The full text of the Opinions is more than 13,000 words,*** divided into six parts, including: First, fully recognize the importance, urgency and arduousness of deepening the reform of the medical and health system; Second, deepen the reform of the medical and health system of the guiding ideology, the basic principles and the overall goal; Third, improve the four major systems of medicine and health, the establishment of a basic medical and health system to cover both urban and rural residents; Fourth, improve the system and mechanism to ensure the effective and standardized operation of the medical and health system. To ensure the effective and standardized operation of the medical and health system; Fifth, focus on five key reforms, and strive to achieve significant results in the near future; Sixth, actively and steadily promote the reform of the medical and health system.
The Central Committee of the State Council on deepening the reform of the medical and health system
March 17, 2009
In accordance with the spirit of the 17th National Congress of the Communist Party of China (CPC), in order to establish a medical and health system with Chinese characteristics, and to gradually realize the goal of basic medical and health care services for all, and to improve the health of the entire population, the deepening of the reform of the medical and health system, is now put forward the following views.
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, related to the well-being of millions of families, is a major livelihood issues. Deepen the reform of the medical and health system, accelerate the development of medical and health care, to adapt to the people's growing demand for medicine and health, and constantly improve the quality of health of the people, is the implementation of the scientific concept of development, to promote the overall coordination of economic and social sustainable development of the inevitable requirements of the maintenance of social justice, to improve the quality of people's lives an important initiative, is to build a moderately affluent society in an all-round way and build a socialist and harmonious society, a major task. A major task.
Since the founding of New China, especially since the reform and opening up, China's medical and health undertakings have made remarkable achievements, covering urban and rural medical and health service system is basically formed, the ability to prevent and control diseases has been increasing, the population covered by medical insurance has been gradually expanding, the level of health science and technology has been rapidly improved, the health of the masses of the people has improved significantly, and the main health indicators of the population are at the forefront of developing countries. Especially since the major victory in the fight against SARS, government investment at all levels has increased, the development of public *** health, rural health care and urban community health has accelerated, and breakthroughs have been made in the new type of rural cooperative medical care and basic medical insurance for urban residents, laying a good foundation for the deepening of the reform of the medical and health system. At the same time, it should also be noted that the contradiction between the current level of development of China's medical and health services and the people's health needs and the requirements for coordinated economic and social development is still relatively prominent. The development of urban and rural and regional health care is not balanced, the allocation of resources is unreasonable, public **** health and rural, community health care is relatively weak, the medical security system is not sound, the order of the production and circulation of medicines is not standardized, the hospital management system and operation mechanism is not perfect, the government health investment is insufficient, the cost of medicine is rising too fast, the individual burden is too heavy, in this regard, the people's public reflected strongly.
From now to 2020, is China's comprehensive construction of a moderately prosperous society in the critical period, medicine and health work heavy task. With the development of the economy and the improvement of people's living standards, the masses will have higher requirements for the improvement of medical and health services. Industrialization, urbanization, population aging, changes in the disease spectrum and changes in the ecological environment have brought a series of new and serious challenges to medical and health work. Deepening the reform of the medical and health system is a strategic choice to accelerate the development of medical and health care, an important way to realize the people's **** to enjoy the fruits of reform and development, is the urgent desire of the masses.
Deepening the reform of the medical and health system is a wide-ranging and difficult social system project. China's large population, low per capita income level, urban-rural, regional disparities, the basic conditions of the primary stage of socialism for a long time, determines the deepening of the reform of the medical and health system is a very complex and arduous task, is a gradual process, the need for a clear direction and framework on the basis of a long period of painstaking efforts and unremitting efforts to explore the gradual establishment of medical and health system to meet the country's national conditions. Therefore, to deepen the reform of the medical and health system, we should not only be determined to push forward, but also carefully organized and steadily implemented to ensure that the reform is carried out smoothly and achieve the desired goals.
Second, deepen the reform of the medical and health system of the guiding ideology, basic principles and overall objectives
(a) deepen the reform of the medical and health system of the guiding ideology. Deng Xiaoping Theory and the "Three Represents" as the guidance, in-depth implementation of the scientific concept of development, 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 people's most concerned about, the most direct, the most realistic interests of the problem. We will adhere to the public welfare nature of public health care, adhere to the policy of focusing on prevention, focusing on rural areas, and giving equal importance to both traditional Chinese and Western medicine, implement the separation of government affairs, management and administration, medicine, and profit-making and non-profit-making, strengthen the government's responsibility and investment, improve the national health policy, improve the system, strengthen supervision and management, innovate the system and mechanism, and encourage the participation of society, so as to build a basic medical care system covering urban and rural residents, and continuously improve the health level of the entire population. system for urban and rural residents, continuously improve the health of all people, and promote social harmony.
(2) The basic principles of deepening the reform of the medical and health system. The reform of the medical and health system must be based on national conditions, all from a practical point of view, and adhere to the correct principles of reform.
- 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 to enjoy the basic medical and health services for everyone 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 people's strong reaction, and strive to achieve All people have medical treatment for their illnesses.
- Adhere to the national conditions, the establishment of medical and health system with Chinese characteristics. Adhere to the basic national conditions, pragmatically summarize the practical experience of the reform and development of medicine and health care, accurately grasp the laws of development of medicine and health care and the main contradictions; adhere to the level of basic medical and health care services in coordination with economic and social development, and with the affordability of the masses; give full play to the role of traditional Chinese medicine (ethnomedicine); adhere to the local conditions, classified guidance, and give full play to the local initiative to explore the establishment of a basic medical and health care system in line with national conditions. basic medical and health care system in line with national conditions.
- Adhere to the unity of fairness and efficiency, and the combination of government-led and market mechanism. Strengthen the government's responsibility in the basic medical and healthcare system, enhance the government's responsibilities in the system, planning, financing, services, supervision, etc., to maintain the public ***** medical and healthcare public welfare, and promote fairness and justice. At the same time, focusing on the role of the market mechanism, mobilizing the participation of social forces, promoting the formation of an orderly competition mechanism, improve the efficiency of health care operations, service level and quality, to meet the people's multi-level and diversified health care needs.
- Adhering to a balanced approach, combining the solution of current outstanding problems with the improvement of the system. Starting from the overall situation, integrating urban, rural and regional development, taking into account the interests of all parties, including the supply side and the demand side, focusing on the combination of prevention, treatment and rehabilitation, and correctly dealing with the relationship between the government, health institutions, pharmaceutical enterprises, medical personnel and the people. It focuses on the long term, innovates institutional mechanisms, and is based on the present, focusing on solving the outstanding problems in medicine and health care. 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.
(C) the overall goal of deepening the reform of the medical and health system. To establish and improve the basic medical and health care system covering urban and rural residents, and to provide safe, effective, convenient and inexpensive medical and health care services for the masses.
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 achieve breakthroughs, 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 alleviate the "difficult to see the doctor, see the doctor", and the "health care system". The problem of "difficult and expensive to see a doctor" is effectively alleviated.
By 2020, the basic health care system covering urban and rural residents was basically established. The general establishment of a more complete public **** health service system and medical service system, a more sound medical security system, a more standardized drug supply guarantee system, a more scientific medical and health institutions management system and operation mechanism, the formation of a multi-dimensional pattern of medical treatment, everyone enjoys the basic medical and health services, basically adapted to the people's multi-level medical and health care needs, and the health of the masses of the people to further improve.
Third, improve the four major systems of medicine and health, the establishment of a basic medical and health system covering urban and rural residents
The construction of a public **** health service system covering urban and rural residents, medical service system, medical security system, drug supply security system, the formation of a four-in-one basic medical and health system. The four systems complement each other, supporting the construction and coordinated development.
(D) comprehensively strengthen the construction of public **** health service system. Establish and improve disease prevention and control, health education, maternal and child health, mental health, emergency treatment, blood collection and supply, health supervision and family planning and other professional public **** health service network, improve the primary health care service network based on the medical service system of the public **** health service function, the establishment of a clear division of labor, information interoperability, resource **** enjoyment, coordinated and interactive public **** health service system, to improve public **** health services and emergency response capacity for public **** health emergencies, and promote urban and rural residents to gradually enjoy equalized basic public **** health services.
Determine the scope of public **** health services. Define the national basic public **** health service program, and gradually increase the service content. Encourage local governments to increase the content of public **** health services on the basis of the centrally stipulated service items according to the level of local economic development and prominent public **** health problems.
Improve the public **** health service system. Further define the functions, goals and tasks of the public **** health service system, optimize staffing and equipment allocation, and explore effective forms of integrating public **** health service resources. It has improved the system for the prevention and control of major diseases and the emergency response mechanism for public **** health emergencies, and strengthened the monitoring and preventive control of infectious diseases, chronic diseases, endemic diseases, occupational diseases and birth defects that pose a serious threat to 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. to vigorously carry out health education, make full use of all kinds of media, strengthen the dissemination of health, medicine and health knowledge, advocate a healthy and civilized lifestyle, promote the public reasonable nutrition, improve the public's health awareness and self-care ability.
In-depth patriotic health campaign. Rural sanitation and environmental pollution control into the new socialist countryside construction planning, promote the construction of sanitary cities and civilized villages and towns, and constantly improve the urban and rural residents living, working and other aspects of the health environment.
Strengthen health supervision services. Vigorously promote environmental hygiene, food hygiene, occupational hygiene, school hygiene, as well as migrant workers and other mobile population health.
(E) to further improve the medical service system. Adhere to the non-profit medical institutions as the main body, for-profit medical institutions as a supplement, public medical institutions as the leading, non-public medical institutions *** with the development of the principle of running a medical, construction of a rational structure, covering urban and rural medical service system.
Greatly develop the rural medical and health service system. Further improve the rural medical and health service network based on county-level hospitals as the leader, township health centers and village health offices. County hospitals, as medical and health centers within the county, are mainly responsible for basic medical services and the rescue of critically ill patients, and undertake the business and technical guidance of township health centers and village health offices and the further training of health personnel; township health centers are responsible for providing comprehensive services such as public **** health services and the diagnosis and treatment of common and common diseases, and undertake the business management and technical guidance of village health offices; village health offices undertake the business management and technical guidance of administrative villages. The village health office is responsible for public **** health services and the diagnosis and treatment of common diseases in the administrative village. Rural villages that are in a position to do so are practicing integrated rural management. Actively promote rural health care infrastructure and capacity building, the government focuses on running county hospitals, and in each township to run a health center, take various forms of support for the construction of the village health room, so that each administrative village has a village health room, and vigorously improve the rural health care conditions, improve the quality of service.
Improve the new urban medical and health service system based on community health service. Accelerate the construction of community health service centers as the main body of the urban community health service network, improve the function of the service, in order to maintain the health of community residents as the center, to provide disease prevention and control and other public **** health services, general common diseases and common diseases of the primary diagnosis and treatment services, chronic disease management and rehabilitation services. Transform the community health service model, constantly improve the level of service, adhere to the active service, door-to-door service, and gradually assume the responsibility of the residents' health "gatekeeper".
Improve the functions and responsibilities of various types of 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 emergency cases and difficult illnesses, medical education and scientific research, and the guidance and training of grassroots health personnel. Large hospitals that are in a position to do so can, in accordance with the requirements of regional health planning, promote the rational flow of medical resources through trusteeship and reorganization.
The establishment of urban hospitals and community health service organizations of the division of labor and cooperation mechanism. Urban hospitals drive the sustainable development of community health services through technical support and personnel training. Meanwhile, comprehensive measures such as enhancing service capacity, lowering fees, and increasing reimbursement rates have been taken to guide general diagnosis and treatment down to the grassroots level, and to gradually realize community-based primary care, hierarchical medical care, and two-way referrals. Integration of urban health resources, making full use of the city's existing first- and second-tier hospitals and medical institutions owned by state-owned enterprises and public institutions and social forces to organize medical institutions and other resources to develop and improve the community health service network.
Give full play to the role of traditional Chinese medicine (ethnomedicine) in disease prevention and control, response to public **** health emergencies, medical services. Strengthen the construction of Chinese medicine clinical research bases and Chinese medicine hospitals, and organize and carry out joint research on the prevention and treatment of difficult diseases in Chinese medicine. In grassroots medical and health services, vigorously promote appropriate technologies in Chinese medicine. Adopt policies to support the development of Chinese medicine and promote the inheritance and innovation of Chinese medicine.
The establishment of urban hospitals to support rural health care system. Developed areas to strengthen the counterpart support for the development of medical and health care in poor areas and ethnic minority areas. Large urban hospitals should establish a long-term stable counterpart support and cooperation system with county-level hospitals, and adopt clinical services, personnel training, technical guidance, equipment support, etc., to help them improve their medical level and service capacity.
(F) accelerate the construction of medical security system. Accelerate the establishment and improvement of the basic medical insurance as the main body, other forms of supplementary medical insurance and commercial health insurance as a supplement, covering urban and rural residents of the multi-level medical security system.
The establishment of a basic medical insurance 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*** together form a basic medical insurance system that covers the urban employed population, the urban non-employed population, the rural population and the urban and rural population in need, respectively. Adhering to the principles of broad coverage, basic protection and sustainability, the system starts by focusing on the protection of major illnesses, and gradually extends to minor outpatient illnesses, with the level of protection being continuously raised. Establishing a multi-channel financing mechanism with clear responsibilities and reasonable burden-sharing among the State, organizations, families and individuals, and realizing mutual social assistance***. With economic and social development, the level of financing and the level of coordination will be gradually raised, narrowing the gap between the levels of protection and ultimately realizing the basic unity of the system's framework. Further improving the basic medical insurance system for urban workers, accelerating the coverage of the employed population, and focusing on solving the basic medical insurance problems of workers and retirees of state-owned enterprises that have closed down and gone bankrupt, enterprises in difficulty, etc., as well as of employees of non-publicly owned economic organizations and flexibly employed persons; and comprehensively promoting basic medical insurance for urban residents in 2009, with an emphasis on solving the basic medical insurance problems of the elderly, persons with disabilities, and children; Fully implementing the new rural cooperative medical care system, gradually raising the level of government subsidies, appropriately increasing farmers' contributions, and improving the ability to provide protection; improving the urban and rural medical assistance system, and providing subsidies to people in difficulty for enrolling in the insurance system and for medical expenses they find difficult to bear, so as to build a solid bottom line for medical protection. Explore the establishment of an integrated urban and rural basic medical insurance management system.
Encourage trade unions and other social organizations to carry out various forms of mutual medical assistance activities. Encourage and guide all kinds of organizations and individuals to develop social charitable medical assistance.
Do a good job of 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 rural and urban migrant workers, we will actively do a good job of transferring and renewing the basic medical insurance relationship, and focusing on retirees resettled in other places, we will improve the settlement service for medical treatment in other places. Properly solving the basic medical insurance problems of rural migrant workers. Migrant workers who have signed labor contracts and established stable labor relations with enterprises should, in accordance with national regulations, clearly define the responsibility of employers to make contributions and be included in the basic medical insurance system for urban workers; other migrant workers should, according to the actual situation, participate in the new type of rural cooperative medical care in the place of their household registration or the basic medical insurance for urban residents in the place where they work.
Actively develop commercial health insurance. Encourage commercial insurance organizations to develop health insurance products to meet different needs, simplify claims procedures, facilitate the masses, and meet diversified health needs. Encourage enterprises and individuals to participate in commercial insurance and various forms of supplemental insurance to address the needs beyond basic medical protection. Under the premise of ensuring fund safety and effective supervision, actively promote the government to purchase medical insurance services, and explore the commissioning of qualified commercial insurance organizations to handle various types of medical insurance management services.
(VII) to establish and improve the drug supply security system. Accelerate the establishment of a drug supply guarantee system based on the national essential drug system to ensure the safety of the people's medication.
Establishment of the national basic drug system. The central government uniformly formulates and publishes the national essential drugs catalog, and reasonably determines the varieties and quantities in accordance with the principles of prevention and treatment necessity, safety and efficacy, reasonable price, convenience of use, and equal emphasis on both traditional Chinese and Western medicines, and by combining the characteristics of China's medication with reference to international experience. A production and supply guarantee system for essential medicines will be established, giving full play to the role of the market mechanism under the government's macro-control; essential medicines will be purchased through public bidding and unified distribution, reducing intermediate links and guaranteeing basic medicines for the public. The State sets retail guide prices for essential medicines, and within those guide prices, the people's governments at the provincial level set uniform procurement prices for their regions based on bidding. The use of basic medicines will be standardized, and guidelines for the clinical application of basic medicines and prescription sets for basic medicines will be formulated. Urban and rural primary medical and healthcare institutions should all be equipped with and use basic medicines, and other types of medical institutions should also make basic medicines their preferred medicines and determine the proportion of their use. Basic drugs are all included in the basic medical insurance drug reimbursement catalog, and the reimbursement rate is significantly higher than that of non-basic drugs.
Regulate the production and circulation of drugs. Improve the pharmaceutical industry development policy and industry development planning, strict market access and drug registration and approval, vigorously regulate and rectify the order of production and circulation, promote the pharmaceutical enterprises to improve the ability of independent innovation and optimization and upgrading of the structure of the pharmaceutical industry, the development of modern logistics and chain management of pharmaceuticals, and to promote the integration of pharmaceutical production and distribution enterprises. Establishing a rural drug supply network for the convenience and benefit of farmers. Improve the drug reserve system. Support the production of special and emergency medicines in small quantities. Regulate the procurement of medicines and resolutely control commercial bribery in the purchase and sale of medicines. Strengthen the monitoring of adverse drug reactions, the establishment of drug safety warning and emergency response mechanism.
Fourth, improve the institutional mechanism to ensure the effective and standardized operation of the medical and health system
Improve the management of medical and health, operation, input, price, regulatory system and mechanism, strengthen the science and technology and human resources, information, legal system, to ensure the effective and standardized operation of the medical and health system.
(H) the establishment of a coordinated and unified medical and health management system. The implementation of localized and industry-wide management. All medical and health institutions, regardless of ownership, investment, affiliation and business nature, by the location of the health administrative departments to implement unified planning, unified access, unified supervision. The central and provincial levels can set up a small number of medical research, teaching functions of the medical center or regional medical center, as well as to undertake the national or regional diagnosis and treatment of difficult diseases, such as specialist hospitals and medical institutions; county (city) is mainly responsible for organizing the county hospitals, rural health and community health services; the rest of the public hospitals are responsible for organizing by the city.
Strengthen regional health planning. Provincial people's government to develop health resource allocation standards, organize the preparation of regional health planning and medical institutions set up planning, specify the number of medical institutions, scale, layout and function. Scientific formulation of township health centers (village health centers), community health service centers (stations) and other primary health care institutions and hospitals at all levels of construction and equipment configuration standards. Make full use of and optimize the allocation of existing medical and health resources; medical institutions that do not meet the requirements of the plan should be gradually integrated; strictly control the allocation of large-scale medical equipment; encourage *** to build *** to enjoy, and improve the efficiency of the use of medical and health resources. New health resources must be in line with regional health planning, focusing on weak areas such as rural and community health. Strengthening the interface between regional health planning and urban and rural planning, land use master planning and so on. The establishment of regional health planning and resource allocation monitoring and evaluation mechanism.
Promote public hospital management system reform. From the public hospitals to strengthen the public welfare and effective government supervision, and actively explore the separation of government affairs, management and operation of the separation of various forms of realization. To further transform government functions, the health administration mainly undertakes health development planning, qualification access, norms and standards, service supervision and other industry management functions, other relevant departments in accordance with their respective functions to manage and provide services. The implementation of public hospitals independent legal person status.
Further improve the basic medical insurance management system. The central government unifies the framework and policies of the basic medical insurance system, and local governments are responsible for organizing, implementing and managing the system, creating conditions to gradually raise the level of integration. Effective integration of basic medical insurance management resources, and gradually realize the unification of urban and rural basic medical insurance administration and management.
(ix) the establishment of efficient and standardized operation mechanism of medical and health institutions. The income and expenditure of public **** health organizations are all included in the budget management. In accordance with the responsibilities and tasks undertaken by the government to rationally determine the staffing, salary levels and funding standards, to clarify the duties of various types of personnel, strict access to personnel, strengthen performance assessment, the establishment of the ability to enter and exit the employment system, improve efficiency and quality of service.
Transforming the operation mechanism of primary health care institutions. Government-organized urban community health service centers (stations) and township health centers and other primary health care institutions, to strictly define the function of the service, and clearly stipulate the use of appropriate technology, appropriate equipment and basic medicines, to provide low-cost services for the general public, to maintain the nature of the public good. Staffing levels should be strictly authorized, a system of staff employment should be implemented, and a human resources management system should be established that allows for entry and exit and provides effective incentives. It is necessary to clarify the scope and standards of income and expenditure, implement the financial management method of approved tasks, approved income and expenditure, and performance appraisal and subsidies, and to explore the implementation of a variety of proven management methods, such as the two lines of income and expenditure, and the total prepayment of public *** health and medical insurance funds, so as to strictly manage the budget of income and expenditure and to increase the efficiency of the use of funds. The drug mark-up policy should be reformed, and zero-differential-rate sales of drugs should be implemented. To strengthen and improve internal management, establish a system of assessment and incentives centered on service quality and based on job responsibility and performance, and form a long-term mechanism to guarantee fairness and efficiency.
Establish a standardized public hospital operation mechanism. Public hospitals should follow the nature of public welfare and the principle of social efficiency, adhere to the patient-centered, optimize the service process, standardize the use of drugs, inspection and medical behavior. Deepen the reform of the operating mechanism, establish and improve the hospital corporate governance structure, clear owner and managerial responsibilities and powers, the formation of decision-making, implementation, supervision and mutual checks and balances, there are responsibilities, incentives, constraints, competition, and vitality of the mechanism. Promote the separation of medicine and actively explore a variety of effective ways to gradually reform the mechanism of compensating doctors with medicines. Gradually reform or abolish the policy of drug markups through the implementation of differential markups for the purchase and sale of medicines, the establishment of medicinal service fees, and other means, while taking measures to improve the compensation mechanism for public hospitals by appropriately adjusting the price of medical services, increasing government investment, and reforming payment methods. The financial and accounting management system should be further improved, budget management should be strictly enforced, and financial supervision and operational oversight should be strengthened. Localities may, in the light of local realities, carry out pilot projects for hospitals that are in a position to do so, using a variety of management methods, such as "approving income and expenditure, offsetting expenditure with income, paying over the excess, subsidizing the difference, and separating rewards and penalties". Reform of the personnel system, improve the distribution of incentive mechanisms, the implementation of the employment system and job management system, strict management of the total amount of wages, the implementation of the quality of service and the workload of the job based on the comprehensive performance appraisal and job performance pay system, and effective mobilization of the enthusiasm of medical personnel.
Improve the operation mechanism of medical insurance agencies. Improve the internal governance structure, establish a reasonable employment mechanism and distribution system, improve incentives and constraints mechanism, and improve the management capacity and management efficiency of medical insurance management.
(J) the establishment of government-led multiple health investment mechanism. Clearly define the responsibility of the government, society and individuals to invest in health. Establish the government's leading position in providing public **** health and basic medical services. Public **** health services are mainly financed by the government and provided equally to urban and rural residents. Basic medical services are reasonably cost-shared among the Government, society and individuals. Specialized medical services are paid for directly by individuals or through commercial health insurance.
Establish and improve the government health investment mechanism. Both the central government and local governments should increase their investment in health and take into account both the supply side and the demand side. Gradually increase the proportion of government health investment in the total cost of health, so that the burden of basic medical and health care costs on individual residents is effectively reduced; the rate of increase in government health investment should be higher than the rate of increase in recurrent financial expenditure, so that the proportion of government health investment in recurrent financial expenditure is gradually increased. New government health investment focus on supporting public **** health, rural health, urban community health and basic medical security.
In accordance with the principle of hierarchical burden reasonably divided between the central and local levels of government health investment responsibility. Local governments bear the main responsibility, the central government mainly on the national immunization program, cross-regional prevention and control of major infectious diseases, such as public **** health, urban and rural residents of basic medical security, as well as the construction of the relevant public medical and health institutions to give subsidies. Increase the central and provincial financial special transfer payments to difficult areas.
Improve the government's investment mechanism for public **** health. Professional public **** health service organizations personnel funds, development and construction and operational funds by the government full arrangements, in accordance with the provisions of the service income paid to the financial account or into the budget management. Gradually increase the per capita public **** health funding, sound public **** health service funding guarantee mechanism.
Improve the government's investment mechanism for urban and rural primary health care organizations. The government is responsible for the capital construction funds, equipment purchase funds, personnel funds and operational funds for its public **** health services organized by township health centers and urban community health service centers (stations) approved in accordance with national regulations, so that they can operate normally. For all township health centers and urban community health service institutions, including those organized by social forces, government subsidies may be approved everywhere in such ways as purchasing services. Support the construction of village health offices and give reasonable subsidies to rural doctors for tasks such as public **** health services.
The implementation of public hospital government subsidy policy. Gradually increase government investment, mainly for capital construction and equipment purchases, support the development of key disciplines, in line with the national provisions of the retired personnel costs and subsidies for policy losses, etc., the public **** health services and other tasks to give special subsidies, the formation of a standardized and reasonable public hospitals government investment mechanism. Chinese medicine hospitals (ethnic hospitals), infectious disease hospitals, psychiatric hospitals, occupational disease prevention and treatment hospitals, maternity hospitals and children's hospitals are favored in terms of input policy. Strictly control the scale of construction of public hospitals, standards and lending behavior.
Improve the government's input mechanism for basic medical security. The government provides the necessary funds to support the establishment and improvement of the new rural cooperative medical care, basic medical insurance for urban residents, basic medical insurance for urban workers, and urban and rural medical assistance systems. Normal funding for the relevant organizations is guaranteed.
Encourage and guide social capital to develop medical and health care. Actively promote the development of non-public medical and health institutions, the formation of the main body of investment diversification, diversification of investment mode of medical system. The government should make and improve the relevant policies and regulations, standardize the access conditions for social capital, including foreign capital, to run medical institutions, and improve the fair and impartial industry management policies. Social capital is encouraged to run non-profit medical institutions in accordance with the law. The State has formulated guiding opinions on the restructuring of public hospitals, and is actively guiding social capital to participate in a variety of ways in the restructuring and reorganization of some public hospitals, including hospitals run by state-owned enterprises. It is steadily promoting pilot projects for the restructuring of public hospitals, moderately reducing the proportion of public medical institutions, and forming a pattern in which public and non-public hospitals promote each other and develop together. Supporting qualified personnel to open businesses in accordance with the law, and facilitating access to medical care for the public. Improve the policies on the classification and management of medical institutions and tax incentives. Strengthen the supervision of social forces running medical institutions in accordance with the law.
Greatly develop medical charity. Develop relevant preferential policies to encourage social forces to set up charitable medical institutions, or charitable donations to medical aid and medical institutions.