医改方案英文版.docx

医改方案英文版.docx

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医改方案英文版

医改方案英文版

中共中央国务院

关于深化医药卫生体制改革的意见

参考译文

OpinionsoftheCPCCentralCommitteeandtheStateCouncilonDeepeningtheHealthCareSystemReform

Inthespiritofthe17thCPCNationalCongress,forthepurposeofestablishingahealthcaresystemwithChinesecharacteristics,ofgraduallyrealizingthegoalthateveryoneisentitledtobasichealthcareservices,andofraisingthehealthleveloftheChinesepeople,weherebyputforwardthefollowingopinionsondeepeningthehealthcaresystemreform.

I.Fullyrecognizingtheimportance,urgencyandarduousnessofdeepeningthehealthcaresystemreform

Thehealthcaresectorisamajorlivelihoodissue,asitiscloselyrelatedtothehealthofbillionsofpeopleandthehappinessofeveryhousehold.Todeepenthehealthcaresystemreform,quickenthedevelopmentofhealthcaresector,meetthepeople’severincreasinghealthcaredemands,andcontinuouslyimprovethepeople’shealthisaninevitablerequirementofimplementingtheScientificOutlookonDevelopmentandacceleratingeconomicandsocialdevelopmentinacoordinatedandsustainablemanner,animportantmeasuretomaintainsocialfairnessandjusticeandimprovethequalityofpeople’slife,andalsoamajortaskofbuildingmoderatelyprosperoussocietyinanall-roundwayandconstructingharmonioussocialistsociety.

SincethefoundingofthePeople’sRepublicofChinain1949,andsincethebeginningofthereformandopening-upinparticular,China’shealthcaresectorhasmaderemarkableachievements.Ahealthservicesystemcoveringbothurbanandruralresidentshasbasicallycomeintobeing;thediseasepreventionandtreatmentcapacityhasbeencontinuouslystrengthened;thepopulationcoveredbyhealthcarehasgraduallyexpanded;healthscienceandtechnologylevelhasrapidlyrisen;thepeople’shealthlevelhasbeenmarkedlyimproved;andthemajorresidenthealthindexesnowrankamongthehighestinthedevelopingcountries.SincethemajorvictorywonincombatingSARSinparticular,governmentsatvariouslevelshaveincreasedtheirinvestment,thedevelopmentofpublichealth,ruralhealthcareandurbancommunityhealthcarehasbeenaccelerated,andtheNewRuralCooperativeMedicalSchemeandthebasicmedicalinsurancesystemforurbanresidentshavemadebreakthroughs,allofwhichhavelaidasolidfoundationfordeepeningthehealthcaresystemreform.Atthesametime,however,wemustbeawarethatthereisstillaratherprominentcontradictionbetweenthecurrentdevelopmentlevelof

equalstressontraditionalChinesemedicine（TCM）andwesternmedicine;itshouldimplementseparationbetweengovernmentagenciesandpublicinstitutions,betweengovernmentadministrationandbusinessoperations,betweenmedicalandpharmaceuticalservices,andbetweenprofitandnon-profit;itshouldstrengthengovernmentresponsibilityandinvestment,improvenationalhealthpolicies,perfectinstitutionalsystems,enhancesupervisionandregulation,promoteinstitutionalinnovations,andencouragesocialparticipation,soastoconstructabasichealthcaresystemcoveringurbanandruralresidents,continuouslyraisethehealthleveloftheentirepopulation,andpromotesocialharmony.

（ii）TheprinciplesfordeepeningthehealthcaresystemreformThehealthcaresystemreformmustbefirmlybasedonthecountry’sbasicconditionsandproceedfromreality,adheretotherightreformprinciples.

-Weshouldadheretothepeople-firstprincipleandattachprimaryimportancetosafeguardingtherightsandinterestsofthepeople’shealth.Weshouldadheretothetenetofservingthepeople’shealthwithhealthcareundertakings;regardsafeguardingthepeople’shealthasthecenter,andtaketheentitlementofbasichealthcareservicestoeveryoneasthefundamentalaimandoutcome;makesurethattheprincipleofcommonwealnaturebecompliedwiththroughouttheentireprocess,fromdesigningthereformprogram,establishingthehealthsystem,toconstructingthehealthcareservicesystem;ensurethatthebasichealthcaresystembepublicgoodsprovidedtotheentirepopulation;emphaticallyresolvetheprominentproblemstowhichpeoplestronglyreact,andstrivetoachievethegoalofensuringthathealthcareservicesbeavailabletotheentirepopulation.

-WeshouldadheretofindingafootholdinChina’snationalconditionsandbuildthehealthcaresystemwithChinesecharacteristics.Weshouldadheretoproceedingfromthecountry’sbasicconditions,sumupthepracticalexperienceofthereformanddevelopmentofChina’shealthcareundertakingsbyseekingtruthfromfacts,andaccuratelyidentifythelawofdevelopmentandprincipalchallengesofhealthcareundertakings;adheretoensuringthatthebasichealthcareservicelevelisincoordinationwiththesocio-economicdevelopment,andinconjunctionwiththeaffordabilityofthepeople;bringtheroleofTCM（includingethnicminoritytraditionalmedicine）intofullplay;adheretopositioningonlocalconditions,specifyingguidancefordifferentlocalities,givingfullplaytolocalinitiatives,andexploringwiththeaimtoestablishingthebasichealthcaresystemconformingtothecountry’snationalconditions.

-Weshouldadheretotheunityoffairnessandefficiencyandcombinegovernment’sleadingrolewiththeroleofmarketforces.Weshouldintensifygovernment’sresponsibilityinthebasichealthcaresystem,strengthengovernmentalfunctionsininstitutionalization,planning,fund-raising,serviceprovision,supervisionandregulation,etc.,safeguardthecommonwealnatureofpublichealthcaresystem,andadvancefairnessandjustice.Inaddition,weshouldemphaticallygivefullplaytotheroleofmarketforces,callonsocialparticipation,promotetheformationoforderlycompetitionmechanism,upgradeoperationalefficiency,servicelevelandqualityofthehealthcaresystem,andsatisfythepeople’smulti-layeranddiversifieddemandsforhealthcareservices.

-Weshouldadheretooverallplanningandall-roundconsiderationandcombineresolvingcurrentlyprominentproblemswithimprovingtheinstitutionalsystem.Weshouldproceedfromtakingtheoverallsituationintoconsideration,balanceurbanandruraldevelopmentanddevelopmentamongdifferentregions,reconciletheinterestsofthesupplier,thecustomerandotherstakeholders,emphasizethecombinationofprevention,treatmentandrehabilitation,andappropriatelyhandletherelationshipamonggovernment,healthcareinstitutions,pharmaceuticalenterprises,healthcareworkersandthepeople.Weshouldbefar-sightedandengageininstitutionalinnovationsontheonehand,andfocusoncurrentsituationandemphaticallytackletheprominentproblemsofthehealthcaresystemontheotherhand;Weshouldpayadequateattentiontotheoveralldesign,clarifytheoverallreformdirection,objectiveandbasicframeworkontheonehand,andhighlightthekeypoints,conductstep-by-stepimplementation,andactivelyandprudentlypressaheadwiththereformontheotherhand.

（iii）TheoverallgoalofdeepeningthehealthcaresystemEstablishandimprovethebasichealthcaresystemcoveringurbanandruralresidents,andprovidethepeoplewithsecure,efficient,convenientandaffordablehealthcareservices.

By2011,thebasicmedicalsecuritysystemshallhavecompletelycoveredurbanandruralresidents,theessentialmedicinessystemshallhavebeenpreliminarilyestablished,urbanandruralgrass-rootshealthcareservicesystemshallhavebeenfurtherstrengthened,thebasicpublichealthservicesshallhavebeenavailablefarandwide,pilotprojectsforreformingstate-ownedhospitalsshallhavemadebreakthroughs,theaccessibilitytothebasichealthcareservicesshallhavebeenimprovedmarkedly,residents’burdenofmedicalcostsshallbeeffectivelyreduced,andtheproblemof“difficultandcostlyaccesstohealthcareservices”shallhavebeenremarkablyrelieved.

By2020,thebasichealthcaresystemcoveringurbanandruralresidentsshallhavebeenfundamentallyestablished.Weshallhavesetup,acrossthecountry,afairlycompletepublichealthservicesystemandhealthcareservicesystem,acomparativelysoundmedicalsecuritysystem,asecuredandrelativelywellregulatedpharmaceuticalsupplysystem,acomparativelysoundhealthcareinstitutionmanagementandoperationalsystem,amulti-sponsoredmedicalconfigurationshallbeformed,everyoneshallhaveaccesstothebasichealthcareservices,themulti-layerdemandsofthepeopleforhealthcareservicesshallbemetpreliminarily,andthehealthlevelofthepeopleshallbefurtherenhanced.

III.Improvingfourmajorhealthcaresystemsandestablishingthebasichealthcaresystemcoveringurbanandruralresidents

Foursystemscoveringurbanandruralresidentsshallbeestablished,includingthepublichealthservicesystem,healthcareservicesystem,medicalsecuritysystem,andasecuredpharmaceuticalsupplysystem,withanaimtoforminga“fourinone”basichealthcaresystem.Thefoursystemsshallbeconstructedinconjunctionwitheachother,supplementeachotheranddevelopinacoordinatedway.

（iv）Strengtheningtheconstructionofthepublichealthservicesysteminanall-roundwayEffortsshouldbemadetoestablishandimproveprofessionalpublichealthservicenetworks,whichincludediseasespreventionandcontrol,healtheducation,maternityandchildcare,mentalhealth,emergencytreatment,bloodcollectionandsupply,hygienesupervision,familyplanning,andetc.;improvethepublichealthservicefunctionsofthebasichealthcareservicesystem,whichisbasedongrass-rootshealthcareservicenetwork;establishapublichealthservicesystemfeaturingaclear-cutdivis