Party committees and people’s governments of cities and counties (districts), Party Working Committees and Administrative Committees of Pingtan Comprehensive Experimental Zone, and provincial units:
"Healthy Fujian 2030" Action Plan has been agreed by the provincial party committee and government, and is hereby printed and distributed to you. Please conscientiously implement it according to the actual situation.
Fujian provincial Committee of CPC
Fujian Provincial People’s Government
May 28, 2017
(This piece is publicly released)
Action Plan of "Healthy Fujian 2030"
chapter three Construction task
first segment Implementing five major projects of healthy Fujian
First, the implementation of health promotion projects
(A) to strengthen health education
1. Improve the health education system. Improve the professional health education system at the provincial, city and county levels, and improve communities and institutions.、enterprise and public institutionandMedia-coordinated health education network,And clarify the division of responsibilities.Establish a monitoring system for health literacy and behavioral lifestyle.,Incorporate national health education into the evaluation system of spiritual civilization.Promote the health education and promotion of the whole society, and deepen health into rural areas, schools, institutions, enterprises and institutions, medical and health institutions, communities and families.“Wujin"Activities. By 2030, the awareness rate of health knowledge of the whole peoplereach80%。〔Responsible unit:Provincial Health Planning Commission, Civilization Office, Education Department, People’s Social Welfare Department, Culture Department, Press, Publication, Radio, Film and Television Bureau, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee.〕
Strengthen school health education, incorporate health education into the national education system, and regard health education asallThe important content of quality education in education stage. Focus on primary and secondary schools and strengthen adolescent health education..Strengthen the training of health education teachers, incorporate health education into the pre-service education and post-service training of in-service teachers, and encourage schools to use social education resources to build a team of full-time and part-time health education teachers. Continue to establish health promotion schools, organically combine health education and teaching, create a healthy environment and provide health services, and provide support for cultivating students’ healthy behaviors. arriveIn 2030, the rate of starting health education as required will reach 100%..〔Responsible unit:Provincial Education Department, Health Planning Commission, People’s Social Welfare Department, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone
council of management〕
2. Strengthen mental health services.Improve the mental health prevention and control system and actively promote clinical psychological nursing services. Strengthen the management of patients with severe mental disorders, comprehensively promote community rehabilitation services for mental disorders, improve the multi-level medical security system for severe mental disorders, and explore the establishment of severe mental disorders.Disordered patientFree treatment system, improve the detection rate, treatment rate and management rate of patients with severe mental disorders. Promote the construction and development of professional psychological counseling service institutions, and promote the establishment of psychological counseling rooms in schools, communities, institutions, enterprises and institutions and floating population gathering places. Strengthen the publicity of popular science on mental health, pay attention to the mental health problems of children, adolescents, women, the elderly, family planning special personnel and different occupational groups, and provide psychological counseling and intervention services in a timely manner. Strengthen the intervention of common mental disorders and psychological and behavioral problems such as depression and anxiety, and strengthen the prevention and control of adolescent internet addiction. Improve the system of psychological education, prevention, consultation and crisis intervention in schools, promote the integration of students’ mental health with moral cultivation, personality shaping and career development, and promote the healthy growth of teenagers’ body and mind. Strengthen the training of mental health professionals, speed up the formation of professional and socialized psychological rescue teams, and improve the psychological crisis intervention mechanism for disasters and accidents. arriveIn 2020,Each district and city shall set up at least1 specialized psychiatric hospital; Each county (city, district) shall set up a specialized psychiatric medical institution, or set up a psychiatric department relying on county-level general hospitals and traditional Chinese medicine hospitals, and the number of psychiatric beds shall not be less than 10% of the total number of beds in the hospital;More than 70% of the counties (cities, District) with mental disorders community rehabilitation institutions, or through the government to buy services and other ways to entrust social organizations to carry out rehabilitation work.,The management rate of patients with severe mental disorders reachedeighty-fiveMore than%. By 2030, community rehabilitation for mental disorders will cover all counties (cities, districts); The level of psychological intervention in the prevention and treatment of common mental disorders, psychological and behavioral problems and major emergencies has improved significantly.,The management rate of patients with severe mental disorders reached90About%.〔Responsible unit:Provincial Health Planning Commission, Comprehensive Management Office, Public Security Department, Civil Affairs Department, Justice Department, Education Department, Medical Insurance Office, Disabled Persons’ Federation, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Popularize emergency rescue skills.addstrongResidents’ basic knowledge and skills of emergency rescue training exercises, improve the public’s knowledge and skills of emergency self-help and mutual rescue, promote self-help and mutual rescue, save lives in a timely and effective manner, and reduce secondary injuries caused by disasters and accidents.,conditionalCity,The county set up a citizen first aid skill experience hall. Support and encourage residents’ families to bring their own medical first aid kits, and areas with conditions can directly distribute medical first aid kits to high-risk groups..Improve the standard of first-aid facilities and equipment in public places, and equip schools, institutions, enterprises and institutions, airports, stations, large shopping malls, cinemas and other crowded places with first-aid drugs, equipment and facilities., and effectively improve the safety awareness and emergency rescue skills of public service practitioners..Increase the government’s efforts to purchase emergency rescue services and establish a professional emergency rescue skills training team.arriveIn 2030, every 10,000 people in public places in the provinceAutomatic extracorporeal eliminationVibrator (AED) equipment rate reached 1.～2 sets,Strive to realize that every family is equipped with a medical first aid kit.〔Responsible unit:Provincial Health Planning Commission, Emergency Office, Education Department, Public Security Department, Civil Affairs Department, Finance Department, People’s Social Welfare Department, Seismological Bureau, Red Cross Society,Municipal and county (District) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(2) Advocating healthy behaviors
1. Guide a reasonable diet. Organize the implementation of the national nutrition plan, popularize dietary nutrition knowledge, and promote the construction of healthy eating culture. Carry out nutrition monitoring of residents, implement nutrition intervention in key areas and key populations, and focus on solving the problems of micronutrient deficiency and excessive intake of high-calorie foods such as oil and fat in some people. Develop demonstration healthy canteens and healthy restaurants. Medical institutions above the second level are fully equipped with nutritionists.,Implement clinical nutrition intervention. Strengthen nutrition for schools, kindergartens and old-age care institutions.And food hygiene and safetyWork guidance,Improve the diet structure,Implement the students’ food safety project. arriveIn 2030, residents’ nutrition knowledge literacy will be significantly improved, the incidence of nutritional deficiency diseases will be significantly reduced, and the daily salt intake per capita in the province will be reduced.till/extremelyAbout 6 gramsThe growth rate of overweight and obese population has slowed down significantly. Carry out special actions such as healthy weight, healthy mouth and healthy bones.strengthenFamily and high-risk individuals’ healthy lifestyle guidance and intervention.〔Responsible unit:Provincial Health Planning Commission, Food and Drug Administration, Education Department, Sports Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
2. Carry out tobacco control and alcohol restriction. Carry out activities such as establishing smoke-free units and health promotion demonstration units in the province, vigorously promote smoking ban in public places, and actively promote the construction of smoke-free environment.;Strengthen research in the fields of tobacco control policy, smoking cessation intervention technology and effect, strengthen smoking cessation services, and bring smoking cessation services into the scope of public services.;Introduce local laws and regulations on smoking ban in public places, and strengthen the supervision and enforcement of tobacco control in public places..arriveIn 2020, the smoking rate of people over 15 years old will be controlled within 25%..arriveIn 2030, the smoking rate of people over 15 years old will be reduced to 20%.Below,Achieve a comprehensive ban on smoking in indoor public places.〔Responsible units: Provincial Health Planning Commission, Public Security Department, Education Department, Legislative Affairs Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
Strengthen health education on alcohol restriction,Reasonable control of alcohol advertising,Control excessive use of alcohol and reduce excessive drinking.;To provide preventive and therapeutic interventions for individuals and their families who have related diseases caused by alcohol use.〔Responsible unit:Provincial Food and Drug Administration, Health Planning Commission, Education Department, Industry and Commerce Bureau, Press, Publication, Radio and Television Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3．Reduce noGood behaviorHarm. Strengthen comprehensive social management, focus on teenagers, women of childbearing age and floating population, carry out publicity, education and intervention on sexual morality, sexual health and sexual safety, strengthen comprehensive intervention on people with high-risk behaviors of sexual transmission, and reduce the spread of unwanted pregnancies, sexually transmitted diseases and AIDS.〔Responsible unit:Provincial Comprehensive Management Office, Health Planning Commission, Education Department, Public Security Department, Culture Department, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee.〕
(3) Improve the physical fitness of the whole people
1. Increase the construction of fitness facilities. Overall planning of sports facilities construction, and incorporated into the local urban and rural planning and land use planning, new residential areas and communities according toshineIndoor per capita construction area is not less than0.1 square meters or outdoor per capita land of not less than 0.3 square meters, supporting the construction of mass fitness facilities. Accelerate the redevelopment of inefficient land use in cities and towns, actively transform old factories, warehouses and old commercial facilities, and make full use of urban parks, public green spaces, vacant places in urban areas, country mountains and other sports venues. Accelerate the upgrading and coverage extension of urban and rural public sports facilities, and basically build districts and cities.,County (city, district),countryside(town、Street),Four-level public sports facilities system in administrative villages (communities). Vigorously develop the communityNational fitness activity center,Multi-functional sports fields will promote the co-construction and sharing of cultural and sports facilities in grassroots communities. We will build grass-roots sports facilities for the convenience of local conditions and improve the barrier-free conditions of various public sports facilities. Promote the free or low-cost opening of public sports facilities at all levels, and ensure public sports venues and facilities and enterprises and institutions that meet the opening conditions., schoolSports venues and facilitiesgraduallyOpen to society. The province’s per capita sports area toIt will reach more than 2.0 square meters in 2020.,arriveIn 2030, it will not be less than 2.5 square meters, and it will achieve full coverage of the 15-minute fitness circle in urban communities.〔Responsible unit:Provincial Sports Bureau, Development and Reform Commission, Housing and Construction Department, Land Department, Finance Department, Education Department, Culture Department, Civil Affairs Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Carry out a nationwide fitness campaign. Strengthen the construction of sports work network at the provincial, city and county levels, improve the social organization of national fitness, develop and expand the team of social sports instructors and national fitness volunteers, and strengthen skills training and management services. Actively and steadily promote the reform of sports associations and enhance the self-operation ability of sports social organizations; Vigorously develop sports social organizations, implement the project of cultivating sports social organizations, promote the transfer of government functions to sports social organizations in an orderly manner, and improve the policies and measures to support sports social organizations. Actively promote fitness running (walking), cycling, mountaineering, swimming, ball games,Wushu,Square dance and other sports that the masses like to see and hear,Support the promotion of traditional sports such as Tai Ji Chuan and Qigong,Realize the regularization, diversification and daily life of national fitness activities. Encourage all localities to build Fujian landscapes.characteristic, humanistic advantages, national characteristics, regional advantages and industry characteristics of the national fitness brand activities. arriveIn 2020, the people’s awareness of physical fitness and consumption will be significantly enhanced, and the proportion of people who regularly participate in physical exercise will reach more than 40%. The pass rate of the National Fitness Measurement Standard for urban and rural residents is higher than the national average. In 2030, the proportion of people who regularly participate in physical exercise in the province will reach 43%.[Responsible units: Provincial Sports Bureau, Education Department, People’s Social Welfare Department, Civil Affairs Department, Finance Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
3. Promote sports activities for key groups. Implement the youth sports promotion plan,guaranteeStudents every dayonehourCampus sports activities, to promote young people’s sunshine sports activities, extensively carry out school sports leagues and traditional folk sports activities at all levels, strengthen scientific guidance on physical exercise, and let studentsskilledgrasp1 ~ 2 sports skills; Establish and improve the system of testing and reporting students’ physical health. By 2020, the pass rate of the National Students’ Physical Health Standard test for primary and secondary school students in the province will reach 9.2%.arriveIn 2030, the standard rate of school sports facilities and equipment will reach 100%, young students will participate in moderate-intensity sports activities more than three times a week, and the excellent rate of the National Students’ Physical Health Standard will be more than 25%. Strengthen scientific guidance and promote women, the elderly and professional groups to actively participate in national fitness.PushCarry out a system of fitness between work, encourage and support the construction of appropriate fitness venues in newly built workplaces. Promote the extensive development of rehabilitation sports and fitness sports for the disabled.〔Responsible unit:Provincial Sports Bureau, Education Department, Civil Affairs Department, Federation of Trade Unions, Communist Youth League Committee, Women’s Federation, Disabled Persons’ Federation, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee.〕
Second, the implementation of health service projects
(1) Ensuring basic public health services for all.
1. Improve the public health service system. Strengthen disease prevention and control at the provincial, city and county levels,Maternal and child health care,Comprehensive health and family planning supervision and law enforcement, mental health, health emergency, blood collection and supply, pre-hospital first aid and health education and other professional public health system construction, the implementation of business premises, equipment and other projects, to enhance the basic public health service capacity. acceleratecarry forwardProvincial CDC Relocation Projectbuild, focusing on supporting provincial key poverty alleviation and development counties to improve the infrastructure and basic equipment conditions of professional public health institutions. Adjust and protect the personnel of public health institutions.forceandgraduallyImprove advanced professional skillspostProportion; Gradually improve public health at all levels.Income level of unit personnel,transferPublic health institutionsEnthusiasm of service personnel.Vigorously promote the development of voluntary blood donation, and strengthen the work of blood donation organization, publicity, mobilization and the whole process of blood donation.arrivethe year of 2020,Achieve the number of public health personnel per thousand permanent residents.0.83 people,Among them, the disease control personnel reached0.175 people. arriveIn 2030,Public health personnel per thousand permanent residentsdo all one can to do sthreach0.9People.[Responsible unit:Provincial Health Planning Commission, Commission Office, Development and Reform Commission, Education Department, Finance Department, Human Resources and Social Welfare Department, Land Department, Housing and Construction Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Strengthen the prevention and control of infectious diseases and endemic diseases. We will improve the monitoring and early warning mechanism for infectious diseases, continue to expand the national immunization program, and strengthen the vaccination of children.Immunization program vaccine can preventinfectious diseaseofThe incidence rate has remained at a historically low level, and it has remained polio-free. Implement the prevention and control strategy of major infectious diseases, strengthen the prevention and control of major infectious diseases such as AIDS, tuberculosis and viral hepatitis, and ensure that it is stable in a low epidemic state or basically controlled. Strengthen the prevention and treatment of sudden acute infectious diseases and effectively deal with influenza, hand, foot and mouth disease, dengue fever, measles,Middle East respiratory syndrome,Ebola hemorrhagic fever, Zika virus disease and other key and emerging infectious diseases. Strengthen the prevention and control of traditional infectious diseases such as plague. Strengthen the source control of major animal-borne infectious diseases. Strengthen the monitoring and prevention of parasitic diseases and endemic diseases such as schistosomiasis, continue to maintain the state of schistosomiasis elimination, and continue to consolidate the achievements of malaria elimination in the province. arriveIn 2020, the number of people infected with HIV will be controlled below 35,000, and more than 65,000 people with tuberculosis will be found and treated.[Responsible units: Provincial Health Planning Commission, Agriculture Department, Forestry Department, Water Resources Department, Fujian Entry-Exit Inspection and Quarantine Bureau, Xiamen Entry-Exit Inspection and Quarantine Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
3. sound and slownatureComprehensive disease prevention and control system. Establish and improve the prevention and control system of chronic diseases, improve the prevention and control strategies and norms of chronic diseases,Pay attention to rehabilitation and early intervention,We will set up special projects for the prevention and treatment of key chronic diseases such as cardiovascular and cerebrovascular diseases, diabetes, malignant tumors, mental diseases and chronic respiratory diseases, so as to achieve full coverage of services and management of key chronic diseases in the community. Carry out the construction of a demonstration zone for comprehensive prevention and control of chronic diseases, strengthen the monitoring of health risk factors and data sharing and utilization, and implement comprehensive intervention and management of chronic diseases. Pushing citycountrysideWe will carry out a pilot project of signing a contract with family doctors for chronic diseases, strengthen the combination of prevention and treatment, and gradually realize the standardized diagnosis, treatment and rehabilitation of chronic diseases. Establish information-based health management to improve the coverage of health management for patients with chronic diseases. Strengthen the prevention and treatment of common diseases such as myopia and obesity and oral hygiene. arriveIn 2020, the whole province50% of counties (cities, districts) have built provincial-level demonstration zones for comprehensive prevention and control of chronic non-communicable diseases, among whichThe national demonstration zone has reached8, each district and city has at least one tumor follow-up monitoring point;The contract service of family doctors has been extended to all municipal districts and cities, and the full coverage of the contract service of family doctors in cities has been basically realized;The standardized management rate of patients with hypertension and diabetes has reached.60More than%. By 2030, we will realize the health management of chronic diseases in the whole population and life cycle.withDistricts and citiesAs a unitHave been builtMore than one national demonstration zone for comprehensive prevention and control of chronic non-communicable diseases; The standardized management rate of patients with hypertension and diabetes has reached.70About%; The overall 5-year survival rate of cancer increased by 15%about,The caries rate of 12-year-old children should be controlled within 25%.[Responsible units: Provincial Health Planning Commission, Development and Reform Commission, Education Department, Science and Technology Department, Finance Department, Food and Drug Administration, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
4. Improve the management of family planning services. Improve the comprehensive decision-making mechanism of population and development, and improve the policy system conducive to the balanced development of population. Reform the management of family planning services, pay more attention to serving families, and build a family development policy framework with the theme of birth support, child care, adolescent development, elderly support, and sick and disabled care.encouragethe peopleAccording to policyFertility. Implement the national family planning technical service policy, and increase the support of family planning technical services for re-birth. Fully implement informed choice and popularize contraception and birth control.、reproductive healthAnd scientific parentingknowledge, fully advocate prenatal and postnatal care.. Improve the family planning reward and assistance system and special assistance system, and implementencourage and rewardhelpgoldStandard dynamic adjustment. Improve the support and assistance system for the development of family planning families. Adhere to and improve the target management responsibility system of family planning, and improve the long-term working mechanism of family planning with publicity and advocacy, legal management, quality service, policy promotion and comprehensive management. Establish and improve the monitoring mechanism of the birth population.holdContinue to manage the sex ratio of the birth population.,arriveIn 2030, the sex ratio of the birth population in the province will achieve a natural balance.〔Responsible unit:Provincial Health Planning Commission, Development and Reform Commission, Education Department, Civil Affairs Department, Finance Department, Women and Children Working Committee Office, Family Planning Association, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
Step 5 promotebasicpublichealthEqualization of services. We will continue to implement and improve national basic public health service projects and major public health service projects, and establish and improve the mechanism for selecting and dynamically adjusting basic public health service packages. Timely adjust the per capita basic public health service funding standards, ensure that the per capita basic public health service funding is not lower than the national subsidy standards, and improve government procurement.serviceMechanism. Promote the equalization of basic public services, establish a dynamic adjustment mechanism for special funds for equalization of basic health and family planning services, implement basic public services such as child vaccination, prevention and control of infectious diseases, maternal and child health management, and family planning, and continuously expand the service content.,Improve the service level.Adjust the funding standards for basic public health services in a timely manner..〔Responsible unit:Provincial Health Planning Commission, Department of Finance, municipal and county (District) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(two) to provide quality and appropriate medical services.
1. Improve the medical and health service system. according to“Adjust the structure, control the scale, optimize the layout and make up the shortcomings."Principles, further deepen reform,Coordinate prevention, medical treatment and rehabilitation,Construct an integrated medical and health service system that is compatible with the national economic and social development level of our province and the health needs of residents, with complete system, clear division of labor, complementary functions and close cooperation. Formulate and implementMedical and health service systemPlan and strictly control the overall scale and individual scale of urban public general hospitals.; Accord to that change of disease spectrum,Appropriate increase in children, maternity, mental health and rehabilitation, tumor, elderly carewait forweakSpecialized resourcesTo promote the development and perfection of urban specialized hospitals.Municipal specialized hospitals for children and mental health.Construction.Reasonably distinguish basic medical and health services from non-basic medical and health services, adjust and optimize the spatial layout, and realize the transformation of development mode from quantity growth to quality improvement. implementmedical treatment“Chuangshuanggao"Project construction, completionthreeA high-level hospital、21High-level clinical medical centerand60 key clinical specialtiesLeading the high-level development of medical technology in the province with core competence construction. Implement the comprehensive capacity improvement project of county-level hospitals, rely on county-level general hospitals and traditional Chinese medicine hospitals to focus on supporting the three platforms of county-level medical service technology, cooperation and information, including the construction of six centers, ten clinical weak disciplines and core specialties, and strengthen the support for counties within the county.、countryside、Village tertiary medical carehealthRadiation-driven action of mechanism, promote the construction of county rehabilitation, nursing and mental health centers, and gradually form a county-level divide-and-conquer system..According to the service population, transportation and other factors, the rational distribution of primary health care resources, buildingSecure the bottom of the primary medical and health service network,in principleEvery township (street) should run at least one township health center (community health service center), and each administrative village should run a village health center.Each community should run a community health service station, and the population served by each community health service station should not exceed in principle.10 thousand people. Boarding schools or non-boarding schools with more than 600 people set up health rooms (health rooms), and basically built a team of rural doctors to meet the needs of rural medical and health care, providing rural residents withBasic medical care for common and frequently-occurring diseasesAnd basic public health.Service. arriveIn 2020, there will be 6 beds in medical institutions per 1,000 permanent residents, and licensed (assistant) doctors and registered nurses will strive to reach them.arrive2.5 people and 3.14 people; By 2030,city properbuild15-minute basic medical and health service circle,Achieve full coverage of village-level medical and health services in rural areas;Number of practicing (assistant) doctorsdo all one can to do sthreach3 people, number of registered nursesdo all one can to do sthreachFive people.〔Responsible unit:Provincial Health Planning Commission, Commission Office, Development and Reform Commission, Education Department, Finance Department, Human Resources and Social Welfare Department, National Land Department, Housing and Construction Department, Office Administration, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. innovationmedical treatmentService supply mode. Develop vertical medical groups and regional medical consortia, promote the linkage between provinces and cities, integrate the development of counties and villages, improve the service network, operating mechanism and incentive mechanism, and build prevention.—treat—rehabilitate—Long-term nursing service chain to improve the overall performance of service system. Guide tertiary public hospitals to gradually reduce the number of general outpatient clinics, focusing on the development of diagnosis and treatment of critical and difficult diseases. Increase the supply of primary health care resources, strengthen the construction of general practitioners, improve the contract service of family doctors, and play the role of health gatekeepers. Establish a mature and perfect grading diagnosis and treatment system in an all-round way, and form a reasonable medical order of primary diagnosis, two-way referral, up-and-down linkage and rapid and slow division. Accelerate the integration of defense and civilian technologies in the field of medical and health care, actively play the role of military medical and health institutions, and better serve the people. arrive In 2020, the rate of medical treatment in counties (cities)reach About 90%, primary medical and health institutions accounted for more than 65% of the total amount of diagnosis and treatment.〔Responsible unit:Provincial Health Planning Commission, Medical Insurance Office, Department of Finance, Department of Human Resources and Social Security, Fujian Armed Police Corps, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
threeContinue to improve medical careserviceQuality. We will build a standard system of basic medical and health services in an all-round way, establish a leading medical quality management and control system that is in line with international standards, improve the degree of homogenization of medical services and the level of medical safety, and reach the domestic advanced level in major medical service quality indicators such as the readmission rate and the utilization rate of antibacterial drugs. Build an information platform for medical quality management and control to realize all-round accurate and real-time management and control of the whole industry. Fully implement clinical pathway management, standardize diagnosis and treatment behavior, optimize diagnosis and treatment process,carry outMutual recognition of inspection and test results of medical institutions,Ensure the safety of blood for clinical use. Strengthen humanistic care in medical service,promoteHarmonious doctor-patient relationship.〔Responsible unit:Provincial Health Planning Commission〕
(3) Strengthening health services for key populations.
1. Improve maternal and child health. Improve the maternal and child health service system, and implement the business building construction and basic equipment upgrading project of maternal and child health institutions at the provincial, city and county levels., carry outConstruction of the second-level specialty of women and children’s health care, reflecting the characteristics and advantages of focusing on women’s and children’s health and combining health care with clinic.. strengthenwomanCapacity building of children’s medical and health services,We will promote the implementation of basic medical and health care services for pregnant women throughout their childbirth, strengthen the network construction of monitoring and treatment for critically ill pregnant women, neonatal rescue and medical treatment for children, ensure the safety of mothers and infants, promote the early development of children, and increase the prevention and treatment of major diseases of women and children.Strengthen the reproductive health of women of childbearing age,Improve the screening rate of common diseases of women and the rate of early diagnosis and treatment.. Strengthen the comprehensive prevention and control of birth defects,Popularize new technologies for the prevention and treatment of birth defects,Construct a birth defect prevention and control system covering urban and rural residents, including pre-pregnancy, pregnancy and neonatal stages.And improve the level of medical security and medical assistance for children with birth defects.. arriveIn 2030, pregnant women died.rateAnd other indicators are significantly lower than the national average.〔Responsible unit:Provincial Health Planning Commission, Development and Reform Commission, Finance Department, Civil Affairs Department, Medical Insurance Office, Women’s Federation (Women and Children Working Committee Office), people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Maintain the health of the disabled. Implement the national disability prevention action plan and the precise rehabilitation of the disabled.serviceAction, strengthen the publicity and education of disability prevention, carry out the whole population and the whole life cycle of disability prevention, and enhance the awareness of disability prevention in the whole society. Strengthen the prevention and control of disabling diseases and carry out blindness prevention and treatment.、Prevention and treatment of deafnessAnd rehabilitation of autism in children.Work, aiming at the main disabling factors to implement preventive engineering. Establish and improve the medical service system for the disabled, improve the barrier-free facilities of medical institutions, improve medical services for the disabled, strengthen two-way referral cooperation between medical institutions and rehabilitation institutions for the disabled, and promote primary medical and health institutions to give priority to providing contracted services for the disabled. Further improve the rehabilitation service system for the disabled, and incorporate the screening of children’s disabilities and the rehabilitation of the disabled into basic public services, includingDemand for disabled children and certified childrenThe rate of rehabilitation services for the disabled has reached95%。 Strengthen the construction of rehabilitation and care facilities for the disabled and establish rehabilitation assistance for disabled children.andBasic assistive devices for the disabledAdaptation subsidy system.[Responsible unit:Provincial Disabled Persons’ Federation, Health Planning Commission, Development and Reform Commission, Civil Affairs Department, Finance Department, Sports Bureau, Medical Insurance Office, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(D) Give full play to the unique advantages of Chinese medicine services
1. Improve the service capacity of Chinese medicine. soundAnd perfectChinese medicine medical care service system, developing rehabilitation service with Chinese medicine characteristics,eachDistricts and citiesStrive to run a tertiary Chinese medicine hospital, eachCounty (city)In principleRun a good schoolAbove level 2Traditional Chinese medicine hospitalsTo build a regional clinical medical center of traditional Chinese medicine. launchPrimary medical institutions traditional Chinese medicine departmentBuild, upgradeBasic level Chinese medicine service ability, promote appropriate technology of Chinese medicine. To carry out the provincial clinical research base of traditional Chinese medicine and traditional Chinese medicine“Ming yi Ming ke Ming yuan"Build, strive forSeveral provinces and citiesfocal pointtraditional Chinese medicineHospitals and scientific research institutions of traditional Chinese medicine are listed in the state.Traditional Chinese medicine inherits and innovates engineering construction projects, and strives for the cooperative support and construction of top Chinese medicine hospitals in the country.2～3 famous traditional Chinese medicine hospitals.Implement the project of cultivating clinical advantages of traditional Chinese medicineStrengthen the research on the prevention and treatment of dominant diseases by traditional Chinese medicine, develop non-drug therapy of traditional Chinese medicine, highlight the unique role of traditional Chinese medicine in preventing and treating common diseases, frequently-occurring diseases and chronic diseases, and improve the traditional Chinese medicine for acute and critical diseases and difficult and complicated diseases.(integrated traditional Chinese and western medicine)Ability of diagnosis and treatment service. arriveIn 2020, the national level will be built cumulatively.Key college of traditional Chinese medicine45,Provincial key college of traditional Chinese medicine90individual、Grass-roots specialty college of traditional Chinese medicine200. By 2030,All primary health care institutionsWith the ability of Chinese medicine service, the traditional characteristics of Chinese medicine in the province are more obvious.〔Responsible unit:Provincial Health Planning Commission, Development and Reform Commission, Education Department, Science and Technology Department, Finance Department, Food and Drug Administration, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
2. Develop preventive medicine services. Give full play to the advantages of traditional Chinese medicine in preventing diseases and health care, and explore a health protection model of traditional Chinese medicine that integrates health culture, health management and health insurance. Chinese medicine hospitals at or above the second level shall set up preventive medicine departments or preventive medicine centers to provide preventive medicine services such as health consultation and evaluation, intervention and conditioning, follow-up management, etc., popularize the concept of preventive medicine and popularize TCM health care knowledge., to encourage Chinese medicine clinics and primary medical and health institutions to carry out preventive services..Improve the coverage rate of Chinese medicine health management in basic public health services, and expand the role of Chinese medicine in the prevention and treatment of chronic diseases and maternal health care.Promote the popularization of traditional Chinese medicine knowledge into communities, villages, schools and family activities, and vigorously spread the knowledge of traditional Chinese medicine and easy-to-master health care technologies and methods.〔Responsible unit:Provincial Health Planning Commission, Medical Insurance Office, Education Department, Science and Technology Department, Culture Department, Food and Drug Administration, Association for Science and Technology, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Promote the inheritance and innovation of traditional Chinese medicine. Implement the inheritance and innovation project of traditional Chinese medicine and attach importance to traditional Chinese medicineStudy classic medical books and continue to carry out traditional Chinese medicineThe collation, research and utilization of ancient books are comprehensive.Systematic cardingAcademic Theories of Fujian Traditional Chinese Medicine in Past Dynasties, schools and theories,Constantly carry forward the academic thoughts and clinical diagnosis and treatment experience of famous contemporary Fujian traditional Chinese medicine practitioners, and strengthen the screening of clinical diagnosis and treatment technology, health care technology and rehabilitation technology of traditional Chinese medicine.Popularize the academic thoughts and clinical diagnosis and treatment experience of famous and old Chinese medicine experts, and explore folk diagnosis and treatment techniques and prescriptions.To protect and develop she medicine, a she doctor, and promote the work of learning from Chinese medicine.. Protect the traditional knowledge and skills of traditional Chinese medicine, and strive to bring Chinese medicine projects into the country.levelAnd provincial intangible cultural heritage.Representative projectDirectory. Integrate modern scientific and technological achievements, encourage research on basic theories of traditional Chinese medicine, diagnosis and treatment techniques and theories of traditional Chinese medicine, and strengthen the research and development of prevention and treatment technologies and new drugs for major and difficult diseases and chronic diseases.Protect the local germplasm resources of traditional Chinese medicine in Fujian and ensure the quality and curative effect of traditional Chinese medicine.Protect important Chinese medicine resources and biodiversity, and carry out general survey and dynamic monitoring of Chinese medicine resources.Support the construction of traditional Chinese medicine preparation platforms for provincial and nine districts and cities.buildFujian medicinal materials"Fu Jiuwei" and so on.The seedling breeding base of bulk, authentic and endangered medicinal materials provides dynamic monitoring information of Chinese medicinal materials market and promotes the green development of Chinese medicinal materials planting.〔Responsible unit:Provincial Health Planning Commission, Education Department, Agriculture Department, Culture Department, Food and Drug Administration, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(5) Promote the integration of medical prevention, medical care and medical care.
1. Promote the combination of medicine and prevention, and strengthen the public health function of the hospital. Establish and improve the division of labor and cooperation mechanism between professional public health institutions, comprehensive and specialized hospitals, and primary medical and health institutions, unblock information sharing channels, give play to the important role of medical institutions in the public health system, and promotediseaseIntegrated development of disease prevention, treatment and management. Gradually establishProfessional public healthInstitution-centered,medical and health institutions at various levelsTo monitor the sentinel and provide clinical technical supportofIntegrated disease prevention and control network with division of labor and cooperation, comprehensively improve the ability of disease monitoring, early warning and comprehensive prevention and control.. Strengthen the public health function of medical institutions and establishimproveMedical institutions undertake the government purchase mechanism of public health tasks, and implement the functions of health education, disease monitoring, infectious disease prevention and emergency treatment, so as to achieve early.find、Early diagnosis,Early isolation, early treatment, build every line of defense, and realize the seamless connection from prevention to treatment and rehabilitation.Give full play to the leading role of traditional Chinese medicine in the prevention of diseases, the synergistic role in the treatment of major diseases and the core role in disease rehabilitation.〔Responsible unit:Provincial Health Planning Commission and Finance Department, municipal and county (District) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
2. Strengthen the combination of medical care and nursing,safeguardHealthy aging. Establish a multi-level long-term care security system, promote the combination of medical and health care and old-age care services, and provide elderly people with hospitalization during treatment, rehabilitation care, stable life care and peace.raiseHealth and old-age care services integrating treatment and nursing. Encourage old-age care institutions to set up medical services in accordance with the basic standards of medical institutions, and carry outbasicmedical treatmenthealthServices, in line with the conditions into the basic medical insurance designated management scope. Promote the extension of medical and health services to communities and families, and provide vehicles and portable equipment for patrol and transshipment services to provide continuous health management services and medical services for the elderly. We will build a number of institutions that combine medical care with nursing care and professional medical institutions such as rehabilitation and nursing care for the elderly, vigorously develop traditional Chinese medicine health care services for the elderly, and encourage the establishment of public medical institutions and pension institutions above the second level.closeTo establish and improve the long-term working mechanism of sustainable medical institutions to support medical services in old-age care institutions. We will promote the full-course prevention and management of chronic diseases, closely integrate services for the elderly, communities and institutions, strengthen health guidance and comprehensive intervention for common and chronic diseases in the elderly, and strengthen health management for the elderly. Promote mental health and care services for the elderly, and strengthen effective interventions such as Alzheimer’s disease.Support the establishment of long-term care insurance,Promote the development of long-term care services for the elderly at home, relying on community health service centers and township hospitals, and strive toTownship nursing homes, rural areasPension institutions,Community elderlyDay carecentre, home care service center, etc. to provide health care guidance.andBasic medical and health services.Establish a subsidy system for the elderly and disabled people with financial difficulties in an all-round way, improve the old-age care services for families who have lost their families and empty nesters, and support the provision of community care, family beds and other services for disabled residents and terminally ill patients.. arriveIn 2030, the health management rate of the elderly over 65 years old will reach95%Above; Every county (city, district) has1 professional medical institution for rehabilitation and nursing of the elderly, and each community can provide community day care services..〔Responsible unit:Provincial Health Planning Commission, Civil Affairs Department, Development and Reform Commission, Finance Department, People’s Social Welfare Department, Medical Insurance Office, Disabled Persons’ Federation, Red Cross Society, Office for Ageing, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Strengthen the integration of physical education and medical treatment, and guide non-medical health intervention. Promote the deep integration of national fitness and national health, rationally arrange national fitness testing and exercise fitness guidance sites, encourage township hospitals (community health service centers) to participate in site construction, and improve the level of national fitness guidance services. Strengthen the combination of physical education and medicine and non-medical health intervention, and establish and improve the exercise prescription library for different people, different environments and different physical conditions..Promote the disease management and health service mode of combining physical education with medical treatment, and effectively carry out chronic disease prevention and exercise rehabilitation.,Encourage qualified places to implement medical insurance fitness.“universal debit/credit card". Carry out national physical fitness tests, improve the physical health monitoring system, develop and apply national physical health monitoring big data, and carry out sports risk assessment. Strengthen sports scientific research and researchstudy carefullyPromote new sports and fitness programs and methods.〔Responsible unit:Provincial Sports Bureau, Health Planning Commission, Development and Reform Commission, Finance Department, Education Department, Science and Technology Department, Medical Insurance Office, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
Third, the implementation of health poverty alleviation projects
(A) to strengthen the construction of medical and health institutions in poor areas.
1. Implement differentiated financial investment policies. On the basis of local financial security investment, provincial financial subsidies will focus on old areas, Soviet areas, economically underdeveloped areas and poverty-stricken areas to ensure the health of the poor. We will implement actions to improve rural human settlements in poverty-stricken areas and plans to improve the nutrition of compulsory education students. For sudden major diseasesFamilies or individuals who cause serious difficulties in their basic life temporarily give temporary assistance and charitable assistance.〔Responsible unit:Provincial Development and Reform Commission, Finance Department, Civil Affairs Department, Agriculture Department, Education Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Strengthen the construction of primary medical and health service institutions. Combined with the special plan for the development of health and family planning and the plan for the medical and health service system, the basic medical and health service institutions should be scientifically laid out, the problem of short-term capacity at the basic level should be solved quickly, and the service capacity of the basic medical and health institutions should be improved..Promote the integration of rural medical and health services, according to the regional health planning, service population (radius)andConvenient transportation conditions and other factors, set up a reasonable publicstandVillage health centers, extended by township health centers and responsible for unified management, the governmentUndertake start-up funds and special subsidies as required.. arriveIn 2020, the infrastructure and basic equipment of primary medical and health institutions in the province will meet the double standards.. arriveIn 2030, the service capacity of grassroots medical and health institutions in the province was significantly improved.〔Responsible unit:Provincial Health Planning Commission, Development and Reform Commission, Finance Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Improve the urban-rural counterpart support and assistance mechanism. Promote the establishment of counterpart support or medical consortium between urban hospitals and county hospitals in poverty-stricken areas, improve the continuous medical service chain, actively promote the extension of telemedicine diagnosis and treatment and health consultation services to poverty-stricken areas, and enhance the medical service capacity of counties in poverty-stricken areas. Do a good job in the prevention and control of key chronic diseases, infectious diseases and endemic diseases in rural areasIncrease the rescue efforts for patients with severe mental disorders.. arriveIn 2030, telemedicine diagnosis and treatment and health consultation services will achieve coverage in the whole province.〔Responsible unit:Provincial Health Planning Commission, Finance Department, Civil Affairs Department, Agriculture Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(B) improve the level of medical security for the poor.
1. Implement the health poverty alleviation medical security project. The medical insurance and serious illness insurance systems for urban and rural residents give preferential policies to the poor..Comprehensive evaluation of rehabilitation, etc20 medical rehabilitation projects are included in the scope of basic medical security payment, reducing the actual expenditure of serious illness expenses of poor people. File a card“Poverty caused by illness, returning to poverty due to illness"The masses were effectively rescued.helpBe accurate to the home, accurate to the people, and accurate to the disease.〔Responsible unit:Provincial Medical Insurance Office, Finance Department, Health Planning Commission, Civil Affairs Department, Agriculture Department, Disabled Persons’ Federation, Fujian Insurance Regulatory Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee are responsible.〕
2. Full implementation of basic medical assistance.engineering. Incorporate the poverty-stricken population with the establishment of a file card into the scope of medical assistance and participate in the individual payment part of medical insurance for urban and rural residents.According to regulationsbypublic financegivesubsidy. Intensify medical assistance and gradually improve medical assistance.fundRaising standards, the implementation of special outpatient assistance, hospitalization assistance, one-time fixed assistance and serious diseases.succourSuch as rescue methods. All kinds of basic medical insurance, relief funds are still difficult, to give serious illness relief.〔Responsible unit:Provincial Medical Insurance Office, Agriculture Department, Finance Department, Health Planning Commission, Civil Affairs Department, Red Cross Society, Disabled Persons’ Federation, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Increase maternity carehelpHelp.do wellHappiness project, small discount loans, housing projects, golden autumn aid, caring for families who have lost their families and accidental injury insurance.Fertility careProject,Gradually increase investment and expand the coverage of assistance.Actively explore new ways to serve family planning families, and explore a new service management model combining administrative management with mass work to solve problems for family planning people.〔Responsible unit:Provincial Health Planning Commission, Education Department, Finance Department, Housing and Construction Department, Family Planning Association, Fujian Insurance Regulatory Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
Fourth, the implementation of health and environmental engineering
(A) adhere to the concept of green development
1.Give full play to Fujian’s ecological advantages.Fasten tightly“The pioneer area of scientific development of land and space, the pioneer area of realizing the value of ecological products, the demonstration area of environmental governance system reform, and the practice area oriented by green development evaluation."Strategic positioning, vigorously promote the construction of the national ecological civilization experimental zone in our province, and strive to turn ecological advantages into development advantages. Innovate the system and mechanism of ecological civilization and improve the local ecological environment protection.“Party and government share the same responsibility", department“One post and two responsibilities"system.Establish a green development-oriented assessment system and strengthen environmental protection supervision.Examine,Explore the preparation of natural resources balance sheet and carry out the audit of natural resources assets of leading cadres.,Improve the judicial protection mechanism of environmental resources and establish a lifelong accountability system for ecological environmental damage. arriveIn 2020,countrySignificant progress has been made in the construction of the ecological civilization experimental zone, and the system of ecological civilization system with clear property rights, multiple participation, equal emphasis on incentives and constraints and complete system has been formed first.,The level of ecological civilization construction is compatible with building a well-off society in an all-round way.arriveIn 2030,Build an ecological civilization experimental zone that meets the national standards,Form a new pattern of modernization in which man and nature develop harmoniously and healthily.〔Responsible unit:Provincial Environmental Protection Department, Development and Reform Commission, Economic and Information Committee, Land Department, Audit Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2Strengthen natural ecological protection.Advocate harmony between man and nature,Strengthen the protection of key ecological function areas, eco-environment sensitive areas and fragile areas to ensure that the source areas of major river basins maintain their original ecology. Strengthen marine ecological protection, vigorously rectify the pollution in coastal waters and key bays, and realize the sustainable utilization of marine environmental resources. Promote plain greening, forest phase transformation and forest expansion and quality improvement, strengthen the protection of forests, wetlands and biodiversity, promote the construction of forest leisure and health, and actively create national parks. We will promote the restoration and management of soil erosion and mine ecological environment, and strengthen the prevention, control, relocation and avoidance of geological disasters.arrivethe year of 2020Forest coverage rateKeep inMore than 66%,The proportion of excellent water quality in major river systems is overallMaintain atMore than 90%, the water quality compliance rate of important rivers and lakes water functional areas reached more than 86%; Nearshore waters reach or exceed.ⅡThe area proportion of water quality standards has reached.More than 72%, 9 districtscityThe proportion of days with excellent urban air quality has reachedMore than 97.9%.arriveIn 2030,realizeThe sky is bluer, the ground is greener, the water is cleaner, the air is fresher and the environment is more beautiful, so that the people can build and share more green happiness.[Responsible unit:Provincial Environmental Protection Department, National Development and Reform Commission, Economic and Information Committee, Agriculture Department, Forestry Department, Water Resources Department, Marine Fisheries Department, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee are responsible.〕
(B) in-depth patriotic health campaign.
1. Strengthen the construction of patriotic health campaign institutions. Provincial, municipal and county levelsGovernment orHealth planning administrative departmentIt is necessary to clarify institutions and personnel.,To undertake the specific work of the patriotic health campaign, plusStrong government’s support for patriotic health campaignorganize.[Responsible unit:Provincial health planning commission, editorial office〕
2. Create a green and harmonious living environment. Improve urban and rural environmental sanitation infrastructure,Continuously improve the green rate of urban built-up areas at or above the county level;We will promote comprehensive environmental improvement in small towns, promote the construction of beautiful countryside, and promote a clean and tidy living environment. We will comprehensively strengthen the treatment of rural domestic garbage and the transformation of harmless sanitary toilets, and implement rural domestic sewage treatment projects. Implement the rural drinking water safety consolidation and upgrading project, promote the extension of urban water supply facilities to rural areas, further improve the rural centralized water supply rate, tap water penetration rate, water quality compliance rate and water supply guarantee rate, and comprehensively establishwaterFrom source to destinationwaterLeading rural drinking water safety guarantee system. Strengthen the comprehensive prevention and control of vector organisms, reduce the density of vector organisms in urban and rural areas and reduce the harm of vector diseases. arriveIn 2020, more than 95% beautiful and livable villages (beautiful countryside demonstration villages) in the province will meet the standards of provincial health villages.,The harmless treatment rate of domestic garbage in cities and counties has reached98%, the domestic garbage in all towns and villages in the province has been effectively treated, and the domestic sewage treatment rates in cities and towns have reached 90% and 40% respectively.,Harmless sanitary toilets in public places strive to achieve98%, the penetration rate of rural harmless sanitary toilets reached 97%. By 2030, we will strive to achieve full coverage of harmless sanitary toilets in rural families and public places in the province.,80%ofThe density of rodents, mosquitoes, flies, cockroaches and other vectors in cities and counties is controlled within the national standards.〔Responsible units: Provincial Housing and Construction Department, Development and Reform Commission, Health Planning Commission, Finance Department, Environmental Protection Department, Agriculture Department, Water Resources Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Consolidate the foundation of sanitary towns. Further promote the establishment of national health towns, establish a long-term mechanism for urban and rural environmental sanitation governance, strengthen technical guidance and supervision and management of health creation, strictly evaluate standards, improve evaluation methods, strengthen dynamic management by means of interviews, notifications and rankings, improve exit mechanism, and consolidate and expand the achievements of health town construction.do all one can to do sthWill sanitary townsMain contents includedCivilization cityIndex system of town establishment.arriveIn 2020, we will strive to increase the total number of national health cities in the province to 10, and the total number of national health towns (counties) to more than 50, and all county-level cities will become.forProvincial health city. arriveIn 2030, the number of national health cities will increase to 70% of the total number of cities in the province, and the number of national health counties will increase.The number has increased to the total number of counties in the province.five0%, to create a number of national health towns.[Responsible unit:Provincial Health Planning Commission, Civilization Office, Housing and Construction Department, Finance Department, Environmental Protection Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
4. Build healthy cities and healthy villages and towns. Actively guide the development of health towns to health towns and create an upgraded version of health towns. Integrate health into the whole process of urban and rural planning, construction and governance, continuously improve the health supporting environment and enhance the accessibility of health services. According to the main health problems of local residents, the development plan of healthy cities and healthy villages and towns will be compiled and implemented, and the work objectives will be completed in stages and steps. Improve the evaluation system of healthy cities and villages and towns, and strengthen the monitoring and evaluation of the construction of healthy cities and villages and towns. By 2020, two healthy city demonstration cities, nine healthy towns (counties) and 20 healthy villages (communities) will be built. By 2030, a number of demonstration cities and villages and towns for the construction of healthy cities and villages and towns will be built.〔Responsible units: Provincial Health Planning Commission, Civilization Office, Housing and Construction Department, Finance Department, Environmental Protection Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
5. Implement health“cell"Cultivation project. We will extensively carry out the construction of healthy communities, increase the construction and maintenance of community living environment and ecological environment, and improve social participation. Focus on institutions, enterprises and institutions, deepenHealth promotion agencies,Construction of health promotion schools, health promotion hospitals and other health units. Strengthen the awareness of health self-management, promote the construction of healthy families, and promote the socialization and popularization of health responsibilities. Carry out extensively“Healthy family action"、“New family plan"and“Nutrition enters wanjia"Activities, taking the whole family as the object, provide targeted health guidance services for family members and advocate a healthy family lifestyle by improving the healthy family service system, putting in a healthy family toolkit, creating a model healthy family, and providing health assistance to key families. By 2030, a number of healthy communities, healthy units and healthy families will be built in the province., healthy enterprise.〔Responsible unit:Provincial Health Planning Commission, Civilization Office, Housing and Construction Department, Finance Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(3) Comprehensively promote healthy environmental governance.
1. Implement“Qi ten stripes"、“Water ten"、“Soil ten". Focusing on improving environmental quality, we will promote joint prevention and control and river basin governance, implement environmental quality target assessment, implement the strictest environmental protection system, and effectively solve outstanding environmental problems that affect the health of the broad masses of the people. In-depth implementation of air pollution prevention and control, strengthen joint prevention and control of regional air pollution, and promote the pollution control of industrial sources, mobile sources and urban non-point sources as a whole, the proportion of days when urban air quality reaches the standard and fine particulate matter (PM2.5) concentrationindexComplete the national task. In-depth implementation of water pollution prevention and control, focusing on the environmental safety of drinking water sources, extending the comprehensive improvement of river basins to small basins, and striving to completely eliminate the inferior quality.In small watersheds with Class V water, the water quality compliance rate of water sources at or above the county level in the province is over 95%. Strengthen groundwater management and protection. The quality of seawater in coastal waters remained stable. Carry out detailed investigation of soil pollution and strictly supervise all kinds of pollution sources.,Control the environmental risks of construction land, strengthen the protection and safe use of agricultural land, and promote the control and restoration of soil pollution in an orderly manner.In 2020, the safe utilization rate of polluted farmland will reach about 91%. Further promote the transformation and upgrading of livestock and poultry breeding industry, reduce the use of chemical fertilizers and pesticides, and reduce agricultural non-point source pollution.Strengthen the safety management of medical waste and standardize the recycling and disposal behavior.〔Responsible unit:Provincial Environmental Protection Department, Development and Reform Commission, Economic and Information Committee, Land Department, Housing and Construction Department, Transportation Department, Public Security Department, Agriculture Department, Water Resources Department, Commerce Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Implement a comprehensive discharge plan for industrial pollution sources. Improve the environmental governance system, actively explore the market-oriented promotion mechanism while giving play to the leading role of the government, and cultivate market players in environmental governance and ecological protection. We will implement systems such as the right to use energy, the right to use water, the right to emit carbon, and the trading of emission rights. Full implementation of industrial pollution discharge permit management to promote enterprises.Use the measuring instruments that have passed the test.Carry out self-monitoring and information disclosure, establish a sewage ledger, and realize sewage discharge with certificates. Accelerate the elimination of processes, equipment and products with high pollution and high environmental risks, and promote relevant enterprises to meet the discharge standards. Carry out special pollution control in industrial clusters.〔Responsible units: Provincial Environmental Protection Department, Development and Reform Commission, Economic and Information Commission, Quality Supervision Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
3. Establish and improve the environmental and health monitoring, investigation and risk assessment system. Further promote the environmental impact assessment of development and construction planning of industrial parks, new towns and new districts, strictly examine and approve the environmental impact assessment of projects, strengthen source prevention, and gradually establish and improve the environmental and health management system.Combined with promoting the construction of ecological environment monitoring network, explore the constructionA comprehensive environmental and health monitoring network and risk assessment system covering pollution source monitoring, environmental quality monitoring, population exposure monitoring and health effect monitoring.According to national requirementsCarry out the evaluation of the impact of environmental pollution on people’s health, and explore the establishment of a health risk assessment system for key projects in high-risk areas. Comprehensively strengthen noise and light pollution control and strengthen nuclear and radiation supervision.,Strengthen personal radiation dose management and radiation protection for radiation diagnosis and treatment. Establish a communication mechanism for environmental health risks and comprehensively promote it.environmentInformation disclosure. Promote air quality monitoring and information release in cities at or above the county level.〔Responsible unit:Provincial Environmental Protection Department, Development and Reform Commission, Economic and Information Committee, Health Planning Commission, Housing and Construction Department, Water Resources Department, Safety Supervision Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(D) Improve the public safety system.
1. Strengthen production safety and occupational health. Promote the social governance of safety production, promote the integration of safety production and occupational health, and improve the responsibility system for safety production, the hidden danger investigation and management system and the safety prevention and control system..Further strengthen the standardization of safety production and the construction of credit mechanism, promote enterprises to implement the main responsibility and industry self-discipline, and provide necessary labor protection measures for employees. Improve the working environment, strengthen occupational protection and reduce the risk of occupational exposure..〔Responsible unit:Provincial Safety Supervision Bureau, Health Planning Commission, Development and Reform Commission, Economic and Information Commission, Federation of Trade Unions, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
Strengthen the identification of occupational hazards, improve targeted health intervention measures, and prevent and control industrial accidents and occupational diseases. Establish a hierarchical supervision mechanism, carry out special treatment of occupational hazards in key industries, promote the source treatment of occupational hazards, implement key supervision of enterprises with high risk of occupational hazards, and strengthen the prevention and treatment of pneumoconiosis and occupational poisoning.,Strengthen the supervision of production safety in key industries such as mines and dangerous chemicals.Relying on the existing resources, establish and improve the occupational disease prevention and control network with appropriate scale, and gradually extend the basic occupational health technical service network from provincial, municipal and county levels to townships and communities. The level of occupational disease prevention and control and occupational health risk monitoring of occupational population has been continuously improved.Establish and improve the monitoring, reporting and management network of key occupational diseases and occupational hazard factors, and carry out a general survey of occupational hazards. Strengthen the occupational disease reporting system,Implement key occupational disease monitoring and occupational health risk assessment,Promote the occupational health promotion of employers and strengthen the publicity and education of safety production.Encourage and support the research and popularization and application of occupational disease prevention and control technology. Safeguard the rights and interests of employees’ working hours, rest and vacation, and implement the paid vacation system for employees. arriveIn 2030, the occupational health training rate of the principal responsible persons, occupational health managers and workers exposed to occupational diseases in mining, metal smelting, chemical industry, building materials and other industries with serious occupational diseases and the filing rate of occupational health examination for workers exposed to occupational diseases will all reach 100%. The monitoring rate of occupational hazard factors in the workplace is over 90%, and the supervision coverage rate of occupational disease prevention is over 95%. The average annual growth rate of new cases of pneumoconiosis among occupational population in the province is controlled within 5%, so as to curb the occurrence of acute occupational hazards, effectively control major chronic occupational poisoning, and basically eliminate acute radiation-induced diseases.〔Responsible unit:Provincial Safety Supervision Bureau, Health Planning Commission, Development and Reform Commission, Economic and Information Commission, Human Resources and Social Security Department, Environmental Protection Department, Federation of Trade Unions, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Promote road traffic safety. big pushwayComprehensive management of road traffic safety, strengthen the normal and strict management of road traffic violations, and strengthen the safety supervision of vehicles. Implement the civilized traffic action plan, implement the technical standards for improving vehicle safety, and enhance the legal awareness and safety knowledge of motor vehicle drivers and traffic participants. Strengthen the design, planning and construction of road traffic safety facilities..Organize the implementation of highway safety and life protection projects, and strengthen the investigation and rectification of highway traffic safety hazards..Implement the main responsibility of safety production of transportation enterprises and enhance the awareness of safety self-discipline of enterprises. arrivethe year of 2020, roadTraffic accident death ratioIn 2015, it fell by more than 5%. By 2030, we will strive to reduce the death rate per 10,000 vehicles in road traffic by 30%.〔Responsible unit:Provincial Public Security Department, Transportation Department, Housing and Construction Department, municipal and county (District) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
3. Prevent and reduce injuries. Improve the comprehensive injury monitoring system and implement technical guidelines and standards for key injury interventions. Strengthen the prevention and intervention of injuries among children and the elderly, reduce children’s traffic injuries, drowning and accidental falls of the elderly, and strengthen the implementation and supervision of children’s toys and supplies safety standards. Strengthen legal publicity and education to prevent and combat child trafficking, and intensify efforts to crack down on illegal activities such as child trafficking, kidnapping and child abuse. Prevent and reduce suicide and accidental poisoning. Establish and improve the mandatory reporting system for quality and safety accidents of consumer goods, establish a product injury monitoring system, strengthen quality and safety supervision in key areas, and reduce safety injuries of consumer goods.〔Responsible unit:Provincial Public Security Department, Justice Department, Health Planning Commission, Education Department, Civil Affairs Department, Quality Supervision Bureau, Safety Supervision Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
4. Improve emergencieshealthEmergency response capability.soundEmergency health emergency system, improve the prevention and control of sudden acute infectious diseases,Chemical poisoning and nuclear radiation events health emergency,Health and safety guarantee system for emergency medical rescue and major events.Establish a three-dimensional land, sea and air covering the whole province, including military medical and health institutions.Emergency medical rescueNetwork, improve the ability of emergency medical rescue. arriveIn 2030, a relatively complete emergency medical rescue network covering the whole province will be established, and the emergency response capacity and emergency medical rescue capacity will reach the domestic advanced level. Strengthen the safety awareness education of the whole people and improvethe publicDisaster prevention and mitigationconsciousnessAnd emergency response capability. Deepen the construction of comprehensive emergency platform system at the provincial, city and county levels, and promote network connectivity, data exchange and system docking among emergency platforms. Strengthen the allocation of safety facilities in public places, promote the full coverage of public fire control facilities in urban and rural areas, and accelerateConstruction of emergency relief materials reserve and improvement of the province’s disaster relief materials reserve system.,Strengthen the construction and management of disaster avoidance and resettlement sites,Conditional disaster avoidance and resettlement places should have helicopter take-off and landing conditions.〔Responsible unit:Provincial Health Planning Commission, Emergency Office, Development and Reform Commission, Economic and Information Committee, Civil Affairs Department, Housing and Construction Department, Transportation Department, Commerce Department, Public Security Department, Environmental Protection Department, Communication Administration Bureau, Safety Supervision Bureau, Civil Air Defense Office, Seismological Bureau, Public Security Fire Brigade, Fujian Civil Aviation Supervision Bureau, Fujian Armed Police Corps, municipal and county (district) people’s governments, and Pingtan Comprehensive Experimental Zone Management Committee.〕
5. Improve the port public health system. We will implement the construction of a port infectious disease prevention and control system that strengthens the intelligent monitoring and early warning of epidemic information and accurate quarantine at ports, and actively guard against imported acute infectious diseases. Establish a port public health emergency response mechanism based on source prevention and control, joint prevention and control at home and abroad, and strengthen the monitoring and control of port vectors and various major infectious diseases. Continue to consolidate and enhance the core capabilities of ports and create international health airports (ports). Improve the international travel and health information network, provide timely and effective international travel health guidance, build a world-class international travel health service system, and ensure the health and safety of entry-exit personnel.〔Responsible unit:Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, Fujian Civil Aviation Supervision Bureau, Provincial Department of Commerce, Health Planning Commission, Tourism Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
V. Implementing the Health Industry Project
(a) the development of medical treatment, rehabilitation, Chinese medicine as the main body of the health service industry
1. Promote the market supply of medical services. Further optimize the policy environment,Cancel the social medical service according to lawMarket access, talent flow, large-scalemedical treatmentPurchase of instruments and equipmentUnreasonable in other aspects.Restrict, reserve space for social medical treatment in planning, guide social capital to build medical institutions, support social forces to provide health services, and accelerate the formation of a diversified medical treatment pattern. Supporting charitable organizations and individuals to set up public welfare medical institutions, encouraging social forces to set up non-profit medical institutions, and rationally regulating for-profit medical institutionsbe full ofInterest rate, build a non-profit social medical system. Scientifically define the boundary between the government and the market. In the field of non-basic medical and health services, services are mainly provided by social forces, and the enthusiasm of social forces to increase the supply of health products and services is fully mobilized; Promote the development of non-public medical institutions to a high level and scale,Provide high-end medical services and services in short supply such as rehabilitation and aged care,Meet the needs of the masses for multi-level, diversified and personalized health services. Strengthen the supervision of medical service behavior, improve the supervision mechanism of the whole industry, including social medical services, and promote the strict self-discipline, honest service and standardized development of various medical and health institutions.〔Responsible unit:Provincial Health Planning Commission, National Development and Reform Commission, Medical Insurance Office, Economic and Information Commission, Department of Human Resources and Social Security, Department of Finance, Department of Land and Resources, Food and Drug Administration, Local Taxation Bureau, municipal and county (district) people’s governments, and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. The development of medical inspection center,Pathological diagnosis center,Image center. Actively guide social forces to provideMedical examination, health consultation and other services, to encourage health check-up institutions to develop into health management institutions. Encourage the development of professional and standardized psychological counseling, treatment and mental rehabilitation and other mental health services. Guide the development of third-party health services, encourage the development of professional medical inspection centers, imaging centers and pathological diagnosis centers, and promote the mutual recognition of inspection results between medical institutions and third-party inspection institutions. Encourage the development of third-party medical service evaluation, health management service evaluation, and health market research and consulting services.〔Responsible unit:Provincial Health Planning Commission, National Development and Reform Commission, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
3.Vigorously develop traditional Chinese medicineMedicine health carerehabilitateService. Encourage social forces to set up TCM health care institutions that provide TCM physique identification, meridian massage, traditional sports, TCM health care, sub-health care and other services.Encourage Chinese medical institutions and Chinese medicine practitioners to provide technical support such as health consultation and conditioning for Chinese health care institutions, promote their standardized management, and improve service quality and level.In areas where authentic medicinal materials and functional agricultural products have advantages, we will build a gathering area of traditional Chinese medicine health care services that integrates health care and medicinal diet therapy.Encourage the establishment of health management institutions and rehabilitation service institutions with Chinese characteristics.〔Responsible unit:Provincial Health Planning Commission, National Development and Reform Commission, Agriculture Department, Tourism Bureau, Medical Insurance Office, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(two) the development of health care industry with health tourism, physical fitness and old-age care as the main body.
1. Promote the integrated development of health and tourism industry.Relying on the province’s rich hot spring resources, we will promote the hot spring health culture, strengthen the standardized development of hot spring tourism, improve the quality of hot spring health tourism products, and build a number of Fujian-style hot spring health demonstration bases."Fujian Hot Springs" brand. Give full play to the advantage of Fujian’s first forest coverage rate in the country, develop forest health tourism, and build a number of forest health bases. Promote the integration of tourism with traditional Chinese medicine and diet, tap traditional martial arts such as South Shaolin Wushu and Yongchun Baihequan, and traditional ethnic cultures such as She medicine, she medicine and She diet, and build a health tourism and sports tourism base with the theme of Chinese medicine, diet and China Wushu. Relying on the development of medical industry in Fuzhou, Xiamen, Pingtan, Putian and other places, we will introduce Taiwan Province’s biotechnology industry, deepen cross-strait cooperation in health care and health care, develop high-end health tourism projects such as health checkup, medical beauty, health care and medical care, and build a number of high-end medical health resorts on both sides of the Taiwan Strait. Combined with the development of the aged care service industry and the health service industry, we will build "migrant birds" healthy old-age care bases in Xiamen, Longyan, Wuyi New District, Taining, Dongshan and Zherong, develop multi-level and diversified leisure and health holiday products for the elderly, vigorously develop old-age tourism and build a number of healthy old-age care tourism bases.〔Responsible unit:Provincial Tourism Bureau, National Development and Reform Commission, Health Planning Commission, Science and Technology Department, Agriculture Department, Forestry Department, Medical Insurance Office, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Promote the integrated development of health and fitness and leisure industries. Cultivate multiple subjects, guide social forces to participate in the construction and operation of fitness and leisure sports facilities, and the government will support them by purchasing public services to build a high level of health and leisure in the country., rehabilitation,Health service center. Promote the separation of ownership and management rights of sports venues and accelerate the opening of sports resources. Support the cultivation of sports venues operation management companies, sports fitness clubs and sports fitness organizations, encourage the development of sports fitness training, fitness guidance and consulting services, guide sports fitness and entertainment consumption, and cultivate the development of sports fitness rehabilitation industry. Support the holding and undertaking of various large-scale or professional sports events.〔Responsible unit:Provincial Sports Bureau, Development and Reform Commission, Housing and Construction Department, Finance Department, Local Taxation Bureau, Industry and Commerce Bureau, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee]
3. Promote the integrated development of health and pension industry. Reasonable layout of old-age care institutions and geriatric hospitals, nursing homes, rehabilitation institutions, and promote the medical, rehabilitation, nursing and health care capacity building of old-age care institutions. Support grassroots medical and health institutions to provide contracted medical services for elderly families, establish and improve the cooperation mechanism between medical and health institutions and old-age care institutions, and support social forces to organize medical and nursing institutions. carry forward“Internet plus healthy pension"Industrial development, vigorously develop the application of information technology based on the Internet in healthy old-age care services, and promote the development of smart and healthy old-age care industry.[Responsible unit:Provincial Health Planning Commission, Civil Affairs Department, Development and Reform Commission, Economic and Information Committee, Finance Department, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee〕
(three) the development of drugs, medical devices, health food as the main body of the food and drug manufacturing industry.
1. Promote the development of pharmaceutical industry. Improve the collaborative innovation system for political and Industry-University-Research purposes, promote pharmaceutical innovation and transformation and upgrading, and make a number of brand pharmaceutical enterprises bigger and stronger. Strengthen patented drugs,Biological products,We will build innovative capabilities such as new Chinese medicine, new preparations and high-end medical devices, and promote the imitation and listing of patent-expired drugs for treating major diseases. Vigorously develop biological drugs, chemical innovative drugs and high-quality Chinese medicines, and promote the industrialization of major innovative drugs.implementThe development strategy of "famous medicine" is to implement national research projects on standardization of traditional Chinese medicine varieties such as Radix Pseudostellariae, Rhizoma Alismatis and Rhizoma Paridis, to build a brand of Fujian-made medicinal materials "Fujiuwei", focusing on in-depth development of authentic medicinal materials, research and development of new varieties of traditional Chinese medicine, dosage form transformation and secondary innovation of traditional famous Chinese patent medicines, and industrialization development of famous doctors’ prescriptions, and to support the processing of traditional Chinese medicine pieces and Chinese medicine pharmaceutical enterprises to become bigger and stronger.[Responsible unit:Provincial Economic and Information Committee, Food and Drug Administration, Development and Reform Commission, Science and Technology Department, Health Planning Commission, Agriculture Department, Forestry Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
2. Promote R&D and production of medical devices. Focusing on family and individual health care needs such as prevention, diagnosis, treatment and rehabilitation, enterprises are encouraged to independently research and develop medical devices and support the transfer and transformation of major technological achievements of medical devices at home and abroad in our province. In view of the large demand and wide application of medical imaging equipment, in vitro diagnostic reagents and supporting instruments, we will speed up the digitalization and intelligence level of medical device products. Accelerate the development of rehabilitation AIDS industry and enhance the ability of independent innovation.〔Responsible unit:Provincial Science and Technology Department, Economic and Information Committee, Food and Drug Administration, Development and Reform Commission, Health Planning Commission, Civil Affairs Department, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee]
3. Promote the development of healthy food industry. Give full play to the advantages of good ecological environment and rich food resources in our province, promote traditional food culture, and encourage enterprises to develop healthy food with high added value. Relying on scientific and technological innovation, we will vigorously develop all kinds of health foods such as convenience foods, health foods, organic foods and green foods, support health food enterprises to become bigger and stronger, and expand the intensive processing industry of health foods.〔Responsible unit:Provincial Economic and Information Committee, Food and Drug Administration, Development and Reform Commission, Agriculture Department, Science and Technology Department, Health Planning Commission, people’s governments of cities and counties (districts), Pingtan Comprehensive Experimental Zone Management Committee〕
Section 2 Building Three Platforms for Healthy Fujian
First, build a health information service platform
(1) Promote the construction of the national health care big data center project.
Construction of national health care big data center and industrial park pilot project, cultivate a number of health care big data development and application industrialization demonstration projects..Strengthen the construction of cloud service platform and standard system, strive to build a national gathering area of high-end medical technology and health industry, and provide reference experience and technical support for the construction of various medical data demonstration centers nationwide..Build a health medical science and technology cultural industrial park, realize a new holographic digital health information service model that everyone needs anytime and anywhere, and form a new climax of innovation and entrepreneurship with the goal of conquering holographic digital people as science and technology.〔Responsible unit:Provincial Health Planning Commission, National Development and Reform Commission (Digital Office), Economic and Information Commission, Food and Drug Administration, Medical Insurance Office, Science and Technology Department, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureaus, relevant municipal and county (district) people’s governments, and Pingtan Comprehensive Experimental Zone Management Committee.〕
(B) specification and promotion"internet plus Health Care" Service
Developing Internet Cloud Hospital and Building Pocket HospitalAPP, make full use of wearable and implantable intelligent health monitoring equipment, combined with mobile terminals, fixed terminals and other equipment, to provide personalized health management,rehabilitateOld-age care services, build high-end medical technology and management platform, and actively develop.And effectively regulate.Online booking, online consultation, communication and interaction, online payment, telemedicine, distance health education and training and other health information services.Use modern information technology to promote"internet plus graded diagnosis and treatment+medical insurance settlement" will extend the provincial and municipal high-quality medical resources to cover county and township medical institutions, realize the sharing and effective utilization of high-quality medical resources in the province, and facilitate people’s medical treatment and medical insurance services.〔Responsible unit:Provincial Health Planning Commission, Economic and Information Commission, Development and Reform Commission, Science and Technology Department, Food and Drug Administration, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(C) to encourage the development of health care e-commerce.
Guide enterprises in this province to build an e-commerce platform for medical equipment, attract medical equipment enterprises to settle in and carry out online exhibitions.And sunshineTrading, the development of offline R&D and production, medical care, medical equipment trade and other industries. Encourage community-based, relying on Internet resources and social forces,Establish a liaison mechanism between medical institutions and domestic enterprises,Build an information service network platform for the aged and provide home-based aged care services such as nursing care, health management and rehabilitation care.〔Responsible unit:Provincial Department of Commerce, Economic and Information Committee, Medical Insurance Office, Development and Reform Commission (Digital Office), Health Planning Commission, Science and Technology Department, Civil Affairs Department, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(4) Improve the construction, development and sharing of population health information platform.
Improve the construction of three basic databases: population, electronic health records and electronic medical records.Promote the establishment of a unified medical and health information platform in the province, integrating functions such as disease prevention and control, maternal and child health management, comprehensive supervision of health and family planning, and family planning service management.Establish a cross-hospital and cross-regional medical data sharing and exchange standard system, and build a telemedicine service system, an image information system, a hospital management and information sharing system. Further improve the sharing mechanism of residents’ health information, realize the merger, integration and sharing of personal health information, open the inquiry and management of residents’ health records, and facilitate the people to manage their personal health records by themselves.〔Responsible unit:Provincial Health Planning Commission, National Development and Reform Commission (Digital Office), Science and Technology Department, Food and Drug Administration, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
Second, build a health science and technology innovation platform
(A) to build a health science and technology innovation system
Implement the "Guiding Opinions on Comprehensively Promoting Health and Health Science and Technology Innovation", promote the comprehensive integration of scientific and technological innovation and health and health undertakings, and establish and improve the province’s health and health science and technology innovation system that meets the requirements of innovation-driven development strategy, conforms to the laws of scientific and technological innovation and industry characteristics, and is synergistic and efficient. Carry out the construction of Fujian clinical medical research center, key clinical specialties and disease collaborative medical network, further strengthen the capacity building of key (engineering) laboratories, engineering (technology) research centers, key enterprise laboratories, enterprise technology centers and other scientific research bases, build medical science and technology support platforms such as provincial experimental platforms, animal centers and biological sample resource banks, improve the layout of medical research and research bases, and support the research of large-scale population health cohort databases. strengthen“Medical research enterprise"Provincial industrial technology innovation strategic alliance, industrial technology major R&D platform, industrial technology public service platform and industrial technology research institute and other innovation platforms, establish a standardized, integrated and efficient medical science and technology innovation system, and realize innovative subjects such as hospitals, research institutes, universities and enterprises.Science and technology resources sharing,Efficient and coordinated development. Strengthen cooperation with international and domestic large-scale pharmaceutical manufacturers and large-scale medical equipment manufacturers, and build the transformation and promotion of basic research results and clinical innovative technologies.platform. Establish a better medical innovation incentive mechanism and application-oriented achievement evaluation mechanism, further improve the safeguard mechanisms such as scientific research base, biological safety, technology evaluation, medical research standards and norms, medical ethics and scientific research integrity, intellectual property rights, strengthen the cooperation between science and health, integration of defense and civilian technologies, and the provincial and ministerial departments, and effectively improve the research level of basic frontiers, key commonalities, social welfare and strategic high technology. Co-ordinate the funds for training scientific and technological talents in tertiary hospitals in our province, and expand the scale and benefits of joint funds of the provincial natural science fund for the health industry.〔Responsible unit:Provincial Science and Technology Department, Health Planning Commission, Food and Drug Administration, Education Department, Finance Department, Development and Reform Commission, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(2)Implement key research projects of health science and technology.
Full implementation orientationMajor scientific and technological projects and major projects in 2030 will focus on clinical needs and key technologies, gather superior resources, carry out interdisciplinary, cross-industry and cross-regional joint research, and continue to implement the scientific research fund jointly established by the provincial and ministerial departments of the State Health Planning Commission.—Fujian health education joint research plan, promote the construction of high-level hospitals, improveThird-grade aThe independent scientific research and innovation ability of public hospitals promotes the cultivation of high-level talents and the output of high-level scientific and technological achievements. Focus on public health and epidemic prevention, disease diagnosis and treatment, and the creation of major new drugs.Three application directions to improve the innovation level of medical frontier fields in our province. Strengthen the research and development of technologies such as life omics, new gene manipulation, early detection of diseases, new diagnosis, biotherapy and minimally invasive treatment, and carry out slow.natureDisease prevention and control, precision medical care, reproductive health and birth defects, prevention and treatment of diseases by traditional Chinese medicine.Treatment of major and difficult diseases with combination of traditional Chinese and western medicineAnd the collaborative medical care and integrated service model based on digital medical care and mobile medical technology; Strengthen the research and development of innovative drugs, focusing on the development of protein and peptide drugs, stem cells and other cell therapy products, nucleic acid drugs and gene therapy drugs; Encourage the high-end development of medical devices, focusing on the development of digital medical imaging equipment, artificial joints, dental materials, in-vitro diagnostic medical devices and reagents; Promote the protection and development of traditional Chinese medicine, accelerate the dosage form transformation and secondary innovation of famous Chinese patent medicines, and promote the development of health industry.〔Responsible unit:Provincial Science and Technology Department, Finance Department, Health Planning Commission, People’s Social Welfare Department, Food and Drug Administration, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(3) Promote the transformation of health scientific and technological achievements.
Strengthen frontier technological innovation and translational medicine research, and build a number of demonstration bases for the transfer and transformation of health and health scientific and technological achievements. Support medical and health institutions, universities, scientific research institutes, food and drug inspection and testing institutions, backbone pharmaceutical enterprises and biomedical high-tech industrial parks to jointly establish research and development institutions and scientific and technological achievements transfer and transformation centers, build collaborative research networks and various forms of industrial technological innovation alliances, and organize scientific and technological personnel to carry out scientific and technological achievements transfer and transformation. Implement an appropriate technology promotion action plan with expert service at the grassroots level as the main content. Strengthen the construction of institutions and teams for the transfer and transformation of scientific and technological achievements, and guide medical and health institutions and enterprises to jointly build institutions for the transfer and transformation of scientific and technological achievements. Build a professional team for the transfer and transformation of scientific and technological achievements, and build a number of technology transfer talent training bases relying on qualified places and institutions.〔Responsible unit:Provincial Department of Science and Technology, Department of Finance, Department of Human Resources and Social Security, Health Planning Commission, Food and Drug Administration, Medical Insurance Office, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
Third, build a healthy foreign exchange platform
(A) the implementation of healthy Fujian global open cooperation strategy
Strengthen foreign exchanges and cooperation in science and technology, personnel training and management services in the health field, deepen exchanges and cooperation with international organizations such as the World Health Organization and the World Bank, extensively participate in international cooperation in global health, medical and health research, population and development, promote the integration of health and health undertakings with the international community, and support academic leaders to participate in international academic exchange activities. Continue to carry out foreign aid medical and health cooperation, actively participate in major international health actions, and enhance international influence in the health field. Actively promote and“the Belt and Road"Countries along the routeAnd regionsExchange and cooperation in the field of population health and implement the national strategy of South-South health cooperation.〔Responsible unit:Provincial Foreign Affairs Office, Development and Reform Commission, Health Planning Commission, Economic and Information Committee, Department of Commerce, Education Department, Department of Human Resources and Social Security, Food and Drug Administration, Tourism Bureau, Medical Insurance Office, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
(B) to promote the overseas development of Chinese medicine
Promote multi-level exchanges and cooperation in international education of traditional Chinese medicine. supportAnd encouragementColleges and universities go abroad to hold Confucius in traditional Chinese medicine(Zhu Zi)The college attracts overseas students to Fujian for academic education, non-academic education, short-term training, clinical practice and summer study tours.Actively play the role of traditional Chinese medicine in foreign aid medical care and health cooperation.Encourage and support Chinese medicine enterprises and medical institutions to set up Chinese medicine diagnosis and treatment institutions and Chinese medicine health care institutions overseas, jointly carry out clinical research on Chinese medicine and export Chinese medicine technology; Carry out international cooperation and transnational operation of traditional Chinese medicine. Actively cultivate the overseas Chinese medicine service market, support the development of overseas Chinese medicine resources, and strengthen the quality management of overseas Chinese medicine production and circulation. Encourage and support Chinese medicine hospitals to set up international medical departments, and cooperate with domestic and foreign brigades.lineSocial institutions and other institutions cooperate to carry out inbound Chinese medicine health tourism, undertake Chinese medicine medical service outsourcing, and strengthen the external publicity and promotion of Chinese medicine service trade.〔Responsible unit:Provincial Health Planning Commission, Department of Commerce, Economic and Information Committee, Department of Education, Department of Human Resources and Social Security, Food and Drug Administration, Tourism Bureau, Medical Insurance Office〕
(3) Strengthen cooperation and exchanges with Hong Kong, Macao and Taiwan.
Give full play to the geographical advantages of our province and build a frontier platform for health exchanges and cooperation with Taiwan. Actively promote Taiwan-funded medical industry to enter Fujian and encourage Taiwan Province.residentEstablish a medical industry in Fujian to attract Taiwan Province doctors to practice in Fujian and provide medical services. Give full play to Pingtan Comprehensive Experimental Zone’s Taiwan characteristics and advantages of tourism resources, strive for the support of national policies, introduce advanced medical resources from Taiwan Province, form a medical industry system of health care, rehabilitation, pension and beauty, and build a cross-strait medical park.Seriously implement "CEPA Agreement on Trade in Services,Positive development and Hong Kong and MacaoSpecial administrative regionHealthy communication and cooperation.〔Responsible unit:Provincial Department of Commerce, National Development and Reform Commission, Taiwan Affairs Office, Hong Kong and Macao Affairs Office, Health Planning Commission, Civil Affairs Department, Tourism Bureau, Fujian and Xiamen Entry-Exit Inspection and Quarantine Bureau, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
(4) Actively promote regional cooperation and inter-provincial exchanges in the field of health.
We will promote the coordinated development of health and wellness in the economic zone on the west side of the Taiwan Strait, develop in close coordination with the Yangtze River Delta and the Pearl River Delta, and improve the regional cooperation mechanism. Promote exchanges between Fujian and the central and western provinces and deepenCounterpart support work in health field. Encourage hospitals, universities and enterprises in the province to hold international and national academic seminars and strengthen high-level academic exchanges.[Responsible units: Provincial Health Planning Commission, Education Department, Economic and Information Committee, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
Section III Strengthening Five Guarantees for Healthy Fujian
I. Strengthening institutional and institutional guarantees
(1) Integrating health into all policies
Party committees at all levels、governmentaskFully understand the profound influence of social, economic, environmental, lifestyle and behavior factors on people’s health, and the important influence of public policies on public health, and establish“Integrate health into all policies."The working mechanism of. Strengthen communication and cooperation between various departments and industries, study and formulate comprehensive prevention and control strategies and intervention measures for the main problems that threaten the health of local residents, and carry out cross-departmental health actions. all regions、all departmentsaskTake safeguarding people’s health as an economic society.developThe important goal is to comprehensively establish a health impact assessment system, systematically assess the impact of various economic and social development plans and policies and major engineering projects on health, and incorporate important health indicators into the target responsibility system assessment system of governments at all levels, strengthen incentives and accountability, and form a joint force to promote health.〔Responsible unit:Party committees, governments and relevant functional departments at all levels]
(2) Comprehensively deepen the reform of the medical and health system.
Continue to deepen the comprehensive pilot work of medical reform..Party committees and governments at all levelsaskIncorporate the reform of the medical and health system into the overall deepening reform with the same deployment, the same requirements and the same assessment, persist in reform and innovation, improve the system and mechanism, focus on system construction, make further breakthroughs in the construction of five basic medical and health systems, such as graded diagnosis and treatment, modern hospital management, universal medical insurance, drug supply guarantee and comprehensive supervision, and accelerate the establishment of more mature and stereotyped systems and mechanisms.improveUnified management mechanism of "medicine, price and insurance", and actively explore the construction of great healthManagement system, forming a joint force to promote health.〔Responsible units: Party committees and governments at all levels,Provincial Medical Reform Office, Health Planning Commission, Department of Human Resources and Social Security, Food and Drug Administration, Medical Insurance Office]
Fully implement the government’s medical responsibility..Promote the separation of government affairs and management, and straighten out the relationship between public medical and health institutions and the government.Promote the transformation of government management mode from direct management to industry-wide management,Establish a modern public hospital management system and a coordinated medical and health management system.. Implement comprehensive budget management, carry out full-cost accounting, implement the third-party accounting audit supervision system, and strengthen the supervision of state-owned assets and economic operation of public hospitals.Improve the whole industry of health and family planningStandards, specifications andComprehensive supervision system,Establish a public welfare-oriented assessment and evaluation system,Form government supervision,Industry self-discipline,Governance pattern of medical institutions combined with social supervision.〔Responsible unit:Provincial Medical Reform Office, Health Planning Commission, Office Administration, Development and Reform Commission, Department of Finance, Department of Human Resources and Social Security, Medical Insurance Office, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee.〕
Adhere to the public welfare nature of basic medical and health undertakings.,In order to be fair and accessible and benefit the masses, establish and improve the management system, compensation mechanism, price mechanism, personnel establishment, post setting and income distribution system.,arriveIn 2020, a new mechanism for maintaining public welfare, mobilizing enthusiasm and ensuring sustainable operation will be basically established.Accelerate the establishment of a personnel salary system that conforms to the characteristics of the industry, gradually improve the salary level of public hospitals, and improve the long-term incentive mechanism for medical staff. Improve the corporate governance structure of public hospitals, implement the tenure system and target responsibility system, implement the corporate autonomy of public hospitals, improve the internal decision-making and restriction mechanism, give play to the functions of workers’ congresses, strengthen democratic management, and improve the scientific and refined level of hospital management.〔Responsible units: provincial medical reform office, editing office, medical insurance office, health planning commission, finance department, people’s social welfare department, people’s governments of cities and counties (districts), and management committee of Pingtan Comprehensive Experimental Zone.〕
Promote the balanced development of medical resources. Encourage the orderly flow of high-quality medical resources between hospitals,Promote military hospitals to participate in the reform of urban public hospitals, guide social forces to increase the supply of medical and health resources, give consideration to supply-side reform and demand-side management, and implement localization and industry-wide management. A medical service system with reasonable layout and division of labor and cooperation and a pattern of graded diagnosis and treatment have been built, and the level of primary medical service has been significantly improved and the order of medical treatment has been improved. Effectively control the unreasonable increase of medical expenses, and the increase of total health expenses is coordinated with the increase of GDP in the region; The burden of personal medical expenses has been significantly reduced, and the annual increase of the average hospitalization expenses in public hospitals has been controlled within the increase of per capita disposable income of residents, and the satisfaction of the masses has been significantly improved. arriveIn 2030,The proportion of personal cash health expenditure of residents in the province to the total health expenditure decreased toAbout 24%.〔Responsible unit:Provincial Medical Reform Office, Development and Reform Commission, Finance Department, Health Planning Commission, Civil Affairs Department, Human Resources and Social Welfare Department, Medical Insurance Office, Statistics Bureau, Red Cross Society, Disabled Persons’ Federation, Charity Federation, Fujian Armed Police Corps.〕
(C) to further accelerate the transformation of government functions
Further promoting decentralization, combination of decentralization and management, and optimization of services in health-related fields will combine improving government governance with giving play to market vitality, taking into account fairness and efficiency. Simplify the public service process in the health field, optimize government services and improve service efficiency. Continue to deepen the reform of examination and approval of drugs and medical institutions, and standardize the examination and approval of medical institutions; Strengthen regulatory innovation in health areas such as health and family planning, sports, food and medicine,Implement the informatization construction of comprehensive supervision and management,Accelerate the construction of a comprehensive supervision system during and after the event., fully open.“Double random and one open"Mechanism construction. Promote the administration of health-related departments according to law, and promote the openness of government affairs and information. Strengthen industry self-discipline and integrity construction, give full play to the role of social forces in supervision, unblock public participation channels, promote fair competition, and promote the scientific development of health-related industries.[Responsible units: Provincial Audit and Reform Office, Development and Reform Commission, Health Planning Commission, Department of Human Resources and Social Security, Food and Drug Administration, Sports Bureau, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
Second, strengthen the health financing guarantee
(1) Increase investment in health.
Establish and improve the long-term investment mechanism of governments at all levels in the health field, and adjust and optimize the financial expenditure structure..Increase investment in health, scientifically and reasonably define the expenditure responsibilities of provincial governments and local governments at all levels, establish a fair, reasonable and sustainable burden mechanism, ensure that basic public health services and basic medical security subsidies are in place in full and on time, and implement the investment responsibilities for public hospitals and other health service institutions., control and resolve the debt risk of public medical institutions.Increase provincial finance for economically underdeveloped areasHealth and health undertakingsTransfer payment and improve the efficiency of fund use. Establish a result-oriented health investment mechanism and strengthen the performance monitoring and evaluation of health investment.Governments at all levels should ensure the investment in public health services.It reflects the inclination to the grassroots, attaches importance to the prevention and control of major diseases and the health of children and adolescents, and strives to ensure the basic health service needs of key groups such as women and children, the elderly, the disabled and low-income people.[Responsible units: Provincial Department of Finance, Development and Reform Commission, Health Planning Commission, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
(2) Improve the level of basic medical insurance.
1. Improve the basic medical insurance payment insurance policy. Establish a stable and sustainable financing and treatment level adjustment mechanism, reasonably determine the proportion shared by the government and individuals, balance the payment burden of units and individuals, and gradually establish a dynamic adjustment mechanism linked to the payment standard and residents’ income, so that the financing standard and security level can adapt to the level of economic development.Gradually increase the actual reimbursement ratio of residents’ medical expenses and medical insurance.. Promote the overall integration of the medical security system and improve the overall level of the basic medical insurance fund.Gradually establish a medical insurance fund adjustment system;Timely implement the provincial-level overall planning of medical insurance to realize the long-term actuarial balance of the fund.,Enhance the ability to resist risks. Gradually improve the overall level and level of serious illness insurance. Improve employee medical insurance personal accounts.manage, carry out outpatient co-ordination. Strengthen medical insurance for drug (consumables) supply and medical services.behaviour, grading diagnosis and treatment and other regulatory functions, and gradually establish a strategic purchase and incentive and restraint mechanism that conforms to the characteristics of the medical industry, and give play to the economic guarantee of the medical insurance fund for suitable medical services and health needs.guideFunction. arriveIn 2030, a mature and stereotyped universal medical insurance system will be basically established.[Responsible units: Provincial Medical Insurance Office, Health Planning Commission, Finance Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
2. Promote the reform of medical insurance payment methods. Fully implement clinical pathway management,Strictly implement the budget management system of medical insurance funds, actively promote the reform of medical insurance payment methods, and implementPay by diseasegive priority to、Compound medical insurance payment system combining multiple payment methods.Establish a negotiation and risk sharing mechanism between medical insurance agencies and medical institutions.improveMeet the characteristics of traditional Chinese medicine medical servicecolourMedical insurance payment policy, promote the treatment of Chinese and Western medicine with the same disease with the same payment standard.. In a timely manner, the services recognized by the competent authorities and clinically effective will be included in the scope of medical insurance payment.. Explore the establishment of a health outcome-oriented payment method, support the supply of quality health care services based on value, and reduce“extraordinary prescription"、“major inspection"Such as excessive medical care, promote the transformation of medical insurance from encouraging medical services to protecting public health.graduallyExpand medical insuranceDisease prevention,Maintain the scope of payment in the field of health, improve the public quality of life and happiness index..[Responsible units: Provincial Medical Insurance Office, Health Planning Commission, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
3. Improve the medical insurance management service system. sound“Three guarantees in one"(medical insurance for urban workers and medical insurance for urban and rural residents) management system and handling service system, strengthen the supervision of medical insurance funds, improve the level of intelligent monitoring, and fully realize the supervision of designated medical institutions and employees.exploreIntroduce social forces to participate in medical insurance services. Accelerate the settlement of basic medical insurance for medical treatment in different places, and realize the direct settlement of hospitalization expenses for retirees resettled in different provinces and the direct settlement of hospitalization expenses in different places that meet the referral requirements.[Responsible units: Provincial Medical Insurance Office, Health Planning Commission, Fujian Insurance Regulatory Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
(C) expand health care financing channels
Encourage the development of various types of commercial health insurance,Explore the establishment of a multi-disciplinary medical insurance system with Fujian characteristics,Implement preferential policies such as taxation and enrich health insurance products. Encourage enterprises and individuals to participate in commercial health insurance and various forms of supplementary insurance to solve health needs beyond basic medical insurance. Promote the cooperation between commercial insurance companies and medical, physical examination and nursing institutions, and develop new organizational forms such as health management organizations. arriveIn 2030, the modern commercial health insurance service industry developed further, and the proportion of commercial health insurance payment expenditure to total health expenditure increased significantly. Strengthen the connection of basic medical insurance, other forms of supplementary insurance and commercial health insurance, and enhance the role of resolving the risk of catastrophic medical expenses.〔Responsible unit:Fujian Insurance Regulatory Bureau, Provincial Medical Insurance Office, Finance Department, Civil Affairs Department, Health Planning Commission, Local Taxation Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
Fully mobilize the enthusiasm of social organizations, enterprises, etc., and form a diversified financing pattern. Improve support measures,Encourage financewait forInstitutional innovation products and services, promotePPP health project construction. Improve the social assistance system, vigorously develop social welfare and charity, encourage donations and mutual assistance from society and individuals, and encourage the society to set up public welfare health service institutions.〔Responsible unit:Provincial Department of Finance, Medical Insurance Office, Civil Affairs Department, Health Planning Commission, Local Taxation Bureau, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
Third, strengthen the protection of healthy talents
(A) to strengthen the training of health personnel.
1. Vigorously develop higher medical education. Strengthen the cooperation between medical education and establish and improve the balance mechanism between supply and demand for medical personnel training. Accelerate the development of medical colleges and universities in the province, deepen cooperation with well-known universities at home and abroad, optimize the structure, scale, level and regional distribution of medical education, and support medical colleges and universities in the province to rationally expand the scale of medical and health personnel training to meet the needs of health and healthy development.Support districts and cities to run medical colleges and universities, and accelerate the training of medical professionals who are in short supply at the grassroots level.arriveIn 2030, colleges and universities in the province that carry out medical undergraduate education will strive forreach7 so go.〔Responsible unit:Provincial Department of Education, Health Planning Commission, Department of Finance, Department of Human Resources and Social Security, and relevant municipal people’s governments.〕
2. Improve the medical personnel training system. We will implement the reform of the medical education system, improve the lifelong medical education system, and speed up the establishment of a medical personnel training system that is organically connected with college education, post-graduation education and continuing education to meet the characteristics of the industry. Fully implement standardized training for residents and gradually implement standardized training system for specialists..Accelerate the construction of the training system for primary medical and health personnel focusing on general practitioners. arriveIn 2020, the number of general practitioners per 10,000 permanent residents will reach.2Above name,arriveIn 2030do all one can to do sthreachthreeAbove the name. Strengthen the system of continuing medical education for all staff and vigorously carry out it.“Continuing medical education in internet plus"Innovatively promote an open health care education system and an online and offline Internet teaching model.〔Responsible unit:Provincial Health Planning Commission, Education Department, Finance Department, People’s Social Welfare Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
3. Strengthen the training of high-level and scarce talents. Implement differentiated policies for training and introducing senior health personnel and continue to implement them.“haveOutstanding contributionyoung and middle-agedExpert encouragement, introduction of medical leading talents, training of young and middle-aged backbone talents, and improvement of senior management talents’ ability."Four high-level health talent team construction projects, such as taking a green channel approach, introduced and trained a number of leading domestic academic leaders..For health and family planning professional and technical personnel to carry out academic exchanges and cooperation temporarily abroad (border), and actively strive to implement differentiated management with reference to teaching and scientific research personnel.Accelerate the cultivation of talent highlands in public health institutions, public hospitals and research institutes in Fuzhou, Xiamen and other cities, and create high-level talent gathering areas in the health field.; Support Longyan, Sanming, Ningde, Nanping and other cities to establish a flexible introduction mechanism for high-level talents.. Increase general practice and pediatricsandThere is a shortage of medical talents such as psychiatry and reproductive health consultants and nurses., popular science propagandistTraining of skilled health service personnel. Strengthen the construction of compound talents of pharmacists and Chinese medicine health service, health emergency and health informatization. Strengthen the construction of social sports instructors, toIn 2030, every thousand people will have social sports instructors.no less than2.3name.〔accountability organization:Provincial Health Planning Commission, Education Department, Human Resources and Social Welfare Department, Finance Department, Foreign Affairs Office, Sports Bureau, Food and Drug Administration, people’s governments of all districts and cities, and Pingtan Comprehensive Experimental Zone Management Committee.〕
4. Strengthen the construction of grassroots medical and health personnel. Continue to implementDirected training program for primary medical talentsAnd guide medical talents to serve the masses in rural areas. Strengthen the construction of rural doctors, train rural medical professionals for rural areas, and enrich the team of village-level medical and health personnel.implement"Mountain and Sea Assistance" plan, the more developed coastal areas in the province send professional and technical personnel to the less developed inland mountainous areas to alleviate the shortage of professional talents in the less developed inland mountainous areas.〔Responsible unit:Provincial Health Planning Commission, Education Department, Finance Department, People’s Social Welfare Department, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(B) innovative talent use evaluation and incentive mechanism
1. Strengthen the construction of personnel service management guarantee institutions.Strengthen each otherGrade guardgrowcountgrowTalent service organizationbuild, strongchangeComprehensive management and professional training to improve the information level of talent service management.〔Responsible unit:Provincial Health Planning Commission, Department of Human Resources and Social Security, office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
2 to implement the autonomy of medical and health institutions. Fully implement the employment system and form a flexible employment mechanism that can enter and exit..Innovate the use, mobility and service provision mode of medical personnel, gradually implement regional practice registration, promote doctors’ multi-point practice, individual doctors sign contracts with medical institutions or form doctor groups.,Broaden the career development space of medical staff. Innovating the establishment management of county-level public hospitals and primary medical and health institutions.way,County-level public hospitals can define the filing management methods and procedures in the establishment,Gradually implement the preparation and use of the filing system., the implementation of staff inside and outside the same post with the same salary and treatment. Exploring the implementation of total personnel management in urban public hospitals.〔Responsible unit:Provincial Health Planning Commission, Department of Human Resources and Social Security, office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
3. Establish and improve the salary system that adapts to the characteristics of the industry. Protect the legitimate rights and interests of medical and health personnel, and actively improve the practice environment of medical and health personnel. Reasonably determine the total wages of medical and health institutions at all levels and accelerate the reform of the personnel compensation system in public hospitals. We will promote the reform of the salary system in county-level public hospitals and primary medical and health institutions, with the focus on the method of approving the total wages and the internal distribution system. Reasonably adjust the salary and treatment levels of different disciplines and majors,Implement the national policy on special post allowance, and adopt the distribution inclination within the total wages.wait forsquareMethod, multi-channel to improve the general practice, pediatrics, obstetrics, public health, mental health, nursing care and other professionals in short supply of job attractiveness. Improve the rural doctors’ financial subsidy guarantee mechanism, old-age security policy and retirement system.graduallyImprove the treatment of medical and health service personnel in remote areas such as mountainous areas and islands.〔Responsible unit:Provincial People’s Social Welfare Department, Finance Department, Health Planning Commission, Medical Insurance Office, people’s governments of cities and counties (districts), and Pingtan Comprehensive Experimental Zone Management Committee〕
fourInnovate the evaluation mechanism of medical talents. Innovate the talent evaluation mechanism, and establish an evaluation system for health professionals and technicians based on ability, performance and medical ethics, based on health care big data, combined with peer evaluation, market evaluation and social evaluation, which conforms to the growth law of medical and health talents. Deepen the reform of professional title evaluation of health professional and technical personnel, and improve the talent evaluation mechanism that conforms to the post characteristics of general practitioners and ad hoc specialties. We will carry out the pilot work of direct employment of professional titles for high-level talents and some urgently needed professionals.〔Responsible unit: Provincial People’s Social Welfare Department and Health Planning Commission]
Fourth, strengthen food and drug safety.
(1) Ensure food safety throughout the process.
Promote the implementation of the food safety strategy, create a food safety province, strengthen the supervision of the whole process from farmland to dining table, and implement the traceability management of the whole process and the active recall system of problem products.,Build a comprehensive food safety management system, and build an upgraded version of the governance system and governance capacity. Improve local food safety standards and optimize enterprise standards for filing.,Implement the public system of enterprise standard self-declaration for food-related products. Improve the ability of food safety inspection and testing in provinces, cities and counties, and strengthen food risk monitoring and evaluation and agricultural product quality and safety risk monitoring. We will fully implement standardized and clean agricultural production, promote the comprehensive management of agricultural and veterinary drug residues and heavy metal pollution, and implement veterinary drugs.(antibacterial)Governance action.Establish a database of food consumption and toxicology in the whole province, and strengthen the ability of food safety risk assessment.Standardize food business behavior, strengthen market access management of new food business formats, improve the supervision mechanism of third-party platforms for online food transactions, and improve the quality of quantitative grading management. Strict supervision of health food. Strengthen the management of imported food access. arrivethe year of 2020eachGrade foodsafeThe risk monitoring network system is more perfect.,arriveIn 2030, the food safety risk monitoring and food-borne disease reporting network will achieve full coverage, and the people’s satisfaction with food safety will be significantly improved.〔Responsible unit:Provincial Food Safety Office, Agriculture Department, Food and Drug Administration, Quality Supervision Bureau, Health Planning Commission, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
(2) Strengthening drug safety supervision.
1. Deepen the reform of medical equipment circulation system. Promote the integration, reorganization and fair competition of pharmaceutical and medical device production and circulation enterprises, reduce circulation links and purify the circulation environment. improvePublic medical institutionsThe procurement mechanism of drugs, consumables and medical devices will give play to the leading role of medical insurance institutions in joint procurement, distribution and settlement..Establish a traceability mechanism for drug ex-factory price information, strengthen the convergence of prices, medical insurance, procurement and other policies, and formulate and improve medical insurance drug payment policies in accordance with the principle of combining government regulation with market regulation. Standardize medical e-commerce and enrich drug circulation channels and development models.Explore the establishment of a logistics distribution mechanism for prescription drugs in public hospitals.. Popularize and apply modern logistics management and technology, and improve the modern circulation network and traceability system of Chinese herbal medicines. We will build a modern pharmaceutical distribution network throughout urban and rural areas and improve the ability of drug supply in grassroots and remote areas. Strengthen the supply guarantee and early warning of drugs in short supply, and improve the drug reserve system and emergency supply mechanism.〔Responsible unit:Provincial Food and Drug Administration, Medical Insurance Office, Health Planning Commission, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
2. Improve the quality and safety level of medical equipment. Reform and improve the review and approval system, promote the consistency evaluation of generic drug quality and efficacy, and establish a clinical efficacy-oriented approval system. Establish and improve the traceability system of medical equipment supervision information, strictly implement the full-cycle supervision of drugs from the laboratory to the patients, strengthen the capacity building of daily supervision and adverse event monitoring, and strengthen the supervision and inspection of high-risk varieties in use. Strengthen the construction of drug production quality management system and deepen the prevention and control of drug safety risks. Implementation of Fujian Province’s drug (medical device) standard improvement plan, promote enterprises to improve innovation and research and development capabilities, accelerate the realization of the quality of drugs and medical devices to reach the international advanced level, and improve the entry threshold and product quality of medical device manufacturers. Establish a comprehensive clinical evaluation system focusing on essential drugs. Strengthen cosmetics, health products, etc.Supervision, increase the intensity of product sampling in the beauty and hairdressing industry, and focus on cracking down on the use of free experiences, lectures, online sales,“Underground and off-site"sellFalse propagandaAnd other means to sell illegal products, strengthen localized supervision, increase the frequency of daily supervision and inspection, and ensure consumer safety. arrivethe year of 2020,The annual sampling quantity of drug safety is up to32,000 copies,Pharmaceutical production and management enterprises100% complianceProduction quality management standard certification (GMP）andManagement quality management standard certification (GSP）Requirements, aseptic and implantable medical device manufacturers100% meet the quality management standards, and 100% of health food production enterprises meet the requirements of good production standards.〔Responsible unit:Provincial Food and Drug Administration, Health Planning Commission, Industry and Commerce Bureau, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee〕
3. All-round promoting drugsGoods and consumablesReasonable use. Strengthen rational drug use and prescription monitoring, promote electronic prescription,Outpatients choose to buy drugs in hospitals or retail pharmacies.Take the form of prescription negative list management and prescription comment to control the irrational use of antibacterial drugs, and strengthen the clinical use intervention of hormone drugs, anti-tumor drugs, auxiliary drugs and high-value medical consumables.Strengthen the supervision of rational drug use in hospitals, individual clinics and retail pharmacies.Promote the guarantee of basic drugs for special populations.Explore the provision of free essential drugs for patients with chronic diseases such as hypertension and diabetes.. Improve the existing free treatment drug policy..Guarantee children’s medication,Improve the drug security policy for rare diseases.[Responsible units: Provincial Health Planning Commission, Food and Drug Administration, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
V. Strengthening the legal protection of health.
(1) Establish and improve health-related laws and standards.Strengthen the thinking of the rule of law, firmly establish the concept of administration and governance according to law, conscientiously implement national laws and regulations, and timely revise and improve local laws and regulations in the health field.andNormative documents, the introduction of "Fujian Province Food Safety Regulations"Regulations of Fujian Province on Health Education and PromotionAnd other laws and regulations. Do a good job in relevant normative documents“Establishment, modification and abolition"Work, improve the health standards and guidelines system.[Responsible units: Provincial Legislative Affairs Office, Health Planning Commission, Environmental Protection Department, Food and Drug Administration, Sports Bureau, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
(2) Comprehensively promoting the legal protection of health rights and interests..strengthenall/different levelsThe government’s regulatory responsibilities in health fields such as medical and health care, food and drug, environment and sports, and the establishment of a supervision and management system combining government supervision, industry self-discipline and social supervision. Strengthen the supervision and law enforcement system and capacity building in the health field, focus on strengthening the supervision function of medical services of health and family planning administrative departments (including Chinese medicine administrative departments), make unified planning, unified access and unified supervision, and establish a localized and industry-wide management system. Give play to the supervisory role of people’s congresses, supervisory organs and the social level, and strengthen social supervision.[Responsible units: Provincial Health Planning Commission, Justice Department, Environmental Protection Department, Food and Drug Administration, Sports Bureau, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee]
(three) to crack down on illegal acts that harm health according to law.Strengthen standardized management, improve the linkage mechanism between administrative law enforcement and criminal justice, jointly crack down on illegal and criminal acts in health-related fields such as medical and health care, food and medicine, environmental protection, and safety in production, punish all kinds of illegal acts that harm people’s health and life safety according to law, and protect people’s health rights and interests. Resolutely crack down on drug crimes. Severely crack down on illegal and criminal acts of manufacturing and selling counterfeit and inferior drugs.Intensify investigation and crackdown."Two non-"(non-medical needs of fetal sex identification and artificial termination of pregnancy) efforts to promote the natural balance of sex ratio.Strengthen the monitoring and supervision of health science information and medical advertisements, and intensify the investigation and punishment of false information. Crack down on illegal and criminal acts involving doctors according to law, specialIt is a violent crime that harms medical personnel and protects the safety of medical personnel.[Responsible unit:Provincial Public Security Department, Health Planning Commission, Environmental Protection Department, Food and Drug Administration, Safety Supervision Bureau, Sports Bureau, Industry and Commerce Bureau, Medical Insurance Office, municipal and county (district) people’s governments, Pingtan Comprehensive Experimental Zone Management Committee.〕
chapter four Organize implementation
first segment Strengthen organizational leadership
firmEstablish the concept of great health and effectively integrate health into all policies..strengthenParty committees and governments at all levelsOrganization and leadership of healthy Fujian construction,Establish and improveBy the main leaders of the party and government personally, in charge of the specific leadership, the relevant departments to participate inPromoting mechanism of healthy Fujian construction work,practicalIncorporate health and health work intoall/different levelsParty committees and governmentsofImportant work schedule, the formation of the unified leadership of the Party committee, the party and government work together, and the departments work together. It is necessary to include healthy Fujian construction.The regionEconomic and social developmentoverallplan,bring intoall/different levelsParty committee、Government performance evaluation, strengthening the impact on healthofResponsibility investigation to ensure the effectiveness of healthy Fujian construction.〔Responsible unit:Party committees, governments and relevant functional departments at all levels〕
Second section Create a social atmosphere
Vigorously publicize the major strategic ideas, principles and policies of the party and the state on maintaining and improving people’s health, and publicize the great significance, overall strategy, objectives, tasks and specific measures to promote the construction of a healthy Fujian. Integrate healthy Fujian construction into spiritual civilization construction, actively cultivate and practice socialist core values, adhere to positive publicity, public opinion supervision and scientific guidance, enhance the general understanding of healthy Fujian construction in society, and cultivate a good social atmosphere that promotes healthy culture and everyone cares about health. Establish a system for releasing core information on health knowledge and skills, build and standardize health columns such as radio, television, newspapers and periodicals, and improve a new public health education platform. Advocate and establishThe concept of "everyone is the first responsible person for his own health" makes maintaining and promoting health become the conscious consciousness, internal demand and common action of the whole society. Intensify public service advertising, popularize health knowledge and skills by ways and means that the people can hear, understand and listen to, so that health knowledge, health behavior and health skills can become the universal quality and ability of the whole people, and form a positive spiritual pursuit and a healthy and civilized lifestyle in the whole society. Give full play to the role of trade unions, the Communist Youth League, women’s federations, the Association for Science and Technology and other mass organizations as a bridge and the advantages of publicity and mobilization, mobilize the enthusiasm of various social organizations and individuals, support volunteers, volunteers and other people to provide health-related services to the public, mobilize the whole society to participate extensively in the construction of healthy Fujian, and pay attention to cultivating and developing health promotion forces rooted in the people and from the bottom up.[Responsible unit:Provincial Party Committee Propaganda Department, Provincial Health Planning Commission, Department of Culture, Press, Publication, Radio and Television Bureau, Association for Science and Technology, Federation of Trade Unions, Women’s Federation, Communist Youth League Committee, Party committees and governments of cities and counties (districts), Party Working Committee and Management Committee of Pingtan Comprehensive Experimental Zone.〕
third segment Strengthen supervision and implementation
all/different levelsParty committees, governments and provinces.Departments should combine their own reality,Detailed implementationbasisactionplanRelevant objectives, tasks and requirements, formulateFive-year plan, action plan or implementation plan of the local department, clear the major projects, major projects and major policies to be implemented in each stage.Establish a normalized and regular supervision and assessment mechanism to strengthen incentives and accountability. The provincial government organizes provincial action planning departments to formulate division of labor plans and monitoring and evaluation plans.Establish and improve the monitoring and evaluation mechanism, and conduct annual monitoring and evaluation of the implementation progress and effect, and introduce third parties when necessary.lineComprehensive evaluation, timely detection of problems、Study countermeasures. We must fully respect the people’s initiative, and be right.actionGood practices and effective experiences in planning and implementation, timely summary and active promotion.[Responsible unit: Party committees and governments at all levels, related to the provinces involved in this action plan.department〕