The overall goal of deepening the reform of the medical and healthcare system is to establish a basic medical and healthcare system covering urban and rural residents, and to provide the public with safe, effective, convenient and inexpensive medical and healthcare services.
By 2020, a basic medical and health care system covering urban and rural residents will be basically established. A relatively complete public **** health service system and medical service system, a relatively sound medical security system, a relatively standardized drug supply guarantee system, a relatively scientific management system and operation mechanism for medical and health institutions will be established, a multi-dimensional pattern of running medical services will be formed, everyone will be able to enjoy basic medical and health services, and the multi-level medical and health care needs of the masses will be basically adapted to the needs of the masses, so that the people's health level will be further improved.
Improving the four major systems of medicine and health care, and establishing a basic medical and health care system that covers both urban and rural residents. The establishment of public *** health service system covering urban and rural residents, medical service system, medical security system, drug supply guarantee system of four basic medical and health system, the four systems complement each other, supporting the construction and coordinated development. Establishing and improving professional public **** health service networks for disease prevention and control, health education, maternal and child health care, mental health, emergency treatment, blood collection and supply, health supervision and family planning, as well as improving the public **** health service functions of the medical service system based on the primary health care service network, and establishing a public **** health service system with a clear division of labor, information interoperability, resource **** enjoyment, and coordination and interaction. Improve the capacity of public ****health services and emergency response to public ****health emergencies, and promote the gradual enjoyment of equalized basic public ****health services by urban and rural residents.
Defining the scope of public **** health services. Define the national public **** health service program, gradually increase the service content, and refine the service and assessment standards. Local governments are encouraged to increase the content of public **** health services on the basis of the centrally stipulated service items, in accordance with the local economic level and prominent public **** health problems.
Improving the public **** health service system. Further define the functions, goals and tasks of the public **** health service system, optimize staffing and equipment allocation, and explore effective forms of integrating public **** health service resources. It has improved the system of prevention and control of major diseases and the emergency response mechanism for public **** health emergencies, and strengthened the prevention, control and monitoring of infectious, endemic, occupational and chronic diseases that pose a serious threat to people's health. Strengthening the construction of first aid systems in urban and rural areas.
Strengthening health promotion and education. Medical and health institutions and institutions, schools, communities, enterprises, etc. to vigorously carry out health education, advocate a healthy and civilized lifestyle, using radio, television, Internet, newspapers and magazines and other media, to strengthen the dissemination of knowledge of health, medicine and health, to promote the public's rational nutrition, and to improve the general public's health awareness and self-care ability.
In-depth patriotic health campaign. It incorporates rural sanitation and environmental pollution control into the planning for the construction of new socialist countryside, promotes the construction of sanitary cities and civilized villages and towns, and constantly improves the sanitary environment in which urban and rural residents live, work and other aspects of their lives.
Strengthening health supervision services. Vigorously promote environmental hygiene, food hygiene, occupational hygiene, school hygiene and migrant worker hygiene. It adheres to the principle of running medical services with non-profit medical institutions as the mainstay and for-profit medical institutions as supplements, and with public medical institutions as the mainstay and non-public medical institutions **** the same development, and builds a medical service system that is reasonably structured, with a clear division of labor, combined with prevention and treatment, with appropriate technology, and with an orderly operation, and that includes a network of grassroots medical and sanitary services and various types of hospitals that cover both urban and rural areas.
Vigorously developing the rural medical and health service system. Accelerate the establishment of a sound three-tier rural medical and healthcare service network with county-level hospitals as the leader, township health centers as the backbone, and village health centers as the foundation. County hospitals, as medical and health centers within the county, are mainly responsible for basic medical services and the rescue of critically ill patients, mainly in hospitals, and undertake the business and technical guidance of rural health institutions and further training of rural health personnel; township health centers are responsible for the provision of public **** health services and the diagnosis and treatment of common and frequent diseases, and other comprehensive services, and undertake the business management of the village health office and technical guidance and other work; Village health offices are responsible for the provision of public **** health services and the diagnosis and treatment of common diseases in administrative villages. Rural villages that have the conditions to do so may implement integrated rural management. Accelerating the implementation of rural health service system construction and development planning, actively promoting rural health care infrastructure and capacity building, the government focuses on running county hospitals and running a health center in each township, taking various forms of support for the construction of village health rooms, vigorously improving rural health care conditions, and improving the quality of health care services.
Improving the new urban medical and health service system based on community health service. Vigorously develop community health services, accelerate the construction of community health service centers as the main body of the urban community health service network, improve the function of community health services, in order to maintain the health of community residents as the center, to provide disease prevention and control, such as public **** health services and general common diseases, common diseases, chronic diseases of the primary diagnostic and treatment services. Transform the community health service model, adhere to the active service, door-to-door service, and gradually assume the responsibility of the residents' health "gatekeeper".
Improving the functions and responsibilities of various types of hospitals. Optimize the layout and structure of hospitals, and give full play to the backbone role of urban hospitals in the diagnosis and treatment of acute, critical and difficult diseases, medical education and scientific research, as well as the guidance and training of grass-roots health personnel. Large hospitals that are in a position to do so may, in accordance with the requirements of regional health planning, promote the rational flow of medical resources through trusteeship and reorganization.
Establishing a mechanism for division of labor and collaboration between urban hospitals and community health service organizations. Urban hospitals drive the sustainable development of community health through technical support and personnel training. At the same time, comprehensive measures such as improving service capacity, lowering fees, and increasing reimbursement rates are taken to guide general treatment down to the grassroots level, and to gradually realize community-based primary care, hierarchical medical care, and two-way referrals. Integration of urban health resources, making full use of the city's existing first- and second-tier hospitals and state-owned enterprises and institutions belonging to the medical institutions and other primary medical resources, the development and improvement of community health service network.
To give full play to the role of traditional Chinese medicine (TCM), including ethnomedicine, in disease prevention and control, response to public **** health emergencies, and medical services. Strengthening the construction of Chinese medicine clinical research bases and Chinese medicine hospitals, organizing and carrying out joint research on the prevention and treatment of difficult diseases by Chinese medicine, and vigorously promoting the appropriate technology of Chinese medicine in medical and health institutions. Create a favorable policy environment, support the development of Chinese medicine, and promote the inheritance and innovation of Chinese medicine.
Establishing a system for urban hospitals to provide counterpart support for rural health care. Developed regions should strengthen counterpart support for the development of medical and health care in impoverished areas and ethnic minority regions. Large urban hospitals should establish a long-term and stable system of counterpart support and cooperation with county-level hospitals in impoverished and ethnic minority areas, adopting clinical services, personnel training, technical guidance, and equipment support to help them improve their medical standards and service capabilities. It is accelerating the establishment and improvement of a multi-level medical security system that takes basic medical security as its mainstay and is supplemented by various other forms of supplementary medical insurance and commercial health insurance, covering both urban and rural residents.
Establishing a basic medical insurance system covering urban and rural residents. Basic medical insurance for urban workers, basic medical insurance for urban residents, new rural cooperative medical care, and urban and rural medical assistance*** all make up the basic medical insurance system, covering the urban employed population, the urban non-employed population, the rural population, and the urban and rural population in difficulty, respectively. Adhering to the principles of broad coverage, basic protection and sustainability, the system starts by focusing on the protection of major illnesses, and gradually extends to minor outpatient illnesses, raising the level of protection. Establishing a multi-channel financing mechanism with clear responsibilities and reasonable burden-sharing among the State, organizations, families and individuals, and realizing mutual social assistance***. With economic and social development, the level of financing and the level of coordination will be gradually raised, narrowing the gap in the level of protection and ultimately realizing the basic unity of the system's framework. Further improving the basic medical insurance system for urban workers, accelerating coverage of the employed population, and focusing on solving the medical insurance problems of workers and retirees in state-owned enterprises that have closed down and gone bankrupt and enterprises in difficulty, as well as those working in mixed-ownership and non-publicly-owned economic organizations, and flexibly-employed persons; accelerating the promotion of pilot projects for basic medical insurance for urban residents, and rolling them out across the board by 2009, with an emphasis on solving basic medical insurance problems for the elderly and children; and fully implementing the new rural medical insurance system. medical insurance; fully implementing the new rural cooperative medical care system, gradually raising the level of government subsidies, appropriately increasing farmers' contributions, and improving the ability to provide protection. Improving the urban and rural medical assistance system. Subsidies are being provided to people in difficulty for enrolling in insurance and for medical expenses they can hardly afford, so as to build a solid bottom line for medical protection. Conditional areas to take a variety of ways to actively explore the establishment of urban and rural integration of the basic medical insurance management system.
Trade unions and other social organizations are encouraged to carry out various forms of mutual medical assistance. Encourage and guide all kinds of public welfare organizations to develop social charitable medical assistance.
Making good use of the interface between the basic medical insurance system for urban workers, the basic medical insurance system for urban residents, the new rural cooperative medical system, and the urban and rural medical assistance system, and appropriately resolving the issue of basic medical insurance for rural migrant workers. Migrant workers who have signed labor contracts and established stable labor relations with enterprises should be included in the basic medical insurance system for urban workers in accordance with the state regulations that specify the responsibility of the employer to make contributions; other migrant workers should participate in the new type of rural cooperative medical care in the place where they are registered as household members or in the basic medical insurance for urban residents in the place where they are employed according to the actual situation. Migrant workers are actively working to harmonize policies on the continuation of their medical insurance relationships and on the provision of medical care and expense settlement services in other places.
Actively developing commercial health insurance. Encourage commercial insurance organizations to develop health insurance products to meet different needs, simplify claims procedures, facilitate the masses, and meet diversified health needs. Encourage enterprises and individuals to solve the needs beyond the basic medical insurance by participating in commercial insurance and various forms of supplementary insurance. It will continue to explore ways for commercial insurance organizations to participate in the administration and management of new rural cooperative medical care. Based on the establishment of a national basic drug system, and with the cultivation of a pharmaceutical industry with international competitiveness, the improvement of the concentration of drug production and circulation enterprises, the standardization of the order of drug production and circulation, the improvement of the drug price formation mechanism, and the strengthening of government supervision as the main contents, the construction of a standardized and intensive drug supply and security system, and the continual improvement of the system of licensed pharmacists, to ensure the safety of people's use of medicines.
Establishing a national essential drug system. The central government uniformly formulates and releases the national basic drug catalog, and reasonably determines the varieties and quantities of basic drugs in China in accordance with the principles of necessity for prevention and treatment, safety and efficacy, reasonable price, ease of use, and equal emphasis on both traditional Chinese and Western medicines, and in light of the characteristics of China's use of medicines, and with reference to international experience. To establish a production and supply system for essential medicines, and to give full play to the market mechanism under the government's macro-control, essential medicines will be produced or centrally purchased by the state through bidding, direct distribution, reduction of intermediate links, and the retail price will be uniformly set on the basis of reasonably determining the profit level of the production chain, so as to ensure the production and supply of essential medicines and to safeguard the public's basic use of medicines. Standardize the use of basic medicines, and formulate specifications for the use of basic medicines and guidelines for their clinical application. Basic medicines should be used in all primary healthcare institutions such as urban community healthcare centers (stations), township healthcare centers, and village healthcare offices, and basic medicines should be used as the first choice of medicines in all other types of healthcare institutions, and the proportion of their use should be determined. Basic drugs are all included in the basic medical insurance system drug reimbursement catalog, the reimbursement rate is significantly higher than non-basic drugs.
Regulate the production and circulation of drugs. Improve the pharmaceutical industry development policy and industry development planning, strict market access, strict drug registration and approval, vigorously regulate and rectify the order of production and circulation, promote the optimization and upgrading of the pharmaceutical industry and technological progress, the development of modern logistics and chain management of pharmaceuticals, and promote the integration of drug production and distribution enterprises. It has established a rural drug supply and supervision network that covers a wide range of areas, has a sound system, and is convenient for the people and benefits farmers. Supporting the production of special and emergency medicines in small quantities. Improve the drug reserve system. It will standardize drug procurement and resolutely combat commercial bribery in the purchase and sale of medicines. Strengthen the monitoring of adverse drug reactions, and establish an early warning mechanism for drug safety and an emergency disposal mechanism. Improve the institutional mechanism to ensure the effective and standardized operation of the medical and health system Improve the management, operation, input, price and regulatory mechanism of the medical and health system, and strengthen the construction of science and technology and human resources, information and legal system to ensure the effective and standardized operation of the medical and health system. In accordance with the principles of separation of government affairs, separation of management and operation, localization and industry-wide management, the scope of responsibilities between different levels of government, and between the government and medical and health institutions are reasonably determined, so as to form a management system with clear functions, clear positioning, comprehensive coordination, and unification of powers and responsibilities.
Implementation of territorialized and industry-wide management. All medical and health institutions, regardless of ownership, investment, affiliation and nature of operation, by the local health administrative departments to implement unified planning, unified access, unified supervision. Central and provincial level can set up a small number of medical research, teaching functions of the medical center or regional medical center, undertake national or regional diagnosis and treatment of difficult diseases and other medical institutions; counties (cities, districts) are mainly responsible for organizing county hospitals, rural health and community health institutions; the rest of the public hospitals are responsible for organizing the city by the district.
Strengthening regional health planning. People's governments at the provincial level formulate standards for the allocation of health resources, and organize the preparation of regional health planning and medical institution setup planning, specifying the number, scale, layout and functions of medical institutions. Scientific formulation of township health centers (village health centers), community health service centers (stations) and other grass-roots health institutions and hospitals at all levels of construction and equipment configuration standards. Make full use of and optimize the allocation of existing medical and health resources, adjust and optimize the structure and layout, and gradually integrate medical institutions that do not meet the planning requirements, strictly control the allocation of large-scale medical equipment, and encourage *** to build *** to enjoy and improve the efficiency of the use of medical and health resources. New health resources must be in line with regional health planning, focusing on weak areas such as rural and community health. Strengthen the connection between regional health planning and urban development planning and land use planning. Establishing a mechanism for monitoring and evaluating regional health planning and resource allocation.
Promoting the reform of the management system of public hospitals. From the perspective of strengthening the public welfare of public hospitals and the effective supervision of the government, actively explore the separation of government affairs, management and operation of the separation of various forms of realization. Further transformation of government functions, the health administrative department is mainly responsible for health development planning, qualification access, norms and standards, service supervision and other industry management functions, other relevant departments in accordance with their respective functions to manage and provide services. The implementation of public hospitals independent legal person status.
Further improving the basic medical insurance management system. The central government uniformly formulates the framework and policies of the basic medical insurance system, while local governments are responsible for organizing, implementing and managing the system, and creating conditions to gradually raise the level of coordination. Basic medical insurance management resources are effectively integrated, and the administrative management of basic medical insurance in urban and rural areas is gradually unified. With the maintenance of the public welfare nature of public medical and health institutions as the core, gradually establish a standardized, scientific, efficient and orderly mechanism for the operation of medical and health institutions.
Public **** health institutions all income and expenditure into the budget management. In accordance with the responsibilities and tasks undertaken by the government to rationally determine the staffing, salary levels and funding standards, clear job responsibilities for all types of personnel, strict access to personnel, strengthen performance assessment, the establishment of the ability to enter and exit the employment system, improve efficiency and quality of service.
Transforming the operation mechanism of primary health care institutions. Government-organized urban community health service centers (stations) and township health centers and other primary health care institutions, to strictly define the function of the service, and clearly stipulate the use of appropriate technology, appropriate talent, appropriate equipment and basic drugs, to provide low-cost services for the general public, to maintain the nature of the public good. Staffing levels should be strictly authorized, a system of staff employment should be implemented, and a human resources management system that allows for entry and exit and provides effective incentives should be established. It is necessary to clarify the scope and standards of income and expenditure, implement the financial management method of approved tasks, approved income and expenditure, and performance appraisal and subsidies, and to explore the implementation of a variety of proven management methods, such as the two lines of income and expenditure, and the total prepayment of public *** health and medical insurance funds, so as to strictly manage the budget of income and expenditure and to increase the efficiency of the use of funds. The drug mark-up policy should be reformed, and zero-differential-rate sales of drugs should be implemented. Internal management should be strengthened and improved, and an assessment and incentive system centered on service quality and based on job responsibility and performance should be established to form a long-term mechanism to guarantee fairness and efficiency.
Establishing a standardized public hospital operation mechanism. Public hospitals should follow the nature of public welfare and social efficiency principles, adhere to the patient-centered, optimize the service process, standardize the use of drugs and inspection and medical behavior, and deepen the reform of the operating mechanism. Establish and improve the corporate governance structure of hospitals, clarify the responsibilities and rights of owners and managers, and form a mechanism of mutual checks and balances in decision-making, implementation and supervision, with responsibilities, incentives, constraints, competition and vitality. Separate management of pharmaceutical revenues and expenditures is being implemented, and effective ways are being explored to gradually reform the mechanism of compensating doctors with medicines. Gradually reform or abolish the policy of drug markups through the implementation of differential markups for the purchase and sale of medicines, the establishment of medicinal service fees, and other means, while taking measures to improve the compensation mechanism for public hospitals by appropriately adjusting the price of medical services, increasing government investment, and reforming payment methods. The financial and accounting management system should be further improved, budget management should be strictly enforced, and financial supervision and operational oversight should be strengthened. Localities may, in the light of local realities, carry out pilot projects for hospitals that are in a position to do so, using a variety of management methods, such as "approving income and expenditure, offsetting expenditure with income, paying over the excess, subsidizing the difference, and separating rewards and penalties". Reform of the personnel system, improve the distribution of incentive mechanisms, the implementation of the employment system and job management system, strict management of total wages, the implementation of the quality of service and job workload-based comprehensive performance appraisal and job performance pay system, and effectively mobilize the enthusiasm of medical personnel.
Soundly improving the operation mechanism of medical insurance agencies. Improve the internal governance structure, establish a reasonable employment mechanism and distribution system, improve incentives and constraints, and improve the management capacity and management efficiency of the medical insurance administration. Clearly define the input responsibilities of the government, society and individuals, and establish the government's dominant position in the provision of public **** health and basic medical services. Public **** health services are mainly financed by the Government and provided to urban and rural residents on an equal basis. Basic medical services are reasonably cost-shared among the Government, society and individuals. Specialized medical services are paid for directly by individuals or through commercial health insurance.
Establishing and improving the government's health investment mechanism. Both the central government and local governments should increase their investment in health, taking into account both the supply side and the demand side. Gradually increase the proportion of government health investment in total health costs, so that the burden of basic medical and health care costs on individual residents is significantly reduced; the rate of increase in government health investment should be higher than the rate of increase in recurrent financial expenditures, so that the proportion of government health investment in recurrent financial expenditures is gradually increased. New government health investment focuses on supporting public **** health, rural health, urban community health and basic medical care.
In accordance with the principle of hierarchical burden reasonably divided between the central and local levels of government health investment responsibilities. Local governments bear the main responsibility, and the central government mainly subsidizes the national immunization program, cross-regional prevention and control of major infectious diseases and other public **** health, basic medical care for urban and rural residents, as well as the construction of relevant public medical and health institutions. Increase the special transfer payments from the central and provincial governments to areas in difficulty.
Improving the government's investment mechanism for public **** health. Professional public **** health service organizations personnel funds, development and construction and operational funds by the government full arrangements, in accordance with the provisions of the service income paid to the financial account or into the budget management. Per capita public **** health funding is gradually increased, and a sound funding guarantee mechanism for public **** health services is in place.
Improving the government's input mechanism for urban and rural primary health care organizations. The government is responsible for the capital construction, equipment purchase, personnel funding, and operational funding for public **** health services it undertakes for the township health centers and urban community health service centers (stations) it organizes in accordance with national regulations, so as to enable them to operate normally. For all township health centers and urban community health service institutions, including those organized by social forces, government subsidies may be approved everywhere in the form of purchased services. The construction of village health offices is supported, and rural doctors are given reasonable subsidies for tasks such as public **** health services.
Implementing the policy of government subsidies for public hospitals. Gradually increase government investment, mainly for capital construction and equipment purchases, support the development of key disciplines, in line with the national provisions of the retired personnel costs and subsidies for policy losses, etc., to undertake public **** health services and other tasks to give special subsidies, the formation of a standardized and reasonable public hospitals government investment mechanism. Chinese medicine hospitals, infectious disease hospitals, psychiatric hospitals, maternity and childcare hospitals, and children's hospitals are given preferential treatment in terms of input policy. Strictly control the scale of construction of public hospitals, standards and lending behavior.
Improving the government's input mechanism for basic medical security. The government provides the necessary funds to support the establishment and improvement of new rural cooperative medical care, basic medical insurance for urban residents, basic medical insurance for urban workers, and urban and rural medical assistance systems. Normal funding is guaranteed for the relevant agencies.
Encouraging and guiding social capital to develop medical and health care. Actively promote the development of non-public medical and health institutions, and form a system for running medical institutions that diversifies the main body of investment and the mode of investment. Urgently formulate and improve the relevant policies and regulations, standardize the access conditions for social medical institutions, including those run by foreign capital, and improve fair and equitable industrial management policies. Social capital is encouraged to set up non-profit medical institutions in accordance with the law. The State has formulated guiding opinions on the restructuring of public hospitals, and is actively guiding social funds to participate in a variety of ways in the restructuring and reorganization of some public hospitals, including those run by state-owned enterprises. It is steadily promoting pilot projects for the restructuring of public hospitals, moderately reducing the proportion of public medical institutions, and forming a pattern in which public and non-public hospitals promote each other and develop together. Supporting qualified personnel to open businesses in accordance with the law, and facilitating access to medical care for the public. Improve policies on the classification and management of medical institutions and tax incentives. Strengthen the supervision of social-run medical institutions in accordance with the law.
Vigorously develop philanthropy. Formulate relevant preferential policies to encourage social forces to set up charitable medical institutions, or charitable donations to medical aid and medical institutions. Improve the combination of government regulation and market adjustment, and objectively reflect the market supply and demand and changes in the cost of production services, medical services and drug price formation mechanism.
Regulating the management of medical service prices. For basic medical services provided by non-profit medical institutions, a government-guided price shall be implemented, with the rest to be priced independently by the medical institutions. The central government is responsible for formulating medical service pricing policies and items, pricing principles and methods; provincial or municipal price authorities in conjunction with the health and labor security departments to approve the basic medical services guide price. Prices for basic medical services are set in accordance with the cost of services net of financial subsidies, reflecting the cost of medical services and the value of skilled labor. Services provided by medical institutions and physicians at different levels are subject to tiered pricing. Charging items and standards for public medical institutions are standardized, and studies are being conducted to explore the reform of charging methods such as by disease type. Establishing a system for monitoring the prices of medical examination and treatment equipment and instruments, service cost audits and regular adjustment of service prices.
Reforming the drug price formation mechanism. Reasonably adjusting the scope of government pricing, improving drug pricing methods, utilizing price leverage to encourage enterprises to innovate independently, and promoting the production and use of national essential drugs. For new drugs and patented drugs, a pre-market drug economic evaluation system is gradually being implemented. For generic drugs, a system of low post-market pricing has been implemented to curb low-level duplicative construction. A system of marking prices on the outer packaging of medicines is being implemented. Strictly controlling the price differentials in the distribution of medicines. Pilot programs such as differential markups and charging fees for pharmaceutical services are being implemented for the sale of medicines in hospitals to guide hospitals in the rational use of medicines. Strengthening the control and management of prices in the circulation and use of medical consumables and implantable (intermediary) medical devices. Improve the pharmaceutical price monitoring system, standardize the independent pricing behavior of enterprises.
Actively exploring the establishment of a negotiation mechanism between medical insurance agencies, medical institutions and drug suppliers, and giving full play to the role of medical insurance as a constraint on the cost of medical services and drugs. It will improve the regulatory network, strengthen regulatory responsibilities, innovate regulatory means, improve the ability to regulate in accordance with the law, and gradually establish a regulatory system in which the government is the main body and multiple parties in society participate.
Strengthening medical and health supervision. Improve the health supervision and law enforcement system, and strengthen the capacity building of health supervision organizations. It will strengthen the supervision of the behavior and quality of medical and health services, improve the standards and quality evaluation system of medical and health services, standardize the management system and workflow, accelerate the formulation of unified disease diagnosis and treatment norms, and improve the monitoring network of the quality of medical and health services. It has also strengthened the regulation of access to and operation of medical and healthcare institutions. It has also strengthened the supervision of drinking water, occupational health, food safety and other social and public **** health. In accordance with the law to crack down on all kinds of illegal acts that jeopardize people's health and life safety.
Improving the supervision of medical insurance. It has strengthened the supervision of medical insurance administration, fund management and use, and established a mechanism for the effective use and risk prevention of medical insurance funds. Strengthening the role of medical insurance in monitoring medical services, improving the payment system, actively exploring the implementation of capitation payment, payment by type of disease, total prepayment and other methods, and establishing an effective constraint mechanism that emphasizes incentives and penalties. Strengthen the supervision of commercial health insurance and promote standardized development.
Strengthening drug supervision. Strengthen the government's responsibility for supervision, improve the system, and strictly supervise the production, circulation, price, advertisement and use of medicines. The implementation of drug production management standards, strengthen the supervision of high-risk varieties of production. Strictly implement the management standard for drug business, explore the establishment of a management mode of classification and grading of drug business licenses, and increase the supervision and sampling of key varieties. The government will strengthen its supervision of drug prices and effectively curb inflated pricing. Standardize the clinical use of medicines, and give full play to the role of licensed pharmacists in guiding the rational use of medicines and the quality management of medicines.
Establishing an information disclosure system. Encourage industry associations and other social organizations and individuals to independently evaluate and monitor the operational performance of government departments, pharmaceutical institutions and related systems. Strengthen industry self-regulation. Establishing a sustainable mechanism for scientific and technological innovation in medicine and health and a mechanism for safeguarding human resources Based on the development of health undertakings and the service of the people's health, a mechanism for scientific and technological innovation and a mechanism for safeguarding human resources that is complete in terms of level, reasonable in structure, and focused and sustainable will be gradually established.
Promoting the progress of medical science and technology. Scientific and technological innovation in medicine and health as the focus of national scientific and technological development, in order to prevent and treat diseases as the center, and strive to overcome scientific and technological difficulties in medicine, to provide technical support for the people's health. Following the policy of independent innovation, key leapfrogging, coordinated development and leading the way to the future, we will deepen the reform of the medical and health science and technology system and institutions, integrate the advantageous resources of medical scientific research, speed up the implementation of major special projects in medical science and technology, strengthen the research on the technology of preventing and treating major diseases and on the key technology of developing new medicines, and strive for new breakthroughs in the areas of basic and applied research in medical sciences, research on high technology and research on traditional Chinese medicine and the combination of traditional Chinese medicine and Western medicine. In response to the people's health care needs, we will strengthen medical research and develop and produce medical devices that are suitable for China's national conditions. Extensive international cooperation and exchanges in health science and technology will be carried out. Vigorously promote appropriate technology, and comprehensively promote scientific and technological progress in medicine and health.
Strengthen the construction of medical and health personnel. Formulate and implement the talent team construction plan, focusing on strengthening public **** health, rural health, urban community health professionals and nursing personnel training. Formulate preferential policies to encourage outstanding health talents to serve in rural and urban communities and central and western regions. Health technicians who have been working at the grass-roots level in urban and rural areas for long periods of time are given appropriate preferential treatment in terms of title promotion, business training and treatment policies. The qualification system for general practitioners should be improved, the on-the-job training system for health personnel in rural and urban communities should be perfected, participation in academic education should be encouraged, the standardization of the practice of rural doctors should be promoted, and qualified general practitioners should be made available to grass-roots medical and health-care institutions as soon as possible. Strengthen the construction of high-level scientific research, medical and health management personnel. Cultivate and grow the Chinese medicine talent pool. Steadily promote the reasonable mobility of medical personnel, promote vertical and horizontal exchanges of talents between different medical institutions, and study and explore the multi-point practice of registered physicians. Gradually standardize the conditions of service for hospital administrators, and gradually form a professional and specialized management team for medical institutions.
Adjusting the structure and scale of higher medical education. Strengthen general medical education. Improve standardized and standardized clinical medical education and improve the quality of medical education. Increase investment in medical education, vigorously develop rural-oriented higher medical undergraduate and specialized education, and take a variety of ways, such as directional free training, to cultivate practical health talents for rural areas in poverty-stricken areas, and create a large number of qualified doctors rooted in the countryside and serving farmers.
Strengthen the construction of medical ethics. Attaching importance to the training of humanistic qualities and professional quality education of medical personnel, and vigorously carry forward the spirit of saving lives and helping people. Optimize the practice environment for medical personnel. In the whole society to form a respect for medical science, respect for medical and health workers of a good culture, and strive to build a healthy and harmonious doctor-patient relationship. To promote the public *** health, medical, medical insurance, drugs, financial supervision of information technology construction as a focus, accelerate the standardization of information and public *** service information platform construction, and gradually establish a unified and efficient, resource integration, interconnectivity, information *** enjoyment, transparency and openness, easy to use, real-time supervision of the medical and health information system.
Speeding up the construction of medical and health information system. Improve the public **** health information system with the disease control network as the main body, and improve the prediction and early warning and analysis and reporting capabilities. Focusing on the establishment of residents' health records, the construction of rural and community health information network platform. Focusing on hospital management and electronic medical records, promote the construction of hospital informatization. Utilizing network information technology, promoting cooperation between urban hospitals and community health service organizations, and actively developing telemedicine for rural and remote areas.
Establishing and improving the medical insurance information system. Accelerating the construction of medical insurance information systems with composite functions, such as fund management, expense settlement and control, medical behavior management and supervision, and management services for insured units and individuals. It has strengthened the construction of information systems for urban workers' and residents' basic medical insurance and the new type of rural cooperative medical care, realized the docking of information systems with those of medical institutions, and actively promoted methods such as the "one-card" system, which makes it easier for participants to seek medical care and increases the transparency of medical services.
Establishing and improving the information network of drug supervision, drug inspection and testing, and adverse drug reaction monitoring at the national, provincial, and municipal levels, and strengthening the monitoring of key links in the whole process of drug development, production, circulation, and use. To further strengthen the legislative work on medicine and health, and gradually establish and improve a relatively complete health legal system that is compatible with the basic medical and health system.
Improving health laws and regulations. Accelerate the legislative work on basic medical and health care, clarify the rights and obligations of the government, society and residents in promoting health, and guarantee basic medical and health care services for all. Establish and improve the health standard system, and do a good job of articulating and coordinating relevant laws and regulations. Accelerating the legislative work on Chinese medicine.
Promoting administration in accordance with the law. Strictly enforce the law, standardize law enforcement, and effectively improve the ability of governments at all levels to use legal means to develop and manage medicine and health care. Strengthen the law of medicine and health work, improve the legal awareness of society as a whole and the concept of the legal system, and strive to create a legal environment conducive to the people's health. Efforts to focus on five key areas of work, and strive to achieve significant results in the near future Deepening the reform of the medical and health system should be based on the current, from the focus on solving the people's strong reaction to the "difficult to see a doctor, expensive to see a doctor" problem, so that the people to get the benefits of the medical staff to be inspired by the supervisory staff easy to grasp. By 2010, a framework for a basic medical and health care system will have been initially established throughout the country. Deepening the reform of the medical and health care system is directly related to the immediate interests of the general public, and is a major people's livelihood project that requires the understanding, support and participation of all sectors of society and the general public. To adhere to the correct orientation of public opinion, strengthen the deepening of the medical and health system reform of the significance of the guiding ideology, the basic principles and the main policy of publicity, summarize and promote the good pilot experience, so that this major reforms benefiting the majority of the people's popularity, in order to deepen the reform to create a good environment for public opinion.