The content of "Deepening the reform of the medical and health system in the second half of 2018 key tasks"?

I. Promote the construction of hierarchical diagnosis and treatment system in an orderly manner

1. Further regulate the construction and development of medical consortiums, improve the construction of medical consortiums and the assessment of hierarchical diagnosis and treatment, implement the responsibility of the lead hospital, mobilize the enthusiasm of the lead hospital, and strengthen the supervision of the industry. Encourage social medical institutions and rehabilitation, nursing and other institutions to participate in the construction of medical consortia. (The National Health and Health Commission, the National Health Insurance Bureau, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons' Federation are responsible for this, with the first one being the leading department, the same below)

2. Improve supporting measures such as medical insurance payment, personnel management, service price, and financial investment to promote the construction of medical consortiums and telemedicine services. (National Health and Health Commission, Ministry of Finance, Ministry of Human Resources and Social Security, National Health Insurance Bureau, State Administration of Traditional Chinese Medicine are responsible)

3. Summarize the local experience in a timely manner, and guide localities to improve the price of medical services in medical institutions of different levels, health insurance payment and other policies, to pull the reimbursement ratio, and to guide the reasonable medical care. (State Medical Insurance Bureau, National Health and Wellness Commission responsible) Strengthen health education and popularization of science, guide the public to establish a scientific concept of medical care. (Responsible by the NHRC)

4. Promote family doctor contracting services, improve incentive mechanisms, implement protection policies, strengthen assessment and evaluation, and prioritize contracting services for key populations, and do a good job of providing services in a practical and detailed manner. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Health Insurance Bureau, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons' Federation are responsible for)

5. Explore and promote the innovation of the system and mechanism of CDC institutions and county-level maternal and child health care institutions, deepen the comprehensive reform of primary health care institutions, implement financial security policies, and implement the policy of "allowing health care institutions to break through current Institutions salary control level, allowing medical service income after deducting costs and according to the provisions of the withdrawal of funds mainly for personnel incentives" ("two allow") requirements.

According to the actual situation of different medical and healthcare institutions, targeted improvement of salary distribution policies, and promote the remuneration of medical personnel to a reasonable level. (The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health and Health Commission are respectively responsible for, respectively responsible for each department according to the responsibilities of the respective lead, the same below)

6. Improve the integration of medical and health care county and township, integrated management of the countryside, and promote the comprehensive reform of the county. Can be implemented on the grass-roots medical personnel county management and township use. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Agriculture and Rural Development, and the State Administration of Traditional Chinese Medicine are responsible for this respectively)

7. Carrying out activities of quality service at the grassroots level, strengthening the standardization of primary health care institutions, and further improving the quality management system and mechanism of primary health care institutions. (The National Health and Health Commission, the National Development and Reform Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine are responsible)

2. Establish and improve the modern hospital management system

1. Deepen the reform of the price of medical services. Study and introduce specific measures to promote localities in accordance with the idea of "make space, adjust the structure, and ensure articulation", accelerate the establishment of cost and income structure based on changes in the price of timely and flexible dynamic adjustment mechanism, through the standardization of diagnosis and treatment, reduce the cost of medicines, medical consumables and other costs to make room for optimizing and adjusting the price of health care, focusing on the optimization of Adjustment of prices reflecting the value of the technical labor of medical personnel, reduce the price of large-scale medical equipment inspection and treatment and testing.

Speeding up the review of new medical service price items. Allow localities to take appropriate ways to effectively reflect the value of pharmaceutical services. (The National Health Insurance Bureau, the National Health Commission, the State Administration of Traditional Chinese Medicine is responsible)

2, the implementation of the national health care service system planning, rationalize the size of public hospitals alone. (National Health and Health Commission, National Development and Reform Commission, Ministry of Finance, the State Administration of Traditional Chinese Medicine is responsible for) the implementation of the government's investment policy for public hospitals in line with the regional health planning and the policy of tilting the investment in Chinese medicine hospitals. (Ministry of Finance, the National Development and Reform Commission, the National Health Commission, the State Administration of Traditional Chinese Medicine is responsible for)

3, research and development of financial investment and the development of public hospitals in line with the approach. (The Ministry of Finance, the National Health and Health Commission, and the State Administration of Traditional Chinese Medicine are responsible)

4. Summarize the experience of the pilot reform of the remuneration system of public hospitals in a timely manner, and promote the establishment of a remuneration system in line with the characteristics of the industry. (The Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine are responsible)

5. Pilot projects for the establishment and improvement of a modern hospital management system will be carried out. Timely summary and promotion of hospital scientific, refined, information management experience and practice. (The National Health and Health Commission and the State Administration of Traditional Chinese Medicine are responsible for this.) Promote the formulation of hospital charters, and by the end of 2018, each province will select 20% of secondary and tertiary public hospitals and 10% of non-profit hospitals organized by social forces within its jurisdiction to carry out the pilot work of formulating charters.

Establishing and improving comprehensive budget management, cost management, financial reporting, information disclosure, and internal and third-party audit mechanisms for public hospitals. All tertiary hospitals have fully implemented the chief accountant system. (The National Health and Health Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine are responsible for this.)

6. Strengthening guidance on party building in public hospitals and party building in the industry. (National Health and Health Commission, the Central Organization Department, the Ministry of Education, the State Administration of Traditional Chinese Medicine is responsible)

7, to promote the reform of state-owned enterprises to run medical institutions. (State Council State-owned Assets Supervision and Administration Commission, the National Health Commission is responsible for) to promote the military hospitals to participate in the comprehensive reform of the resident urban public hospitals, to build the depth of integration of military and civilian medical service system. (The Health Bureau of the Logistics and Security Department of the Central Military Commission and the National Health Commission are responsible for)

8. Continue to carry out the comprehensive reform of public hospitals to evaluate the effectiveness of the assessment, and allocate subsidies based on the results of the assessment. (The National Health and Health Commission and the Ministry of Finance are respectively responsible)

3. Accelerating the improvement of the universal health care system

1. Formulating a reform plan for improving the health care system with Chinese characteristics. (The National Health Insurance Bureau, the Ministry of Finance, the National Health Commission, and the China Banking and Insurance Regulatory Commission are responsible for this)

2. Increase the level of basic medical insurance and major disease insurance protection, and increase the per capita financial subsidy standard for basic medical insurance for residents by another 40 yuan, with half of it going to major disease insurance. Synchronized increase in individual contribution standards. (The Ministry of Finance, the State Administration of Taxation, and the State Medical Insurance Bureau are responsible for this, with the participation of the China Banking and Insurance Regulatory Commission.) Expand the coverage of employees' medical mutual aid, and promote the healthy development of medical mutual aid. (The All-China Federation of Trade Unions is responsible)

3. Deepen the reform of medical insurance payment methods. The reform of paying for diseases on a per-disease basis has been fully implemented nationwide, integrating basic medical insurance and major disease insurance, and gradually expanding the number of diseases for which payment is made on a per-disease basis. A pilot program of payment by disease diagnosis-related groups (DRGs) is being carried out. Promote the convergence of policies on medical insurance payment, medical service prices, drug circulation and personnel remuneration. (The State Medical Insurance Bureau, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible for this.)

4. Comprehensively implement the policy of settlement for medical treatment in other places, and expand the coverage of designated institutions. (The State Medical Insurance Bureau, the Ministry of Finance, the National Health and Health Commission, and the State Administration of Traditional Chinese Medicine are responsible for this)

5. Strengthening the supervision of medical behaviors by medical insurance, taking measures to solve the problems of hospitalization and insurance fraud, and scientifically controlling the irrational growth of medical costs. (The State Medical Insurance Bureau, the Ministry of Finance, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible)

6, the development of commercial health insurance. (The CBIRC is responsible for) improving the government's purchase of services to guide qualified commercial insurance organizations and other social forces to participate in the basic health insurance services. (The State Medical Insurance Bureau and the CBIRC are responsible)

7. Explore the establishment of a long-term care insurance system. (The NHIC is responsible for this.)

Four: Vigorously promoting the construction of a drug supply guarantee system

1. Adjusting the national list of essential medicines, formulating a guiding document for improving the national essential medicines system, and promoting the prioritization of the use of essential medicines. (The National Health and Health Commission, the Ministry of Finance, the National Health Insurance Bureau and the State Drug Administration are responsible for this)

2. In line with the policy of lowering the tax on anticancer drugs, promote the centralized procurement of anticancer drugs within the medical insurance catalog in each province (autonomous region and municipality directly under the central government), and promote the negotiation of access to the medical insurance for exclusive anticancer drugs outside the medical insurance catalog. It will carry out national centralized procurement of drugs on a pilot basis, and significantly reduce the prices of drugs. To expedite the approval of new drugs listed outside China for listing in China in an orderly manner. (The State Medical Insurance Bureau, the National Health and Health Commission, the State Drug Administration is responsible for)

3. Key chemical drugs and biological drugs in the catalog of drugs encouraged to be imitated will be included in the key *** technical research in the relevant national science and technology programs in the 2018 annual project. (The Ministry of Science and Technology and the National Health and Health Commission (NHHC) are responsible)

4. Formulate a reform program to govern high-value medical consumables and excessive medical examinations. (Responsible for the National Medical Insurance Bureau and the National Health and Wellness Commission.) Formulate coding rules for medical devices, and explore the implementation of the convergence and application of standardized coding for the registration, procurement, and use of high-value medical consumables.

(The State Drug Administration, the National Health and Health Commission, the National Health Insurance Bureau is responsible for) Promote the localization of medical devices, and promote the application and promotion of innovative products. (The Ministry of Industry and Information Technology, the National Development and Reform Commission, the National Health Commission and the State Drug Administration are responsible)

5. Strengthening the monitoring and early warning of the supply and security of drugs in short supply across the country, establishing a filing system for the suspension of the production of shortages of medicines and raw materials, reasonably determining the size of the reserve, improving the management of the reserve, and setting up a mechanism for the dynamic adjustment of the reserve catalog. The construction of national and provincial shortages of drugs multi-source information collection and supply business synergistic application platform. The project to enhance the supply guarantee capacity of drugs in short supply will be included in the focus of support.

Continuing to implement the pilot work of designated production of clinically necessary, small dosage, and market-supplied drugs in short supply, and organizing and carrying out the construction of centralized production bases for small varieties of drugs (drugs in short supply). (The Ministry of Industry and Information Technology, the National Health Commission, the State-owned Assets Supervision and Administration Commission of the State Council, and the State Drug Administration are respectively responsible for this.)

6. Developing guiding documents for the classification and grading management of retail pharmacies, supporting the development of retail pharmacy chains, and permitting outpatients to independently choose whether to purchase medicines at a medical institution or a retail pharmacy. (The Ministry of Commerce, the National Health and Health Commission, the National Health Insurance Bureau, the State Drug Administration is responsible for)

V. Effectively strengthen the construction of a comprehensive regulatory system

1, the establishment of a coordinating mechanism to improve the comprehensive supervision of the health care industry and the inspection mechanism. (The National Health Commission, the General Administration of Market Supervision, the State Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, the State Drug Administration and other departments are responsible for)

2. Establishing and improving the credit mechanism of the medical and health care industry, the coordinated application of the results of the comprehensive supervision mechanism and the blacklist system. (The National Health Commission, National Development and Reform Commission, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Market Supervision, National Health Insurance Bureau, State Administration of Traditional Chinese Medicine, State Drug Administration and other departments are responsible)

3, establish and improve the management system of various types of health care institutions at all levels. Comprehensively carry out performance appraisals of all types of public medical and health institutions at all levels, in principle on an annual basis, with the results of the appraisals reported to the government at the same level, linked to the financial subsidies of medical and health institutions, the overall level of remuneration, the promotion of the person in charge and the rewards and punishments of medical and health institutions, etc., and disclosed to the public in an appropriate manner.

The pilot provinces of comprehensive healthcare reform chose 1-2 cities and municipalities to carry out pilot performance appraisals of public healthcare institutions, and ranked the results of the appraisals. (The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine and other departments are responsible for)

4. Strengthen the reform and innovation of the comprehensive regulatory system and mechanism, and carry out national supervisory sampling inspections of 10% of the supervised units in the field of health across the country. Promote the implementation of comprehensive supervision and evaluation of the categorization and prevention of infectious diseases in medical and health institutions nationwide. Strengthening supervision and law enforcement of traditional Chinese medicine. (The National Health and Health Commission, the National Health Insurance Bureau, the State Administration of Traditional Chinese Medicine, the State Drug Administration is responsible for)

5, to promote the medical-related criminal behavior to carry out joint disciplinary action. (The National Health and Health Commission, the General Administration of Market Supervision, the State Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, and the State Drug Administration are responsible for this respectively)

6. Establishing a high-quality and efficient medical and healthcare service system

1. Focusing on the key diseases in the region, and taking discipline construction as a starting point, establishing a number of high-level regional medical centers and specialty alliances nationwide, and promoting a balanced layout of high-quality medical resources. (The National Development and Reform Commission, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible for this.)

2. Improve the national health policy, popularize health knowledge, carry out health promotion, improve health protection, and enhance the awareness of personal health responsibility, and strive to make the public free from diseases, less sick, and prolong the life of the healthy. (National Health and Health Commission, Ministry of Education, Ministry of Finance, General Administration of Sport and other departments) 3, research and put forward integrated service system framework and policy measures, and promote the combination of prevention, treatment and rehabilitation services. (National Health and Health Commission, the State Administration of Traditional Chinese Medicine is responsible for)

4, per capita basic public **** health services funding subsidy standard increased to 55 yuan, the new funding is mainly used for the basic public **** health service programs to improve the quality and expansion. (The Ministry of Finance, the National Health and Health Commission, and the State Administration of Traditional Chinese Medicine are responsible.) Optimize the national basic public **** health service projects and improve the quality of service. (Responsible by the National Health and Health Commission and the Ministry of Finance)

5. Construct a working mechanism for combining the prevention and treatment of chronic diseases, strengthen the capacity building of chronic disease prevention and treatment organizations and teams, and promote the provision of health prescriptions by medical institutions. (Responsible by the National Health and Health Commission)

6. Promote the implementation of the universal health protection project construction plan, strengthen the construction of county hospitals, as well as maternal and child health, disease prevention and control and other medical and health care institutions, and enhance the ability to diagnose and treat difficult illnesses. (National Development and Reform Commission (NDRC), National Health Commission (NHRC), and State Administration of Traditional Chinese Medicine (SATCM) are responsible)

7. Formulate guiding documents to strengthen the construction of disease prevention and control system, and reform and improve the disease prevention and control network. (The National Health and Health Commission, the National Development and Reform Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, and the General Administration of Customs are responsible.) Proceed with adjusting the sanitary and epidemic prevention allowance. (The Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health Commission, the General Administration of Customs is responsible for)

8, the implementation of traditional Chinese medicine inheritance and innovation project, to carry out Chinese medicine diagnosis and treatment technology focus on research and transformation of results, layout and construction of a number of regional traditional Chinese medicine (specialties) diagnosis and treatment centers and clinical collaboration between Chinese and Western medicine pilots, to improve the ability to diagnose and treatment of Chinese medicine and difficult illnesses and improve the level, in-depth implementation of the grass-roots level of traditional Chinese medicine service capacity. In-depth implementation of the 13th Five-Year Plan of Action for the Enhancement Project of Primary Chinese Medicine Services, and promotion of the upgrading and upgrading of the construction of grass-roots Chinese medicine centers and national medicine centers. (The State Administration of Traditional Chinese Medicine, the National Development and Reform Commission, and the Ministry of Finance are responsible for)

9, in-depth implementation of health poverty alleviation, continue to do a good job of special treatment of major diseases, the implementation of endemic and infectious diseases comprehensive prevention and treatment, and health promotion campaigns, and to take effective safeguards to reduce the burden of medical care on the poor population. (The National Health and Health Commission (NHHC), the State Council's Poverty Alleviation Office, the Ministry of Finance, and the National Health Insurance Bureau are responsible for this.)

10. The NHHC has formulated guiding documents on the development of care services for infants and young children under the age of three. (Responsible for the National Health and Wellness Commission)

11. Formulate guidelines for the services and management of medical and nursing care organizations. Carrying out hospice care pilots. (The NHRC, the National Development and Reform Commission (NDRC), the Ministry of Civil Affairs (MCA), and the State Administration of Traditional Chinese Medicine (SATCM) are responsible for this)

12. Implementing a new round of action plans to improve medical services. (The National Health and Health Commission and the State Administration of Traditional Chinese Medicine are responsible)

Seven, coordinating and promoting reforms in related fields

1, formulating an action program for the development of the health industry, advancing the classification of the health industry, studying the establishment of a statistical system for the health industry and an accounting system, and carrying out the accounting of the health service industry. (The National Development and Reform Commission, the National Health and Wellness Commission, the National Bureau of Statistics, and the State Administration of Traditional Chinese Medicine are responsible for this respectively)

2. Promote the accelerated development of social-run medical care. Optimize the cross-sectoral approval of social-run medical institutions. Allow public hospitals to cooperate with private hospitals, and support the development of social-run medical care through medical consortiums, hierarchical diagnosis and treatment, and other forms of driving. It has formulated guiding documents to promote the development of clinics, revised basic standards for clinics, and launched pilot clinic construction in some cities.

(The National Development and Reform Commission and the National Health and Health Commission are respectively responsible for, with the participation of the Ministry of Finance, the Banking and Insurance Commission, and the State Administration of Traditional Chinese Medicine) to carry out the filing of Chinese medicine clinics. (The State Administration of Traditional Chinese Medicine is responsible for)

3, actively and steadily promote the physician multi-practice, improve the filing system, accelerate the promotion of the development of medical liability insurance, and synchronize and improve the regulatory mechanism. Guide and standardize the nurse multi-practice, "Internet +" nursing services and other new modes of new business to explore the development. (The National Health Commission, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, the China Banking and Insurance Regulatory Commission, and the State Administration of Traditional Chinese Medicine are responsible for this)

4. Promote the development of "Internet+Healthcare". Promote the construction of smart hospitals and universal health information platforms, and accelerate the promotion of medical institutions to realize diagnosis and treatment information **** enjoy. (The National Health Commission, the National Development and Reform Commission, and the State Administration of Traditional Chinese Medicine are responsible for this.) Formulate norms for the management of telemedicine services. (Responsible by the National Health and Health Commission) Improve the charging policy for Internet diagnosis and treatment, further improve the payment policy of medical insurance, and gradually incorporate qualified Internet diagnosis and treatment services into the scope of medical insurance payment.

(The National Health Insurance Bureau, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible for) vigorously promoting online services such as appointment booking for consultation and treatment in different time slots, intelligent medical guide triage, waiting reminders, test and examination result inquiries, inter-diagnostic settlements, and mobile payments. Promote the opening up of public**** information resources in key areas of healthcare to the outside world. Carry out pilot demonstration projects for smart health care services.

Promoting the construction of a national pilot healthcare big data center and industrial park. (National Health and Health Commission, National Development and Reform Commission, Ministry of Industry and Information Technology, State Administration of Traditional Chinese Medicine is responsible)

5, medical education synergy to deepen the reform of medical education. The implementation and improvement of health personnel training planning and related policies, improve the standardized training of residents and continuing education system. (The National Health Commission, the Ministry of Education, the Ministry of Human Resources and Social Security, and the State Administration of Traditional Chinese Medicine are responsible for this.) Promote the reform of the incentive mechanism for the training and use of general practitioners.

Strengthening the construction of general practitioners and pediatricians, expanding the scope of implementation of the special post program for general practitioners, continuing to carry out capacity enhancement training for county and rural health personnel, comprehensively pushing out the qualification examination for rural general practice assistants, carrying out the qualification examination for physicians with confirmed expertise in Chinese medicine, and deepening the reform of health titles.

(National Health and Health Commission, Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs, State Administration of Traditional Chinese Medicine is responsible for) continue to implement the free training of medical students in rural areas, and to strengthen the training of general medicine teachers. (Ministry of Education, Ministry of Finance, Ministry of Human Resources and Social Security, National Health Commission, State Administration of Traditional Chinese Medicine is responsible)

Extended Information

General Principles of Deepening the Reform of the Pharmaceutical and Healthcare System

I. Guiding Ideology of Deepening the Reform of the Pharmaceutical and Healthcare System. Taking Deng Xiaoping Theory and the important thought of "Three Represents" as the guidance, y implementing the scientific concept of development, starting from China's national conditions, drawing on international experience, focusing on the realization of the goal of basic medical and health services for all, and focusing on solving the problems of the people's most concerned, the most direct and the most realistic interests.

Adhering to the public welfare nature of public *** health care, adhering to the policy of prevention, focusing on rural areas, and giving equal importance to both traditional Chinese and Western medicine, implementing the separation of government affairs, management and administration, medicine, and profit-making and non-profit-making, reinforcing the government's responsibility and investment, improving the national health policy, perfecting the system, strengthening supervision and management, innovating the system and mechanism, encouraging the participation of the community, and building a basic medical and health system to cover both urban and rural residents, and continuously improving the health care services for all people. basic medical and healthcare system covering both urban and rural residents, continuously improving the health of the entire population, and promoting social harmony.

Second, deepen the reform of the medical and health system of the basic principles. Reform of the medical and health system must be based on national conditions, all from a practical point of view, adhere to the correct principles of reform.

1, adhere to the people-oriented, the maintenance of people's health rights and interests in the first place. Adhere to the medical and health services for the people's health purposes, to protect the people's health as the center, in order for everyone to enjoy basic medical and health services as the fundamental starting point and finishing point, from the design of the reform program, the establishment of the health system to the construction of the service system to follow the principle of public welfare, the basic medical and health care system as a public **** products to the whole population, and focus on solving the outstanding problems of the masses strongly reflected, and strive to achieve All people have medical treatment.

2, adhere to the national conditions, the establishment of medical and health system with Chinese characteristics. Adhere to the basic national conditions, realistically summarize the practical experience of the reform and development of medicine and health, accurately grasp the laws of medicine and health development and the main contradictions; adhere to the level of basic medical and health services in coordination with economic and social development, and the affordability of the people.

To give full play to the role of traditional Chinese medicine (ethnomedicine); adhere to local conditions, classified guidance, and give full play to local enthusiasm, and explore the establishment of a basic medical and health system in line with national conditions.

3. Adhere to the unity of fairness and efficiency, and the combination of government-led and the role of market mechanisms. Strengthen the government's responsibility in the basic medical and health care system, enhance the government's responsibilities in the system, planning, financing, services, supervision, etc., to safeguard the public interest of public *** health care, and promote fairness and justice.

At the same time, focusing on the role of the market mechanism, mobilizing the participation of social forces, and promoting the formation of an orderly competition mechanism, to improve the efficiency of health care operations, the level and quality of services, and to meet the people's multi-level and diversified health care needs.

4, adhere to a comprehensive approach, combining the solution of the current outstanding problems with the improvement of the system. From a holistic perspective, we should coordinate urban, rural and regional development, take into account the interests of all parties, including the supply side and the demand side, focus on the combination of prevention, treatment and rehabilitation, and correctly deal with the relationship between the government, health institutions, pharmaceutical companies, medical personnel and the people.

Not only do we focus on the long term and innovate the system and mechanism, but we also base on the current situation and make efforts to solve the outstanding problems in the medical and health undertakings. Both focus on the overall design, clear overall reform direction and goals and the basic framework, but also highlight the key points, step-by-step implementation, and actively and steadily promote the reform.

Three, deepen the overall goal of the reform of the medical and health system. The establishment of a sound basic medical and health system covering urban and rural residents, to provide safe, effective, convenient and inexpensive medical and health services.

By 2011, the basic medical security system to fully cover urban and rural residents, the initial establishment of the basic drug system, urban and rural grassroots medical and health service system is further improved, the basic public **** health services have been popularized, the pilot reform of public hospitals to make a breakthrough, and significantly improve the accessibility of basic medical and health services, and effectively reduce the burden of the cost of medical care for the residents, and effectively ease the The problem of "difficult and expensive to see a doctor" has been effectively alleviated.

By 2020, the basic medical and health care system covering urban and rural residents will be basically established. The general establishment of 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 of medical and health institutions, the formation of a multi-dimensional pattern of running a medical practice, everyone enjoys basic medical and health care services, basically adapted to the people's multilevel demand for medical and health care, and the people's health level is further improved.

The Central People's Government of the People's Republic of China - Deepening the Reform of the Medical and Health Care System