Notice of the Ministry of Health on Printing and Distributing the Key Points of Health Work in 20 10

The administrative department of health should closely combine the reality of deepening the reform of the medical and health system, continue to guide grassroots medical and health units to carry out in-depth study and practice of Scientific Outlook on Development activities, do a good job in the formulation and implementation of the rectification implementation plan, focus on solving outstanding problems, and ensure effective results. It is necessary to persist in sinking the focus of work, strengthen grassroots responsibilities, and fully mobilize the enthusiasm of grassroots medical and health institutions and medical and health personnel to participate in the reform; In-depth investigation and study, timely solve the difficulties and outstanding problems in the reform, and constantly innovate the system, mechanism and working methods; Strengthen supervision and guidance, sum up the practical experience of promotion; Be good at communication and coordination, form a joint force of * * * and promoting work, and promote the sustained and healthy development of health undertakings.

First, strengthen the construction of primary medical and health service system and consolidate and develop the new rural cooperative medical system.

Do a good job in the construction of county-level hospitals, central township hospitals and community health service centers supported by the central government, and accelerate the implementation of the construction project of primary medical and health service system. Deepen the reform of the operational mechanism of primary health service institutions, expand the pilot business cooperation of rural health institutions, vigorously promote the integrated management of rural areas, and promote the pilot reform of the management of two lines of revenue and expenditure and the personnel distribution system of primary medical and health institutions. Strengthen the demonstration of setting standards for township hospitals and promote the introduction of "Guiding Opinions on Setting Standards for Township Hospitals". Implement the performance pay policy implemented by public health and primary medical and health institutions, formulate performance appraisal methods, study the situation and problems in the implementation of performance pay in time, and ensure the smooth implementation. Standardize the management of rural health institutions and the service behavior of rural doctors. Promote the implementation of subsidies for public health services for rural doctors. Organize medical and health institutions above the second level in the central and western regions to carry out counterpart support work in urban and rural hospitals and township hospitals, encourage the eastern region to increase its support for the western region, and continue to implement the "Ten thousand doctors to support rural health projects". Accelerate the recovery and reconstruction of the medical and health system in the Wenchuan earthquake-stricken areas, and do a good job in communication and coordination between the supporting provinces (cities) and the disaster-stricken areas. Explore the establishment of a division of labor and cooperation mechanism between urban community health service institutions, preventive health care institutions and public hospitals, improve the two-way referral system, and promote the effective connection between urban community health services and the basic medical insurance system for urban workers and residents. Carry out activities to establish demonstration community health service centers. Initiate the final evaluation of the Outline of the Development of Primary Health Care in Rural China (200 1-20 10).

Consolidate and develop the new rural cooperative medical system. Further standardize management, strengthen supervision and improve farmers' benefit level. Actively cooperate with the implementation of the central and local financial subsidy policies, and do a good job in publicizing the individual contributions of farmers. Guide all localities to further improve the compensation scheme of the new rural cooperative medical system, rationally plan the funds for hospitalization and outpatient co-ordination, improve the level of hospitalization security and expand the scope of outpatient co-ordination. Improve the operation mechanism of the new rural cooperative medical system, carry out pilot projects for the treatment of some major diseases of farmers, and improve the medical security level of the new rural cooperative medical system. Strengthen the supervision of designated medical institutions, explore the reform of payment methods of the new rural cooperative medical system, and expand the pilot scope of payment methods such as prepayment of total outpatient expenses and payment of hospitalization expenses according to diseases. Accelerate the construction of the new rural cooperative medical information system, strengthen the supervision and operation monitoring of the new rural cooperative medical fund, and ensure the safety of the fund.

The second is to actively promote the gradual equalization of basic public health services and improve the ability to prevent and control major diseases and respond to public health emergencies.

Fully implement nine categories of national basic public health service projects, strengthen evaluation, guidance, supervision and inspection, and promote national basic public health service standards. Continue to expand the coverage of health records of urban and rural residents. Gradually promote the informatization construction of health services with residents' health records as the core. Promote the implementation of major national public health service projects in an orderly manner, and strictly manage the projects to ensure the healthy operation of the projects. Standardize maternal and child health care services, and continue to implement projects such as "subsidy for hospital delivery of rural pregnant women" and "reduction and exemption". We will promote the prevention and control of birth defects and strengthen the implementation of three-level prevention and control measures: pre-pregnancy care, prenatal diagnosis and neonatal disease screening. Carry out maternal and child health assessment (county level). Strengthen maternal and child health monitoring and annual reports to improve the quality of monitoring. Strengthen the management of baby-friendly hospitals and promote breastfeeding.

Further strengthen and improve the construction of "one case, three systems" for health emergency. Strengthen the construction of prevention and control system for sudden acute infectious diseases, improve relevant policies, refine prevention and control strategies and implementation plans, and focus on the prevention and response of major public health emergencies such as influenza A (H 1N 1), plague, infectious atypical pneumonia and human infection with highly pathogenic avian influenza. Actively promote the construction of provincial, prefecture-level health emergency command and decision-making system and the construction of health emergency comprehensive demonstration zone. Improve the national and provincial health emergency materials reserve catalogue, strengthen the construction of health emergency teams and equipment, standardize health emergency drills, and start the national emergency medical rescue base certification and health emergency capacity assessment. Focusing on health emergency and mental health assistance for sudden poisoning incidents, we will comprehensively do a good job in health emergency preparation and disposal of various major public emergencies, and do a good job in health protection for large-scale events and holidays such as Shanghai World Expo and Guangzhou Asian Games.

Further improve the prevention and control of major diseases and patriotic health work. Strengthen the capacity building and performance evaluation of disease prevention and control institutions, and establish and improve the post responsibility system. Continue to do a good job in the prevention and control of major infectious diseases such as hand, foot and mouth disease and medical treatment. We will further improve and implement policies and measures for the prevention and control of major infectious diseases such as AIDS, sexually transmitted diseases, tuberculosis, schistosomiasis and hepatitis B, carry out targeted prevention and control work in key areas, key populations and floating population, and strengthen health education, health promotion and occupational health services for the prevention and control of occupational diseases, sexually transmitted diseases, AIDS and malaria for migrant workers. Accelerate the revision of the Measures for the Implementation of the Law on the Prevention and Control of Infectious Diseases. Vigorously promote the expansion of the national immunization program, fully promote the implementation of the measles elimination action plan, and strengthen the vaccination management of floating children. Initiate the action plan for eliminating malaria in China, and formulate, evaluate and start the prevention and control plan for endemic diseases, leprosy and echinococcosis. Complete the preparation of the White Paper on Prevention and Control of Cholera, Influenza and Other Infectious Diseases. To carry out monitoring of chronic diseases, oral diseases, injuries and related risk factors, popularize the primary prevention and treatment guidelines for chronic diseases and appropriate oral prevention techniques, and promote standardized management. Strengthen the construction of mental health prevention and control system, establish and improve the prevention and control service network, implement the "Regulations on the Management and Treatment of Severe Mental Illness", and carry out research on prevention and control policies for psychological assistance after disasters and psychological and behavioral problems related to minors surfing the Internet. In-depth patriotic health campaign and health education will be carried out, and urban and rural environmental sanitation clean-up actions will be launched in an all-round way to improve the health literacy level of residents. Accelerate the process of improving toilets in rural areas and strengthen the hygienic evaluation and water quality monitoring of rural drinking water safety projects. Fully implement the "Regulations on Prevention and Control of Vector Organisms". Implement the "20 1 1 Decision on Smoking Prohibition in the National Medical and Health System" and increase the enforcement of tobacco control. On the basis of establishing a national health city (town), the activities of establishing a health city (district, town and village) will be carried out in an all-round way.

Three, accelerate the implementation of the national basic drug system, and effectively reduce the burden of people's basic drug costs.

Establish and improve the working mechanism of selecting and adjusting the list of essential drugs, and strengthen the supervision and inspection of supplementary non-list drugs in various places. We will improve policies and measures to ensure the production and supply of essential drugs, actively promote online centralized bidding and procurement and provincial unified distribution, and guide and standardize the procurement and distribution of essential drugs in various places. Promote government-run primary medical and health institutions to equip and use national essential drugs and implement zero-difference sales. Guide grass-roots units to standardize and rationally use essential drugs in accordance with the National Guidelines for Clinical Application of Essential Drugs and the National Formulary of Essential Drugs, and strengthen the management of the use of essential drugs. Strengthen the quality supervision of essential drugs, improve quality standards, and conduct spot checks on the coverage of all varieties. Formulate the monitoring and evaluation index system for the implementation of the basic drug system, establish monitoring points for basic drugs, and do a good job in monitoring and evaluation. Carry out national drug policy research, strengthen the training, publicity and interpretation of relevant policies of the national essential drug system, and guide the masses to use essential drugs.

Four, to carry out the pilot reform of public hospitals, strengthen medical quality management and medical service supervision.

Actively and steadily promote the pilot reform of public hospitals. Focus on guiding the pilot reform of state-level public hospitals, encourage all localities to carry out various forms of independent pilot projects, formulate and implement plans for the establishment and development of public hospitals, and optimize the structural layout of public hospitals; Explore and improve the management system of public hospitals, improve and strengthen the governance of public hospitals; Promote the reform of compensation mechanism in public hospitals, implement the government investment policy, adjust the price of medical services, and gradually cancel the drug addition; Promote the reform of operating mechanism and personnel income distribution system in public hospitals, strengthen post performance appraisal, and explore the implementation of post performance salary system; Carry out multi-point practice and clinical pathway pilot work for doctors, explore the quality management of single diseases, and promote the implementation of basic standards for electronic medical records. Encourage, support and guide social capital to set up non-public hospitals and accelerate the formation of a diversified medical pattern. Strengthen the guidance and training of pilot policies and technologies, and promote mutual learning. Closely follow the progress of the pilot, strengthen the investigation and supervision of the pilot cities, carry out baseline surveys, and prepare for the evaluation. Promote research and formulation of staffing standards for public hospitals. Strictly control the configuration of large medical equipment, encourage * * * to build * * * to enjoy, and improve the utilization efficiency of health resources.

Further strengthen medical quality management and medical service supervision, and improve the medical service supervision system. Strengthen the planning and management of medical institutions and study the establishment of national regional medical centers. Establish a public welfare-centered, patient-centered and performance-oriented medical quality management control, evaluation and supervision system and a public hospital supervision system to comprehensively improve medical quality and ensure medical safety. In-depth development of medical quality and hospital management activities, promote hospital volunteer service activities, improve the inspection system of large hospitals, and start the pilot work of hospital evaluation. Strengthen the management of medical institutions, standardize the practice of medical institutions, and continue to supervise medical advertisements. To carry out the evaluation and construction of key clinical specialties, and guide all kinds of medical institutions at all levels to strengthen the specialty construction and improve the medical service ability. Improve the examination system for doctors' qualifications and strengthen the management of doctors' practice behavior. Strengthen medical technology access and human organ transplant supervision. Advance the appointment service, further open the weekend clinic, extend the registration time of the clinic, take various measures to facilitate the people and optimize the process to facilitate patients to seek medical treatment. Establish a safe hospital, standardize the management of hospital complaints, and promote the establishment of a people's mediation system for medical disputes and a medical liability insurance system. Continue to promote rational drug use, implement the national formulary, implement the Guiding Principles for Clinical Application of Antibacterials, the Prescription Management Measures and the Interim Provisions on Pharmaceutical Affairs Management in Medical Institutions, improve the prescription review system, strengthen the monitoring of rational drug use, and standardize the management of clinical application of antibacterial drugs. Implement the "Regulations on Nurses", strengthen the construction of nurses, deepen the quality management of clinical basic nursing and improve the level of nursing work. Strengthen blood quality management, implement the planning of blood collection and supply institutions, actively promote voluntary blood donation, and consolidate and expand the ranks of fixed voluntary blood donors and volunteers. Strengthen the management of clinical rational blood use to ensure blood safety. We will further strengthen the management of rehabilitation medicine, drug rehabilitation and prevention and treatment of blindness. Improve the system of regular examination of doctors and medical ethics evaluation of medical staff, carry forward Bethune spirit, and build advanced hospital culture.

Five, deepen the reform of health supervision system, improve the ability of health supervision and management.

Strengthen the construction of health supervision system, start the implementation of health supervision system construction and development planning, and improve the infrastructure conditions of health supervision institutions. Standardize health supervision and law enforcement and promote administration according to law. Implement the National Occupational Disease Prevention and Control Plan (2009-20 15), and continue to carry out in-depth health supervision focusing on occupational health, radiation health, environmental health, medical law enforcement, school health and infectious disease prevention and control supervision, and laboratory biosafety supervision. Strengthen the capacity building of occupational disease prevention and control institutions, expand the pilot of basic occupational health services, and standardize occupational health examination and occupational disease diagnosis and identification. Organize the supervision and inspection of radiation protection and radiation health technical institutions of national medical and health institutions, and study and carry out health monitoring of people around nuclear power plants. We will continue to promote the quantitative and hierarchical management of health supervision in public places, strengthen the health supervision of centralized drinking water supply units, further standardize the health permits of disinfection products and water-related products, and carry out health impact monitoring and risk assessment of environmental pollution. Strengthen school health supervision and improve the school health supervision mechanism. Intensify the crackdown on unlicensed medical practice and illegal blood collection and supply. Do a good job in the supervision of major cases.

Six, strengthen the comprehensive coordination of food safety, strengthen food and drug safety supervision.

Implement the food safety law, formulate supporting regulations for comprehensive coordination and supervision of food safety, and organize the implementation of the Measures for the Administration of Food Safety Information Publication and the administrative licensing system for the import of new varieties of products, food additives and food-related products without national food safety standards. Formulate and implement the national food safety standards plan, improve the formulation and release procedures and working systems of national food safety standards, and improve the organization of the national food safety standards review Committee. Revise and improve the basic food safety standards and organize the implementation of dairy safety standards. Do a good job in the organization and implementation of national food safety risk monitoring and evaluation, strengthen the construction of food-borne disease information reporting and monitoring system, and improve the ability of information collection and comprehensive analysis. Improve the investigation system of major food safety accidents and strengthen capacity building. Organize and coordinate the national food safety rectification work, carry out inspection activities, and take the lead in cracking down on illegal addition of non-edible substances and abuse of food additives. We will promote the rectification of food safety in catering services, vigorously investigate and deal with unlicensed business practices, and focus on rectifying food safety in school canteens, site canteens, farmhouse resorts and small catering units. Explore effective methods to improve the ability of food rapid inspection. Do a good job in preventing food safety accidents in catering services in key time periods, major events and key areas. Carry out in-depth special rectification of the health food market, and timely carry out the cleaning and replacement of health food.

Strengthen drug supervision and management. We will carry out in-depth special rectification of drug safety, severely crack down on illegal activities such as manufacturing and selling counterfeit drugs and non-pharmaceutical counterfeit drugs, sum up the laws of drug supervision, and strengthen the construction of a long-term mechanism for drug supervision. Improve the technical support capabilities of inspection and testing, evaluation and certification, monitoring and evaluation of drugs and medical devices, and explore and improve the early warning mechanism of drug safety risks. Strengthen supervision over the whole process of research, production, management and use of drugs and medical devices. Strengthen the supervision of key varieties such as traditional Chinese medicine injections, stimulants, pharmaceutical precursor chemicals and their compound preparations. We will promptly introduce the Regulations on the Supervision and Administration of Health Food and the Regulations on the Supervision and Administration of Medical Devices. Promote the reform of municipal food and drug regulatory agencies, strengthen window guidance, and implement regulatory responsibilities. Accelerate the infrastructure construction of drug supervision system and improve local supervision ability. Continue to standardize the centralized procurement of drugs.

Seven, solidly promote the inheritance and development of Chinese medicine, and constantly improve the service level of Chinese medicine.

Fully implement the Opinions of the State Council on Supporting and Promoting the Development of Traditional Chinese Medicine, formulate relevant supporting policies and measures, and strengthen the research and formulation of strategic planning for the development of traditional Chinese medicine. Actively and steadily promote the pilot reform of public Chinese medicine hospitals, explore the establishment of input compensation mechanism, operation mechanism and supervision system conducive to giving play to the characteristics and advantages of Chinese medicine, and give full play to the role of Chinese medicine in deepening the reform of medical and health system. Study and formulate preferential policies that are conducive to providing Chinese medicine services in the basic medical security system, issue guidelines for the application of Chinese patent medicines in the implementation of the basic drug list, and standardize the clinical application of Chinese patent medicines. Continue to do a good job in the prevention and treatment of influenza A (H 1N 1), AIDS and other major infectious diseases with Chinese medicine, and promote the establishment of an emergency system for the prevention and treatment of emerging infectious diseases with Chinese medicine. Strengthen the construction of Chinese medicine service system, promote the "prevention of disease" health project, and increase the promotion of appropriate technologies of Chinese medicine. Strengthen the training of Chinese medicine talents and team building at the grassroots level, carry out rural doctors' Chinese medicine professional education and post training of Chinese medicine general practitioners, and promote the construction of key disciplines of Chinese medicine. Promote the construction of innovative system of traditional Chinese medicine, speed up the construction of clinical research base of traditional Chinese medicine, carry out the pilot work of national general survey of traditional Chinese medicine resources, and do a good job in the implementation of the special project of modern Chinese medicine industry development and basic research of traditional Chinese medicine theory in the 973 plan. Organize and implement the construction project of Chinese medicine culture, and prosper and develop Chinese medicine culture. Accelerate the legislative process of Chinese medicine law, promote the standardization of Chinese medicine, do a good job in the relevant work of the Technical Committee of Chinese Medicine of the International Organization for Standardization, and promote the transformation of relevant standards of Chinese medicine into international standards. Deepen international exchanges and cooperation of traditional Chinese medicine, and carry out foreign cultural exchanges and service trade of traditional Chinese medicine.

Eight, strengthen the construction of health personnel, improve the level of medical and health science and technology.

Organize and implement the construction plan of grassroots medical and health teams focusing on general practitioners, improve the standardized training mechanism and supporting policies for residents, strengthen the construction of training bases, focus on recruiting training targets at the grassroots level, and improve the registration management system for general practitioners. We will continue to implement the project of recruiting doctors in township hospitals and the project of training health talents in western China, carry out on-the-job training and standardized training for primary health technicians, strengthen the training of public health personnel, and actively carry out continuing medical education. Implement the Outline of the National Medium-and Long-Term Talent Development Plan (2009-2020). Continue to carry out the training of health management cadres, and increase the training of health management cadres and leading cadres in large hospitals in the western region.

Explore the establishment of the management system and mechanism of science and technology plan in the health industry, do a good job in the organization and implementation of two major scientific and technological projects, such as the prevention and treatment of major infectious diseases such as AIDS and viral hepatitis and the creation of major new drugs, promote the implementation of scientific research projects in the public health industry, expand coverage, and promote the popularization and application of appropriate health technologies. Promote the construction of medical and health science and technology innovation system, promote the integration of national health science and technology resources, and strengthen the construction of scientific research bases such as state key laboratories and departmental key laboratories. Strengthen the construction of biological safety supervision system, and focus on promoting the construction of institutions for the preservation of bacterial and viral strains.

Nine, overall planning, improve health work.

Organize major health policy research. Further promote the construction of health legal system, strengthen health legislation, and do a good job in drafting and revising laws and regulations such as basic medical and health law, mental health law, occupational disease prevention law, new rural cooperative medical care regulations, human organ transplantation regulations, radiation injury prevention regulations, iodized salt management regulations for eliminating iodine deficiency disorders, and classified management regulations for prescription drugs and over-the-counter drugs. Continue to cooperate with the reform of the administrative examination and approval system. Further do a good job in health administrative reconsideration and administrative litigation, and do a good job in the summary and acceptance of the "Fifth Five-Year Plan".

Strengthen the research on medical and health development strategy and overall thinking, and reflect the strategic research results of "Healthy China 2020" in national and local health development plans. Scientifically formulate the outline of the Twelfth Five-Year Plan for the development of health undertakings, and at the same time study and formulate relevant plans for the development of health personnel, health emergency, disease prevention and control, rural basic medical and health care, nursing development, food safety, and occupational disease prevention and control.

Actively strengthen exchanges and cooperation with international organizations such as the World Health Organization to serve the country's diplomacy and health reform and development. Introduce international experience to support the evaluation and monitoring of medical reform. Promote South-South cooperation in the field of health and do a good job in foreign aid medical and health work under the new situation. Deepen health cooperation and exchanges with Hong Kong, Macao and Taiwan.

Strengthen the disclosure of government information. Carry out public health affairs and hospital affairs, implement the people's right to know and participate, and actively accept social supervision. Carry out health news propaganda in depth, correctly guide public opinion, and create a social atmosphere conducive to health reform and development. Increase the publicity of advanced collectives and individuals in the health industry.

Accelerate the construction of medical and health information to provide technical support for the reform of medical and health system. Do a good job in health letters and visits and maintaining stability. Attach importance to cadre health care and strengthen the standardization and institutionalization of central health care management. Care about the life and medical and health services of retired veteran cadres and strengthen the construction of retired party branches. Vigorously strengthen the style construction of leading organs and leading cadres. Strengthen the construction of spiritual civilization in the health system. Strengthen the construction of the health system to punish and prevent corruption, continue to thoroughly control commercial bribery in the field of medicine purchase and sale, carry out special treatment in the field of health system engineering construction, and correct unhealthy trends in the industry.

20 10 is a crucial year to comprehensively promote the reform of medical and health system, and the health work task is arduous and arduous. Health administrative departments at all levels should conscientiously study and practice Scientific Outlook on Development, unify their thinking, strengthen their confidence, blaze new trails, overcome difficulties, break through the key points and difficulties of reform, and strive to create a new situation in health reform and development.