patients and has not carried on any treatment. Primary reason why the person has not gone to a doctor is that the patient thinks the condition light to have illness coming on newly in two weeks, without go to a doctor, account for, go to a doctor 67.8% of patient; Financial difficulties or think, go to a doctor too expensive going to a doctor secondly, account for, go to a doctor 14.9% of patient; Doctor diagnose need, in hospital and patient main reason in hospital remain " Financial difficulties " ,Accounts for 70.3%. The out patient goes to a doctor and flows into to take place the obvious change, get urban the intersection of community and the intersection of hygiene and service organization, health clinics in towns and townships, the intersection of village and the intersection of clinic,etc. and the intersection of basic unit and proportion that medical health organ go to a doctor rise to 73.7% for 2008 from 69.5% for 2003, among them the city rises to 48.3% from 36.6%, rise to 81.7% from 79.3% in the countryside. The acceleration rate of the hospitalization cost slows the investigation down to find, the obvious slowing down of growth rate of the hospitalization cost of urban and rural residents. Resident the intersection of door and the intersection of emergency call and time go to a doctor expenses 169, time in hospital the expenses are 5058 yuan, increased by 50 yuan and 1514 yuan compared with 2003 separately, its increasing degree was well below the growth of GDP and urban and rural residents income of the same period. Until can rate of exchange calculate, go to a doctor 2008 2003 average expense increased by 4.4%, average expense increased by 1.5% in hospital, obvious growth rate less than 12.9% and 10.8% of 1998 - 2003. Investigation this reveal city time go to a doctor expenses 312, time in hospital the expenses are 8958 yuan, average annul growth is 4.9% and 0.9% respectively; Countryside time go to a doctor expenses 128, time in hospital expenses 3685, average annul growth 3.9% -3.6% respectively. The chronic disease patient increases 10 million people newly every year 2008, survey district resident ill rate 18.9% two week, 22.2% city, 17.7% countryside, serve the investigation result to compare with the third national hygiene among them, the ill rate of survey district has increased by 4.6 percentage points, among them the city increases by 6.9 percentage points, the countryside increases by 3.7 percentage points. (leave and rotate the 7th) (have and connect the 1st) Ministry of Public Health count KeQin Rao, director of information center, say urban and rural residents of our country the great change took place in the past 10 years in the ill disease structure in two weeks: Have illness coming on newly proportion of example drop to 39% for 2008 from 61% for 1998, and chronic disease last until case in the two week rise to 61% by 39%, chronic disease has already become the subject problem of influencing resident's health. In 2008, the ill rate of chronic disease of resident of survey district is 20.0%. So as to calculate, the doctor defines the chronic disease case diagnosed is counted and up to 260 million people in the whole country. In the past 10 years, increase by nearly 10 million cases newly every year on average. Among them, the hypertension patient rises to 73 million people from 14 million people in 1993, the cerebrovascular diseases patient rises to 13 million people from 5 million people, the diabetic rises to 14 million people from 2 million people. Meanwhile, the morbidity of chronic disease of breathing, digestive system obviously drops. Disease bear to some extent increasing investigationing, finding disease bear to some extent increasing. Every a thousand the intersection of people and disease last day 1537 day, every a thousand people lie in bed due to illness number 185 days in the two week such as survey district, every a thousand the intersection of workforce and the intersection of population and reason Lie up worker 90 day in day, every a thousand students suspend schooling due to illness number 44 days. Compared with 2003 investigation result, every a thousandth people disease lasts days, lies in bed due to illness on days to increase, days are reduced to stop workers, suspend schooling. The investigation finds, can lose rate (activity for a long time limitedly at 60 years old and the above crowd) It is 31.1%, 26.0% of city among them, countryside is 33.8%. Compared with 2003, the old population in the city can lose rate has no change, the rural area slightly increases. Plan to reach 97.9% of this investigations to reveal, it is 97.9% to plan to build card rate in immunization programs for children in urban and rural areas to build Carlos rate in immunization programs for children, have improved by nearly 10 percentage points compared with 2003. Inoculation accomplishment ratio of 5 kinds of main vaccine is: Bacillus Calmette-Guerin is 98.8%, one hundred? Burn? 0.7%, 92.4% of poliomyelitis, 92.1% of measles, hepatitis B vaccine 93.3%. The investigation reveals, the checking rate before labor of pregnant and parturient women is 94%, visit and regard leading as 57% postpartum, the rate of giving birth in hospital is 89%, the delivery with new methods rate is 94%. Compared with 2003, the checking rate has been improved by 7 percentage points, visit the looking at rate to improve by 4 percentage points postpartum before production, the rate of giving birth in hospital has been raised by 20 percentage points, the delivery with new methods rate has been improved by 7 percentage points. The lasting decline of this pair of infant mortality of our country and pregnant and parturient women's mortality has played an important role. Change, work, make little progress the intersection of countryside and the intersection of household and the intersection of safety drinking water and proportion of survey district up to 85% by lavatory, the popularity of running water is up to 42%, improve to some extent compared with 2003. The rural household's innoxious toilet popularity is 21%, the rate of utilization of sanitary privy is 43%, make little progress compared with 2003 investigation result. Smoking rate drops the investigation to find, the smoking rate of urban and rural residents presents the downward trend slowly slowly. 15 year old and the intersection of people and man the above smoke rate 48.0%, woman smoke rate 2.6%. Therefore calculation, our country has 270 million to smoke in people now. Compared with 2003, smoking rate drops to some extent, but the smoker's smoking amount increases obviously, smoke every day No. 20 Branch and the intersection of smoker and proportion of the above 51% increase 62% for 2008 to by 2003. 250 million people often participate in the physical training investigation to find, participate in crowd's proportion of physical training and is on the rise: It is 24% that population often participates in the proportions of people of physical training voluntarily over 15. Therefore calculation, the population who our country often participates in physical training is 250 million, increase compared with 2003 obviously. The intersection of basic unit and " the three plain first soup " The phenomenon is general according to forgiving one gram of hardworking introductions, the infrastructure construction progress of the health organ at the basic level is obvious in recent years, but talent's shortage, medical care quality problem are still outstanding, have not formed the effective way that the basic unit of countryside trains suitable talents. Investigation find in technical staff, hygiene of health clinics in towns and townships, special secondary school and following to up to 63% with proportions of person to have the education. This proportion is up to 90% in the health organization at village level, there are no education in 1/3 of the medicine of village among them. One gram of hardworking introductions according to giving an extra, the administration at the basic level also has unreasonable phenomena, abuse antibiotic, vitamin, hormone, hang, hang bottle easily, call into " the three plain first soup " Phenomenon general very in medical organizations here at the basic level. Village using proportion of antibiotic up to 62% - 65% separately in the two prescription ' Well-above developing country average level 45%- 50%) . 37% of the medical workers think the bad investigation of the operation environment find, the satisfaction to health care service of urban and rural residents is improved to some extent, the relationship between doctors and patients takes a favorable turn progressively. But a proportion of patients are not very satisfied with medical care, 22% of the patients among them think the medical fee has been used high, the environment is bad that 10% of the patients think the medical condition and seek medical advice. Investigate a medical worker finds, 37% of the medical workers think responsibility too heavy, the operation environment is bad, 26% of the medical workers have ever suffered the patient's language insulting or body violence, 88% of the medical workers think that it is necessary to take precautions against a patient queries medical behavior and investigates in the work. Expert propose, should strengthen the intersection of prevention against malpractice and mechanism, dissolve the intersection of doctors and patients and contradictory coordinating mechanism of dispute, construct harmonious the intersection of relationship between doctors and patients and the intersection of policy and research of environment.


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