The National Health Commission held a press conference on January 20 to introduce the relevant situation of the health system serving the people and answer questions from reporters.

Cancel outpatient prepayment payment and standardized inpatient prepayment payment

Relevant person in charge of the National Health Commission introduced that starting from March 2025, public medical institutions across the country will cancel outpatient prepayment payment and reduce the inpatient prepayment payment to the average level of individual self-payment for patients with medical insurance of the same disease. There are two specific reforms.

Stop collecting outpatient prepayment funds and clear outpatient prepayment funds that patients have paid for within a time limit

·Continue to optimize the outpatient charging process, and patients can voluntarily choose the payment method when seeking medical treatment in the outpatient clinic.

·For the elderly and other groups who do need to pay out the outpatient and emergency prepayment, emergency, emergency observation, outpatient surgery, emergency surgery and other situations, medical institutions can prepay fees under the premise of voluntary patient conditions to avoid "one-size-fits-all".

Reduce the hospitalization prepayment amount of medical insurance patients to the average level of individual self-payment in the same disease type

·According to factors such as the disease diagnosis, treatment method, settlement type, patient medical insurance type and reimbursement ratio of hospitalized patients, the hospitalization prepayment amount will be reasonably determined based on factors such as the disease diagnosis, treatment method, settlement type, patient medical insurance type and reimbursement ratio of hospitalized patients, and refer to the average number of hospitalization expenses and individual self-payment expenses in the first three years of the same disease type.

·The amount of prepayment fees for common diseases should be announced, and the supervision of the masses should be accepted, so as to fully protect the patients' right to know.

What changes have been made in the advance payment of hospitalized patients after the reform? Give an example ↓

Suppose that a hospital has calculated that the average hospitalization fee for a certain disease participating in urban and rural residents' medical insurance in the past three years is 9,000 yuan, and the average personal self-paid fee after medical insurance is reimbursed is 3,000 yuan, and the hospital shall not charge more than 3,000 yuan for the advance payment collected by the hospital to such patients.

All public comprehensive hospitals in the second and third grades nationwide provide pediatric services by the end of 2025

In order to achieve the goal of providing pediatric services by the end of 2025, the National Health Commission will take the following measures.

·People's health commissions require comprehensive review of the situation of second- and third-level public comprehensive hospitals that have not yet provided pediatric services in the province, and regularly schedule pediatric settings and medical services.

· Through the dispatch of experts, telemedicine, medical alliance cooperation, etc., we will help hospitals that have not completed pediatric settings fill the gap in capabilities as soon as possible.

Provide hemodialysis services to county people

As of the end of 2024, about 90% of county hospitals in the country have hemodialysis service capabilities, and in the past decade, it has increased by more than 20 percentage points. The 2025 goal is to provide hemodialysis services for counties with a permanent population of more than 100,000.

At present, there are 72 counties with a permanent population of more than 100,000, and their county-level public comprehensive hospitals do not provide hemodialysis services. The specific solution will be from the following three aspects.

Hardware

·Hydrometal

·Hydrometals are set up for some county hospitals, equipped with hemodialysis machines and other related medical equipment.

·For counties where equipment is outdated, insufficient quantity and cannot meet the needs of patients, equipment is updated and additional equipment is added.

People

·Schedule organization of hemodialysis personnel, technology, services and management to extend to county hospitals in a planned manner.

·Organize and carry out assistance and training county hospital talents, and select potential medical personnel to go to higher-level hospitals for further training.

Supervision

·Carry out quality supervision, management and control work for the hemodialysis room of county hospitals, especially the newly opened dialysis room.

Promote mutual recognition of common clinical examination results

The target for 2025 will reach 200 mutual recognition examination and testing items between medical institutions within the city.

Implement mutual recognition of test results from the aspects of comprehensively promoting the construction of close-knit medical alliances, promoting the "distributed examination and centralized diagnosis" service model; strengthening the construction of quality control organizations (centers) related to clinical testing, radiographic imaging, nuclear medicine and other related professionals.

Provide psychological and sleep assistance

·In 2025, at least one public hospital in each city will provide psychological and sleep outpatient services.

·Set "12356" as the short number of the national unified psychological assistance hotline.

At present, Beijing, Tianjin, Shanghai, Zhejiang, Guangxi and other places have been opened, and other provinces are also actively promoting it to achieve operation before May 1.

Let voluntary blood donors "reduce blood expenses once and don't run away"

In order to provide blood donors with more convenient blood expenses and exemption services, the National Health Commission will start from the following two aspects.

Realize the interconnection and interconnection of military and local blood donation information.

Relying on the "National Electronic Free Blood Donation Certificate" mini program, online processing of cross-provincial and off-site blood fees will be reduced and exempted. At present, the platform has been launched.

660,000 new universal childcare positions were added nationwide

The National Health Commission guided local governments to strengthen the construction of universal, basic and basic childcare, and achieve the national "14th Five-Year Plan" goals. In 2025, the number of 1,000 people in 1,000 is 4.5, and 660,000 new universal childcare positions were added nationwide.