China’s National Health Commission recently released the National Health Service and Quality and Safety Report in 2019. According to the report, China has made remarkable progress in medical services in the four aspects of medical resource supply, service capacity and efficiency, quality and safety level, and rational drug use.
Guo Yanhong, an official with the National Health Commission said, the first achievement is the increased medical resources. The total number of medical institutions nationwide exceeded 1 million last year, with 8.7 billion medical visits in total, which saw an increase of 14.7 percent over 2014.
Some weak medical departments had been significantly enhanced. In terms of pediatrics, the number of beds per 1,000 children in hospitals reached 2.2 in 2019, with an increase of 0.17 from 2015. The usage rate of obstetrics beds in third-level public general hospitals dropped from 98.2 percent in 2016 to 83.7 percent in 2018, which indicated that the shortage of obstetric beds had eased. The proportion of ICU beds in hospitals rose from 1.9 percent in 2014 to 2.2 percent in 2018, with an increase rate of 16.4 percent. In 2019, there were 3.867 million licensed (assistant) doctors nationwide, an increase of 33.7 percent over 2014. Registered nurses nationwide reached 4.45 million, an increase of nearly 50 percent over 2014.
The second achievement is improved capacity and efficiency of medical services. From 2016 to 2018, the number of DRGs, a group number that indicates the breadth of medical services, in third-level hospitals had increased from 535 to 563. The number of the CMI index, which indicates medical service capacity, in third-level hospitals had risen from 0.95 to 0.97. In 2019, the average hospitalization time in third-level hospitals was 9.2 days, 1.5 days lower than that in 2014, which was a decline for five years in a row.
The third achievement is improved quality and safety of medical treatments. In 2018, the total mortality rate of inpatients in third-level public hospitals was 0.6 percent, in secondary public hospitals was 0.47 percent, both of which had been declining for three years in a row.
The fourth achievement is rational drug use. To take antibacterial drugs as an example, from 2011 to 2018, the use rate of antibacterial drugs in hospitalized patients dropped from 61.4 percent to 40.4 percent, and the intensity of antibacterial drug use also gradually decreased.
Guo said, the National Health Commission will continue to expand the supply of high-quality medical resources, focusing on solving the problem of inadequate development, on common diseases that seriously endanger people’s health and the need to prevent major public health risks. The National Health Commission will also accelerate the rational distribution of medical resources among regions, strengthen the capacity of the central and western regions at the primary level, promote the high-quality medical resources, and focus on solving the problem of unbalanced development, further improve the medical quality and safety control system, and improve the scientific and informatized quality of control work. Through these measures, China will strive to enable the people to enjoy more equitable and accessible medical and health services nearby.
(Compiled by An bowen)