1. Deepen the reform in the field of traditional Chinese medicine.
1. Establish an evaluation system that conforms to the characteristics of traditional Chinese medicine.
Establish and improve a scientific and reasonable evaluation system for traditional Chinese medicine medical institutions, distinctive talents, clinical efficacy, and scientific research results. Improve the performance evaluation mechanism of public TCM hospitals, and carry out performance evaluation of third-level and second-level public TCM hospitals on a regular basis. Improve the standards and access systems for various TCM clinical teaching bases. Establish and improve a talent evaluation system that is in line with the characteristics of traditional Chinese medicine, strengthen the assessment of traditional Chinese medicine thinking and clinical abilities, and regard medical treatment and good treatment as the main evaluation content of traditional Chinese medicine physicians. Research and establish a recognition and reward system for traditional Chinese medicine talents. Research and optimize the clinical efficacy evaluation system of traditional Chinese medicine, and explore and formulate evaluation indicators that are consistent with the laws of traditional Chinese medicine. Improve the scientific research evaluation mechanism that is conducive to traditional Chinese medicine innovation through peer review and the introduction of third-party evaluation.
2． Improve the modern hospital management system.
Establish a modern hospital management system that embodies the characteristics of traditional Chinese medicine hospitals, implement the director responsibility system under the leadership of the party committee, promote the development mode of public traditional Chinese medicine hospitals from scale expansion to improving quality and efficiency and the development of traditional Chinese medicine connotations and characteristics, and operate The model has shifted from extensive management to refined management, and resource allocation has shifted from focusing on material factors to paying more attention to talent and technical factors. Promote the reform of the personnel management system and salary distribution system of public traditional Chinese medicine hospitals and implement the "two permissions" requirements. Implement the chief accountant system for public traditional Chinese medicine hospitals. Establish and improve the traditional Chinese medicine medical quality management and control system, and promote the construction of a traditional Chinese medicine medical record quality control center and a traditional Chinese medicine pharmaceutical management quality control center. Improve the nosocomial infection prevention and control system of traditional Chinese medicine hospitals. Build a harmonious doctor-patient relationship, improve the working environment and conditions of TCM medical staff, and create a good atmosphere of respect for TCM in the whole society.
3. Improve traditional Chinese medicine prices and medical insurance policies.
Establish a health technology evaluation system for traditional Chinese medicine medical services based on clinical value and technical labor value and reflecting the characteristics of traditional Chinese medicine, and optimize the price policy for traditional Chinese medicine medical services. In the dynamic adjustment of medical service prices, traditional Chinese medicine medical service items should be mainly considered. Traditional Chinese medicine pieces and preparations processed and used by medical institutions shall be independently priced, and those that meet the conditions shall be included in the payment scope of basic medical insurance according to procedures. Improve the market competition environment and guide the formation of a quality-oriented market price mechanism for traditional Chinese medicine pieces. Eligible traditional Chinese medicine medical services and traditional Chinese medicines will be included in the payment scope of basic medical insurance according to procedures. Explore medical insurance payment methods that are consistent with the characteristics of traditional Chinese medicine, select and publish the dominant diseases of traditional Chinese medicine, and encourage the implementation of traditional Chinese and Western medicine with the same effect and price for the same disease. Generally, TCM diagnosis and treatment items can continue to be paid on a per-item basis. Continue to deepen the research on the participation of traditional Chinese medicine in daily bed payment and capitation payment. Support insurance companies and traditional Chinese medicine institutions to cooperate in providing health management services, and encourage commercial insurance institutions to develop insurance products such as traditional Chinese medicine for preventing diseases.
4． Reform and improve the registration management of traditional Chinese medicines.
Optimize the clinical evidence system of traditional Chinese medicine, establish an evidence system for registration review of traditional Chinese medicine that combines traditional Chinese medicine theory, human experience and clinical trials, and actively explore the establishment of a real-world research evidence system for traditional Chinese medicine. Explore the registration and approval management of traditional Chinese medicine preparations, and optimize the registration management of traditional Chinese medicine preparations in medical institutions. Promote the formulation and release of catalogs of ancient classic prescriptions, and speed up the verification of key information on collected prescriptions.
5. Promote comprehensive reform in the field of traditional Chinese medicine. Construct about 10 national comprehensive reform demonstration zones of traditional Chinese medicine, encourage pilot trials in service models, industrial development, quality supervision, etc., and create a high-quality development highland for traditional Chinese medicine undertakings and industries. Carry out the creation of national demonstration cities (counties) for grassroots TCM work. Carry out pilot projects to promote the inheritance, innovation and development of traditional Chinese medicine through the linkage of medical care, medical insurance and medicine, carry forward the pioneering spirit at the grassroots level, and improve medical reform policies that better leverage the characteristics and advantages of traditional Chinese medicine.
2. Strengthen support and guarantee for the development of traditional Chinese medicine.
1. Improve the informatization level of traditional Chinese medicine.
Rely on existing resources to continue to promote the construction of national and provincial traditional Chinese medicine data centers. Optimize and upgrade the health information platform of traditional Chinese medicine clinics and expand the scope of connectivity. Implement the standards and normative requirements for hospital informatization construction, and promote the standardized integration of the health information platform of traditional Chinese medicine hospitals and traditional Chinese medicine centers into the national health information platform.
Strengthen the security protection of key information infrastructure and data application services, and enhance the application of independent and controllable technologies. Carry out grading evaluation of the application level of electronic medical record systems and evaluation of the standardization maturity of hospital information interconnection. Encourage the development and application of information systems with traditional Chinese medicine characteristics such as intelligent auxiliary diagnosis and treatment systems for TCM syndrome differentiation and treatment.
2． Establish a national comprehensive statistical system for traditional Chinese medicine.
Gradually improve the statistical direct reporting system and establish a mechanism for sharing health statistical information. Strengthen the construction of a comprehensive statistical talent team, build a unified and standardized national TCM data standard and resource directory system, build a national and provincial TCM comprehensive statistical information platform, establish a regular release mechanism for statistical data, and steadily promote the sharing and openness of data resources.
3. Strengthen the legal construction of traditional Chinese medicine.
Deeply promote the implementation of the Traditional Chinese Medicine Law and improve the supporting systems related to the Traditional Chinese Medicine Law. Promote the formulation and revision of relevant laws, regulations and rules, and strengthen guidance on the construction of local regulations. Further promote the implementation of the National People's Congress Standing Committee's inspection report and review opinions on the law enforcement of Traditional Chinese Medicine Law. Establish a bad practice record system, and include the integrity management and practice of institutions that provide traditional Chinese medicine health services and their personnel into the national credit information sharing platform in accordance with laws and regulations. Strengthen the supervision and law enforcement of traditional Chinese medicine, improve the long-term mechanism, implement law enforcement responsibilities, strengthen personnel training, improve supervision and law enforcement regulations, and comprehensively improve the ability and level of traditional Chinese medicine supervision.
4． Deepen the integrated military-civilian development of traditional Chinese medicine. Strengthen cooperation between the military and civilian parties in the construction of traditional Chinese medicine disciplines, scientific and technological innovation, and personnel training, improve working mechanisms and policies and measures, unblock information exchange channels, accelerate the comprehensive construction and development of military traditional Chinese medicine disciplines, and improve the overall support level of military traditional Chinese medicine.
Legal Basis
"The 14th Five-Year Plan for the Development of Traditional Chinese Medicine"
During the "13th Five-Year Plan", the top-level design for the development of traditional Chinese medicine has been accelerated and improved, and policies The environment continues to be optimized and support continues to increase. In 2017, the Traditional Chinese Medicine Law was implemented. In 2019, the Central Committee of the Communist Party of China and the State Council issued the "Opinions on Promoting the Inheritance and Innovative Development of Traditional Chinese Medicine", and the State Council held a National Conference on Traditional Chinese Medicine. The TCM service system has been further improved. By the end of 2020, there were 5,482 TCM hospitals nationwide, the number of public TCM hospital beds per 1,000 people reached 0.68, the number of TCM practicing (assistant) physicians in health institutions per 1,000 people reached 0.48, and 99 communities Health service centers, 98% of township health centers, 90.6% of community health service stations, and 74.5% of village clinics can provide traditional Chinese medicine services. The proportion of second-level and above public general hospitals with TCM clinical departments reached 86.75, and registered TCM clinics reached 26,000. Home. The inheritance and development capabilities of traditional Chinese medicine have been continuously enhanced. Clinical research on the prevention and control of cardiovascular and cerebrovascular diseases, diabetes and other major chronic diseases and major infectious diseases with traditional Chinese medicine has made positive progress. Researcher Tu Youyou won the highest national science and technology award, and the traditional Chinese medicine talent training system continues to improve. , the standardization of Chinese patent medicines and Chinese herbal medicine products has been solidly advanced, the fourth national survey of Chinese medicine resources has been basically completed, and the citizens’ health and cultural literacy level of Chinese medicine has reached 20.69. The open development of traditional Chinese medicine has achieved positive results and has spread to 196 countries and regions. The total import and export trade of traditional Chinese medicine commodities has increased significantly. Especially since the outbreak of the new coronavirus pneumonia, we have adhered to the integration of traditional Chinese and Western medicine and the use of both traditional Chinese and Western medicine. Traditional Chinese medicine has fully participated in the prevention, control and treatment of the epidemic and made important contributions.
Currently, the global COVID-19 epidemic is still in a pandemic state, new infectious diseases are constantly emerging, the incidence of chronic diseases in my country is generally on the rise, and the prevention and control situation of traditional infectious diseases is still severe. With the economic and social development and improvement of living standards, the people pay more attention to life safety and health quality, and their health needs are growing and showing diversified and differentiated characteristics. To effectively respond to various health challenges and better meet the health needs of the people, it is urgent to accelerate the development of traditional Chinese medicine and better leverage its unique advantages in building a healthy China.
At the same time, it should also be noted that the problem of unbalanced and inadequate development of traditional Chinese medicine is still prominent, high-quality medical service resources for traditional Chinese medicine are generally insufficient, grassroots traditional Chinese medicine service capabilities are still weak, the synergy of traditional Chinese medicine and western medicine is not enough, and traditional Chinese medicine participates in public health and emergency treatment mechanisms need to be improved, inheritance and innovation capabilities need to be continuously enhanced, the quality of traditional Chinese medicine materials varies, the quality of training talents with traditional Chinese medicine characteristics still needs to be improved, and the policy system that conforms to the characteristics of traditional Chinese medicine needs to be further improved.