The 14th Five-Year Plan released the most attention from the medical industry!

Medical Network News on March 15 The "Planning Outline" is a general roadmap for my country's development in the next 5 to 15 years, which points out the direction and goals for the next stage of development.
As a person in the medical industry, what I care most is undoubtedly the field closely related to ourselves.

 

On March 11, the Fourth Session of the Thirteenth National People's Congress voted and passed the resolution on the "14th Five-Year Plan" and the 2035 long-term goal outline (hereinafter referred to as the "Planning Outline").
On March 12, Xinhua News Agency authorized the full text to be published.

 

The "Planning Outline" is a general roadmap for my country's development in the next 5 to 15 years, which points out the direction and goals for the next stage of development.

 

As a person in the medical industry, what I care most is undoubtedly the field closely related to ourselves.

 

The "Planning Outline" is divided into 19 chapters and 65 chapters, of which the planning on medical, health, and health focuses on chapter 44 to comprehensively promote the construction of a healthy China and chapter 45 to implement the national strategy to actively respond to the aging of the population , Which is consistent with the central proposal.
Today, I will study with everyone.

 

The overall arrangement of the "Planning Outline" in the field of health

 

Chapter 44 Comprehensively promote the construction of a healthy China.
Put forward: Put the protection of people's health in the strategic position of priority development, adhere to the policy of prevention first, in-depth implementation of the Healthy China Action, improve the national health promotion policy, weave a national public health protection network, and provide the people with all-round life-long health service.
It is divided into six sections, followed by building a strong public health system, deepening the reform of the medical and health system, improving the universal medical insurance system, promoting the inheritance and innovation of traditional Chinese medicine, building a sports power, and in-depth development of the patriotic health campaign.

 

　　Chapter 45 implements the national strategy to actively respond to the aging of the population.
It is proposed: formulate a long-term population development strategy, optimize the birth policy, improve the population service system with the focus on "one old and one small", and promote long-term balanced development of the population.
It is divided into three sections, followed by: Promote the realization of an appropriate fertility level, improve the infant development policy, and improve the elderly care service system.

 

　　Four highlights of the "Planning Outline"

 

　　One of the bright spots: Putting the building of a strong public health system in the first place

 

　　The "first place" here not only puts "building a strong public health system" in the first section of comprehensively promoting the construction of a healthy China, but also puts forward the content including the five functions of the disease control system, the software and hardware construction of disease control institutions, Stable investment mechanism for disease control, medical and prevention coordination, emergency response, public health personnel training, immunization planning, chronic disease prevention, mental health, mental health service system and other infectious diseases and chronic disease prevention and control systems are very rich and comprehensive deployment .
The 13th Five-Year Plan puts disease prevention and control in the third section, and the title is "Strengthening the prevention and control of major diseases and basic public health services".
From the content point of view, it mainly focuses on "Improving the national basic public health service projects and major public health service projects.
" "Improving service quality, efficiency and level of equalization" is just a routine work in the health field, and it does not have the meaning of uprights and innovations.
Both the intensity and the pertinence are incomparable.

 

　　The planned disease control projects include: launching the second phase of the disease control project, building about 15 regional public health centers based on existing disease control institutions, upgrading and transforming about 20 national major infectious disease prevention, control and treatment bases, and about 20 countries Emergency medical rescue base.

 

　　Highlight 2: For the first time, public medical institutions are proposed as the main body, and non-public medical institutions are supplemented

 

　　The second section of the "Planning Outline" is to deepen the reform of the medical and health system.
The first sentence of the opening is: adhere to the public welfare attributes of basic medical and health undertakings, take the improvement of medical quality and efficiency as the guide, and use public medical institutions as the main body and non-public medical institutions as supplements to expand the supply of medical service resources.

 

　　It is clearly stated that in the 14th Five-Year Plan and even 2035, in the "expansion of medical service resource supply", the main reliance on public medical institutions, non-public medical institutions can only be supplementary.
Therefore, the "Planning" in deepening the deployment of the medical reform work is carried out around the reform of public hospitals.
Including strengthening the construction of public hospitals, accelerating the establishment of a modern hospital management system, and deepening the reform of governance structure, personnel remuneration, staffing management and performance appraisal.
Accelerate the expansion of high-quality medical resources and the balanced distribution of regions, and build national medical centers and regional medical centers.
Strengthen the construction of grassroots medical and health teams, focusing on urban communities and rural grassroots, border port cities, and county-level hospitals, and improve the urban and rural medical service network.
Speed ​​up the construction of a hierarchical diagnosis and treatment system, and actively develop medical consortia.
Strengthen the organic connection of prevention, treatment, nursing, and rehabilitation.
For non-public medical care, there is only one sentence, namely: support the community to run medical services and encourage experienced practitioners to open clinics.

 

　　The "Planning Outline" clarified that the regional registration of physicians will continue to be implemented, and it is proposed to promote multi-institution practice of physicians instead of multi-point practice of physicians.
This is mainly because the practice location of physicians has become a "provincial" or "county" regional registration, so We can no longer mention "multi-point practice" but should be "multi-agency practice".

 

　　The major projects proposed in the "Plan" include: National Medical Center (strengthening the construction of national cardiovascular, respiratory, tumor, trauma, pediatrics and other medical centers.
Focus on major diseases, and build a number of high-level medical centers that lead the country and have global influence.
Medical Innovation and Transformation Center), regional medical centers (support high-level medical institutions to build a number of regional medical centers in provinces where there are more medical treatments and weak medical resources, and build Hebei, Henan, Shanxi, Liaoning, Anhui, Fujian, Yunnan, Xinjiang and other regions Medical centers), county-level hospitals (promote provincial and municipal high-quality medical resources to support the development of county-level hospitals, and strive to add 500 county-level hospitals, including Chinese medicine hospitals, to meet the facilities and service capabilities of tertiary hospitals).

 

　　Why is it the first time that the "Planning Outline" puts public medical institutions as the main body and non-public medical institutions as supplements? You can look at the descriptions of several important documents since the new medical reform.

 

　　In the 2009 new medical reform plan, the arrangement for further improving the medical service system is to "adhere to the principle of non-profit medical institutions as the main body, for-profit medical institutions as supplements, public medical institutions as the leading, and non-public medical institutions for joint development.
Build a medical service system with a reasonable structure, clear division of labor, combination of prevention and treatment, appropriate technology, and orderly operation, including a primary medical and health service network covering urban and rural areas and various hospitals.
"

 

　　In September 2013, the State Council’s several opinions on promoting the development of the health service industry (Guo Fa [2013] No.
40) still insisted on “forming non-profit medical institutions as the main body, supplemented by for-profit medical institutions, and public medical institutions as the leading , A diversified medical pattern developed by non-public medical institutions".
It is clear that it is necessary to widely mobilize social forces and take multiple measures to develop the health service industry.
Adhere to government guidance and market drive.
Strengthen the government's responsibilities in terms of system construction, planning, policy formulation, and supervision.
Give play to the fundamental role of the market in resource allocation, stimulate social vitality, continuously increase the supply of health services, and improve service quality and efficiency.
Persist in deepening reform and innovative development.
Strengthen scientific and technological support, expand the scope of services, encourage the development of new types of business, improve the standardization and professionalization of health services, and establish a health service industry system and mechanism that is in line with national conditions and sustainable development.
Adhere to the leading position of public medical institutions in providing basic medical services to urban and rural residents.
At the same time, enterprises , charitable organizations, foundations, commercial insurance institutions, etc.
are encouraged to invest in the medical service industry in various forms such as fund-building, participation in restructuring, custody, and public and private operations.
Vigorously support social capital to establish non-profit medical institutions and provide basic medical and health services.

 

　　In June 2019, the National Health Commission, the National Development and Reform Commission and other ten ministries jointly issued the opinions on promoting the sustainable and healthy development of social medical services (Guoweiyifa [2019] No.
42), which pointed out that social medical institutions are my country’s medical institutions.
An important part of the health service system is an important force that meets the needs of different groups of people for medical and health services and provides more medical services for the whole society.
The opinion pointed out that the number and scale of public hospitals should be strictly controlled to leave enough room for the development of medical services in the society.
When adding or adjusting medical and health resources, all localities must first consider the establishment or operation of relevant medical institutions by social forces.

 

　　Therefore, this time the "Planning Outline" proposes to take public medical institutions as the main body and non-public medical institutions as supplements, and expanding the supply of medical service resources is still a new formulation.

 

　　Highlight 3: The medical insurance reform path is relatively clear

 

　　In March 2020, the opinions of the Central Committee of the Communist Party of China and the State Council on deepening the reform of the medical security system were issued.
The opinion puts forward that by 2025, the medical security system will be more mature and finalized, and the reform tasks in key areas such as treatment guarantee, financing operation, medical insurance payment, fund supervision and other key mechanisms and medical service supply and medical insurance management services will be basically completed.
By 2030, a medical security system with basic medical insurance as the main body, medical assistance as the foundation, supplementary medical insurance, commercial health insurance, charitable donations, and mutual medical assistance will be established in an all-round way, with fair and appropriate treatment guarantees, and stable and continuous fund operation.
Management services are optimized and convenient, and the level of modernization of medical insurance governance has been significantly improved, achieving the goal of better ensuring that patients are treated.

 

　　Therefore, the reform path of the medical insurance system proposed in the "Planning Outline" is relatively clear, and it is still "a sound universal medical insurance system.
" Including the improvement of the basic medical insurance system for stable and sustainable financing and benefit adjustment, the improvement of the medical insurance payment and participation policy, and the implementation of the medical insurance benefit list system.
We will implement the overall planning of basic medical insurance at the municipal level and promote the overall planning at the provincial level.
Improve the basic medical insurance outpatient mutual aid guarantee mechanism, and improve the medical insurance and assistance system for major diseases.
Improve the dynamic adjustment mechanism of the medical insurance catalog.
Promote a diversified and compound medical insurance payment method based on disease-based payment.
Eligible Internet medical services will be included in the scope of medical insurance payment, and settlement of medical treatment in different places will be implemented.
Solidly promote the standardization and informatization of medical insurance, and improve the level of handling services.
Improve the medical insurance fund supervision mechanism.
Steadily establish a long-term care insurance system.
Actively develop commercial medical insurance.
At the same time, it will continue to promote the reform of centralized procurement and use of drugs and consumables organized by the state .

 

　　Highlight 4: Promoting the inheritance and innovation of traditional Chinese medicine will start a number of large projects

 

　　The "Planning Outline" clearly adheres to the equal emphasis on Chinese and Western medicine and complementary advantages, and vigorously develops the cause of Chinese medicine .
Improve the service system of traditional Chinese medicine and give full play to the unique advantages of traditional Chinese medicine in disease prevention, treatment, and rehabilitation.
The arranged projects are: to build about 20 national traditional Chinese medicine inheritance and innovation centers, about 20 traditional Chinese and Western medicine collaborative flagship hospitals, about 20 traditional Chinese medicine epidemic prevention and control bases, about 100 key hospitals with traditional Chinese medicine characteristics, forming a group of traditional Chinese medicine advantages Specialist.

 

　　In short, since the social welfare attributes of medical and health services have been recognized at an unprecedented height, the 14th Five-Year Plan and the 2035 long-term goal outline are permeated with a strong sense of "publicity", and the overall wind is blowing vigorously.
It is estimated that in the future, non-public medical care will enter a period of self-reliance, self-reliance, and hard work to temper the will.
It will also move from scale expansion to a stage of connotation development, and it will also follow the path of high-quality development like public hospitals.
In any case, it is hoped that medical and health services will eventually realize that the people not only want to get sick and get good treatments, but also hope that they will be less sick and not sick.
They will be more comfortable and considerate, and the government will have better protection for the people.
aims.

　　Medical Network News on March 15 The "Planning Outline" is a general roadmap for my country's development in the next 5 to 15 years, which points out the direction and goals for the next stage of development.
As a person in the medical industry, what I care most is undoubtedly the field closely related to ourselves.

 

　　On March 11, the Fourth Session of the Thirteenth National People's Congress voted and passed the resolution on the "14th Five-Year Plan" and the 2035 long-term goal outline (hereinafter referred to as the "Planning Outline").
On March 12, Xinhua News Agency authorized the full text to be published.

 

　　The "Planning Outline" is a general roadmap for my country's development in the next 5 to 15 years, which points out the direction and goals for the next stage of development.

 

　　As a person in the medical industry, what I care most is undoubtedly the field closely related to ourselves.

 

　　The "Planning Outline" is divided into 19 chapters and 65 chapters, of which the planning on medical, health, and health focuses on chapter 44 to comprehensively promote the construction of a healthy China and chapter 45 to implement the national strategy to actively respond to the aging of the population , Which is consistent with the central proposal.
Today, I will study with everyone.

 

　　The overall arrangement of the "Planning Outline" in the field of health

 

　　Chapter 44 Comprehensively promote the construction of a healthy China.
Put forward: Put the protection of people's health in the strategic position of priority development, adhere to the policy of prevention first, in-depth implementation of the Healthy China Action, improve the national health promotion policy, weave a national public health protection network, and provide the people with all-round life-long health service.
It is divided into six sections, followed by building a strong public health system, deepening the reform of the medical and health system, improving the universal medical insurance system, promoting the inheritance and innovation of traditional Chinese medicine, building a sports power, and in-depth development of the patriotic health campaign.

 

　　Chapter 45 implements the national strategy to actively respond to the aging of the population.
It is proposed: formulate a long-term population development strategy, optimize the birth policy, improve the population service system with the focus on "one old and one small", and promote long-term balanced development of the population.
It is divided into three sections, followed by: Promote the realization of an appropriate fertility level, improve the infant development policy, and improve the elderly care service system.

 

　　Four highlights of the "Planning Outline"

 

　　One of the bright spots: Putting the building of a strong public health system in the first place

 

　　The "first place" here not only puts "building a strong public health system" in the first section of comprehensively promoting the construction of a healthy China, but also puts forward the content including the five functions of the disease control system, the software and hardware construction of disease control institutions, Stable investment mechanism for disease control, medical and prevention coordination, emergency response, public health personnel training, immunization planning, chronic disease prevention, mental health, mental health service system and other infectious diseases and chronic disease prevention and control systems are very rich and comprehensive deployment .
The 13th Five-Year Plan puts disease prevention and control in the third section, and the title is "Strengthening the prevention and control of major diseases and basic public health services".
From the content point of view, it mainly focuses on "Improving the national basic public health service projects and major public health service projects.
" "Improving service quality, efficiency and level of equalization" is just a routine work in the health field, and it does not have the meaning of uprights and innovations.
Both the intensity and the pertinence are incomparable.

 

　　The planned disease control projects include: launching the second phase of the disease control project, building about 15 regional public health centers based on existing disease control institutions, upgrading and transforming about 20 national major infectious disease prevention, control and treatment bases, and about 20 countries Emergency medical rescue base.

 

　　Highlight 2: For the first time, public medical institutions are proposed as the main body, and non-public medical institutions are supplemented

 

　　The second section of the "Planning Outline" is to deepen the reform of the medical and health system.
The first sentence of the opening is: adhere to the public welfare attributes of basic medical and health undertakings, take the improvement of medical quality and efficiency as the guide, and use public medical institutions as the main body and non-public medical institutions as supplements to expand the supply of medical service resources.

 

　　It is clearly stated that in the 14th Five-Year Plan and even 2035, in the "expansion of medical service resource supply", the main reliance on public medical institutions, non-public medical institutions can only be supplementary.
Therefore, the "Planning" in deepening the deployment of the medical reform work is carried out around the reform of public hospitals.
Including strengthening the construction of public hospitals, accelerating the establishment of a modern hospital management system, and deepening the reform of governance structure, personnel remuneration, staffing management and performance appraisal.
Accelerate the expansion of high-quality medical resources and the balanced distribution of regions, and build national medical centers and regional medical centers.
Strengthen the construction of grassroots medical and health teams, focusing on urban communities and rural grassroots, border port cities, and county-level hospitals, and improve the urban and rural medical service network.
Speed ​​up the construction of a hierarchical diagnosis and treatment system, and actively develop medical consortia.
Strengthen the organic connection of prevention, treatment, nursing, and rehabilitation.
For non-public medical care, there is only one sentence, namely: support the community to run medical services and encourage experienced practitioners to open clinics.

 

　　The "Planning Outline" clarified that the regional registration of physicians will continue to be implemented, and it is proposed to promote multi-institution practice of physicians instead of multi-point practice of physicians.
This is mainly because the practice location of physicians has become a "provincial" or "county" regional registration, so We can no longer mention "multi-point practice" but should be "multi-agency practice".

 

　　The major projects proposed in the "Plan" include: National Medical Center (strengthening the construction of national cardiovascular, respiratory, tumor, trauma, pediatrics and other medical centers.
Focus on major diseases, and build a number of high-level medical centers that lead the country and have global influence.
Medical Innovation and Transformation Center), regional medical centers (support high-level medical institutions to build a number of regional medical centers in provinces where there are more medical treatments and weak medical resources, and build Hebei, Henan, Shanxi, Liaoning, Anhui, Fujian, Yunnan, Xinjiang and other regions Medical centers), county-level hospitals (promote provincial and municipal high-quality medical resources to support the development of county-level hospitals, and strive to add 500 county-level hospitals, including Chinese medicine hospitals, to meet the facilities and service capabilities of tertiary hospitals).

 

　　Why is it the first time that the "Planning Outline" puts public medical institutions as the main body and non-public medical institutions as supplements? You can look at the descriptions of several important documents since the new medical reform.

 

　　In the 2009 new medical reform plan, the arrangement for further improving the medical service system is to "adhere to the principle of non-profit medical institutions as the main body, for-profit medical institutions as supplements, public medical institutions as the leading, and non-public medical institutions for joint development.
Build a medical service system with a reasonable structure, clear division of labor, combination of prevention and treatment, appropriate technology, and orderly operation, including a primary medical and health service network covering urban and rural areas and various hospitals.
"

 

　　In September 2013, the State Council’s several opinions on promoting the development of the health service industry (Guo Fa [2013] No.
40) still insisted on “forming non-profit medical institutions as the main body, supplemented by for-profit medical institutions, and public medical institutions as the leading , A diversified medical pattern developed by non-public medical institutions".
It is clear that it is necessary to widely mobilize social forces and take multiple measures to develop the health service industry.
Adhere to government guidance and market drive.
Strengthen the government's responsibilities in terms of system construction, planning, policy formulation, and supervision.
Give play to the fundamental role of the market in resource allocation, stimulate social vitality, continuously increase the supply of health services, and improve service quality and efficiency.
Persist in deepening reform and innovative development.
Strengthen scientific and technological support, expand the scope of services, encourage the development of new types of business, improve the standardization and professionalization of health services, and establish a health service industry system and mechanism that is in line with national conditions and sustainable development.
Adhere to the leading position of public medical institutions in providing basic medical services to urban and rural residents.
At the same time, enterprises , charitable organizations, foundations, commercial insurance institutions, etc.
are encouraged to invest in the medical service industry in various forms such as fund-building, participation in restructuring, custody, and public and private operations.
Vigorously support social capital to establish non-profit medical institutions and provide basic medical and health services.

 

　　In June 2019, the National Health Commission, the National Development and Reform Commission and other ten ministries jointly issued the opinions on promoting the sustainable and healthy development of social medical services (Guoweiyifa [2019] No.
42), which pointed out that social medical institutions are my country’s medical institutions.
An important part of the health service system is an important force that meets the needs of different groups of people for medical and health services and provides more medical services for the whole society.
The opinion pointed out that the number and scale of public hospitals should be strictly controlled to leave enough room for the development of medical services in the society.
When adding or adjusting medical and health resources, all localities must first consider the establishment or operation of relevant medical institutions by social forces.

 

　　Therefore, this time the "Planning Outline" proposes to take public medical institutions as the main body and non-public medical institutions as supplements, and expanding the supply of medical service resources is still a new formulation.

 

　　Highlight 3: The medical insurance reform path is relatively clear

 

　　In March 2020, the opinions of the Central Committee of the Communist Party of China and the State Council on deepening the reform of the medical security system were issued.
The opinion puts forward that by 2025, the medical security system will be more mature and finalized, and the reform tasks in key areas such as treatment guarantee, financing operation, medical insurance payment, fund supervision and other key mechanisms and medical service supply and medical insurance management services will be basically completed.
By 2030, a medical security system with basic medical insurance as the main body, medical assistance as the foundation, supplementary medical insurance, commercial health insurance, charitable donations, and mutual medical assistance will be established in an all-round way, with fair and appropriate treatment guarantees, and stable and continuous fund operation.
Management services are optimized and convenient, and the level of modernization of medical insurance governance has been significantly improved, achieving the goal of better ensuring that patients are treated.

 

　　Therefore, the reform path of the medical insurance system proposed in the "Planning Outline" is relatively clear, and it is still "a sound universal medical insurance system.
" Including the improvement of the basic medical insurance system for stable and sustainable financing and benefit adjustment, the improvement of the medical insurance payment and participation policy, and the implementation of the medical insurance benefit list system.
We will implement the overall planning of basic medical insurance at the municipal level and promote the overall planning at the provincial level.
Improve the basic medical insurance outpatient mutual aid guarantee mechanism, and improve the medical insurance and assistance system for major diseases.
Improve the dynamic adjustment mechanism of the medical insurance catalog.
Promote a diversified and compound medical insurance payment method based on disease-based payment.
Eligible Internet medical services will be included in the scope of medical insurance payment, and settlement of medical treatment in different places will be implemented.
Solidly promote the standardization and informatization of medical insurance, and improve the level of handling services.
Improve the medical insurance fund supervision mechanism.
Steadily establish a long-term care insurance system.
Actively develop commercial medical insurance.
At the same time, it will continue to promote the reform of centralized procurement and use of drugs and consumables organized by the state .

 

　　Highlight 4: Promoting the inheritance and innovation of traditional Chinese medicine will start a number of large projects

 

　　The "Planning Outline" clearly adheres to the equal emphasis on Chinese and Western medicine and complementary advantages, and vigorously develops the cause of Chinese medicine .
Improve the service system of traditional Chinese medicine and give full play to the unique advantages of traditional Chinese medicine in disease prevention, treatment, and rehabilitation.
The arranged projects are: to build about 20 national traditional Chinese medicine inheritance and innovation centers, about 20 traditional Chinese and Western medicine collaborative flagship hospitals, about 20 traditional Chinese medicine epidemic prevention and control bases, about 100 key hospitals with traditional Chinese medicine characteristics, forming a group of traditional Chinese medicine advantages Specialist.

 

　　In short, since the social welfare attributes of medical and health services have been recognized at an unprecedented height, the 14th Five-Year Plan and the 2035 long-term goal outline are permeated with a strong sense of "publicity", and the overall wind is blowing vigorously.
It is estimated that in the future, non-public medical care will enter a period of self-reliance, self-reliance, and hard work to temper the will.
It will also move from scale expansion to a stage of connotation development, and it will also follow the path of high-quality development like public hospitals.
In any case, it is hoped that medical and health services will eventually realize that the people not only want to get sick and get good treatments, but also hope that they will be less sick and not sick.
They will be more comfortable and considerate, and the government will have better protection for the people.
aims.