20 14 is the first year of implementing the spirit of the Third Plenary Session of the 18th CPC Central Committee and comprehensively deepening the reform. It is also a crucial year for deepening the reform of the medical and health system. Adhere to the major issues reflected by the masses as the guidance, focus on the reform of public hospitals, further promote the linkage of medical care, medical insurance and medicine, consolidate and improve the basic drug system and the new mechanism for the operation of primary medical and health institutions, make overall plans to promote reforms in related fields, and solve the worldwide problem of medical reform with the China method. In view of the inefficiency of some public health service projects, the lagging information construction, the weak supervision ability of the medical and health industry, and the imperfect evaluation mechanism, we will intensify reforms in related fields, focus on enhancing the integrity, systematicness and coordination of reforms, and form a joint force to promote reforms. The key tasks are: (25) to improve the equalization system of public health services. Continue to implement the national basic public health service projects, raise the per capita basic public health service funding standard to 35 yuan, and refine and optimize the service projects and service contents. Improve the division of labor and cooperation mechanism between professional public health institutions and primary medical and health institutions, strengthen project performance appraisal and daily management, standardize fund management and use, and pay attention to service effect. Focus on providing basic public health services for floating population, left-behind children and the elderly in rural areas. Optimize and integrate maternal and child health care and family planning technical service resources, promote the national free pre-pregnancy eugenics health examination program, and further strengthen the comprehensive prevention and control of birth defects. Implement major national public health service projects. Further strengthen the ability of food safety risk monitoring and the construction of major disease prevention and control facilities. The vaccination rate of school-age children in the national immunization program has remained above 90%, with 80 million patients with hypertension and 25 million patients with diabetes respectively, and the management rate of patients with severe mental disorders has reached over 65%. (The Health and Family Planning Commission, the Ministry of Finance, the Development and Reform Commission and the Bureau of Traditional Chinese Medicine are responsible) (26) Strengthening the construction of health information. Promote the standardization of medical and health information technology, and promote the use of electronic health records and electronic medical records of residents. Make full use of existing resources and strengthen telemedicine services for grassroots and remote areas. Formulate policies and measures to promote telemedicine services. The pilot areas for comprehensive reform of county-level public hospitals should speed up information construction. 50% of the regional information platforms realize the integration of population information, electronic health records and electronic medical records, and realize the interconnection of public health, family planning, medical services, medical security, drug management and comprehensive management. Demonstration was carried out in 15 provinces and 45 large hospitals, and an inter-agency and inter-regional mechanism for residents' health and medical information was gradually established. (The Health and Family Planning Commission, the Development and Reform Commission, the Ministry of Industry and Information Technology and the Bureau of Traditional Chinese Medicine are responsible) (27) Establish a talent training mechanism that adapts to the characteristics of the industry. Promote the standardized training system for residents and strengthen the training of general practitioners. The government gives necessary subsidies to the infrastructure construction, equipment purchase, teaching practice activities, social recruitment and training objects appointed by the unit of the training base built and set according to the plan, and the central government gives appropriate support through special transfer payment. All localities should give full play to the role of existing resources in the training of medical talents. Continue to arrange for in-service practicing doctors in township hospitals in the central and western regions to participate in general practitioner transfer training. Continue to promote the pilot reform of general practitioners' practice methods and service models, and start pilot monitoring and evaluation. Focus on the first batch of 1000 general practitioners. Study and implement the special post plan of county-level public hospitals, and introduce urgently needed high-level talents. Deepen the reform of medical education, and establish a regulation mechanism to effectively link the scale and structure of medical personnel training with the development needs of medical and health undertakings. Implementing the project of inheriting traditional Chinese medicine and innovating talents. (The Health and Family Planning Commission, Ministry of Human Resources and Social Security, the Ministry of Finance, the Ministry of Education and the Bureau of Traditional Chinese Medicine are responsible) (28) Strengthen the supervision of the whole medical and health industry. All medical and health institutions accept the unified access and supervision of the local health and family planning administrative departments. Optimize the supervision mechanism, improve the supervision system, innovate the supervision means, strengthen the top-level design of the comprehensive medical and health supervision system, improve the comprehensive supervision ability, and strengthen supervision and law enforcement. Further rectify the medical order and crack down on illegal medical practice. Implement the "Nine Prohibitions" for the construction of medical ethics, strictly regulate the behavior of medical services, correct unhealthy practices in medical services, and seriously investigate and deal with behaviors such as accepting "red envelopes", kickbacks, and excessive medical care. Accelerate the development of third-party mediation mechanisms such as people's mediation of medical disputes, improve the mechanism for handling medical disputes and sharing medical risks, crack down on medical-related crimes according to law, and strive to build an equal, healthy and harmonious doctor-patient relationship. Give play to the role of social organizations, establish a supervision system of information disclosure and social participation, and take the initiative to accept the supervision of the people and all walks of life. Formulate guiding documents to control the unreasonable and excessive growth of medical expenses. (The Health and Family Planning Commission, the Development and Reform Commission, the Ministry of Industry and Information Technology, the Ministry of Finance, Ministry of Human Resources and Social Security, the Food and Drug Administration, the Bureau of Traditional Chinese Medicine and the China Insurance Regulatory Commission are responsible) (29) Establish and improve the assessment mechanism. Carry out the mid-term evaluation of the implementation plan for deepening the reform of the medical and health system and the annual medical reform monitoring during the Twelfth Five-Year Plan period, and do a good job in implementing the medical reform policy. Formulate an evaluation index system for the comprehensive reform effect of county-level public hospitals, and strengthen the monitoring, evaluation and guidance of the pilot areas. Study and formulate guidance documents for performance evaluation of medical and health institutions. (Health and Family Planning Commission, Ministry of Human Resources and Social Security, Ministry of Finance, Development and Reform Commission and Bureau of Traditional Chinese Medicine are responsible) (30) Strengthen scientific and technological and industrial support. Carry out pilot demonstration work of major chronic disease prevention and control research network. Further strengthen the organization and promotion of pharmaceutical product research and development, and strive to improve the quality of basic drugs and the localization of basic medical device products. Strengthen the integrated application, demonstration and popularization of medical and health science and technology innovation achievements at the grassroots level. Support the development of strategic, directional and supportive major policy research on medical reform. Formulate policies and measures to support the independent research and development, manufacturing and localization of health care products for the elderly and the disabled, promote a number of biotechnology drugs, vaccines and medical devices with wide coverage and high clinical value, improve the level of industrialization and expand market application. (The Ministry of Science and Technology and the Development and Reform Commission are respectively responsible, with the participation of the Ministry of Industry and Information Technology, the Health and Family Planning Commission, the Food and Drug Administration and the Bureau of Traditional Chinese Medicine) (31) Strengthen organizational leadership. The State Council medical reform leading group and provincial medical reform leading group, all member units should strengthen overall coordination, and earnestly do a good job in the organization and implementation of medical reform. Strengthen the investigation and study of key and difficult issues in medical reform, improve policies and measures, and do a good job in top-level design. Timely evaluate and summarize good practices and experiences in various places, summarize and refine mature reform measures, and formulate corresponding systems and regulations in a timely manner. Strengthen the propaganda of medical reform, do a good job in public opinion monitoring, guide the masses to expect reasonably, and respond to social concerns. All localities and departments should continue to support the military health system to participate in deepening medical reform. (Health and Family Planning Commission, Publicity Department of the Communist Party of China, National Research Office, Legislative Affairs Office, Ministry of Health of the General Logistics Department, etc.). )
Attachment: Division of work and timetable for some key tasks