Fully understanding the importance, urgency and arduousness of deepening the reform of medical and health system is the basis of people's all-round development. Medical and health care is related to the happiness of thousands of families and 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 the inevitable requirements for implementing Scientific Outlook on Development, promoting comprehensive, coordinated and sustainable economic and social development, an important measure to safeguard social fairness and justice, an important symbol to improve people's quality of life, and an important task to build 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, public health, rural medical care and urban community health have accelerated development, and 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 requirements of coordinated economic and social development and people's health needs is still outstanding. The development of medical and health services in urban and rural areas and regions is unbalanced, the allocation of resources is unreasonable, public health services and rural and community medical and health services 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, and the people's reaction is relatively strong.
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.
The guiding ideology, basic principles and overall objectives of deepening the reform of the medical and health system should follow the following basic principles:
Adhere to the people-oriented principle and put the protection of people's health rights and interests in the first place. Adhere to the purpose of medical and health services for people's health, take ensuring people's health as the center, take everyone's access to basic medical and health services as the fundamental starting point and end result, follow the principle of public welfare from the design of reform scheme, the establishment of health system to the construction of service system, focus on solving outstanding problems strongly reflected by the masses, and strive to achieve universal medical treatment.
Adhere to the national conditions and establish a medical and health system with China characteristics. Adhere to the basic national conditions of our country, sum up the practical experience of medical and health reform and development realistically, and accurately grasp the laws and main contradictions of medical and health development; Adhere to the coordination of basic medical and health services with national economic and social development and people's affordability; Give full play to the role of traditional Chinese 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. Adhere to the government's leadership, 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 the market mechanism, promote the formation of an orderly competition mechanism, improve the operational efficiency and 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 consideration and combine the improvement of the institutional system with the solution of current outstanding problems. Proceed from the overall situation, give consideration to the interests of all parties such as suppliers and demanders, 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. Not only focus on the long-term, innovate the system and mechanism, but also focus on solving outstanding problems in the medical and health field; 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.