The "14th Five-Year" public service plan released the focus of social medical care!

Recently, the National Development and Reform Commission and other departments have recently issued the "14th Five-Year Plan for Public Service" (hereinafter referred to as the "Plan")
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In terms of the framework, the "Plan" clearly states that during the "14th Five-Year Plan" period, the development of public services will be promoted, the public service system will be improved, the equalization of basic public services will continue to be promoted, efforts will be made to expand the supply of inclusive non-basic public services, and the enrichment of multi-level Diversified life service supply
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So what are essential public services and non-essential public services? The document explains that basic public services are public services that guarantee the basic needs of all people's survival and development and are compatible with the level of economic and social development.

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Non-basic public services are public services that are necessary to meet the higher-level needs of citizens and ensure the overall welfare level of the society, but the market spontaneously provides insufficient public services.
The government supports public welfare social institutions or market entities to increase service supply, improve service quality, and promote key Inclusive development of non-basic public services in the field, so that most citizens can enjoy them at affordable prices
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In addition, in order to meet the needs of citizens for diversified, personalized and high-quality services, some life services that are completely supplied by the market and paid for by residents can be useful supplements to the public service system.
The government is mainly responsible for creating a market environment for fair competition and guiding relevant The industry shall standardize sustainable development, and do a good job of connecting and cooperating with life services and public services
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In the field of health care, how does the document plan for basic public services? In the field of medical and health personnel training, the "Plan" proposes to expand the scale of medical personnel, especially the shortage of doctors and registered nurses in pediatrics, general practice, anesthesiology, psychiatry, and geriatrics, and improve the quality of medical personnel training
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Multi-channel training and training of rural medical and health workers, improve the level of rural health services
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Focusing on in-demand specialties such as pediatrics, general practice, and psychiatry, strengthen the construction of standardized training bases for residents
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In terms of the supply of primary medical services, the "Planning" proposes to improve the urban and rural medical service network by focusing on urban communities and rural grassroots, border port cities, and county-level hospitals
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Strengthen the standardization construction of community health service centers (stations), township health centers and village clinics, increase the training of grass-roots TCM talents, and encourage and guide grass-roots medical and health institutions to provide appropriate TCM services
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Strengthen the capacity-building for diagnosis and treatment of maternal and child health care, infectious diseases, and mental illness
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In terms of improving the public health emergency management system, the "Plan" proposes to improve the major epidemic prevention and control system and mechanism, enhance the ability of epidemic monitoring and early warning, and improve the ability and level of responding to major public health emergencies
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In the field of medical insurance payment, the "Plan" proposes to improve the medical insurance handling and management service network, promote standardization and informatization construction, and enhance the construction of grassroots medical insurance handling and service capabilities
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Improve the stable and sustainable financing and treatment adjustment mechanism for basic medical insurance, and improve the medical insurance premium payment policy
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Make sure that the basic medical insurance is coordinated at the municipal level, and promote the overall planning at the provincial level
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We will improve the outpatient mutual aid guarantee mechanism of basic medical insurance for employees, and improve the medical insurance and assistance system for major diseases
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Improve the direct settlement system for cross-provincial medical treatment in different places, strengthen the construction of national and provincial medical treatment settlement centers in different places and cross-regional business cooperation, and comprehensively improve management and service capabilities
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Include eligible Internet medical services into the scope of medical insurance payment
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It can be seen that, whether it is medical personnel training, public health emergency management, or the supply of primary medical services, as basic public services, the government must come to the bottom
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In terms of non-essential public services, what medical and health policy orientations does the document reveal? First of all, the "Plan" makes it clear that the government will play a guiding role in the public service areas where the contradiction between supply and demand is prominent, and encourage and support social forces to focus on strengthening the supply of inclusive and normative services in the fields of old-age care, childcare, education, and medical care.
Provide affordable and quality-assured inclusive non-basic public services to the masses
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In other words, first of all, inclusive non-basic public services are insufficient, and the contradictions are still relatively prominent, especially the people's demand for high-quality medical services, and high-quality medical resources are often concentrated in a few large cities, and the regional gap is huge
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Therefore, the document proposes a balanced development of high-quality medical services
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The "Plan" is clear: to promote the construction of regional medical centers and clinical specialty capacity building
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In areas with insufficient medical resources, adhere to the idea of ​​"selecting hospitals according to key diseases, selecting regions according to needs, cooperation between hospitals and localities, and joint construction of provincial and ministerial departments" to further promote the pilot construction of regional medical centers.
"One hospital, multiple districts" and other methods, targeted to enlarge the country's top high-quality medical resources
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Support the construction of provincial-level regional medical centers, actively develop medical complexes, strengthen the construction of smart hospitals, develop telemedicine services, and enhance the radiation service capabilities of provincial-level regional medical centers
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Promote the improvement of the standard and capacity of county-level hospitals, and strengthen the construction of treatment centers for chest pain, stroke, trauma, critically ill pregnant women, critically ill newborns and children, as well as comprehensive tumor treatment centers and chronic disease management centers
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In addition, the document also encourages the development of general medical services, accelerates the development of specialized services, develops cutting-edge medical services in an orderly manner, and promotes the development of multi-format integrated services such as the combination of medical care and elderly care
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Adhere to the equal emphasis and complementary advantages of traditional Chinese medicine and Western medicine, vigorously develop traditional Chinese medicine services, and give full play to the unique role of traditional Chinese medicine in disease prevention, treatment, and rehabilitation
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That is to say, for public hospitals, county hospitals will undoubtedly continue to be the development targets of national and local key support; in addition, in the construction planning of regional medical centers, the provincial capital cities will welcome a number of countries with the aid of well-known hospitals.
Regional medical centers and prefecture-level leading hospitals will also usher in good development opportunities in the construction of regional medical centers.
The sinking of high-quality medical resources into areas will become a major trend in the next 10-20 years
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Taking Fuwai Hospital of Chinese Academy of Medical Sciences as an example, Fuwai Huazhong Cardiovascular Disease Hospital was established in Zhengzhou, Henan Province.
With the support and promotion of the National Health Commission, the hospital is organized by Fuwai Hospital, National Cardiovascular Disease Center and Henan Province.
The people's government cooperates and builds, relying on the Henan Provincial People's Hospital, the construction of the third-class hospital, which is also the location of the Central China Branch of the National Cardiovascular Disease Center
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In this way, patients with difficult cardiovascular disease in Henan no longer need to go to Beijing and Shanghai for medical treatment
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It is worth noting that the document clearly proposes to encourage the participation of social medical institutions in expanding supply, and emphasizes that it is an inclusive development orientation
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It is required to reduce service costs, promote price inclusion, and strengthen quality supervision
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Specifically, it is proposed to coordinate and make good use of various support policies such as planning, land, investment, taxation, and finance, revitalize existing facility resources, and provide inclusive non-basic public service providers at low prices or free of charge to help reduce service costs and improve operations.
efficiency and expand service supply
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In accordance with the principles of maintaining low profits, high quality and low prices, resource conservation, and fair burden, speed up the rationalization of public service prices, guide non-essential public service providers to provide inclusive non-essential public services commensurate with the income levels of local urban and rural residents, and curb excessive Profit-seeking behavior
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Based on changes in costs, residents' income, etc.
, the price adjustment mechanism for non-essential public services shall be improved, and information such as project operation shall be disclosed publicly in a timely manner
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In the field of benchmarking medical services, that is to say, socially-run medical institutions that are mainly positioned to provide medical services in the scope of basic medical insurance must adhere to the direction of inclusive development, rather than excessive profit-seeking
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Of course, the improvement of profit margins on the basis of high-quality, high-price, and efficiency-enhancing medical services is encouraged
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The chain development of market-oriented high-quality medical groups has also expanded the supply of high-quality medical services, which is also a development discovery encouraged by policies
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Taking medical brand institutions such as Sanbo Brain, a well-known brain medical group, as an example, the chain development has brought high-level basic medical services to patients in many places across the country, and has also ushered in rapid development and will be listed on A-shares
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The "Plan" proposes to adapt to the growth of people's needs and the trend of consumption upgrading, cultivate and expand market entities, increase service supply, strengthen service standards, expand service brands, and give priority to development that can closely cooperate with public services.
, Orderly connection of high-quality and diversified life services, promote the inter-embedded and stepped development of life services and public services, and explore directions, expand space, and accumulate energy for public services to upgrade and upgrade.

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Specifically in the field of medical and health services, it is clearly aimed at improving quality and efficiency
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Encourage the development of professional hospital management groups
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Support the development of third-party medical services such as medical tests, promote mutual recognition of test results, and encourage the development of third-party medical service evaluations
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Promote the development of emerging services such as precision medicine
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Encourage and support the development of services such as medical rehabilitation, health management, psychological counseling, and traditional Chinese medicine health care
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Focusing on high-end medical treatment, rehabilitation and recuperation, leisure and health preservation, it enriches health tourism products
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Actively develop smart medical care, encourage medical institutions to improve the level of informatization and intelligence, and support the development and application of health care big data resources
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We will enrich commercial health insurance products, and vigorously develop medical liability insurance, medical accident insurance and other professional insurances
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That is to say, in the field of high-quality medical and medical services, the policy clearly encourages the market to act boldly and become bigger and stronger
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And put forward specific incentive measures: strengthen the cultivation of service brands
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Support leading enterprises to become bigger and stronger, encourage small, medium and micro enterprises to innovate and develop, encourage the creation of representative and characteristic service brands, protect and inherit "old brand names", develop and build "special brand names", and cultivate and expand "new brand names"
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Encourage life service providers with high-quality resources to set up service outlets across regions, participate in service supply, and share advanced service technologies and management models through cooperation, chain operations, and other methods
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Encourage banking financial institutions to provide enterprises with brand-based trademark rights, patent rights and other pledged loans
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Taking Shanghai as an example, according to the "list of the first batch of international medical tourism pilot institutions in Shanghai" announced by the Shanghai Municipal Health Commission, the selected institutions are basically high-end and high-quality medical service institutions that run medical services in the society
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It can be seen that, as an important part and an important force of China's medical and health service system, social medical services still have a lot to do in expanding the supply of inclusive non-basic public services and high-quality medical services
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