Health administrative departments should be closely integrated with the deepening of the actual reform of the medical and health system, and continue to guide grass-roots medical and health units to carry out in-depth study and practice of the scientific concept of development activities, and grasp the rectification and implementation of the program development and implementation, focusing on solving the outstanding problems, and to ensure that they achieve tangible results. To adhere to the center of gravity, strengthen the responsibility of grass-roots level, fully mobilize grass-roots medical and health institutions and medical and health personnel to participate in the reform of the enthusiasm; in-depth investigation and research, timely solution to the reform of the difficulties and outstanding issues, and continue to innovate the institutional mechanism and methods of work; to strengthen the supervision and guidance, summarize and promote the practice of experience; good communication and coordination, the formation of the *** with the promotion of the work of synergy, and to promote the health of the cause of sustained and healthy development. Development.
I. Strengthen the construction of primary health care service system, consolidate the development of the new rural cooperative medical system
Grab the central key support for the construction of county hospitals, central township health centers, community health service centers, and accelerate the implementation of the construction of primary health care service system projects. It has deepened the reform of the operation mechanism of primary health care service organizations, expanded the pilot project of business cooperation among rural health care organizations, vigorously pushed forward the integrated management of villages, and pushed forward the pilot project of the reform of the management of two lines of income and two lines of expenditure and the personnel distribution system of primary health care organizations. Intensify the demonstration of establishment standards for township health centers, and promote the introduction of the Guidelines on Establishment Standards for Township Health Centers. Implementing the policy on the implementation of performance pay in public *** health and primary health care institutions, formulating performance appraisal methods, and promptly studying the situations and problems that arise during the implementation of performance pay to ensure smooth implementation. Regulate the management of rural health institutions and the behavior of rural doctors' services. Promoting the implementation of public **** health service subsidies for rural doctors. Organize and carry out peer-to-peer support for urban and rural hospitals, and peer-to-peer support for township health hospitals by medical and health institutions above the second level in central and western regions; encourage eastern regions to increase their support for western regions; and continue to implement the "Ten Thousand Physicians Supporting Rural Health Project". Accelerating the recovery and reconstruction of the medical and health care system in the Wenchuan earthquake-stricken areas, and doing a good job of communicating and coordinating between the counterpart provinces (and municipalities) and the disaster-stricken areas. Exploring the establishment of a mechanism for the division of labor and cooperation between urban community health service institutions, preventive health care institutions and public hospitals, improving the two-way referral system, and promoting the effective connection between urban community health services and the basic medical insurance system for urban workers and residents. It is carrying out activities to create model community health service centers. Launching the final evaluation of China's Rural Primary Health Care Development Program (2001-2010).
Consolidating and developing the new rural cooperative medical care system. It is further standardizing management, strengthening supervision, and raising the level of benefits for farmers. It is actively cooperating in the implementation of central and local financial subsidy policies, and is doing a good job of publicizing farmers' individual contributions. Guiding localities to further improve the New Rural Cooperative Medical Scheme, rationalize the planning of inpatient and outpatient funds, raise the level of inpatient coverage, and expand the scope of outpatient coverage. It has also improved the operational mechanism of the New Rural Cooperative Program, launched a pilot program to save farmers from some major diseases, and raised the level of medical protection under the New Rural Cooperative Program. It has strengthened the supervision of designated medical institutions, explored the reform of the payment method of the New Rural Cooperative, and expanded the pilot scope of payment methods such as total prepayment for outpatient cost compensation and payment for inpatient cost compensation on a case-by-case basis. It is also accelerating the construction of the new rural cooperative information system, strengthening the supervision and operation monitoring of the new rural cooperative fund, and ensuring the safety of the fund.
II. Actively promoting the gradual equalization of basic public **** health services, and improving the ability to prevent and control major diseases and to respond to public **** health emergencies
Comprehensively implementing the nine categories of national basic public **** health service projects, strengthening the assessment and guidance and supervision and inspection, and promoting the national norms for basic public **** health services. Continue to expand the coverage of urban and rural residents' health records. Gradually promote the construction of health service informatization centered on residents' health records. Promote the implementation of major national public **** health service programs in an orderly manner, and strictly manage the programs to ensure their healthy operation. Maternal and child health care services are being standardized, and projects such as the "Rural Maternal Hospital Delivery Subsidy" and the "Reduction and Elimination" programme continue to be implemented. Promoting the prevention and treatment of birth defects, and increasing the implementation of three-tier prevention and treatment measures for pre-pregnancy care, prenatal diagnosis and newborn screening. Carrying out maternal and child health assessment and evaluation (at the county level). Strengthening maternal and child health monitoring and annual reporting, and improving the quality of monitoring. Strengthening the management of baby-friendly hospitals and promoting breastfeeding.
Further strengthening and improving the construction of "one case, three systems" for health emergency response. Strengthen the construction of the system of prevention and control of sudden-onset acute infectious diseases, improve the relevant policies, refine the prevention and control strategy and implementation plan, focusing on influenza A (H1N1), plague, infectious atypical pneumonia, human infection with highly pathogenic avian influenza, and other major public **** health emergencies, prevention and response. It is actively promoting the construction of provincial and municipal-level health emergency command and decision-making systems and the construction of comprehensive demonstration zones for health emergencies. It has improved the national and provincial health emergency material reserve catalogs, strengthened the construction of health emergency teams and equipment, standardized health emergency drills, and initiated the certification of national emergency medical rescue bases and the assessment of health emergency response capacity. With the focus on health emergency response to poisoning emergencies and mental health assistance in emergencies, we have been able to comprehensively respond to all types of major emergencies in public *** events of health emergency preparedness and disposal, and to do a good job of health protection for large-scale activities and holidays such as the Shanghai World Expo and the Guangzhou Asian Games.
Further improve the prevention and control of major diseases and patriotic health work. Strengthen the capacity building and performance assessment of disease prevention and control organizations, and establish a sound job responsibility system. Continue to do a good job in the prevention and control of hand-foot-mouth disease and other major infectious diseases and medical treatment. It has further improved the implementation of policies and measures for the prevention and control of major infectious diseases such as AIDS, sexually transmitted diseases, tuberculosis, schistosomiasis and hepatitis B. It has carried out targeted prevention and control work in key areas, among key populations and among the floating population, and has strengthened health education, health promotion and occupational hygiene services for the prevention and control of occupational diseases, sexually transmitted diseases, AIDS and malaria among migrant workers. Accelerating the revision of the Measures for the Implementation of the Law on the Prevention and Control of Infectious Diseases. It has vigorously promoted the expansion of the national immunization plan, pushed forward the implementation of the Measles Elimination Action Plan, and strengthened the management of vaccination for migrant children. China has launched an action plan for the elimination of malaria, and has carried out the formulation, evaluation and launching of plans for the prevention and treatment of endemic diseases, leprosy and encapsulated diseases. Completing the preparation of a white paper on the current status of the prevention and treatment of cholera, influenza and other infectious diseases. It has carried out monitoring of chronic diseases, oral diseases, injuries and related risk factors, promoted the guidelines for grass-roots prevention and treatment of chronic diseases and appropriate technologies for oral prevention, and promoted standardized management. It has strengthened the construction of a mental health prevention and treatment system, established a sound prevention and treatment service network, implemented the Code of Practice for the Management and Treatment of Serious Mental Illnesses, and carried out policy research on post-disaster psychological assistance and the prevention and control of psychological and behavioral problems related to Internet use among minors. It has carried out in-depth patriotic health campaigns and health education, launched comprehensive urban and rural sanitation and hygiene clean-up operations, and raised the level of health literacy among residents. It has accelerated the process of changing toilets in rural areas and strengthened the hygienic evaluation and water quality monitoring of rural drinking water safety projects. Fully implement the Regulations on the Management of Vector Biological Prevention and Control. Implementing the Decision on a Comprehensive Smoking Ban in the National Healthcare System from 2011 onwards, and stepping up efforts to fulfill tobacco control obligations. On the basis of carrying out the creation of national health cities (towns), fully launch activities to build healthy cities (districts, towns and villages).
Three, accelerate the implementation of the national basic drug system, and effectively reduce the burden of basic medication costs on the masses
Establish and improve the working mechanism for the selection and adjustment of the basic drug catalog, and strengthen the supervision and inspection of non-catalog medicines supplemented by localities. It has improved the policies and measures for the production and supply guarantee mechanism of basic drugs, actively implemented centralized online bidding and procurement and unified distribution at the provincial level, and guided and standardized the procurement and distribution of basic drugs in various regions. Promoting the provision and use of national essential drugs in government-run primary medical and healthcare institutions, and implementing zero-differential-rate sales. It has guided grass-roots level to standardize the rational use of basic medicines in accordance with the Guidelines for the Clinical Application of National Essential Medicines and the National Essential Medicines Formulary, and has strengthened the management of the use of basic medicines. It has strengthened the supervision of the quality of essential medicines, improved quality standards, and implemented sampling and testing of all varieties. It has formulated an indicator system for monitoring and evaluating the implementation of the basic drug system, established monitoring points for basic drugs, and done a good job of monitoring and evaluation. Carrying out research on national drug policy, strengthening training, publicizing and interpreting policies related to the national basic drug system, and guiding the public in the use of basic drugs.
Fourth, carry out pilot reforms of public hospitals, and strengthen the management of medical quality and supervision of medical services
Actively and steadily promote pilot reforms of public hospitals. Focusing on contacting and guiding national-level public hospital reform pilots, encouraging various forms of independent pilots around the world, formulating and implementing public hospital setup and development plans, optimizing the structural layout of public hospitals; exploring ways to improve the management system of public hospitals, and improving and strengthening the governance of public hospitals; pushing forward the reform of the compensation mechanism of public hospitals, implementing the government's input policy, adjusting the prices of medical services, and gradually abolishing the markup on medicines; and promoting the reform of the operation mechanism of public hospitals and the reform of personnel services. Reform of the operation mechanism of public hospitals and reform of the personnel and income distribution system, strengthening job performance assessment and exploring the implementation of a job performance pay system; carry out pilot work on multi-practice and clinical pathways for physicians, exploring the quality management of single-patient care, and pushing forward the implementation of the "Basic Norms for Electronic Medical Records". Encourage, support and guide social capital to organize non-public hospitals, and accelerate the formation of a diversified pattern of medical operation. Strengthening guidance and training on pilot policies and techniques, and promoting mutual reference and learning in various regions. Closely tracking the progress of the pilot program, strengthening research and supervision of the pilot cities, conducting baseline surveys, and preparing for the evaluation work. Promoting the research and formulation of establishment standards for public hospitals. Strictly controlling the allocation of large medical equipment, encouraging ***building*** enjoyment, and improving the efficiency of health resource utilization.
Further strengthening medical quality management and medical service supervision, and improving the medical service supervision system. Strengthen the planning and management of medical institutions, and study the establishment of national regional medical centers. It has established a medical quality management control, evaluation and supervision system and a public hospital supervision system that is public welfare-centered, patient-centered and performance-oriented, so as to comprehensively improve the quality of medical care and safeguard medical safety. It has carried out in-depth activities for medical quality and hospital management, promoted volunteer service in hospitals, improved the inspection system for large hospitals, and initiated the pilot work of hospital accreditation and evaluation. We will strengthen the management of medical institutions, standardize the practice behavior of medical institutions, and continue to do a good job in the supervision of medical advertisements. It will carry out the evaluation and construction of key clinical specialties, guide medical institutions of all levels and types to strengthen specialty construction, and improve medical service capacity. It will improve the physician qualification examination system and strengthen the management of physicians' practice behavior. It will strengthen the regulation of access to medical technology and human organ transplantation. It will promote the booking of consultation and treatment services, further open weekend outpatient clinics, extend the registration time of outpatient clinics, adopt a variety of convenient and user-friendly measures, optimize the process, and make it convenient for patients to seek medical treatment. It will create safe hospitals, standardize hospital complaint management, and promote the establishment of a people's mediation system for medical disputes and a medical liability insurance system. We will continue to promote the rational use of medication, implement the National Prescription Set, implement the Guiding Principles for the Clinical Application of Antimicrobial Drugs, the Measures for Prescription Management, and the Interim Provisions on Pharmaceutical Management in Medical Institutions, improve the prescription review system, strengthen the monitoring of the rational use of medication, and standardize the management of the clinical application of antimicrobial drugs. It has implemented the Regulations on Nurses, strengthened the construction of the nursing team, deepened the quality management of basic clinical nursing care, and improved the level of nursing work. It will strengthen the management of blood quality, implement the planning for the setting up of blood collection and supply organizations, actively promote the work of blood donation, and consolidate and expand the ranks of regular unpaid blood donors and voluntary service providers. It will strengthen the management of rational clinical use of blood and ensure blood safety. It has further increased the construction of rehabilitation medicine, the medical management of drug addiction treatment and the prevention and treatment of blindness. Improve the regular assessment of physicians and medical ethics evaluation system for medical personnel, carry forward the spirit of Bai Qiu'en and build an advanced hospital culture.
V. Deepening the reform of the health supervision system and improving the capacity of health supervision and management
Strengthening the construction of the health supervision system, launching the implementation of the "Health Supervision System Construction and Development Plan", and improving the infrastructural conditions of health supervision organizations. Standardize the behavior of health supervision and law enforcement, and promote administration in accordance with the law. It has implemented the National Plan for Prevention and Control of Occupational Diseases (2009-2015), and continued to carry out in-depth health supervision work focusing on occupational hygiene, radiation hygiene, environmental hygiene, medical law enforcement, supervision of school health and prevention and control of infectious diseases, and laboratory biosafety supervision. It has strengthened the capacity building of occupational disease prevention and control organizations, expanded the pilot program of basic occupational health services, and standardized the work of occupational health inspections and the diagnosis and appraisal of occupational diseases. It is organizing the supervision and inspection of radiation protection and radiation health technology institutions in medical and healthcare institutions nationwide, and is studying the development of population health monitoring around nuclear power plants. Continuing to promote the work of quantitative grading management for health supervision of public *** places, increasing the health supervision of centralized drinking water supply units, further standardizing the health licensing of disinfectant products and water-related products, and carrying out health impact monitoring and risk assessment of environmental pollution. Strengthening school health supervision and improving the working mechanism of school health supervision. Increase efforts to combat unlicensed medical practice and illegal blood collection and supply. To do a good job in the supervision of major cases.
VI. Strengthening Comprehensive Coordination of Food Safety, and Enhancing Food and Drug Safety Supervision
Implementing the Food Safety Law, formulating supporting laws and regulations for comprehensive coordination and supervision of food safety, and organizing the implementation of the Measures for the Administration of Publication of Food Safety Information, and the administrative licensing system for importing new varieties of products without the national standard for food safety, food additives and food-related products. It has formulated and implemented national standards for food safety, improved the procedures and working system for the formulation and publication of national standards for food safety, and improved the organization of national standards review committees for food safety. It will revise and improve basic food safety standards and organize the implementation of dairy safety standards. It will do a good job in organizing and implementing nationwide food safety risk monitoring and assessment, strengthen the construction of a monitoring system for reporting information on food-borne diseases, and improve the capacity for information collection and comprehensive analysis. Improve the system for investigating and handling major food safety accidents, and strengthen capacity building. It organizes and coordinates national food safety rectification work, carries out inspection activities, and takes the lead in the special action against illegal addition of non-food substances and abuse of food additives. Promote the rectification of food safety in food service, vigorously investigate and deal with unlicensed operation, and focus on rectifying food safety in school canteens, construction site canteens, agricultural tourist spots and small catering units. Explore effective ways to improve the capacity of rapid food inspection and testing. Grasp the key time, major events, key areas of food service food safety accident prevention. In-depth special rectification of the health food market, and in due course to carry out health food clean-up and license renewal work.
Strengthen drug supervision and management. In-depth special rectification of drug safety, crack down on the production and sale of counterfeit drugs, non-drugs passed off as drugs and other illegal acts, summarize the law of drug supervision work, and strengthen the long-term mechanism of drug supervision. It will improve the technical support capacity of drug and medical device inspection and testing, review and certification, monitoring and evaluation, and explore ways to improve the early warning mechanism for drug safety risks. Strengthen the supervision of the whole process of drug and medical device development, production, operation and use. It will increase the supervision of key varieties such as traditional Chinese medicine injections, stimulants, drug-type easy-to-use chemicals and their compound preparations. Urgently introduce the Regulations on the Supervision and Administration of Health Food and the Regulations on the Supervision and Administration of Medical Devices. Promote the reform of food and drug regulatory agencies at the prefecture and municipal levels, strengthen window guidance, and implement regulatory responsibilities. Accelerating the infrastructure construction of the drug regulatory system and improving local regulatory capacity. It will continue to standardize centralized drug procurement.
VII. Solidly promoting the inheritance and development of Chinese medicine, and continuously improving the level of Chinese medicine services
Comprehensively implementing the "Opinions of the State Council on Supporting and Promoting the Development of Traditional Chinese Medicine", formulating relevant supporting policies and measures, and strengthening the research and formulation of strategic planning for the development of Chinese medicine. Actively and steadily push forward the pilot reform of public Chinese medicine hospitals, explore the establishment of investment and compensation mechanisms, operational mechanisms and regulatory systems that are conducive to giving full play to the characteristics and advantages of Chinese medicine, and give full play to the role of Chinese medicine in deepening the reform of the medical and health system. It will study and formulate preferential policies for the provision of Chinese medicine services in the basic medical insurance system, issue and implement guidelines for the application of proprietary Chinese medicines in the list of basic medicines, and standardize the clinical application of proprietary Chinese medicines. Chinese medicine will continue to do a good job of preventing and treating major infectious diseases such as influenza A (H1N1) and AIDS, and will promote the establishment of an emergency response system for the prevention and treatment of new and sudden-onset infectious diseases by Chinese medicine. It will also strengthen the construction of the Chinese medicine service system, promote the "Cure the Future Disease" health project, and intensify the promotion of appropriate Chinese medicine technology. It will strengthen the training and team building of grass-roots Chinese medicine talents, carry out academic education in Chinese medicine for rural doctors and post-training for Chinese medicine general practitioners, and promote the construction of key disciplines in Chinese medicine. It will promote the construction of Chinese medicine innovation system, accelerate the construction of Chinese medicine clinical research bases, carry out the pilot work of the national census of Chinese medicine resources, and do a good job in the implementation of the special project for the development of the modern Chinese medicine industry and the special project for the basic research of Chinese medicine theories under the 973 Program. Organize the implementation of Chinese medicine culture construction projects, and promote the development of Chinese medicine culture. Accelerate the legislative process of Chinese medicine law, promote the standardization of Chinese medicine, do a good job in the work of the International Organization for Standardization Technical Committee on Chinese Medicine, and promote the transformation of Chinese medicine-related standards into international standards. Deepen the international exchanges and cooperation in Chinese medicine, and carry out cultural exchanges in Chinese medicine and trade in Chinese medicine services.
VIII. Strengthen the construction of health personnel, improve the level of science and technology in medicine and health
Organize the implementation of general practitioners as the focus of the grass-roots medical and health care workforce construction plan, improve the standardized residency training mechanism and supporting policies, strengthen the construction of training bases, with a focus on the grass-roots level for the enrollment of training objects, and improve the practice of general practitioners to register and manage the system. It will continue to carry out the project of recruiting practicing physicians for township health centers and the project of training health personnel in the west, carry out post training and standardized training for grass-roots health technicians, strengthen the training of public **** health personnel, and actively carry out continuing medical education. Implementing the National Medium- and Long-Term Talent Development Plan (2009-2020). Continue to carry out training for health management cadres, and increase the training of health management cadres and leading cadres of large hospitals in the west.
Exploring the establishment of a system and mechanism for the management of science and technology programs in the health sector, improving the organization and implementation of two major scientific and technological special projects for the prevention and treatment of major infectious diseases such as AIDS and viral hepatitis, and the creation and production of major new medicines, and advancing the implementation of public welfare scientific research projects in the health sector, expanding their coverage, and facilitating the popularization and application of appropriate health technologies. It will promote the construction of a medical and health science and technology innovation system, facilitate the integration and consolidation of national health science and technology resources, and strengthen the construction of scientific research bases such as national key laboratories and sectoral key laboratories. It will also strengthen the construction of the biosafety regulatory system, with a focus on promoting the construction of bacteriological and viral species preservation organizations.
IX. Taking an integrated approach to all health work
Organizing major health policy research. Further promote the construction of the health legal system, strengthen health legislation, and do a good job in drafting and revising laws and regulations such as the Basic Medical and Health Care Law, the Mental Health Law, the Law on Prevention and Control of Occupational Diseases, the Regulations on New Rural Cooperative Medical Care, the Regulations on Human Organ Transplantation, the Regulations on Prevention and Control of Radiation Injury, the Regulations on Administration of Salt Iodization to Eliminate the Hazards of Iodine Deficiency Disease, and the Regulations on Administration of Classification of Prescription Drugs and Over-the-Counter Drugs. Drafting and revision of laws and regulations. Continue to cooperate with the reform of the administrative examination and approval system. To further improve the health administrative reconsideration and administrative appeal work, and to do a good job in the "Fifth Five-Year Plan" to summarize the acceptance of the law.
Strengthening research on medical and health development strategies and general ideas, and reflecting the results of research on the "Healthy China 2020" strategy in national and local health development plans. It is scientifically preparing the outline of the "Twelfth Five-Year Plan" for the development of health undertakings; at the same time, it is studying and formulating plans for the development of health personnel, health emergencies, disease prevention and control, basic health care in rural areas, the development of nursing careers, and the prevention and treatment of food safety and occupational diseases.
Actively strengthening exchanges and cooperation with the World Health Organization and other international organizations to serve the country's diplomacy and health reform and development. It introduces international experience and provides support for the evaluation and monitoring of health reform. Promote South-South cooperation in the field of health, and do a good job in assisting foreign medical and health care in the new situation. Deepen health cooperation and exchanges with Hong Kong, Macao and Taiwan.
Strengthening government information disclosure. It will promote the openness of health government affairs and hospital affairs, implement the public's right to information and participation, and actively accept social supervision. In-depth health news propaganda, correctly guide public opinion, and create a social atmosphere conducive to health reform and development. Increase the publicity of advanced collectives and individuals in the health industry.
Speed up the construction of medical and health informationization, and provide technical support for the reform of the medical and health system. Do a good job of health petition and stability work. Attaching importance to the health care of cadres and strengthening the standardization and institutionalization of the central health care management work. It cares about the life and medical and health services of retired senior cadres, and strengthens the construction of retired party branches. It will vigorously strengthen the style of construction of leading organs and leading cadres. Strengthening the spiritual civilization construction work of the health system. Strengthen the health system to punish and prevent corruption system construction, continue in-depth treatment of commercial bribery in the field of purchase and sale of medicines, carry out special treatment work in the field of construction of health system projects and correct the unhealthy practices in the industry.
2010 is to comprehensively promote the reform of the medical and health system of the key year, the health work task is heavy and arduous. Health administrations at all levels to seriously study and practice the scientific concept of development, unify thinking, firm confidence, pioneering and innovative, breakthroughs in the reform of key difficulties, and strive to create a new situation of health reform and development.