June 8th news, today, the National Health and Health Commission held a routine press conference in Beijing at 10 am, Guo Yanhong, deputy director of the Medical Administration, said at the meeting that the latest global publication in the "Lancet" magazine In the ranking of medical quality and accessibility, China's HAQ index ranking increased from the 60th place in the world in 2015 to the 48th place in 2016, and it jumped 12 places in one year. my country's medical technology capabilities and medical quality have improved significantly.
 
Medical quality level presents "four rises and one fall"

The so-called "four liters" means that the supply of medical resources continues to increase. In 2017, the total number of medical personnel in medical and health institutions nationwide was 8.18 billion, an increase of 3.2% over 2016; the number of discharges was approximately 244 million, an increase of 7.5% over 2016. The second is that the quality of some specialties, key diseases and surgical diagnosis and treatment has been steadily improving. From the perspective of specialty, the mortality rate of the middle and low-risk groups of traditional high-risk surgery departments such as thoracic surgery, cardiac and vascular surgery and neurosurgery decreased from 0.16%, 0.15% and 0.14% in 2013 to 2016 0.06%, 0.11% and 0.04%. From the perspective of key diseases and operations, 16 monitored key diseases such as gastrointestinal bleeding, chronic obstructive pulmonary disease, cerebral hemorrhage, and cerebral infarction, as well as 13 key operations for craniocerebral surgery and heart valve replacement, have stable quality indicators. Medium to good, in which the mortality rate of inpatients in 16 diseases showed a continuous downward trend. The third is the continuous improvement of the level of rational clinical medicine. Taking antimicrobial drugs as an example, the utilization rate of antimicrobial drugs in outpatient clinics in my country fell from 19.4% in 2010 to 7.7% in 2017, a decrease of 11.7 percentage points. The utilization rate of antibacterial drugs in hospitalized patients decreased from 67.3% in 2010 to 36.8% in 2017, a decrease of 30.5 percentage points. The trend of bacterial resistance is generally stable. Fourth, the efficiency of medical services has improved.

The so-called "one drop" means that the mortality rate of hospitalized patients continues to decrease and stabilizes at a low level. In 2017, the average hospitalization days of the tertiary and secondary hospitals were 9.8 days and 8.7 days, respectively, a decrease of 0.3 days and 0.1 days compared with 2016, and a continuous decline of 5 years. The total mortality rate of in-patients in the tertiary public hospitals decreased from 0.74% in 2014 to 0.667% in 2016, a three-year decline.
 
Specialist development and medical technology capabilities show "two balances, four upgrades"

According to Guo Yanhong, during the "Twelfth Five-Year Plan" period alone, the state budget has invested a total of 6 billion yuan to support the construction of 1231 key clinical specialties in 79 specialties and 314 hospitals. Each province has also increased its investment in the construction of clinical specialties in medical institutions at the provincial and county levels. And through continuous support and construction, my country's specialist development and medical technology capabilities have shown a benign posture of "two balances and four upgrades."
 
"Two balances", one is that the technical capabilities between regions are more balanced. Regional synergy capabilities have been enhanced, high-quality medical resources in specialties have been ordered in an orderly and effective manner, the technical capabilities of central and western regions and county-level hospitals have been greatly improved, and filled a number of regional technical gaps. The second is that the development of specialties is more balanced. Platform specialties such as anesthesia, critical care, pathology, and weak specialties such as pediatrics, emergency department, psychiatry, and rehabilitation have developed rapidly. The gap in technical capabilities between specialties has narrowed significantly, and a coordinated development of specialties has gradually taken shape. Taking pediatrics as an example, the construction of national key clinical specialties during the "Twelfth Five-Year Plan" period has given great support to my country's pediatric intensive care, pediatric digestion, pediatric respiration, newborns, children's oral cavity and pediatric surgery to promote the effective improvement of pediatric specialties.

"Four improvements", one is that clinical service capabilities have been significantly improved. The average number of diseases in pain department, oral and maxillofacial surgery, rehabilitation medicine and organ transplantation increased by more than 10%, of which rehabilitation medicine and organ transplantation increased by more than 20%. The average increase of CMI index (case combination index, representing the difficulty of admission and treatment of diseases) of neurosurgery, infectious diseases, burns and pain departments is more than 10%, of which the average increase of burn department and pain department is more than 20%.
 
Second, major breakthroughs have been made in key diseases and key technical fields. Technological innovation and transformation capabilities have been further enhanced, resulting in a number of superior medical technologies that have reached or led the international advanced level and have demonstrated and led the world. According to incomplete statistics, various specialties applied for 7,789 patents of various types, resulting in a group of superior medical technologies representing the highest level in my country and even internationally. For example, the clinical application of the ventricular assist device independently developed by the Fuwai Hospital of the Chinese Academy of Medical Sciences has solved the long-term difficulty of “no pump available” for ventricular assist in my country, and filled the technical gap in the field of ventricular assisted research and development in China.

Thirdly, the international influence of junior colleges has increased significantly. The "Chinese Voice" of the medical industry has been continuously recognized by international peers. According to incomplete statistics, 3,812 person-times have served or served as members or editors of major international academic organizations, journals, and magazines of the college, and 340 person-times led or participated in the formulation of international guidelines, norms, and industry standards for the college. The relevant research results of gastrointestinal vascular lesions in Renji Hospital of Shanghai Jiaotong University became the only basis for the relevant guidelines of the American Gastroenterological Association in 2015.
 
Fourthly, the medical treatment guarantee capacity of major events has been significantly improved. Specialties such as infectious diseases, critical care, emergency medicine, and burns have played an important role in the medical treatment of major incidents in recent years.