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The lancet: Chinese medical quality and accessibility are the world's 60th largest.
- May 13, 2018 -

On August 15 last year, the national health and family planning commission held a press conference on the development of medical quality and service accessibility in recent years. Meeting, in May this year, international journal the lancet published in 195 countries and regions, the medical quality and accessibility of ranking, 25 years from 1990 to 1990, the third highest ranking improvement of our country.

Yan-hong guo, deputy director of the national health and family planning commission medical hospital authority is introduced, the research shows that from 1990 to 2015, 25 years, our country is one of the largest country in the medical treatment quality improvement, HAQ) (medical quality and accessibility index from 49.5 to 74.2 (the global average of 53.7, 81.3) American, ranking from 110 to 60, improvement in the third world. At the same time, the gap between the quality of medical services in China's domestic regions has been narrowed from 6.7 in 1990 to 1.2 in 2015 (the gap between global interregional medical service quality in 2015 is 20.1).

Yan-hong guo said that for a long time, China's total medical services in the world and continues to rise, the medical service quality management tasks, via exploring for many years, our country gradually formed a government regulation, institutional autonomy, self-discipline, social supervision pattern of diversity in new work. With the rapid development of medical technology, the improvement of medical quality in China has been widely used in the clinical application of modern medical technology with individualized and minimally invasive characteristics. In the case of individualization, the diagnosis and treatment of diseases are no longer only in the etiology and pathology, but a big step towards the genetic level of patients and pathogens. At the same time, the multi-disciplinary diagnosis and treatment mode (MDT), which is centered on patients, is continuously promoted to provide patients with more comprehensive, rational and scientific diagnosis and treatment plans.

According to the introduction, in recent years, China's medical quality safety level has been steadily improved. The inpatient mortality rate gradually declined and remained stable at a lower level. In 2015, the total mortality rate of hospitalized patients in tertiary public general hospitals and secondary public hospitals was 0.71% and 0.48%, respectively, 0.03 percentage points and 0.06 percentage points lower than that in 2014. The mortality rate of surgical patients was 0.38% and 0.21% respectively, among which the tertiary general hospital was 0.03 percentage points lower than in 2014, and the second-level comprehensive hospital was the same as in 2014. The efficiency of medical services has been continuously improved, the capacity of medical services has been greatly enhanced, the utilization rate of antimicrobial drugs in medical institutions has decreased by about 50%, and the rise of bacterial resistance of medical institutions has been checked. In terms of medical service availability and sex, according to incomplete statistics, the average diagnostic rate in China's counties is 82.7%, up 2.3 percentage points from the end of 2016. About 50% of the county hospital to carry out complex surgery, such as cerebral tumor surgery, cervical spine surgery, into the county hospital discharge diagnosis coincidence rate, before and after surgery in patients with diagnosis coincidence rate, pathology and clinical diagnosis coincidence rate more than 92%. In the first half of this year, the number of medical and health care institutions in the primary care sector increased by 4.7% on average, and the number of patients referred to lower medical institutions by higher medical institutions increased by 15.1% year on year.