The full text of Opinions 13000 words is divided into six parts, including: 1. Fully understand the importance, urgency and arduousness of deepening the reform of medical and health system; The second is to deepen the guiding ideology, basic principles and overall objectives of the reform of the medical and health system; Third, improve the four major medical and health systems and establish a basic medical and health system covering urban and rural residents; Fourth, improve the system and mechanism to ensure the effective and standardized operation of the medical and health system; Five, focus on five key reforms, and strive to achieve remarkable results in the near future; Six, actively and steadily promote the reform of the medical and health system.
Opinions of the Central Committee of the State Council on Deepening the Reform of Medical and Health System
March 2009 17
According to the spirit of the 17th National Congress of the Communist Party of China, in order to establish a medical and health system with China characteristics, gradually realize the goal of everyone enjoying basic medical and health services, and improve the health level of the whole people, we hereby put forward the following opinions on deepening the reform of the medical and health system.
First, fully understand the importance, urgency and arduousness of deepening the reform of the medical and health system
Medical and health care is related to the health of hundreds of millions of people and the happiness of thousands of families, and it is a major livelihood issue. Deepening the reform of medical and health system, speeding up the development of medical and health undertakings, adapting to the people's growing medical and health needs, and constantly improving the people's health quality are inevitable requirements for implementing Scientific Outlook on Development and promoting comprehensive, coordinated and sustainable economic and social development, important measures for safeguarding social fairness and justice and improving people's quality of life, and important tasks for building a well-off society in an all-round way and a harmonious socialist society.
Since the founding of New China, especially since the reform and opening up, China's medical and health undertakings have made remarkable achievements. The medical and health service system covering urban and rural areas has basically taken shape, the ability of disease prevention and control has been continuously enhanced, the population covered by medical security has gradually expanded, the level of health science and technology has been rapidly improved, and the people's health level has been significantly improved. The main health indicators of residents rank among the top in developing countries. Especially since the great victory in the fight against SARS, governments at all levels have increased investment, the development of public health, rural medical care and urban community health has accelerated, and the new rural cooperative medical care and basic medical insurance for urban residents have made breakthroughs, laying a good foundation for deepening the reform of the medical and health system. At the same time, we should also see that the contradiction between the development level of China's medical and health undertakings and the people's health needs and the requirements of coordinated economic and social development is still outstanding. The development of medical and health undertakings in urban and rural areas and regions is unbalanced, the allocation of resources is unreasonable, public health and rural and community medical and health work are relatively weak, the medical security system is not perfect, the order of drug production and circulation is not standardized, the hospital management system and operation mechanism are not perfect, the government's health investment is insufficient, the medical expenses are rising too fast, the personal burden is too heavy, and the people reflect strongly.
From now until 2020, it is a crucial period for China to build a well-off society in an all-round way, and medical and health work has a long way to go. With the development of economy and the improvement of people's living standards, the masses will have higher requirements for improving medical and health services. Industrialization, urbanization, aging population, changes in disease spectrum and ecological environment all bring a series of new and severe challenges to medical and health work. Deepening the reform of medical and health system is a strategic choice to accelerate the development of medical and health undertakings, an important way to realize people's enjoyment of the fruits of reform and development, and an urgent desire of the broad masses of the people.
Deepening the reform of medical and health system is a social systematic project involving a wide range and great difficulty. China has a large population, a low per capita income level, a large gap between urban and rural areas and regions, and is in the primary stage of socialism for a long time, which determines that deepening the reform of the medical and health system is a very complicated and arduous task and a gradual process. Through long-term efforts and unremitting exploration, a medical and health system in line with China's national conditions should be established on the basis of a clear direction and framework. Therefore, to deepen the reform of the medical and health system, we should not only make firm determination and make solid progress, but also carefully organize and implement it steadily to ensure the smooth progress of the reform and achieve the expected goals.
Second, the guiding ideology, basic principles and overall objectives of deepening the reform of the medical and health system
(1) The guiding ideology for deepening the reform of the medical and health system. Guided by Deng Xiaoping Theory and Theory of Three Represents, we will thoroughly implement the Scientific Outlook on Development, proceed from China's national conditions and learn from international beneficial experience, and strive to achieve the goal of universal access to basic medical and health services and solve the most concerned, direct and realistic interests of the people. Adhere to the public welfare nature of public health, adhere to the policy of giving priority to prevention, focusing on rural areas, and paying equal attention to traditional Chinese and western medicine, implement separation of government affairs, management, medicine, profit-making and non-profit, strengthen government responsibility and investment, improve national health policy, improve institutional system, strengthen supervision and management, innovate institutional mechanisms, encourage social participation, build a basic medical and health system covering urban and rural residents, and continuously improve the health level of the whole people and promote social harmony.
(2) Basic principles for deepening the reform of the medical and health system. The reform of medical and health system must be based on the national conditions, proceed from reality and adhere to the correct reform principles.
-adhere to the people-oriented principle and give priority to safeguarding people's health rights and interests. Adhere to the purpose of medical and health services for people's health, take the protection of people's health as the center, and take everyone's access to basic medical and health services as the fundamental starting point and foothold. From the design of reform scheme, the establishment of health system to the construction of service system, we should follow the principle of public welfare, provide the basic medical and health system as a public product to the whole people, focus on solving outstanding problems strongly reflected by the masses, and strive to achieve universal medical care.
-Adhere to the national conditions and establish a medical and health system with China characteristics. Adhere to the basic national conditions, sum up the practical experience of medical and health reform and development in a realistic way, and accurately grasp the laws and main contradictions of medical and health development; Adhere to the coordination of basic medical and health services with economic and social development and people's affordability; Give full play to the role of traditional Chinese medicine (ethnic medicine); Adhere to local conditions, classified guidance, give full play to local enthusiasm, and explore the establishment of a basic medical and health system in line with national conditions.
-Adhere to the unity of fairness and efficiency, and combine the role of government-led and market mechanisms. Strengthen the government's responsibility in the basic medical and health system, strengthen the government's responsibility in system, planning, financing, service and supervision, safeguard the public welfare of public medical and health, and promote fairness and justice. At the same time, pay attention to the role of market mechanism, mobilize social forces to participate, promote the formation of an orderly competition mechanism, improve the operational efficiency, service level and quality of medical and health care, and meet the multi-level and diversified medical and health needs of the people.
-Adhere to overall planning, and combine solving current outstanding problems with improving the institutional system. Proceed from the overall situation, coordinate urban and rural and regional development, take into account the interests of all parties such as supply side and demand side, pay attention to the combination of prevention, treatment and rehabilitation, and correctly handle the relationship between the government, health institutions, pharmaceutical enterprises, medical personnel and the people. We should not only focus on the long-term, innovate the system and mechanism, but also focus on solving the outstanding problems in medical and health undertakings based on the current situation. Pay attention to the overall design, define the overall reform direction, objectives and basic framework, highlight key points, implement them step by step, and actively and steadily promote the reform.
(3) The overall goal of deepening the reform of the medical and health system. Establish and improve the basic medical and health system covering urban and rural residents, and provide safe, effective, convenient and cheap medical and health services for the masses.
By 20 1 1, the basic medical security system will cover all urban and rural residents, the basic drug system will be initially established, the urban and rural primary medical and health service system will be further improved, basic public health services will be popularized, breakthroughs will be made in the pilot reform of public hospitals, the accessibility of basic medical and health services will be significantly improved, the burden of medical expenses for residents will be effectively reduced, and the problem of "difficult and expensive medical treatment" will be effectively alleviated.
By 2020, a basic medical and health system covering urban and rural residents will be basically established. We have generally established a relatively complete public health service system and medical service system, a relatively sound medical security system, a relatively standardized drug supply security system, and a more scientific management system and operation mechanism of medical and health institutions, thus forming a diversified medical service pattern. Everyone enjoys basic medical and health services, basically meeting the people's multi-level medical and health needs, and the people's health level has been further improved.
Third, improve the four medical and health systems and establish a basic medical and health system covering urban and rural residents.
We will build a public health service system, medical service system, medical security system and drug supply security system covering urban and rural residents, and form a "four-in-one" basic medical and health system. The four systems complement each other, supporting construction and coordinated development.
(4) comprehensively strengthen the construction of the public health service system. Establish and improve public health service networks such as disease prevention and control, health education, maternal and child health care, mental health, first aid, blood collection and supply, health supervision and family planning, improve the public health service function of the medical service system based on the primary health service network, establish a public health service system with clear division of labor, information exchange, resource sharing and coordination, and improve the level of public health.
Determine the scope of public health services. Clarify the national basic public health service items and gradually increase the service content. Encourage local governments to increase public health services on the basis of the service items specified by the central government according to the local economic development level and outstanding public health problems.
Improve the public health service system. Further clarify the functions, objectives and tasks of the public health service system, optimize the allocation of personnel and equipment, and explore effective forms of integrating public health service resources. We will improve the prevention and control system for major diseases and the emergency mechanism for public health emergencies, and strengthen the monitoring and prevention of infectious diseases, chronic diseases, endemic diseases, occupational diseases and birth defects that seriously threaten people's health. Strengthen the construction of urban and rural first aid system.
Strengthen health promotion and education. Medical and health institutions and institutions, schools, communities, enterprises, etc. We should vigorously carry out health education, make full use of various media, strengthen the dissemination of health and medical knowledge, advocate a healthy and civilized lifestyle, promote rational nutrition for the public, and improve people's health awareness and self-care ability.
Carry out the patriotic health campaign in depth. Incorporate rural environmental sanitation and environmental pollution control into the construction plan of new socialist countryside, promote the construction of sanitary cities and civilized villages and towns, and continuously improve the sanitary environment for urban and rural residents to live and work.
Strengthen health supervision services. Vigorously promote environmental health, food hygiene, occupational health, school health and migrant workers' health work.
(5) Further improve the medical service system. Adhere to the principle of non-profit medical institutions as the main body, for-profit medical institutions as the supplement, public medical institutions as the leading factor, and non-public medical institutions as the same development, and build a medical service system with reasonable structure covering urban and rural areas.
Vigorously develop the rural medical and health service system. Further improve the rural medical and health service network based on county hospitals, township hospitals and village clinics. As the medical and health center in the county, county hospitals mainly undertake basic medical services and emergency rescue, and undertake professional technical guidance and further training for health personnel in township hospitals and village clinics; Township health centers are responsible for providing public health services and comprehensive services such as diagnosis and treatment of common diseases and frequently-occurring diseases, and undertaking business management and technical guidance for village clinics; Village clinics undertake public health services and diagnosis and treatment of general diseases in administrative villages. Conditional rural areas implement integrated rural management. Actively promote rural medical and health infrastructure and capacity building, the government focuses on running county-level hospitals, setting up a health center in each township, supporting various forms of village clinic construction, making every administrative village have a village clinic, and vigorously improving rural medical and health conditions and improving service quality.
Improve the new urban medical and health service system based on community health service. Accelerate the construction of urban community health service network with community health service centers as the main body, improve service functions, and provide public health services such as disease prevention and control, basic diagnosis and treatment services for common and frequently-occurring diseases, chronic disease management and rehabilitation services centered on maintaining the health of community residents. Change the mode of community health service, continuously improve the service level, adhere to active service and door-to-door service, and gradually assume the responsibility of "gatekeeper" of residents' health.
Improve the functions and responsibilities of various hospitals. Optimize the layout and structure, and give full play to the backbone role of urban hospitals in the diagnosis and treatment of critical and difficult diseases, medical education and scientific research, and guidance and training of grassroots health personnel. Conditional large hospitals can promote the rational flow of medical resources through trusteeship and reorganization in accordance with the requirements of regional health planning.
Establish a division of labor and cooperation mechanism between urban hospitals and community health service institutions. City hospitals promote the sustainable development of community health services through technical support and personnel training. At the same time, comprehensive measures such as enhancing service capacity, lowering charging standards and increasing reimbursement ratio will be taken to guide the general diagnosis and treatment to sink to the grassroots level, and gradually realize the first consultation in the community, graded medical care and two-way referral. Integrate urban health resources, make full use of existing primary and secondary hospitals, medical institutions affiliated to state-owned enterprises and institutions and medical institutions organized by social forces, and develop and improve the community health service network.
Give full play to the role of traditional Chinese medicine (ethnic medicine) in disease prevention and control, response to public health emergencies and medical services. Strengthen the construction of clinical research bases and hospitals of traditional Chinese medicine, and organize joint research on the prevention and treatment of difficult diseases with traditional Chinese medicine. In the primary medical and health services, vigorously promote the appropriate technology of traditional Chinese medicine. Adopt policies to support the development of traditional Chinese medicine and promote the inheritance and innovation of traditional Chinese medicine.
Establish a system for urban hospitals to support rural medical and health work. Developed areas should strengthen their support for the development of medical and health undertakings in poor areas and ethnic minority areas. Hospitals in big cities should establish a long-term and stable counterpart support and cooperation system with county hospitals, and help county hospitals improve their medical level and service ability through clinical services, personnel training, technical guidance and equipment support.
(6) Accelerate the construction of medical security system. Accelerate the establishment and improvement of a multi-level medical security system covering urban and rural residents, with basic medical security as the main body and other forms of supplementary medical insurance and commercial health insurance as supplements.
Establish a basic medical security 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 constitute the basic medical security system, covering urban employed population, urban unemployed population, rural population and urban and rural poor population respectively. Adhere to the principle of wide coverage, basic protection and sustainability, starting from the key protection of serious and serious diseases, and gradually extending to outpatient minor diseases, and constantly improving the level of protection. Establish a multi-channel financing mechanism with clear and reasonable responsibilities of the state, units, families and individuals to realize social mutual assistance and economic assistance. With the development of economy and society, we will gradually improve the level of financing and overall planning, narrow the gap in the level of security, and finally realize the basic unity of the institutional framework. Further improve the basic medical insurance system for urban workers, speed up the coverage of the employed population, and focus on solving the basic medical insurance problems for employees and retirees such as state-owned closed and bankrupt enterprises and difficult enterprises, as well as employees of non-public economic organizations and flexible employees; In 2009, comprehensively promote the basic medical insurance for urban residents, focusing on solving the basic medical insurance problems for the elderly, the disabled and children; Fully implement the new rural cooperative medical system, gradually increase the level of government subsidies, appropriately increase farmers' contributions, and improve the security capacity; We will improve the urban and rural medical assistance system, subsidize the people who have difficulties in participating in insurance and the medical expenses they cannot afford, and build a solid medical security bottom line. Explore the establishment of a basic medical security management system that integrates urban and rural areas.
Encourage social organizations such as trade unions to carry out various forms of medical mutual assistance activities. Encourage and guide all kinds of organizations and individuals to develop social charitable medical assistance.
Do a good job in connecting 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. Focusing on urban and rural migrant workers, we will actively do a good job in the transfer and continuation of the basic medical insurance relationship, and improve the settlement service for medical treatment in different places with the focus on resettling retirees in different places. Properly solve the problem of basic medical insurance for migrant workers. Migrant workers who sign labor contracts with enterprises and establish stable labor relations shall clarify the payment responsibilities of employers in accordance with state regulations and incorporate them into the basic medical insurance system for urban workers; Other migrant workers, according to the actual situation, participate in the new rural cooperative medical system where the household registration is located or the basic medical insurance for urban residents where they work.
Actively develop commercial health insurance. Encourage commercial insurance institutions to develop health insurance products that meet different needs, simplify claims procedures, facilitate the masses and meet diversified health needs. Encourage enterprises and individuals to meet the needs beyond basic medical insurance by participating in commercial insurance and various forms of supplementary insurance. On the premise of ensuring the safety and effective supervision of the fund, actively advocate the way for the government to purchase medical security services, and explore entrusting qualified commercial insurance institutions to handle various medical security management services.
(seven) to establish and improve the drug supply security system. Accelerate the establishment of a drug supply security system based on the national basic drug system to ensure the safety of people's medication.
Establish a national system of essential drugs. The central government uniformly formulates and publishes the national list of essential drugs, and reasonably determines the varieties and quantities in accordance with the principles of prevention and control, safety and effectiveness, reasonable price, convenient use and equal emphasis on Chinese and western medicines, combined with the characteristics of drug use in China and referring to international experience. Establish a guarantee system for the production and supply of essential drugs, give full play to the role of the market mechanism under the macro-control of the government, implement open bidding and procurement of essential drugs, unify distribution, reduce intermediate links, and ensure people's basic drugs. The state sets the guiding retail price of essential drugs, and within the guiding price, the provincial people's government determines the unified purchase price in the region according to the bidding situation. Standardize the use of essential drugs, formulate guidelines for clinical application of essential drugs and prescription sets of essential drugs. Basic medical and health institutions in urban and rural areas should all be equipped with and use basic drugs, and other medical institutions should also take basic drugs as the first choice and determine the proportion of use. All essential drugs are included in the reimbursement list of basic medical insurance drugs, and the reimbursement ratio is significantly higher than that of non-essential drugs.
Standardize the production and circulation of drugs. Improve the pharmaceutical industry development policy and industry development planning, strictly market access and drug registration and approval, vigorously standardize and rectify the production and circulation order, promote pharmaceutical enterprises to improve their independent innovation ability and optimize and upgrade the pharmaceutical industry structure, develop modern pharmaceutical logistics and chain operation, and promote the integration of pharmaceutical production and circulation enterprises. Establish a rural drug supply network convenient for farmers. Improve the drug reserve system. Support the production of special drugs and small-dose emergency drugs. Standardize drug procurement and resolutely control commercial bribery in drug purchase and sale. Strengthen the monitoring of adverse drug reactions and establish an early warning and emergency mechanism for drug safety.
Fourth, improve the system and mechanism to ensure the effective and standardized operation of the medical and health system.
Improve the management, operation, investment, price and supervision system and mechanism of medical and health care, strengthen the construction of science and technology, talents, information and legal system, and ensure the effective and standardized operation of the medical and health system.
(eight) to establish a coordinated and unified medical and health management system. Implement localization and industry-wide management. All medical and health institutions, regardless of ownership, investors, affiliation and business nature, are uniformly planned, accessed and supervised by the local health administrative department. The central and provincial governments may set up a small number of medical centers or regional medical centers that undertake medical research and teaching functions, as well as specialized hospitals and other medical institutions that undertake the diagnosis and treatment of difficult diseases in their own countries or regions; County (city) is mainly responsible for holding county-level hospitals, rural health and community health service institutions; The rest of the public hospitals are organized by the city.
Strengthen regional health planning. The people's governments at the provincial level shall formulate standards for the allocation of health resources, organize the preparation of regional health plans and plans for the establishment of medical institutions, and clarify the number, scale, layout and functions of medical institutions. Scientifically formulate the standards for the construction and equipment allocation of primary medical and health institutions such as township hospitals (village clinics) and community health service centers (stations) and hospitals at all levels. Make full use of and optimize the allocation of existing medical and health resources, gradually integrate medical institutions that do not meet the planning requirements, strictly control the allocation of large medical equipment, encourage the construction of * * *, and improve the utilization efficiency of medical and health resources. New health resources must conform to the regional health planning, focusing on weak links such as rural and community health. Strengthen the connection between regional health planning, urban and rural planning and overall land use planning. Establish a supervision and evaluation mechanism for regional health planning and resource allocation.
Promote the reform of the management system of public hospitals. In order to strengthen the public welfare of public hospitals and the effective supervision of the government, we should actively explore various forms of separation of government affairs and management. To further transform government functions, the health administrative department mainly undertakes industry management functions such as health development planning, qualification access, standardization and service supervision, and other relevant departments manage and provide services according to their respective functions. Implement the independent legal person status of public hospitals.
Further improve 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 the implementation and management, and creating conditions to gradually improve the overall level. Effectively integrate basic medical insurance resources and gradually realize the unification of urban and rural basic medical insurance agencies.
(nine) to establish an efficient and standardized operating mechanism of medical and health institutions. The revenue and expenditure of public health institutions are all included in the budget management. According to the responsibilities and tasks undertaken, the government should reasonably determine the staffing, salary level and funding standard, clarify the post responsibilities of all kinds of personnel, strictly enforce personnel access, strengthen performance appraisal, establish an employment system that can enter and exit, and improve work efficiency and service quality.
Change the operating mechanism of primary medical and health institutions. Grass-roots medical and health institutions such as urban community health service centers (stations) and township hospitals organized by the government should strictly define the service functions, clearly stipulate the use of appropriate technologies, appropriate equipment and basic drugs, provide low-cost services for the masses, and safeguard the public welfare nature. It is necessary to strictly verify the staffing, implement the personnel employment system, and establish an effective human resource management system that can enter and exit. It is necessary to clarify the scope and standards of revenue and expenditure, implement financial management methods such as approved tasks, approved revenue and expenditure, performance appraisal subsidies, explore various effective management methods such as two lines of revenue and expenditure, prepayment of total public health and medical security funds, strictly manage revenue and expenditure budgets, and improve the efficiency of fund use. It is necessary to reform the drug addition policy and implement zero-difference sales of drugs. Strengthen and improve internal management, establish an assessment and incentive system based on service quality and post responsibility performance, and form a long-term mechanism to ensure fairness and efficiency.
Establish a standardized operating mechanism of public hospitals. Public hospitals should follow the principles of public welfare and social benefits, adhere to the patient-centered, optimize service processes, and standardize drug use, inspection and medical behavior. Deepen the reform of operating mechanism, establish and improve the corporate governance structure of hospitals, clarify the responsibilities and rights of owners and managers, and form a mechanism with checks and balances, responsibilities, incentives, constraints, competition and vitality in decision-making, implementation and supervision. Promote the separation of medicine from medicine, actively explore various effective ways, and gradually reform the mechanism of supplementing medicine with medicine. Gradually reform or cancel the drug addition policy by implementing the differential price increase between drug purchase and sale and setting up pharmaceutical service fees, and at the same time take appropriate measures such as adjusting the price of medical services, increasing government investment and reforming payment methods to improve the compensation mechanism of public hospitals. Further improve the financial accounting management system, strict budget management, and strengthen financial supervision and operational supervision. All localities can, in combination with local conditions, carry out pilot projects of various management measures such as "fixing expenditure by income, offsetting expenditure by income, over-payment, differential subsidies and clear rewards and punishments" for qualified hospitals. Reform the personnel system, improve the distribution incentive mechanism, implement the employment system and post management system, strictly manage the total salary, implement the comprehensive performance appraisal and post performance salary system based on service quality and post workload, and effectively mobilize the enthusiasm of medical staff.
Improve the operating mechanism of medical insurance agencies. Improve the internal governance structure, establish a reasonable employment mechanism and distribution system, improve the incentive and restraint mechanism, and improve the management ability and efficiency of medical insurance.
(ten) to establish a government-led multi-health investment mechanism. Clarify the responsibility of government, society and individuals for health investment. Establish the leading position of the government in providing public health and basic medical services. Public health services are provided equally to urban and rural residents mainly through government financing. Basic medical services are reasonably shared by the government, society and individuals. Special medical services are paid directly by individuals or through commercial health insurance.
Establish and improve the government health input mechanism. Both the central government and local governments should increase investment in health, taking into account both supply and demand. Gradually increase the proportion of government health investment in total health expenditure, and effectively reduce the burden of basic medical and health expenses for individual residents; The growth rate of government health investment is higher than that of financial recurrent expenditure, which gradually increases the proportion of government health investment in financial recurrent expenditure. The new government health investment will focus on supporting public health, rural health, urban community health and basic medical security.
According to the principle of grading burden, the responsibility of health investment of central and local governments at all levels is reasonably divided. The local government bears the main responsibility, and the central government mainly subsidizes the national immunization program, cross-regional prevention and control of major infectious diseases, basic medical security for urban and rural residents and the construction of related public medical and health institutions. Increase the central and provincial special transfer payments to difficult areas.
Improve the government's investment mechanism in public health. Personnel funds, development, construction and business funds of professional public health service institutions shall be fully arranged by the government, and the service income obtained in accordance with the regulations shall be turned over to the financial special account or included in the budget management. Gradually increase the per capita public health expenditure and improve the guarantee mechanism of public health service expenditure.
Improve the government's investment mechanism in urban and rural primary medical and health institutions. The government is responsible for the basic construction funds, equipment purchase funds, personnel funds and business funds of public health services approved by township hospitals and urban community health service centers (stations) held by them according to state regulations, so as to make them operate normally. For all township hospitals and urban community health service institutions organized by social forces, all localities can approve government subsidies by purchasing services. Support the construction of village clinics and give reasonable subsidies to the public health service tasks undertaken by rural doctors.
Implement the government subsidy policy for public hospitals. Gradually increase government investment, mainly for capital construction and equipment purchase, support the development of key disciplines, meet the requirements of the state for retirees and subsidize policy losses. And give special subsidies to the public health services and other tasks undertaken, and form a standardized and reasonable government investment mechanism for public hospitals. Give preferential investment policies to Chinese medicine hospitals (ethnic hospitals), infectious diseases hospitals, mental hospitals, occupational disease prevention hospitals, maternity hospitals, children's hospitals, etc. Strictly control the construction scale, standards and loan behavior of public hospitals.
Improve the government's investment mechanism for basic medical security. The government provides necessary funds to support the establishment and improvement of the new rural cooperative medical system, the basic medical insurance for urban residents, the basic medical insurance for urban workers and the urban and rural medical assistance system. Ensure the normal funds of relevant institutions.
Encourage and guide social capital to develop medical and health undertakings. Actively promote the development of non-public medical and health institutions and form a medical system with diversified investment subjects and investment methods. We will promptly formulate and improve relevant policies and regulations, standardize the access conditions for social capital, including overseas capital, to establish medical institutions, and improve fair and just industry management policies. Encourage social capital to set up non-profit medical institutions according to law. The state has formulated guiding opinions on the restructuring of public hospitals and actively guided social capital to participate in the restructuring and reorganization of some public hospitals, including hospitals run by state-owned enterprises. We will steadily push forward the pilot reform of public hospitals, moderately reduce the proportion of public medical institutions, and form a pattern of mutual promotion and common development between public hospitals and non-public hospitals. Support qualified personnel to start businesses according to law, and facilitate people to seek medical treatment. Improve the classified management policies and preferential tax policies of medical institutions. Strengthen the supervision of social forces to run doctors according to law.
Vigorously develop medical charity. Formulate relevant preferential policies to encourage social forces to set up charitable medical institutions or donate to charitable organizations such as medical assistance and medical institutions.