Yesterday (November 23), the national development and reform commission issued "the national health security engineering construction plan" (hereinafter referred to as "planning), in 2020, further improve the medical and health service system, make everyone will have access to basic medical and health service deployment.
"The plan" to ensure universal health engineering including health poverty alleviation, maternal and child health care, public health service ability, the ability of diagnosis and treatment of difficult diseases, inheritance and innovation of traditional Chinese medicine, such as population health informatization six engineering construction.
"Planning" and made clear to complete six tasks, the relevant hospital construction tasks such as source of funds also made arrangements, special construction funds is mainly composed of the central and local fiscal financing solutions. East county hospital construction project a single project subsidy amount does not exceed 20 million yuan, less than 40 million yuan, in central west does not exceed 50 million yuan.
Development and reform commission (NDRC) of the "planning" will be the next few years the national guidelines for the construction of large medical institutions, will also be health service supply and deepening the reform of medical health system requirements and the people's growing health service demand there is still a large gap, insufficient total amount and the imbalance of the distribution, supply side structural problems to provide the solution.
Attached to the full text about print and distribute "the national health security engineering construction planning" notification
Hair [2016] no. 2016 to society
"Twelfth five-year" since, according to the basic, strong base, the principle of building mechanism, the central and local governments at various levels to enhance investment in medical and health service system construction, public health and basic medical service infrastructure conditions. But overall, health service supply and deepening the reform of medical health system requirements and the people's growing health service demand there is still a large gap, insufficient total amount and the imbalance of the distribution, supply side structural problems still outstanding. One is the superposition of multiple health challenges, public health is still the weak link; 2 it is to complete two child policy implementation of the new requirements are put forward on the ability to improve maternal and child health services; Three is a serious illness within the county power distance achieve reform task is still some way; Four is region tumors, diagnosis and treatment of difficult diseases such as cardio-cerebrovascular disease ability to ascend; Five is the inheritance and innovation of traditional Chinese medicine need to be further improved.
In order to further improve the medical and health service system, the realization of everyone will have access to basic medical and health services, and promote the health of China construction, according to the law of the People's Republic of China on the 13th five-year plan for national economic and social development program, "the central committee of the communist party of China, the opinions of the state council on deepening the reform of medical health system" (found [2009] no. 6), the national health service system planning outline (2015-2020) "do hair [2015] no. 14 (countries) and the strategic plan for development of Chinese medicine (2016-2030)" (guo fa [2016] no. 15), on the 12th five-year medical and health service system, on the basis of construction and development experience, according to the central and local governance division principle, formulate "the national health security engineering construction plan" (hereinafter referred to as the "plan").
First, general requirements
(a) the guiding ideology
Comprehensively implement the party's 18 large and 18 sixth plenary session of 3, 4, 5, spirit, carry out general secretary xi series of important speech spirit, firmly set up and implement the innovation, the coordination, the development of the green, open, sharing ideas, to improve people's health level as the center, in order to promote health care supply side structural reform as the main line, good adhesion at the grass-roots level, short board, optimization of resource distribution, focus on improve the basic medical and health service fairness and accessibility of health needs to improve to meet the multi-level and diverse people service ability, create healthy China.
(2) development goals
By 2020, under the joint efforts of the central and local governments, comprehensively improve the weak link in health care infrastructure conditions, obviously improving the capacity of medical and health services, propulsive synchronous mechanism reform and management innovation, optimize the distribution of health resources, to build compatible with the national economic and social development level, match the residents' health needs, complete system, clear division of labor, complementary functions and reaction in time, close collaboration of medical and health service system, to realize everyone will have access to basic medical and health service and provide solid guarantee to build a well-off society in an all-round way.
(3) the construction principle
One is the overall planning. Earnestly implement the "much starker choices-and graver consequences-in" health and health major development planning, overall consideration area medical and health resources allocation, to promote synergy integration, pay attention to play to the overall efficiency of medical and health service system. Reasonable division of the central and local governance, the central investment according to the level of local economic and social development, the existing resources, such as the actual situation, support at the county level and above related institutional construction; Local governments play an organizational capability is strong, close to the base, the advantages of convenient access to information, to strengthen the construction of grassroots medical institutions.
The second is problem oriented. Needs of health and medical and health services, for the masses the most urgent and need to solve the problem, we will focus on developing public health, primary care, maternal and child health services, difficulty and inheritance of traditional Chinese medicine of diagnosis and treatment of severe population health informatization construction, such as innovation and support the construction of a number of key projects, improve the preventive care and hospital conditions.
Third, the coordinated development. The central investment further tilt to the basic unit, poor areas and public health efforts, to promote medical resources to the basic flow and the Midwest, gradually narrowing the difference of medical and health resources between urban and rural, regional, speed up the promotion to ensure equal access to basic medical and health services.
Four is to practical results. With reference to relevant construction standards, on the basis of the condition of make full use of existing infrastructure, based on local development actual, strengths, ensure function, prevent scale sprawl, the green development concept through to the project construction process.
Five is to reform led. Pay attention to service system construction and reform of public hospitals, the grading system to establish and other major reform synchronization, ready to increase input and system construction, improve the infrastructure and improve the software environment.
Second, the construction tasks
Universal health protection programs include health poverty alleviation, maternal and child health care and public health service ability, the ability of diagnosis and treatment of difficult diseases, inheritance and innovation of traditional Chinese medicine, such as population health informatization construction.
(a) health poverty alleviation project
1, the construction goal. Special difficulties in concentrated regions and countries, with emphasis on the key county of poverty alleviation and development work, to strengthen the construction of county-level hospitals building in an all-round way, to ensure that every county (city, area) built by 1-2 public hospitals at the county level (including traditional Chinese), promote the county comprehensive service ability, strive to in 2020, the county medical institutions of beds per thousand population reached around 1.8 beds, medical technology can satisfy the common disease, frequently-occurring disease diagnosis and treatment of county residents, the related specialized rescue of emergency and severe cases and venereology referral, emergency medical relief, as well as the standardization of the common tumor therapy and analgesic therapy, to achieve within the county JiuZhenLv provide facilities to ensure 90% mission objectives.
2, the construction tasks. Support local thousand population data is not standard, business occupancy area of great gap (including the dangerous house renovation) county hospital construction. Focus on improving the capacity of hospital service and remote medical service ability, new beds to gynecology and obstetrics, pediatrics, Chinese medicine, spirit, aging, and other fields. Allow the county-level hospitals in the new area construction branch, or the shortage of medical resources, covering a large population, far from the main area of the county-level hospitals relying on the center towns and townships construction branch, to ensure the high quality resources in the county to cover all the crowd, raise the overall level and efficiency.
Since 2017, no longer to arrange the central budget for investment supporting the construction of township hospitals and village clinics project, relevant construction shall be the responsibility of the local governments to raise funds.
3, construction standards. One is on the basis of "standard of comprehensive hospital building", "standard of hospital construction of TCM", according to the principle of TianPingBuJi support at the county level hospital building, the reconstruction and improve medical environment. Secondly, the public hospitals at the county level within the county a total beds in principle according to 1.8 beds per thousand population control (among them, the hospital of traditional Chinese medicine by 0.55 beds per thousand population control), bolstering regional population of 100000 counties in principle under beds is not more than 200 copies.
(2) of maternal and child health care project
1, the construction goal. To the general equitable access to basic medical and health care for women and children as a starting point, fully improve the infrastructure condition of maternal and child health services, to strengthen maternal care and neonatal critical treatment ability, enhance the level of maternal and child health services. By 2020, strive to realize the provincial, city and county levels have 1 the government of the maternal and child health services facilities, ensure the smooth implementation of a comprehensive two child policy.
2, the construction tasks. Support business occupancy area of province, city (ground), the shortage of construction of county level 3 maternal and child health services, key construction of perinatal health care, newborn disease screening, health education and other public health function, and obstetrics, pediatrics, regions, and medical functions by the business.
3, construction standards. Provincial, city (ground), county level 3 maternal and child health services public health business occupancy area, respectively, according to the 60 square meters per person, 65 square meters/people, 70 square meters/calculation, people refer to prepare and no more than 160 people, 90 people, 70 people. Set up beds, medical business occupancy area according to the 200 bed and below, 201-400, more than 401 bed and bed, according to 88 square meters, 85 square meters, each bed standard further increase construction area of 82 square meters.
(3) the public health service ability promotion project
1, the construction goal. Insist on prevention, the reach mark, strengthen the infrastructure construction of institution of disease prevention and control, improving the capacity of public health service in an all-round way. Strive for to 2020, the provincial disease prevention and control institutions has reached the level biosafety level 3 laboratory; A serious threat to people's health, occupational disease, endemic disease, tuberculosis and other effective prevention and control of infectious diseases, will all kinds of infectious disease remain popular in low level; To further improve blood stations service system, to ensure economic and social development and adapt to medical and health undertakings development; Integrated supervision and law enforcement network to further improve; Emergency medical rescue ability was strengthened.
2, the construction tasks. On the basis of the construction of unified standards and specifications, TianPingBuJi, business premises, the reconstruction and configure the necessary equipment, improving service ability. One is to strengthen the provincial, city (ground), county level 3 business housing construction of institution of disease prevention and control. The second is to strengthen existing provincial occupational disease, infectious disease, endemic disease, tuberculosis prevention and control institution building, etc. Three is to support the blood center at the provincial level, municipal center blood bank business premises, purchase of medical equipment and the reconstruction and blood collection vehicles. Four is to support the province, liang health supervision institution building. Five is relying on the basic software and hardware knowledge to medical and health institutions, construction of 11 health emergency mobile disposal center, equipped with professional technology such as portable on-site first-aid equipment, logistics equipment, etc. Support 14 unbuilt radiation medical treatment base province new radiation medical treatment base.
3, construction standards. All public health facilities construction standards are as follows:
One is the centers for disease control and prevention, according to the centers for disease control and prevention, the construction of standards to determine the construction scale.
Second, independent organizational system without beds of provincial occupational disease, infectious disease, endemic disease, tuberculosis and other public health agencies with reference to the execution of the centers for disease control and prevention, construction standard; Have beds with reference to "standard of comprehensive hospital building" project construction scale is determined.
Three is the blood stations construction area index with reference to the table below.
Blood stations building construction area index reference table
Fourth, province, city (ground) scale level health supervision agency respectively according to the 45 square meters per person, prefecture-level 47 square meters/calculation, refers to the preparation of the number. Encouraging local use of institution of disease prevention and control center and other public health teng modification construction, back room, or in connection with the centers for disease control and prevention, and other public health agencies combined construction, focus on strengthening the construction of buildings for business, shall not violate compasses construction administrative office premises.
Five is the national center for health emergency mobile disposal and nuclear radiation medical treatment base construction in accordance with the relevant guidelines.
(4) ability to improve project of diagnosis and treatment of difficult diseases
1, the construction goal. In view of the serious harm people's health of tumor, cardiovascular and respiratory system diseases, such as improving regional organizational system, selected across the country about 100 special advantage prominent, medical technical level is higher, have outstanding subject leaders and reasonable talent echelon, radiation impetus ability strong support in the provincial hospital, significantly improve the provincial domain related specialized comprehensive treatment capacity and technical level.
2, the construction tasks. One is to improve the infrastructure condition, hospital building reconstruction support, improve the overall level of hospital informatization, with, undertake the task of medical treatment, teaching, scientific research, etc. The second is to purchase the necessary medical equipment, key support current need or promise of breakthrough. Three is to strengthen the construction of hospital scientific research innovation platform, integration of medical scientific research advantage resources, vigorously improve the innovative ability of medical and major scientific research ability.
3, the selection criteria. Construction project selection from the existing provincial hospital, focuses on the clinical diagnosis and treatment ability, the scientific research level, talent echelon, etc. Issued by specific selection criteria and procedures separately.
(5) inheritance innovation engineering of traditional Chinese medicine
1, the construction goal. We will further improve the medical service system of traditional Chinese medicine, giving full play to the advantages of TCM characteristics, key support about 90 key hospital of traditional Chinese medicine (including a handful of combine traditional Chinese and western medicine hospital, national medical hospital, hereinafter the same) and 10 or so provincial scientific research institutions of traditional Chinese medicine (including national pharmaceutical research institutions) inheritance innovation ability construction, promote service resources and the organic combination of clinical research of traditional Chinese medicine, Chinese medicine inheritance innovation conditions improved significantly, the ability to significantly improve constantly emerging, mechanism more robust, achievements, promote the development of comprehensive revitalization of traditional Chinese medicine.
2, the construction tasks. One is the key to strengthen hospital of traditional Chinese medicine clinical collaborative research with room, key specialty of traditional Chinese medicine (TCM), medical technology center, the classic ward, of the old mode of traditional Chinese medicine experts studio inheritance, aspects such as construction, meet the needs of the inheritance of traditional Chinese medicine innovation and development, across the country to build a number of inheritance of traditional Chinese medicine and the independent innovation platform; Second, scientific research institutions of traditional Chinese medicine mainly according to the scientific research project planning area of indicators, TianPingBuJi, focus on strengthening the construction of laboratories and laboratory, promote research and innovation ability.
3, the selection criteria. Relying on the provincial hospital of traditional Chinese medicine and in particular the provincial scientific research institutions to carry out the construction of Chinese medicine, as well as with TCM characteristic, and has strong capacity for independent innovation as the key point, explores the special advantage of traditional Chinese medicine, clinical diagnosis and treatment level, scientific research and personnel training and so on, at the same time, considering the development of national medical support policy, appropriate to relax the selection requirements of national medical hospital. Issued by specific selection criteria and procedures separately.
(6) population health information platform construction
Under the national overall framework of population health information, in accordance with the interim measures of the e-government information resource sharing management in implementation of the construction of e-government information resources sharing requirements. As the main body, at the provincial level shall, in accordance with the regional population health information platform application guidance function, fully integrate the existing information system and data resources, make full use of the emerging information technologies such as cloud computing, big data, realize the public health, family planning, health services, health care, drug management and comprehensive management and so on six big business application system of data gathering and business synergy. Concrete construction plan shall be printed and distributed.
Three, funding arrangements
(a) source of funds. The planning construction of special construction funds needed for investment is mainly composed of the central and local fiscal financing solutions.
1, the national development and reform commission according to the national financial status, since 2016 to arrange support planning related content construction investment from the central budget. In addition to the central budget for investment, places to invest play main body responsibility, strengthen the planning implementation.
2, the provinces, autonomous regions and municipalities directly under the annual central investment subsidies cutting quota, according to the total population, national construction standard, the development present situation, level of economic development factors such as comprehensive. Finally issued amount adjustment according to the actual application situation.
3, project supported by the central investment needed to form a complete set is solved by the local governments to raise funds. For public health and basic medical and health institutions construction projects, cancel the poverty-stricken areas and the west at the county level shall destitute areas city-level matching funds. Did not include the special funds support the scope of the project, the people's governments at the provincial level shall be responsible for the implementation of fiscal funds, construction overall arrangement.
(2) the central investment allowances. The national development and reform commission with the state health and family planning commission, the state administration of traditional Chinese medicine considers the central and local governance division principle, the region's economic and social development level, etc., has differential subsidy policy, the central budget for investment in principle in accordance with the eastern, central and western regions were not more than 30% of the total investment, 30% and 80% of the subsidies (except for quota subsidy project), the Tibet autonomous region and the southern xinjiang four state, four provincial area project construction funds arranged by the central investment to solve all, enjoy special regional development policy areas in accordance with the requirements for specific policy execution, all controls limit the central subsidies for investment.
The highest limit and fixed subsidies amount is as follows:
1, health, poverty alleviation project construction projects. East county hospital construction project a single project subsidy amount does not exceed 20 million yuan, less than 40 million yuan, in central west does not exceed 50 million yuan.
2, maternal and child health care construction projects. Provincial, city and county agencies a single project subsidy amount highest do not exceed 50 million yuan respectively, 25 million yuan and 12 million yuan.
3, improve public health service ability construction projects. City and county agencies a single project subsidy amount the highest do not exceed 15 million yuan and 6 million yuan respectively. East and Midwest provincial center for disease control and prevention of a single project subsidy amount the highest no more than 50 million yuan, 50 million yuan respectively, provincial occupational disease, infectious disease, endemic disease, tuberculosis prevention and control institutions and blood center does not exceed 25 million yuan, 50 million yuan respectively.
4, ability of diagnosis and treatment of difficult diseases promotion construction projects. Each project the investment subsidy is highest do not exceed 150 million yuan.
5, inheritance of traditional Chinese medicine innovation engineering construction projects. Each project the investment subsidy is highest do not exceed 100 million yuan.
Fourth, safeguard measures
(a) ensure the government invest. Local governments to implement public medical and health institution investment and safeguard the main body responsibility, through various channels to carry out the matching funds, resolutely put an end to construction of healthcare agency debt. The local government to transfer project construction land free of charge, breaks all kinds of form a complete set of construction cost, etc., reduce the construction cost.
(2) to strengthen the reform of form a complete set. One is to speed up the implementation of the classification system, and promote medical and health work center of gravity and resource sink, in improving the facilities conditions of grassroots health institutions at the same time, strengthen the construction of talent team. Second, positive change health service model, enhance the level of medical and health information and promote professional public health institutions, hospitals, collaboration between basic medical and health institutions and the upper and lower linkage. Three is to optimize health resources distribution, control the scale of public hospital sprawl, reasonable control construction standard and large scale of public hospital beds, equipment configuration, do the medical space for the society.
(3) strict project management. In strict accordance with the construction of regional health planning and relevant national standards and the central management requirements, the reasonable project construction scale and content. Want to build a program to implement, the implementation of project legal person responsibility system, bidding and tendering system, construction supervision and contract management system. Strictly implement relevant construction technical specification, appropriate scale, applicable functions, equipment reasonably, the economic operation and sustainable development. To strengthen the use and management of funds, guarantee the central fund special fund is special, put an end to use, misappropriate or intercept occurs.
(4) into the project repository. Provincial development and reform, health, family planning and management of traditional Chinese medicine department in accordance with the planning and specific project construction standards and relevant requirements, combined with local actual needs, set up project reserve, and according to the early stage of the project progress, project construction schedule, construction period, and so on and so forth, in a timely manner to project pool eligible projects included in the online examination and approval of investment projects supervision platform (major construction project library module) and three years rolling investment plans, implement dynamic management. Not included in the reserve and rolling three years investment projects may not apply for the annual central budgetary investment.
(5) strengthen the supervision of the whole process. National development and reform commission, the state health and family planning commission, the state administration of traditional Chinese medicine to further establish and improve the mechanism of synergy regulation, makes every effort to realize beforehand prior specification review, strengthen supervision, strict examination of the whole process of supervision, audit, a variety of ways such as special inspection, on-line inspection, ground to give investment plan, project implementation, project construction management, planning, implementation progress, fund use and allocated mainly focus on the key link to the inspection, supervision and inspection and annual examination and the result was recognized as important reference for the following arrangements investment from the central budget. For regulatory inspection of the problems found, will be in accordance with the relevant regulations, timely put forward rectification requirements and processing opinion, shall be ordered to make corrections within a time limit; If the circumstances are serious, shall be investigated for the responsibility of the relevant units and personnel. Relevant departments at the provincial level to perform regulatory body responsibility, to organize regular planning and implementation for the special audit, found that the problem timely rectification. For projects completed, to urge the project units promptly to entrust a third party in accordance with the relevant construction standards and specifications for acceptance, and acceptance for the summary report regularly completed project. |
