Health and family planning successes in 2014 and major tasks for 2015

(en.nhfpc.gov.cn)

Updated: 2015-02-12

Major health and family planning focus in 2015

I. NHFPC medical system reforms

1. Making every effort to increase public hospital reform.

The commission will draw up an Implementation of Comprehensive County-level Public Hospital Reforms paper and extend the reforms to all counties and county-level cities and the paper in expanding the range of pilot cities. It will do pilot work in medical reforms in four provinces and supervise the pilot work and use the experience to help other places to with similar reforms.

2. Improving national medical insurance

There will be improvements in the urbanites’ medical insurance and the new rural medical insurance standards and the commission will implement a serious illness insurance program for urban and rural residents and improve its emergency illness relief system to help more needy people.

3. Better essential medicine system and new methods at the community level.

The commission will push the essential medicine system at non-government-funded community-level medical institutions and village clinics and improve community-level medical management. It will improve community health services so that more areas can experiment with operational and service reforms for GPs and increase reforms at township health clinics. 4. Improved drug supplies There will be better national drug policies and coordination and the commission will provide guidance on making the best of public hospital drug purchasing, and establish price negotiations for some drugs and connections between the procurement of essential and non-essential drugs. There will be centralized drug procurement sites and an information system to guarantee drug supplies. 5. Essential public health services The commission will continue to raise financial aid for essential public health services and continue with major national public health projects and will increase cooperation between community-level medical and healthcare institutes and larger public healthcare institutions.

6. Providing a better diagnosis and treatment system

There will be guidelines for tiered system of medical care services, where patients with minor ailments will be encouraged to go to local community-level medical institutions for treatment to allow the higher-level hospitals to concentrate on the diagnosis and treatment of serious illnesses with multi-tier diagnosis and treatment trials in urban public hospitals. The commission will encourage medical institutions at all levels to reassess their function and make better use of medical resources and push the multi-tier diagnosis and treatment system with primary diagnosis at the community-level, with two-way referrals, separate treatment of acute and chronic diseases, and coordination between higher- and lower-level medical institutions.

7. Professional training and salaries fit for the health-care business

The commission will push education, especially after graduation and provide standardized training for resident doctors, with training for another 50,000 residents, and a standardized specialized doctor training system. It will draw up salary reforms in accordance with medical needs and improve its performance-based pay.

II. NHFPC family planning advances

1. Two-child policy and population monitoring The commission will improve the monitoring of the newly-born and do a study of related support policies and encourage better quality family planning services. 2. Family planning service reforms The commission will improve the childbearing certificate system, strengthen the national family planning for migrant workers, and standardize its fee collection.

III. NHFPC public health improvements

Health emergencies

There will be better communication between commission-level emergency command centers and various regions and greater work on major disease prevention and control, with more dynamic management and better rating of cities that have done a good job in public health and urban sanitation, and a system for choosing cities that excel in heath and sanitation. The commission will increase maternal and child health services and will develop food safety standards and risk monitoring.

IV. NHFPC medical quality and service improvements

The commission will continue to encourage assistance and cooperation between urban and rural hospitals and improve the ability of 500 county-level hospitals. It will draw up plans to improve medical services and TCM and TCM hospital reforms through pilot zones, and improve the medical service quality and control system. The commission will establish a more effective method of hospital, out-of-court settlements and judicial conciliations and medical insurance and do more to develop safer hospitals, medical ethics, and harmonious doctor-patient relationships.

V. Support for traditional Chinese medicine

The commission will improve policies and planning in the development of traditional Chinese medicine and increase TCM scientific and technological reforms, and implement a TCM overseas development strategy.