Implementation Plan for the Construction of a High-Quality and Efficient Medical and Health Service System during the 14th Five-Year Plan Period

　  On July 1, the National Development and Reform Commission issued the "Implementation Plan for the Construction of a High-Quality and Efficient Medical and Health Service System during the 14th Five-Year Plan Period," aiming to accelerate the construction of a strong public health system, promote the expansion and regional balanced layout of high-quality medical resources, improve the ability to provide comprehensive and life-cycle health services and guarantees, and promote the inheritance and innovation of Traditional Chinese Medicine (TCM).

       The plan points out that by 2025, with the joint efforts of the central and local governments, a high-quality and efficient integrated medical and health service system will be basically established. This system will be complete, reasonably laid out, with clear division of labor, complementary functions, close cooperation, high efficiency, and resilience. The capacity for major epidemic prevention and control and treatment, as well as response to public health emergencies, will be significantly improved. Significant progress will be made in the construction of major bases such as national medical centers and regional medical centers. The capacity for comprehensive and life-cycle health services and guarantees will be significantly enhanced, and the TCM service system will be further improved. Efforts will be made to ensure that the vast majority of people can enjoy equitable, accessible, systematic, and continuous high-quality medical and health services nearby.

 

　　Appendix: Full text of the "Implementation Plan for the Construction of a High-Quality and Efficient Medical and Health Service System during the 14th Five-Year Plan Period"

 

　　Since the 13th Five-Year Plan period, in accordance with the requirements of implementing the Healthy China strategy, the central and local governments have continuously increased their investment, focusing on strengthening the foundation, making up for shortcomings, and optimizing the layout. The medical and health service system has been continuously improved, the fairness and accessibility of basic medical and health services have been continuously improved, it has withstood the test of the COVID-19 epidemic, people's health levels have continued to improve, and it has provided a solid guarantee for the comprehensive completion of a moderately prosperous society. During the 14th Five-Year Plan period, from the demand side, the public health security situation in China remains complex and severe. The transmission speed of sudden acute infectious diseases is fast, the scope of influence is wide, and the impact and harm are great. The burden of chronic diseases is increasing, and the onset of diseases is showing a trend of younger ages. Occupational health and mental health issues cannot be ignored. With the continuous improvement of people's living standards and the acceleration of population aging, the health needs and quality requirements of the people are continuing to grow rapidly. From the supply side, structural problems in the medical and health service system remain prominent. First, the public health system urgently needs improvement, the capacity for major epidemic prevention and control and treatment is weak, medical and prevention coordination is insufficient, and the combination of peacetime and emergency response is not close. Second, the total amount of high-quality medical resources is insufficient, the regional distribution is uneven, the modernization and informatization level of medical and health institutions' facilities and equipment is not high, and the grassroots capacity needs to be further strengthened. Third, the supply of medical and health services for key groups such as the elderly and children is insufficient, and there are obvious shortcomings in women's and children's health services, rehabilitation nursing, mental health and mental health services, and occupational disease prevention and control. Fourth, the foundation for the development of TCM is still relatively weak, its unique advantages have not been fully utilized, and a complementary pattern of TCM and Western medicine has not yet been formed.

 

　　To implement the requirements of the "Outline of the 14th Five-Year Plan for National Economic and Social Development and the Long-Range Objectives Through the Year 2035 of the People's Republic of China," the "Healthy China 2030" Planning Outline, the "Opinions of the Central Committee of the Communist Party of China and the State Council on Promoting the Inheritance and Innovation of TCM," and the "Notice on Issuing Several Policy Measures to Accelerate the Characteristic Development of TCM" issued by the General Office of the State Council, accelerate the construction of a strong public health system, promote the expansion and regional balanced layout of high-quality medical resources, improve the ability to provide comprehensive and life-cycle health services and guarantees, and promote the inheritance and innovation of TCM, this plan is formulated.

 

　　I. Overall Thinking

 

　　(I) Guiding Ideology

 

　　Guided by Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, thoroughly implementing the spirit of the 19th National Congress of the Communist Party of China and the second, third, fourth, and fifth plenary sessions of its 19th Central Committee, adhering to the new-era guiding principles for health and health work, with people's health as the center, accelerating the improvement of the quality of health and health supply and service levels, paying more attention to early prevention and medical prevention coordination, paying more attention to high-quality expansion and deep sinking, paying more attention to quality improvement and balanced layout, paying more attention to the parallel importance of TCM and Western medicine and complementary advantages, concentrating efforts to solve a number of national, cross-regional major, urgent, and difficult issues, and providing strong support for comprehensively promoting the construction of a Healthy China.

 

　　(II) Basic Principles

 

　　—— Coordinated planning and tiered responsibility. Surrounding the overall goal of Healthy China construction during the 14th Five-Year Plan period, strengthening the coordinated allocation of national medical and health resources, reasonably dividing the responsibilities of the central and local governments, with the central government focusing on ensuring the needs of public health and national and cross-regional medical service capacity construction. Local governments will coordinate and strengthen the construction of other health projects.

 

　　—— Forward-looking approach and medical prevention coordination. Focusing on more accurate and effective prevention, prioritizing public health investment, innovating medical prevention coordination mechanisms, and improving early monitoring, early warning, rapid testing, emergency response, and comprehensive treatment capabilities. Adhering to the parallel importance of urgent and chronic diseases, focusing on major issues affecting people's health, and making up for shortcomings in comprehensive and life-cycle health services.

 

　　—— Improving quality and promoting balance. Adhering to government leadership, strengthening the construction of public medical and health institutions, improving standards and moderately exceeding expectations, increasing the tilt towards key strategic regions, central cities, and poverty-stricken areas, and promoting the expansion and regional balanced layout of high-quality medical resources.

 

　　—— Reform and innovation with a "challenge and reward" approach. Strengthening the coordination of major infrastructure construction with major strategies and reforms, innovating supporting measures to ensure the effectiveness of investment. Promoting the construction of major projects such as national medical centers and regional medical centers through the "challenge and reward" approach, concentrating efforts to carry out key medical technological breakthroughs, and leading the transformation of service system models.

 

　　—— Parallel importance of TCM and Western medicine and characteristic development. Adhering to the same planning, deployment, and implementation of TCM and Western medicine construction tasks, following the laws of TCM development, earnestly summarizing the experience and practices of TCM in the prevention and treatment of COVID-19, establishing a service system that conforms to the characteristics of TCM, better giving play to the characteristics and comparative advantages of TCM, and promoting the mutual supplementation and coordinated development of TCM and Western medicine.

 

　　(III) Construction Objectives

 

　　By 2025, with the joint efforts of the central and local governments, a high-quality and efficient integrated medical and health service system will be basically established. This system will be complete, reasonably laid out, with clear division of labor, complementary functions, close cooperation, high efficiency, and resilience. The capacity for major epidemic prevention and control and treatment, as well as response to public health emergencies, will be significantly improved. Significant progress will be made in the construction of major bases such as national medical centers and regional medical centers. The capacity for comprehensive and life-cycle health services and guarantees will be significantly enhanced, and the TCM service system will be further improved. Efforts will be made to ensure that the vast majority of people can enjoy equitable, accessible, systematic, and continuous high-quality medical and health services nearby.

 

　　II. Project for Enhancing Public Health Prevention, Control, and Treatment Capabilities

 

　　Central budgetary investment will prioritize support for the construction of disease prevention and control systems, national major infectious disease prevention and control bases, and national emergency medical rescue bases. It will also promote local governments to strengthen the capacity of local disease prevention and control institutions, the public health capabilities of medical institutions, the grassroots public health system, and the health supervision system, and to improve a strong public health system based on disease control institutions and various specialized disease prevention and control institutions, supported by comprehensive medical institutions, and with grassroots medical and health institutions as the foundation, combining prevention and treatment.

 

　　(I) Construction of a Modernized Disease Prevention and Control System

 

　　1.Construction Objectives

 

　　Accelerate the construction of standardized infrastructure for disease prevention and control institutions, ensuring interconnectivity with medical institutions of all levels and types within the region, to meet the needs of public health emergencies and major disease prevention and control under the new situation. National and key regional disease prevention and control institutions should have the ability to definitively detect new and emerging infectious disease pathogens and health hazards, as well as the ability to handle major and serious public health events. Provincial-level disease control institutions should, in principle, have laboratories that meet biosafety level 3 standards and possess the ability to definitively detect common and frequently occurring infectious disease pathogens, health hazards, and conduct emergency response within the province. City-level disease control institutions should have laboratories that meet biosafety level 2 standards and have the ability to test and detect common infectious disease pathogens, health hazards, and implement national health standards. County-level disease control institutions should meet relevant construction standards.

 

　　2.Construction Tasks

 

　　First, strengthen the construction of the Chinese Center for Disease Control and Prevention (CDC), upgrading and renovating the National Collection Center for Bacteria and Viruses and the high-level biosafety laboratory. Second, relying on high-level provincial CDCs, build several national regional public health centers, strengthening the construction of office buildings, pathogen microbial resource preservation platforms, major epidemic confirmation laboratories, key laboratories for food safety risk assessment, highly toxic and easily manufactured chemical and explosive chemical warehouses and their testing laboratories, talent training bases, etc., equipping mobile biosafety level 3 laboratories, and establishing national-level prevention and control technology reserve centers for diseases that have been or are about to be eliminated. Third, following the principle of filling gaps, make up for the shortcomings in infrastructure and laboratory equipment configuration of CDCs at all levels.

 

　　3.Supporting Measures

 

　　Local governments should establish a stable investment mechanism for public health undertakings, optimize and adjust the structure of fiscal expenditures, coordinate various funding channels, and effectively strengthen the capacity building of CDCs in their respective regions. They should implement the reform tasks of the disease prevention and control system, strengthen the construction of the CDC talent team, improve the proportion of professional and technical personnel, and improve the training, access, use, treatment guarantee, assessment, and incentive mechanisms for public health (including health supervision) and health engineering personnel, innovate medical and prevention collaboration, and achieve personnel connectivity, information connectivity, and resource connectivity. Deepen the development of the Patriotic Health Campaign and innovate the collaborative working mechanism between CDCs and urban and rural communities.

 

　　(II) Construction of National Major Infectious Disease Prevention and Control Bases

 

　　1.Construction Objectives

 

　　For major infectious diseases such as respiratory system diseases, in key areas such as megacities and national central cities, relying on high-level comprehensive medical institutions, the construction of national major infectious disease prevention and control bases will be planned. These bases will have the capacity to concentrate and treat a large number of critically ill patients during outbreaks of clustered epidemics, be able to provide assistance to other severely affected areas at the first instance as required by the state, undertake the training tasks for major epidemic treatment within their region, and manage or guide local infectious disease hospitals to improve their comprehensive treatment capabilities, raising China's major infectious disease prevention and control capabilities to a new level.

 

　　2.Construction Tasks

 

　　Select comprehensive medical institutions with prominent specialized capabilities in respiratory and infectious diseases and leading "medical, teaching, research, and prevention" capabilities. Following the principle of combining peacetime and emergency situations, further transform and upgrade infectious disease prevention and control facilities, construct a sufficient number of negative pressure wards, convertible intensive care units, and convertible hospital (ward) areas. Strengthen the construction of facilities such as infectious disease autopsy rooms, clinical teaching rooms, and emergency material reserve spaces. Equip medical equipment such as ventilators, extracorporeal membrane oxygenation (ECMO), mobile CT, and infectious disease isolation and transfer devices. Where conditions permit, mobile biosafety level 3 laboratories and mobile nucleic acid testing laboratories can be equipped. Strengthen the construction of collaborative capabilities between Chinese and Western medicine.

 

　　3.Supporting Measures

 

　　Relevant local governments should regard national major infectious disease prevention and control bases as important urban infrastructure and major livelihood projects, providing positive support in terms of project site selection, construction investment, equipment access, research platforms, and talent teams. Actively guide medical institutions, CDCs, infectious disease specialized hospitals, universities, and research institutions to strengthen cooperation and explore innovative mechanisms for medical, teaching, research, and prevention collaboration. Comprehensively strengthen the construction of fever clinics in medical institutions and infectious disease departments in secondary and above comprehensive hospitals, and improve the capacity of grassroots infectious disease prevention and control.

 

　　(III) Construction of National Emergency Medical Rescue Bases

 

　　1.Construction Objectives

 

　　In response to major emergencies such as natural disasters and accidental disasters, relying on medical institutions with a good working foundation, upgrade and renovate them. Nationwide, national emergency medical rescue bases will be built at the provincial level, improving the comprehensive functions of emergency medical rescue training, drills, education, and research. These bases will have the capabilities of three-dimensional transportation of a large number of injured people, centralized treatment, rescue material guarantee, and information command connectivity, comprehensively improving China's emergency medical rescue level for emergencies.

 

　　2.Construction Tasks

 

　　Strengthen the construction of facilities such as trauma wards, intensive care units, and trauma resuscitation units, as well as the transformation and upgrading of in-hospital venues such as injured person access channels and secondary triage areas. In response to the needs of sea (water), land, air, and snow-covered areas, strengthen the capacity for rescue material reserve and distribution and the construction of specialized facilities and equipment. Combine the actual configuration of information connectivity and command equipment, mobile operating rooms, mobile CT, and helicopter landing pads. Strengthen the construction of platforms for personnel training, simulation drills, technological research and development, and information management.

 

　　3.Supporting Measures

 

　　Local governments should strengthen the guarantee of construction investment, operation and maintenance, and on-site disposal funds for national emergency medical rescue bases. Establish a leading group for base construction management, formulate and implement regulations such as base facilities and equipment management plans, personnel team construction and management plans, personnel training and drill plans, base construction assessment plans, and emergency response plans for different disaster scenarios, and comply with national unified allocation and arrangements. Simultaneously strengthen the construction of emergency medical rescue and emergency medical systems, optimize the layout of pre-hospital emergency networks, and improve blood collection and supply capabilities.

 

　　III. High-Quality Development Project for Public Hospitals

 

　　Central budgetary investment will prioritize support for the construction of national medical centers and regional medical centers, promote the expansion and sinking of high-quality medical resources in provinces, support the upgrading and expansion of county-level hospitals in poverty-stricken areas, the three regions and three prefectures, the central Soviet areas, and areas where people have been relocated due to poverty alleviation, accelerate the construction of digital health infrastructure, promote the construction of a health and medical big data system, expand the radiation coverage of high-quality medical resources, further narrow the gap between regions and urban and rural areas, and better meet the needs of the masses to enjoy high-level medical services nearby. TCM hospitals will be included in major construction projects such as national medical centers and regional medical centers. Local governments should effectively fulfill their main responsibilities for the construction of public medical institutions, accelerate the construction of city and county-level hospitals that are not included in the scope of support from central budgetary investment, comprehensively promote the construction of community hospitals and primary-level medical and health institutions, and strive to ensure that each prefecture-level city has a tertiary Grade A hospital, and that counties with a population of over 1 million have county-level hospitals that meet the hardware facilities and service capabilities of city-level tertiary hospitals.

 

　　(I) Construction of National Medical Centers

 

　　1.Construction Objectives

 

　　Following the working approach of "announcing the challenge and selecting the best," relying on hospitals with prominent medical capabilities, strong influence, and high enthusiasm, and focusing on issues of overall and long-term importance to people's health, several national medical centers will be built. These centers will form a number of peaks in medical research, high grounds for results transformation, talent training bases, and data aggregation platforms, concentrating efforts on core technological breakthroughs, promoting the transformation of clinical research results, and accelerating the solution of a number ofmedicinesmedical equipment, vaccines, and medical data, addressing "bottleneck" problems.

 

　　2.Construction Tasks

 

　　Improve the facilities and equipment of major medical research platforms such as national key laboratories. Construct high-standard, international, and open clinical research transformation platforms and innovative technology incubation bases for drugs,medical devicesequipment, and vaccines. Strengthen teaching and training applications, and build a world-class core talent training base. Improve clinical diagnosis and treatment infrastructure conditions, and appropriately pre-configure large medical equipment. Deeply apply 5G, artificial intelligence, and other technologies to build an internationally advanced smart hospital and construct a major disease data center. Promote the interconnection, mutual recognition, sharing, terminology standardization, and data integration management of cross-regional and cross-institutional information systems, and construct major disease databases and big data analysis systems.

 

　　3.Supporting Measures

 

　　Optimize the innovation and transfer and transformation environment for scientific and technological achievements in national medical centers, and encourage national medical centers, research institutes, universities, and well-knownenterprisesStrengthen cooperation among various innovative entities to jointly carry out clinical research and development, as well as the application and promotion of achievements. Relax the innovative application policies of national medical centers and encourage the priority clinical trials of new drugs for treating critical and severe illnesses at national medical centers. Support national medical centers in pioneering pilot programs in aspects such as medical service prices, medical insurance payment, personnel and salary systems, profit distribution, and the research and development and listing of new drugs (medical devices).

 

　　(II) Regional Medical Center Construction

 

　　1.Construction Objectives

 

　　Based on the implementation of the "Pilot Program for Regional Medical Center Construction," further analyze the incidence and regional and population distribution of major diseases in China, and further expand the construction areas and output of regional medical centers.Hospitalsand specialties, simultaneously including high-level hospitals undertaking output tasks into the construction of regional medical centers. By 2023, coverage will extend to all provinces to complete national planning and layout, and by 2025, the construction of regional medical centers will be basically completed, promoting the expansion of high-quality medical resources and balanced regional layout, so that the public's critical and severe illnesses and difficult diseases can be basically resolved within the province.

 

　　2.Construction Tasks

 

　　In areas with weak high-quality medical resources, adhering to the approach of "selecting hospitals based on key diseases, selecting areas based on needs, hospital-local cooperation, and joint construction by provinces and ministries," the directional amplification of the nation's top high-quality medical resources will be achieved through the construction of high-level hospital sub-centers, Branches, and "one hospital, multiple districts." For national regional medical centers included in the setting plan, priority will be given to strengthening the construction of business premises, the purchase of medical equipment, and the construction of information and research platforms. A remote medical and education platform will be established, and the intelligent transformation and upgrading of diagnostic equipment will be accelerated. This will ensure that they possess the technical level, talent reserves, clinical teaching, and research capabilities required of output hospitals, playing a leading role in the regional medical and health service system.

 

　　3.Supporting Measures

 

　　All localities must earnestly fulfill their main responsibilities for construction, implement the construction conditions for land and planning, and reduce or exempt relevant fees, ensuring that there are no gaps in construction funds and no increase in new debt risks. Policy support should be comprehensively increased to promote management system reform and support the establishment of a sound modern hospital management system. Deepen the reform of the personnel and salary system, establish a dynamic adjustment mechanism for staffing, reasonably determine the number of positions, implement the "two allowances" requirements, and explore the establishment of a multi-channel funding guarantee and salary incentive mechanism. Improve the hospital compensation mechanism, increase investment in the development of key disciplines and talent cultivation, and reasonably formulate and dynamically adjust medical service Price. Encourage the use of innovative drugs and technologies, support scientific and technological innovation and achievement transformation. Encourage the introduction of commercial health insurance and develop insurance products targeting special medical needs, innovative therapies, and advanced examination and testing services.

 

　　(III) Expansion and Deepening of High-Quality Medical Resources at the Provincial Level

 

　　1.Construction Objectives

 

　　With provinces as units, integrated planning will focus on key diseases and specialties. Following the work approach of "joint construction by provinces and cities, grid layout, and balanced allocation," high-quality medical resources within the province will be expanded and extended to the people by guiding hospitals in the central urban areas of provincial capitals and super (special) large cities to alleviate pressure on resource-poor areas and strengthening the construction of existing hospitals in prefecture-level cities. Approximately 120 provincial regional medical centers will be selected and constructed to form high grounds for high-quality medical services, medical research, and talent cultivation within the province that have strong leading and radiating driving effects, significantly narrowing the gap in the diagnosis and treatment level of key diseases with provincial capital cities. Strengthen the construction of county-level hospitals in poverty-stricken areas, "Three Regions and Three States," Central Soviet Areas, and areas where relocation due to poverty alleviation has taken place, introducing high-quality medical resources at the provincial level to improve the comprehensive medical service capabilities for infectious diseases, children, and other areas.

 

　　2.Construction Tasks

 

　　Support provincial regional medical centers in carrying out the necessary renovation and expansion of business premises, improving the diagnosis and treatment environment and service facilities, increasing equipment and facilities for disease prevention and health care, research, and training of general practitioners, making them match the tasks they undertake in medical care, teaching, research, and public health, reasonably raising construction standards, and reserving space and conditions for expanding the capacity to respond to emergencies and comprehensive treatment when necessary. Improve the level of large equipment configuration, strengthen the construction of smart hospitals, guarantee the needs of remote medical care, optimize service processes, and improve the medical experience. Support county-level hospitals in poverty-stricken areas, "Three Regions and Three States," Central Soviet Areas, and areas where relocation due to poverty alleviation has taken place to upgrade and expand their capacity, improving the business premises of fever clinics, emergency departments, inpatient departments, and medical technology departments, and improving the configuration of medical, information, and medical vehicles, as well as parking, medical waste, and sewage treatment, and other logistical support facilities to improve the hospital's diagnosis and treatment environment. Strengthen the construction of specialized centers for chest pain, stroke, trauma, and respiration, as well as comprehensive tumor treatment centers and chronic disease management centers.

 

　　3.Supporting Measures

 

　　All localities must earnestly implement their responsibilities for investment in the construction of grassroots medical and health institutions such as township health centers (Community health service centers) and village clinics, comprehensively improving the capabilities of grassroots public health, general practice, and Traditional Chinese Medicine.medicinedevelopment foundation and construction conditions, and carry out construction according to local conditions, basically achieving full coverage of county-run Traditional Chinese Medicine medical institutions. Strengthen the construction of county-level medical consortia, encourage the use of county-level hospitals to build open and shared centers for imaging, electrocardiography, pathological diagnosis, and medical testing, strengthen the configuration of remote medical care and information equipment, connect with high-level provincial and municipal hospitals, and connect with grassroots medical and health institutions. County-level emergency centers should be built based on county-level hospitals, and a sound county-level 120 emergency rescue network should be established based on township health centers with conditions. Strengthen the construction of blood stations at all levels and improve the ability of emergency blood supply coordination. Integrated strengthening of the construction of prefecture-level hospitals, the layout of general practitioner clinical systems, striving to ensure that provincial capital cities, prefecture-level cities with relatively large resident populations, and counties all have mental specialty hospitals or comprehensive hospital mental specialties. Counties with a resident population exceeding 300,000 will have at least one county-level public hospital with a psychiatric ward; counties with a resident population of less than 300,000 will have at least one county-level public hospital with a psychiatric and psychological clinic; and Community health service centers and township health centers will have the capacity for mental (psychological) health services.

 

　　(III) Construction of Rehabilitation Medical "City-Hospital Linkage" Projects

 

　　With prefecture-level cities as units, "city-hospital linkage" projects will be implemented. Through the guidance of central budgetary investment, local and social forces will be mobilized to support regions with abundant medical resources in revitalizing resources. Some secondary hospitals of a certain scale with low bed utilization rates will be transformed and rebuilt into rehabilitation medical institutions and nursing hospitals/centers. Simultaneously, the policy package for land, finance and taxation, Price, medical insurance payment, and personnel will be improved. The focus will be on providing affordable medical rehabilitation and medical nursing services for patients with major illnesses such as neurological and traumatic conditions after the acute phase, the elderly with disabilities and dementia, and patients in hospice care. This will explore effective paths for establishing a rehabilitation and nursing system that meets the needs of the people.

 

　　V. Promoting the Inheritance and Innovation Project of Traditional Chinese Medicine

 

　　Central budgetary investment will primarily support the construction of national centers for Traditional Chinese Medicine, regional Traditional Chinese Medicine medical centers, national centers for the inheritance and innovation of Traditional Chinese Medicine, national bases for the prevention and control of Traditional Chinese Medicine epidemics, integrated Chinese and Western medicine "flagship" hospitals, key hospitals with Traditional Chinese Medicine characteristics, and famous doctors' clinics. The construction of a national Traditional Chinese Medicine museum will be actively planned to give full play to the advantages of Traditional Chinese Medicine's holistic medicine, promoting the establishment of a Traditional Chinese Medicine service system that integrates disease prevention and health care, disease treatment, and rehabilitation, and promoting the inheritance and innovation of Traditional Chinese Medicine.

 

　　(I) Construction of National Centers for the Inheritance and Innovation of Traditional Chinese Medicine

 

　　1.Construction Objectives

 

　　Construct about 30 national centers for the inheritance and innovation of Traditional Chinese Medicine, focusing on improving the capabilities of basic research in Traditional Chinese Medicine, diagnosis and treatment of advantageous diseases, high-level talent cultivation, Traditional Chinese Medicine equipment and the research and development of new Traditional Chinese Medicine drugs, and the transformation of scientific and technological achievements, creating a high ground for the inheritance and innovation of Traditional Chinese Medicine where medical treatment, production, education, research, and application are closely integrated.

 

　　2.Construction Tasks

 

　　Relying on provincial-level and above TCM medical institutions and TCM research institutes, we will adopt a merit-based selection system. We will strengthen the construction of TCM research-oriented outpatient clinics and wards, basic medical research centers, bioinformation resource banks, evidence-based research centers, ancient books excavation and application information banks, research centers for the development of characteristic preparations and TCM, industrial innovation cooperation platforms, and talent training bases, etc. We will enhance the research and information technology equipment to reach the advanced level of the industry, overcome a number of key technologies for the prevention and treatment of advantageous diseases, transform a number of new TCM drugs and characteristic TCM equipment, and form a number of high-level expert consensus, treatment plans, and standard guidelines.

 

　　3.Supporting Measures

 

　　Local governments should increase their support for the construction of national TCM inheritance and innovation centers in terms of land use, construction investment, operating funds, equipment access, and personnel teams. They should establish new mechanisms in terms of operation and management, job assignments, talent recruitment, fund use, salary and performance distribution, and professional title promotion, allowing national TCM inheritance and innovation centers to have independent professional title appraisal rights for scientific research personnel. They should increase support for national TCM inheritance and innovation centers in provincial-level scientific research projects.

 

　　(II) Construction of National TCM Epidemic Prevention and Control Bases

 

　　1.Construction Objectives

 

　　Following the principle of "combining peacetime and emergency preparedness, efficient preparation, combining specialized and part-time personnel, reasonable layout, coordinated linkage, and rapid response," we will build about 35 national TCM epidemic prevention and control bases covering all provinces to improve the ability of TCM to respond quickly and participate in the treatment of major public health events such as newly emerging and re-emerging infectious diseases, and the ability to concentrate on the treatment of critically ill patients, thereby driving the improvement of TCM epidemic prevention and control capabilities in the region.

 

　　2.Construction Tasks

 

　　We will strengthen the capacity building of departments with TCM characteristics, such as pulmonology, emergency medicine, infectious diseases, and critical care medicine, as well as epidemic prevention and control teams. We will build a scientific research support platform for TCM epidemic prevention and control. We will build convertible infectious disease wards, convertible ICUs, biosafety level 2 and above laboratories, and medical waste disposal facilities, and equip them with ventilators, extracorporeal membrane oxygenation (ECMO), mobile CT, cardiopulmonary resuscitation, and other critical care and rescue equipment. We will also prepare necessary negative-pressure ambulances, mobile TCM pharmacies, and other mobile equipment, and prepare medical protective materials and medicines.

 

　　3.Supporting Measures

 

　　Local governments should increase their support for the construction of national TCM epidemic prevention and control bases in terms of land use, construction investment, operating funds, equipment access, material reserves, personnel teams, and scientific research platforms. They should establish new mechanisms in terms of operation and management, team drills, and fund use. They should establish a coordinated linkage mechanism, give full play to the role of the bases in dispatching experts and formulating technical plans, ensure participation in infectious disease prevention and control and emergency public health events at the first time, and deeply participate in the entire process of prevention, treatment, and rehabilitation.

 

　　(III) Construction of Integrated TCM and Western Medicine "Flagship" Hospitals

 

　　1.Construction Objectives

 

　　We will build about 50 integrated TCM and Western medicine "flagship" hospitals and vigorously promote the integrated TCM and Western medicine medical model that is "mechanistic, team-based, measure-based, and effective." We will strengthen the TCM capacity building of clinical departments, establish inter-departmental, inter-hospital, and intra-medical consortium cooperation mechanisms, build integrated TCM and Western medicine teams, promote the establishment of a multidisciplinary diagnostic and treatment system for integrated TCM and Western medicine, become the center for integrated TCM and Western medicine diagnosis and treatment of major and difficult diseases nationwide, talent training, and medical model promotion, and play a leading role in the development of integrated TCM and Western medicine in the region and even the country.

 

　　2.Construction Tasks

 

　　Relying on comprehensive hospitals, specialized hospitals, infectious disease hospitals, maternal and child health hospitals, and integrated TCM and Western medicine hospitals, we will carry out selection and construction, improve business premises, optimize functional layout, and strengthen the construction of TCM wards, TCM pharmacies, TCM preparation rooms, integrated TCM treatment areas, TCM rehabilitation treatment areas, TCM experience inheritance studios, and integrated TCM and Western medicine clinical research centers, and strengthen the configuration of TCM characteristic diagnostic equipment.

 

　　3.Supporting Measures

 

　　Local governments should formulate relevant incentive policies in terms of medical service Price, medical insurance payment, personnel salaries, TCM preparations, and the application of TCM techniques, support the establishment of regional integrated TCM and Western medicine medical consortia, and include the practice and effects of integrated TCM and Western medicine medical care in hospital grading evaluation and performance appraisal work. They should include the establishment of integrated TCM and Western medicine mechanisms and multidisciplinary diagnostic and treatment systems in hospital charters, include joint TCM and Western medicine ward rounds and consultations in hospital management systems, equip major clinical departments with TCM physicians, and build integrated TCM and Western medicine teams.

 

　　(IV) Construction of TCM Characteristic Key Hospitals

 

　　1.Construction Objectives

 

　　We will select about 130 key TCM hospitals at the prefecture-level that have prominent TCM characteristics, significant clinical efficacy, and significant demonstration and leading roles. Focusing on advantageous diseases such as cardiovascular and cerebrovascular diseases, tumors, bone injuries, gynecology, pediatrics, and rehabilitation, we will cultivate famous departments, famous doctors, and famous medicines, improve and strengthen a number of TCM advantageous specialties, cultivate a number of academic leaders and backbone personnel, promote the development and application of a number of TCM preparations, and accelerate the expansion and balanced layout of high-quality TCM medical resources within the province.

 

　　2.Construction Tasks

 

　　We will strengthen the construction of TCM advantageous specialties, improve business premises, optimize functional layout, strengthen the configuration of facilities and equipment, strengthen the construction of integrated TCM treatment areas (rooms), disease prevention and rehabilitation service areas, provide a full-chain TCM service integrating prevention, treatment, and rehabilitation, and improve TCM diagnostic capabilities and clinical efficacy. We will build studios for the inheritance of famous old TCM doctors and clinical teaching, simulation training, etc., strengthen TCM apprenticeship education, and accelerate the cultivation of TCM academic leaders and technical backbones. We will improve the basic conditions of TCM pharmacies, strengthen the construction of TCM preparation rooms and regional TCM preparation centers, and promote the application of TCM preparations in medical institutions.

 

　　3.Supporting Measures

 

　　Local governments should increase their support for TCM characteristic key hospitals in terms of basic construction, equipment purchase, development of key disciplines, and talent cultivation. They should give full play to the leading role of central budgetary investment and local government guidance, implement preferential policies on TCM service Price and medical insurance payment, and encourage the formulation of more flexible policies in terms of talent, TCM preparations, and the application of TCM techniques. They should support the development of "Internet + medical and health" services to improve the accessibility and overall efficiency of TCM characteristic medical resources.

 

　　(V) Famous Doctor Hall Project

 

　　Relying on advantageous TCM institutions and teams such as the China Academy of Chinese Medical Sciences, we will innovate policy measures, give play to the demonstration and leading role, and plan and build a number of famous doctor halls at different levels to promote the entry of famous doctor teams and serve the vast number of grassroots people. We will create a replicable, sustainable, and demonstrative operating model for famous doctor halls, and according to the construction requirements of Brand, quality, standardization, and standardization, unify service standards, standardize technical operations, and ensure drug quality. We will establish and improve the information system of famous doctor halls and strengthen interconnection. We will promote the realization of "convenient access to TCM, safe use of TCM, and access to good TCM" for the people.

 

　　VI. Funding Arrangements

 

　　(I) Sources of Funds The funds needed for construction will be raised from central budgetary investment, local government funds, local government special bonds, etc. The National Development and Reform Commission, the National Health Commission, the National Administration of Traditional Chinese Medicine, and the National Center for Disease Control and Prevention will work with relevant departments to actively support local governments in strengthening the construction of a high-quality and efficient medical and health service system. Local governments should further improve policy measures, actively adjust their own fiscal expenditures and investment structure, and ensure that construction funds are in place in full.

 

　　(II) Standards for Central Budgetary Investment Central budgetary investment comprehensively considers the principles of power division, regional economic and social development levels, etc., and adopts differentiated subsidy policies for local projects. In principle, subsidies will be provided at a rate of no more than 30%, 60%, and 80% of the total investment for the eastern, central, and western regions, respectively. Regions enjoying special regional development policies will be implemented according to specific policy requirements. Central-level projects will be implemented according to relevant standards. For projects with relatively large investment needs, a maximum limit will be set for central government subsidies, as follows:

 

　　1. The maximum central budgetary investment subsidies for provincial, municipal, and county-level disease prevention and control institutions are 200 million yuan, 50 million yuan, and 10 million yuan, respectively. For provincial CDCs undertaking regional public health centers, the maximum subsidy for a single project does not exceed 300 million yuan.

 

　　2. The central budgetary investment for national medical centers is determined according to the approved amount for each project. The maximum central budgetary investment subsidies for regional medical centers, national major infectious disease prevention and control bases, and national emergency medical rescue bases are 500 million yuan, 300 million yuan, and 300 million yuan, respectively. Among them, the central budgetary investment for regional medical center projects is arranged in two phases: development and capacity building.

 

　　3. The maximum central budgetary investment subsidies for provincial regional medical center projects and county-level hospital upgrading and expansion projects are 200 million yuan and 50 million yuan, respectively. 4. The maximum central budgetary investment subsidy for provincial-level women's and children's healthcare construction projects is 200 million yuan, and for municipal-level maternal and child health institutions, it is 50 million yuan. 5. For the National Center for TCM Inheritance and Innovation in the project promoting the inheritance and innovation of TCM, the maximum central budgetary investment subsidy is 150 million yuan, and for national TCM epidemic prevention and control bases, integrated TCM and Western medicine flagship hospitals, and key TCM hospitals, the maximum is 100 million yuan. A separate work plan will be developed for the Famous Doctors' Clinic project to clarify the standards for central budgetary investment.

 

　　VII. Safeguarding Measures

 

　　(I) Implementation of Primary Responsibilities

 

　　For local projects, central budgetary investments are in the nature of subsidies. Local governments bear the primary responsibility for the construction of related projects, are responsible for carrying out preliminary project work, ensuring project construction land, reducing relevant supporting construction fees, raising project construction funds, etc., reasonably applying for investment plans, and organizing project implementation. They must effectively fulfill their primary responsibilities for investment and support in public medical and health institutions, implement construction funds through multiple channels, fully bear construction investment, implement "turnkey" projects, resolutely prevent debt construction, and reduce the economic operational pressure on medical and health institutions.

 

　　(II) Strengthening Organizational Implementation

 

　　Local governments should strengthen systematic investigation and analysis of regional health service needs, the current status and basic conditions of investment and construction, and economic and social development trends. They should coordinate local medical and health service system construction implementation plans with national economic and social development, new urbanization, health reform and development, and public health prevention and control capacity building plans and policies, doing what they can, acting according to their capabilities, being realistic and scientific in determining construction projects and standards.

 

　　(III) Strict Project Management

 

　　Local governments should effectively implement basic construction procedures, implement the project legal person responsibility system, Bidding system, project supervision system, and contract management system, ensuring quality control at every stage, including planning and design, bidding and procurement, construction, and completion acceptance. They should strictly implement relevant building technical specifications, fully consider land, energy, water, and environmental protection, and adhere to appropriate scale, functional applicability, moderate equipment, economic operation, and sustainable development. They should strengthen fund management, ensure that central funds are used for their intended purpose, and prevent embezzlement, misappropriation, and withholding. Provincial-level development and reform, health, and TCM management departments, in accordance with the relevant requirements of this implementation plan and local conditions, should establish a project reserve pool and, based on the progress of preliminary project work, construction progress, and construction period, timely include eligible projects from the project reserve pool into the online investment project approval and supervision platform (major construction project library module) and the three-year rolling investment plan, implementing dynamic management. Projects not included in the project reserve pool and the three-year rolling investment plan may not apply for annual central budgetary investment.

 

　　(IV) Strengthening Full-Process Supervision

 

　　The National Development and Reform Commission, the National Health Commission, the National Administration of Traditional Chinese Medicine, and the National Center for Disease Control and Prevention will establish and improve a vertical and horizontal linkage and collaborative supervision mechanism, using various methods such as special inspections, online supervision, and regular monitoring and evaluation, to carry out full-process supervision, including pre-event normative review, in-process strengthening of supervision, and post-event strict assessment. The results of supervision and inspection and annual evaluation will be used as an important reference for subsequent central budgetary investment arrangements. Provincial-level development and reform, health, and TCM management departments will fulfill their supervisory responsibilities according to their division of labor, regularly organize special supervision of the implementation of the plan, and rectify problems promptly. For completed projects, they should urge project units to promptly entrust third parties to conduct acceptance in accordance with relevant construction standards and specifications, and regularly summarize and report the acceptance of completed projects.

 

　　(V) Conducting Plan Evaluation

 

　　The National Development and Reform Commission and the National Health Commission will jointly organize an expert group to formulate an evaluation plan, conduct timely evaluations of the implementation plan content, promptly identify problems, summarize experience, and optimize and improve. They will fully leverage the role of third-party evaluations to enhance the objectivity, accuracy, and scientific nature of evaluation analysis.

 

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