The CPC Central Committee and The State Council Issued the Outline of the Healthy China 2030 Plan
Recently, the CPC Central Committee and The State Council issued the outline of the "Healthy China 2030" Plan and issued a notice requiring all regions and departments to earnestly implement it in light of the actual conditions.
The full text of the Healthy China 2030 Plan is as follows.
Directory
The preface
Part 1 Overall Strategy
Chapter 1 Guiding ideology
Chapter 2 strategic themes
Chapter 3 Strategic objectives
Part 2 Popularize Healthy life
Chapter 4 Strengthening health education
Chapter 5 Shaping healthy behaviors of autonomy and self-discipline
Chapter 6 Improving the physical quality of the whole people
Part 3 Optimize health services
Chapter 7 Strengthening public health services covering the whole population
Chapter 8 Provision of Quality and Efficient Medical Services
Chapter 9 Give full play to the unique advantages of TCM
Chapter 10 Strengthening health services for key groups
Part 4 Improving health Security
Chapter 11 Improve the medical security system
Chapter 12 Improving the drug supply guarantee system
Part 5 Building a Healthy environment
Chapter 13 Carry out the Patriotic health campaign
Chapter 14 Strengthening the governance of environmental problems affecting health
Chapter 15 Safeguarding Food and Drug Safety
Chapter 16 Improving the public Security system
Part 6 Development of health industry
Chapter 17 Optimizing the pattern of multiple medical offices
Chapter 18 Developing new forms of health services
Chapter 19 Actively developing the fitness, leisure and sports industry
Chapter 20 Promoting the Development of the pharmaceutical Industry
Part 7 Improving support and guarantee
Chapter 21 Deepening Institutional Reform
Chapter 22 Strengthening the construction of human resources for health
Chapter 23 Promoting health science and technology innovation
Chapter 24 Construction of health information service system
Chapter 25 Strengthening the rule of Law for Health
Chapter 26 Strengthening International Exchanges and Cooperation
Part 8 Strengthen organization and implementation
Chapter 27 Strengthening organizational leadership
Chapter 28 Creating a Favorable Social Atmosphere
Chapter 29 Good implementation monitoring
The preface
Health is a necessary requirement for promoting all-round human development and a basic condition for economic and social development. To achieve a long and healthy life for our people is an important symbol of national prosperity and rejuvenation, and is also the common aspiration of the people of all ethnic groups in China.
The Party and the state have always attached great importance to people's health. Since the founding of the People's Republic of China, especially since reform and opening up, remarkable achievements have been made in the field of health reform and development. The environment in urban and rural areas has improved significantly, the national fitness campaign has developed vigorously, the medical and health service system has been improved day by day, and the health level and physical quality of the people have been continuously improved. In 2015, China's average life expectancy reached 76.34 years, and the infant mortality rate, the mortality rate of children under the age of five, and the maternal mortality rate fell to 8.1 per 1,000, 10.7 per 1,000 and 20.1 per 100,000, respectively, which is generally 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 the spectrum of diseases, the ecological environment and lifestyle have also brought a series of new challenges to maintaining and promoting health. The contradiction between the overall inadequate supply of health services and the growing demand for health services remains acute, and the coordination between health development and economic and social development needs to be improved. Major and long-term issues of relationship health need to be addressed in a coordinated manner at the national strategic level.
To build a healthy China is an important foundation for completing the building of a moderately prosperous society in all respects and basically realizing socialist modernization. It is a national strategy to comprehensively improve the health quality of the Chinese nation and coordinate the health of the people with economic and social development. It is a major measure to actively participate in global health governance and fulfill the international commitments of the 2030 Agenda for Sustainable Development. The next 15 years will be an important period of strategic opportunities for building a healthy China. The upgrading of the consumption structure will create broad space for the development of health services. Scientific and technological innovation will provide strong support for improving health standards. A more mature and established system in all areas will provide a strong guarantee for sustainable development in the health sector.
In order to promote the building of a healthy China and improve the health of the people, the outline of the Plan is formulated in accordance with the strategic deployment of the Fifth Plenary Session of the 18th CPC Central Committee. This outline is a grand blueprint and action program for building a healthy China. The whole society should strengthen its sense of responsibility and mission, make all-out efforts to build a healthy China, and make greater contribution to the great rejuvenation of the Chinese nation and the progress of human civilization.
Part 1 Overall Strategy
Chapter 1 Guiding ideology
We will carry out the "five-sphere integrated plan" in a coordinated manner and the "four-pronged Comprehensive" strategy in a coordinated manner, earnestly implement the decisions and plans of the CPC Central Committee and The State Council, adhere to the people-centered development philosophy, firmly establish and implement the new development philosophy, adhere to the correct guidelines for health and health work, focus on improving people's health, and take institutional reform and innovation as the driving force. With the focus on popularizing healthy life, 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 field, maintain and protect people's health in an all-round and whole-cycle manner, significantly improve health standards, and significantly improve health equity. It will provide a solid and sound foundation for realizing the "Two Centenary Goals" and the Chinese Dream of great national renewal.
It mainly follows the following principles:
-- Health priority. We should give strategic priority to health development, integrate the concept of health promotion into the whole process of public policy formulation and implementation based on our national conditions, accelerate the formation of a healthy lifestyle, ecological environment and economic and social development model, and achieve sound coordinated development between health and economic and social development.
-- Reform and innovation. We should uphold government leadership, give play to the role of market mechanisms, accelerate the pace of reform in key links, break the shackles of ideology, remove barriers of entrenched interests, remove institutional barriers, and give full play to the leading and supporting role of scientific and technological innovation and IT application, so as to form institutions with Chinese characteristics that promote the health of the whole people.
-- Scientific development. We should follow the law of development in the health sector, give priority to prevention, combine prevention and treatment, and place equal emphasis on traditional Chinese and Western medicine, change service models, build an integrated medical and health service system, and transform health services from extensive development featuring scale expansion to green and intensive development featuring improved quality and efficiency. We should promote the complementary and coordinated development of traditional Chinese medicine and Western medicine, and improve health services.
-- Fairness and fairness. We will promote equal access to basic public health services, with a focus on rural areas and the community level, maintain the commonweal 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 people, achieve universal health coverage, and promote social equity.
Chapter 2 strategic themes
"Joint contribution and shared benefits, health for all" is the strategic theme of building a healthy China. The core is to take people's health as the center, adhere to the grass-roots as the focus, reform and innovation as the driving force, prevention, traditional Chinese and western medicine as the priority, integrate health into all policies, the people build and share the benefits of health work policy, targeting the lifestyle, production and living environment, medical and health services and other factors affecting health. We should combine government leadership with mobilizing the initiative of the society and individuals, encourage everyone to participate, make efforts and enjoy, give priority to prevention, promote healthy lifestyles, reduce the incidence of diseases, and strengthen early diagnosis, treatment and rehabilitation, so as to achieve universal health.
Joint contribution and shared benefits are the basic path to building a healthy China. We should make efforts from both the supply side and the demand side, coordinate the three levels of society, industry and individuals, and form a strong synergy to maintain and promote health. We should encourage broad participation of the whole society, strengthen cross-departmental collaboration, deepen integrated military-civilian development, mobilize the initiative and creativity of social forces, strengthen environmental governance, ensure food and drug safety, prevent and reduce harm, effectively control ecological and social and environmental risk factors affecting health, and form a multi-tiered and diversified social governance pattern. We need to promote supply-side structural reform of health services. Sectors such as health care and family planning and sports should take the initiative to meet people's health needs, deepen institutional reform, optimize the allocation of factors of production and service supply, strengthen weak links in development, and promote the transformation and upgrading of the health industry to meet people's growing health needs. We should strengthen individual responsibility for health, improve the health literacy of the whole people, guide the formation of a healthy lifestyle that is independent, self-disciplined and in line with our own characteristics, effectively control the factors of life and behavior that affect our health, and create a social atmosphere in which we love, pursue and promote health.
Universal health is the fundamental goal of building a healthy China. We will provide equitable and accessible, systematic and continuous health services based on the whole-population and whole-life cycle, and achieve a higher level of health for all. We should continue to improve systems, expand services, and improve the quality of services so that all people can enjoy quality and affordable health services for prevention, treatment, rehabilitation, and health promotion. We should give priority to addressing the health problems of key groups such as women and children, the elderly, the disabled, and low-income groups. It is necessary to cover the whole life cycle, identify a number of priority areas for major health problems and influencing factors at different stages of life, strengthen interventions, and realize whole-course health services and health protection from the fetus to the end of life, so as to comprehensively safeguard people's health.
Chapter 3 Strategic objectives
By 2020, a basic medical and health care system with Chinese characteristics covering both urban and rural residents will be established, health literacy will continue to improve, health services will be improved and efficient, and everyone will have access to basic medical and health services as well as basic sports and fitness services. A health industry system with rich connotation and a reasonable structure will be basically in place, and major health indicators will be among the highest in middle - and high-income countries.
By 2030, the system for promoting health for all will be improved, the development of the health sector will be more coordinated, healthy lifestyles will be popularized, the quality of health services and health protection will continue to improve, the health industry will flourish, health equity will be basically achieved, and major health indicators will join the ranks of high-income countries. By 2050, China will build a healthy country in line with a modern socialist country.
To achieve the following goals by 2030:
-- People's health has continued to improve. People's health has improved significantly, with average life expectancy reaching 79.0 years by 2030, and average healthy life expectancy rising significantly.
- Major health risk factors are effectively under control. People's health literacy has been greatly improved, healthy lifestyles have been popularized, a healthy working and living environment has taken shape, food and drug safety has been effectively guaranteed, and a number of major diseases have been eliminated.
-- The capacity of health services has been greatly improved. A high-quality and efficient integrated medical and health service system and a complete public fitness service system have been established, the health care system has been further improved, the overall strength of health science and technology innovation ranks among the top in the world, and the quality and level of health services have significantly improved.
-- The health industry has expanded significantly. A healthy industrial system with a complete system and an optimized structure has been established, and a number of large enterprises with strong innovation ability and international competitiveness have been formed, becoming a pillar industry of the national economy.
-- The institutional system for promoting health will be improved. The system of policies, laws and regulations conducive to health will be further improved, and the system and capacity for health governance will be basically modernized.
Major indicators for building a healthy China
Field: Health indicators: Average life expectancy (years) 2015:76.342020:77.32030:79.0
Health indicators: Infant mortality rate (‰) 2015:8.12020:7.52030:5.0
Health indicators: Mortality rate of children under 5 years of age (‰) 2015:10.72020:9.52030:6.0
Area: Health indicators: maternal mortality rate (1 per 100,000) 2015:20.12020:18.02030:12.0
Field: Health level indicators: The proportion of urban and rural residents who meet the National Physical Fitness Measurement Standards above (%) 2015:89.6 (2014) 2020:90.62030:92.2
Field: Healthy life index: residents' health literacy level (%) 2015:1020202030
Field: Healthy life indicators: Number of people who regularly take part in physical exercise (100 million) 2015:3.6 (2014) 2020:4.352030:5.3
Area: Health services and protection indicators: Premature mortality from major chronic diseases (%) 2015:19.1 (2013) 2020:10% lower than 2015 2030:30% lower than 2015
Field: Health services and security Indicators: Number of practicing (assistant) physicians per 1,000 permanent residents (persons) 2015:2.22020:2.52030:3.0
Field: Health services and protection Index: The proportion of personal health expenditure in total health expenditure (%) 2015:29.32020: around 28 2030: around 25
Field: Health and environmental indicators: Ratio of days with good air quality in prefecture-level cities and above (%) 2015:76.72020: > 802030: Continuous improvement
Field: Health and environmental indicators: Proportion of surface water with quality of Class III or better (%) 2015:662020: > 702030: Continuous improvement
Field: Health industry Index: Total scale of health service industry (trillion yuan) 2015: -- 2020: > 82030:16
Part 2 Popularize Healthy life
Chapter 4 Strengthening health education
Section 1 Improving the health literacy of the whole people
We will promote the nationwide campaign for a healthy lifestyle, strengthen family and high-risk individuals' guidance and intervention for a healthy lifestyle, and carry out special campaigns for a healthy weight, healthy mouth and healthy bones. By 2030, all counties (cities and districts) will be covered by the campaign. Develop and disseminate appropriate technologies and supplies to promote healthy living. A system for releasing core information on health knowledge and skills has been established, and a nationwide monitoring system for health literacy and lifestyle has been improved. Establish and improve the system of health promotion and education, improve the ability of health education services, and popularize the knowledge of health science from an early age. We will strengthen cultural and ethical progress, develop a healthy culture, change customs and foster good living habits. Media at all levels and of all types have intensified the publicity of health science knowledge, actively built and standardized various radio and television health programs, and expanded health education through new media.
Section 2 Strengthen school health education
Bring health education into the national education system and regard health education as an important content of quality education in all stages of education. We will establish a mechanism for promoting health education in schools, especially in primary and secondary schools. To construct a health education model that combines teaching of related subjects with educational activities, classroom education with extracurricular practice, and regular publicity and centralized publicity and education. To cultivate health education teachers and include health education into pre-service education and post-service training of physical education teachers.
Chapter 5 Shaping healthy behaviors of autonomy and self-discipline
Section 1 Guide reasonable diet
We have formulated and implemented national nutrition plans, carried out in-depth studies on the nutritional functions of food (agricultural products and foodstuffs), popularized knowledge of dietary nutrition, issued dietary guidelines suitable for the characteristics of different populations, guided residents to form scientific eating habits, and promoted the construction of a healthy eating culture. We have established and improved a nutrition monitoring system for residents, and implemented nutrition interventions in key areas and populations, focusing on addressing the problems of micronutrient deficiency and the excessive intake of fat and other high-calorie foods by some people, so as to gradually address the coexistence of insufficient and excessive nutrition among residents. Implement clinical nutrition intervention. We will strengthen guidance on nutrition and health work in schools, kindergartens and elderly care institutions. Demonstration canteens and healthy restaurants will be built. By 2030, people's nutrition knowledge and literacy will be significantly improved, the incidence of diseases related to nutritional deficiency will be significantly reduced, per capita daily salt intake will be reduced by 20 percent, and the growth rate of overweight and obese population will be significantly slowed down.
Section 2 Tobacco control and alcohol Restriction
We will comprehensively promote the implementation of tobacco control agreements, intensify efforts in tobacco control, and improve the effectiveness of tobacco control by means of pricing, taxation and laws. Further publicity and education on tobacco control will be carried out. We will actively promote smoke-free environments and strengthen supervision and law enforcement over tobacco control in public places. We will promote smoking ban in public places, and gradually realize total smoking ban in indoor public places. Leading officials should take the lead in banning smoking in public places and turning Party and government offices into smoke-free institutions. Strengthen smoking cessation services. By 2030, the smoking rate of people over 15 years old will be reduced to 20 percent. Strengthen health education on alcohol restriction, control alcohol overuse, and reduce alcoholism. Strengthen monitoring of harmful use of alcohol.
Section 3 Promoting Mental health
We will strengthen the construction and standardized management of the mental health service system. We will increase public awareness of mental health and improve mental health literacy. We will strengthen intervention in common mental disorders such as depression and anxiety, as well as psychological and behavioral problems, and strengthen early detection and timely intervention of psychological problems in key groups. We will strengthen reporting, registration and management of treatment and assistance for patients with severe mental disorders. We will comprehensively promote community rehabilitation services for mental disorders. Improve the intervention ability and level of psychological crisis in emergencies. By 2030, interventions for the prevention and treatment of common mental disorders and the identification of psychological and behavioral problems will be significantly improved.
Section 4 Reducing Unsafe Sex and drug hazards
To strengthen comprehensive social management, focus on adolescents, women of childbearing age and the floating population, carry out publicity, education and intervention on sexual ethics, sexual health and sexual safety, strengthen comprehensive intervention on those with high-risk sexual transmission behaviors, and reduce unintended pregnancies and the transmission of sexually related diseases. Efforts should be made to disseminate knowledge about the dangers of drugs, countermeasures and ways to treat them. We will strengthen the construction of a national drug treatment medical service system to detect and treat addicts as early as possible. To strengthen the linkage between drug maintenance treatment and community detoxification, compulsory isolation and community rehabilitation. Establish a drug rehabilitation model that integrates physical detoxification, psychological rehabilitation, employment support and social return to minimize the social harm caused by drugs.
Chapter VI Improving the physical quality of the whole people
Chapter 6 Improve the physical fitness of the whole people
Section 1 Improving the national fitness public service system
We will coordinate the construction of public fitness facilities for all, and strengthen the construction of fitness trails, riding paths, fitness centers, sports parks, and community multifunctional sports arenas. By 2030, a network of public sports facilities at the county and village levels will be basically completed, with a per capita sports field area of no less than 2.3 square meters, and all urban communities will be covered by 15-minute fitness circles. We will open public sports facilities free of charge or at a low fee, and ensure that all public sports facilities and those of enterprises and public institutions that meet the opening conditions are open to the public. We will strengthen the building of the national fitness organization network, and support and guide the development of community-level sports organizations.
Section 2. Carry Out the national fitness campaign extensively
We will continue to formulate and implement national fitness programs, popularize scientific fitness knowledge and fitness methods, and make fitness a part of our daily life. Organize social sports instructors to carry out extensive national fitness guidance services. We will implement national standards for physical exercise, develop fitness and leisure activities for the masses, and enrich and improve the national fitness system. We will vigorously develop sports programs that are popular with the public, encourage the development of sports programs that suit different groups of people and different regions, and support the popularization of traditional ethnic folk sports such as Taijiquan and Qigong.
Section 3 Strengthen the integration of physical medicine and non-medical health interventions
It has issued guidelines on physical fitness activities, established and improved exercise prescription libraries for different groups, different environments and different physical conditions, promoted the formation of a disease management and health service model that combines physical and medical services, and brought into play the positive role of scientific fitness for all in health promotion, prevention and rehabilitation of chronic diseases. We will strengthen the development of scientific and technological innovation platforms for national fitness and scientific fitness guidance service sites. China has carried out national physical fitness tests, improved the physical health monitoring system, developed and applied big data for national physical health monitoring, and carried out risk assessment of sports.
Section 4 Promoting sports activities of key groups
We have formulated and implemented physical health intervention plans for special groups such as adolescents, women, the elderly, occupational groups and the disabled. We will carry out a plan to promote youth sports activities, cultivate young people's hobbies in sports, basically realize that young people can master at least one sport skill, and ensure that students have at least one hour of physical activity in school every day. By 2030, 100 percent of school sports facilities and equipment will be up to standard, young students will participate in moderate intensity sports activities at least three times a week, and more than 25 percent of students will meet the national physical health standards. We will strengthen scientific guidance and encourage women, the elderly and occupational groups to actively participate in national fitness. To implement the fitness system in the workplace, encourage and support the construction of appropriate fitness venues in new workplaces. Promoting rehabilitation and fitness sports for persons with disabilities.
Part 3 Optimize health services
Chapter 7 Strengthening public health services covering the whole population
Section 1 Prevention and Treatment of serious diseases
We will implement the strategy for the comprehensive prevention and control of chronic diseases and strengthen the development of national demonstration zones for the comprehensive prevention and control of chronic diseases. We will strengthen screening and early detection of chronic diseases, carry out early diagnosis and treatment of key cancers in high-incidence areas, and promote opportunistic screening of chronic diseases such as cancer, stroke and coronary heart disease. We will basically achieve full coverage of management and intervention for patients with hypertension and diabetes, and gradually incorporate appropriate technologies for the early diagnosis and treatment of cancer, stroke and other major chronic diseases into the treatment routine. We will strengthen prevention and treatment of common diseases such as myopia and obesity among students. By 2030, the health management of chronic diseases should be implemented across the population and the whole life cycle, and the overall 5-year survival rate of cancer should be increased by 15 percent. Strengthen oral hygiene, and control the caries rate of children aged 12 within 25%.
We will strengthen prevention and control of major infectious diseases. We will improve the monitoring and early warning mechanism for infectious diseases. We continued to expand the national immunization program, kept the vaccination rate of school-age children under the program at a relatively high level, and established an insurance mechanism to compensate for abnormal reactions to vaccination. Management of HIV testing, antiviral treatment and follow-up has been strengthened, and clinical blood nucleic acid testing and prevention of mother-to-child transmission of HIV have been fully implemented to keep the epidemic at a low epidemic level. China has established a comprehensive service model for tuberculosis prevention and control, strengthened the screening and monitoring of multidrug-resistant tuberculosis, and standardized the management of tuberculosis diagnosis and treatment. We will effectively respond to epidemics of influenza, hand, foot and mouth disease, dengue fever, measles and other major infectious diseases. The comprehensive strategy of schistosomiasis control focusing on controlling infectious sources has been continued, and all endemic counties have reached the standard of schistosomiasis elimination. Continue to consolidate the country's progress in eliminating malaria. Hydatid disease and other major parasitic diseases were basically brought under control in all endemic counties. We will continue to control and eliminate major endemic diseases so that they will no longer be a major problem endangering people's health. We will strengthen prevention and control of acute outbreaks of infectious diseases, actively guard against imported acute outbreaks of infectious diseases, and strengthen prevention and control of plague and other traditional severe infectious diseases. We will strengthen control of major animal-borne infectious diseases at the source.
Section 2 Improving the administration of family planning Services
We will improve the integrated decision-making mechanism for population and development and the policy system conducive to balanced population development. We will reform the way we manage family planning services, pay more attention to serving families, and establish a policy framework for family development that focuses on childbearing support, child rearing, youth development, elderly support, and care for the sick and disabled, so as to guide the people to have children in a responsible and planned way. We will improve the national policy on technical services for family planning, and strengthen the guarantee of technical services for second family planning. We will comprehensively promote informed choice and popularize the knowledge of contraception and reproductive health. We will improve the system of reward and assistance for family planning families and the system of special assistance, and dynamically adjust the standard of reward and assistance. We will adhere to and improve the family planning target management responsibility system, and improve the long-term working mechanism of family planning featuring publicity and advocacy, law-based management, quality services, policy promotion and comprehensive management. We will establish a sound mechanism for monitoring births. We will continue to control the sex ratio at birth. By 2030, China will achieve a natural balance in the sex ratio at birth.
Section 3 Promoting Equal access to basic public health services
We will continue to improve the national basic public health service projects and major public health service projects, strengthen research on the economic burden of diseases, adjust the funding standards for projects when appropriate, constantly enrich and expand the content of services, and improve the quality of services, so that urban and rural residents can enjoy equal access to basic public health services, and ensure equal access to basic public health and family planning services for the floating population.
Chapter 8 Provision of Quality and Efficient Medical Services
Section 1 Improving the medical and health service system
An integrated medical and health service system featuring a complete system, clear division of labor, complementary functions, close collaboration and efficient operation has been fully established. Basic medical and health resources within counties and cities should be rationally distributed according to the resident population and service radius to ensure equal access to basic medical and health services for all. At the provincial level and above, regional medical resources should be allocated in a coordinated manner, and regional medical resources should be shared in an integrated way, so as to basically achieve balanced allocation of high-quality medical and health resources, and ensure that everyone in the province enjoys homogeneous diagnosis and treatment of critical and difficult diseases and specialized medical services. Relying on existing institutions, China will build a number of national medical centers with leading domestic and global influence, a number of regional medical centers and national key clinical specialty groups, promote the coordinated development of medical and health services in the Beijing-Tianjin-Hebei region and the Yangtze River Economic Belt, and drive regional development and overall improvement of medical services. We will strengthen the development of complementary medical institutions for rehabilitation, geriatric diseases, long-term care, chronic disease management, and hospice care. We will implement the health poverty alleviation project, increase support for the construction of medical and health institutions in poor areas in the central and western regions, improve their service capacity, and ensure the health of the poor population. By 2030, there will be 4.7 registered nurses for every 1,000 permanent residents.
Section 2 Innovating the supply mode of medical and health services
We have established a three-in-one mechanism for the prevention and control of major diseases, featuring specialized public health institutions, general and specialized hospitals, and community-level medical and health institutions. We have established an information sharing and connectivity mechanism, and promoted the integrated development of chronic disease prevention, treatment, and management, so as to realize the integration of medical treatment and prevention. We have established a division of labor and cooperation mechanism with clear goals, powers and responsibilities among medical and health institutions of different levels, categories and organizations, and constantly improved the service network, operation mechanism and incentive mechanism, so that the community is generally equipped with the ability to be the gatekeeper of residents' health. We will improve contracted services for family doctors, establish a mature and complete hierarchical diagnosis and treatment system, form a reasonable order of first diagnosis at the grassroots level, two-way referral, up-down linkage, and separation of urgent and slow treatment, and improve the service chain of treatment-rehabilitation-long-term care. We will guide third-level public hospitals to gradually reduce the number of general outpatient clinics and focus on the diagnosis and treatment of critical and severe diseases and difficult diseases. We will improve the division of labor and cooperation modes of medical consortiums and hospital groups, and improve the overall performance of the service system. We will accelerate civil-military integration in medical and health care, and give full play to the role of military medical and health institutions to better serve the people.
Section 3 Improving the level and quality of medical services
It has established a medical quality management and control system that is in line with international standards and reflects Chinese characteristics, and basically improved medical quality control organizations covering major specialties at the national, provincial and municipal levels, and launched a number of international standards and norms. An information platform for medical quality management and control has been built to achieve all-round accurate and real-time management and control in the whole industry, continuously improve medical quality and medical safety, and enhance the degree of homogeneity of medical services. Major medical service quality indicators such as rehospitalization rate and utilization rate of antibiotics have reached or approached the world advanced level. Comprehensively implement clinical pathway management, standardize diagnosis and treatment behaviors, optimize diagnosis and treatment procedures, and enhance patients' sense of access to medical care. We will promote rational drug use, ensure the safety of blood for clinical use, and basically realize mutual recognition of inspection and test results in medical institutions. We will strengthen humanistic care in medical services and build harmonious doctor-patient relations. We will crack down on illegal and criminal acts related to medical services in accordance with the law, especially violent crimes that harm medical personnel, and protect their safety.
Chapter 9 Give full play to the unique advantages of TCM
Section 1 Improving the service capacity of traditional Chinese medicine
We will carry out a project to cultivate clinical strengths of traditional Chinese medicine, intensify research on the prevention and treatment of dominant diseases with traditional Chinese medicine, strengthen the integration of traditional Chinese and Western medicine, and improve the clinical efficacy of major, difficult and critical diseases. We will vigorously develop non-drug therapies of traditional Chinese medicine to play a unique role in the prevention and treatment of common, frequently-occurring and chronic diseases. We will develop rehabilitation services with TCM characteristics. We will improve the TCM medical and health service system covering both urban and rural areas. Comprehensive service areas for TCM, such as TCM centers and TCM halls, have been established in township health centers and community health service centers, and appropriate technologies have been popularized so that all community-level medical and health institutions can provide TCM services. We will promote the development of ethnic medicine. By 2030, TCM will play a leading role in the prevention and treatment of diseases, a synergistic role in the treatment of major diseases, and a central role in the rehabilitation of diseases.
Section 2 Development of TCM health care and health treatment services
To implement the health project of curing diseases in the middle, combine the advantages of traditional Chinese medicine with health management, and explore the mode of traditional Chinese medicine health guarantee that integrates health culture, health management and health insurance. Encourage social forces to set up standard traditional Chinese medicine health care institutions, accelerate the development of health care services. To expand the service area of TCM hospitals, and provide TCM health consultation, evaluation, intervention, follow-up management and other curative services for the masses. TCM medical institutions and TCM practitioners are encouraged to provide technical support such as health consultation and conditioning to TCM health care institutions. China will carry out TCM activities, vigorously disseminate TCM knowledge and easy-to-master health care techniques and methods, strengthen the protection, inheritance and application of TCM intangible cultural heritage, and realize the creative transformation and innovative development of TCM health care culture.
Section 3 Promoting TCM inheritance and Innovation
It has carried out the TCM inheritance and innovation project, attached great importance to the study and discovery of TCM classic medical books, comprehensively and systematically inherited the academic theories, schools and theories of various dynasties, carried forward the academic thoughts and clinical diagnosis and treatment experience of contemporary famous old TCM experts, and explored the folk diagnosis and treatment techniques and prescriptions, so as to promote the inheritance and development of TCM culture. A TCM traditional knowledge protection system has been established, and a traditional knowledge protection list has been formulated. It integrates modern scientific and technological achievements, explores traditional Chinese medicine prescriptions, and strengthens TCM prevention and treatment technologies and research and development of new medicines for major, difficult and chronic diseases, so as to promote the development of TCM theory and practice. We will develop TCM health services, accelerate the creation of multinational companies serving the whole industrial chain and internationally renowned Chinese brands, and promote TCM to the world. To protect important Chinese medicine resources and biodiversity, carry out survey and dynamic monitoring of Chinese medicine resources. To establish seedling breeding bases for bulk, authentic and endangered medicinal materials, provide dynamic monitoring information of Chinese medicinal materials market, and promote the green development of Chinese medicinal materials planting industry.
Chapter 10 Strengthening health services for key groups
Section 1 Improving the health of women and children
We will carry out the maternal and child safety program, advocate healthy and healthy childbirth, continue to implement the hospital delivery subsidy system, and provide free basic medical and health services for pregnant women throughout the childbearing process. We will strengthen comprehensive prevention and control of birth defects, and establish a birth defect prevention and control system that covers both urban and rural residents and covers all stages of pre-pregnancy, pregnancy and newborn. We will implement the plan for healthy children, strengthen early childhood development, improve the department of Pediatrics, intensify prevention and treatment of major children's diseases, expand disease screening for newborns, and continue to carry out programs to improve the nutrition of children in key areas. We will raise the screening rate of women's common diseases and the rate of early diagnosis and treatment. We have implemented a project to ensure maternal and child health and family planning services, and improved our ability to treat pregnant women and newborns in critical conditions.
Section 2 Promoting Healthy aging
We will promote the development of a medical and health service system for the elderly, and extend medical and health services to communities and families. We will improve the cooperation mechanism between medical and health institutions and elderly care institutions, and support elderly care institutions in providing medical services. We will promote the integrated development of traditional Chinese medicine and elderly care, promote the combination of medical and nursing care, provide the elderly with health and elderly care services that include hospitalization during treatment, nursing care during rehabilitation, stable life care, and hospice therapy and nursing care, and promote the close integration of whole-course prevention and management services for chronic diseases among cohabitants, communities, and institutional elderly care. We will encourage nongovernmental sectors to set up institutions that integrate medical and nursing care. Strengthen health guidance and comprehensive intervention for common and chronic diseases of the elderly, and strengthen health management for the elderly. We will promote the development of mental health and care services for the elderly, and strengthen effective interventions on Alzheimer's disease. We will promote the development of long-term care services for the elderly at home, establish a subsidy system for elderly people with financial difficulties and disabilities, and establish a multi-level long-term care security system. Policies will be further improved to make essential medicines more accessible to the elderly.
Section 3 Safeguarding the health of disabled persons
The Regulations on disability prevention and Rehabilitation have been formulated and implemented. We will increase medical assistance for eligible low-income disabled people, and make medical rehabilitation programs for eligible disabled people covered by basic medical insurance. A rehabilitation and assistance system has been established for disabled children, and subsidies have been provided for basic assistive devices where conditions permit. Rehabilitation of persons with disabilities has been included in basic public services, targeted rehabilitation has been implemented, and basic rehabilitation services have been provided to poor and severely disabled people in both urban and rural areas. We will improve barrier-free facilities in medical institutions and medical services for persons with disabilities. We will further improve the rehabilitation service system, strengthen rehabilitation and nursing facilities for persons with disabilities, establish a two-way referral mechanism between medical institutions and specialized rehabilitation institutions for persons with disabilities, and encourage community-level medical and health institutions to give priority to providing contracted services such as basic medical care, public health and health management for persons with disabilities. China has formulated and implemented a national action plan for disability prevention, increased the awareness of disability prevention in the whole society, carried out disability prevention in the whole population and throughout the life cycle, and effectively controlled the occurrence and development of disability. We will strengthen prevention and control of disabling diseases and other disabling factors. We will promote the pilot work of the national comprehensive pilot zone for disability prevention. We will continue to work to prevent and treat blindness and deafness.
Part 4 Improving health Security
Chapter 10 Improve the medical security system
Section 1 Improving the National medical insurance system
We will improve a multi-tiered medical security system with basic medical security as the mainstay, supplemented by various forms of supplementary insurance and commercial health insurance. We will integrate and manage the basic medical insurance system for non-working urban and rural residents. We will improve the mechanism for stable and sustainable financing of basic medical insurance and adjustment of benefits, and achieve medium - and long-term actuarial balance of the fund. We will improve policies on medical insurance contribution and participation, balance the contribution burden of entities and individuals, and determine a reasonable share between the government and individuals. Improve employee medical insurance personal accounts, carry out outpatient coordination. We will further improve the mechanism for providing medical insurance for major and serious diseases, and strengthen the effective linkage between basic medical insurance, serious disease insurance for urban and rural residents, and commercial health insurance and medical assistance. By 2030, a universal health insurance system will be fully established.
Section 2 Improving the Medical insurance administration and service system
We will strictly implement budget management of medical insurance funds. We will comprehensively advance the reform of medical insurance payment methods, actively promote payment by disease type and payment by capitation, actively explore payment by diagnosis related group (DRGs) and payment by service performance, and form a combined payment method under total budget management. We will improve the negotiation, consultation and risk-sharing mechanism between medical insurance agencies and medical institutions. We will accelerate the transfer of basic medical insurance to other places, and realize the direct settlement of inpatient medical expenses for retirees resettled in other places across provinces and for those who meet the requirements for referral. We will fully implement intelligent monitoring of medical insurance, and extend the supervision of medical institutions to medical workers. We will gradually introduce non-government participation in medical insurance management. We will strengthen the development and application of basic medical insurance standards. By 2030, the national health insurance management and service system will be improved and efficient.
Section 3 Develop commercial health insurance actively
We will implement tax and other preferential policies to encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance. To enrich health insurance products and encourage the development of health insurance products related to health management services. We will promote the cooperation between commercial insurance companies and medical, physical examination, nursing and other institutions, and 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 payouts in total health expenses will increase significantly.
Chapter 12 Improving the drug supply guarantee system
Section 1 Deepening the reform of the distribution system of drugs and medical devices
We will encourage drug and medical device distribution enterprises to extend their services upstream and downstream of the supply chain, and form a new modern distribution system. Standardize pharmaceutical e-commerce and enrich drug distribution channels and development models. To promote the application of modern logistics management and technology, improve the modern circulation network and traceability system of Chinese medicinal materials. We will ensure that medical institutions play a leading role in the procurement of drugs and consumables, and encourage joint procurement. We will improve the national drug price negotiation mechanism. We will establish a traceability mechanism for drug ex-factory price information. We will strengthen the supply guarantee and early warning of drugs in short supply, and improve the drug reserve system and emergency supply mechanism. We will build a modern pharmaceutical distribution network in both urban and rural areas, and improve the capacity of community-level and remote areas to ensure drug supply.
Section 2 Improving the National drug policy
We will consolidate and improve the national system for essential medicines, and ensure access to essential medicines for special groups. We will improve the current policy of free treatment drugs and increase the free supply of special drugs for AIDS prevention and treatment. Medication for children is guaranteed. We will improve policies to ensure the use of drugs for rare diseases. To establish a comprehensive clinical evaluation system focusing on essential medicines. We will improve the drug price formation mechanism in accordance with the principle of combining government regulation with market regulation. We will strengthen the linkage of pricing, medical insurance and procurement policies, adhere to classified management, strengthen price supervision of drugs with insufficient market competition and high-value medical consumables, establish a system for monitoring and disclosing drug price information, and formulate and improve standard policies for payment of medical insurance drugs.
Part 5 Building a Healthy environment
Chapter 13 Carry out the Patriotic health campaign
Section 1 Strengthening the comprehensive improvement of urban and rural environmental sanitation
We will continue to promote urban and rural sanitation campaigns, improve urban and rural sanitation infrastructure and long-term mechanisms, and coordinate efforts to address urban and rural sanitation issues. We will intensify efforts to improve the living environment in rural areas, comprehensively strengthen garbage treatment in rural areas, implement the project to treat domestic sewage in rural areas, and vigorously promote clean energy. By 2030, China will strive to build rural areas into beautiful homes with clean and tidy living environments and suitable for residents' life and retirement, and achieve harmonious development between man and nature. We will carry out a project to consolidate and improve the safety of drinking water in rural areas, promote the extension of urban water supply facilities to rural areas, further increase the rate of centralized water supply, the availability of tap water, the rate of water quality meeting standards, and the rate of water supply guarantee in rural areas, and comprehensively establish a drinking water safety system in rural areas from the source to the leading source. We will accelerate the construction of harmless sanitary toilets and strive to ensure that by 2030, all rural residents will have access to them. Implementing a comprehensive vector prevention and control strategy focusing on environmental management. We will promote the establishment of national health towns and cities, and strive to raise the number of national health cities to 50% of the total number of cities in China by 2030, covering all provinces (autonomous regions and municipalities directly under the Central Government) where conditions permit.
Section 2 Building Healthy Cities and Towns
We should take the construction of healthy cities and towns as an important step in promoting the construction of a healthy China, ensure the demand for land for health-related public facilities, improve the system, layout and standards of relevant public facilities, integrate health into the whole process of urban and rural planning, construction and management, and promote the coordinated development of urban and people's health. China has formulated and implemented development plans for healthy cities and towns in response to major health problems of local residents. We will extensively develop healthy communities, towns and villages, units and families to increase social participation. We will focus on strengthening the construction of healthy schools, strengthen the monitoring and evaluation of students' health hazards, and improve school food safety management, prevention and control of infectious diseases and other related policies. We will strengthen monitoring and evaluation of the construction of healthy cities and towns. By 2030, a number of demonstration cities and towns will be set up to build healthy cities and towns.
Chapter 14 Strengthening the governance of environmental problems affecting health
Section 1 Conducting in-depth prevention and control of air, water and soil pollution
With the focus on improving environmental quality, we will promote joint prevention and control and co-governance of river basins, carry out assessment of environmental quality targets, implement the strictest environmental protection system, and effectively solve prominent environmental problems affecting people's health. We will promote environmental impact assessments for the development and construction plans of industrial parks, new towns and new districts, strictly review and approve environmental impact assessments for construction projects, and strengthen prevention at the source. We will deepen joint prevention and control of regional air pollution, and establish a mechanism for regular regional cooperation. We will improve the regional joint early warning mechanism for heavy or above pollution. We comprehensively implemented management of urban air quality to meet standards, and significantly improved urban air quality nationwide. We will push forward the construction of drinking water sources to meet safety standards. We will strengthen groundwater management and protection, and promote the treatment of groundwater over-extraction areas and the comprehensive prevention and control of pollution. China will develop a national soil environmental quality monitoring network, establish a soil environmental quality investigation and evaluation system for construction land, and carry out soil pollution control and restoration. We will implement classified management of agricultural land, focusing on cultivated land. We will comprehensively strengthen the prevention and control of pollution from non-point agricultural sources and effectively protect ecosystems and genetic diversity. We will strengthen prevention and control of noise pollution.
Section 2 Implementing a plan for the discharge of all industrial pollution sources up to standard
We will fully implement the management of permits for industrial pollution sources to discharge pollutants, encourage enterprises to conduct their own monitoring and make information public, and set up a pollutant discharge ledger so that they can discharge pollutants according to permits. We will speed up the elimination of processes, equipment and products with high pollution and environmental risks. We will carry out special efforts to control pollution in industrial clusters. We will focus on upgrading the steel, cement, and petrochemical industries to meet emissions standards.
Section 3 Establish and improve environmental and health monitoring, investigation and risk assessment systems
Gradually establish and improve the environmental and health management system. It has carried out environmental and health surveys in key regions, river basins and industries, and established a comprehensive environmental and health monitoring network and risk assessment system covering pollution sources, environmental quality monitoring, population exposure monitoring and health effects monitoring. Implement environmental and health risk management. We will designate high-risk areas for environmental health, evaluate the impact of environmental pollution on population health, and explore ways to establish a health risk assessment system for key projects in high-risk areas. Establish a communication mechanism for environmental health risks. Establish a unified platform for environmental information disclosure, and comprehensively promote environmental information disclosure. We will promote air quality monitoring and information release in cities at and above the county level.
Chapter 15 Safeguarding Food and Drug Safety
Section 1 Strengthening food safety supervision
We will improve the system of food safety standards and basically bring them into line with international standards. Food safety risk monitoring and assessment will be strengthened, and the food safety risk monitoring and food-borne disease reporting network will cover all areas by 2030. We will comprehensively promote standardized and clean agricultural production, carry out in-depth assessment of the quality and safety risks of agricultural products, promote comprehensive treatment of agricultural and veterinary drug residues and heavy metal pollution, and carry out a campaign to control veterinary and antimicrobial drugs. We will strengthen guidance and supervision over the origin of food products and improve the market access system for agricultural products. We will establish a whole-process traceability cooperation mechanism for edible agricultural products, improve a unified and authoritative food safety supervision system, set up a team of professional inspectors, strengthen inspection and testing capacity, strengthen daily supervision and inspection, and expand the coverage of product sampling inspection. We will strengthen management of Internet food operations. We will strengthen access management for imported food, intensify inspections of food safety systems originating from overseas, and orderly develop designated ports for imported food. We will encourage local governments to establish demonstration zones for the quality and safety of food and agricultural products for export. We will promote the construction of a food safety credit system and improve the food safety information disclosure system. We will improve oversight of the whole process from source to consumption, and strictly guard every line of defense from farmland to dining table, so that the people can eat safely and with confidence.
Section 2 Strengthening drug safety supervision
We will deepen the reform of the review and approval system for drugs (medical devices), study and establish a clinical efficence-oriented review and approval system, and improve the approval standards for drugs (medical devices). We will accelerate the review and approval of innovative drugs (medical devices) and new drugs urgently needed for clinical use (medical devices), and promote the consistent evaluation of the quality and efficacy of generic drugs. We will improve the national drug standards system, implement the plan to raise the standards of medical devices, and actively promote the internationalization of TCM (material) standards. We will comprehensively strengthen drug supervision and control, and form a chain of supervision and control for all kinds and the whole process. We will strengthen oversight of medical devices and cosmetics.
Chapter 16 Improving the public Security system
Section 1 Strengthen production safety and occupational health
We will strengthen workplace safety, accelerate the establishment of two lines of defense: risk level management and screening and treatment of hidden dangers, and effectively reduce the frequency and harmful consequences of major accidents. Strengthen the self-discipline and supervision and management responsibilities of the industry, encourage enterprises to fulfill their main responsibilities, promote the treatment of the source of occupational hazards, and strengthen the supervision of work safety in key industries such as mines and hazardous chemicals. Carry out the basic survey of occupational hazards and improve the targeted health intervention measures. To further improve the occupational safety and health standard system, establish and improve the monitoring, reporting and management network of key occupational diseases and occupational hazard factors, and curb the high incidence of pneumoconiosis and occupational poisoning. Establish a hierarchical and classified supervision mechanism, and focus on the supervision of enterprises with high risk of occupational disease hazards. Carry out special treatment of occupational hazards in key industries. Strengthen the occupational disease reporting system, carry out the work of employers' occupational health promotion, prevent and control the occurrence of work-related accidents and occupational diseases. We will strengthen individual radiation dose management and radiation protection in radiation diagnosis and treatment nationwide.
Section 2 Promoting road traffic safety
We will strengthen the design, planning and construction of road traffic safety facilities, organize the implementation of highway safety life protection projects, and control highway safety hazards. We will strictly manage road transport safety, raise enterprises' awareness of safety self-discipline, and implement transport enterprises' main responsibility for production safety. We will strengthen our ability to monitor safe operation and provide basic support for safe production. We will further strengthen road traffic safety management, raise technical standards for vehicle safety, and improve the overall quality of motor vehicle drivers and traffic participants. By 2030, we will strive to reduce the fatality rate by 30 percent.
Section 3 Prevention and Reduction of injury
Establish a comprehensive injury monitoring system, and develop guidelines and standards for key injury intervention techniques. Strengthen injury prevention and interventions for children and the elderly, reduce traffic injuries, drowning and accidental falls among children and improve safety standards for children's toys and supplies. Prevent and reduce suicide and accidental poisoning. We will establish a mandatory reporting system for consumer product quality and safety accidents, establish a product injury monitoring system, strengthen quality and safety supervision in key areas, and reduce consumer product safety injuries.
Section 4 Improving emergency response capability
We will strengthen public security awareness education. We will establish and improve the responsibility mechanism for the construction, maintenance and management of urban and rural public fire control facilities, and basically achieve full coverage of urban and rural public fire control facilities by 2030. We will improve our capacity for disaster prevention, mitigation and emergency response. We will improve the health emergency response system for emergencies, and enhance our capacity for early prevention, timely detection, rapid response and effective handling. China has established a three-dimensional emergency medical rescue system by sea, land and air, including military medical and health institutions, to enhance its emergency medical rescue capability in emergencies. By 2030, a nationwide emergency medical rescue network will be established, and the capacity of health emergency response and emergency medical rescue will reach the level of developed countries. Further improve the medical emergency system, improve the efficiency of treatment. By 2030, we will strive to basically reduce the ratio of road traffic accidents to the level of moderately developed countries.
Section 5 Improve the port public health system
Establish a port infectious disease prevention and control system with intelligent monitoring and early warning of global infectious disease information and precise quarantine at ports, and a comprehensive modern port nuclear, biochemical and harmful factors prevention and control system, establish a port public health emergency response mechanism based on prevention and control at the source and joint prevention and control at home and abroad, and improve the port vector and major infectious disease monitoring and control mechanism. We took the initiative to prevent, control and respond to public health emergencies overseas. Continue to consolidate and improve the core capacity of the port, and build an international health airport (port). China will improve the international travel and health information network, provide timely and effective guidance on international travel health, build a world-class international travel health service system, and protect the health and safety of travelers entering and leaving the country.
We will improve our capacity to prevent and control animal and plant epidemics, strengthen entry plant and plant quarantine risk assessment and access management, strengthen the standardization of inspection, interception, detection and identification, disinfestation treatment, monitoring and prevention and control of exotic animal and plant epidemics and pests, improve the accountability system for those who purchase or carry them, and prevent and control the cross-border transmission of international animal and plant epidemics and pests. We will improve the entry-exit biosafety inspection mechanism to effectively prevent the loss of species resources and the invasion of alien species.
Part 6 Development of health industry
Chapter 17 Optimizing the pattern of multiple medical offices
We will further optimize the policy environment, give priority to supporting nongovernmental organizations in setting up non-profit medical institutions, and promote and realize equal treatment between non-profit private hospitals and public hospitals. Encourage doctors to use their spare time and retired doctors to practice or set up workshops in community-level medical and health institutions. Individual clinic Settings are not subject to planning layout restrictions. We will remove unreasonable restrictions and hidden barriers for social forces to enter the medical field. Gradually expand the scope of foreign-funded medical institutions. We will increase government procurement of services, support the insurance industry in investing in and setting up medical institutions, encourage non-public medical institutions to develop to a high level and scale, and encourage the development of professional hospital management groups. Strengthen government supervision, industry self-discipline and social supervision, and promote the standardized development of non-public medical institutions.
Chapter 18 Developing new forms of health services
We will actively promote the integration of health care with elderly care, tourism, the Internet, fitness, leisure and food, and foster new health industries, new business forms and new models. We will develop Internet-based health services, encourage the development of health services such as physical examination and consultation, promote the development of personalized health management services, cultivate a number of health management service industries with distinctive features, and explore and promote the development of wearable devices, smart health electronic products and mobile application services for health care. We will standardize and develop maternal and child care services. We will foster health and cultural industries and sports, medical and rehabilitation industries. To formulate standards and norms for the health and medical tourism industry, and build a internationally competitive health and medical tourism destination. We will vigorously develop TCM health tourism. We will build a number of well-known brands and a virtuous circle of health service industry clusters, and support the complementary development of a large number of small, medium and micro enterprises.
Guide the development of professional medical examination centers, medical imaging centers, pathological diagnosis centers and hemodialysis centers. Support the development of third-party medical service evaluation, health management service evaluation, and health market research and consulting services. We will encourage nongovernmental sectors to provide food and drug testing services. We will improve the intermediary system for science and technology, and vigorously develop specialized and market-oriented services for the transformation of medical scientific and technological achievements.
Chapter 19 Actively developing the fitness, leisure and sports industry
We will further optimize the market environment, cultivate multiple subjects, and guide social forces to participate in the construction and operation of fitness and leisure facilities. We will promote the reform of sports associations and the reform of separating the ownership and management of sports venues, accelerate the opening up of sports resources, innovate ways to popularize fitness, leisure and sports projects, further improve the system and mechanism for the government to purchase sports public services, and build a comprehensive fitness and leisure service. Encourage the development of various forms of sports and fitness clubs, enrich amateur sports events, actively cultivate snow and ice, mountain, water, automobile and motorcycle, aviation, limit, equestrian and other fashionable leisure sports with consumption-leading features, and build fitness and leisure demonstration areas and fitness and leisure industrial belts with regional characteristics.
Chapter 20 Promoting the Development of the pharmaceutical Industry
Section 1 Strengthening medical technology innovation
We will improve the government-industry-university-research-application collaborative innovation system to promote innovation, transformation and upgrading of pharmaceuticals. We will strengthen innovation capacity building for patented drugs, new traditional Chinese medicines, new preparations, and high-end medical devices, and promote the release of copycat versions of drugs that have expired patents for the treatment of major diseases. We will vigorously develop new varieties of biological and chemical drugs, high-quality traditional Chinese medicine, high-performance medical devices, new auxiliary materials and pharmaceutical equipment, promote the industrialization of major drugs, accelerate the transformation and upgrading of medical devices, and improve the international competitiveness of medical diagnosis and treatment equipment and medical materials with independent intellectual property rights. We will accelerate the development of the rehabilitation assistive device industry and enhance our capacity for independent innovation. We will improve the quality standards system, upgrade quality control technologies, and implement green and smart transformation and upgrading. By 2030, the quality standards of drugs and medical devices will be fully in line with international standards.
Section 2 Upgrading the level of Industrial development
To develop professional pharmaceutical parks, support the establishment of industrial alliances or consortiums, build an innovation-driven, green, low-carbon, intelligent and efficient advanced manufacturing system, improve the industrial concentration, and enhance the supply capacity of medium and high-end products. We will vigorously develop trade in medical and health services, encourage pharmaceutical enterprises to go global and cooperate in international industries, and improve their international competitiveness. By 2030, the international market share of new drugs and diagnostic and treatment equipment with independent intellectual property rights will increase significantly, and the localization rate of high-end medical equipment market will increase significantly, so that the pharmaceutical industry will achieve medium-high speed development and move towards medium-high end, and become one of the world's pharmaceutical powers. We will promote the transformation and upgrading of the pharmaceutical circulation industry, reduce circulation links, increase the concentration of the circulation market, and form a number of large multinational pharmaceutical circulation enterprises.
Part 7 Improving support and guarantee
Chapter 21 Deepening Institutional Reform
Section I Integrating health into all policies
We will strengthen communication and collaboration between various departments and industries to form synergy in promoting health. A health impact assessment system has been established to systematically assess the impact of various economic and social development plans and policies and major projects on health, and to improve supervision mechanisms. We will unblock channels for public participation and strengthen public oversight.
Section 2 Comprehensively Deepening the reform of the medical and health care systems
We will speed up the establishment of a more mature and established basic medical and health care system, maintain the non-profit nature of public medical and health care, effectively control the unreasonable increase in medical costs, and continue to solve the problem of public access to medical services. We will separate government and administrative functions, straighten out the relationship between public medical and health institutions and the government, and establish a modern management system for public hospitals. We have clearly divided the pharmaceutical and health management powers of the central, local and local governments, and implemented localized and industry-wide management. We will promote the participation of military hospitals in the reform of urban public hospitals and the inclusion of military hospitals in the national hierarchical diagnosis and treatment system. We will improve the industry-wide comprehensive supervision system for health and family planning.
Section 3 Improving the health financing mechanism
We will improve the mechanisms for government investment in the health sector, adjust and optimize the structure of government spending, increase investment in the health sector, define the spending responsibilities of the central and local governments in a scientific and reasonable way, and fulfill the government's responsibility to meet the demand for basic health services. When arranging transfer payments, the central government will give preferential treatment to less developed areas to improve the efficiency of the funds. Establish a result-oriented health input mechanism to monitor and evaluate health input performance. We will fully mobilize the enthusiasm of social organizations and enterprises and form a diversified financing pattern. We will encourage financial institutions and other institutions to innovate their products and services and improve supporting measures. We will vigorously develop philanthropy and encourage donations and mutual assistance from both the public and individuals.
Section 4 Accelerating the transformation of government functions
We will further streamline administration, delegate power, strengthen regulation and improve services in health-related areas. We will continue to deepen the reform of approval for drugs and medical institutions, and standardize the conduct of approval for the establishment of medical institutions. We will promote the law-based administration of health-related departments and promote the openness of government affairs and information. We will strengthen regulatory innovation in health areas such as health, family planning, sports, food and drugs, accelerate the establishment of an ongoing and post-operational oversight system, and fully promote the establishment of a "double random and one open" mechanism. We will promote comprehensive regulation, strengthen self-discipline and integrity in industries, encourage the development of industry associations and chambers of commerce, give full play to the role of social forces in regulation, promote fair competition, promote the scientific development of health-related industries, simplify the process of public health services, optimize government services, and improve the efficiency of services.
Chapter 22 Strengthening the construction of human resources for health
Section 1 Strengthen the cultivation and training of healthy talents
We should strengthen the coordination between medical education and establish a balanced mechanism between supply and demand of medical personnel training. We will reform the medical education system and speed up the establishment of a training system for medical talents that integrates the three stages of college education, post-graduation education and continuing education in line with the characteristics of the industry. We will improve the quality assurance mechanism of medical education, and establish a medical professional certification system that is essentially equivalent to international medical education. With the focus on general practitioners, we will strengthen the development of community-level personnel. We will improve the training system for residents and specialists, and establish a training mechanism for complex high-level personnel in public health and clinical medicine. Strengthening the continuing medical education system for all personnel. We will increase support for community-level and remote areas. We will strengthen the training of urgently needed professionals in general practice, pediatrics, obstetrics, psychiatry, pathology, nursing, midwifery, rehabilitation and mental health. Strengthen the construction of pharmacists and TCM health services, health emergency response, and health informatization personnel. We will strengthen the construction of high-level personnel, and introduce and train a number of world-leading academic leaders. Promoting the professionalization and professionalism of health management personnel. We will adjust and optimize the professional structure of medical education to adapt to the development of the health service industry, and increase the training of health professionals such as elderly care workers, rehabilitation therapists and psychological counselors. Support the establishment of a health education and training cloud platform based on the National Open University of Health Care and supported by the China Health and Medical Education MOOCS Alliance to facilitate lifelong education for medical personnel. We will strengthen the construction of social sports instructors, and by 2030, there will be 2.3 social sports instructors for every 1,000 people.
Section 2 Evaluation and incentive mechanism for the use of innovative talents
We will ensure that medical and health institutions have the right to choose their employees, fully implement the employment system, and form a flexible employment mechanism that allows both entry and exit. We will implement the wage policy for community-level medical workers. Innovate the mode of use, flow and service provision of medical personnel, and actively explore the free practice of physicians, individual physicians and medical institutions to contract services or establish a doctor group. Establish a personnel compensation system in line with the characteristics of the medical and health industry. We will align with international practices and further optimize and improve standards for personnel evaluation in nursing, midwifery, auxiliary medical services, and medical and health technology. We should innovate the talent evaluation mechanism, not taking papers, foreign languages and scientific research as mandatory requirements for the professional title evaluation of grassroots health personnel, and improve the talent evaluation mechanism in line with the characteristics of general practitioners.
Chapter 23 Promoting health science and technology innovation
Section 1 Establishing a national medical science and technology innovation system
We will vigorously strengthen the construction of national clinical medical research centers and collaborative innovation networks, further strengthen the capacity building of research bases such as laboratories and engineering centers, promote the capacity building of TCM clinical research bases and research institutions relying on existing institutions, and improve the layout of medical research and research bases. We will strengthen resource integration and data convergence, coordinate the layout of national resource platforms for biomedical big data, biological sample resources and laboratory animal resources, and build demonstration centers for clinical medical data such as cardiovascular and cerebrovascular, tumor and geriatric diseases. The Medical and Health Science and Technology Innovation Project of the Chinese Academy of Medical Sciences was implemented. We will accelerate the development of bases for biomedicine and large-scale health industries, foster high-tech enterprises in the health industry, build a number of medical research and health industry innovation centers, promote the integration of medical research and enterprises, and promote efficient collaboration among innovation entities such as medical institutions, research institutes, universities and enterprises. We will strengthen the construction of platforms for the transformation and promotion of medical achievements, and promote the transformation and promotion of medical achievements. Establish a better incentive mechanism for medical innovation and an application-oriented evaluation mechanism for achievements, further improve the guarantee mechanisms for scientific research bases, biosafety, technology evaluation, medical research standards and norms, medical ethics and scientific research integrity, and intellectual property rights, and strengthen cooperation between science and health, civil-military integration, and provincial and ministerial cooperation. We will effectively raise the level of research on basic frontiers, key commonalities, social benefits, and strategic high-tech.
Section 2 Advancing medical science and technology
It has launched major science and technology projects and projects for brain science and brain-related research and health care, and promoted major national science and technology projects and key national research and development programs. We will develop cutting-edge medical technologies such as omics, stem cell and regenerative medicine, new vaccines, and biotherapy, strengthen breakthroughs in key technologies such as chronic disease prevention and control, precision medicine, and smart medicine, and prioritize the development of innovative drugs, localization of medical devices, and modernization of traditional Chinese medicine, so as to significantly enhance the scientific and technological support for the prevention and treatment of major diseases and the development of the health industry. By 2030, the influence of scientific and technological papers and the total number of patents among the three parties will rank among the top in the world, and the contribution rate of scientific and technological innovation to the growth of the pharmaceutical industry and the conversion rate of achievements will be further increased.
Chapter 24 Construction of health information service system
Section 1 Improving the construction of population health information service system
China has built a unified, authoritative and interconnected population health information platform, standardized and promoted "Internet plus health and medical" services, innovated online health and medical service models, and continued to promote national health information services that cover the whole life cycle and integrate prevention, treatment, rehabilitation and independent health management. We will implement the Healthy China Cloud Service plan, establish a telemedicine application system, and develop smart health and medical services for the convenience of the people. We will establish an information technology standard system and a safety protection mechanism for population health. We will ensure that citizens' personal electronic health records are shared between the military and the local authorities before and after they are discharged from the military. By 2030, China will realize the mutual sharing and standardized application of the national population health information platform at the provincial, municipal and county levels. Everyone will have standardized electronic health records and fully functional health cards, and telemedicine will cover medical and health institutions at the provincial, county and township levels, so as to fully realize the standardized management and use of population health information and meet the needs of personalized services and precision medicine.
Section 2 Promoting the application of big data in health care
We will strengthen the construction of the health and medical big data application system, and promote the open sharing, in-depth mining and extensive application of the health and medical big data based on the regional population health information platform. Data barriers should be removed, and a unified and centralized health and medical data sharing mechanism with close cooperation across departments and fields should be established to realize data collection, integrated sharing and business collaboration of applied information systems such as public health, family planning, medical services, medical security, drug supply and comprehensive management. We will establish and improve the national health and medical data resource catalog system, comprehensively deepen the application of health and medical big data in the fields of industry governance, clinical and scientific research, public health, education and training, and cultivate new business forms of health and medical big data application. We will strengthen the construction of relevant laws and standards for health and medical big data, strengthen the national and regional capacity for health information engineering, formulate policies and norms for data application based on classification and domain, promote the construction of a network trust system, pay attention to content security, data security and technical security, and strengthen the security of health and medical data and the protection of patient privacy. We will strengthen oversight of Internet health services.
Chapter 25 Strengthening the rule of Law for Health
We promoted the promulgation and implementation of the Law on Basic Medical and Health Care and the Law on Traditional Chinese Medicine, revised and implemented the Drug Administration Law, strengthened legislation and revision of laws and regulations in key areas, improved departmental rules and local government rules, and improved the system of standards, norms and guidelines in the health field. We will strengthen the government's regulatory responsibilities in health care, food, drugs, environment, sports and other areas, and establish a supervision and management system that combines government oversight, industrial self-discipline and social oversight. We will strengthen the health supervision and law enforcement system and capacity building.
Chapter 26 Strengthening International Exchanges and Cooperation
China has implemented the Global Health Strategy and actively promoted international cooperation in the field of population health on all fronts. On the basis of bilateral cooperation mechanisms, we should innovate cooperation models, strengthen people-to-people exchanges, and promote health cooperation between China and countries along the Belt and Road. We will strengthen South-South cooperation, implement the China-Africa public health cooperation plan, continue to send medical team members to developing countries, focus on strengthening medical assistance, including maternal and child health care, and support the building of disease prevention and control systems. Strengthen international exchanges and cooperation on TCM. Make full use of high-level national strategic dialogues to put health on the agenda of major-country diplomacy. China will take an active part in global health governance, exert its influence in the research, negotiation and formulation of relevant international standards, norms and guidelines, and increase its international influence and institutional voice in the field of health.
Part 8 Strengthen organization and implementation
Chapter 27 Strengthening organizational leadership
We will improve the coordination mechanism for building a healthy China, coordinate and coordinate the overall work of building a healthy China, review major projects, policies, projects, issues and work arrangements, strengthen strategic planning, and guide departments and local governments in their work.
All regions and departments should make healthy China an important part of their agenda, improve their leadership systems and working mechanisms, include healthy China in their economic and social development plans, incorporate major health indicators into the assessment indicators of party committees and governments at all levels, improve the assessment mechanisms and accountability systems, and do a good job in implementing relevant tasks. We will give full play to the role of trade unions, the Communist Youth League, women's federations, disabled persons' federations and other social organizations, give full play to the role of the democratic parties, the Federation of Industry and Commerce, and personages without party affiliation, and maximize the consensus and strength of the whole society.
Chapter 28 Creating a Favorable Social Atmosphere
We will vigorously publicize the major strategic thinking, guidelines and policies of the Party and state on safeguarding and promoting the people's health, and publicize the significance, overall strategy, goals, tasks and major measures of promoting the building of a healthy China. We will strengthen positive publicity, supervision by public opinion, scientific guidance and typical reports, increase public awareness of the building of a healthy China, and foster a favorable social atmosphere in which the whole society cares about and supports the building of a healthy China.
Chapter 29 Good implementation monitoring
We formulated and implemented the Five-Year Plan and other policy documents, refined and improved all policies and measures in the outline, and defined the major projects, projects, and policies to be implemented at each stage. We will establish a regular and routine supervision and assessment mechanism to strengthen incentives and accountability. We have set up a sound monitoring and evaluation mechanism, formulated plans for the division of tasks between departments in the outline of the plan and plans for monitoring and evaluation, conducted annual monitoring and evaluation of the progress and results of implementation, and made necessary adjustments to targets and tasks when appropriate. We should fully respect the initiative of the people, promptly review and actively spread the good practices and effective experience of all local governments in implementing the outline of the Plan.
