"The 13th Five-Year Plan" Deepens the Reform of the Medical and Health System

In order to comprehensively deepen the reform of the pharmaceutical and health system and advance the construction of healthy China, the "13th Five-Year Plan for National Economic and Social Development of the People's Republic of China", "Opinions of the CPC Central Committee and State Council on Deepening the Reform of the Medical and Health System," and "Health China's 2030 "planning outline" to prepare this plan.

First, planning background

Since the 12th Five-Year Plan, especially since the party’s 18th National Congress, under the strong leadership of the CPC Central Committee and the State Council, all regions and relevant departments have solidly promoted all aspects of medical reform work, and have made significant progress and significant results. The national health insurance system has been speeded up, the basic medical insurance participation rate has remained above 95%, the urban and rural residents’ medical insurance system has been gradually integrated, the level of funding and protection has been further improved, urban and rural residents have been seriously illed, medical care for major diseases, and emergency medical assistance have been fully promoted. Health insurance develops rapidly. The comprehensive reform of county-level public hospitals was fully implemented, the pilots for comprehensive reform of urban public hospitals continued to deepen, the reform of medical services and drug prices proceeded in an orderly manner, and the management system and operating mechanism of public hospitals continued to improve. The construction of grading diagnosis and treatment system was accelerated, the comprehensive reform of primary health care institutions continued to deepen, the division of labor and medical institutions gradually strengthened, and the equalization of basic public health services improved steadily. The national essential medicine system has been consummated and improved. The reform in the field of pharmaceutical circulation has been continuously strengthened and the drug supply security system has been gradually improved. The cooperation between doctors and teachers deepened the reform of the cultivation of clinical medicine personnel. The standardized training system for residents was initially established. The construction of a contingent of talents focusing on general practitioners was continuously strengthened, and the enthusiasm of medical personnel was further mobilized. The medical and health supervision continued to be strengthened and information construction was actively promoted. The policy mechanism for the development of Chinese medicine has been gradually perfected, and its role has been better played. The effect of Huimin has been further amplified. The policy environment of the health service industry has been significantly improved, and the community has been accelerating the development of medical services. The implementation of comprehensive medical reform pilots in provincial units has accumulated useful experience. Through hard work, the average life expectancy per capita of residents in 2015 has increased by 1.51 years compared with 2010. The proportion of personal health expenditure to total health expenditure has dropped from 35.29% to 29.27%. More than 80% of residents have been able to reach the nearest medical point within 15 minutes. The level is generally better than the average level of high- and middle-income countries. The trend of irrational and unreasonable growth of medical expenses has been initially contained, and the fairness and accessibility of basic medical and health services have been significantly improved. Practice has proved that deepening the direction of medical reform is correct, the path is clear, measures are effective, and results are significant. With relatively low input, high health outcomes have been achieved. People have difficulty seeing the doctor and expensive medical problems have been relieved. The sense of obtaining is continuously enhanced, and medical reform is deepened in the country. The important role in economic and social development has become increasingly apparent.

The “13th Five-Year Plan” period is the decisive stage for China’s building a well-off society in an all-round way. It is also a crucial period for establishing and improving a basic medical and health system and promoting the construction of a healthy China. At present, the people’s living standards are continuously improving and health needs are increasing. However, the lack of total health resources, unreasonable structure, unbalanced distribution, relatively monolithic supply actors, and weak grassroots service capabilities are still prominent issues in maintaining and promoting people’s health. The system still needs continuous improvement. In particular, with the improvement of medical advancement into tougher periods and deep water areas, the contradictions of deep-level institutional mechanisms have become increasingly prominent. The adjustment of interest structures has become more complex, and the overall, systemic, and collaborative nature of reforms has been significantly enhanced, and the tasks have become more arduous. At the same time, China’s economic development has entered a new normal, and the accelerated process of industrialization, urbanization, and population aging, as well as changes in the spectrum of diseases, changes in the ecological environment and lifestyle, and innovations in medical technology, have all put forward higher requirements for deepening medical reform. Faced with new situations and challenges, we must further consolidate our thinking, strengthen our convictions, and strengthen our efforts to further strengthen organizational leadership, institutional innovation, and key breakthroughs on the basis of consolidating the results of previous reforms and conscientiously summing up experiences so as to promote the reform of health care. Turning to upgrading quality, shifting from the formation of frameworks to institutional building, from individual breakthroughs to system integration and comprehensive advancement, using the Chinese-style approach to solve the world's problems in health care reform, will add new impetus to safeguarding people's health and promoting economic and social development.

Second, guiding ideology, basic principles and main objectives

(a) The guiding ideology. Holding high the great banner of socialism with Chinese characteristics, fully implementing the spirit of the 18th Congress of the Party and the 3rd, 4th, 5th and 6th Plenary Sessions of the Party, deeply studying and implementing the important speeches of General Secretary Xi Jinping's series of speeches, and closely focusing on the overall planning The "Five in One" overall layout and coordinated promotion of the "four comprehensive" strategic layout, conscientiously implement the Party Central Committee, the State Council decision-making and deployment, firmly establish and implement the development concept of innovation, coordination, green, open, and shared, adhere to the people-centered Develop ideas, adhere to the correct principles of health and health work, establish the concept of great health, and fully promote theoretical innovation, institutional innovation, management innovation, and technological innovation in the field of health and health, accelerate the establishment of a basic medical and health system in line with national conditions, and realize development methods. Medical care is centered on the transformation of health as the center, and modernization of medical and health governance systems and governance capabilities is promoted. It is provided to advance the construction of healthy China, build a well-off society in an all-round way, realize the goal of “two hundred years”, and provide the Chinese nation with a great rejuvenation of the Chinese dream. Solid foundation.