The General Office of the State Council on Printing and Distributing the "14th Five-Year Plan"
Notice of National Health Planning
State Office issued No. 11 [2022]
The people's governments of all provinces, autonomous regions and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all institutions directly under the Central Government:
The "14th Five-Year Plan for National Health" has been approved by the State Council and is hereby issued to you. Please implement it carefully.
Office of the State Council
April 27, 2022
(This is a public release)
"14th Five-Year" National Health Plan
In order to comprehensively promote the construction of a healthy China, this plan is prepared in accordance with the "14th Five-Year Plan for the National Economic and Social Development of the People's Republic of China and the Outline of the Vision for 2035" and the "Outline of the "Healthy China 2030" Plan.
1. Planning background
During the "Thirteenth Five-Year Plan" period, the CPC Central Committee with Comrade Xi Jinping at its core placed the protection of people's health as a strategic priority for development, and made decisions and arrangements to implement the Healthy China Strategy.
The Party Central Committee and the State Council convened the National Health and Health Conference and issued the "Healthy China 2030" Planning Outline.
The State Council issued the "Opinions on Implementing the Healthy China Action".
All localities and relevant departments have conscientiously implemented it, steadily promoted the construction of a healthy China, launched the implementation of the Healthy China Action, carried out in-depth patriotic health campaigns, and continued to improve national health policies.
Significant results have been achieved in the prevention and treatment of major diseases. The health literacy level of residents has increased from 10.25% to 23.15%, the subsidy standard for basic public health services per capita has been raised to 74 yuan, the incidence of most vaccine-preventable infectious diseases has dropped to a historical low, and major chronic diseases have died prematurely rate showed a downward trend.
Health services for key population groups have been continuously improved, a system for the treatment and transfer of critically ill pregnant women and newborns has been basically established, myopia monitoring and intervention in children and adolescents has continued to be strengthened, and services for the integration of elderly health and medical care have been included in basic public health services.
The reform of the medical and health system has been further advanced, the comprehensive reform of public hospitals has been fully implemented, the mark-ups on drugs and medical consumables have been cancelled, and the performance evaluation of public hospitals above the second level has been fully implemented; the basic medical insurance for employees and the basic medical insurance for urban and rural residents are covered. The proportions have stabilized at around 80% and 70% respectively; the number of essential drugs has increased from 520 to 685, the reform of centralized drug procurement with volume has formed a normalized mechanism, and the price of selected drugs in the national centralized procurement has dropped by an average of 53%; the medical and health service system has been continuously improved , the construction of the hierarchical diagnosis and treatment system is progressing in an orderly manner; the social medical service has developed steadily, and the scale of the health industry has expanded significantly.
The task of health poverty alleviation has been fully completed, the service capacity of county-level hospitals in 832 poverty alleviation counties has been comprehensively improved, and telemedicine services have covered all poverty alleviation counties and extended to township health centers, historically eliminating the “blank spots” of rural medical and health institutions and personnel in poverty alleviation areas; The number of diseases has been expanded to 30. Patients with 4 chronic diseases, including hypertension, are given priority to be included in the contracted service of family doctors. More than 20 million poor patients have been treated in different categories, and nearly 10 million households who have been impoverished due to illness have been successfully lifted out of poverty, and basic medical care has been fully realized.
The traditional Chinese medicine service system has been continuously improved, and its unique advantages have become increasingly prominent.
Through hard work, people's health has been continuously improved.
From 2015 to 2020, the average life expectancy will increase from 76.34 to 77.93, the infant mortality rate will decrease from 8.1‰ to 5.4‰, the mortality rate of children under 5 will decrease from 10.7‰ to 7.5‰, and the maternal mortality rate will decrease from 20.1/10 The number of 10,000 people dropped to 169/100,000, and the main health indicators were in the forefront of middle- and high-income countries, and the proportion of personal health expenditure in the total health expenditure dropped to 27.7%.
At the same time, it should be noted that my country is still facing a complex situation in which multiple disease threats coexist and multiple health influencing factors are intertwined.
The global new crown pneumonia epidemic is still in a pandemic state, and the risk of emerging infectious diseases continues to exist, and some infectious diseases that have been controlled or eliminated face the risk of re-epidemic.
The incidence of chronic diseases is on the rise and shows a trend of younger people. The number of people suffering from common mental disorders and psychological and behavioral problems is increasing year by year. Issues such as food safety, environmental sanitation, and occupational health are still prominent.
At the same time, the aging process of the population is accelerating, and the demand for rehabilitation and nursing care is increasing rapidly.
The supply of prenatal and postnatal care and infant care services needs to be strengthened urgently.
It is necessary to speed up the improvement of national health policies, continue to promote the construction of a healthy China, and continuously meet the growing health needs of the people.
2. General requirements
(1) Guiding ideology.
Adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 19th Plenary Sessions, coordinate and promote the overall layout of the "five in one", coordinate the promotion of the "four comprehensive" strategic layout, and earnestly implement the party The decision-making and deployment of the Central Committee and the State Council, adhere to the general tone of seeking progress while maintaining stability, base on the new development stage, fully, accurately and comprehensively implement the new development concept, build a new development pattern, put the safety and health of the people first, and implement The party's health work policy in the new era is to comprehensively promote the construction of a healthy China, implement the national strategy to actively respond to population aging, accelerate the implementation of the Healthy China Action, deepen the reform of the medical and health system, and continue to promote the transformation of the development model from a disease-centered approach to a people-centered approach. Focusing on health, we provide all-round and full-cycle health services for the masses, and continuously improve people's health.
(2) Basic principles.
Health first, build and share together.
Accelerate the construction of an institutional system that guarantees people's health priority development, promote the integration of health into all policies, form a healthy lifestyle and production method, improve the system and mechanism for the joint action of the government, society and individuals, and form a pattern of joint construction, joint governance and sharing.
Focus on prevention and strengthen the grassroots.
Put prevention in a more prominent position, focus on major diseases, major health risk factors and the health of key populations, and strengthen the combination of prevention and treatment and the integration of medical treatment and prevention.
Adhere to the grassroots as the focus, promote the sinking of resources, close cooperation between the upper and lower levels, and improve the ability of disease prevention, treatment and health management at the grassroots level.
Improve quality and promote balance.
Focus on improving the quality of health service supply, speed up the expansion of high-quality medical and health resources and the balanced distribution of regions, continuously improve the equity and accessibility of basic medical and health services, and reduce the allocation of resources, service capabilities and health levels between urban and rural areas, regions, and populations difference.
Reform and innovation, system integration.
Adhere to the public welfare nature of basic medical and health services, and remove institutional and institutional obstacles in key areas and key links.
Coordinate development and safety, and improve the ability to prevent and deal with major risks.
Coordinate prevention, diagnosis and treatment, and rehabilitation, and optimize the whole life cycle and whole process of health services.
Give full play to the unique advantages of traditional Chinese medicine, and promote the complementary and coordinated development of traditional Chinese and western medicine.
(3) Development goals.
By 2025, the health system will be further improved, the basic medical and health care system with Chinese characteristics will be gradually improved, the ability to prevent and control major epidemics and public health emergencies will be significantly improved, the unique advantages of traditional Chinese medicine will be further utilized, and the ability to innovate in health science and technology will be significantly enhanced. The life expectancy will continue to increase by about 1 year on the basis of 2020, and the average healthy life expectancy will increase by the same proportion.
——The public health service capacity has been significantly enhanced.
A strong public health system that can effectively respond to major epidemics and public health emergencies and meet the needs of the national public health security situation will be basically established, and the capabilities of early monitoring, intelligent early warning, rapid response, efficient disposal, and comprehensive treatment will be significantly improved.
- A number of major disease hazards have been controlled and eliminated.
The AIDS epidemic will continue to be controlled at a low prevalence level, the incidence of tuberculosis will be further reduced, the hazards of parasitic diseases, key endemic diseases and zoonotic diseases will continue to be controlled and eliminated, the rising trend of the incidence of major chronic diseases will be curbed, and the rising trend of psychological-related diseases will be slowed down. , Severe mental disorders and occupational diseases have been effectively controlled.
——The quality of medical and health services continued to improve.
The ability of primary medical and health services has been continuously improved, the comprehensive and full-cycle health service system has been gradually improved, the hierarchical diagnosis and treatment pattern has been gradually established, and the advantages of traditional Chinese medicine have been further demonstrated.
——The medical and health-related support capabilities and the development level of the health industry have been continuously improved.
The medical education and personnel training system adapted to the characteristics of the industry has been gradually improved, the innovation capacity of health and health science and technology has been further enhanced, the construction of health and health informatization has been accelerated, and health services, pharmaceutical manufacturing and other health industries have continued to develop.
——The national health policy system was further improved.
The system of health laws and regulations has been further improved, the reform of the medical and health care system has continued to deepen, the institutional system and health impact assessment and evaluation system to ensure the priority development of people's health have been gradually established, and the health and health governance capacity and level of governance have been further improved.
key development indicators
Looking forward to 2035, a health system that is compatible with the basic realization of socialist modernization will be established, the basic medical and health care system with Chinese characteristics will be more perfect, the average life expectancy will reach over 80 years old, and the average healthy life expectancy will gradually increase.
3. Weaving a strong public health protection net
(1) Improve disease prevention and control capabilities.
Clarify the responsibilities of disease prevention and control institutions at all levels, strengthen the military-civilian integration of disease prevention and control systems, the integration of prevention and treatment, and the coordination of the whole society, strengthen the business leadership and work coordination of higher-level disease prevention and control institutions over lower-level institutions, and strengthen the public health responsibility of medical institutions.
Implement the disease prevention and control and public health management service responsibilities of urban and rural primary medical and health institutions, improve the linkage mechanism between disease prevention and control departments and urban and rural communities, and consolidate the foundation for joint prevention and control, and group prevention and control.
Innovate the coordination mechanism of medical treatment and prevention, strengthen the technical guidance and supervision and assessment of disease prevention and control institutions for disease prevention and control work of medical institutions, and establish and improve the mechanism of mutual restriction of personnel communication, information communication, resource communication and supervision and supervision.
Explore and promote the participation of professionals from disease prevention and control institutions in the work of medical consortia, and promote the coordinated development of county-level disease prevention and control institutions and county-level medical communities.
Continue to improve national basic public health service projects and major infectious disease prevention and control projects, optimize service content, improve service quality, implement scientific dynamic adjustment, achieve both in and out, improve the combination of prevention and control and health management services, and promote basic public health Equalize service.
(2) Improve the monitoring and early warning mechanism.
Improve the monitoring system for infectious disease epidemics and public health emergencies, improve the monitoring mechanism for unexplained diseases and abnormal health events, and strengthen the connection and coordination between the public health information system and the information system of medical institutions.
Give full play to the role of the national monitoring and early warning information platform, explore the establishment of cross-regional epidemic monitoring sites, and realize real-time analysis, centralized research and judgment, and timely reporting of unexplained infectious disease epidemics and public health emergencies.
Research and establish and improve the multi-point triggering early warning mechanism for new and unknown infectious diseases, relying on public health, animal diseases, port quarantine, food safety, ecological environment and other systems to expand information reporting channels, open up reporting channels for scientific research institutes and third-party testing institutions, and open social media. Public proactive reporting channels.
Consolidate information reporting responsibilities, and clarify specific requirements such as reporting content, procedures, methods, and time limits for infectious disease outbreaks and public health emergencies.
Improve risk assessment methods and systems, and improve monitoring and analysis, comprehensive evaluation and early identification of potential hidden dangers.
(3) Improve emergency response and disposal mechanisms.
Give full play to the role of a centralized, unified and efficient emergency command system, improve the system and mechanism, realize clear and seamless responsibilities in monitoring and early warning, discovery reporting, risk assessment, information release, emergency response and medical treatment, and ensure clear instructions, systematic and orderly. The block is smooth and the execution is powerful.
Build a hierarchical, classified, efficient and practical emergency plan system.
Improve the graded emergency response mechanism for infectious disease outbreaks and public health emergencies, standardize decision-making bodies and principles of handling, and clarify the division of responsibilities and working mechanisms of relevant departments and institutions.
Improve the level of early identification and emergency response of medical personnel, improve the first diagnosis responsibility, joint consultation and other systems and treatment procedures, and improve the standardized treatment capabilities of medical and health institutions at all levels.
Improve the emergency disposal mechanism for medical waste in major epidemics.
Relying on large-scale general hospitals, establish and improve the health emergency team of classification and classification, and improve the emergency medical rescue capacity.
Establish an overall mobilization and support mechanism for national rescue forces in major infectious disease outbreaks and emergencies.
(4) Improve the ability to treat major epidemics.
Comprehensively improve the service capacity of infectious disease departments, fever clinics, and observation rooms in general hospitals above the second level (including traditional Chinese medicine hospitals, the same below), and comprehensively improve emergency, severe, respiratory, inspection, anesthesia, digestion, cardiovascular, nursing, rehabilitation, etc. Professional service capabilities.
Improve the laboratory testing capacity of medical and health institutions.
Relying on high-level medical and health institutions, play the role of national major infectious disease prevention and control bases, and improve the ability to drive radiation.
Improve the ability of traditional Chinese medicine to prevent and control diseases.
Further improve the prefecture-level infectious disease treatment network, and improve the infectious disease detection, diagnosis and treatment capabilities of county-level hospitals.
Strengthen the ability of primary medical and health institutions to prevent and control infectious diseases.
Improve the ability of law enforcement and duty forces in border areas to scientifically respond to major epidemics.
Strengthen the allocation of emergency materials in medical institutions, encourage enterprises, government agencies and residents to participate in the reserve, and establish and improve the coordination and linkage mechanism for the allocation of emergency materials.
4. Comprehensive intervention on health problems and influencing factors
(1) Popularize a healthy lifestyle.
Strengthen health promotion and education.
Improve the national health science expert database and resource database, build an all-media health science knowledge release and dissemination mechanism, and encourage medical institutions and medical personnel to carry out health promotion and health education.
Carry out in-depth publicity and popularization of health knowledge to improve residents' health literacy.
Carry out the construction of healthy counties and districts, and the proportion of national and provincial healthy counties and districts shall not be less than 40%.
Further promote the construction of health-promoting hospitals, and the proportion of health-promoting hospitals in hospitals above the second level shall not be less than 50%.
Continue to promote the special action of health promotion in primary and secondary schools, deepen the reform of school health education, effectively ensure the time of school health education, and improve the teaching effect of health education.
Promote a healthy lifestyle.
Fully implement the national healthy lifestyle action, and promote special actions such as "three reductions and three health" (salt reduction, oil reduction, sugar reduction, healthy mouth, healthy weight, and healthy bones).
Implement national nutrition plans and reasonable diet actions, advocate the establishment of awareness of cherishing food and the habit of developing a balanced diet, promote the establishment of a food nutrition standard system, improve the residents' nutrition monitoring system, and strengthen nutrition intervention in key areas and key groups.
Carry out tobacco control actions, vigorously promote the construction of a smoke-free environment, continue to promote tobacco control legislation, comprehensively use price, tax, legal and other means to improve the effectiveness of tobacco control, and strengthen smoking cessation services.
Strengthen alcohol-limiting health education, control excessive use of alcohol, and reduce alcoholism.
Carry out national fitness activities.
Deepen the integration of sports and health, hold demonstration activities on the theme of national fitness, advocate the concept of active health, and popularize the knowledge of sports to promote health.
Build a higher-level public service system for national fitness, promote the opening and sharing of public sports venues and school sports venues, and improve the coverage of fitness trails and other convenient fitness venues.
Guarantee school physical education and extracurricular exercise time.
Implement the national physique monitoring system, promote the cooperation between national physique monitoring sites and medical and health institutions, and set up scientific fitness clinics in qualified community medical and health institutions.
Carry out physical fitness guidance for special populations, strengthen non-medical health interventions, establish and improve a library of exercise prescriptions, and promote the application of prescriptions.
(2) Strengthen the prevention and control of infectious diseases, parasitic diseases and endemic diseases.
Do a good job in the prevention and control of key infectious diseases.
Do a good job in the prevention and control of the new crown pneumonia epidemic, improve the implementation of normalized prevention and control measures, and consolidate the results of epidemic prevention and control.
Adhere to the joint prevention of multiple diseases, further strengthen the monitoring, analysis and judgment of key infectious diseases such as influenza and dengue fever, coordinate the prevention and control of emerging infectious diseases such as human infection of avian influenza and Ebola hemorrhagic fever, and effectively prevent and control cholera and hand, foot and mouth disease. , measles and other key infectious diseases.
Strengthen the monitoring, focus investigation, risk assessment and timely disposal of plague among animals in natural plague foci, key areas and areas with unknown foci, and strengthen regional joint prevention and control of plague.
Continue to control the AIDS epidemic at a low level, focus on key areas, key groups and key links, and effectively implement prevention and control measures such as publicity and education, comprehensive intervention, testing and consultation, treatment follow-up, and comprehensive management.
Comprehensively implement viral hepatitis prevention and control measures, and carry out actions to eliminate the public health hazards of hepatitis C.
Comprehensively implement tuberculosis prevention and control strategies, strengthen the detection and standardized diagnosis and treatment of tuberculosis patients, implement screening of high-risk groups of drug resistance, strengthen the health management of tuberculosis patients in primary medical and health institutions, and increase the protection of tuberculosis patients.
Implement comprehensive management of zoonotic diseases such as rabies and brucellosis, focusing on source control, and increase prevention and control at animal sources.
Intensive vaccination.
Increased surveillance of vaccine-preventable infectious diseases.
We will do a good job of vaccinating against the new coronavirus in a stable and orderly manner, strengthen the management of the whole process, ensure the safety of vaccination, and gradually increase the vaccination rate of the population.
Ensure the supply of influenza vaccines and promote influenza vaccination of key groups.
Adjust the vaccine types of the national immunization program in a timely manner as needed.
Strengthen the management of the cold chain system of the immunization program and improve the traceability.
Increase the monitoring of suspected abnormal reactions to vaccination.
Consolidate the achievements in the prevention and control of key parasitic diseases and endemic diseases.
In the endemic areas of schistosomiasis, adhere to the comprehensive prevention and control strategy focusing on controlling the source of infection, strengthen the prevention and control of vector-borne infectious diseases such as kala-azar, implement the comprehensive prevention and control strategy of hydatid disease, and continue to maintain the elimination of malaria.
Improve endemic disease prevention and control strategies, ensure continuous elimination of iodine deficiency hazards, maintain the basic elimination of coal-burning pollution-type fluoro-arsenic poisoning, Kashin-Beck disease and Keshan disease hazards, and effectively control drinking-type fluoro-arsenic poisoning, tea-drinking-type fluorosis and water-borne diseases High iodine hazards.
(3) Strengthen the comprehensive prevention and control of chronic diseases and injury prevention intervention.
Implement a comprehensive strategy for the prevention and control of chronic diseases.
Strengthen the construction of national demonstration zones for comprehensive prevention and control of chronic diseases, with a coverage rate of 20% by 2025.
Improve the comprehensive prevention and treatment capabilities of cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes and other major chronic diseases, strengthen prevention, early screening and comprehensive intervention, and gradually incorporate suitable technologies for early diagnosis and early treatment of eligible chronic diseases into the diagnosis and treatment routine according to regulations.
For first-time outpatient patients over 35 years old, actively promote blood pressure screening in hospitals and primary medical and health institutions below the second level.
Opportunistic screening for cardiovascular and cerebrovascular diseases was carried out in the hospital-seeking population.
Promote the establishment of free self-service blood pressure testing points in institutions, enterprises and public places, and guide the public to conduct regular testing.
Promote the co-management of "three highs" (hypertension, hyperglycemia, and hyperlipidemia), and the grassroots standardized management service rate for patients with hypertension and type II diabetes has reached more than 65%.
Incorporate pulmonary function tests into the routine physical examination of people over 40 years old, and implement the first diagnosis of high-risk groups to measure pulmonary function, so as to improve the ability of early screening and intervention for respiratory diseases.
Expand the coverage of early diagnosis and treatment of cancer through multiple channels, and guide all localities to carry out opportunistic screening of key cancers in light of actual conditions.
Focus on the prevention and treatment of common oral diseases such as caries and periodontal diseases, strengthen oral health work, and control the caries rate of 12-year-old children within 30%.
Strengthen the monitoring of causes of death, tumor follow-up registration, and the establishment of a chronic disease and nutrition monitoring system, and explore the establishment of a health risk factor monitoring and evaluation system.
Gradually establish and improve the chronic disease health management system and management system, and promote the integrated development of prevention, treatment, health and management.
Strengthen injury prevention interventions.
Improve the national injury monitoring system, expand child injury monitoring, and develop technical standards and guidelines for key injury interventions.
Implement traffic safety and life protection projects to reduce the occurrence of traffic injuries.
Strengthen injury prevention and intervention in children and the elderly to reduce drowning in children and accidental falls in the elderly.
Improve the product injury monitoring system, establish and improve the mandatory reporting system for consumer product quality and safety accidents, strengthen recall management, and reduce consumer product safety injuries.
(4) Improve mental health and mental health services.
Promote mental health.
Improve the social mental health service system, strengthen the construction and publicity of psychological assistance hotlines, and provide public services for the public.
Strengthen the intervention of common mental disorders and psychological and behavioral problems such as depression, anxiety disorders, sleep disorders, abnormal children's psychological and behavioral development, and Alzheimer's.
Improve the psychological crisis intervention mechanism, and incorporate psychological crisis intervention and psychological assistance into emergency response plans.
Improve mental health service capacity.
Promote a comprehensive mental health management mechanism and improve multi-channel management services for patients with severe mental disorders.
Provide comprehensive protection for the treatment and assistance of key groups such as patients with severe mental disorders in accordance with regulations.
Improve the ability of standardized diagnosis and treatment of common mental disorders, and encourage higher-level mental health professional institutions to provide remote services for counties (cities, districts, banners) and towns (streets).
Establish a community-based rehabilitation service model for mental disorders that connects mental health medical institutions, community-based rehabilitation institutions, social organizations, and families.
(5) Maintain environmental health and food and drug safety.
Strengthen environmental health management.
Carry out in-depth pollution prevention and control actions, basically eliminate heavily polluted weather, improve water pollution prevention and control basin coordination mechanisms, and basically eliminate sub-category V state-controlled sections and urban black and odorous water bodies.
The noise pollution control was strengthened, and the nighttime compliance rate of the national acoustic environment functional areas reached 85%.
Strengthen the research on the health risks of noise on cardiovascular, cerebrovascular, psychological and other diseases.
Strengthen the management of cooking fumes.
Continue to promote clean urban heating in northern regions, strengthen rural living and the replacement of scattered coal for heating in winter.
Carry out health hazard identification and risk assessment of new pollutants.
Strengthen public places and indoor environmental health risk assessment.
Improve the technical methods, monitoring system and standard system for environmental health risk assessment, and gradually establish a national environmental and health monitoring, investigation and risk assessment system.
Explore the establishment of a technical system for health impact assessment of major projects and major projects.
Carry out research on the drug environmental risk assessment system.
Strengthen the classification and management of waste sources within medical institutions, and speed up the construction of centralized treatment facilities for urban medical waste at the prefecture level and above.
Strengthen the monitoring of fecal coliforms, enteroviruses and other indicators in the discharge.
Improve the environment and health literacy of residents, and build a pattern in which all parties actively participate and collaborate to build a healthy environment.
Strengthen food safety standards and risk monitoring and assessment.
Improve the food safety risk monitoring and evaluation work system and food safety technical support system, and improve food safety standards and risk monitoring and evaluation capabilities.
Implement special actions for risk assessment and standard formulation, speed up the formulation and revision of national food safety standards, basically build the most rigorous food safety standard system covering the entire process from farmland to dining table, and improve the ability to identify risks of food contaminants.
Comprehensively improve the ability of foodborne disease investigation and traceability.
Guarantee the quality and safety of medicines.
Improve the national drug standard system, and promote the consistency evaluation of the quality and efficacy of generic drugs.
Establish a quality and efficacy evaluation system that conforms to the characteristics of traditional Chinese medicine.
Build a quality management mechanism for the entire life cycle of drugs and vaccines, promote the construction of an information-based traceability system, and realize the traceability of the source and destination of key categories.
Steady implementation of the unique identification system for medical devices.
(6) Carry out in-depth patriotic health campaigns.
We will comprehensively promote the construction of hygienic towns and healthy towns.
We will further promote the establishment of national sanitary towns, optimize the review process, and guide the promotion of the establishment of the whole region and the balanced development of urban and rural areas.
Summarize the effective experience of promoting healthy city pilots, create a number of healthy city models, and create a healthy supportive environment.
Extensively carry out the construction of healthy counties, healthy towns, and healthy cells (healthy villages, healthy communities, healthy enterprises, healthy institutions, healthy schools, health-promoting hospitals, healthy families, etc.), and cultivate a number of characteristic models of healthy cell construction.
Improve urban and rural environmental sanitation.
Improve the long-term mechanism of urban and rural environmental sanitation governance, improve the level of infrastructure modernization, and coordinate the promotion of urban and rural environmental sanitation improvement.
Strengthen the construction of urban garbage and sewage treatment facilities, and promote the classification of urban domestic garbage and resource recycling.
Promote the overall management of domestic waste and sewage in the county, continue to carry out village cleaning actions, establish and improve the rural village cleaning mechanism and garbage collection, transportation and disposal system, select domestic sewage treatment technologies that meet the actual rural conditions, and promote the resource utilization of rural organic waste.
Accelerate the research and development of suitable technologies and products for sanitary toilets in arid and cold areas, strengthen the renovation of rural household toilets in the central and western regions, strengthen the harmless treatment and resource utilization of toilet manure, and pragmatically promote the rural toilet revolution.
Implement rural water supply security projects.
Promote the standardization of farmers' markets.
Strengthen the work of vector biological control with environmental governance as the mainstay and professional control as a supplement.
Innovative social mobilization mechanism.
Promote the close integration of the patriotic health campaign with the prevention and control of infectious diseases and chronic diseases, and through activities such as the Patriotic Health Month, intensify efforts to popularize science, and advocate a civilized, healthy, and green lifestyle.
Stop catering waste, resolutely eradicate bad habits such as excessive eating of wild animals, and promote living habits such as sharing chopsticks and sorting garbage.
Promote the integration of patriotic health and grass-roots governance, give full play to the positive role of village regulations and residents' conventions, and promote the experience of residents' health management mutual aid groups, weekend cleaning, sanitation days, environmental sanitation red and black lists, and points exchange, and improve social forces. Participate in the mechanism, cultivate social organizations and professional social workers and volunteer teams in related fields, and promote the integration of the patriotic health movement into the daily life of the masses.
Five, the whole cycle to protect the health of the population
(1) Improve fertility and infant care services.
Optimize fertility services and guarantees.
Implement the three-child birth policy and improve related supporting measures.
Continue to do a good job in maternity insurance to ensure the maternity medical expenses and maternity allowances of insured female employees, and do a good job in the protection of maternity medical expenses for urban and rural residents covered by medical insurance, so as to reduce the burden of maternity medical expenses.
Provide fertility counseling and guidance services.
Promoting the joint office of "Birth One Thing".
Improve the national vital registration management system, establish a long-term balanced population development index system, and improve the population monitoring system and forecasting and early warning system covering the entire population and life cycle.
Give play to the organizational role of family planning associations and carry out in-depth family health promotion actions.
For the one-child family and the rural family planning two-daughter family before the implementation of the comprehensive two-child policy, the current incentive and support systems and preferential policies will continue to be implemented.
Dynamic adjustment of assistance standards, establishment and improvement of all-round assistance and guarantee systems for families with special family planning.
Support qualified social organizations to accept the entrustment of special family planning families, provide life care, spiritual comfort and other services, and handle affairs such as admission to elderly care institutions and medical care.
Promote the healthy growth of infants and young children.
Improve the establishment standards and management norms of childcare service institutions, establish and improve systems for filing and registration, information disclosure, and quality assessment, and accelerate the promotion of professionalism, standardization, and standardization of childcare services.
Research and formulate academic education and related occupational standards for nursery practitioners, and improve the quality and level of nursery education.
Encourage and guide social forces to provide inclusive nursery services, develop a community nursery service network that is centrally managed and operated, and improve community places and facilities for infants and young children.
Support qualified employers to provide childcare services for employees in the workplace alone or jointly with relevant units.
Strengthen the guidance on the early development of infants and young children for families, study and introduce management methods for family nurseries, support care models such as intergenerational care and family mutual assistance, and encourage professional institutions and social organizations to provide family childcare guidance services.
Support the development of "Internet + childcare services", build a number of key common technology network platforms and live classrooms, support high-quality institutions and industry associations to develop public welfare courses, and enhance families' scientific childcare capabilities.
Strengthen the health care work of infant and child care service institutions, prevent and control infectious diseases, reduce the incidence of common diseases, and protect the physical and mental health of infants and young children.
(2) Protect the health of women and children.
Improve the whole service of prenatal and postnatal care.
Implement the Maternal and Infant Safety Action Improvement Plan, fully implement the five systems of maternal and infant safety, including pregnancy risk screening and assessment, project management of high-risk pregnant and lying-in women, critical and critical care, maternal death case reporting and interview notification, and provide high-quality whole-process medical care for childbirth Serve.
Implement a plan to improve the ability to comprehensively prevent and control birth defects, and build a birth defect prevention and control system covering all stages of urban and rural residents, including pre-marriage, pre-pregnancy, pregnancy, newborns, and children.
Strengthen pre-marital health care, promote marriage registration, marriage and childbirth health publicity and education, and fertility guidance "one-stop" services, provide scientific pregnancy preparation guidance, pre-pregnancy eugenic health check and folic acid supplement guidance services for families planning to conceive, strengthen prenatal screening and prenatal guidance services diagnosis.
By 2025, the coverage rate of the target population for pre-pregnancy eugenic health examinations will be no less than 80%, the prenatal screening rate will be no less than 75%, and the screening rate of newborns with inherited metabolic diseases will reach more than 98%.
Strengthen the prevention and treatment of key diseases such as congenital heart disease, hearing impairment, phenylketonuria, and thalassemia, and promote integrated management services during the perinatal period, prenatal and postnatal period, and multidisciplinary cooperation in diagnosis and treatment.
Medical and health institutions carry out special research on improving fertility, standardize the application of human assisted reproductive technology, and provide infertility diagnosis and treatment services.
Support maternal and child health facilities to integrate preventive care and clinical care services.
Strengthen women's health services.
Develop women's health care specialties, improve service capabilities, and provide women's endocrine regulation, psychology, nutrition and other preventive health care services for women's health needs in adolescence, childbearing age, pregnancy and childbirth, menopause and old age, as well as women's common diseases treatment, covering physiological, Integrative health care delivery for psychological and social adaptation.
Promote reproductive health services, advance the prevention and treatment of cervical cancer and breast cancer in women, and further improve the screening rate and quality.
Promote the health of children and adolescents.
Implement breastfeeding promotion actions, carry out professional guidance on infant and young child rearing, strengthen guidance on supplementary food supplementation for infants and young children, implement nutrition improvement plans for preschool children, and reduce the prevalence of anemia and growth retardation in children.
Implement the Healthy Children Action Promotion Plan, improve the children's health service network, build child-friendly hospitals, strengthen the construction of pediatrics, promote the standardization and standardization of children's health care clinics, and strengthen children's health care and medical services.
Strengthen the screening, diagnosis and intervention of risk factors and diseases such as anemia, poor vision, obesity, dental caries, abnormal psychological and behavioral development, hearing impairment, and scoliosis in children and adolescents.
Guide schools and parents to implement comprehensive prevention and control interventions for students, and do a good job in the prevention and control of myopia in children and adolescents.
Strengthen children's mental health education and services, and strengthen children's autism screening and intervention.
Promote youth health education, and carry out sexual and reproductive health education for adolescents.
Coordinate and promote the construction of school health teams and capacity of disease prevention and control institutions at all levels, and strengthen the guidance of school health work in the jurisdiction.
Carry out activities to create demonstration counties (cities, districts and flags) for the comprehensive development of children's health.
(3) Promote the health of the elderly.
Strengthen preventive health care for the elderly.
Develop popular science textbooks on health education for the elderly, carry out health literacy promotion projects for the elderly, and do a good job in health education for the elderly.
Strengthen the early screening and health management of key diseases in the elderly, and by 2025, the urban and rural community-based standardized health management service rate for the elderly aged 65 and over will reach more than 65%.
Implement actions such as disability prevention and intervention for the elderly, psychological care for the elderly, oral health for the elderly, nutrition improvement for the elderly, and prevention and treatment of dementia to delay functional decline.
Improve the level of elderly medical and rehabilitation care services.
Promote the comprehensive health assessment of the elderly and the diagnosis and treatment of geriatric syndromes, and promote the transformation of elderly medical services from single-disease to multi-disease co-treatment.
By 2025, the proportion of geriatric medicine departments in general hospitals above the second level will reach more than 60%.
Improve the long-term care service model from home, community to professional institutions.
Improve the rehabilitation and nursing service capabilities of primary medical and health institutions, provide services such as elderly medical care, family hospital beds, and home care, and promote the extension of medical and health services to communities and families.
Support qualified medical institutions to cooperate with disabled rehabilitation institutions.
Steady expansion of palliative care pilot projects.
提升医养结合发展水平。健全医疗卫生机构和养老服务机构合作机制，为老年人提供治疗期住院、康复期护理、稳定期生活照料、安宁疗护一体化的服务。进一步增加居家、社区、机构等医养结合服务供给。鼓励农村地区通过托管运营、毗邻建设、签约合作等多种方式实现医养资源共享。开展医养结合示范项目，提升服务质量和水平。
(四)加强职业健康保护。
强化职业健康危害源头防控和风险管控。建立健全职业病和职业病危害因素监测评估制度，扩大主动监测范围，到2025年，工作场所职业病危害因素监测合格率达到85%以上。开展尘肺病筛查和新兴行业及工作相关疾病等职业健康损害监测。完善用人单位职业健康信息及风险评估基础数据库，构建职业病危害风险分类分级、预测预警和监管机制，对职业病危害高风险企业实施重点监管。强化重点行业职业病危害专项治理。鼓励企业完善职业病防护设施，改善工作场所劳动条件。
完善职业病诊断和救治保障。健全职业病诊断与鉴定制度，优化诊断鉴定程序。强化尘肺病等职业病救治保障，实施分类救治救助，对未参加工伤保险且用人单位不存在或无法确定劳动关系的尘肺病患者，按规定落实基本医疗保障和基本生活救助政策。
加强职业健康促进。推动用人单位开展职工健康管理，加强职业健康管理队伍建设，提升职业健康管理能力。全面提高劳动者职业健康素养，倡导健康工作方式，显著提升工作相关的肌肉骨骼疾病、精神和心理疾病等防治知识普及率。推动健康企业建设，培育一批健康企业特色样板。深入开展争做“职业健康达人”活动。
(五)保障相关重点人群健康服务。
巩固拓展健康扶贫成果同乡村振兴有效衔接。过渡期内保持现有健康帮扶政策总体稳定，调整优化支持政策，健全因病返贫致贫动态监测机制，建立农村低收入人口常态化精准健康帮扶机制。加大对脱贫地区、“三区三州”、原中央苏区、易地扶贫搬迁安置地区等县级医院支持力度，鼓励开展对口帮扶、合作共建医疗联合体，重点提高传染病疫情和突发公共卫生事件监测预警、应急处置和医疗救治能力。加强脱贫地区乡村医疗卫生服务体系达标提质建设，支持采用巡诊派驻等方式保障乡村医疗卫生服务覆盖面，确保乡村医疗卫生机构和人员“空白点”持续实现动态清零。结合脱贫地区实际，推广大病专项救治模式，巩固并逐步提高重点人群家庭医生签约服务覆盖面和服务质量。
维护残疾人健康。加强残疾人健康管理，全面推进残疾人家庭医生签约服务。加强和改善残疾人医疗服务，完善医疗机构无障碍设施，强化残疾人服务设施和综合服务能力建设。建成康复大学，加快培养高素质、专业化康复人才。加强残疾人康复服务，提升康复医疗、康复训练、辅助器具适配等服务质量。建立儿童残疾筛查、诊断、康复救助衔接机制，确保残疾儿童得到及时有效的康复服务。加强残疾人心理健康工作，做好残疾人健康状况评估。贯彻实施《国家残疾预防行动计划(2021—2025年)》。继续开展防盲治盲，推动实施全面眼健康行动。继续推进防聋治聋，提升耳与听力健康水平。
六、提高医疗卫生服务质量
(一)优化医疗服务模式。
推行预约诊疗和日间服务。建立健全预约诊疗制度，全面推行分时段预约诊疗和检查检验集中预约服务，有序推进检查检验结果互认。推动三级医院日间手术等服务常态化、制度化，逐步扩大日间手术病种范围，稳步提高日间手术占择期手术的比例。鼓励有条件的医院设置日间病房、日间治疗中心等，为患者提供日间化疗、日间照射治疗等服务。
推广多学科诊疗。针对肿瘤、多系统多器官疾病、疑难复杂疾病等，推动建立多学科诊疗制度。鼓励将麻醉、医学检验、医学影像、病理、药学等专业技术人员纳入多学科诊疗团队，提升综合诊治水平。鼓励医疗机构采取多种方式设置服务协调员，在患者诊疗过程中予以指导协助和跟踪管理。
创新急诊急救服务。优化院前医疗急救网络。继续推进胸痛、卒中、创伤、危重孕产妇救治、危重新生儿和儿童救治等中心建设，为患者提供医疗救治绿色通道和一体化综合救治服务，提升重大急性疾病医疗救治质量和效率。完善智能化调度系统，推动院前医疗急救网络与院内急诊有效衔接，实现患者信息院前院内共享，构建快速、高效、全覆盖的急危重症医疗救治体系。
强化医防融合。依托国家基本公共卫生服务项目，以高血压和Ⅱ型糖尿病为切入点，实施城乡社区慢病医防融合能力提升工程，为每个乡镇卫生院和社区卫生服务中心培养1—2名具备医防管等能力的复合型骨干人员，探索建立以基层医生团队为绩效考核单元、以健康结果和居民满意度为导向的考核体系。推动预防、治疗、护理、康复有机衔接，形成“病前主动防，病后科学管，跟踪服务不间断”的一体化健康管理服务。
(二)加强医疗质量管理。
完善医疗质量管理与控制体系。强化医疗质量安全核心制度，健全国家、省、市三级质控组织体系，完善覆盖主要专业和重点病种的质控指标。完善国家、省、医疗机构三级感染监测体系，逐步将基层医疗卫生机构纳入监测。完善诊疗规范和技术指南，全面实施临床路径管理。可以在有条件的医疗联合体内探索建立一体化临床路径，为患者提供顺畅转诊和连续诊疗服务。
优化护理服务。健全护理服务体系，增加护士配备。强化基础护理，实施以病人为中心的责任制整体护理，开展延续护理服务。进一步扩大优质护理服务覆盖面，逐步实现二级以上医院全覆盖。通过培训、指导、远程等方式，在医疗联合体内将优质护理、康复护理、安宁疗护等延伸至基层医疗卫生机构。
提高合理用药水平。完善覆盖全国二级以上医院的合理用药监测系统，逐步将基层医疗卫生机构纳入监测。加强医疗机构药事管理，以抗菌药物、抗肿瘤药物、其他重点监控药物等为重点，加强用药监测和合理用药考核，抗菌药物使用强度符合规定要求。以临床需求为导向，推进药品使用监测和药品临床综合评价体系建设。加强药品不良反应监测。发挥临床药师作用，开设合理用药咨询或药物治疗管理门诊，开展精准用药服务。推动医疗联合体内药学服务下沉，临床药师指导基层医疗卫生机构提高合理用药水平，重点为签约服务的慢性病患者提供用药指导。
加强平安医院建设。严格落实医院安保主体责任，健全涉医矛盾纠纷多元化解机制，构建系统、科学、智慧的医院安全防范体系。建立完善医警数据共享和联动处置机制，依法严厉打击涉医违法犯罪特别是伤害医务人员的暴力犯罪行为。加强医疗服务人文关怀，大力推行医务社工、志愿者服务，构建和谐医患关系。
(三)加快补齐服务短板。
巩固提升基层服务网络。把乡村医疗卫生服务体系纳入乡村振兴战略全局统筹推进，提高县域医疗卫生服务整体水平。采取派驻、邻村延伸服务、流动巡诊等方式，保障乡、村两级医疗卫生服务全覆盖。开展基层卫生健康综合试验区建设。
提升血液供应保障能力。完善采供血网络布局。巩固血液核酸检测全覆盖成果。建立血液应急保障指挥平台，健全巩固常态化全国血液库存监测制度和血液联动保障机制，提高血液应急保障能力。加大无偿献血宣传动员力度，提升献血率。
七、促进中医药传承创新发展
(一)充分发挥中医药在健康服务中的作用。实施中医药振兴发展重大工程。实施中医药健康促进行动，推进中医治未病健康工程升级。提升地市级以上中医医院优势专科和县级中医医院特色专科服务能力，力争全部县级中医医院达到医疗服务能力基本标准。丰富中医馆服务内涵，促进中医适宜技术推广应用。探索有利于发挥中医药优势的康复服务模式。建立和完善国家重大疑难疾病中西医协作工作机制与模式。推进中医药博物馆事业发展，实施中医药文化传播行动，推动中医药文化进校园。发展中医药健康旅游。
(二)夯实中医药高质量发展基础。开展中医药活态传承、古籍文献资源保护与利用。提升中医循证能力。促进中医药科技创新。加快古代经典名方制剂研发。加强中药质量保障，建设药材质量标准体系、监测体系、可追溯体系。推动教育教学改革，构建符合中医药特点的人才培养模式。健全中医医师规范化培训制度和全科医生、乡村医生中医药知识培训机制。
八、做优做强健康产业
(一)推动医药工业创新发展。鼓励新药研发创新和使用，加快临床急需重大疾病治疗药物的研发和产业化，支持优质仿制药研发。加快构建药品快速应急研发生产体系，针对新发突发传染病以及其他涉及国家公共卫生安全的应急需求，加强对防控所需药品和医疗器械应急研发、检验检测、体系核查、审评审批、监测评价等工作的统一指挥与协调。建立国家参考品原料样本和病患信息应急调用机制，完善药品紧急研发攻关机制。深化药品医疗器械审评审批制度改革，对符合要求的创新药、临床急需的短缺药品和医疗器械、罕见病治疗药品等，加快审评审批。强化对经济实惠的精神疾病药物和长效针剂的研发攻坚。
(二)促进高端医疗装备和健康用品制造生产。优化创新医疗装备注册评审流程。开展原创性技术攻关，推出一批融合人工智能等新技术的高质量医疗装备。鼓励有条件的地方建设医疗装备应用推广基地，打造链条完善、特色鲜明的医疗装备产业集群。完善养老托育等相关用品标准体系，支持前沿技术和产品研发应用。围绕健康促进、慢病管理、养老服务等需求，重点发展健康管理、智能康复辅助器具、科学健身、中医药养生保健等新型健康产品，推动符合条件的人工智能产品进入临床试验。推进智能服务机器人发展，实施康复辅助器具、智慧老龄化技术推广应用工程。
(三)促进社会办医持续规范发展。鼓励社会力量在医疗资源薄弱区域和康复、护理、精神卫生等短缺领域举办非营利性医疗机构。引导促进医学检验中心、医学影像中心等独立设置机构规范发展，鼓励有经验的执业医师开办诊所。增加规范化健康管理服务供给，发展高危人群健康体检、健康风险评估、健康咨询和健康干预等服务。落实行业监管职责，促进社会办医规范发展。
(四)增加商业健康保险供给。鼓励围绕特需医疗、前沿医疗技术、创新药、高端医疗器械应用以及疾病风险评估、疾病预防、中医治未病、运动健身等服务，增加新型健康保险产品供给。鼓励保险机构开展管理式医疗试点，建立健康管理组织，提供健康保险、健康管理、医疗服务、长期照护等服务。在基本签约服务包基础上，鼓励社会力量提供差异化、定制化的健康管理服务包，探索将商业健康保险作为筹资或合作渠道。进一步完善商业长期护理保险支持政策。搭建高水平公立医院及其特需医疗部分与保险机构的对接平台，促进医、险定点合作。加快发展医疗责任险、医疗意外保险，鼓励保险机构开发托育机构责任险和运营相关保险。
(五)推进健康相关业态融合发展。促进健康与养老、旅游、互联网、健身休闲、食品等产业融合发展，壮大健康新业态、新模式。支持面向老年人的健康管理、预防干预、养生保健、健身休闲、文化娱乐、旅居养老等业态深度融合，创新发展健康咨询、紧急救护、慢性病管理、生活照护等智慧健康养老服务。强化国有经济在健康养老领域有效供给。推动健康旅游发展，加快健康旅游基地建设。选择教学科研资源丰富、医疗服务能力强、产业实力雄厚的城市或区域，以高水平医院为基础，完善综合协同政策，打造健康产业集群。
九、强化国民健康支撑与保障
(一)深化医药卫生体制改革。
加快建设分级诊疗体系。加强城市医疗集团网格化布局管理，整合医疗机构和专业公共卫生机构，为网格内居民提供一体化、连续性医疗卫生服务。加快推动县域综合医改，推进紧密型县域医共体建设，推进专科联盟和远程医疗协作网发展。稳步扩大家庭医生签约服务覆盖范围，加强基本公共卫生服务与家庭医生签约服务的衔接，提高签约服务质量。明确各级医疗卫生机构在相关疾病诊疗中的职责分工、转诊标准和转诊程序，形成连续通畅的双向转诊服务路径。推动三级医院提高疑难危重症和复杂手术占比，缩短平均住院日。
推动公立医院高质量发展。健全现代医院管理制度，充分发挥公立医院党委把方向、管大局、作决策、促改革、保落实的领导作用，健全全面预算管理、成本管理、预算绩效管理、内部审计和信息公开机制，推动医院管理科学化、精细化、规范化。全面开展公立医院绩效考核，持续优化绩效考核指标体系和方法。大力弘扬伟大抗疫精神和崇高职业精神，在全社会营造尊医重卫的良好氛围。推进优抚医院改革发展。提高监管场所医疗机构专业化水平。
深化相关领域联动改革。发挥好福建省三明市作为全国医改经验推广基地的作用，加大经验推广力度，按照“腾空间、调结构、保衔接”的路径，加快推进综合改革。健全全民医保制度，开展按疾病诊断相关分组、按病种分值付费，对于精神病、安宁疗护和医疗康复等需要长期住院治疗且日均费用较稳定的疾病推进按床日付费，将符合条件的互联网医疗服务按程序纳入医保支付范围。稳步建立长期护理保险制度。完善药品供应保障体系，扩大药品和高值医用耗材集中采购范围，落实集中采购医保资金结余留用政策，完善短缺药品监测网络和信息直报制度，保障儿童等特殊人群用药。深化医疗服务价格改革，规范管理医疗服务价格项目，建立灵敏有度的价格动态调整机制，优化中医医疗服务价格政策。深化人事薪酬制度改革，落实医疗卫生机构内部分配自主权，建立主要体现岗位职责和知识价值的薪酬体系。
健全医疗卫生综合监管制度。建立健全机构自治、行业自律、政府监管、社会监督相结合的医疗卫生综合监督管理体系，加强对服务要素准入、质量安全、公共卫生、机构运行、医疗保障基金、健康养老、托育服务和健康产业等的监管。积极培育医疗卫生行业组织，在制定行业管理规范和技术标准、规范执业行为、维护行业信誉、调解处理服务纠纷等方面更好发挥作用。提升卫生健康监督执法能力。构建更为严密的医疗卫生机构安全生产责任体系，加强医疗卫生机构危险化学品使用管理，落实医疗卫生机构消防安全管理责任，深入开展从业人员消防安全教育培训。
(二)强化卫生健康人才队伍建设。强化医教协同，推进以胜任力为导向的教育教学改革，优化医学专业结构。完善毕业后医学教育制度，支持新进医疗岗位的本科及以上学历临床医师均接受住院医师规范化培训。健全继续医学教育制度。强化基层人才队伍建设，加强全科医生临床培养培训，深入实施全科医生特岗计划、农村订单定向医学生免费培养和助理全科医生培训，有条件的地区探索实施“县聘乡用、乡聘村用”。开发退休医务人员人力资源，支持城市二级以上医院在职或退休医师到乡村医疗卫生机构多点执业或开办诊所。加强乡村卫生人才在岗培训和继续教育。加强疾控骨干人才队伍建设，提升现场流行病学调查等核心能力。完善公共卫生人员准入、使用和考核评价等机制。加强职业卫生复合型人才培养。加强药师队伍建设和配备使用。改革完善医务人员评价机制，坚持分层分类评价，突出品德能力业绩导向，增加临床工作数量和质量指标，探索试行成果代表作制度，淡化论文数量要求。
(三)加快卫生健康科技创新。推进医学科技创新体系的核心基地建设。新布局一批国家临床医学研究中心，形成覆盖全国的协同研究网络。加强疾病防控和公共卫生科研攻关体系与能力建设，汇聚力量协同开展重大传染病防控全链条研究。面向人民生命健康，开展卫生健康领域科技体制改革试点，启动卫生健康领域科技创新2030—重大项目、“十四五”重点研发计划等国家科技计划，实施“脑科学与类脑研究”等重大项目以及“常见多发病防治研究”、“生育健康及妇女儿童健康保障”等重点专项。健全涉及人的医学研究管理制度，规范生物医学新技术临床研究与转化应用管理。加快推广应用适合基层和边远地区的适宜医疗卫生技术。完善审批程序，加强实验室生物安全管理，强化运行评估和监管。完善高级别病原微生物实验室运行评价和保障体系，完善国家病原微生物菌(毒)种和实验细胞等可培养物保藏体系。
(四)促进全民健康信息联通应用。落实医疗卫生机构信息化建设标准与规范。依托实体医疗机构建设互联网医院，为签约服务重点人群和重点随访患者提供远程监测和远程治疗，推动构建覆盖诊前、诊中、诊后的线上线下一体化医疗服务模式。支持医疗联合体运用互联网技术便捷开展预约诊疗、双向转诊、远程医疗等服务。优化“互联网+”签约服务，全面对接居民电子健康档案、电子病历，逐步接入更广泛的健康数据，为签约居民在线提供健康咨询、预约转诊、慢性病随访、健康管理、延伸处方等服务。推动“互联网+慢性病(糖尿病、高血压)管理”，实现慢性病在线复诊、处方流转、医保结算和药品配送。推广应用人工智能、大数据、第五代移动通信(5G)、区块链、物联网等新兴信息技术，实现智能医疗服务、个人健康实时监测与评估、疾病预警、慢病筛查等。指导医疗机构合理保留传统服务方式，着力解决老年人等群体运用智能技术困难的问题。构建权威统一、互联互通的全民健康信息平台，完善全民健康信息核心数据库，推进各级各类医疗卫生机构统一接入和数据共享。探索建立卫生健康、医疗保障、药监等部门信息共享机制，通过全国一体化政务服务平台，实现跨地区、跨部门数据共享。研究制定数据开放清单，开展政府医疗健康数据授权运营试点。严格规范公民健康信息管理使用，强化数据资源全生命周期安全保护。
(五)完善卫生健康法治体系。贯彻落实基本医疗卫生与健康促进法，加快推动传染病防治法、突发公共卫生事件应对法、职业病防治法、中医药传统知识保护条例等法律法规的制修订工作，构建系统完备的卫生健康法律体系。加快完善医疗卫生技术标准体系，针对“互联网+医疗健康”等新业态加快标准制修订。加强普法宣传。持续深化卫生健康领域“放管服”改革。
(6) Strengthen exchanges and cooperation.
Promote international cooperation in the field of health in an all-round way, and promote the building of a community of human health.
Improve the policy dialogue and cooperation mechanism, and deeply participate in the research, negotiation and formulation of relevant international standards, norms and guidelines.
Improve cross-border health emergency communication and coordination mechanisms.
Improve my country's participation in the response mechanism for major international public health emergencies.
Deepen international exchanges and cooperation in the field of traditional Chinese medicine.
Promote the "Belt and Road" health cooperation, and promote the construction of a healthy Silk Road.
Innovative models of health development assistance and cooperation.
Deepen health exchanges and cooperation with Hong Kong, Macao and Taiwan regions.
10. Strengthen the organization and implementation
(1) Strengthen organizational leadership.
Strengthen the party's leadership over health work, strengthen government responsibilities, improve departmental coordination mechanisms, refine and improve policies and measures in a timely manner, improve national health policies, and promote the implementation of various tasks.
Accelerate the establishment of a health impact assessment and evaluation system, promote the highlighting of health target indicators in economic and social development planning, favor health in the formulation and implementation of public policies, and give priority to the allocation of public resources to meet the needs of healthy development.
(2) Mobilize all parties to participate.
Strengthen cross-departmental collaboration, give play to the role of trade unions, Communist Youth League, Women's Federation, Disabled Persons' Federation, Family Planning Association and other mass organizations and other social organizations, mobilize the enthusiasm and creativity of enterprises (institutions), schools, villages (communities), and encourage relevant industries Societies, associations, etc. give full play to their professional advantages, incorporate health work into grass-roots governance, and guide the masses to take the initiative to implement the main responsibility of health and practice a healthy lifestyle.
(3) Do a good job of publicity and guidance.
Give full play to the pioneering spirit of the grassroots, and encourage local governments to actively explore and innovate in light of their actual conditions.
Summarize and promote good local experiences and practices in a timely manner, and play a leading role in demonstration.
Actively publicize relevant policies and measures to promote the construction of a healthy China, do a good job in information release, and strengthen positive publicity and typical reports.
Strengthen public opinion guidance and respond to social concerns in a timely manner.
(4) Strengthen monitoring and evaluation.
Improve the health planning system and strengthen the connection between different levels of planning.
All relevant departments should strengthen the guidance to the localities.
Establish and improve the monitoring and evaluation mechanism for planning implementation, strengthen monitoring and evaluation capacity building, conduct annual monitoring and mid-term and final evaluation of planning implementation, and timely discover and coordinate research and solve problems in implementation.