Xinhua News Agency, Beijing, October 25th-Recently, the Central Committee of the Communist Party of China and the State Council issued the Outline of the Plan for Healthy China 2030, and issued a notice asking all localities and departments to conscientiously implement it in light of the actual situation.
The full text of "Healthy China 2030" Planning Outline is as follows.
catalogue
preface
The first overall strategy
Chapter I guiding ideology
Chapter II Strategic Theme
Chapter III Strategic Objectives
Article 2 Popularizing Healthy Living
Chapter IV Strengthening Health Education
Chapter V Shaping Healthy Behavior of Self-discipline
Chapter VI Improving the Physical Fitness of the Whole People
Chapter III Optimizing Health Services
Chapter VII Strengthening Public Health Services Covering the Whole People
Chapter VIII Providing High-quality and Efficient Medical Services
Chapter IX Give Full Play to the Unique Advantages of Traditional Chinese Medicine
Chapter X Strengthening Health Services for Key Groups
The fourth article is to improve health protection.
Chapter XI Perfecting the Medical Security System
Chapter XII Improving the Drug Supply Security System
Chapter 5 Building a Healthy Environment
Chapter XIII Carry out Patriotic Health Campaign in depth
Chapter XIV Strengthening the Governance of Environmental Problems Affecting Health
Chapter XV Ensuring Food and Drug Safety
Chapter XVI Improving the Public Security System
Chapter VI Development of Health Industry
Chapter 17 Optimizing the Multi-medical Pattern
Chapter 18 Developing new formats of health services
Chapter 19 Actively develop the fitness and leisure sports industry
Chapter 20 Promoting the Development of Pharmaceutical Industry
Chapter VII Perfect Support and Guarantee
Chapter 21 Deepening the Reform of System and Mechanism
Chapter 22 Strengthening the Construction of Healthy Human Resources
Chapter 23 Promoting Health Science and Technology Innovation
Chapter XXIV Construction of Health Information Service System
Chapter 25 Strengthening the Construction of Health Rule of Law
Chapter 26 Strengthening International Exchanges and Cooperation
Chapter VIII Strengthening organizational implementation
Chapter 27 Strengthening organizational leadership
Chapter 28 Creating a Good Social Atmosphere
Chapter 29 Do a good job in implementation monitoring
preface
Health is an inevitable requirement for promoting people’s all-round development and a basic condition for economic and social development. Realizing the health and longevity of the people is an important symbol of the country’s prosperity and national rejuvenation, and it is also the common aspiration of the people of all ethnic groups in the country.
The party and the state have always attached great importance to people’s health. Since the founding of New China, especially since the reform and opening-up, China has made remarkable achievements in the reform and development in the health field, the urban and rural environment has been obviously improved, the national fitness campaign has flourished, the medical and health service system has been improved day by day, and the people’s health level and physical quality have been continuously improved. In 2015, the average life expectancy in China has reached 76.34 years, and the infant mortality rate, the mortality rate of children under 5 years old and the maternal mortality rate have dropped to 8.1‰, 10.7‰ and 20.1/100,000 respectively, which is better than the average level of middle-and high-income countries in general, laying an important foundation for building a well-off society in an all-round way. At the same time, industrialization, urbanization, aging population, changes in disease spectrum, ecological environment and lifestyle have also brought a series of new challenges to the maintenance and promotion of health. The contradiction between the overall shortage of health service supply and the increasing demand is still outstanding, and the coordination between health development and economic and social development needs to be strengthened. It is necessary to solve major and long-term problems related to health from the national strategic level.
Promoting the construction of a healthy China is an important foundation for building a well-off society in an all-round way and basically realizing socialist modernization. It is a national strategy to comprehensively improve the health quality of the Chinese nation and realize the coordinated development of people’s health and economy and society. It is also an important 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 to promote the construction of a healthy China. Maintaining medium and high-speed economic growth will lay a solid foundation for safeguarding people’s health, upgrading consumption structure will create a broad space for developing health services, scientific and technological innovation will provide strong support for improving health, and more mature and stereotyped systems in all aspects will build a strong guarantee for sustainable development in the health field.
In order to promote the construction of healthy China and improve people’s health level, this planning outline is formulated according to the strategic deployment of the Fifth Plenary Session of the 18th CPC Central Committee. This planning outline is the grand blueprint and action plan for promoting the construction of a healthy China. The whole society should enhance its sense of responsibility and mission, fully promote the construction of a healthy China, and make greater contributions to the great rejuvenation of the Chinese nation and the progress of human civilization.
The first overall strategy
Chapter I guiding ideology
To promote the construction of a healthy China, we must hold high the great banner of Socialism with Chinese characteristics, fully implement the spirit of the 18th National Congress of the Communist Party of China and the Third, Fourth and Fifth Plenary Sessions of the 18th Central Committee, thoroughly study and implement the spirit of the series of important speeches by the Supreme Leader General Secretary under the guidance of Marxism–Leninism, Mao Zedong Thought, Deng Xiaoping Theory, Theory of Three Represents and Scientific Outlook on Development, and closely focus on promoting the overall layout of the "five in one" and the "four comprehensive" strategic layout in a coordinated manner. Conscientiously implement the decision-making arrangements of the CPC Central Committee and the State Council, adhere to the people-centered development idea, firmly establish and implement the new development concept, adhere to the correct health and health work policy, focus on improving people’s health level, take the reform and innovation of institutional mechanisms as the driving force, focus on popularizing healthy life, optimizing health services, improving health security, building a healthy environment and developing health industries, integrate health into all policies, and accelerate the transformation of the development mode in the health field. Maintain and protect people’s health in an all-round and full-cycle manner, greatly improve health standards, significantly improve health equity, and provide a solid and healthy foundation for realizing the goal of "two hundred years" and the Chinese dream of the great rejuvenation of the Chinese nation.
Mainly follow the following principles:
-health is a priority. Put health in the strategic position of giving priority to development, based on the national conditions, integrate the concept of promoting health into the whole process of public policy formulation and implementation, accelerate the formation of a healthy lifestyle, ecological environment and economic and social development model, and realize the benign and coordinated development of health and economic and social development.
-Reform and innovation. Adhere to the government’s leadership, give play to the role of market mechanism, accelerate the pace of reform in key links, break through the shackles of ideas, break the barriers of solidification of interests, remove institutional and institutional obstacles, give play to the leading and supporting role of scientific and technological innovation and informatization, and form an institutional system with China characteristics that promotes the health of the whole people.
-scientific development. Grasp the development law of health field, adhere to prevention first, combine prevention with treatment, pay equal attention to both Chinese and western medicine, change service mode, build an integrated medical and health service system, and promote the health service from extensive development of scale expansion to green intensive development of quality and efficiency improvement, and promote the complementary and coordinated development of Chinese medicine and western medicine to improve the level of health service.
-Fairness and justice. Focusing on rural areas and grass-roots units, we will promote the equalization of basic public services in the health field, safeguard the public welfare 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 II Strategic Theme
"Co-construction and sharing, 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 grassroots as the focus, take reform and innovation as the driving force, give priority to prevention, pay equal attention to both Chinese and Western medicine, integrate health into all policies, and build and share with the people. In view of the health influencing factors such as lifestyle, production and living environment and medical and health services, adhere to the combination of government leadership and mobilizing the enthusiasm of society and individuals, promote everyone’s participation, everyone’s efforts, everyone’s enjoyment, implement prevention first, and promote a healthy lifestyle to reduce the occurrence of diseases.
Co-construction and sharing is the basic way to build a healthy China. From the supply side and the demand side, we will make efforts to coordinate the three levels of society, industry and individuals to form a strong synergy for maintaining and promoting health. It is necessary to promote the extensive participation of the whole society, strengthen cross-sectoral cooperation, deepen the development of integration of defense and civilian technologies, mobilize the enthusiasm and creativity of social forces, strengthen environmental governance, ensure food and drug safety, prevent and reduce injuries, effectively control ecological and social environmental risk factors that affect health, and form a multi-level and diversified social co-governance pattern. To promote the structural reform of the supply side of health services, health and family planning, sports and other industries should take the initiative to adapt to people’s health needs, deepen the reform of system and mechanism, optimize the allocation of factors and service supply, fill the shortcomings of development, promote the transformation and upgrading of the health industry, and meet the growing health needs of the people. It is necessary to strengthen personal health responsibility, improve the health literacy of the whole people, guide the formation of a healthy lifestyle that is self-disciplined and conforms to its own characteristics, effectively control the life behavior factors that affect health, and form a social atmosphere that loves, pursues and promotes health.
National health is the fundamental purpose of building a healthy China. Based on the whole population and the whole life cycle, we will provide fair, accessible and systematic health services to achieve a higher level of national health. It is necessary to benefit the whole population, constantly improve the system, expand services and improve the quality, so that all people can enjoy the needed, quality and affordable health services such as prevention, treatment, rehabilitation and health promotion, and focus on solving the health problems of key groups such as women and children, the elderly, the disabled and low-income people. It is necessary to cover the whole life cycle, identify some priority areas according to the main health problems and main influencing factors in different stages of life, strengthen intervention, realize the whole health service and health guarantee from the fetus to the end of life, and comprehensively safeguard people’s health.
Chapter III Strategic Objectives
By 2020, a basic medical and health system with China characteristics covering urban and rural residents will be established, the level of health literacy will continue to improve, the health service system will be perfect and efficient, and everyone will enjoy basic medical and health services and basic physical fitness services, basically forming a health industry system with rich connotations and reasonable structure, and the main health indicators will rank among the top in middle-and high-income countries.
By 2030, the institutional system for promoting the health of the whole people will be more perfect, the development of the health field will be more coordinated, healthy lifestyles will be popularized, the quality of health services and the level of health protection will be continuously improved, the health industry will prosper and basically achieve health equity, and the main health indicators will enter the ranks of high-income countries. By 2050, we will build a healthy country that is compatible with the socialist modern country.
By 2030, we will achieve the following goals:
-The people’s health has continued to improve. The people’s physical fitness has been significantly enhanced. In 2030, the average life expectancy will reach 79.0 years, and the average healthy life expectancy will be significantly improved.
-Major health risk factors have been effectively controlled. The health literacy of the whole people has been greatly improved, a healthy lifestyle has been fully popularized, a healthy production and living environment has basically taken shape, food and drug safety has been effectively guaranteed, and a number of major diseases have been eliminated.
-Health service capacity has been greatly improved. High-quality and efficient integrated medical and health service system and perfect national fitness public service system have been established in an all-round way, the health security 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 been significantly improved.
-the scale of the health industry has expanded significantly. Establish a healthy industrial system with complete system and optimized structure, form a group of large enterprises with strong innovation ability and international competitiveness, and become a pillar industry of the national economy.
-The institutional system for promoting health has been improved. The system of policies, laws and regulations conducive to health has been further improved, and the governance system and governance capacity in the health field have basically been modernized.
Main indicators of healthy China construction
Field: health level indicators: life expectancy per capita (years) 2015: 76.34 2020: 77.3 2030: 79.0
Field: health level indicators: infant mortality rate (‰) 2015: 8.1 2020: 7.5 2030: 5.0.
Field: Health level indicator: mortality rate of children under 5 years old (‰) 2015: 10.7 2020: 9.5 2030: 6.0.
Field: health level indicator: maternal mortality rate (1/100,000) 2015: 20.1 2020: 18.0 2030: 12.0.
Field: Health level indicators: proportion of urban and rural residents who have reached the National Physical Fitness Measurement Standard (%) 2015: 89.6(2014) 2020: 90.6 2030: 92.2.
Field: healthy living indicators: residents’ health literacy level (%) 2015: 10 2020: 20 2030: 30
Field: healthy living indicators: number of people who regularly participate in physical exercise (100 million) 2015: 3.6(2014) 2020: 4.35 2030: 5.3.
Field: Health service and security indicators: premature mortality rate of major chronic diseases (%) 2015: 19.1(2013) 2020: 10% lower than 2015; 2030: 30% lower than 2015.
Field: health service and security indicators: number of licensed (assistant) doctors per thousand permanent residents (person) 2015: 2.2 2020: 2.5 2030: 3.0.
Field: health service and security indicators: the proportion of personal health expenditure to total health expenditure (%) 2015: 29.3 2020: 28 or so 2030: 25 or so.
Field: health and environmental indicators: ratio of days with excellent air quality in cities at prefecture level and above (%) 2015: 76.7 2020: > 80 2030: continuous improvement.
Field: health and environmental indicators: proportion of surface water quality reaching or better than Class III water bodies (%) 2015: 66 2020: > 70 2030: continuous improvement.
Field: health industry indicators: total scale of health service industry (trillion yuan) 2015:-2020: > 8 2030: 16
Article 2 Popularizing Healthy Living
Chapter IV Strengthening Health Education
The first section to improve the health literacy of the whole people
We will promote the healthy lifestyle actions of the whole people, strengthen the guidance and intervention of healthy lifestyles of families and high-risk individuals, and carry out special actions such as healthy weight, healthy mouth and healthy bones. By 2030, we will basically achieve full coverage in counties (cities, districts). Develop and popularize appropriate technologies and supplies to promote healthy living. Establish a core information release system for health knowledge and skills, and improve the monitoring system for health literacy and lifestyle covering the whole country. Establish and improve the health promotion and education system, improve the service ability of health education, and start from an early age to popularize health science knowledge. Strengthen the construction of spiritual civilization, develop healthy culture, change customs, and cultivate good living habits. All kinds of media at all levels increase the publicity of health science knowledge, actively build and standardize various health columns such as radio and television, and use new media to expand health education.
Section 2 Intensify school health education
Incorporate health education into the national education system and take health education as an important part of quality education at all stages of education. Focus on primary and secondary schools, and establish a promotion mechanism for school health education. Construct a health education model that combines teaching with educational activities in related disciplines, classroom education with extracurricular practice, and regular publicity and education with centralized publicity and education. Cultivate health education teachers and incorporate health education into the pre-service education and post-service training of physical education teachers.
Chapter V Shaping Healthy Behavior of Self-discipline
The first section to guide a reasonable diet
Formulate and implement the national nutrition plan, carry out in-depth evaluation and research on the nutritional function of food (agricultural products and food), comprehensively popularize dietary nutrition knowledge, issue dietary guidelines suitable for different groups of people, guide residents to form scientific dietary habits, and promote the construction of healthy eating culture. Establish and improve the residents’ nutrition monitoring system, implement nutrition intervention in key areas and key populations, focus on solving the problems of micronutrient deficiency and excessive intake of high-calorie foods such as oil and fat in some people, and gradually solve the problem of coexistence of insufficient nutrition and excess nutrition among residents. Implement clinical nutrition intervention. Strengthen the guidance of nutrition and health work in schools, kindergartens and old-age care institutions. Develop demonstration healthy canteens and healthy restaurants. By 2030, residents’ nutritional knowledge literacy will be significantly improved, the incidence of nutritional deficiency diseases will be significantly reduced, the national per capita daily salt intake will be reduced by 20%, and the growth rate of overweight and obese people will be significantly slowed down.
The second quarter to carry out tobacco control and alcohol restriction
Comprehensively promote the implementation of tobacco control, increase the intensity of tobacco control, and improve the effectiveness of tobacco control by means of price, tax and law. In-depth publicity and education on tobacco control. Actively promote the construction of smoke-free environment and strengthen the supervision and law enforcement of tobacco control in public places. Promote the smoking ban in public places, and gradually realize the comprehensive smoking ban in indoor public places. Leading cadres should take the lead in banning smoking in public places and build the party and government organs into smoke-free organs. Strengthen smoking cessation services. By 2030, the smoking rate of people over the age of 15 will be reduced to 20%. Strengthen health education on alcohol restriction, control excessive use of alcohol, and reduce excessive drinking. Strengthen the monitoring of harmful alcohol use.
Section 3 Promoting Mental Health
Strengthen the construction of mental health service system and standardized management. Increase the publicity of popular science on mental health for the whole people, and improve mental health literacy. Strengthen the intervention of common mental disorders and psychological and behavioral problems such as depression and anxiety, and increase the early detection and timely intervention of psychological problems of key populations. Strengthen the registration of patients with severe mental disorders and the management of treatment and assistance. Comprehensively promote community rehabilitation services for mental disorders. Improve the intervention ability and level of unexpected psychological crisis. By 2030, the level of prevention and treatment of common mental disorders and identification and intervention of psychological and behavioral problems will be significantly improved.
Section IV Reducing Unsafe Sex and Drug Harm
Strengthen comprehensive social management, focus on teenagers, women of childbearing age and floating population, carry out publicity, education and intervention on sexual morality, sexual health and sexual safety, strengthen comprehensive intervention on people with high-risk sexual transmission behaviors, and reduce the spread of unwanted pregnancies and sex-related diseases. Vigorously popularize knowledge about drug hazards, countermeasures and treatment methods. Strengthen the construction of the national medical service system for drug rehabilitation, and find and treat addicts early. Strengthen the connection between drug maintenance treatment and community detoxification, compulsory isolation detoxification and community rehabilitation. Establish a drug rehabilitation model that integrates physical detoxification, psychological rehabilitation, employment support and social return to minimize the social harm of drugs.
Chapter VI Improving the Physical Fitness of the Whole People
Section 1 Improve the public service system of national fitness
Coordinate the construction of public facilities for national fitness, and strengthen the construction of venues and facilities such as fitness trails, cycling streets, national fitness centers, sports parks and community multi-functional sports fields. By 2030, a three-level network of public sports facilities in counties and villages will be basically built, with a per capita sports area of not less than 2.3 square meters, and a 15-minute fitness circle will be fully covered in urban communities. We will open public sports facilities free of charge or at low fees, and ensure that all public sports facilities and sports facilities of enterprises and institutions that meet the opening conditions are open to the public. Strengthen the network construction of national fitness organizations, and support and guide the development of grassroots sports social organizations.
In the second quarter, widely carry out the national fitness campaign
Continue to formulate and implement the national fitness plan, popularize scientific fitness knowledge and methods, and promote the life-long fitness of the whole people. Organize social sports instructors to extensively carry out national fitness guidance services. Implement national physical exercise standards, develop mass fitness and leisure activities, and enrich and improve the national fitness system. Vigorously develop sports popular with the masses, encourage the development of characteristic sports suitable for different groups of people and different regional characteristics, and support the promotion of traditional ethnic and folk sports such as Tai Ji Chuan and Qigong.
Section III Strengthening the Integration of Physical Education and Medicine and Non-medical Health Intervention
Issue guidelines for physical fitness activities, establish and improve the exercise prescription library for different groups of people, different environments and different physical conditions, promote the formation of a disease management and health service model combining physical education with medicine, and give full play to the positive role of scientific fitness for all in health promotion, chronic disease prevention and rehabilitation. Strengthen the construction of national fitness science and technology innovation platform and scientific fitness guidance service site. Carry out national physical fitness tests, improve the physical health monitoring system, develop and apply national physical health monitoring big data, and carry out sports risk assessment.
Section IV Promoting Sports Activities of Key Groups
Formulate and implement physical health intervention plans for special groups such as teenagers, women, the elderly, occupational groups and the disabled. Implement the youth sports promotion plan, cultivate youth sports hobbies, basically realize that young people are proficient in more than one sports skill, and ensure that students spend no less than one hour in school every day. By 2030, the standard rate of school sports facilities and equipment will reach 100%, young students will participate in sports activities with moderate intensity for more than three times a week, and the excellent rate of national students’ physical health standards will reach more than 25%. Strengthen scientific guidance and promote women, the elderly and professional groups to actively participate in national fitness. Implement the system of inter-work fitness, encourage and support the construction of appropriate fitness venues in newly-built workplaces. Promote the extensive development of rehabilitation sports and fitness sports for the disabled.
Chapter III Optimizing Health Services
Chapter VII Strengthening Public Health Services Covering the Whole People
Section 1 Prevention and Control of Major Diseases
We will implement the strategy of comprehensive prevention and control of chronic diseases and strengthen the construction of a national demonstration zone for comprehensive prevention and control of chronic diseases. Strengthen the 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. Basically achieve full coverage of management intervention for patients with hypertension and diabetes, and gradually incorporate suitable technologies for early diagnosis and treatment of major chronic diseases such as cancer and stroke into the routine diagnosis and treatment. Strengthen the prevention and treatment of common diseases such as myopia and obesity among students. By 2030, the health management of chronic diseases in the whole population and life cycle will be realized, and the overall 5-year survival rate of cancer will be improved by 15%. Strengthen oral hygiene, and control the caries rate of 12-year-old children within 25%.
Strengthen the prevention and control of major infectious diseases. Improve the monitoring and early warning mechanism of infectious diseases. We will continue to expand the national immunization program, maintain the vaccination rate of school-age children in the national immunization program at a high level, and establish a compensation insurance mechanism for abnormal reactions to vaccination. Strengthen AIDS testing, antiviral treatment and follow-up management, fully implement clinical blood nucleic acid testing and prevent mother-to-child transmission of AIDS, and keep the epidemic at a low epidemic level. Establish a comprehensive service model for tuberculosis prevention and treatment, strengthen the screening and monitoring of multi-drug resistant tuberculosis, standardize the management of tuberculosis diagnosis and treatment, and the national tuberculosis epidemic situation continues to decline. Effectively respond to influenza, hand, foot and mouth disease, dengue fever, measles and other key infectious diseases. We will continue to adhere to the comprehensive prevention and control strategy of schistosomiasis, focusing on the control of infectious sources, and all endemic counties in China will reach the standard of eliminating schistosomiasis. Continue to consolidate the achievements of eliminating malaria in the country. All endemic counties in China have basically controlled the epidemic of key parasitic diseases such as echinococcosis. Keep controlling and eliminating key endemic diseases, and endemic diseases will no longer be the key problems that endanger people’s health. Strengthen the prevention and control of sudden acute infectious diseases, actively guard against imported sudden acute infectious diseases, and strengthen the prevention and control of traditional strong infectious diseases such as plague. Strengthen the source control of major animal-borne infectious diseases.
Section 2 Improve the management of family planning services
Improve the comprehensive decision-making system and mechanism of population and development, and improve the policy system conducive to the balanced development of population. Reform the management of family planning services, pay more attention to serving families, and build a family development policy framework with the theme of birth support, child care, adolescent development, elderly support, and sick and disabled care, so as to guide the masses to bear children responsibly and in a planned way. We will improve the national family planning technical service policy and increase the guarantee of family planning technical services for re-birth. Full implementation of informed choice and popularization of contraceptive and reproductive health knowledge. We will improve the reward and assistance system and special assistance system for family planning families, and implement dynamic adjustment of reward and assistance standards. Adhere to and improve the target management responsibility system of family planning, and improve the long-term working mechanism of family planning with publicity and advocacy, legal management, quality service, policy promotion and comprehensive management. Establish and improve the monitoring mechanism of the birth population. Continue to manage the sex ratio of the birth population. By 2030, the national sex ratio at birth will achieve a natural balance.
Section III Promoting Equalization of Basic Public Health Services
We will continue to improve the national basic public health service projects and major public health service projects, strengthen the research on the economic burden of diseases, adjust the project funding standards in a timely manner, continuously enrich and expand the service content, improve the service quality, enable urban and rural residents to enjoy equal basic public health services, and do a good job in equalizing the basic public health and family planning services for floating population.
Chapter VIII Providing High-quality and Efficient Medical Services
Section 1 Improve the medical and health service system
Build an integrated medical and health service system with complete system, clear division of labor, complementary functions, close cooperation and efficient operation. Basic medical and health resources in counties and cities are rationally distributed according to the resident population and service radius, so that everyone can enjoy equal basic medical and health services; Provincial and above sub-regional overall allocation, integration and promotion of regional medical resources sharing, basically realize the balanced allocation of high-quality medical and health resources, and everyone in the province enjoys homogeneous diagnosis and treatment of critical and difficult diseases and specialized medical services; Relying on the existing institutions, we will build a number of national-level medical centers that lead the country and have global influence, build a number of regional medical centers and national key clinical specialist groups, promote the coordinated development of medical and health care in Beijing, Tianjin and Hebei, the Yangtze River Economic Belt and other regions, and promote the regional development and overall level of medical services. Strengthen the construction of continuing medical institutions such as rehabilitation, senile diseases, long-term care, chronic disease management and hospice care. We will implement health poverty alleviation projects, increase support for the construction of medical and health institutions in poverty-stricken areas in the central and western regions, improve service capabilities, and ensure the health of poor people. By 2030, a 15-minute basic medical and health service circle will be basically formed, and the number of registered nurses per thousand permanent residents will reach 4.7.
Section 2 Innovating the Supply Mode of Medical and Health Services
Establish a "trinity" major disease prevention and control mechanism of professional public health institutions, comprehensive and specialized hospitals and primary medical and health institutions, establish an information sharing and interconnection mechanism, promote the integrated development of chronic disease prevention, treatment and management, and realize the combination of medicine and prevention. Establish a division of labor and cooperation mechanism with clear goals and responsibilities among medical and health institutions at different levels, different categories and different organizers, and constantly improve the service network, operation mechanism and incentive mechanism. Grassroots units generally have the ability of residents’ health gatekeepers. Improve the contract service of family doctors, comprehensively establish a mature and perfect grading diagnosis and treatment system, form a reasonable medical order of primary consultation, two-way referral, up-and-down linkage, rapid and slow division, and improve the treatment-rehabilitation-long-term care service chain. Guide tertiary public hospitals to gradually reduce the number of general outpatient clinics, focusing on the development of diagnosis and treatment of critical and difficult diseases. Improve various modes of division of labor and cooperation such as medical consortia and hospital groups, and improve the overall performance of the service system. Accelerate the integration of defense and civilian technologies in the field of medical and health care, actively play the role of military medical and health institutions, and better serve the people.
Section 3 Improving the Level and Quality of Medical Services
Establish a medical quality management and control system that is in line with international standards and reflects the characteristics of China, basically improve the national, provincial and municipal medical quality control organizations covering major professions, and introduce a number of international standards and norms. We will build an information platform for medical quality management and control, realize all-round accurate and real-time management and control of the whole industry, continuously improve medical quality and safety, enhance the degree of homogenization of medical services, and reach or approach the world advanced level in major medical service quality indicators such as readmission rate and antibacterial drug utilization rate. Fully implement clinical pathway management, standardize diagnosis and treatment behavior, optimize diagnosis and treatment process, and enhance patients’ sense of medical treatment. Promote rational drug use, ensure the safety of clinical blood use, and basically realize mutual recognition of inspection and test results of medical institutions. Strengthen humanistic care of medical services and build a harmonious relationship between doctors and patients. Severely crack down on illegal and criminal acts involving medical personnel, especially violent crimes that harm medical personnel, in accordance with the law, and protect the safety of medical personnel.
Chapter IX Give Full Play to the Unique Advantages of Traditional Chinese Medicine
Section 1 Improving the Service Ability of Chinese Medicine
Implement the project of cultivating clinical advantages of traditional Chinese medicine, strengthen the research on the prevention and treatment of superior diseases of traditional Chinese medicine, strengthen the integration of traditional Chinese and western medicine, and improve the clinical efficacy of major difficult diseases and critical diseases. Vigorously develop non-drug therapy of traditional Chinese medicine to play a unique role in the prevention and treatment of common diseases, frequently-occurring diseases and chronic diseases. Develop rehabilitation services with Chinese characteristics. Improve the service system of Chinese medical care covering urban and rural areas. In township hospitals and community health service centers, comprehensive service areas of traditional Chinese medicine, such as traditional Chinese medicine halls and traditional Chinese medicine halls, are established, and appropriate technologies are promoted, so that all primary medical and health institutions can provide traditional Chinese medicine services. Promote the development of ethnic medicine. By 2030, the leading role of traditional Chinese medicine in the prevention of diseases, the synergistic role in the treatment of major diseases and the core role in disease rehabilitation will be fully exerted.
Section 2 Development of TCM Health Care and Preventive Treatment Services
Implement the health project of preventing diseases in traditional Chinese medicine, combine the advantages of traditional Chinese medicine with health management, and explore the health protection model of traditional Chinese medicine that integrates health culture, health management and health insurance. Encourage social forces to set up standardized TCM health care institutions and accelerate the development of health care services. Expand the service field of traditional Chinese medicine hospitals, and provide the masses with preventive services such as TCM health consultation and evaluation, intervention and conditioning, and follow-up management. Encourage medical institutions of traditional Chinese medicine and doctors of traditional Chinese medicine to provide technical support such as health consultation and conditioning for health care institutions of traditional Chinese medicine. Carry out the activities of traditional Chinese medicine in China, vigorously spread the knowledge of traditional Chinese medicine and easy-to-master health care techniques and methods, strengthen the protection and inheritance of intangible cultural heritage of traditional Chinese medicine, and realize the creative transformation and innovative development of health care culture of traditional Chinese medicine.
Section III Promoting Inheritance and Innovation of Traditional Chinese Medicine
We will implement the project of inheriting and innovating traditional Chinese medicine, attach importance to the study and excavation of classic medical books of traditional Chinese medicine, comprehensively and systematically inherit various academic theories, schools and theories of past dynasties, constantly carry forward the academic thoughts and clinical diagnosis and treatment experience of famous and old Chinese medicine experts, excavate folk diagnosis and treatment technologies and prescriptions, and promote the inheritance and development of traditional Chinese medicine culture. The establishment of traditional Chinese medicine knowledge protection system, the development of traditional knowledge protection list. Integrate modern scientific and technological achievements, tap Chinese medicine prescriptions, strengthen the research and development of Chinese medicine prevention and treatment technologies and new drugs for major and difficult diseases and chronic diseases, and continuously promote the development of Chinese medicine theory and practice. Develop Chinese medicine health services, accelerate the building of multinational companies serving the whole industry chain and internationally renowned China brands, and promote Chinese medicine to the world. Protect important Chinese medicine resources and biodiversity, and carry out general survey and dynamic monitoring of Chinese medicine resources. The establishment of large, authentic and endangered medicinal materials seedling breeding base, provide dynamic monitoring information of Chinese herbal medicine market, and promote the green development of Chinese herbal medicine planting.
Chapter X Strengthening Health Services for Key Groups
Section 1 Improving the Health Level of Women and Children
We will implement the maternal and child safety plan, advocate prenatal and postnatal care, continue to implement the hospital delivery subsidy system, and provide free basic medical and health care services to pregnant women throughout the birth process. Strengthen the comprehensive prevention and control of birth defects, and build a birth defect prevention and control system covering urban and rural residents, including pre-pregnancy, pregnancy and neonatal stages. We will implement the plan for healthy children, strengthen early childhood development, strengthen pediatric construction, intensify the prevention and treatment of key diseases of children, expand the screening of neonatal diseases, and continue to carry out projects such as improving children’s nutrition in key areas. Improve the screening rate of common diseases among women and the rate of early diagnosis and treatment. Implement maternal and child health and family planning service guarantee projects to improve the ability of pregnant women and newborns to treat critical illness.
Section 2 Promoting Healthy Aging
We will promote the construction of a medical and health service system for the elderly and extend medical and health services to communities and families. Improve the cooperation mechanism between medical and health institutions and pension institutions, and support pension institutions to carry out medical services. Promote the integration of traditional Chinese medicine and old-age care, promote the combination of medical care and old-age care, provide elderly people with health and old-age care services that integrate hospitalization during treatment, rehabilitation care, stable life care and hospice care, and promote the close integration of chronic disease prevention and management services with cohabitants, communities and institutions. Encourage social forces to set up institutions that combine medical care with nursing care. Strengthen the health guidance and comprehensive intervention of common and chronic diseases in the elderly and strengthen the health management of the elderly. Promote mental health and care services for the elderly, and strengthen effective interventions such as Alzheimer’s disease. Promote the development of long-term care services for the elderly at home, comprehensively establish a subsidy system for the elderly and disabled elderly with financial difficulties, and establish a multi-level long-term care security system. Further improve policies to make it easier for the elderly to obtain essential drugs.
Section 3 Maintaining the Health of Disabled Persons
Formulate and implement regulations on disability prevention and rehabilitation of the disabled. We will increase medical assistance to eligible low-income disabled people, and include eligible medical rehabilitation projects for disabled people in the scope of basic medical insurance payment according to regulations. Establish a rehabilitation and assistance system for disabled children, and subsidize basic assistive devices for disabled people where conditions permit. Incorporate the rehabilitation of the disabled into basic public services, implement precise rehabilitation, and provide basic rehabilitation services for poor and severely disabled people in urban and rural areas. Improve barrier-free facilities in medical institutions and improve medical services for the disabled. Further improve the rehabilitation service system, strengthen the construction of rehabilitation and care facilities for the disabled, establish a two-way referral mechanism between medical institutions and professional rehabilitation institutions for the disabled, and promote primary medical and health institutions to give priority to providing basic medical care, public health and health management services for the disabled. Formulate and implement the national action plan for disability prevention, enhance the awareness of disability prevention in the whole society, carry out disability prevention in the whole population and life cycle, and effectively control the occurrence and development of disability. Strengthen the prevention and control of disabling diseases and other disabling factors. Promote the pilot work of the National Comprehensive Experimental Zone for Disability Prevention. Continue to carry out prevention and treatment of blindness and prevention and treatment of deafness.
The fourth article is to improve health protection.
Chapter XI Perfecting the Medical Security System
Section 1 Improve the universal health insurance system
Improve the multi-level medical security system with basic medical security as the main body and other forms of supplementary insurance and commercial health insurance as supplements. Integrate the basic medical insurance system and management for urban and rural residents. Improve the mechanism of stable and sustainable financing and treatment level adjustment of basic medical insurance, and realize the long-term actuarial balance of the fund. Improve the policy of medical insurance payment, balance the burden of payment by units and individuals, and reasonably determine the proportion of sharing between the government and individuals. Improve the personal accounts of employees’ medical insurance and carry out outpatient co-ordination Further improve the medical security mechanism for serious and serious diseases, and strengthen the effective connection between basic medical insurance, serious illness insurance for urban and rural residents, commercial health insurance and medical assistance. By 2030, the universal health insurance system will be mature and stereotyped.
Section 2 Improve the medical insurance management service system
Strictly implement the budget management of medical insurance fund. We will comprehensively promote the reform of medical insurance payment methods, actively promote payment by disease type and per head, actively explore DRGs related to disease diagnosis and payment by service performance, form a composite payment method under the management of total budget, and improve the negotiation and risk sharing mechanism between medical insurance agencies and medical institutions. Accelerate the settlement of basic medical insurance for medical treatment in different places, and realize the direct settlement of hospitalization expenses for retirees resettled in different provinces and the direct settlement of hospitalization expenses in different places that meet the referral requirements. Fully realize the intelligent monitoring of medical insurance and extend the supervision of medical institutions by medical insurance to medical personnel. Gradually introduce social forces to participate in medical insurance management. Strengthen the construction and application of basic standards of medical insurance. By 2030, the national medical insurance management service system will be perfect and efficient.
Section 3 Actively Develop Commercial Health Insurance
Implement preferential policies such as taxation and encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance. Enrich health insurance products and encourage the development of health insurance products related to health management services. Promote the cooperation between commercial insurance companies and medical, physical examination and nursing 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 claims to the total health expenditure will increase significantly.
Chapter XII Improving the Drug Supply Security System
Section 1 Deepening the Reform of the Circulation System of Drugs and Medical Devices
Promote pharmaceutical and medical device circulation enterprises to extend their services to the upstream and downstream of the supply chain, and form a new modern circulation system. Standardize medical e-commerce and enrich drug circulation channels and development models. Popularize and apply modern logistics management and technology, and improve the modern circulation network and traceability system of Chinese herbal medicines. Implement the main position of medical institutions in purchasing drugs and consumables, and encourage joint procurement. Improve the national drug price negotiation mechanism. Establish a traceability mechanism for drug ex-factory price information. 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 throughout urban and rural areas and improve the ability of drug supply in grassroots and remote areas.
Section 2 Perfecting the National Drug Policy
Consolidate and improve the national essential drug system and promote the protection of essential drugs for special people. Improve the existing free treatment drug policy and increase the free supply of special drugs such as AIDS prevention and treatment. Ensure children’s medication. Improve the drug security policy for rare diseases. Establish a comprehensive clinical evaluation system focusing on essential drugs. According to the principle of combining government regulation with market regulation, improve the drug price formation mechanism. Strengthen the convergence of price, medical insurance, procurement and other policies, adhere to classified management, strengthen the price supervision of drugs and high-value medical consumables with insufficient market competition, establish a drug price information monitoring and information disclosure system, and formulate and improve the payment standard policies for medical insurance drugs.
Chapter 5 Building a Healthy Environment
Chapter XIII Carry out Patriotic Health Campaign in depth
Section 1 Strengthening the Comprehensive Improvement of Urban and Rural Environmental Sanitation
We will continue to promote the clean and tidy action of urban and rural environmental sanitation, improve the infrastructure and long-term mechanism of urban and rural environmental sanitation, and coordinate the management of urban and rural environmental sanitation problems. Strengthen the management of rural human settlements, comprehensively strengthen the management of rural garbage, implement rural domestic sewage treatment projects, and vigorously promote clean energy. By 2030, we will strive to build China’s rural areas into a clean and tidy beautiful homeland suitable for residents to live and support the elderly, and realize the harmonious development between man and nature. Implement the rural drinking water safety consolidation and upgrading project, promote the extension of urban water supply facilities to rural areas, further improve the rural centralized water supply rate, tap water penetration rate, water quality compliance rate and water supply guarantee rate, and comprehensively establish a rural drinking water safety guarantee system from the source to the leader. Accelerate the construction of harmless sanitary toilets, and strive that by 2030, all rural residents in the country can basically use harmless sanitary toilets. Implement the comprehensive prevention and control strategy of vector organisms based on environmental management. Further promote the establishment of national health towns, and strive to increase the number of national health cities to 50% of the total number of cities in the country by 2030, and achieve full coverage in qualified provinces (autonomous regions and municipalities directly under the Central Government).
Section 2 Building Healthy Cities and Healthy Villages and Towns
Take the construction of healthy cities and healthy villages and towns as an important starting point to promote the construction of healthy China, ensure the demand for land for public facilities related to health, improve the system, layout and standards of relevant public facilities, integrate health into the whole process of urban and rural planning, construction and governance, and promote the healthy and coordinated development of cities and people. According to the main health problems of local residents, the development plan of healthy cities and healthy villages and towns is compiled and implemented. We will extensively build healthy communities, healthy villages and towns, healthy units and healthy families, and increase social participation. Focus on strengthening the construction of healthy schools, strengthening the monitoring and evaluation of students’ health hazards, and improving school food safety management, infectious disease prevention and control and other related policies. Strengthen the monitoring and evaluation of healthy cities and healthy villages and towns. By 2030, a number of demonstration cities and villages and towns for the construction of healthy cities and villages and towns will be built.
Chapter XIV Strengthening the Governance of Environmental Problems Affecting Health
Section 1: In-depth prevention and control of air, water and soil pollution
Focusing on improving environmental quality, we will promote joint prevention and control and river basin governance, implement environmental quality target assessment, implement the strictest environmental protection system, and effectively solve outstanding environmental problems that affect the health of the broad masses of the people. Further promote the environmental impact assessment of development and construction planning of industrial parks, new cities and new districts, strictly examine and approve the environmental impact assessment of construction projects, and strengthen source prevention. Deepen the joint prevention and control of regional air pollution and establish a normalized regional cooperation mechanism. Improve the regional joint early warning mechanism for severe and above polluted weather. Fully implement the management of urban air quality standards, and promote the obvious improvement of urban environmental air quality throughout the country. Promote the construction of safe drinking water sources. Strengthen the management and protection of groundwater, and promote the management of groundwater over-exploitation area and comprehensive prevention and control of pollution. Carry out the construction of national soil environmental quality monitoring network, establish a survey and evaluation system for soil environmental quality of construction land, and carry out soil pollution control and remediation. Focus on cultivated land and implement classified management of agricultural land. We will comprehensively strengthen the prevention and control of agricultural non-point source pollution and effectively protect ecosystems and genetic diversity. Strengthen the prevention and control of noise pollution.
Section II Implementation of the Comprehensive Discharge Plan for Industrial Pollution Sources.
We will fully implement the management of industrial pollution source discharge permit, promote enterprises to carry out self-monitoring and information disclosure, establish a discharge ledger, and realize the discharge of pollutants with certificates. Accelerate the elimination of processes, equipment and products with high pollution and high environmental risks. Carry out special pollution control in industrial clusters. Focus on steel, cement, petrochemical and other industries, and promote the transformation of industrial emission standards.
Section 3 Establish and improve the system of environmental and health monitoring, investigation and risk assessment
Gradually establish and improve the environment and health management system. Carry out environmental and health surveys in key areas, river basins and industries, and establish a comprehensive environmental and health monitoring network and risk assessment system covering pollution source monitoring, environmental quality monitoring, population exposure monitoring and health effect monitoring. Implement environmental and health risk management. Delineate high-risk areas of environmental health, carry out the evaluation of the impact of environmental pollution on people’s health, and explore the establishment of 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. Promote air quality monitoring and information release in cities at or above the county level.
Chapter XV Ensuring Food and Drug Safety
Section 1 Strengthening food safety supervision
Improve the food safety standard system and realize the basic integration of food safety standards with international standards. Strengthen food safety risk monitoring and evaluation, and by 2030, the food safety risk monitoring and food-borne disease reporting network will achieve full coverage. We will fully implement standardized and clean agricultural production, carry out in-depth risk assessment of agricultural products quality and safety, promote comprehensive management of agricultural and veterinary drug residues and heavy metal pollution, and implement action to control veterinary drugs and antibiotics. Strengthen the guidance and supervision of food origin and improve the market access system for agricultural products. Establish a full-course traceability cooperation mechanism for edible agricultural products, improve a unified and authoritative food safety supervision system, establish a professional inspector team, strengthen the construction of inspection and testing capabilities, strengthen daily supervision and inspection, and expand the coverage of product sampling. Strengthen the management of Internet food. Strengthen the management of imported food access, strengthen the inspection of the food safety system of overseas sources, and carry out the construction of designated ports for imported food in an orderly manner. Promote local governments to build quality and safety demonstration zones for exported food and agricultural products. Promote the construction of food safety credit system and improve the food safety information disclosure system. Improve the supervision pattern from the source to the whole process of consumption, strictly observe every line of defense from farmland to table, and let the people eat safely and safely.
Section 2 Strengthening Drug Safety Supervision
Deepen the reform of the drug (medical device) review and approval system, study and establish a clinical efficacy-oriented approval system, and improve the drug (medical device) approval standards. Accelerate the review and approval of innovative drugs (medical devices) and new drugs (medical devices) that are urgently needed in clinic, and promote the consistent evaluation of the quality and efficacy of generic drugs. Improve the national drug standard system, implement the medical device standard improvement plan, and actively promote the internationalization process of Chinese medicine (material) standards. Strengthen drug supervision in an all-round way and form a whole variety and whole process supervision chain. Strengthen the supervision of medical devices and cosmetics.
Chapter XVI Improving the Public Security System
Section 1 Strengthening Safety in Production and Occupational Health
Strengthen production safety, speed up the construction of two lines of defense: risk level control and hidden danger investigation and management, and effectively reduce the frequency and harmful consequences of serious accidents. Strengthen industry self-discipline and supervision and management responsibilities, promote enterprises to implement the main responsibility, promote the source control of occupational hazards, and strengthen safety production supervision in key industries such as mines and dangerous chemicals. Carry out a general survey of occupational hazards and improve targeted health intervention measures. 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 to implement key supervision on enterprises with high risk of occupational hazards. Carry out special treatment of occupational hazards in key industries. Strengthen the occupational disease reporting system, carry out the occupational health promotion work of employers, and prevent and control industrial accidents and occupational diseases. Strengthen the national personal radiation dose management and radiation protection for radiation diagnosis and treatment.
Section 2 Promoting Road Traffic Safety
Strengthen the design, planning and construction of road traffic safety facilities, organize the implementation of road safety life protection projects, and control road safety hazards. Strict road transport safety management, enhance the awareness of safety self-discipline of enterprises, and implement the main responsibility of safety production of transport enterprises. Strengthen the supervision ability of safe operation and the basic support of safe production. Further strengthen road traffic safety management, improve vehicle safety technical standards, and improve the comprehensive quality of motor vehicle drivers and traffic participants. By 2030, we will strive to reduce the death rate per 10,000 vehicles in road traffic by 30%.
Section 3 Prevention and Reduction of Injuries
Establish a comprehensive injury monitoring system and develop technical guidelines and standards for key injury interventions. Strengthen the prevention and intervention of injuries among children and the elderly, reduce children’s traffic injuries, drowning and accidental falls of the elderly, and improve the safety standards of children’s toys and supplies. Prevent and reduce suicide and accidental poisoning. Establish a mandatory reporting system for quality and safety accidents of consumer goods, establish a product injury monitoring system, strengthen quality and safety supervision in key areas, and reduce safety injuries of consumer goods.
The fourth quarter to improve the emergency response ability
Strengthen the safety awareness education of the whole people. Establish and improve the responsibility mechanism for the construction, maintenance and management of urban and rural public fire control facilities, and by 2030, urban and rural public fire control facilities will basically achieve full coverage. Improve disaster prevention, mitigation and emergency response capabilities. Improve the health emergency system for emergencies, and improve the ability of early prevention, timely detection, rapid response and effective disposal. Establish a three-dimensional emergency medical rescue system including military medical and health institutions, and improve the emergency medical rescue ability. By 2030, a relatively complete emergency medical rescue network covering the whole country will be established, and the emergency response capacity and emergency medical rescue capacity will reach the level of developed countries. Further improve the medical emergency system and improve the efficiency of treatment. By 2030, we will strive to basically reduce the casualty 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 epidemic information and accurate quarantine at the port, and a complete range of modern port nuclear, biochemical and harmful factors prevention and control system, establish a port public health emergency response mechanism based on source prevention and control and joint prevention and control at home and abroad, improve the port vector and various major infectious diseases monitoring and control mechanisms, and actively prevent, control and respond to overseas public health emergencies. Continue to consolidate and enhance the core capabilities of ports and create international health airports (ports). Improve the international travel and health information network, provide timely and effective international travel health guidance, build a world-class international travel health service system, and ensure the health and safety of entry-exit personnel.
Improve the ability of prevention and control of animal and plant epidemics, strengthen the access management of quarantine risk assessment of imported animals and plants, strengthen the standardization of inspection and interception, detection and identification, disinfection and treatment, monitoring and prevention of exotic animal and plant epidemics and pests, improve the accountability system for purchasing and carrying personnel and units, and prevent and control international animal and plant epidemics and pests from spreading across borders. Improve the national biosafety inspection mechanism to effectively prevent the loss of species resources and the invasion of alien species.
Chapter VI Development of Health Industry
Chapter 17 Optimizing the Multi-medical Pattern
Further optimize the policy environment, give priority to supporting social forces to set up non-profit medical institutions, and promote and realize the equal treatment of non-profit private hospitals and public hospitals. Encourage doctors to use their spare time, retired doctors to practice in primary health care institutions or open studios. The setting of individual clinics is not limited by the planning and layout. Get rid of unreasonable restrictions and hidden barriers for social forces to enter the medical field. Gradually expand the scope of foreign-funded medical institutions. Increase the government’s efforts to purchase services, support insurance investment and set up medical institutions, promote the development of non-public medical institutions to a high level and scale, and encourage the development of professional hospital management groups. Strengthen government supervision, industry self-discipline and social supervision to promote the standardized development of non-public medical institutions.
Chapter 18 Developing new formats of health services
Actively promote the integration of health and pension, tourism, internet, fitness and leisure, and food, and give birth to new health industries, new formats, and new models. 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 distinctive health management service industries, and explore the development of wearable devices, smart health electronic products and health care mobile application services. Standardize the development of maternal and child care services. Cultivate healthy culture industry and sports medical rehabilitation industry. Formulate the industry standards and norms of health medical tourism, and build an internationally competitive health medical tourism destination. Vigorously develop healthy tourism of traditional Chinese medicine. Create a number of well-known brands and virtuous circle health service industry clusters, and support the supporting development of a large number of small and medium-sized enterprises.
Guide the development of professional medical inspection 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. Encourage social forces to provide food and drug testing services. Improve the intermediary system of science and technology, and vigorously develop specialized and market-oriented services for the transformation of medical scientific and technological achievements.
Chapter 19 Actively develop the fitness and leisure sports industry
Further optimize the market environment, cultivate multiple subjects, and guide social forces to participate in the construction and operation of fitness and leisure facilities. Promote the reform of sports associations and the separation of ownership and management rights of sports venues resources, accelerate the opening of sports resources, innovate the popularization methods of fitness and leisure sports, further improve the system and mechanism of government purchasing sports public services, and create a comprehensive body of fitness and leisure services. Encourage the development of various forms of sports and fitness clubs, enrich amateur sports events, actively cultivate fashion and leisure sports such as ice and snow, mountains, water, automobile and motorcycle, aviation, extreme sports and equestrian, and create a fitness and leisure demonstration area and fitness and leisure industry belt with regional characteristics.
Chapter 20 Promoting the Development of Pharmaceutical Industry
Section 1 Strengthening the Innovation of Medical Technology
Improve the collaborative innovation system for political and Industry-University-Research purposes, and promote pharmaceutical innovation, transformation and upgrading. Strengthen the innovation capacity building of patented drugs, new traditional Chinese medicines, new preparations and high-end medical devices, and promote the imitation and listing of patented drugs for treating major diseases. Vigorously develop new varieties of biological drugs and chemical drugs, high-quality Chinese medicines, 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. Accelerate the development of rehabilitation AIDS industry and enhance the ability of independent innovation. Improve the quality standard system, upgrade quality control technology, and implement green and intelligent transformation and upgrading. By 2030, the quality standards of drugs and medical devices will be fully in line with international standards.
The second quarter to improve the level of industrial development
Develop professional pharmaceutical parks, support the formation of industrial alliances or consortia, build an innovation-driven, green, low-carbon, intelligent and efficient advanced manufacturing system, improve industrial concentration, and enhance the supply capacity of high-end products. Vigorously develop medical and health service trade, promote pharmaceutical enterprises to go abroad and cooperate with international industries, and improve international competitiveness. By 2030, the international market share of new drugs and diagnostic equipment with independent intellectual property rights will be greatly increased, the localization rate of high-end medical equipment market will be greatly improved, and the pharmaceutical industry will develop at a medium and high speed and move towards the middle and high end, and enter the ranks of world pharmaceutical powers. Promote the transformation and upgrading of the pharmaceutical circulation industry, reduce circulation links, improve the concentration of the circulation market, and form a number of large multinational pharmaceutical circulation enterprises.
Chapter VII Perfect Support and Guarantee
Chapter 21 Deepening the Reform of System and Mechanism
Section 1 Integrating Health into All Policies
Strengthen communication and cooperation between various departments and industries to form a joint force to promote health. Establish a health impact assessment system in an all-round way, systematically assess the impact of various economic and social development plans and policies and major engineering projects on health, and improve the supervision mechanism. Open channels for public participation and strengthen social supervision.
Section II Comprehensively Deepening the Reform of the Medical and Health System
Accelerate the establishment of a more mature and stereotyped basic medical and health system, safeguard the public welfare of public medical and health care, effectively control the unreasonable growth of medical expenses, and constantly solve the problem of people seeking medical treatment. Promote the separation of government affairs, management and operation, straighten out the relationship between public medical and health institutions and the government, and establish a modern public hospital management system. Clearly divide the medical and health management powers of the central and local governments and local governments at all levels, and implement localization and industry-wide management. Promote military hospitals to participate in the reform of urban public hospitals and incorporate them into the national graded diagnosis and treatment system. Improve the comprehensive supervision system for the whole industry of health and family planning.
Section III Improving the Health Financing Mechanism
Improve the government’s relevant investment mechanism in the health field, adjust and optimize the financial expenditure structure, increase investment in the health field, scientifically and reasonably define the expenditure responsibilities of the central government and local governments, and fulfill the government’s responsibility to ensure the demand for basic health services. When the central government arranges relevant transfer payments, it will give preference to economically underdeveloped areas to improve the efficiency in the use of funds. Establish a result-oriented health investment mechanism and carry out performance monitoring and evaluation of health investment. Fully mobilize the enthusiasm of social organizations, enterprises, etc., and form a diversified financing pattern. Encourage financial institutions to innovate products and services and improve support measures. Vigorously develop charity and encourage society and individuals to donate and help each other.
Section IV Accelerating the Transformation of Government Functions
Further promote decentralization, integration of management and administration, and optimization of services in health-related fields. Continue to deepen the reform of examination and approval of drugs and medical institutions, and standardize the examination and approval of medical institutions. Promote the administration of health-related departments according to law, and promote the openness of government affairs and information. Strengthen regulatory innovation in health fields such as health and family planning, sports, food and drugs, accelerate the construction of in-process and post-event regulatory systems, and comprehensively push forward the construction of a "double random and open" mechanism. Promote comprehensive supervision, strengthen industry self-discipline and integrity construction, encourage the development of industry associations and chambers of commerce, give full play to the role of social forces in supervision, promote fair competition, promote the scientific development of health-related industries, simplify public service processes in the health field, optimize government services, and improve service efficiency.
Chapter 22 Strengthening the Construction of Healthy Human Resources
Section 1 Strengthening the Training of Healthy Talents
Strengthen the cooperation between medical education and establish and improve the balance mechanism between supply and demand for medical personnel training. Reform the medical education system, and speed up the establishment of a medical personnel training system that is organically connected with college education, post-graduation education and continuing education to meet the characteristics of the industry. Improve the quality assurance mechanism of medical education and establish a medical professional certification system that is essentially equivalent to international medical education. Focus on general practitioners and strengthen the construction of grassroots talent teams. Improve the training system for residents and specialists, and establish a compound high-level talent training mechanism for public health and clinical medicine. Strengthen the continuing medical education system for all staff. Increase support at the grassroots level and in remote areas. Strengthen the training of professionals in general practice, pediatrics, obstetrics, psychiatry, pathology, nursing, midwifery, rehabilitation and mental health. Strengthen the construction of compound talents of pharmacists and Chinese medicine health service, health emergency and health informatization. Strengthen the construction of high-level talent team, introduce and train a group of academic leaders with international leading level. Promote the specialization and professionalization of health management personnel. Adjust and optimize the professional structure of medical education to adapt to the development of health service industry, and increase the training of health talents such as nursing staff, 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 massive open online course Alliance of Health Care Education in China, so as to facilitate lifelong education for medical staff. Strengthen the construction of social sports instructors, and by 2030, there will be 2.3 social sports instructors per thousand people.
Section 2 Evaluation and Incentive Mechanism for Innovative Talents’ Use
Implement the autonomy of employing people in medical and health institutions, fully implement the employment system, and form a flexible employment mechanism that can enter and exit. Implement the salary policy for primary medical staff. Innovate the use, mobility and service provision mode of medical personnel, and actively explore the free practice of doctors, individual doctors signing services with medical institutions or forming doctor groups. Establish a personnel compensation system that conforms to the characteristics of the medical and health industry. Docking the international common mode, further optimize and improve the personnel evaluation standards in nursing, midwifery, medical auxiliary services, medical and health technology and so on. Innovate the talent evaluation mechanism, do not regard papers, foreign languages, scientific research, etc. as the rigid requirements for the evaluation of professional titles of grassroots health talents, and improve the talent evaluation mechanism that meets the post characteristics of general practitioners.
Chapter 23 Promoting Health Science and Technology Innovation
Section 1: Building a National Medical Science and Technology Innovation System
Vigorously strengthen the construction of national clinical medical research center and collaborative innovation network, further strengthen the capacity building of scientific research bases such as laboratories and engineering centers, rely on existing institutions to promote the capacity building of clinical research bases and scientific research institutions of traditional Chinese medicine, and improve the layout of medical research and research bases. Strengthen resource integration and data intersection, make overall arrangements for national biomedical big data, biological sample resources, experimental animal resources and other resource platforms, and build clinical medical data demonstration centers for cardiovascular and cerebrovascular diseases, tumors and geriatric diseases. Implement the medical and health science and technology innovation project of China Academy of Medical Sciences. Accelerate the construction of biomedical and big health industry bases, cultivate high-tech enterprises in the health industry, build a number of medical research and health industry innovation centers, promote the combination of medical research enterprises, and promote the efficient coordination of innovative subjects such as medical institutions, research institutes, universities and enterprises. Strengthen the construction of the platform for the transformation and promotion of medical achievements, and promote the transformation and promotion of medical achievements. Establish a better medical innovation incentive mechanism and application-oriented achievement evaluation mechanism, further improve the safeguard mechanisms such as scientific research base, biological safety, technology evaluation, medical research standards and norms, medical ethics and scientific research integrity, intellectual property rights, strengthen the cooperation between science and health, integration of defense and civilian technologies, and the provincial and ministerial departments, and effectively improve the research level of basic frontiers, key commonalities, social welfare and strategic high technology.
Section 2 Promoting the progress of medical science and technology
We will launch major scientific and technological projects and major projects such as brain science and brain-like research, health protection, and promote major national science and technology projects and key national R&D programs. We will develop advanced medical technologies such as histology, stem cells and regenerative medicine, new vaccines and biotherapy, strengthen breakthroughs in key technologies such as prevention and control of chronic diseases, precision medicine and smart medical care, and focus on the deployment of innovative drug development, localization of medical devices, modernization of traditional Chinese medicine, and significantly enhance the scientific and technological support capacity for the prevention and treatment of major diseases and the development of health industry. Strive to make the influence of scientific papers and the total number of three-party patents enter the forefront of the world by 2030, and further improve the contribution rate of scientific and technological innovation to the growth of pharmaceutical industry and the transformation rate of achievements.
Chapter XXIV Construction of Health Information Service System
Section 1 Improve the construction of population health information service system
We will build a unified, authoritative and interconnected population health information platform in an all-round way, standardize and promote the "internet plus Health Care" service, innovate the Internet health care service model, and continue to promote the national health information service that integrates prevention, treatment, rehabilitation and independent health management covering the whole life cycle. Implement the cloud service plan of Healthy China, establish a telemedicine application system in an all-round way, and develop smart and healthy medical services for the convenience and benefit of the people. Establish a standard system of population health informatization and a safety protection mechanism. Do a good job in the continuous sharing of personal electronic health records between military and civilian areas before and after enlistment. By 2030, the national four-level population health information platform will be shared and standardized, and everyone will have standardized electronic health records and fully functional health cards. Telemedicine will cover four-level medical and health institutions in provinces, cities, counties and townships, fully realize the standardized management and use of population health information, and meet the needs of personalized services and precise medical care.
Section 2 Promoting the Application of Big Data in Health Care
Strengthen the construction of health care big data application system, and promote the open sharing, deep mining and wide application of health care big data based on regional population health information platform. Eliminate data barriers, establish a unified and coordinated health care data sharing mechanism across departments and fields, and realize data collection, integrated sharing and business collaboration of application information systems such as public health, family planning, medical services, medical security, drug supply and comprehensive management. Establish and improve the national health care data resource directory system, comprehensively deepen the application of health care big data in the fields of industry governance, clinical and scientific research, public health, education and training, and cultivate new formats of health care big data application. Strengthen the construction of laws, regulations and standard systems related to health care big data, strengthen the technical capacity of national and regional population health information engineering, formulate policies and norms for data application by classification and domain, promote the construction of network trusted system, pay attention to content security, data security and technical security, and strengthen the security of health care data and the protection of patients’ privacy. Strengthen the supervision of Internet health services.
Chapter 25 Strengthening the Construction of Health Rule of Law
Promote the promulgation and implementation of the basic medical and health law and the Chinese medicine law, revise and implement the drug administration law, strengthen the legislation and revision of laws and regulations in key areas, improve departmental regulations and local government regulations, and improve the standard norms and guidance system in the health field. Strengthen the government’s regulatory responsibilities in health fields such as medical and health care, food, medicine, environment and sports, and establish a supervision and management system that combines government supervision, industry self-discipline and social supervision. Strengthen the supervision and law enforcement system and capacity building in the health field.
Chapter 26 Strengthening International Exchanges and Cooperation
Implement China’s global health strategy and actively promote international cooperation in the field of population health in all directions. Based on the bilateral cooperation mechanism, we will innovate cooperation models, strengthen humanities exchanges, and promote health cooperation between China and countries along the Belt and Road. Strengthen South-South cooperation, implement the China-Africa public health cooperation plan, continue to send medical team members to developing countries, focus on strengthening medical assistance including maternal and child health care, and focus on supporting the construction of disease prevention and control systems. Strengthen the international exchange and cooperation of traditional Chinese medicine. Make full use of the national high-level strategic dialogue mechanism to put health into the diplomatic agenda of big countries. Actively participate in global health governance, exert influence in the research, negotiation and formulation of relevant international standards, norms and guidelines, and enhance the international influence and institutional discourse power in the health field.
Chapter VIII Strengthening organizational implementation
Chapter 27 Strengthening organizational leadership
Improve the coordination mechanism for promoting the construction of a healthy China, coordinate and promote the overall work of building a healthy China, review major projects, major policies, major projects, major issues and important work arrangements, strengthen strategic planning, and guide departments and localities to carry out their work.
All localities and departments should include the construction of healthy China in the important agenda, improve the leadership system and working mechanism, include the construction of healthy China in the economic and social development plan, incorporate the main health indicators into the assessment indicators of party committees and governments at all levels, improve the assessment mechanism and accountability system, and do a good job in the implementation of related tasks. Pay attention to the role of trade unions, Communist Youth League, women’s federations, disabled persons’ federations and other social organizations, give full play to the role of democratic parties, federations of industry and commerce and personages without party affiliation, and maximize the consensus and strength of the whole society.
Chapter 28 Creating a Good Social Atmosphere
Vigorously publicize the major strategic ideas, principles and policies of the party and the state on maintaining and promoting people’s health, and publicize the great significance, overall strategy, objectives, tasks and major measures to promote the construction of a healthy China. Strengthen positive publicity, public opinion supervision, scientific guidance and typical reports, enhance the general awareness of the society on the construction of a healthy China, and form a good social atmosphere in which the whole society cares about and supports the construction of a healthy China.
Chapter 29 Do a good job in implementation monitoring
Formulate and implement the five-year plan and other policy documents, refine and improve the policies and measures in this planning outline, and clarify the major projects, major projects and major policies to be implemented in each stage. Establish a normalized and regular supervision and assessment mechanism to strengthen incentives and accountability. Establish and improve the monitoring and evaluation mechanism, formulate the division of labor plan and monitoring and evaluation plan for the task department of the planning outline, conduct annual monitoring and evaluation on the implementation progress and effect, and make necessary adjustments to the objectives and tasks in a timely manner. Fully respect the people’s initiative, and sum up the good practices and effective experiences in implementing the planning outline in various places in a timely manner and actively promote them.
