1. Promote the construction of the hierarchical diagnosis and treatment system in an orderly manner 1. Further standardize the construction and development of medical consortiums, improve the construction of medical consortiums and hierarchical diagnosis and treatment assessments, implement the responsibilities of the leading hospital, mobilize the enthusiasm of the leading hospital, and strengthen industry supervision.

Encourage private medical institutions and rehabilitation and nursing institutions to participate in the construction of medical consortiums.

(The National Health Commission, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons' Federation are responsible. The first one is the leading department, the same below) 2. Improve supporting measures such as medical insurance payment, personnel management, service prices, and financial investment.

, Promote the construction of medical consortium and telemedicine services.

(The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, and the State Administration of Traditional Chinese Medicine are responsible) 3. Summarize local experience in a timely manner and guide localities to improve policies such as medical service prices and medical insurance payment at different levels of medical institutions, and open up

The reimbursement ratio guides reasonable medical treatment.

(The National Medical Insurance Administration and the National Health Commission are responsible) Strengthen health education and popular science propaganda, and guide the public to establish a scientific concept of medical treatment.

(The National Health Commission is responsible) 4. Promote family doctor contract services, improve the incentive mechanism, implement guarantee policies, strengthen assessment and evaluation, give priority to contract services for key groups, and provide solid and detailed services.

(Responsible for the National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the National Medical Insurance Administration, the State Administration of Traditional Chinese Medicine, and the China Disabled Persons' Federation) 5. Explore and promote institutional innovation in disease control agencies and county-level maternal and child health care institutions, and deepen primary care

Comprehensive reform of health institutions, the implementation of financial security policies, and the implementation of "allowing medical and health institutions to break through the current salary control level of public institutions, allowing medical service income to deduct costs and withdraw various funds in accordance with regulations to be mainly used for personnel rewards" ("Two Permissions"

) requirements.

According to the actual situation of different medical and health institutions, the salary distribution policy should be improved in a targeted manner to promote the salary of medical personnel to reach a reasonable level.

(The Ministry of Finance, the Ministry of Human Resources and Social Security, and the National Health Commission are respectively responsible for taking the lead for each department according to their responsibilities, the same below) 6. Improve county-township integration and rural integrated management of medical and health care, and promote comprehensive county reform.

County-level medical personnel can be used in rural areas.

(The National Health Commission, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Agriculture and Rural Affairs, and the State Administration of Traditional Chinese Medicine are respectively responsible) 7. Carry out quality service activities at the grassroots level, strengthen the standardization of grassroots medical and health institutions, and further improve the quality of grassroots medical and health institutions.

Management system and mechanism.

(The National Health Commission, National Development and Reform Commission, Ministry of Finance, and State Administration of Traditional Chinese Medicine are responsible) 2. Establish and improve a modern hospital management system 1. Deepen medical service price reform.

Study and introduce specific measures to promote localities to follow the idea of ??"vacating space, adjusting structure, and ensuring connection" to accelerate the establishment of a timely and flexible dynamic price adjustment mechanism based on changes in cost and income structures. By standardizing diagnosis and treatment behavior, reduce the cost of drugs and medical consumables.

To make room for other expenses, optimize and adjust medical service prices, focus on optimizing and adjusting prices that reflect the value of medical personnel’s technical services, and reduce the prices for inspection, treatment, and inspection of large medical equipment.

Accelerate the review of new medical service price items.

Allow localities to adopt appropriate methods to effectively reflect the value of pharmaceutical services.

(The National Medical Insurance Administration, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible) 2. Implement the national medical and health service system plan and reasonably determine the size of public hospitals.

(The National Health Commission, National Development and Reform Commission, Ministry of Finance, and State Administration of Traditional Chinese Medicine are responsible for) Implementing government investment policies for public hospitals that comply with regional health plans and preferential policies for investment in traditional Chinese medicine hospitals.

(The Ministry of Finance, the National Development and Reform Commission, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible) 3. Research and formulate methods for financial investment to adapt to the development of public hospitals.

(The Ministry of Finance, the National Health Commission, the State Administration of Traditional Chinese Medicine and other departments are responsible) 4. Timely summarize the pilot experience of public hospital salary system reform and promote the establishment of a salary system in line with industry characteristics.

(The Ministry of Human Resources and Social Security, the Ministry of Finance, the National Health Commission, and the State Administration of Traditional Chinese Medicine are responsible) 5. Carry out pilot projects to establish and improve a modern hospital management system.

Timely summarize and promote the hospital’s scientific, refined, and information-based management experience and practices.

(The National Health Commission and the State Administration of Traditional Chinese Medicine are responsible) Promote the formulation of hospital charters. By the end of 2018, each province will select 20% of secondary and tertiary public hospitals and 10% of non-profit hospitals run by social forces to formulate

Pilot work on the charter.

Establish and improve comprehensive budget management, cost management, financial reporting, information disclosure, and internal and third-party audit mechanisms for public hospitals.

All tertiary hospitals have fully implemented the chief accountant system.

(The National Health Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine are responsible) 6. Strengthen party building in public hospitals and guidance on party building in the industry.

(The National Health Commission, the Organization Department of the CPC Central Committee, the Ministry of Education, and the State Administration of Traditional Chinese Medicine are responsible) 7. Promote the reform of medical institutions run by state-owned enterprises.

(The State-owned Assets Supervision and Administration Commission of the State Council and the National Health Commission are responsible for this) Promote military hospitals to participate in the comprehensive reform of public hospitals in cities where they are stationed, and build a deeply integrated medical service system between the military and civilians.