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Issued by the "healthy China 2030" planning outline

2016年10月26日

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Issued by the "healthy China 2030" planning outline

The party central committee and the state council issued the "healthy China 2030" planning outline, single set one chapter of Chinese medicine

Time: 2016-10-26

Source: xinhua news agency

Recently, the central committee of the communist party of China, the state council issued the "healthy China 2030" planning outline, and issued a circular, urged all localities departments combined with real earnest implementation.

Program for the "healthy China 2030" the full text is as follows.

directory

The preface

The first paper overall strategy

The first chapter is the guiding ideology

The second chapter strategic themes

The third chapter strategic objectives

The second universal health life

The fourth chapter to strengthen health education

Chapter v shape independent health behavior of self-discipline

Chapter vi to improve physical quality

The third optimization of health service

Chapter seven universal public health services

Chapter 8 provide quality and efficient medical service

Chapter 9 give full play to the unique advantages of Chinese medicine

Chapter ten strengthen key crowd health services

The fourth article to improve health care

Chapter 11 and perfecting the medical security system

Chapter 12 perfect drug supply security system

Article 5 construction of health environment

Chapter 13 to conduct the patriotic health campaign

Chapter 14 strengthen environmental problem affecting the health management

Chapter 15 to ensure the safety of food and drugs

Chapter 16 improve public security system

Article 6 the development of health industry

Chapter 17 optimized multivariate medical pattern

Chapter 18 new development health services formats

Chapter 19 positive fitness leisure sports industry

Chapter 20 promote the development of the pharmaceutical industry

Article 7 a sound support and guarantee

21 we will deepen reform of the systems and mechanisms

Chapter 22 to strengthen the construction of health human resources

Chapter 23 to promote health science and technology innovation

The twenty-fourth chapter construction health information service system

Chapter 25 to strengthen the construction of the health of the rule of law

Chapter 26 to strengthen international exchanges and cooperation

Article 8 to strengthen to organize the implementation

Chapter xxvii strengthen organization and leadership

Chapter 28 create a good social atmosphere

Chapter 29 completes the implementation of monitoring

The preface

Health is the necessary requirement of promoting the all-round development of human beings, is the foundation of economic and social development conditions. To implement the national health and longevity, is the important symbol of country rich and strong nation, also is the common wish of the Chinese people of all ethnic groups.

The party and the state has always attached great importance to people's health. Since the founding of new China, especially since the reform and opening, our country health reform and development has made significant achievements, the urban and rural environment outlook improved significantly, the national fitness campaign to flourish, medical and health service system is increasingly perfect, the people's health level and physical quality continuous improvement. Life expectancy in China has reached 76.34 years, 2015, infant mortality, children under the age of five mortality, maternal mortality rate dropped to 8.1 ‰, 10.7 ‰ respectively and 20.1/10, better than average level of high-income countries as a whole, laid the important foundation to build a well-off society in an all-round way. At the same time, the industrialization, urbanization, population aging, disease, ecological environment and lifestyle changes, etc., also bring a series of new challenges to maintain and promote health, health service supply insufficient overall and the contradiction between the growing demand is still prominent, the health development and coordination of economic and social development needs to be enhanced, as a whole from the national strategic level need resolve major and long-term relationship between the health problems.

Pushing forward the construction of the health of China is to build a well-off society in an all-round way, the basic realization of socialist modernization important basis, is the comprehensive promotion of the Chinese nation health quality, realize the coordinated development of the people's health and economic and social national strategy, is actively participating in global health governance, sustainable development agenda in 2030 international commitments of major initiatives. Over the next 15 years, is an important period of strategic opportunities of health of China construction. Keep in high economic growth will lay a solid foundation to safeguard people's health, the consumption structure upgrade will create a broad space for the development of health service, science and technology innovation will provide strong support to improve the level of health, various aspects system more mature more styling will build strong guarantee of sustainable development in health field.

China construction to promote health, improve the level of the people's health, according to the strategy of the fifth plenary session of the party's 18, formulate the plan for. This program is to promote healthy blueprint and program of action for China construction. All want to enhance the sense of responsibility, sense of mission, to promote a healthy China construction, in order to achieve the great rejuvenation of the Chinese nation and promoting the progress of human civilization to make greater contributions.

The first paper overall strategy

The first chapter is the guiding ideology

Pushing forward the construction of the health of China must be holding the great banner of socialism with Chinese characteristics, fully implement the party's eighteen big eighteen class 3, 4, and fifth plenary session of the spirit, with marxism-leninism, MAO zedong thought, deng xiaoping theory and "three represents" important thought, the concept of scientific development as guidance, in-depth study and implement xi jinping, general secretary of the series of important speech spirit, closely around as a whole to promote "five one" the overall layout and coordination to promote "comprehensive" four strategic layout, earnestly implement the CPC central committee and the state council decision deployment, adhere to the people as the center of the development of ideas, firmly establish and implement the new concept of development, adhere to the right of health and health work policy, in order to improve the level of the people's health as the core, the system and mechanism innovation as the power, to popularize the health living, optimization of health services, improve the health care, construction environment, and healthy development of health industry as the key point, put the health in all policies, accelerate the transformation of the mode of health development, all-round, the whole cycle maintenance and safeguard people's health, significantly improve the health level, improve health equity, in order to realize "two" one hundred goals and the great rejuvenation of the Chinese nation the Chinese dream provide solid foundation for health.

Mainly follow the following principles:

- health priority. Put health on the priority development of strategic position, based on national conditions, to promote the concept of health into the whole process of public policy implementation, speed up the formation of healthy way of life, ecological environment and the economic and social development pattern, realize the healthy and benign coordinated development of social economy.

Reform and innovation. Adhere to government-led, give play to the role of market mechanism, to speed up the pace of reform of key link, shake off the yoke of the ideology and break the interests of the curing barriers, removing institutional barriers, give play to the role of lead the support of science and technology innovation and information technology, form with Chinese characteristics and promote the health system.

- scientific development. Grasp the health law of development, adhere to the combination of prevention, prevention and cure, pay equal attention to Chinese and western medicine, change service model, construction of integrated medical and health service system, promote health service transition from extensive development of scale expansion to quality benefit of ascension based upon the green development, to promote Chinese medicine and western medicine complement each other, coordinated development, enhance the level of health services.

- a fair and just. Focusing on rural and grassroots, promote equal basic public services in the health field, maintaining the basic medical and health services of public welfare, gradually reduce the urban and rural, regional, basic health services and health level of the differences between people, to achieve universal health coverage, promote social justice.

The second chapter strategic themes

"Co-construction and sharing, the health", is the construction of health of China's strategic themes. Core is based on people's health as the center, insist on focusing on grass-roots, powered by innovation, prevention first, equal emphasis on Chinese and western medicine, the health in all policies, the co-construction and sharing of the people's health and the health work policy, in view of the production and living environment and life behavior, medical and health services such as health factors, adhere to government-led and arouse the enthusiasm of social and personal combination, to promote all participation, all trying to, everyone will have access to, to carry out the prevention, promote healthy lifestyles, reduce disease and to strengthen the early diagnosis, early treatment, early rehabilitation, to achieve universal health.

Sharing is the basic route of China's construction of health. On the supply side and demand side at both ends, society as a whole, industry, and individual three levels, forms the powerful force of maintaining and promoting health. To promote the whole society wide participation, strengthen inter-departmental cooperation, deepen the civil-military integration development, mobilize the enthusiasm and creativity of social forces, strengthen environmental management, to ensure the safety of food and drugs, prevent and reduce damage, effective control of risk factors affect a healthy ecological and social environment, form a multi-level, diversified structure of social work. Structural reforms to promote health service supply side, family planning, sports, health and other industries to take the initiative to meet the needs of the people's health, we will deepen reform of the system and mechanism, optimize the distribution of elements and service supply, lacking development, promote the health industry transformation and upgrading, meet the growing demand for healthy people. To strengthen individual health responsibility, improve the health literacy, guide the formation of independent discipline, accord with the characteristics of their own health way of life, to effectively control the life behavior factors affecting health, form a love of health, the pursuit of health, and promote a healthy social atmosphere.

The health is the fundamental goal of China's construction of health. Based on the total population and total life cycle of the two main point, provide fair and, continuous system of health services, achieve a higher level of health. To benefit the whole crowd, perfecting system, extension services, improve the quality, so that all the people enjoy need, have quality, affordable for prevention, treatment, rehabilitation and health promotion, health services, give prominence to the solution of women and children, the elderly and disabled, low-income people and other key crowd health problems. To cover the whole life cycle, the main health problems in view of the different stages of life and the main influence factors, determine the number of priority areas, strengthen the intervention, realize from the fetus to the whole health service and health care at the end of life, maintain the people's health.

The third chapter strategic objectives

To established in 2020, covering both urban and rural residents basic medical and health care system with Chinese characteristics, health literacy, continue to improve, the health service system to improve efficiency, everyone will have access to basic medical and health services and basic sports fitness service, forming the basic connotation is rich, reasonable structure of the health industry system, the main health indicators in high-income countries.

By 2030, to promote the health system more perfect, more harmonious health development, healthy lifestyles gained popularity, health improving continuously the quality of service and health care, health industry prosperity and development, the basic realization of health equity, main health indicators in high-income countries. In 2050, built with modern socialist country to adapt to the health of the nation.

By 2030 to achieve the following goals in detail:

Continue to improve, the people's health level. Markedly improved people's physical quality, life expectancy at 79.0 years, 2030, per capita health life expectancy has increased dramatically.

- major health risk factors under control. Greatly improve the health literacy, get universal access to healthy lifestyle, healthy formed the basic production and living environment, to effectively ensure food and drug safety, to eliminate a number of major disease.

- health service capacity increase greatly. Quality and efficient integrated medical and health service system and improve the comprehensive national fitness public service system, to perfect health security system, health science and technology innovation, the overall strength among the world top health service quality and level has improved significantly.

Health industry scale expanded significantly. Establish system integrity, the health industry in optimizing the structure of the system, form a group with strong innovation ability and international competitiveness of large enterprises, become the pillar industry of national economy.

- promote health system will be improved. Is helpful to health policy laws and regulations system further improved, and health management system and realize the basic modernization management ability.

Health China construction main indicators

Areas: health indicators: life expectancy (2015 years) : 76.342020:77.32030:79.0

Areas: health indicators: the infant mortality rate (2015 ‰) : 8.12020:7.52030:5.0

Areas: health indicators: under-five mortality (2015 ‰) : 10.72020:9.52030:6.0

Areas: health indicators: the maternal mortality rate (1/10) : 2015 20.12020:18.02030:12.0

Areas: health indicators: urban and rural residents more than the national physique determination standard "qualified proportion (%) of 2015:89.6 (2014) 2014:90.62030:92.2

Areas: health life indicators: the residents' health literacy levels (%) 2015:102020, 202030:30

Areas: health life indicators: often take part in physical exercise number (one hundred million) : one hundred million, 3.6 (2014) : 2014 years 4.352030:5.3

Areas: health service and guarantee indicators: major chronic disease premature mortality (%) : in 2015 to 19.1 in 2013 (2013) : 10% lower in 2015 than in 2015, 30% lower than in 2015

Areas: health service and guarantee indicators: the population of permanent residents in every thousand (assistant) practicing doctors number (2015) : 2.22020:2.52030:3.0

Areas: health service and guarantee indicators: personal health spending accounts for the proportion of the total health expenses in 2015 (%) : 29.32020 years: around 28, 2030:25 or so

Areas: health environmental indicators: above ground level and urban air quality days ratio (%) in 2015, 76.72020 years: > 802030: continuous improvement

Areas: health environmental indicators: the surface water quality at or better than Ⅲ class water ratio (%) 2015:662020: > 702030: continuous improvement

Areas: health industry indicators: total health services (RMB one trillion) : 2015-2020: > 82030:16

The second universal health life

The fourth chapter to strengthen health education

In the first quarter to improve health literacy

Advancing the healthy way of life, to strengthen families and high-risk individuals healthy lifestyle guidance and intervention, to develop a healthy weight, healthy mouth, healthy bones and other special operation, to the basic implementation in 2030 to a complete coverage of the county (city, area) as the unit. Promotion development healthy life to appropriate technologies and products. Core information release system, building health knowledge and skills to improve nationwide surveillance system of health literacy and way of life. Establish and improve the health promotion and education system, improve the ability of health education services, starts, popularize knowledge of health science. To strengthen the construction of spiritual civilization, develop health culture, transforming social traditions, cultivate good living habits. Scientific knowledge propaganda media of all types and at all levels to increase health, active construction and specification of all kinds of radio and television, such as health, using new media to expand health education.

Increase the intensity of school health education in the second quarter

Health education should be brought into the national education system, the health education for all education stage is an important content of quality education. Focusing on primary and secondary schools, the school health education and promoting mechanism is established. Building related discipline teaching and education activities, the combination of classroom education and extracurricular practice, the combination of regular publicity and education combined with centralized propaganda and education of health education model. Develop health education teachers, health education should be brought into the physical education teachers pre-service education and post-career training content.

Chapter v shape independent health behavior of self-discipline

The first section to guide rational diet

In-depth development to implement the plan for national nutrition, food, agricultural products, food) nutrition function evaluation studies, universal access to dietary nutrition knowledge and dietary guidelines suited to the characteristics of the different populations, guide the residents to form scientific dietary habits, to promote a healthy diet culture construction. To establish and perfect the system of residents' nutritional surveillance and implementation of key areas, key crowds nutrition intervention, focus on micronutrient deficiencies, some people fat problem such as high heat food intake too much, gradually solve the problem of nutrition deficiency and excess coexist. The implementation of clinical nutrition intervention. To strengthen school, kindergarten, pension institutions and so on nutrition and health work instruction. To carry out demonstration health canteens and restaurants. By 2030, the residents obviously improve the nutritional knowledge accomplishment, nutrition lack of a significant reduction in the incidence of disease, the national per capita daily salt intake by 20%, overweight and obese population growth slowed significantly.

In the second quarter to carry out the control limit alcohol

Promoting tobacco control performance, increase the intensity of tobacco control, use of price, tax, legal means such as improving the efficiency of tobacco control. For tobacco control publicity and education. Tobacco control actively promote a smoke-free environment construction, strengthen the public supervision and law enforcement. Proceed with the ban smoking in public places, and gradually achieve a ban on smoking in indoor public places. The leading cadre to take the lead in smoking in public places, the party and government organs organ of built a smoke-free. Strengthen the smoking cessation services. By 2030, more than 15 years old crowd smoking rates down to 20%. Control limit alcohol health education, excessive use of alcohol, to reduce alcohol abuse. To strengthen the harmful use of alcohol.

In the third quarter to promote mental health

To strengthen the construction of mental health service system and standardized management. Increase the mental health of popular science propaganda, improve mental health literacy. To strengthen the common mental disorders such as depression, anxiety and the psychological behavior problems of intervention, to focus on the crowd psychological problems early detection and intervention in time. Severe mental disorders report registration and cure rescue management. Comprehensively promote mental disorders community rehabilitation services. Improve the emergency capability and level of psychological crisis intervention. By 2030, the prevention and cure of common mental disorders and psychological behavior problems to identify intervention levels increased significantly.

The fourth quarter, reduce the hazards of unsafe sex and drugs

Strengthening social comprehensive control, with emphasis on the youth, the women of childbearing age and floating population, sex moral, sexual health and safety publicity and education and intervention, to strengthen the comprehensive intervention of sexually transmitted high-risk behavior groups, to reduce unwanted pregnancy and sex related to the spread of disease. Vigorously popularize the harm of drug, response measures and treatment ways such as knowledge. To strengthen the national health service system construction, the early detection, early treatment of addicts. Strengthen the drug maintenance treatment and community rehabilitation, compulsory isolation detoxification and community rehabilitation. Establish a set of seedling physiological, psychological rehabilitation, reemployment, return to society in the integration of drug rehabilitation mode, minimize social harm of drug.

Chapter vi to improve physical quality

In the first quarter to perfect the national fitness public service system

As a whole the construction of the national fitness public facilities, strengthening fitness trails, ride the doers of the word, the national fitness center, sports park, community multi-purpose stadium facilities construction, etc. Built in 2030, the basic county rural tertiary public sports facilities network, sports ground area of not less than 2.3 square meters per capita, realizing a complete coverage of 15 minutes exercise circles in urban communities. Implementation of public sports facilities open free or low-cost, meet the conditions to ensure the public sports facilities and open all enterprises and institutions sports facilities open to the public. To strengthen the construction of the national fitness organization network, support and guide the development of sports social organizations at the grass-roots level.

Widely to carry out the national fitness campaign in the second quarter

Continue to implement the national fitness plan, popularize scientific fitness knowledge and fitness method, promote the national fitness into daily life. Organize social sports instructors are widely carry out the national fitness guidance service. The implementation of the national physical training standards, development of mass fitness leisure activities, enrich and perfect the national fitness system. To develop the popular forms of sports, encourage the development of suitable for different people, different region characteristic features of the sports, supporting the promotion of tai chi, qigong and other national folk folk traditional sports.

In the third quarter to strengthen body fusion medical and non-medical health intervention

Release guide sports activities, to establish perfect for different people, different environment, different physical condition of exercise prescription libraries, to promote harmony medical disease management and health service mode, play a scientific fitness in health promotion, the positive effects of chronic disease prevention and rehabilitation, etc. To strengthen the national fitness innovation platform of science and technology and scientific fitness guidance service site construction. To carry out the national fitness testing, improving the physical health monitoring system, application development national physique health monitoring data, in sports risk assessment.

The fourth quarter to promote key crowd sports activities

To implement youth, women, the elderly, occupational groups and special groups such as physical health intervention program for the disabled. Implementation of youth sports activities to promote and cultivate youth sports hobbies, basic implementation teenagers with the skill of more than one sports, to ensure that the student campus sports time not less than 1 hours a day. By 2030, the school sports facilities and equipment configuration success rate reached 100%, young students participate in sports activities every week to moderate intensity more than 3 times, national standard of student physique healthy standard excellence rate above 25%. Strengthen scientific guidance, promote women, the elderly and take an active part in national fitness professional groups. Shall practise a system of harmonious fitness, encourage and support the construction of the new workplace appropriate fitness activities. Promote rehabilitation for the disabled sports and fitness sports extensively developed.

The third optimization of health service

Chapter seven universal public health services

The first section major disease prevention and control

Implement the strategy of comprehensive prevention and control chronic diseases, to strengthen the construction of national level demonstration zones of comprehensive prevention and control chronic diseases. Improved screening and early detection of chronic diseases, in view of the high incidence area key cancer early detection treated early work, promote cancer, stroke, coronary heart disease and other chronic diseases of opportunistic screening. The basic realizing a complete coverage of high blood pressure, diabetes management intervention, gradually will be eligible to cancer, stroke and other major chronic disease early detection treated early appropriate technologies in clinical routine. To strengthen students myopia, obesity and other common diseases prevention and control. By 2030, realize the whole life cycle of the whole population, chronic disease health management, overall cancer 5-year survival rate was increased by 15%. Strengthen oral health, at the age of 12 children with caries rate at 25%.

Strengthen the major infectious diseases prevention and control. We will improve the mechanism of monitoring and early warning of infectious diseases. We will continue to implement the expansion of national immunization programmes, school-age children national immunization planning vaccination rates remain at high levels, establish vaccination exception response compensation insurance mechanism. In order to strengthen the management of HIV testing, antiviral treatment and follow-up, the full implementation of clinical blood use nucleic acid detection and prevention of mother-to-child transmission of AIDS, the outbreak remains popular in low level. Establish tuberculosis prevention and control of integrated service model, strengthen the multi-drug resistant tuberculosis screening and monitoring, standardize management of the tuberculosis diagnosis and treatment, the national tuberculosis epidemic continued to decline. To respond effectively to the flu, hand, foot and mouth disease, emphasis on infectious diseases such as dengue fever, measles outbreak. Continue to adhere to the mainly source of infection control strategy for the prevention and control of schistosomiasis, schistosomiasis elimination standard national all popular county. Consolidating national eliminate malaria achievements. The basic control of echinococcosis, etc all popular county focus on parasitic disease is popular. Maintain control and eliminate the key endemic diseases, endemic disease is no longer a key problems endangering people's health. Strengthen the sudden acute infectious disease prevention and control, positive input to prevent sudden acute infectious diseases, to strengthen the traditional deadly infectious diseases such as plague prevention and control. Strengthen the source of major infectious diseases of animal origin.

Improve the family planning service management in the second quarter

Improve the system of population and development of the comprehensive decision-making mechanism, perfecting the policy system conducive to the development of population balance. Reform the management mode of family planning services families pay more attention to service, build a family to support, child rearing, adolescent development, support for the elderly, the sick care policy framework for development as the theme of family, guide the people responsible, in a planned way. We should improve the state policy of family planning technical services, stepping up efforts to have family planning technical service guarantee. Full implementation of informed choice, popularize knowledge of contraception and reproductive health. Improve the reward and assistance system and the special assistance system for the family planning, execute promotive assist gold standard dynamic adjustment. We will adhere to and improve the family planning target management responsibility system, perfect the advocacy, management, quality service, in accordance with the policy to promote long-term, comprehensive management of family planning work mechanism. Establish and improve the mechanism of birth population monitoring work. Continue to carry out the sex ratio of birth population management. By 2030, the national birth population sex ratio achieve natural balance.

The third section promoting equal basic public health services

We will continue to implement the perfect national basic public health services and major public health service projects, strengthen the economic burden research, timely adjust the project budget standard, constantly enrich and expand the service content, improve the quality of service, make urban and rural residents shall enjoy the equalization of basic public health service, do a good job in the floating population family planning services equalization of basic public health work.

Chapter 8 provide quality and efficient medical service

The first section improve medical and health service system

Completed system complete, a clear division of responsibilities, the complementary functions and close collaboration, run efficient integrated medical and health service system. Basic medical and health care resources in the county and district according to the population of permanent residents and service radius of a reasonable layout, realize everyone enjoy the equalization of the basic medical and health services; At the provincial level and above points area as a whole configuration, integration of regional medical resource sharing, the basic elements of a quality medical and health resources allocation equalization, provincial of homogenization in everyone to emergency and severe cases, the disease diagnosis and treatment and specialist medical services; Relying on existing institutions, construction of a number of leading domestic and global influence national medical center, the construction of a number of regional medical center and national key specialty group of clinical, promote beijing-tianjin-hebei, the coordinated development of the Yangtze river economic belt areas such as health care, driving the development of the medical service area and the overall level of ascension. Strengthening rehabilitation, geriatrics, long-term care, chronic disease management, hospice care, etc in the construction of medical institutions. Health poverty alleviation project implementation, intensify the building of medical institutions in the Midwest and poverty-stricken areas to support dynamics, improve service ability, protect poor health. By 2030, 15 minutes to basic medical and health services basic formation, per thousand permanent population number of registered nurses is 4.7.

Innovative health service supply mode in the second quarter

To set up a public health specialist institutions, comprehensive and specialized subject hospital, grassroots health institutions "trinity" of the major disease prevention and control mechanism, set up the mechanism of information sharing, connectivity, promote the development of chronic diseases prevention and cure, tube overall fusion, integrate medical proof. Establish different levels, different classes and different subject specific goals between medical institutions and responsibilities clear division of labor cooperation mechanism, perfecting the service network, operation mechanism and incentive mechanism, generally have the ability to residents health the gatekeeper at the grass-roots level. Signing the family doctor service, comprehensive to establish the classification system of mature and perfect, form the first option at the grass-roots level, two-way referral, upper and lower linkage, slow partition of reasonable medical order, and improve the recovery treatment - - a long-term care service chain. Guide the tertiary public hospital gradually reduce the average outpatient service, emergency and severe cases, the disease diagnosis and treatment should be developed. Perfect medical association, hospital group, and other collaboration model, improve the service system for overall performance. To speed up the medical and health field civil-military integration, and actively play a role of military medical institutions, and serve the people better.

Enhance the level of medical services and quality of the 3rd quarter

Set up in line with international standards, reflect the medical quality management and control system of Chinese features, the basic sound coverage mainly professional national, provincial, city level 3 medical treatment quality control organization, launched a number of international standard specifications. Construction of medical quality management and control information platform, to achieve the industry all-round precise and real-time management and control, continuously improve the medical quality and medical safety, and improve the degree of homogeneity of medical treatment service, hospitalization rates again, antibacterial drug usage and other major medical service quality indicators at or near the world's advanced level. Full implementation of clinical pathway management, regulating the behavior of diagnosis and treatment, optimize the diagnosis and treatment process, enhance patients hospitalized for feeling. To promote the rational use of drugs, to ensure the safety of clinical blood use, basic implementation medical institutions inspection, mutual recognition of test results. Strengthening humanistic care medical service, to build a harmonious doctor-patient relationship. In accordance with the law to crack down on illegal crime involving medical especially hurt the medical staff of violent crime, protect the security of the medical staff.

Chapter 9 give full play to the unique advantages of Chinese medicine

The first section improve service ability of Chinese medicine

Implementation of traditional Chinese medicine clinical advantage cultivation project, advantage of TCM prevention disease research, strengthen the cooperation of Chinese and western medicine, improve the important of knotty, emergency and severe cases clinical curative effect. Vigorously develop non-drug therapy of traditional Chinese medicine, in the common disease, frequently-occurring disease and chronic diseases prevention and control play a unique role. Development characteristics of traditional Chinese medicine rehabilitation services. We will improve the system covering urban and rural traditional Chinese medicine health care services. In rural hospitals and community health service center set up Chinese medicine library, national physician hall, such as comprehensive service of traditional Chinese medicine, promote appropriate technology, all grassroots health institutions to provide services of traditional Chinese medicine. Promote the development of the folk medicine. By 2030, the Chinese medicine cure not ill in the leading role, in a synergy in the treatment of major diseases and disease in the rehabilitation of central role into full play.

Development of traditional Chinese medicine health care not cure disease in the second quarter

Cure not ill health in the implement of project, combines advantages of Chinese medicine and health management, explore financial health culture, health management and health insurance for the integration of traditional Chinese medicine health care model. Encourage specification of traditional Chinese medicine health care institutions run by social forces, to speed up the development of health care services. Services, expand the traditional Chinese medicine hospital of traditional Chinese medicine (TCM) for the masses to provide health consulting assessment, intervention, and follow-up management cure not ill service. Encourage medical institutions of traditional Chinese medicine, Chinese medicine doctors of traditional Chinese medicine health care institutions to provide health care counseling and regulate such as technical support. Chinese medicine Chinese line activities to spread knowledge of Chinese medicine, and easy to grasp health care technology method, strengthen the non-material cultural heritage protection and inheritance of traditional Chinese medicine, health preservation of traditional Chinese medicine culture creative transformation, innovative development.

The third section innovating the inheritance of traditional Chinese medicine

Implementation inheritance innovation engineering of traditional Chinese medicine, pay attention to traditional Chinese medicine classic medical books read and mining, comprehensive system of inheritance in various academic theory, genre and theory, continuously carry forward the contemporary famous old Chinese medicine expert academic thoughts and clinical diagnosis and treatment experience of mining folk medical technology and syndromes, promote the cultural heritage and development of traditional Chinese medicine. Set up traditional knowledge protection system of traditional Chinese medicine, make traditional knowledge protection list. Integration of modern scientific and technological achievements, mining traditional Chinese medicine prescriptions, strengthen major refractory disease, chronic diseases prevention and control technology and new drug research and development of traditional Chinese medicine, continuously promoting the development of theory and practice of traditional Chinese medicine. Development of traditional Chinese medicine health services, to speed up the building of whole industry chain service multinational companies and international well-known Chinese brands, to promote Chinese medicine to world. Protect the important traditional Chinese medicine resources and biodiversity, to carry out the census of resource of traditional Chinese medicine (TCM) and dynamic monitoring. Build big, authentic and endangered medicinal seed breeding base, Chinese herbal medicine market dynamic monitoring information, promote the development of Chinese herbal medicine planting green.

Chapter ten strengthen key crowd health services

In the first quarter to improve maternal and child health

Implementation of maternal and infant safety plan, advocate eugenics, we will continue to implement the hospital childbirth subsidy system, to provide free maternal reproductive process of basic health care services. Strengthen the comprehensive prevention and treatment of birth defects, building covering both urban and rural residents, covering every stage of the pregnancy, pregnancy, the newborn birth defect prevention and control system. Healthy children plan implementation, strengthen children's early development, strengthening the construction of pediatrics, intensify children focus on disease prevention, expand the neonatal disease screening, continue to carry out children's nutrition improvement project in the key areas. Increase the rate of women's common disease screening and early detection rate of treated early. Implementation of women's and children's health and family planning service project, improve maternal and newborn emergency and severe cases treatment ability.

In the second quarter to promote healthy aging

Promote elderly health service system construction, and promote medical and health service extending to the community, family. Improve the medical and health institutions and pension institutions cooperation mechanism, support pension institutions in medical service. And pension fusion of traditional Chinese medicine development, and promote medical combination, provide for the aged stage treatment in hospital, rehabilitation nursing, stabilization of life care, hospice care of health and pension services, promote the management of chronic diseases prevention and control of the whole service cohabiting family, community, institutions endowment. Encourage social forces to run a combined with institutions. Strengthen the elderly common diseases, chronic diseases, health guidance and comprehensive intervention, strengthening the management of the elderly health. To promote the elderly mental health and care services, strengthen the effective interventions such as alzheimer's disease. Promote the development of the elderly in long-term care services that occupy the home, establish overall economic difficulties of older age, disability subsidy system, the establishment of a multi-level long-term care security system. We will further improve the policy, make the elderly more convenient access to essential drugs.

In the third quarter to maintain a healthy persons with disabilities

Formulate rules for implementation of disability prevention and rehabilitation for the disabled. Increase the intensity of eligible low-income medical assistance for the disabled, will be eligible medical rehabilitation program for the disabled included in the basic medical insurance by the regulation pay limits. Build system of rehabilitation aid for disabled children, conditional place to give subsidies to the basic equipment for the disabled. To rehabilitation for the disabled included in basic public services, the implementation of precision, recovery with disabled persons, rural and urban poor severely disabled people to provide basic rehabilitation services. Improve the barrier-free facilities, medical institutions to improve medical services for the disabled. Further improve rehabilitation service system, strengthen the rehabilitation of disabled persons and foster facilities construction, establishing medical institutions and professional rehabilitation institutions for disabled persons two-way referral system, promote grass-roots medical institutions for disabled persons to provide basic medical priority signing, public health and health management, and other services. The implementation of the national disability prevention action plan, strengthen the whole society's awareness of disability prevention, and to carry out the whole life cycle of the whole people, disability prevention, effectively control the occurrence and development of disabled. To strengthen the prevention and control of disabling disease and other causes damage factors. Promote integrated pilot test area in disability prevention work. Continuing blindness blind and the deaf to cure deafness.

The fourth article to improve health care

Chapter 11 and perfecting the medical security system

The first section perfect universal health care system

Sound in the form of basic medical insurance as the main body, a variety of other supplementary insurance and commercial health insurance for the supplement of the multi-level medical security system. The integration of urban and rural residents basic medical insurance system and handling management. Sustainable financing and improve the stability of the basic medical insurance salary adjustment mechanism, realize the fund long-term actuarial balance. Perfect the medical insurance expends ginseng protect policy, balance unit and individual pay cost burden, reasonably determine the government and individual allocation proportion. Improve worker health insurance personal accounts, to carry out the outpatient service as a whole. Further perfect shift disease medical security mechanism, strengthening of urban and rural residents basic medical insurance, serious illness insurance, commercial health insurance and medical treatment, etc. The effective cohesion. By 2030, mature type universal health care system.

The second section the health management service system

Strict implementation of medical insurance fund budget management. Comprehensively promote the reform of medical insurance payment methods, and actively promote the macro-reforms, capitation payment, actively explore the disease diagnosis related to pay packet (DRGs), according to the service performance pay, forming composite payment method under the total budget management, improve the medical insurance agency orgnaization and negotiated and risk sharing mechanism of medical institutions. Accelerate the basic medical insurance settlement, long-distance medical implementation across the province relocated retiree hospitalization medical expenses directly and settlement of accounts and meet the requirements of referral long-distance medical hospitalization expense settlement directly. Comprehensive health intelligent monitoring, to extend health supervision of medical institutions to medical personnel. Phase in orgnaization of social forces involved in health care. To strengthen the construction of medical insurance basic standards and applications. By 2030, universal health care service system perfect and efficient management.

In the third quarter develop commercial health insurance

Such as the implementation of the tax preferential policies to encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance. Rich health insurance products, encourage the development of health insurance products related to health management services. Promote the commercial insurance company cooperate with institutions for medical treatment, medical, nursing, etc, develop new organizational form of health management organizations, etc. By 2030, to the further development of modern commercial health insurance services, commercial health insurance to pay accounts for the proportion of the total health expenses increased significantly.

Chapter 12 perfect drug supply security system

The first section we will deepen reform of the circulation of medicines, medical equipment system

Promote the circulation of medicines, medical equipment enterprises in supply chain upstream and downstream to extension services, forming a new system of modern circulation. Standard pharmaceutical e-commerce, drug circulation channel and development mode. Popularization and application of modern logistics management and technology, improve the modern circulation network and traditional Chinese medicinal materials traceability system. The implementation of the medical institutions and drug, the principal position of consumable purchase, to encourage joint procurement. We will improve the mechanism of national drug price negotiations. Set up the mechanism of drugs ex-factory price information traceability. To strengthen the drug supply security and shortage of early warning, we will improve the mechanism of pharmaceutical reserve system and emergency supplies. Modern medicine circulation network construction in urban and rural areas, improve the ability of drug supply in remote areas at the grass-roots level and security.

Improve the national drug policy in the second quarter

Consolidate improve national essential drug system, special crowd of essential medicines guarantee for it. Improve the existing free treatment drug policy, increase AIDS prevention and control of special drugs such as supply free of charge. Protect children's drugs. Perfect rare disease medication security policy. To establish, with emphasis on the basic drugs clinical comprehensive evaluation system. According to the principle of combining government regulation and market regulation, improve the drug price formation mechanism. Reinforcement, health care, such as purchasing price policy of cohesion, insist on the classified management, strengthen the market competition is not fully drug price regulation and high value medical consumables, establish drug price information monitoring and information disclosure system, improve the standard of health care medicine payment policy.

Article 5 construction of health environment

Chapter 13 to conduct the patriotic health campaign

In the first quarter to strengthen the comprehensive improvement of the urban and rural environmental health

Continue to promote the urban and rural environmental sanitation clean action, improve the urban and rural environmental health infrastructure and long-term mechanism and governance as a whole urban and rural environmental health problems. Intensify rural living environment governance, strengthen rural garbage management, implement the rural sewage treatment project, vigorously promote clean energy. By 2030, efforts to build our country rural area into a living environment clean and tidy, beautiful home for residents endowment, realize the harmonious development of man and nature. Engineering, implementation of rural drinking water safety to consolidate development of urban water supply facilities to the countryside, to further increase the rate of centralized water supply in rural areas, tap water, water quality success rate and reliability of water supply, comprehensive build from the source to the leading system of rural drinking water safety. Accelerate the construction of non-hazardous sanitary toilet, strive for to 2030, the national rural residents basic are non-hazardous sanitary toilets. Implementation is given priority to with environmental governance of vector biological comprehensive prevention and control strategy. Deepening national health town created, strive for to 2030, the national health city number increased to 50% of the total national urban, conditional provinces (autonomous regions and municipalities directly under the central government) to achieve full coverage.

The construction of healthy city and village health in the second quarter

Health cities and towns construction as the key way, pushing the construction of healthy Chinese security related to the health demand of land for public facilities, perfect the relevant system of public facilities, layout and standards, the health into the whole process of the urban and rural planning, construction, management and promote the coordinated development of cities and the people's health. Main health problems for local residents, the implementation of health, health, rural development planning. Extensive health communities, villages and towns, health units, health, family, such as construction, improve the social participation. The key to strengthen the construction of health school, strengthen the monitoring and evaluation of student health hazard, improve school food safety management, the prevention and control of infectious diseases and related policies. To strengthen the construction of healthy city, health village monitoring and evaluation. Built in 2030, a group of healthy city, health ShiFan and demonstration of the construction of the rural village.

Chapter 14 strengthen environmental problem affecting the health management

In the first quarter for pollution prevention and control, such as atmosphere, water, soil, etc

In order to improve the environmental quality as the core, to promote defense from spreading and watershed, should implement environmental quality assessment of target, implement the most stringent environmental protection system, to solve environmental problems affect the health of the people. Further promote the industry garden area, new city, new area development and construction planning eia, strict construction project eia approval, strengthen prevention. Deepen the regional atmospheric pollution zone from spreading, the establishment of normalized regional coordination mechanism. Perfect regional combination of severe and above pollution weather early warning mechanism. Full implementation of the urban air quality management, and promote the national urban environmental air quality will improve notably. Promoting the construction of the water source of drinking water safety standard. Strengthen management and protection of groundwater, promote area of groundwater management and comprehensive prevention and control of pollution. To carry out the national soil environmental quality monitoring network construction, the establishment of construction land soil environmental quality investigation evaluation system, to carry out the soil pollution control and restoration. Focusing on cultivated land, the implementation of agricultural land classification management. Comprehensive strengthening prevention and control of agricultural non-point source pollution, effectively protect the ecological system and genetic diversity. Strengthening noise pollution prevention and control.

Conduct the industrial pollution source overall emissions plan in the second quarter

Full implementation of the industrial pollution source emission license management, promote enterprise to carry out monitoring and information disclosure, establishing emission parameter, realize the holder according to the pollution. To speed up the elimination of high pollution and high environmental risk technologies, equipment and products. Special projects to develop industrial agglomeration area pollution. Focusing on steel, cement, petrochemical and other industries, promote industry standards.

The third quarter, establish and improve the environmental and health monitoring, investigation and risk assessment system

Gradually establish and improve the environment and health management system. In key areas, river basin, industry environment and health survey, set up covering the pollution sources monitoring, environment quality monitoring, the crowd exposure monitoring and health effect of monitoring the environment and the health comprehensive monitoring network and risk assessment system. Implementation of environmental and health risk management. Designated high-risk areas of environmental health, carry out the evaluation of the influence of environmental pollution to people health exploration establishes a system of health risk assessment as a key project of high-risk areas. Establish environmental health risk communication mechanism. Establish a unified, environmental information public platform, comprehensively promote environmental information disclosure. Promote air quality monitoring and information release of the cities at the county level and above.

Chapter 15 to ensure the safety of food and drugs

The first section to strengthen food safety supervision

Perfect food safety standard system, realize the food safety standards and international standards, basic standards. Strengthen the food safety risk monitoring and evaluation, by 2030, the food safety risk monitoring and foodborne disease report complete coverage of network. Comprehensive agricultural production standardization, clean, in agricultural product quality safety risk assessment, promoting agricultural comprehensive control of veterinary drug residues, heavy metal pollution, the act of veterinary antibiotic treatment. Strengthen the food origin direct regulation, improve the system of agricultural products market access. Set up the mechanism of edible agricultural products traceability all the cooperation, improve the unified authority food safety regulatory system, establish a professional inspector team, strengthen construction of ability of testing to strengthen the daily supervision and inspection, expand coverage for product sampling inspection. To strengthen the Internet food management. Strengthen the imported food access management, increase food safety system of outside source inspections, orderly imported food designated port construction. Promote the construction of local government export food quality and safety of agricultural products demonstration area. To promote food safety credit system construction, improve the food safety information disclosure system. Sound from the source to the whole process of consumption regulation pattern, adherence to every line of defense from farmland to dining table, let the people eat safe, eat at ease.

Strengthen drug safety oversight in the second quarter

We will deepen reform of the drug (medical devices) review of the examination and approval system, the research establish guided by clinical curative effect of examination and approval system, improve the standards for examination and approval of drugs (medical devices). To speed up the innovation medicine for urgent clinical needs by (medical devices) and new drugs (medical devices) for examination and approval of the review, promote the quality of generic drugs and curative effect evaluation consistency. Improving the national drug standards system, implementing the standard of medical apparatus and instruments to improve plan, actively promote the internationalization of traditional Chinese medicine (material) standards. Comprehensive strengthening drug administration, all varieties, the whole process of supervision chain. Strengthen the supervision of medical devices and cosmetics.

Chapter 16 improve public security system

The first section strengthen the safe production and occupational health

Strengthen production safety, speed up the construction level of risk control, hidden governance two line of defense, to reduce the major workplace accidents frequency and harmful consequences. Strengthening industry self-discipline and the supervision and administration, and promote enterprises to carry out the principal responsibility, to promote the occupational disease hazard source management, strengthen the key industry sectors such as mines, dangerous chemicals production safety supervision. To carry out the occupational-disease-inductive census basic situation, improve the targeted health interventions. We will further improve the occupational safety and health standard system, establish and improve the key occupational disease monitoring and network monitoring, reporting and management of occupational hazard, curb pneumoconiosis and momentum of a high incidence of occupational poisoning. Establish classified supervision mechanism, to the occupational-disease-inductive high-risk enterprise implement key regulation. Occupational-disease-inductive special projects in key industries field. Strengthening occupational disease report system, carrying out the employer's occupational health promotion work, inductrial injury accident and occupational disease prevention and control. In order to strengthen the management of national personal radiation dose and radiological diagnosis and treatment of radiation protection.

Promote road traffic safety in the second quarter

Improve road traffic safety facilities planning and construction, design, and organize the implementation of highway safety life protection engineering, highway safety hidden trouble. Strict road transport safety management, improve enterprise security self-discipline consciousness, the implementation of the transport enterprise of production safety responsibility. Strengthen safety operation regulation ability and the safety in production foundation support. Further strengthen the road traffic safety management, improve vehicle safety and technical standards, improve the comprehensive quality motor vehicle driving and traffic participants. By 2030, strive to achieve 30% decline in death rates as a road traffic than the car.

The third section so as to prevent or reduce damage

Establish comprehensive monitoring system, developing key damage intervention technical guidelines and standards. Strengthen children and the elderly injury prevention and intervention, reduce traffic injuries in children, drowning and unintentional falls in the elderly, to improve children's toys and supplies safety standards. To prevent and reduce suicide, accidental poisoning. Establish consumer products quality safety accident report system and set up product injury surveillance system, strengthen key areas the quality and safety supervision, reduce the damage of product safety.

The fourth quarter, improve emergency ability

To strengthen the safety consciousness education. Establish and improve the urban and rural public fire control facilities construction and maintenance management responsibility system, and by 2030, urban and rural public fire control facilities complete coverage of basic implementation. Improve the ability of disaster prevention and mitigation and emergency. Perfect emergency health emergency system, improve the early prevention, timely detection, rapid response and effective treatment of ability. Establish three-dimensional land, sea and air, including military medical institutions, the emergency medical rescue system, improve emergency medical rescue ability of emergency. In 2030, established a nationwide, relatively perfect emergency medical rescue network, emergency health emergency disposal and emergency medical rescue ability reached the level of developed countries. To further improve the emergency medical treatment system, and improve the treatment efficiency. By 2030, strive for the road traffic accident casualties than basic lower to the level of moderately developed countries.

Section 5 port of sound public health system

Building a global outbreak of infectious diseases information intelligent monitoring and early warning, the port of port of precise quarantine infectious diseases prevention and control system and a full range of modern port chemical harmful factors for prevention and control system, based on the source control, and defense spreading into port of emergent public health events coping mechanism, improve the port vector biological control mechanism and all kinds of major communicable diseases monitoring, active prevention, control and respond to public health emergencies overseas. Port to consolidate and improve the core competence and create international health (port) at the airport. Improve the network of international travel and health information, provide timely and effective international travel health guidance, build the international first-class international travel health service system, to ensure the safety of entry-exit personnel health.

Improve the ability of the animal or plant epidemic disease prevention and control, strengthen the customs entry animal and plant quarantine risk assessment management, strengthen the animal or plant epidemic disease and pest inspection testing, treatment, monitoring and prevention and control of the intercept, standardization construction, perfect to buy and carry personnel, units of the criminal accountability system, the international animal and plant epidemic prevention and control of disease and pest cross-border transmission. Perfect international biological safety inspection mechanism, effectively prevent loss of species resources, and invasive species.