Guiding Principles for the Planning of Setting Up Medical Institutions (2021-2025) Issued

Xinhua News Agency, Beijing, Feb. 1 (Xinhua Li Heng) - The National Health Commission has recently issued the "Guiding Principles for the Planning of Medical Institution Establishment (2021-2025)," which points out that the establishment of medical institutions is subject to macro-control based on the demand for medical services, the capacity of medical services, the number of beds per 1,000 population (the number of beds for Chinese medicine per 1,000 population), the number of physicians per 1,000 population (the number of Chinese medicine practitioners per 1,000 population), and the number of nurses per 1,000 population. Macro-control, the specific indicator values are determined by provinces, autonomous regions and municipalities directly under the Central Government according to the actual situation. Among them, it is clear that in 2025, the proportion of geriatrics departments set up in second-level and above general hospitals will be no less than 60% of the main indicators of the national medical institution setup planning.

The plan points out that to deepen the combination of medical care, to strengthen the secondary and above general hospitals to set up geriatrics department, to encourage conditional secondary and above Chinese medicine hospitals to set up geriatrics department, and to guide some of the first and second level of public health care institutions to transform into long-term care institutions. At the same time, to improve the Chinese medicine service system, each province (autonomous regions and municipalities) to set up at least one provincial Chinese medicine regional medical center.

The plan emphasizes that the number of public hospitals should be set reasonably. At the provincial level, every 10 million to 15 million people planning to set up a provincial regional medical center, while planning the layout of children, oncology, psychiatric, infectious diseases and other specialized hospitals and Chinese medicine hospitals according to the need to plan, sparsely populated areas of the population can be appropriately relaxed, and according to the actual needs of the medical services to set up occupational disease and stomatology hospitals. At the prefectural and municipal levels, one or two prefectural and municipal tertiary general hospitals (including Chinese medicine hospitals, and the population size of sparsely populated areas can be appropriately relaxed) will be set up for every one to two million people, and municipal specialized hospitals (including Chinese medicine hospitals) will be set up according to the needs of children, psychiatry, obstetrics and gynecology, oncology, infectious diseases, and rehabilitation. At the county level, based on the resident population, in principle, set up a county-run general hospitals and a county-run hospitals of traditional Chinese medicine (including Chinese medicine hospitals, Chinese and Western medicine hospitals, hospitals for ethnic minorities, etc.), ethnic areas, ethnic autonomous regions at the county level, giving priority to the establishment of ethnic minority medical hospitals.

Planning clearly, the size of each hospital beds in public hospitals not more than 50. The number of beds in newly set up county-run general hospitals is generally about 600 to 1,000; the number of beds in newly set up prefectural and municipal-run general hospitals is generally about 1,000 to 1,500; the number of beds in newly set up provincial-run and above general hospitals is generally about 1,500 to 3,000.

In addition, the plan also makes it clear that the public hospital "branch hospital district" refers to the public hospital in the original hospital district (main hospital district) other than the address, to set up new or mergers and acquisitions and other ways to set up, with a certain size of the hospital district beds. By the end of 2025, eligible public hospitals shall not hold more than three branch hospital districts, and the total number of beds in each branch hospital district shall not exceed 80% of the number of beds in the main hospital district at the end of 2020.

Original title

National Health Commission: the proportion of geriatrics departments set up in second-level and above general hospitals in 2025 shall not be less than 60%