1, and comprehensively establish a graded diagnosis and treatment system. Optimize the structure and layout of medical resources, clarify the functional orientation of various medical and health institutions at all levels, establish closely managed urban medical groups, county medical associations, regional specialist alliances, telemedicine cooperation and other forms of medical associations, improve the utilization efficiency and overall benefits of medical resources, accelerate the construction of a high-quality and efficient integrated medical and health service system, form a scientific and reasonable medical order, and provide residents with integrated and continuous health management and basic medical services. In 2020, establish a hierarchical diagnosis and treatment system framework of "first diagnosis at the grassroots level, two-way referral, rapid and slow division and treatment, and linkage up and down".
2. Improve the modern hospital management system. Consolidate the results of completely canceling "supplementing medicine with medicine" in public hospitals. Clarify the government's medical responsibility and implement the autonomy of public hospitals. Scientifically adjust the price of medical services to reflect the labor value of medical staff. Hospitals at all levels and types should formulate articles of association, improve decision-making and management systems, improve medical quality and safety, carry out services for the convenience and benefit of the people, and constantly improve the level of medical services. Implement "two permits" and establish a personnel compensation system that conforms to the characteristics of the industry.
Strengthen the party building in hospitals, strengthen the construction of medical ethics and carry forward lofty professional spirit. By 2020, a modern hospital management system with clear rights and responsibilities, scientific management, perfect governance, efficient operation and strong supervision will be basically established.
3. Improve the universal medical security system. Improve the medical insurance financing and treatment adjustment mechanism, implement the "six unification" policy of basic medical insurance for urban and rural residents, improve the unified basic medical insurance system for urban and rural residents and the serious illness insurance system, and strengthen the connection between the systems. Realize the direct settlement of basic medical insurance for people seeking medical treatment in different places. Gradually implement the reform of compound payment method based on disease payment in public hospitals, simultaneously promote clinical pathway management, and strictly control the unreasonable increase of medical expenses. Implement commercial insurance institutions to undertake serious illness insurance and support their participation in basic medical insurance services.
4. Improve the drug supply security system. We will improve and implement policies in all aspects of drug production, circulation and use, encourage the research and development of new drugs, speed up the evaluation of the consistency of quality and efficacy of listed generic drugs, take measures such as fixed-point production and market matching, and improve the supply guarantee mechanism for short drugs. Improve the centralized procurement mechanism of drugs and consumables, promote national drug price negotiations, implement the "two-vote system" for drug procurement, and reduce the inflated price. Improve the basic drug system, strengthen the management of drug use, especially antibacterial drugs, and standardize drug use behavior.
5. Establish and improve the comprehensive supervision system. Build a centralized, professional and efficient supervision system to achieve industry-wide coverage. Strengthen post-event supervision, promote "double randomness and one openness", improve the level of legal practice, and actively accept social supervision. We will improve the system of industry regulations and standards, strengthen the practice of medical personnel according to law, treat patients according to law, and deal with disputes between doctors and patients according to law, resolutely crack down on illegal and criminal activities involving doctors, and form an atmosphere of respecting doctors and attaching importance to health in the whole society.