-
-
Quality Management
-
-
25
2019
-
10
The Central Committee of the Communist Party of China and the State Council issued the "Healthy China 2030" Planning Outline
Author:
Recently, the Central Committee of the Communist Party of China and the State Council issued the "Healthy China 2030" Planning Outline and sent out a notice requiring all regions and departments to earnestly implement it in accordance with their actual conditions. The full text of the "Healthy China 2030" Planning Outline is as follows.
Table of Contents
Preface
Part One: Overall Strategy
Chapter One: Guiding Ideology
Chapter Two: Strategic Theme
Chapter Three: Strategic Goals
Part Two: Popularizing Healthy Living
Chapter Four: Strengthening Health Education
Chapter Five: Shaping Autonomous and Disciplined Health Behaviors
Chapter Six: Improving the Physical Fitness of All Citizens
Part Three: Optimizing Health Services
Chapter Seven: Strengthening Public Health Services for All
Chapter Eight: Providing High-Quality and Efficient Medical Services
Chapter Nine: Fully Utilizing the Unique Advantages of Traditional Chinese Medicine
Chapter Ten: Strengthening Health Services for Key Populations
Part Four: Improving Health Security
Chapter Eleven: Perfecting the Medical Security System
Chapter Twelve: Improving the Drug Supply Security System
Part Five: Building a Healthy Environment
Chapter Thirteen: Deepening the Patriotic Health Campaign
Chapter Fourteen: Strengthening the Governance of Environmental Issues Affecting Health
Chapter Fifteen: Ensuring Food and Drug Safety
Chapter Sixteen: Perfecting the Public Safety System
Part Six: Developing the Health Industry
Chapter Seventeen: Optimizing the Multi-Entity Medical Service Pattern
Chapter Eighteen: Developing New Forms of Health Services
Chapter Nineteen: Actively Developing the Fitness and Leisure Sports Industry
Chapter Twenty: Promoting the Development of the Pharmaceutical Industry
Part Seven: Improving Support and Guarantee
Chapter Twenty-One: Deepening System and Mechanism Reform
Chapter Twenty-Two: Strengthening Health Human Resource Development
Chapter Twenty-Three: Promoting Health Technology Innovation
Chapter Twenty-Four: Building a Health Information Service System
Chapter Twenty-Five: Strengthening Health Rule of Law Construction
Chapter Twenty-Six: Strengthening International Exchange and Cooperation
Part Eight: Strengthening Organizational Implementation
Chapter Twenty-Seven: Strengthening Organizational Leadership
Chapter Twenty-Eight: Creating a Good Social Atmosphere
Chapter Twenty-Nine: Ensuring Effective Implementation Monitoring
Preface
Health is an inevitable requirement for promoting the comprehensive development of individuals and is a fundamental condition for economic and social development. Achieving national health and longevity is an important symbol of national prosperity and ethnic rejuvenation, as well as a common aspiration of all ethnic groups in the country.
The Party and the state have always attached great importance to people's health. Since the founding of New China, especially since the reform and opening up, significant achievements have been made in the reform and development of the health sector in our country. The urban and rural environment has improved significantly, the national fitness movement has flourished, the medical and health service system has become increasingly sound, and the health level and physical fitness of the people have continued to improve. By 2015, the average life expectancy in China had reached 76.34 years, with infant mortality, mortality rate for children under five, and maternal mortality rates dropping to 8.1‰, 10.7‰, and 20.1/100,000 respectively, overall better than the average level of middle and high-income countries, laying an important foundation for building a moderately prosperous society in all respects. At the same time, industrialization, urbanization, population aging, changes in disease patterns, ecological environment, and lifestyle changes have brought a series of new challenges to maintaining and promoting health. The contradiction between the overall insufficient supply of health services and the continuously growing demand remains prominent, and the coordination between the development of the health sector and economic and social development needs to be enhanced, requiring a comprehensive solution to major and long-term health-related issues from a national strategic level.
Promoting the construction of a Healthy China is an important foundation for building a moderately prosperous society in all respects and basically achieving socialist modernization. It is a national strategy to comprehensively improve the health quality of the Chinese nation and achieve coordinated development of people's health and economic and social development. It is also a significant measure to actively participate in global health governance and fulfill international commitments under the 2030 Sustainable Development Agenda. The next 15 years will be an important strategic opportunity period for promoting the construction of a Healthy China. Sustained medium-to-high economic growth will lay a solid foundation for maintaining people's health, while the upgrading of consumption structure will create broad space for the development of health services. Technological innovation will provide strong support for improving health levels, and the maturation and stabilization of various systems will build a strong guarantee for the sustainable development of the health sector.
In order to promote the construction of a Healthy China and improve the health level of the people, this planning outline is formulated based on the strategic deployment of the Fifth Plenary Session of the 18th Central Committee of the Communist Party of China. This planning outline is a grand blueprint and action program for promoting the construction of a Healthy China. The whole society should enhance its sense of responsibility and mission, and make every effort to promote the construction of a Healthy China, contributing more to the great rejuvenation of the Chinese nation and the advancement of human civilization.
Part One: Overall Strategy
Chapter One: Guiding Ideology
To promote the construction of a Healthy China, we must uphold the great banner of socialism with Chinese characteristics, fully implement the spirit of the 18th National Congress of the Communist Party of China and the Third, Fourth, and Fifth Plenary Sessions of the 18th Central Committee, guided by Marxism-Leninism, Mao Zedong Thought, Deng Xiaoping Theory, the important thought of the "Three Represents," and the Scientific Outlook on Development. We should deeply study and implement the series of important speeches by General Secretary Xi Jinping, closely focus on coordinating the overall layout of the "Five-in-One" and the strategic layout of the "Four Comprehensives," earnestly implement the decisions and deployments of the Central Committee of the Communist Party of China and the State Council, adhere to the people-centered development philosophy, firmly establish and implement the new development concept, and adhere to the correct health and wellness work policy. We should focus on improving the health level of the people, drive reform and innovation in systems and mechanisms, prioritize popularizing healthy living, optimizing health services, improving health security, building a healthy environment, and developing the health industry. We should integrate health into all policies, accelerate the transformation of the development model in the health sector, comprehensively and throughout the life cycle maintain and guarantee people's health, significantly improve health levels, and markedly enhance health equity, providing a solid health foundation for achieving the "Two Centenary Goals" and the Chinese Dream of the great rejuvenation of the Chinese nation.
The following principles should be primarily followed:
——Health First. Place health in a strategic position of priority development, based on national conditions, and integrate the concept of promoting health into the entire process of public policy formulation and implementation, accelerating the formation of a lifestyle, ecological environment, and economic and social development model conducive to health, achieving a virtuous cycle of health and economic and social development.
——Reform and Innovation. Adhere to government leadership, leverage the role of market mechanisms, accelerate the reform pace of key links, break through the constraints of ideological concepts, eliminate the barriers of vested interests, remove institutional and mechanism obstacles, and leverage the leading and supporting role of technological innovation and information technology to form a system that promotes national health with Chinese characteristics.
——Scientific development. Grasp the development laws in the health field, adhere to prevention as the main focus, combine prevention and treatment, and balance traditional Chinese medicine and Western medicine. Transform service models, build an integrated medical and health service system, and shift health services from extensive development focused on scale expansion to green and intensive development aimed at improving quality and efficiency. Promote the complementary and coordinated development of traditional Chinese medicine and Western medicine, and enhance the level of health services.
——Fairness and justice. Focus on rural areas and grassroots, promote the equalization of basic public services in the health field, maintain the public welfare nature of basic medical and health services, gradually narrow the differences in basic health services and health levels between urban and rural areas, regions, and populations, achieve universal health coverage, and promote social equity.
Chapter Two: Strategic Theme
"Co-construction and sharing, universal health" is the strategic theme for building a healthy China. The core is to center on people's health, focus on grassroots, drive reform and innovation, prioritize prevention, balance traditional Chinese and Western medicine, integrate health into all policies, and implement a health and wellness work policy that is co-constructed and shared by the people. Address health influencing factors such as lifestyle, living environment, and medical and health services, combining government leadership with mobilizing the enthusiasm and creativity of society and individuals, promoting participation and effort from everyone, and ensuring that everyone enjoys health. Implement prevention as the main focus, promote healthy lifestyles, reduce disease occurrence, strengthen early diagnosis, early treatment, and early rehabilitation, and achieve universal health.
Co-construction and sharing is the fundamental path to building a healthy China. Work from both the supply and demand sides, coordinate social, industry, and individual levels to form a strong synergy for maintaining and promoting health. Promote widespread participation from the whole society, strengthen cross-departmental collaboration, deepen military-civilian integration development, mobilize the enthusiasm and creativity of social forces, enhance environmental governance, ensure food and drug safety, prevent and reduce harm, and effectively control ecological and social environmental risk factors affecting health, forming a multi-level and diversified social co-governance pattern. Promote structural reform on the supply side of health services, and industries such as health and family planning, and sports should actively adapt to the health needs of the people, deepen institutional and mechanism reforms, optimize factor allocation and service supply, fill development gaps, promote the transformation and upgrading of the health industry, and meet the growing health needs of the people. Strengthen individual health responsibility, improve the health literacy of the entire population, guide the formation of self-disciplined and health-conscious lifestyles that suit individual characteristics, effectively control lifestyle factors affecting health, and create a social atmosphere that loves health, pursues health, and promotes health.
Universal health is the fundamental goal of building a healthy China. Based on the two focal points of the entire population and the entire life cycle, provide fair, accessible, systematic, and continuous health services to achieve a higher level of universal health. Benefit the entire population, continuously improve systems, expand services, and enhance quality, ensuring that all people have access to necessary, quality, and affordable health services such as prevention, treatment, rehabilitation, and health promotion, with a focus on addressing health issues for key populations such as women and children, the elderly, the disabled, and low-income groups. Cover the entire life cycle, identify several priority areas based on the main health issues and influencing factors at different life stages, strengthen interventions, and achieve comprehensive health services and health protection from fetus to end of life, fully safeguarding people's health.
Chapter Three: Strategic Goals
By 2020, establish a basic medical and health system with Chinese characteristics covering urban and rural residents, continuously improve health literacy levels, and perfect and efficient health service systems, ensuring that everyone enjoys basic medical and health services and basic sports and fitness services. Essentially form a health industry system with rich connotations and reasonable structure, with major health indicators ranking among the top in middle and high-income countries.
By 2030, promote a more complete institutional system for universal health, achieve more coordinated development in the health field, popularize healthy lifestyles, continuously improve the quality of health services and health protection levels, and prosper the health industry, basically achieving health equity, with major health indicators entering the ranks of high-income countries. By 2050, build a health nation that is compatible with a socialist modernized country.
By 2030, achieve the following specific goals:
——The health level of the people continues to improve. The physical fitness of the people is significantly enhanced, with the average life expectancy reaching 79.0 years by 2030, and the average healthy life expectancy significantly increased.
——Major health risk factors are effectively controlled. Health literacy among the entire population is greatly improved, healthy lifestyles are fully popularized, a favorable production and living environment for health is basically formed, food and drug safety is effectively guaranteed, and a number of major disease hazards are eliminated.
——Health service capacity is significantly enhanced. A high-quality, efficient integrated medical and health service system and a comprehensive public service system for national fitness are fully established, the health protection system is further improved, the overall strength of health technology innovation ranks among the top in the world, and the quality and level of health services are significantly improved.
——The scale of the health industry is significantly expanded. Establish a complete and optimized health industry system, forming a number of large enterprises with strong innovation capabilities and international competitiveness, becoming a pillar industry of the national economy.
——The institutional system for promoting health is further improved. The policy, legal, and regulatory system favorable to health is further improved, and the governance system and governance capacity in the health field basically achieve modernization.
Main indicators for building a healthy China
Field: Health level Indicator: Average life expectancy (years) 2015: 76.34 2020: 77.3 2030: 79.0
Field: Health level Indicator: Infant mortality rate (‰) 2015: 8.1 2020: 7.5 2030: 5.0
Field: Health level Indicator: Mortality rate of children under 5 years old (‰) 2015: 10.7 2020: 9.5 2030: 6.0
Field: Health level Indicator: Maternal mortality rate (1/100,000) 2015: 20.1 2020: 18.0 2030: 12.0
Field: Health level Indicator: Proportion of urban and rural residents meeting the "National Physical Fitness Measurement Standards" (≥) (%) 2015: 89.6 (2014) 2020: 90.6 2030: 92.2
Field: Healthy living Indicator: Health literacy level of residents (%) 2015: 10 2020: 20 2030: 30
Field: Healthy living Indicator: Number of people regularly participating in physical exercise (hundred million) 2015: 3.6 (2014) 2020: 4.35 2030: 5.3
Field: Health services and protection Indicator: Early mortality rate from major chronic diseases (%) 2015: 19.1 (2013) 2020: 10% lower than 2015 2030: 30% lower than 2015
Field: Health services and protection Indicator: Number of practicing (assistant) physicians per thousand permanent residents (people) 2015: 2.2 2020: 2.5 2030: 3.0
Field: Health services and protection Indicator: Proportion of personal health expenditure in total health expenditure (%) 2015: 29.3 2020: around 28 2030: around 25
Field: Health environment Indicator: Ratio of days with good air quality in cities at or above the prefecture level (%) 2015: 76.7 2020: >80 2030: Continuous improvement
Field: Health environment Indicator: Proportion of surface water quality meeting or exceeding Class III water standards (%) 2015: 66 2020: >70 2030: Continuous improvement
Field: Health Industry Indicator: Total Scale of Health Services (Trillion Yuan) 2015: - 2020: >8 2030: 16
Part Two: Popularizing Healthy Living
Chapter Four: Strengthening Health Education
Section 1: Improve National Health Literacy
Promote the action for a healthy lifestyle for all, strengthen guidance and intervention on healthy lifestyles for families and high-risk individuals, carry out special actions for healthy weight, oral health, bone health, etc., and achieve basic full coverage at the county (city, district) level by 2030. Develop and promote suitable technologies and products that promote healthy living. Establish a core information release system for health knowledge and skills, and improve the national health literacy and lifestyle monitoring system. Establish and improve the health promotion and education system, enhance health education service capabilities, start from a young age, and popularize health science knowledge. Strengthen the construction of spiritual civilization, develop a healthy culture, change customs, and cultivate good living habits. Various media at all levels should increase the promotion of health science knowledge, actively build and standardize various health programs on radio and television, and use new media to expand health education.
Section 2: Increase Health Education in Schools
Incorporate health education into the national education system, making it an important part of quality education at all educational stages. Focus on primary and secondary schools, establish a mechanism to promote health education in schools. Construct a health education model that combines relevant subject teaching with educational activities, classroom education with extracurricular practice, and regular publicity education with concentrated publicity education. Train health education teachers and include health education in the pre-service and in-service training of physical education teachers.
Chapter Five: Shaping Autonomous and Disciplined Health Behaviors
Section 1: Guide Rational Diet
Formulate and implement a national nutrition plan, conduct in-depth research on the nutritional function evaluation of food (agricultural products, food), comprehensively popularize dietary nutrition knowledge, release dietary guidelines suitable for different population characteristics, guide residents to form scientific dietary habits, and promote the construction of a healthy diet culture. Establish and improve a nutrition monitoring system for residents, implement nutritional interventions for key areas and populations, focus on solving issues such as micronutrient deficiencies and excessive intake of high-calorie foods in certain populations, and gradually address the coexistence of nutritional deficiencies and excesses among residents. Implement clinical nutrition interventions. Strengthen guidance on nutrition and health work in schools, kindergartens, and elderly care institutions. Carry out the construction of model healthy canteens and healthy restaurants. By 2030, residents' nutrition knowledge literacy will significantly improve, the incidence of nutrition deficiency diseases will significantly decrease, the national average daily salt intake will be reduced by 20%, and the growth rate of overweight and obese populations will significantly slow down.
Section 2: Implement Smoking and Alcohol Control
Comprehensively promote smoking control compliance, increase efforts in smoking control, and use price, tax, legal and other means to enhance smoking control effectiveness. Deepen smoking control publicity and education. Actively promote the construction of smoke-free environments, strengthen supervision and law enforcement of smoking control in public places. Advance the ban on smoking in public places, gradually achieving a comprehensive indoor public place smoking ban. Leading cadres should take the lead in banning smoking in public places and turn party and government agencies into smoke-free institutions. Strengthen smoking cessation services. By 2030, the smoking rate among people aged 15 and above will be reduced to 20%. Strengthen health education on alcohol control, manage excessive alcohol use, and reduce alcoholism. Enhance monitoring of harmful alcohol use.
Section 3: Promote Mental Health
Strengthen the construction and standardized management of the mental health service system. Increase the public awareness of mental health and improve mental health literacy. Strengthen intervention for common mental disorders such as depression and anxiety, and enhance early detection and timely intervention for mental health issues in key populations. Strengthen the reporting, registration, and treatment management of patients with severe mental disorders. Fully promote community rehabilitation services for mental disorders. Improve the intervention capacity and level for psychological crises in emergencies. By 2030, the prevention and treatment of common mental disorders and the identification and intervention of psychological behavior problems will be significantly improved.
Section 4: Reduce Unsafe Behaviors and Drug Hazards
Strengthen comprehensive social governance, focusing on adolescents, women of childbearing age, and mobile populations, to carry out education and intervention on sexual morality, sexual health, and sexual safety, and strengthen comprehensive interventions for high-risk sexual behavior populations to reduce unintended pregnancies and the spread of sexually transmitted diseases. Vigorously popularize knowledge about the hazards of drugs, coping measures, and treatment methods. Strengthen the construction of a national drug rehabilitation medical service system, and detect and treat addicts early. Strengthen the connection between drug maintenance treatment and community rehabilitation, compulsory isolation rehabilitation, and community recovery. Establish a drug rehabilitation model that integrates physiological detoxification, psychological rehabilitation, employment support, and social reintegration, minimizing the social harm of drugs.
Chapter Six: Improving the Physical Fitness of All Citizens
Section 1: Improve the Public Service System for National Fitness
Coordinate the construction of public fitness facilities, strengthen the construction of fitness trails, cycling paths, national fitness centers, sports parks, and multifunctional sports fields in communities. By 2030, a three-level public sports facility network at the county, township, and village levels will be basically established, with an average sports area of no less than 2.3 square meters per person, achieving full coverage of a 15-minute fitness circle in urban communities. Implement free or low-cost access to public sports facilities, ensuring that all public sports venues and facilities of enterprises and institutions that meet the opening conditions are open to the public. Strengthen the construction of a national fitness organization network, support and guide the development of grassroots sports social organizations.
Section 2: Widely Promote National Fitness Activities
Continue to formulate and implement national fitness plans, popularize scientific fitness knowledge and methods, and promote the integration of fitness into daily life. Organize social sports instructors to widely carry out national fitness guidance services. Implement national sports exercise standards, develop mass fitness and leisure activities, and enrich and improve the national fitness system. Vigorously develop sports projects that are popular among the masses, encourage the development of characteristic sports projects suitable for different populations and regional characteristics, and support the promotion of traditional sports projects such as Tai Chi and fitness Qigong.
Section 3: Strengthen the Integration of Sports and Medicine and Non-Medical Health Interventions
Release guidelines for sports and fitness activities, establish and improve a prescription database for exercise tailored to different populations, environments, and physical conditions, promote the formation of a disease management and health service model that integrates sports and medicine, and leverage the positive role of national scientific fitness in health promotion, chronic disease prevention, and rehabilitation. Strengthen the construction of national fitness technology innovation platforms and scientific fitness guidance service sites. Conduct national physical fitness tests, improve the physical health monitoring system, develop and apply big data for national physical health monitoring, and conduct exercise risk assessments.
Section 4: Promote Sports Activities for Key Populations
Formulate and implement physical health intervention plans for special groups such as adolescents, women, the elderly, occupational groups, and people with disabilities. Implement plans to promote sports activities for adolescents, cultivate their interest in sports, ensure that adolescents master at least one sports skill proficiently, and ensure that students engage in physical activities for no less than one hour every day at school. By 2030, the compliance rate of school sports facilities and equipment will reach 100%, and the participation rate of adolescents in physical activities at moderate intensity will reach more than three times a week, with an excellent rate of over 25% in meeting national student physical health standards. Strengthen scientific guidance to promote active participation in national fitness by women, the elderly, and occupational groups. Implement a workplace fitness system, encouraging and supporting the construction of appropriate fitness activity venues in new workplaces. Promote the widespread development of rehabilitation sports and fitness for people with disabilities.
Part Three: Optimizing Health Services
Chapter Seven: Strengthening Public Health Services for All
Section 1: Prevent and Treat Major Diseases
Implement a comprehensive strategy for chronic disease prevention and control, and strengthen the construction of national chronic disease prevention and control demonstration zones. Enhance chronic disease screening and early detection, focusing on early diagnosis and treatment of key cancers in high-incidence areas, and promote opportunistic screening for chronic diseases such as cancer, stroke, and coronary heart disease. Achieve comprehensive management interventions for hypertension and diabetes patients, and gradually incorporate suitable technologies for early diagnosis and treatment of major chronic diseases like cancer and stroke into routine medical care. Strengthen the prevention and treatment of common diseases such as myopia and obesity among students. By 2030, achieve chronic disease health management for the entire population and throughout the life cycle, with an overall cancer five-year survival rate increase of 15%. Strengthen oral hygiene, controlling the caries rate among 12-year-old children to within 25%.
Strengthen the prevention and control of major infectious diseases. Improve the infectious disease monitoring and early warning mechanism. Continue to implement the expanded national immunization program, maintaining a high vaccination rate for eligible children under the national immunization program, and establish a compensation insurance mechanism for adverse reactions to vaccinations. Strengthen HIV testing, antiviral treatment, and follow-up management, fully implement nucleic acid testing for clinical blood use and prevent mother-to-child transmission of HIV, keeping the epidemic at a low prevalence level. Establish a comprehensive service model for tuberculosis prevention and control, strengthen screening and monitoring for multidrug-resistant tuberculosis, and standardize tuberculosis diagnosis and treatment management, with a continuous decline in the national tuberculosis epidemic. Effectively respond to key infectious disease outbreaks such as influenza, hand-foot-mouth disease, dengue fever, and measles. Continue to adhere to the comprehensive prevention and control strategy for schistosomiasis, focusing on controlling the source of infection, with all endemic counties nationwide meeting the standards for schistosomiasis elimination. Continue to consolidate the achievements in malaria elimination nationwide. All endemic counties have basically controlled the prevalence of key parasitic diseases such as echinococcosis. Maintain control and elimination of key local diseases, ensuring that local diseases no longer pose a significant threat to public health. Strengthen the prevention and control of sudden acute infectious diseases, actively prevent imported sudden acute infectious diseases, and enhance the prevention and control of traditional severe infectious diseases such as plague. Strengthen source governance for major zoonotic infectious diseases.
Section 2 Improve family planning service management
Improve the comprehensive decision-making system and mechanism for population and development, and enhance the policy system conducive to balanced population development. Reform the management approach of family planning services, placing greater emphasis on serving families, and construct a family development policy framework focused on fertility support, child-rearing, youth development, elder care, and care for the sick and disabled, guiding the public to have responsible and planned births. Improve the national family planning technical service policy and strengthen the support for reproductive family planning technical services. Fully implement informed choice, popularize knowledge of contraception and reproductive health. Improve the family reward and assistance system and special assistance system for family planning, implementing dynamic adjustments to the reward and assistance fund standards. Adhere to and improve the target management responsibility system for family planning, and enhance the long-term working mechanism for family planning that includes publicity and advocacy, legal management, quality service, policy promotion, and comprehensive governance. Establish and improve the monitoring mechanism for birth population. Continue to address the gender ratio at birth. By 2030, achieve a natural balance in the national gender ratio at birth.
Section 3 Promote the equalization of basic public health services
Continue to implement and improve the national basic public health service projects and major public health service projects, strengthen research on the economic burden of diseases, timely adjust project funding standards, continuously enrich and expand service content, and improve service quality, ensuring that urban and rural residents enjoy equal basic public health services, and effectively carry out equalization of basic public health and family planning services for the floating population.
Chapter Eight: Providing High-Quality and Efficient Medical Services
Section 1 Improve the medical and health service system
Comprehensively build a complete, clearly defined, complementary, closely cooperative, and efficiently operating integrated medical and health service system. Reasonably allocate basic medical and health resources within counties and cities according to the resident population and service radius, ensuring that everyone enjoys equal basic medical and health services; coordinate and integrate regional medical resources at the provincial level and above, basically achieving balanced allocation of high-quality medical and health resources, ensuring that everyone in the province enjoys uniform emergency, critical illness, difficult disease diagnosis and treatment, and specialized medical services; relying on existing institutions, build a number of nationally leading, globally influential national medical centers, establish a number of regional medical centers and national clinical key specialty groups, promote coordinated development of medical and health services in regions such as Beijing-Tianjin-Hebei and the Yangtze River Economic Belt, driving regional development of medical services and overall improvement of standards. Strengthen the construction of continuity medical institutions for rehabilitation, geriatric care, long-term care, chronic disease management, and palliative care. Implement health poverty alleviation projects, increase support for the construction of medical and health institutions in impoverished areas in central and western regions, enhance service capacity, and ensure the health of impoverished populations. By 2030, a basic medical and health service circle of 15 minutes will be basically formed, with the number of registered nurses per thousand residents reaching 4.7.
Section 2 Innovate the supply model of medical and health services
Establish a "three-in-one" major disease prevention and control mechanism involving professional public health institutions, comprehensive and specialized hospitals, and grassroots medical and health institutions, create an information sharing and interconnectivity mechanism, and promote the overall integrated development of chronic disease prevention, treatment, and management, achieving a combination of medical treatment and prevention. Establish a clear division of labor and cooperation mechanism among medical and health institutions of different levels, categories, and sponsoring entities, continuously improve the service network, operational mechanism, and incentive mechanism, ensuring that grassroots institutions generally have the capability of health gatekeeping for residents. Improve family doctor contract services, fully establish a mature and complete hierarchical diagnosis and treatment system, forming a reasonable medical order of grassroots first diagnosis, two-way referral, vertical linkage, and separation of acute and chronic treatment. Guide tertiary public hospitals to gradually reduce general outpatient services, focusing on the development of diagnosis and treatment for critical illnesses and difficult diseases. Improve various collaborative models such as medical alliances and hospital groups to enhance the overall performance of the service system. Accelerate the military-civilian integration in the medical and health field, actively leverage the role of military medical institutions to better serve the people.
Section 3 Enhance the level and quality of medical services
Establish a medical quality management and control system that aligns with international standards and reflects Chinese characteristics, basically establishing a national, provincial, and municipal three-level medical quality control organization covering major specialties, and launching a number of international standards and norms. Build an information platform for medical quality management and control, achieving precise and real-time management and control across the entire industry, continuously improving medical quality and safety, enhancing the homogeneity of medical services, and ensuring that key medical service quality indicators such as readmission rates and antibiotic usage rates reach or approach world advanced levels. Fully implement clinical pathway management, standardize diagnosis and treatment behaviors, optimize diagnosis and treatment processes, and enhance patients' sense of access to medical services. Promote rational drug use, ensure the safety of clinical blood use, and basically achieve mutual recognition of inspection and test results among medical institutions. Strengthen the humanistic care in medical services and build a harmonious doctor-patient relationship. Strictly crack down on illegal and criminal acts related to medical services, especially violent crimes against medical personnel, to protect the safety of medical staff.
Chapter Nine: Fully Utilizing the Unique Advantages of Traditional Chinese Medicine
Section 1 Improve the service capacity of traditional Chinese medicine
Implement the clinical advantage cultivation project for traditional Chinese medicine, strengthen research on the advantages of traditional Chinese medicine in prevention and treatment of diseases, enhance the integration of traditional Chinese and Western medicine, and improve clinical efficacy for major difficult diseases and critical illnesses. Vigorously develop non-drug therapies in traditional Chinese medicine, allowing them to play a unique role in the prevention and treatment of common diseases, frequently occurring diseases, and chronic diseases. Develop traditional Chinese medicine rehabilitation services. Improve the traditional Chinese medicine healthcare service system covering urban and rural areas. Establish traditional Chinese medicine service areas such as TCM clinics and Guoyi halls in township health centers and community health service centers, promote suitable technologies, and ensure that all grassroots medical and health institutions can provide traditional Chinese medicine services. Promote the development of ethnic medicine. By 2030, the leading role of traditional Chinese medicine in disease prevention, its synergistic role in the treatment of major diseases, and its core role in disease rehabilitation will be fully realized.
Section 2 Develop traditional Chinese medicine health preservation and preventive services
Implement the Traditional Chinese Medicine (TCM) health project to combine the advantages of TCM with health management, exploring a TCM health security model that integrates health culture, health management, and health insurance. Encourage social forces to establish standardized TCM health care institutions and accelerate the development of health care services. Expand the service areas of TCM hospitals to provide health consultation, assessment, intervention, and follow-up management services for disease prevention. Encourage TCM medical institutions and practitioners to provide health consultation and technical support for TCM health care institutions. Carry out the 'TCM and Traditional Chinese Medicine in China' campaign to vigorously disseminate TCM knowledge and easy-to-master health care techniques, strengthen the protection and inheritance of TCM's intangible cultural heritage, and achieve the creative transformation and innovative development of TCM health culture.
Section 3: Promote the Inheritance and Innovation of Traditional Chinese Medicine
Implement the TCM inheritance and innovation project, emphasizing the study and excavation of classic TCM texts, comprehensively inheriting the academic theories, schools, and doctrines of various historical figures, continuously promoting the academic thoughts and clinical experiences of contemporary renowned TCM experts, and exploring folk diagnosis techniques and prescriptions to advance the inheritance and development of TCM culture. Establish a traditional knowledge protection system for TCM, and formulate a traditional knowledge protection catalog. Integrate modern scientific and technological achievements, explore TCM prescriptions, strengthen the prevention and treatment techniques for major difficult diseases and chronic diseases, and continuously promote the development of TCM theory and practice. Develop TCM health services, accelerate the creation of multinational companies with a complete industrial chain service and internationally renowned Chinese brands, and promote TCM to the world. Protect important TCM resources and biodiversity, conduct surveys and dynamic monitoring of TCM resources, and establish breeding bases for bulk, authentic, and endangered medicinal materials, providing dynamic monitoring information for the TCM market to promote the green development of the TCM planting industry.
Chapter Ten: Strengthening Health Services for Key Populations
Section 1: Improve Maternal and Child Health Levels
Implement the maternal and infant safety plan, advocate for optimal birth and child-rearing, continue to implement the hospitalization delivery subsidy system, and provide free basic medical care services throughout the childbirth process for pregnant women. Strengthen the comprehensive prevention and treatment of birth defects, and build a prevention and treatment system for birth defects that covers urban and rural residents, including pre-pregnancy, pregnancy, and newborn stages. Implement the Healthy Children Program, strengthen early childhood development, enhance pediatric construction, increase the prevention and treatment of key childhood diseases, expand newborn disease screening, and continue to carry out projects to improve child nutrition in key areas. Increase the screening rate and early diagnosis and treatment rate of common diseases in women. Implement maternal and child health and family planning service guarantee projects to enhance the emergency rescue capabilities for pregnant women and newborns.
Section 2: Promote Healthy Aging
Advance the construction of the elderly medical and health service system, extending medical and health services to communities and families. Improve the cooperation mechanism between medical institutions and elderly care institutions, and support elderly care institutions in providing medical services. Promote the integrated development of TCM and elderly care, providing integrated health and elderly care services for the elderly, including hospitalization during treatment, rehabilitation care, daily living care during stable periods, and palliative care, promoting the comprehensive management of chronic diseases in close conjunction with home, community, and institutional elderly care. Encourage social forces to establish integrated medical and elderly care institutions. Strengthen health guidance and comprehensive intervention for common diseases and chronic diseases in the elderly, and enhance health management for the elderly. Promote mental health and care services for the elderly, strengthening effective interventions for dementia and other conditions. Promote the development of long-term care services for elderly people at home, establish a subsidy system for economically disadvantaged elderly and disabled individuals, and create a multi-level long-term care security system. Further improve policies to make it easier for the elderly to access essential medications.
Section 3: Safeguard the Health of Persons with Disabilities
Formulate and implement regulations for disability prevention and rehabilitation for persons with disabilities. Increase medical assistance for low-income persons with disabilities who meet the criteria, and include eligible rehabilitation projects for persons with disabilities in the basic medical insurance payment scope as stipulated. Establish a rehabilitation assistance system for disabled children, providing subsidies for basic assistive devices for persons with disabilities in areas where conditions permit. Incorporate rehabilitation for persons with disabilities into basic public services, implementing precise rehabilitation to provide basic rehabilitation services for impoverished and severely disabled individuals in urban and rural areas. Improve the accessibility of medical institutions and enhance medical services for persons with disabilities. Further improve the rehabilitation service system, strengthen the construction of rehabilitation and care facilities for persons with disabilities, establish a two-way referral mechanism between medical institutions and specialized rehabilitation institutions, and prioritize basic medical, public health, and health management services for persons with disabilities in grassroots medical and health institutions. Formulate and implement a national disability prevention action plan to enhance the awareness of disability prevention in society, conduct disability prevention across the entire population and life cycle, and effectively control the occurrence and development of disabilities. Strengthen the prevention and control of disabling diseases and other disabling factors. Promote pilot work for national comprehensive disability prevention experimental zones. Continue to carry out work to prevent and treat blindness and deafness.
Part Four: Improving Health Security
Chapter Eleven: Perfecting the Medical Security System
Section 1: Improve the Universal Medical Insurance System
Establish a multi-level medical security system centered on basic medical insurance, supplemented by various forms of supplementary insurance and commercial health insurance. Integrate the basic medical insurance systems for urban and rural residents and streamline management. Improve the sustainable financing and benefit adjustment mechanisms for basic medical insurance to achieve medium- and long-term actuarial balance of funds. Refine the insurance payment policies, balancing the payment burden between units and individuals, and reasonably determining the sharing ratio between the government and individuals. Improve the personal accounts of employee medical insurance and develop outpatient coordination. Further enhance the medical security mechanism for major diseases, strengthening the effective connection between basic medical insurance, urban and rural residents' major illness insurance, commercial health insurance, and medical assistance. By 2030, the universal medical insurance system will be mature and well-defined.
Section 2: Improve the Medical Insurance Management Service System
Strictly implement budget management for medical insurance funds. Fully promote the reform of medical insurance payment methods, actively advancing payment by disease type and per capita, and exploring payment by diagnosis-related groups (DRGs) and performance-based payment, forming a composite payment method under total budget management, and improving the negotiation and risk-sharing mechanisms between medical insurance agencies and medical institutions. Accelerate the settlement of medical insurance for cross-regional medical treatment, achieving direct settlement of hospitalization expenses for retired personnel placed in other provinces and direct settlement of hospitalization expenses for cross-regional medical treatment that meets referral regulations. Fully realize intelligent monitoring of medical insurance, extending the supervision of medical insurance over medical institutions to medical personnel. Gradually introduce social forces to participate in medical insurance management. Strengthen the construction and application of basic standards for medical insurance. By 2030, the management service system for universal medical insurance will be improved and efficient.
Section 3: Actively Develop Commercial Health Insurance
Implement tax and other preferential policies to encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance. Enrich health insurance products and encourage the development of health insurance products related to health management services. Promote cooperation between commercial insurance companies and medical, health check-up, and nursing institutions to develop new organizational forms such as health management organizations. By 2030, the modern commercial health insurance service industry will further develop, and the proportion of commercial health insurance claims expenditures in total health expenses will significantly increase.
Chapter Twelve: Improving the Drug Supply Security System
Section 1: Deepen the Reform of Drug and Medical Device Circulation System
Promote drug and medical device circulation enterprises to extend services upstream and downstream of the supply chain, forming a new modern circulation system. Standardize pharmaceutical e-commerce, enrich drug circulation channels and development models. Promote the application of modern logistics management and technology, and improve the modern circulation network and traceability system for Chinese medicinal materials. Implement the principal position of medical institutions in drug and consumable procurement, encouraging joint procurement. Improve the national drug price negotiation mechanism. Establish a traceability mechanism for drug factory prices. Strengthen the supply guarantee and early warning for shortage drugs, improve the drug reserve system and emergency supply mechanism. Build a modern pharmaceutical circulation network covering urban and rural areas, enhancing the supply guarantee capacity for drugs in grassroots and remote areas.
Section 2: Improve National Drug Policy
Consolidate and improve the national essential medicine system, and promote the provision of essential medicines for special populations. Improve the existing free treatment drug policy and increase the free supply of special drugs for AIDS prevention and treatment. Ensure access to medications for children. Improve the drug guarantee policy for rare diseases. Establish a clinical comprehensive evaluation system focused on essential medicines. Improve the drug pricing formation mechanism according to the principle of combining government regulation and market adjustment. Strengthen the connection between pricing, medical insurance, procurement, etc., adhere to classified management, enhance price regulation for insufficiently competitive drugs and high-value medical consumables, establish a drug price information monitoring and disclosure system, and formulate and improve medical insurance drug payment standard policies.
Part Five: Building a Healthy Environment
Chapter Thirteen: Deepening the Patriotic Health Campaign
Section 1: Strengthen Comprehensive Urban and Rural Environmental Sanitation
Continue to promote urban and rural environmental sanitation actions, improve urban and rural environmental sanitation infrastructure and long-term mechanisms, and coordinate the governance of urban and rural environmental sanitation issues. Increase efforts to improve the rural living environment, comprehensively strengthen rural waste management, implement rural domestic sewage treatment projects, and vigorously promote clean energy. By 2030, strive to build China's rural areas into beautiful homes with clean and tidy living environments suitable for residents' living and aging, achieving harmonious development between humans and nature. Implement rural drinking water safety consolidation and enhancement projects, promote the extension of urban water supply facilities to rural areas, further improve the rural centralized water supply rate, tap water coverage rate, water quality compliance rate, and water supply guarantee rate, and comprehensively establish a rural drinking water safety guarantee system from source to tap. Accelerate the construction of harmless sanitary toilets, aiming for all rural residents to have access to harmless sanitary toilets by 2030. Implement a comprehensive prevention and control strategy for disease vectors focused on environmental governance. Deepen the creation of national sanitary towns, striving to increase the number of national sanitary cities to 50% of the total number of cities nationwide by 2030, with qualified provinces (autonomous regions, municipalities) achieving full coverage.
Section 2: Build Healthy Cities and Healthy Towns
Make the construction of healthy cities and healthy towns an important approach to promoting the construction of a healthy China, ensuring the land demand for public facilities related to health, improving the system, layout, and standards of related public facilities, integrating health into the entire process of urban and rural planning, construction, and governance, and promoting coordinated development of cities and people's health. Develop and implement health city and health town development plans targeting the main health issues of local residents. Widely carry out the construction of healthy communities, healthy towns, healthy units, and healthy families, increasing social participation. Focus on strengthening the construction of healthy schools, enhancing monitoring and evaluation of health hazards for students, and improving policies related to food safety management and infectious disease prevention and control in schools. Strengthen monitoring and evaluation of healthy city and healthy town construction. By 2030, establish a number of demonstration cities and towns for healthy city and healthy town construction.
Chapter Fourteen: Strengthening the Governance of Environmental Issues Affecting Health
Section 1: Deepen Pollution Prevention and Control of Air, Water, and Soil
With the core goal of improving environmental quality, promote joint prevention and control and basin co-governance, implement environmental quality target assessments, and enforce the strictest environmental protection systems to effectively address prominent environmental issues affecting the health of the general public. Deepen environmental impact assessments for development and construction planning in industrial parks, new cities, and new districts, strictly approve environmental impact assessments for construction projects, and strengthen source prevention. Deepen regional air pollution joint prevention and control, and establish a normalized regional cooperation mechanism. Improve the regional joint early warning mechanism for severe pollution weather. Fully implement urban air quality compliance management to significantly improve the air quality in cities nationwide. Promote the safe and compliant construction of drinking water source protection areas. Strengthen groundwater management and protection, promote the governance of over-exploited groundwater areas and comprehensive pollution prevention and control. Carry out the construction of a national soil environmental quality monitoring network, establish a soil environmental quality investigation and assessment system for construction land, and conduct soil pollution treatment and remediation. Focus on arable land and implement classified management of agricultural land. Comprehensively strengthen the prevention and control of agricultural non-point source pollution to effectively protect ecosystems and genetic diversity. Strengthen noise pollution prevention and control.
Section 2: Implement Comprehensive Emission Standards for Industrial Pollution Sources
Fully implement the pollution discharge permit management for industrial pollution sources, promote enterprises to carry out self-monitoring and information disclosure, establish pollution discharge accounts, and achieve permitted discharge according to permits. Accelerate the elimination of high-pollution and high-environmental-risk processes, equipment, and products. Carry out special governance for pollution in industrial clusters. Focus on industries such as steel, cement, and petrochemicals to promote compliance emission renovations.
Section 3: Establish and Improve Environmental and Health Monitoring, Investigation, and Risk Assessment Systems
Gradually establish and improve the environmental and health management system. Conduct environmental and health investigations in key areas, river basins, and industries, and establish a comprehensive monitoring network and risk assessment system covering pollution source monitoring, environmental quality monitoring, population exposure monitoring, and health effect monitoring. Implement environmental and health risk management. Delineate high-risk areas for environmental health, evaluate the impact of environmental pollution on public health, and explore the establishment of a health risk assessment system for key projects in high-risk areas. Establish an environmental health risk communication mechanism. Create a unified environmental information disclosure platform to comprehensively promote environmental information disclosure. Promote air quality monitoring and information release in cities at the county level and above.
Chapter Fifteen: Ensuring Food and Drug Safety
Section 1: Strengthen Food Safety Supervision
Improve the food safety standard system to align food safety standards with international standards. Strengthen food safety risk monitoring and assessment, aiming for full coverage of food safety risk monitoring and foodborne disease reporting networks by 2030. Fully implement standardized and clean agricultural production, conduct in-depth assessments of agricultural product quality and safety risks, promote comprehensive governance of veterinary drug residues and heavy metal pollution, and implement actions to manage veterinary antibiotic use. Strengthen guidance and supervision of food origin, and improve the market access system for agricultural products. Establish a traceability cooperation mechanism for edible agricultural products, improve a unified and authoritative food safety supervision system, establish a professional inspector team, enhance inspection and testing capacity, strengthen daily supervision and inspection, and expand the coverage of product sampling inspections. Strengthen governance of food operations on the internet. Strengthen management of imported food access, increase inspections of foreign food safety systems, and orderly carry out the construction of designated ports for imported food. Promote local governments to build quality safety demonstration zones for exported food and agricultural products. Advance the construction of a food safety credit system and improve the food safety information disclosure system. Establish a regulatory framework covering the entire process from source to consumption, strictly guard every line of defense from farm to table, ensuring that the public eats safely and with peace of mind.
Section 2: Strengthen Drug Safety Supervision
Deepen the reform of the drug (medical device) review and approval system, study and establish a clinical efficacy-oriented approval system, and improve the approval standards for drugs (medical devices). Accelerate the review and approval of innovative drugs (medical devices) and urgently needed new drugs (medical devices) for clinical use, and promote the consistency evaluation of quality and efficacy for generic drugs. Improve the national drug standard system, implement a plan to raise medical device standards, and actively promote the internationalization of traditional Chinese medicine (materials) standards. Comprehensively strengthen drug supervision, forming a regulatory chain covering all varieties and processes. Strengthen the supervision of medical devices and cosmetics.
Chapter Sixteen: Perfecting the Public Safety System
Section 1: Strengthen Production Safety and Occupational Health
Strengthen production safety, accelerate the establishment of two lines of defense for risk level control and hidden danger investigation and governance, and effectively reduce the frequency and consequences of major accidents. Strengthen industry self-discipline and supervisory management responsibilities, promote enterprises to fulfill their main responsibilities, advance the source governance of occupational disease hazards, and strengthen safety supervision in key industries such as mining and hazardous chemicals. Conduct a basic survey of occupational disease hazards, and improve targeted health intervention measures. Further improve the occupational safety and health standard system, establish a monitoring, reporting, and management network for key occupational diseases and occupational disease hazard factors, and curb the high incidence of pneumoconiosis and occupational poisoning. Establish a graded and classified regulatory mechanism, implementing key supervision for enterprises with high risks of occupational disease hazards. Carry out special governance for occupational disease hazards in key industries. Strengthen the occupational disease reporting system, promote occupational health promotion work by employers, and prevent and control work-related injuries and occupational diseases. Strengthen national personal radiation dose management and radiation protection in radiological diagnosis and treatment.
Section 2: Promoting Road Traffic Safety
Strengthen the design, planning, and construction of road traffic safety facilities, organize the implementation of highway safety life protection projects, and address road safety hazards. Strictly manage road transport safety, enhance enterprises' self-discipline awareness regarding safety, and implement the primary responsibility for safety production in transport enterprises. Strengthen the capacity for safety operation supervision and the foundational support for safety production. Further enhance road traffic safety governance, improve vehicle safety technical standards, and enhance the overall quality of motor vehicle drivers and traffic participants. By 2030, strive to achieve a 30% reduction in the death rate per ten thousand vehicles in road traffic.
Section 3: Preventing and Reducing Injuries
Establish a comprehensive injury monitoring system, develop technical guidelines and standards for key injury interventions. Strengthen injury prevention and intervention for children and the elderly, reduce traffic injuries to children, drowning, and accidental falls among the elderly, and improve safety standards for children's toys and products. Prevent and reduce suicides and accidental poisonings. Establish a mandatory reporting system for consumer product quality safety incidents, create a product injury monitoring system, strengthen quality safety supervision in key areas, and reduce safety injuries from consumer products.
Section 4: Enhancing Emergency Response Capabilities for Sudden Events
Strengthen public safety awareness education. Establish and improve the responsibility mechanism for the construction and maintenance of public fire safety facilities in urban and rural areas, aiming for basic coverage of public fire safety facilities by 2030. Improve disaster prevention, reduction, and emergency response capabilities. Perfect the health emergency response system for sudden events, enhancing early prevention, timely detection, rapid response, and effective handling capabilities. Establish a comprehensive emergency medical rescue system that includes military medical institutions, enhancing emergency medical rescue capabilities for sudden events. By 2030, establish a nationwide, relatively complete emergency medical rescue network, achieving emergency health response and medical rescue capabilities at the level of developed countries. Further improve the medical emergency response system to enhance treatment efficiency. By 2030, strive to reduce the death and injury ratio from road traffic accidents to the level of moderately developed countries.
Section 5: Improving the Public Health System at Ports
Establish a global infectious disease epidemic information intelligent monitoring and early warning system, a precise quarantine system for ports, and a comprehensive modern port nuclear, biological, and chemical harmful factor prevention and control system. Create a response mechanism for sudden public health events at ports based on source prevention and joint prevention and control domestically and internationally, and improve monitoring and control mechanisms for vectors and major infectious diseases at ports, proactively preventing, controlling, and responding to sudden public health events from abroad. Continuously consolidate and enhance core capabilities at ports, creating international health airports (ports). Improve the international travel and health information network, providing timely and effective international travel health guidance, and establish a world-class international travel health service system to ensure the health and safety of inbound and outbound personnel.
Enhance the prevention and control capabilities for animal and plant epidemic diseases, strengthen risk assessment and access management for incoming animal and plant quarantine, and standardize the inspection, detection, identification, pest control, and monitoring of foreign animal and plant epidemic diseases and harmful organisms. Improve the accountability system for individuals and units purchasing and carrying such items, preventing the cross-border spread of international animal and plant epidemic diseases and harmful organisms. Improve the biological safety inspection mechanism at national borders to effectively prevent the loss of species resources and the invasion of foreign species.
Part Six: Developing the Health Industry
Chapter Seventeen: Optimizing the Multi-Entity Medical Service Pattern
Further optimize the policy environment, prioritize support for social forces to establish non-profit medical institutions, and promote equal treatment for non-profit private hospitals and public hospitals. Encourage physicians to practice at grassroots medical and health institutions or set up studios during their spare time, and allow individual clinics to be set up without planning layout restrictions. Remove unreasonable restrictions and hidden barriers for social forces entering the medical field. Gradually expand the scope for foreign investment in medical institutions. Increase government purchasing of services, support the insurance industry in investing and establishing medical institutions, promote the development of non-public medical institutions towards high standards and large-scale operations, and encourage the development of specialized hospital management groups. Strengthen government supervision, industry self-discipline, and social oversight to promote the standardized development of non-public medical institutions.
Chapter Eighteen: Developing New Forms of Health Services
Actively promote the integration of health with elderly care, tourism, the internet, fitness and leisure, and food, fostering new health industries, new business formats, and new models. Develop internet-based health services, encourage the development of health check-ups, consultations, and other health services, promote personalized health management services, cultivate a number of distinctive health management service industries, and explore the development of wearable devices, smart health electronic products, and health medical mobile application services. Standardize the development of maternal and infant care services. Cultivate the health culture industry and the sports medical rehabilitation industry. Formulate industry standards and norms for health medical tourism, creating internationally competitive health medical tourism destinations. Vigorously develop traditional Chinese medicine health tourism. Create a number of well-known brands and a virtuous cycle of health service industry clusters, supporting a large number of small and micro enterprises for coordinated development.
Guide the development of professional medical testing centers, medical imaging centers, pathology diagnosis centers, and hemodialysis centers. Support the development of third-party medical service evaluations, health management service evaluations, as well as health market research and consulting services. Encourage social forces to provide food and drug testing services. Improve the technology intermediary system and vigorously develop specialized, market-oriented pharmaceutical technology achievement transformation services.
Chapter Nineteen: Actively Developing the Fitness and Leisure Sports Industry
Further optimize the market environment, cultivate diverse entities, and guide social forces to participate in the construction and operation of fitness and leisure facilities. Promote the reform of sports project associations and the separation of ownership and operation rights of sports venues, accelerate the opening of sports resources, innovate the promotion and popularization methods of fitness and leisure sports projects, further improve the system and mechanism for government purchasing public sports services, and create a comprehensive service platform for fitness and leisure. Encourage the development of various forms of sports fitness clubs, enrich amateur sports events, and actively cultivate fashionable leisure sports projects with consumption-leading characteristics such as ice and snow, mountain, water, automotive, aviation, extreme sports, and equestrianism, creating fitness and leisure demonstration zones and industrial belts with regional characteristics.
Chapter Twenty: Promoting the Development of the Pharmaceutical Industry
Section 1: Strengthening Pharmaceutical Technology Innovation
Improve the collaborative innovation system among government, industry, academia, research, and application, promoting pharmaceutical innovation and transformation upgrades. Strengthen the innovation capacity for patented drugs, new traditional Chinese medicines, new formulations, and high-end medical devices, and promote the generic market entry of patented drugs for major diseases. Vigorously develop new varieties of biological drugs, chemical drugs, high-quality traditional Chinese medicines, high-performance medical devices, new auxiliary materials and packaging, and pharmaceutical equipment, promote the industrialization of major drugs, accelerate the transformation and upgrading of medical devices, and enhance the international competitiveness of medical diagnostic equipment and medical materials with independent intellectual property rights. Accelerate the development of rehabilitation assistive devices, enhancing independent innovation capabilities. Improve the quality standard system, enhance quality control technology, implement green and intelligent transformation upgrades, and by 2030, fully align drug and medical device quality standards with international standards.
Section 2: Enhancing Industrial Development Levels
Develop specialized pharmaceutical parks, support the formation of industrial alliances or consortiums, and build an advanced manufacturing system driven by innovation, green low-carbon, and intelligent efficiency, increasing industry concentration and enhancing the supply capacity of mid-to-high-end products. Vigorously develop medical health service trade, promote pharmaceutical companies to go global and engage in international industrial cooperation, and enhance international competitiveness. By 2030, significantly increase the international market share of new drugs and diagnostic equipment with independent intellectual property rights, greatly improve the localization rate of high-end medical equipment, achieve medium-to-high-speed development of the pharmaceutical industry, and advance towards the ranks of world pharmaceutical powers. Promote the transformation and upgrading of the pharmaceutical distribution industry, reduce circulation links, increase market concentration, and form a number of large multinational pharmaceutical distribution enterprises.
Part Seven: Improving Support and Guarantee
Chapter Twenty-One: Deepening System and Mechanism Reform
Section 1: Integrating Health into All Policies
Strengthen communication and collaboration among various departments and industries to form a joint effort to promote health. Fully establish a health impact assessment system to systematically evaluate the impact of various economic and social development plans, policies, and major engineering projects on health, and improve the supervision mechanism. Smooth public participation channels and strengthen social oversight.
Section 2: Comprehensive Deepening of the Medical and Health System Reform
Accelerate the establishment of a more mature and standardized basic medical and health system, maintain the public welfare nature of public medical and health services, effectively control the unreasonable growth of medical expenses, and continuously solve the issues of the public seeking medical treatment. Promote the separation of government and business, and the separation of management and operation, streamline the relationship between public medical and health institutions and the government, and establish a modern public hospital management system. Clearly delineate the medical and health management responsibilities of the central and local governments, and implement localized and industry-wide management. Promote military hospitals to participate in the reform of urban public hospitals and integrate into the national hierarchical diagnosis and treatment system. Improve the comprehensive regulatory system for the health and family planning industry.
Section 3: Improving the Health Financing Mechanism
Improve the relevant investment mechanisms of the government in the health sector, adjust and optimize the structure of fiscal expenditure, increase investment in the health sector, scientifically and reasonably define the expenditure responsibilities of the central and local governments, and fulfill the government's responsibility to guarantee basic health service needs. The central government should tilt its relevant transfer payments towards economically underdeveloped areas to improve the efficiency of fund utilization. Establish a results-oriented health investment mechanism, and carry out performance monitoring and evaluation of health investments. Fully mobilize the enthusiasm of social organizations, enterprises, etc., to form a diversified funding structure. Encourage financial institutions and others to innovate products and services, and improve support measures. Vigorously develop charitable undertakings, and encourage social and individual donations and mutual assistance.
Section 4: Accelerating the Transformation of Government Functions
Further promote the simplification of administration and delegation of power in health-related fields, combining regulation and service optimization. Continue to deepen the reform of drug and medical institution approvals, and standardize the approval behavior of medical institution setups. Promote the lawful administration of health-related departments, and advance government and information transparency. Strengthen regulatory innovation in health fields such as health and family planning, sports, food and drug safety, accelerate the establishment of a regulatory system for ongoing and post-event supervision, and comprehensively promote the construction of the 'double random, one public' mechanism. Promote comprehensive regulation, strengthen industry self-discipline and integrity construction, encourage the development of industry associations and chambers of commerce, fully leverage the role of social forces in regulation, promote fair competition, drive the scientific development of health-related industries, simplify public service processes in the health sector, optimize government services, and improve service efficiency.
Chapter Twenty-Two: Strengthening Health Human Resource Development
Section 1: Strengthening the Training and Education of Health Talents
Strengthen the collaboration between medical education and practice, and establish a balanced supply and demand mechanism for medical talent training. Reform the medical education system, and accelerate the establishment of an organic connection among the three stages of school education, post-graduation education, and continuing education that adapt to industry characteristics. Improve the quality assurance mechanism of medical education, and establish a medical professional certification system that is substantially equivalent to international medical education standards. Focus on general practitioners, and strengthen the construction of the grassroots talent team. Improve the training system for resident physicians and specialist physicians, and establish a training mechanism for high-level talents in public health and clinical medicine. Strengthen the continuing medical education system for all personnel. Increase support for grassroots and remote areas. Strengthen the training of urgently needed and scarce professionals in general practice, pediatrics, obstetrics, psychiatry, pathology, nursing, midwifery, rehabilitation, and mental health. Strengthen the construction of a talent team for pharmacists and traditional Chinese medicine health services, health emergencies, and health information technology. Strengthen the construction of high-level talent teams, and introduce and cultivate a group of discipline leaders with internationally leading levels. Promote the professionalization and vocationalization of health management personnel. Adjust and optimize the medical education professional structure to adapt to the development of the health service industry, and increase the training of health talents such as nursing assistants, rehabilitation therapists, and psychological counselors. Support the establishment of a health education training cloud platform based on the National Open University of Health and Medical Care and supported by the China Health and Medical Education MOOC Alliance, facilitating lifelong education for medical personnel. Strengthen the construction of the social sports instructor team, aiming to achieve 2.3 social sports instructors per thousand people by 2030.
Section 2: Innovating the Talent Utilization Evaluation and Incentive Mechanism
Implement the autonomy of personnel management in medical and health institutions, fully implement a hiring system, and form a flexible personnel mechanism that allows for entry and exit. Implement salary policies for grassroots medical personnel. Innovate the models for the utilization, mobility, and service provision of medical personnel, actively explore the free practice of physicians, individual contracts between physicians and medical institutions, or the formation of physician groups. Establish a personnel compensation system that aligns with the characteristics of the medical and health industry. Align with international practices, further optimize and improve personnel evaluation standards in nursing, midwifery, medical assistance services, and health technology. Innovate the talent evaluation mechanism, not making papers, foreign languages, and research as rigid requirements for the title evaluation of grassroots health talents, and improve the talent evaluation mechanism that aligns with the characteristics of general practitioner positions.
Chapter Twenty-Three: Promoting Health Technology Innovation
Section 1: Building a National Medical Science and Technology Innovation System
Vigorously strengthen the construction of national clinical medicine research centers and collaborative innovation networks, further enhance the capacity building of research bases such as laboratories and engineering centers, rely on existing institutions to promote the capacity building of traditional Chinese medicine clinical research bases and research institutions, and improve the layout of medical research bases. Strengthen resource integration and data sharing, coordinate the layout of national biomedical big data, biological sample resources, experimental animal resources, and other resource platforms, and build demonstration centers for clinical medical data in cardiovascular, oncology, geriatric diseases, etc. Implement the Medical and Health Technology Innovation Project of the Chinese Academy of Medical Sciences. Accelerate the construction of biomedicine and health industry bases, cultivate high-tech enterprises in the health industry, create a number of medical research and health industry innovation centers, promote the integration of medical research and enterprises, and enhance the efficient collaboration of innovation entities such as medical institutions, research institutes, universities, and enterprises. Strengthen the construction of platforms for the transformation and promotion of pharmaceutical achievements, and promote the transformation and promotion of medical achievements. Establish better medical innovation incentive mechanisms and application-oriented achievement evaluation mechanisms, further improve the guarantee mechanisms for research bases, biosafety, technology assessment, medical research standards and norms, medical ethics and research integrity, intellectual property, etc., strengthen the collaboration between science and health, military-civilian integration, and provincial-ministerial cooperation, and effectively enhance the research level of basic frontiers, key commonalities, social welfare, and strategic high-tech.
Section 2: Promoting Progress in Medical Science and Technology
Initiate and implement major scientific projects and engineering projects in brain science and brain-like research, health security, etc., and promote major national science and technology special projects and key special projects in national key research and development plans. Develop omics technologies, stem cells and regenerative medicine, new vaccines, biological therapies, and other cutting-edge medical technologies, strengthen breakthroughs in key technologies such as chronic disease prevention and control, precision medicine, and smart healthcare, and focus on tasks such as innovative drug development, localization of medical devices, and modernization of traditional Chinese medicine, significantly enhancing the technological support capabilities for the prevention and treatment of major diseases and the development of the health industry. Strive to rank among the international forefront in terms of the impact of scientific papers and the total number of three-party patents by 2030, and further improve the contribution rate of technological innovation to the growth of the pharmaceutical industry and the transformation rate of achievements.
Chapter Twenty-Four: Building a Health Information Service System
Section 1: Improving the Construction of the Population Health Information Service System
Comprehensively build a unified, authoritative, interconnected population health information platform, standardize and promote 'Internet + Health Care' services, innovate internet health care service models, and continuously promote an integrated national health information service covering the entire life cycle of prevention, treatment, rehabilitation, and self-health management. Implement the Healthy China Cloud Service Plan, comprehensively establish a remote medical application system, and develop smart health care services that benefit the public. Establish a standard system for population health information technology and a security protection mechanism. Ensure the continuity and sharing of personal electronic health records between citizens before and after military service. By 2030, achieve interconnectivity and standardized application of the national, provincial, municipal, and county-level population health information platforms, ensuring that everyone has standardized electronic health records and fully functional health cards, with remote medical services covering medical and health institutions at the provincial, municipal, county, and township levels, fully realizing standardized management and use of population health information to meet the needs for personalized services and precision medicine.
Section 2: Promoting the Application of Big Data in Health Care
Strengthen the construction of the health and medical big data application system, promote the open sharing, in-depth mining, and extensive application of medical health big data based on regional population health information platforms. Eliminate data barriers, establish a health and medical data sharing mechanism that closely cooperates across departments and fields, and achieves data collection, integration sharing, and business collaboration of application information systems in public health, family planning, medical services, medical security, drug supply, and comprehensive management. Establish and improve the national health and medical data resource directory system, comprehensively deepen the application of health and medical big data in industry governance, clinical and scientific research, public health, education and training, and cultivate new business formats for health and medical big data applications. Strengthen the construction of relevant laws and standards for health and medical big data, enhance the technical capabilities of national and regional population health information projects, formulate data application policy norms classified by level, category, and field, promote the construction of a trustworthy network system, focus on content security, data security, and technical security, and strengthen the security guarantee of health and medical data and patient privacy protection. Strengthen the supervision of internet health services.
Chapter Twenty-Five: Strengthening Health Rule of Law Construction
Promote the promulgation and implementation of the Basic Medical and Health Law and the Traditional Chinese Medicine Law, revise and implement the Drug Administration Law, strengthen the legislative and revision work of laws and regulations in key areas, improve departmental regulations and local government regulations, and establish a sound standard and guideline system in the health field. Strengthen the government's regulatory responsibilities in health fields such as medical and health, food, drugs, environment, and sports, and establish a supervision and management system that combines government regulation, industry self-discipline, and social supervision. Strengthen the construction of the supervision and law enforcement system and capabilities in the health field.
Chapter Twenty-Six: Strengthening International Exchange and Cooperation
Implement China's global health strategy and actively promote international cooperation in the field of population health in all aspects. Based on bilateral cooperation mechanisms, innovate cooperation models, strengthen cultural exchanges, and promote health cooperation between China and countries along the Belt and Road. Strengthen South-South cooperation, implement the China-Africa public health cooperation plan, continue to send medical teams to developing countries, focus on strengthening medical assistance including maternal and child health care, and support the construction of disease prevention and control systems. Strengthen international exchanges and cooperation in traditional Chinese medicine. Fully utilize the national high-level strategic dialogue mechanism to incorporate health into the diplomatic agenda of major countries. Actively participate in global health governance, play a role in the research, negotiation, and formulation of relevant international standards, norms, guidelines, etc., and enhance the international influence and institutional discourse power in the health field.
Part Eight: Strengthening Organizational Implementation
Chapter Twenty-Seven: Strengthening Organizational Leadership
Improve the coordination mechanism for promoting the construction of a Healthy China, coordinate and promote the overall work of building a Healthy China, review major projects, major policies, major engineering, major issues, and important work arrangements, strengthen strategic planning, and guide departments and localities to carry out their work.
All regions and departments should incorporate the construction of a Healthy China into their important agenda, improve the leadership system and work mechanism, include the construction of a Healthy China in economic and social development plans, incorporate major health indicators into the assessment indicators of party committees and governments at all levels, improve the assessment mechanism and accountability system, and ensure the implementation of related tasks. Emphasize the role of trade unions, youth leagues, women's federations, disabled persons' federations, and other mass organizations as well as other social organizations, and fully leverage the role of democratic parties, the Federation of Industry and Commerce, and non-partisan individuals to maximize the consensus and strength of the whole society.
Chapter Twenty-Eight: Creating a Good Social Atmosphere
Vigorously promote the major strategic thoughts and policies of the party and the state on maintaining and promoting people's health, and publicize the significant meaning, overall strategy, goals, tasks, and major measures of advancing the construction of a Healthy China. Strengthen positive publicity, public opinion supervision, scientific guidance, and typical reporting, enhance the general awareness of society regarding the construction of a Healthy China, and create a good social atmosphere where the whole society cares for and supports the construction of a Healthy China.
Chapter Twenty-Nine: Ensuring Effective Implementation Monitoring
Formulate and implement five-year plans and other policy documents, refine and improve the policies and measures of this planning outline, and clarify the major projects, major engineering, and major policies to be implemented at each stage. Establish a normalized and regular supervision and assessment mechanism, strengthen incentives and accountability. Establish and improve the monitoring and evaluation mechanism, formulate a division of labor plan for the tasks of the planning outline and a monitoring and evaluation plan, and conduct annual monitoring and evaluation of the implementation progress and effects, making necessary adjustments to the target tasks in a timely manner. Fully respect the pioneering spirit of the people, and promptly summarize and actively promote good practices and effective experiences from various places in implementing the planning outline.
E-mail:salesvgm_yilin@xzcbio.com
Address: 6677 Lingang North Road, High-tech Industrial Development Zone, Jinan City, Shandong Province
Focus on us
Copyright©2022 Shandong Xingzhicheng Biotechnology Co., Ltd.SEO TagsWebsite construction:China Enterprise Power Jinan two points