The State Council issued the "Key Tasks for Deepening the Reform of the Medical and Health System in 2021"

Notice of the General Office of the State Council on Issuing the Key Tasks for Deepening the Reform of the Medical and Health System in 2021

State Council Fa [2021] No.

The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all directly affiliated institutions:

The "Key Tasks for Deepening the Reform of the Medical and Health System in 2021" has been approved by the State Council and is hereby issued to you.

Office of the State Council

May 24, 2021

Deepening the reform of the medical and health system key tasks in 2021

Since the implementation of the new round of medical and health system reforms, China’s basic medical and health system has been improved rapidly, and the people’s health status and the fairness and accessibility of basic medical and health services have continued to improve

1.

(1) Vigorously promote the medical reform experience of Sanming City

(2) Promote centralized procurement of pharmaceuticals and consumables

(3) Deepen the reform of medical service prices

(4) Deepen the reform of the personnel remuneration system

(5) Promote the reform of medical insurance payment methods

(6) Promote the high-quality development of public hospitals

2.

(7) Promote the expansion and balanced distribution of high-quality medical resources

(8) Promote the construction of medical consortia

(9) Accelerate the construction of a hierarchical diagnosis and treatment system

(10) Improve the universal medical insurance system

(11) Promote the revitalization and development of Chinese medicine

3.
Adhere to prevention first and strengthen the construction of the public health system

(12) Strengthen the prevention and control of the new crown pneumonia epidemic
.
Adhere to the organic combination of normalized prevention and control and local emergency response, and do a good job of external defense input and internal defense rebound without any relaxation
.
Accelerate the promotion of new crown virus vaccination, improve vaccination capacity, ensure the quality and efficiency of vaccine batch issuance, and enhance the effective supply capacity of enterprises
.
Promote the improvement of major public health risk assessment, research and judgment, and decision-making mechanisms, and strengthen the grassroots public health system
.
Improve the public health emergency response and material guarantee system
.
(National Health Commission, National Bureau of Disease Control and Prevention (hereinafter referred to as the National Bureau of Disease Control), Ministry of Foreign Affairs, National Development and Reform Commission, Ministry of Industry and Information Technology, Ministry of Finance, General Administration of Customs, National Medical Insurance Administration, National Immigration Administration, China (The Civil Aviation Administration, the State Drug Administration, etc.
are responsible according to the division of responsibilities)

(13) Deepen the reform of the disease prevention and control system
.
Improve early monitoring and early warning, risk assessment and judgment, on-site epidemiological investigation, inspection and testing, and emergency response capabilities
.
Establish a stable investment mechanism for public health undertakings, and innovate scientific research and socialized service mechanisms
.
Strengthen the construction of talent teams and laboratories of national-level public health institutions, and improve major public health emergency response and prevention and control capabilities
.
Establish and improve the treatment system for major epidemics
.
Improve the system of public health physicians, improve the evaluation of talents, and mainly evaluate the performance of job duties
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Science and Technology, Ministry of Finance, Ministry of Human Resources and Social Security, General Administration of Customs, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

(14) Continue to promote the Healthy China Initiative
.
Establish an all-media health science knowledge release and dissemination mechanism
.
Strengthen market supervision, and resolutely crack down on illegal sales of health care products and fraudulent activities in accordance with the law
.
Promote the equalization of basic public health services
.
Strengthen mental health and mental health services
.
Expand the coverage of high-incidence cancer screening, and launch a pilot project for the construction of county-level cancer screening and early diagnosis and treatment centers
.
Promote the prevention and control of myopia in children and adolescents and the prevention and control of overweight and obesity
.
Strengthen the prevention and treatment of major diseases such as AIDS, endemic diseases and occupational diseases
.
Promote the construction of a health service system for the elderly and increase the supply of integrated medical care services
.
Intensify the patriotic health campaign
.
Promote the construction of the public health committee of the village (resident) committee
.
(National Health Commission, National Bureau of Disease Control, Central Propaganda Department, Central Cyberspace Administration, Ministry of Education, Ministry of Civil Affairs, General Administration of Market Supervision, General Administration of Sports, State Administration of Traditional Chinese Medicine, etc.

(15) Innovate the medical and prevention coordination mechanism
.
Strengthen the functions of technical guidance, personnel training, supervision and evaluation of the Center for Disease Control and Prevention, and urge medical institutions at all levels to implement disease prevention and control responsibilities
.
Promote the pilot projects for the “three highs” co-management of hypertension, hyperglycemia, and hyperlipidemia, and promote the integration of disease control institutions and medical institutions in the comprehensive prevention and treatment of chronic diseases
.
Strengthen the public health service functions of county-level hospitals
.
Improve the internal management of maternal and child health care institutions and provide medical and health care services that combine prevention and treatment
.
Relying on existing medical and health institutions, improve the ability of occupational disease prevention and control, diagnosis and treatment, and rehabilitation at the provincial and municipal levels
.
Strengthen post-graduation education and continuing education, and vigorously train medical and prevention talents
.
(National Health Commission, National Disease Control and Prevention Bureau, National Development and Reform Commission, Ministry of Education, Ministry of Finance, State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

4.
Coordinate and promote relevant key reforms to form a joint effort

(16) Promote the construction of national health information
.
Formulate national medical and health institutions' medical and health information exchange and sharing implementation plan, break down information barriers, and promote mutual recognition of data sharing
.
Strengthen the construction of smart hospitals and promote the application of new technologies such as artificial intelligence and fifth-generation mobile communications (5G)
.
Standardize Internet diagnosis and treatment services, strictly implement supervision, and improve the monitoring mechanism for drug online sales
.
Instruct medical institutions to reasonably retain traditional service methods, and strive to solve the problem of the elderly and other groups that are difficult to use intelligent technology
.
(The Ministry of Industry and Information Technology, the National Health Commission, the National Medical Insurance Administration, the National Administration of Traditional Chinese Medicine, the National Disease Control and Prevention Bureau, the National Food and Drug Administration, etc.
are responsible according to the division of responsibilities)

(17) Improve the service experience of the masses
.
Deeply promote the "Internet + Medical and Health" and "Five Ones" service actions
.
Promote service models such as multidisciplinary diagnosis and treatment and day surgery, and optimize appointments for diagnosis and treatment
.
Promote medical institutions to optimize online and offline payment processes and improve settlement models
.
Promote the pilot reform of first diagnosis and treatment, settlement afterwards or one-stop payment
.
Clarify the specific methods for mutual recognition of inspection results of medical institutions
.
Strengthen the construction of treatment centers for major acute diseases such as chest pain, stroke, critically ill pregnant women, newborns and children, trauma
.
(The National Health Commission, the National Development and Reform Commission, the State Administration of Traditional Chinese Medicine, the Health Bureau of the Logistics Support Department of the Central Military Commission, etc.
are responsible according to the division of responsibilities)

(18) Strengthen the training and use of medical talents
.
Strengthen the training of talents in short supply such as general practitioners
.
Implement the policy of exempting medical college graduates from applying for rural doctor registration
.
The general college graduates recruited to the society who have passed the standardized training of resident doctors and are employed in medical and health institutions that year are treated as fresh graduates in terms of recruitment, dispatch, settlement, etc.
; the undergraduates who have passed the standardized training of resident doctors will be treated as fresh graduates.
Physicians are treated the same as postgraduates with professional degrees in clinical medicine, stomatology, and traditional Chinese medicine in terms of recruitment, title promotion, job hiring, salary and other aspects
.
Strengthen the employment placement and contract performance management of rural order-targeted medical students, and incorporate the default situation of targeted students into credit information management
.
Strengthen the construction of school doctors
.
(The Ministry of Education, the Ministry of Human Resources and Social Security, the National Health Commission, the State Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

(19) Enhance the ability to guarantee the supply of medicines
.
Continue to advance the priority review and approval of drugs, and accelerate the launch of innovative drugs and drugs that are urgently needed for clinical use
.
Improve the mechanism of supply and price stabilization of shortage drugs
.
Strengthen the supply of medicines for children
.
Study and revise the national essential drug list management method, optimize the catalog selection and adjustment procedures, and start the catalog adjustment work in a timely manner
.
Strengthen the provision and use of essential medicines and the standardized management of medications, and promote the connection of medications within the medical complex
.
Formulate pharmaceutical management measures for medical institutions
.
(Ministry of Industry and Information Technology, National Health Commission, National Food and Drug Administration, etc.
are responsible according to the division of responsibilities)

(20) Strict supervision and management
.
Improve the comprehensive supervision and inspection mechanism of the medical and health industry
.
Vigorously promote the "Internet + supervision" of the medical and health industry, accelerate the improvement of precise supervision mechanisms such as "double random, one open" supervision and spot checks, unannounced inspections, and strengthen the disclosure of supervision results and accountability
.
Deepen the reform of the medical insurance fund supervision system, and promote the construction of medical insurance intelligent monitoring demonstration sites
.
Formulate antitrust guidelines in the field of APIs
.
(National Health Commission, National Disease Control Bureau, General Administration of Market Supervision, National Medical Insurance Administration, National Administration of Traditional Chinese Medicine, etc.
are responsible according to the division of responsibilities)

All localities and relevant departments must earnestly strengthen their organization and leadership, be brave to act, dare to touch interests, vigorously promote Sanming's medical reform experience, and continue to deepen the medical reform
.
The Secretariat of the State Council’s Medical Reform Leading Group must strengthen overall planning and follow-up monitoring, establish task accounts and report quarterly
.
It is necessary to strengthen publicity and guidance, promptly respond to social concerns, and build consensus on reforms
.