The 19th National Congress of the Communist Party of China (CPC) made a major decision to implement the healthy China strategy, which promoted the maintenance of people's health to the height of national strategy. A new round of reform of Party and state institutions has decided to set up the national health and Health Commission. The word "health" appears in the name of national ministries and commissions for the first time, which fully demonstrates the high concern and responsibility of the Party Central Committee and the State Council for people's health. This is also an inevitable requirement for the implementation of the people-centered governance concept in the field of health.
1、 Deeply understand the rich connotation of implementing the healthy China strategy
&National health is an important symbol of a country's sustainable development ability, and health has increasingly become an important issue in the international community. Since the eighteen Party's Congress, the Central Committee of the CPC, with Comrade Xi Jinping as its core, has taken the national health as an important foundation for a well-off society in an all-round way. It emphasizes the priority of people's health in the strategic position of development, and plans to accelerate the development of &ldquo and &rdquo in China's overall economic and social development. From the Fifth Plenary Session of the 18th CPC Central Committee to the grand opening of the first national health and health conference in the new century, and from the issuance of the action program for building a healthy China, the outline of the plan for healthy China 2030, and the proposal of the 19th CPC National Congress; The guiding ideology, top-level design and implementation path of implementing the healthy China strategy should be deepened, systematized and specified step by step.
Putting people's health in the strategic position of giving priority to development is the fundamental requirement of implementing the strategy of healthy China. Our Party attaches great importance to the maintenance of people's health. In different historical periods of revolution, construction and reform, remarkable achievements have been made in the reform and development of health care, and the health level of the people has been significantly improved, which has laid a solid foundation for building a moderately prosperous society in an all-round way. Since the eighteen Party's Congress, the Party Central Committee with Comrade Xi Jinping as its core has placed a more prominent position in safeguarding people's health. It is emphasized that party committees and governments at all levels should enhance their sense of responsibility and urgency and put people's health in a strategic position of priority development as an important guarantee for the realization of &ldquo, two &rdquo of one hundred years and the objective of their struggle. &"People's health first" highlights the core value of health and health undertakings, and is the concentrated embodiment of the party's fundamental tenet and governing philosophy in the field of health. Party committees and governments at all levels should put health and health work into the overall economic and social situation, make overall plans, give priority to the development plan, give priority to the allocation of public resources, and give priority to the protection of professional personnel training, so as to continuously improve the quality, level and accessibility of health services.
The concept of "great health, great health" is the action guide to implement the strategy of healthy China. Since the 18th National Congress of the Communist Party of China (CPC), the Central Committee of the Communist Party of China (CPC) has emphasized the establishment of the concept of "great health and great health" from the perspective of the universality, sociality and integrity of health influencing factors, and strives to ensure people's health in an all-round and full cycle way. This is not only an active response to the world's healthy development trend, but also a profound revelation of the inherent law of healthy development, reflecting a new health concept. The new concept of health goes far beyond the traditional scope of disease prevention and control. It emphasizes the integration of health into all policies, and promotes the transformation from "taking treatment as the center" to "focusing on people's health". It takes health as an important consideration in formulating and implementing various public policies, and strives to minimize various health hazards.
The party's health policy in the new era is the basic principle to implement the strategy of healthy China. The policy is to manage the general situation and adapt to the health needs of the people in a certain period of time. Our party's health policy in different historical periods has played a fundamental guiding role in guiding the development of the cause. General secretary Xi Jinping, on the basis of summarizing the experience at home and abroad and scientifically analyzing the complicated situation facing the national health, put forward the party's health and health policy in the new era: “ focusing on the grass roots, taking reform and innovation as the driving force, giving priority to prevention, paying equal attention to both Chinese and Western medicine, integrating health and health into all policies, and building and sharing the people. &This policy adapts to people's health needs in the new era, and has distinctive characteristics of the times in view of prominent contradictions and problems.
Health development with Chinese characteristics is the only way to implement the strategy of healthy China. Since the founding of the people's Republic of China, especially since the reform and opening up, the health cause has made remarkable achievements, and has blazed a path of reform and development of health care with Chinese characteristics. This road mainly includes the following basic gists: first, the goal is to build a healthy country suitable for the socialist modern country by the middle of this century, and lay a healthy foundation for the great rejuvenation of the Chinese nation. This goal should be implemented step by step, and each stage should be highly consistent with and closely linked with the overall national strategy to play a supporting role. Second, it is a fundamental guarantee to always adhere to the major political principle of the party's leadership, establish and improve the working pattern of unified leadership of the Party committee and the joint efforts of the party and the government, and resolutely implement the decision-making and deployment of the Central Committee on health to the whole process and every link of the work. The third is the fundamental driving force. We should persist in taking reform and innovation as the fundamental driving force, dare to break through the barriers of interests solidification, dare to open a knife to stubborn diseases, dare to touch deep interest relations and contradictions, and innovate the system and mechanism with the spirit of self revolution. Fourth, relying on strengthWe should adhere to the combination of government leading and mobilizing the enthusiasm of the society and individuals, and give full play to the role of medical staff in health service and deepening medical reform. Fifth, the external environment, actively participate in global health governance. We should carry out health exchange and cooperation from the perspective of overall domestic and international situations, actively participate in the formulation of international standards, norms, guidelines and agreements, and constantly contribute China's wisdom and strength.
2、 Taking people as the center and comprehensively implementing the strategy of healthy China
&The implementation of the strategy of healthy China is a pioneering work to safeguard people's health from the source, which marks the epoch-making progress in maintaining the national health of a country with a population of more than 1.3 billion. Taking people's health as the center is the fundamental value orientation of implementing the strategy of healthy China.
Strengthen organizational leadership in an all-round way. The implementation of healthy China strategy is a cross sectoral and cross sectoral systematic project, which needs to strengthen the organization and leadership from the national level, and coordinate and promote it as a whole. We should improve the legal system of health care, coordinate and speed up the formulation of the basic medical and health promotion law, clarify the responsibilities of the government, society and individuals on health maintenance and promotion, and fix the practical achievements of deepening the medical reform. We should have a deep understanding of the strategic intention of the central government to set up the national health and Health Commission, highlight the key responsibilities of health, population strategy and coping with population aging, and strengthen the ability of planning, implementation, innovation and security, so as to provide more powerful organizational guarantee for building a healthy China and deepening medical reform. We should speed up the formulation of action plans to promote the health of the whole people and implement a number of major actions to maintain health. We should give full play to the organizational advantages of the patriotic health campaign, carry out the uation of national health cities and expand the construction of healthy cities (villages and towns). Research and establish monitoring index system, coordinate relevant departments, Party committees and governments at all levels, dynamically track and promote, and ensure the implementation of tasks.
Focus on key population and implement precise health intervention. We will continue to implement 14 types of basic public health services, expand the coverage of the "three reductions and three health" actions, implement the national nutrition plan (2017 & mdash; 2030), formulate and promulgate food safety standard management measures, and launch the national social psychological service system construction pilot. On this basis, preventive treatment and rehabilitation services are provided for the elderly, women and children, adolescents and migrant workers. We should explore the establishment of a long-term medical care system for the elderly, establish and improve the policies for birth support and family development, implement the action plan for healthy children, comprehensively prevent and control myopia among children and adolescents, carry out occupational health and radiation health monitoring, and protect the health rights and interests of workers.
To implement comprehensive prevention and control measures for key diseases. At present, chronic non communicable diseases have become the main diseases and disease burden that endanger people's health. In view of the change of disease spectrum, we should continue to optimize the prevention and control strategies to effectively control the occurrence and prence of major diseases. Taking the construction of comprehensive prevention and control demonstration area of chronic diseases as the starting point, establish service standards and uation index system, implement the 3-year Action Plan for cancer prevention and control, and strengthen the diagnosis and treatment, registration report and follow-up management of patients with severe mental disorders. We will implement the three-year action plan for the prevention and control of key endemic diseases, and strive to effectively control and eliminate the hazards of endemic diseases by 2020. We should continue to strengthen the prevention and control of traditional infectious diseases, and maintain a high degree of vigilance against new infectious diseases, so as to achieve early detection, early reporting and early prevention and control. We will continue to standardize vaccination services to ensure vaccination safety.
3、 Take reform as the driving force to further enhance the people's sense of health gain and happiness
&Health is the most concerned, direct and realistic interest of the people. People's sense of gain, happiness and security can not be separated from health. To implement the strategy of healthy China, we should always focus on the goal of improving people's health level, adhere to the ideas and methods of reform and development, solve prominent contradictions, and safeguard and develop people's health rights and interests.
We will unswervingly deepen the reform of the medical and health system. At present, deepening medical reform has entered an important period from laying a foundation to improving quality, from forming a framework to system construction, and from single breakthrough to comprehensive promotion. We should firmly adhere to the theory, principle and path of medical reform, adhere to the linkage of "medical treatment, medical insurance and medicine", focus more energy on implementation and actual results, promote the construction of basic medical and health care system, and strive to solve the problem of medical treatment for the masses. The first is to deepen the reform of public hospitals, improve the follow-up compensation measures for zero difference of drugs, deepen the price reform of medical services, accelerate the establishment of a salary system in line with the characteristics of the industry, establish a modern hospital management system, and implement the president responsibility system under the leadership of the Party committee, so as to lead the high-quality development of the hospital. The second is to establish and improve the hierarchical diagnosis and treatment system, with discipline construction as the starting point to promote regional separation, county hospital construction as the starting point to promote urban-rural separation, disease species as the starting point to promote the separation of upper and lower levels, and tertiary hospital day service as the starting point to promote the separation of emergency and slow. We should scientifically plan and lay out the construction of medical consortium and promote the rational allocation of medical resources. The third is to improve the drug supply security system, improve the national essential drug system, promote patent drug negotiations, and take various measures to solve the problem of drug shortage. The fourth is to build a comprehensive supervision system, strengthen the supervision of all factors and the whole process of the industry, further innovate the governance mode and accountability mechanism, and strengthen the supervision during and after the event. The fifth is to coordinate and promote the construction of medical security system and improve the serious illness insurance systemWe should reform the payment mode of medical insurance and mobilize the enthusiasm of medical institutions in disease prevention and cost control.
Constantly improve the quality of medical services. Quality and safety is the lifeline of medical and health industry, which can not be relaxed at any time. We should take practice test, grass-roots uation and public recognition as the standards, and strive to provide the people with safe, effective, convenient and inexpensive basic medical and health services. The first is to improve the ability of grass-roots service, start the "high-quality service of grass-roots banks" activities, stimulate the vitality of grass-roots medical and health institutions, and promote the gradual transformation of the primary service mode from intermittent service to continuous and responsible health management. Second, we will launch a new three-year action plan to improve medical services, and comprehensively establish appointment diagnosis and treatment, telemedicine, and mutual recognition of inspection and testing results, so as to continuously improve the people's experience of seeing a doctor. Third, the key point is to improve the clinical practice system and improve the clinical practice management. Fourth, we should thoroughly implement the health poverty alleviation project. We should implement the classified treatment strategy, do a good job in the centralized treatment of nine major diseases, improve the medical security policy for rural poor people, and effectively solve the problem of poverty caused by diseases.
Strengthen the research of population development and health strategy. Population problem is related to sustainable development and national rejuvenation. We will strengthen the uation of the "comprehensive two child" fertility policy and the monitoring, analysis and judgment of the population situation, do a good job in the study of countermeasures to meet the challenges of the aging society, and strive to improve the top-level design of policies and regulations and the matching of economic and social policies.
Give full play to the advantages of traditional Chinese medicine. We will fully implement general secretary Xi Jinping's &ldquo, four establish and improve &rdquo, and raise the contribution rate and indication of Chinese medicine to the economy and society. We should attach equal importance to traditional Chinese and Western medicine, strengthen cooperation in tackling key problems, and improve the clinical efficacy of major diseases. We will further implement the project to improve the service capacity of traditional Chinese medicine at the grass-roots level, strengthen the construction of special disease system of traditional Chinese medicine, and give full play to the important role of traditional Chinese medicine in the prevention of diseases, the treatment and rehabilitation of major diseases. We should strengthen the protection, rescue and collation of ancient books, traditional knowledge, diagnosis and treatment technology and processing technology of traditional Chinese medicine, promote the modernization of traditional Chinese medicine, speed up the pace of "going out" and build a new pattern for the revitalization and development of traditional Chinese medicine.
Further strengthen the level of health governance. The first is to deepen the reform of "release, control and service", increase the power of decentralization around key areas and key links, and constantly optimize the social medical environment. Second, we should strengthen scientific and technological innovation in health, organize and implement major scientific and technological projects, speed up tackling key problems in the prevention and treatment of major diseases such as cancer, launch the 2030 health insurance project of scientific and technological innovation, and strengthen the construction of national clinical medical research center and collaborative innovation network. The third is to strengthen the construction of talent team, follow the law of medical education, strengthen the coordination of medical education and improve the quality of medical students training. Four, one belt, one road is to strengthen international exchanges and cooperation, and focus on regional, global and multi bilateral health and health international cooperation, promote “ &rdquo of healthy silk road; build, promote “ along the way ” and implement health cooperation agreements. Actively participate in the research and negotiation of international standards and norms in the field of health, and voice the Chinese voicePut forward the China plan. (the author is Ma Xiaowei, Secretary of the Party group and director of the National Health Commission)