Notice of the General Office of Hunan Provincial People’s Government on Printing and Distributing the ＂Fourteenth Five-Year Plan＂ for Healthy Hunan.

Notice of the General Office of Hunan Provincial People’s Government on Printing and Distributing the "Fourteenth Five-Year Plan" for Healthy Hunan.

Xiang Zheng Ban Fa [2021] No.48

The people’s governments of cities, counties and cities, the provincial government departments and commissions, and the directly affiliated institutions:

　　"Healthy Hunan" 14 th Five-Year Plan "has been agreed by the provincial party committee and the provincial people’s government, and is hereby issued to you. Please earnestly organize and implement it according to the actual situation.

　　General Office of Hunan Provincial People’s Government

　　August 20, 2021

　　(This piece is made public voluntarily)

Healthy Hunan "14th Five-Year Plan" Construction Plan

　　In order to promote the construction of a healthy Hunan, serve the overall economic and social development of the province, and continuously meet the growing health needs of urban and rural residents, this plan is formulated according to the requirements of the Implementation Plan for Implementing the Outline of the Plan for Healthy China 2030 in Hunan Province and the Outline of the 14th Five-Year Plan for National Economic and Social Development in Hunan Province and the Long-term Objectives for the Year 2035.

　　I. Planning background

　　(1) The basis of the 13th Five-Year Plan.

　　1.Public health services have been continuously optimized, and the prevention and control of major diseases have achieved remarkable results.COVID-19 epidemic prevention and control achieved phased strategic results. The performance appraisal of basic public health service projects ranks among the top in the country. Legal infectious diseases such as AIDS and tuberculosis continue to maintain a low epidemic level, and malaria has achieved the goal of elimination. The vaccination rate of national immunization program for school-age children is stable at over 95%. The incidence of vaccine-targeted infectious diseases such as hepatitis B, epidemic cerebrospinal meningitis and Japanese encephalitis in children is at a historically low level. The premature mortality caused by cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes is decreasing year by year. All the 41 endemic counties (cities, districts and farms) have reached the standard of elimination or transmission interruption. The comprehensive score of management and treatment of severe mental disorders ranks second in the country. The comprehensive supervision mechanism of the medical and health industry has been initially established, and the monitoring points of food pollutants and harmful factors cover all administrative regions at or above the county level. Seven national health cities and 41 national health towns (counties) were established. The "Guiding Opinions on Strengthening Health Promotion and Education" was first issued in China, and the level of residents’ health literacy improved steadily.

　　2.The medical service system has become more perfect, and the task of health and poverty alleviation has been successfully completed.Actively promote the construction of national medical centers and national regional medical centers, and add 119 provincial key clinical specialties. County "Dimethyl" public hospitals, maternal and child health care institutions, general practitioners in township health centers, and village clinics have achieved full coverage. The graded diagnosis and treatment system has been continuously improved, and the hospitalization rate in the county has reached 90.92%. The comprehensive reform of public hospitals has been promoted in an all-round way, and the establishment of modern hospital management system has been accelerated. The proportion of public hospitals with secondary and above hospital regulations has reached 99.80%. The health poverty alleviation policy system and guarantee mechanism have been gradually improved, and the participation rate of poor people has reached 100%; Give full play to the comprehensive guarantee function of the triple system of basic medical insurance, serious illness insurance and medical assistance, and the actual reimbursement rate of hospitalization medical expenses for the three guarantees reached 74.80%; Carrying out "one-stop" settlement of health poverty alleviation has formed a "one-stop" settlement model with Hunan characteristics, and the proportion of comprehensive security reimbursement for poor people has reached 87.55%.

　　3.The level of medical security has been steadily improved, and breakthroughs have been made in the construction of drug supply security system.We will comprehensively coordinate basic medical insurance and maternity insurance at the municipal level, and the participation rate of urban and rural basic medical insurance will remain above 95%. We will generally coordinate general outpatient medical insurance for urban and rural residents, and establish a drug security mechanism for outpatients with hypertension and diabetes. Within the policy scope of primary medical and health institutions, the proportion of outpatient medical expenses paid within the annual maximum payment limit is 70%. The proportion of medical insurance payment for hospitalization expenses within the policy scope of urban workers and urban and rural residents reached 82.27% and 72.04% respectively. The maximum annual compensation for serious illness insurance for urban and rural residents is 300,000 yuan. We fully implemented the national centralized drug procurement policy, and took the lead in purchasing antibacterial drugs in China. The average decline of 154 drugs won the bid was 35%, and the total purchase amount decreased by 23.82%. The reform of medical insurance payment methods has been steadily advanced, and the pilot of disease diagnosis related group payment (DRG) has achieved remarkable results. Government-run primary medical and health institutions and administrative village clinics all implement the basic drug system. Improve the procurement mechanism of high-value medical consumables and cancel the addition of medical consumables in public hospitals. Strengthen the management of medical service items, announce and implement more than 100 new medical service price items, and include 4517 medical service price items. Continue to optimize the direct settlement process of hospitalization expenses for cross-provincial medical treatment in different places. There are 963 designated medical institutions for direct settlement of cross-provincial medical treatment in different places in the province, and the number of people effectively registered on the national platform reaches 896,000.

　　4.Strong health protection for key populations and accelerated transformation of family planning services.Maternal and child health care and family planning technical service resources were effectively integrated, and people’s livelihood services such as "two cancers" free examination for rural school-age and urban low-income women and free prenatal screening for pregnant women were effectively implemented. 143 new centers for critically ill pregnant women and 149 centers for critically ill newborns were built. Maternal mortality rate, infant mortality rate and mortality rate of children under 5 hit record lows, which were significantly lower than the national average. It was the first in the country to issue the "Measures for the Prevention and Control of Birth Defects in Hunan Province". With comprehensive measures, the incidence of birth defects continued to decline. The health service system for the elderly has been continuously improved, and the proportion of geriatrics departments in secondary and above general hospitals has reached 50.80%. The newly diagnosed occupational diseases decrease by about 5% every year on average, and the rescue mode of pneumoconiosis migrant workers is promoted throughout the country. We will steadily implement the the universal two-child policy, promote the development of care services for infants under 3 years old, and fully implement various reward and assistance systems and preferential policies for family planning. The reform of the Family Planning Association has been steadily promoted, and projects such as hospitalization care subsidies, health insurance and happiness project for special family planning have benefited more than 200,000 families with family planning difficulties every year.

　　5.The development of Chinese medicine has reached a new level, and the inheritance and innovation have been fruitful.The "Measures for Implementing the People’s Republic of China (PRC) Law on Traditional Chinese Medicine" was promulgated, and the Chinese medicine service system and capacity building, personnel training and scientific and technological innovation were comprehensively promoted. There is a municipal hospital of traditional Chinese medicine in every city and state, a county-level public hospital of traditional Chinese medicine in 84 counties and cities, and 224 provincial-level key specialties of traditional Chinese medicine. Departments of "preventing diseases" are generally set up in secondary and above Chinese medicine hospitals, and the number of community health service centers, township hospitals, community health service stations and village clinics that can provide traditional Chinese medicine services is 100%, 97.70%, 84.00%, respectively. Remarkable achievements have been made in the inheritance and innovation of traditional Chinese medicine. One national clinical research base of traditional Chinese medicine, three basic evidence-based capacity-building bases of traditional Chinese medicine, and 76 inheritance studios of famous and old Chinese medicine experts have been newly approved. Promote the protection and development of traditional Chinese medicine, and the planting area of traditional Chinese medicine has reached 4.3 million mu. The culture of traditional Chinese medicine continued to spread, and 3 national-level publicity and education bases of traditional Chinese medicine culture and 10 provincial-level popular science education bases were approved.

　　6.The cause of health and wellness has been promoted in a coordinated manner, and its development potential has been continuously enhanced.The total number of medical and health personnel basically meets the people’s demand for medical and health services, and the distribution of medical and health personnel in urban and rural areas and regions tends to be reasonable. Scientific and technological innovation has achieved fruitful results and won the second prize of National Scientific and Technological Progress in 2017, 2018 and 2020 respectively. The system of laws and regulations has been continuously improved, and the ability and level of administration, decision-making and handling affairs according to law have been improved as a whole. International exchanges and cooperation have been deepened, and foreign aid medical care and special medical assistance projects have been highly affirmed by the National Health and Wellness Commission and recipient countries. The provincial-level national health information platform has been basically built, and the electronic health card registration application has achieved full coverage, and the application has been continuously upgraded and expanded. Relying on Medical Insurance electronic certificate to Build a Public Service Platform of "Hunan Medical Insurance". Internet medical service prices and medical insurance payment policies have been continuously improved. The construction of "Internet+medical health" has achieved initial results, with 33 Internet hospitals built, and tertiary hospitals generally provide smart medical services.

　　(2) Development opportunities in the Tenth Five-Year Plan.

　　Major strategic decisions give new missions.The CPC Central Committee and the State Council issued the Outline of Healthy China 2030, which incorporated the construction of healthy China into the overall national development strategy. Introduced "the Central Committee of the Communist Party of China
The State Council’s Opinions on Deepening the Reform of the Medical Security System has systematically deployed the comprehensive deepening of the reform of the medical security system. The Fourth Plenary Session of the 19th CPC Central Committee proposed to improve the social security system covering the whole people, improve the sustainable basic medical insurance system for urban and rural areas, and improve the level of medical security. The Fifth Plenary Session of the 19th CPC Central Committee made a major strategic deployment of "accelerating the construction of a new development pattern with the domestic macro-cycle as the main body and the domestic and international dual-cycle promoting each other". It is urgent to protect people’s health, enhance people’s physique, save long-term potential energy for economic development and expand the potential of domestic demand by developing health undertakings. The 12th Plenary Session of the 11th Provincial Party Committee has included the improvement of people’s health level in the implementation of the "three highs and four innovations" strategy, and the important position of health work in the overall strategy of economic and social development has been further highlighted.

　　COVID-19 epidemic promotes new changes.The outbreak of the epidemic in COVID-19 shows the extreme importance of ensuring public health safety and safeguarding people’s health rights and interests. Party committees and governments at all levels have paid unprecedented attention to health and health work, and the health awareness of the whole people has been significantly enhanced, which will promote the profound transformation, reform and innovation of the concept and mode of health and health development.

　　Scientific and technological innovation cultivates new kinetic energy.A new round of scientific and technological revolution and digital transformation has been advanced in depth. Information technologies such as 5G, artificial intelligence, blockchain, big data and Internet of Things have developed rapidly. "New infrastructure" has accelerated the transformation of digital development, and major technologies such as genetic engineering and molecular diagnosis have accelerated the transformation and application, providing strong impetus and key support for the high-quality development of health care.

　　(3) Main challenges.

　　The influencing factors of people’s health are complex and diverse.Emerging infectious diseases such as COVID-19 are constantly appearing, which brings great challenges to disease prevention and control, health emergency management and medical treatment of epidemic situation. Multiple health needs such as "one old and one small" are concentrated in generate, and the pressure on health services is increasing. The living environment and lifestyle of residents have changed profoundly, and chronic diseases and their risk factors have become an important public health problem. AIDS, tuberculosis and other major infectious diseases seriously endanger people’s health, endemic diseases and occupational diseases can not be ignored, the food and drug safety situation is more severe, and environmental pollution such as air, water and soil and accidental injuries continue to damage health.

　　The bottleneck problem that restricts development is increasingly prominent.There are obvious shortcomings in the disease prevention and control system, health emergency management system and major epidemic prevention and control system and mechanism, the division of labor and cooperation mechanism between public health institutions and medical institutions is not perfect, and the combination of medicine and prevention is not close. The reform of medical and health system has entered the "deep water area", and the mechanism of "three medical linkages" has not been completely straightened out. It is still very difficult to reform the salary system in public hospitals, and the proportion of residents’ personal health expenditure in the total health expenditure has declined slowly. The quality and structural problems of medical resources are more prominent. The level of high-quality resources is not high, the total amount is insufficient, and the distribution is uneven. The basic medical and health institutions have a large gap in infrastructure construction and weak health service capacity, and the lack of resources and waste of resources coexist. The service system of traditional Chinese medicine needs to be improved. The birth population continued to decline, and the total growth trend weakened. The change of disease spectrum, the aging population and the contradiction between the limited financing ability of medical insurance and the increasing demand have brought severe challenges to the sustainable development of medical insurance.

　　Second, the overall requirements

　　(1) Guiding ideology.

　　Guided by the Supreme Leader’s Socialism with Chinese characteristics Thought in the New Era, we will thoroughly implement the spirit of the Party’s 19th National Congress, the 2nd, 3rd, 4th and 5th Plenary Sessions of the 19th National Congress and the important speeches made by the General Secretary of the Supreme Leader when he visited Hunan, adhere to the overall leadership of the Party, and constantly improve the ability and level of implementing new development concepts and building a new development pattern based on the new development stage. Adhere to the people first, life first, put health in the strategic position of giving priority to development, take high-quality development as the theme, take healthy Hunan construction as the main line, base on the present and take a long-term view, and continuously build a health and health governance system that is linked with economic and social development, adapted to people’s health needs and matched with modern scientific and technological progress, so as to provide health protection for implementing the strategy of "three highs and four innovations" and building a modern new Hunan.

　　(2) Basic principles.

　　Adhere to the people-oriented, health first.Integrate health into the whole process of public policy formulation and implementation, and reflect health priority, highlight health goals and ensure health needs in economic and social development. Establish and improve the system and mechanism for the whole society to jointly promote health, advocate the concept of "everyone is the first responsible person for their own health", and promote the formation of a government-led, multi-party participation, co-construction and sharing pattern.

　　Adhere to prevention and move forward.Promote the transformation from treating diseases as the center to people’s health as the center, strengthen the construction of public health system, promote the integration of medical care and prevention, and improve the division of labor and cooperation mechanism between public health and medical services. Starting from the universality, sociality and integrity of health influencing factors, we should treat both the symptoms and root causes and comprehensively implement policies to reduce social medical costs and reduce the disease burden of the masses.

　　Adhere to demand orientation, reform and innovation.Actively comply with the people’s diversified, differentiated and personalized health needs, continue to deepen the reform of the medical and health system, adhere to the linkage of medical care, medical insurance and medicine, promote the comprehensive pilot of provincial medical reform, give play to the strategic purchasing role of medical insurance funds, promote the high-quality coordinated development of the medical service system, and continuously release the reform dividend so that the fruits of reform and development can benefit the whole people.

　　Adhere to factor optimization, improve quality and increase efficiency.Optimize the allocation of resources, strengthen functional integration and division of labor and cooperation, and improve the level and quality of medical and health services. Give full play to the supporting role of talents and science and technology, promote the innovative development of medical and health care and information technology, and promote the transformation of health care from extensive development of scale expansion to intensive development of quality and efficiency improvement.

　　Adhere to balanced development and make overall plans.Strengthen the overall concept, pay attention to the ability and be more sustainable, adhere to the public welfare of basic medical and health services, promote the equalization of basic public services in the field of health, focus on solving the problem of insufficient imbalance in the development of health services, narrow the differences in basic health services and health protection levels between urban and rural areas, regions and populations, and promote health equity.

　　(3) development goals.

　　1.Goals during the "Tenth Five-Year Plan" period.By 2025, everyone will enjoy better quality health services and a higher level of health security, the health level of residents will continue to improve, the main health indicators will continue to improve, and the people’s sense of acquisition, happiness and security will be significantly enhanced.

　　——The Healthy Hunan Action was effectively implemented, and the work pattern of "great health and great health" was accelerated.The health promotion policy system is basically sound, the residents’ health literacy level has been steadily improved, the healthy lifestyle has been fully popularized, the mental health and mental health service system has been improved day by day, the rising trend of the incidence of major chronic diseases has been curbed, the hazards of infectious diseases, endemic diseases and occupational diseases have been effectively controlled, and the health needs of key groups such as "one old and one young" have been better met.

　　——The public health system was optimized and strengthened, and the ability to respond to public health emergencies was effectively enhanced.Building a strong public health system, the modernization level of the disease prevention and control system has been comprehensively improved, the health emergency management system has been responsive, intelligent and efficient, the grassroots "net bottom" has become more stable, the medical treatment capacity of major epidemics has been greatly enhanced, and public health security has been effectively guaranteed.

　　——The medical service system has been continuously improved, and the service capacity and level have been comprehensively improved.The allocation of medical resources is more reasonable and optimized, the grading diagnosis and treatment system is accelerated, the modern hospital management system is sound and perfect, the high-quality development of public hospitals has achieved remarkable results, the characteristics and advantages of Huxiang traditional Chinese medicine service system have been fully exerted, the medical service capacity in the county has been improved as a whole, and the transfer rate outside the province has continued to decline.

　　——The reform of the medical security system continued to deepen, and the medical supply security system was more perfect.A multi-level medical security system has been initially formed, the reform of medical insurance payment methods has been normalized, the multi-component payment method based on diseases (disease groups) has been fully implemented, the linkage mechanism of drug supply guarantee and purchase price has been standardized and improved, the modernization level of basic medical insurance fund management has been continuously strengthened, intelligent supervision has been comprehensively promoted, and the fairness and accessibility of medical insurance public services have been greatly improved.

　　——Governance efficiency has been significantly improved, and the career development model is mature and sustainable.The governance system of administration according to law in the field of health is becoming more and more perfect, the mechanism of talent training, introduction, use management and evaluation and incentive is constantly improving, the strength of scientific research and education continues to grow, information technology is deeply integrated with various businesses, the intelligent level of health services is significantly improved, and the competitiveness of health industry is further enhanced.

Main indicators of healthy Hunan construction in the 14 th Five-Year Plan

　　2.two〇Long-term goal for three to five years.By 2035, a healthy Hunan will be built with high quality, the comprehensive strength and development quality of health undertakings will rank among the first phalanx in the country, and a health and health governance system suitable for the basic realization of socialist modernization in Hunan Province will be established. The people’s physical and mental health quality will be comprehensively improved, the average life expectancy will reach 80 years, the main health indicators will reach the national first-class level, and health equity will be basically realized.

　　Third, implement the Healthy Hunan Action

　　(1) Intervention on health influencing factors.

　　1.Popularize a healthy lifestyle.Strengthen the standardized management of health science popularization, establish the expert database and resource database of health science popularization, and improve the release and dissemination mechanism of health science popularization knowledge. Strengthen the construction of health education positions, and promote medical institutions and medical personnel to implement health education and health promotion. Widely publicize and popularize health knowledge and skills, fully implement the national nutrition plan of Hunan Province, and continue to carry out the national healthy lifestyle action. Establish a health literacy and lifestyle monitoring system covering the whole province, and the level of residents’ health literacy reaches 25%. Promote the construction of national and provincial health promotion counties (cities, districts), and the number of completed counties (cities, districts) in the province will reach 35%. Solidly carry out tobacco control compliance work, and promote the construction of standardized smoking cessation clinics in general hospitals above the second level. In-depth development of smoke-free party and government organs, smoke-free medical and health institutions, smoke-free schools and smoke-free families.

　　2.Promote mental health and mental health.Actively carry out mental health promotion, do a good job in mental health knowledge and popular science of mental diseases, and increase the publicity of mental health popular science for the whole people. Improve the mental health and mental health service system, cultivate socialized mental health service institutions, and explore the establishment of common mental disorders prevention and treatment models. We will improve the comprehensive management mechanism of mental health, implement rescue for severe mental disorders, standardize services for patients with severe mental disorders, and keep the registered management rate of severe mental disorders above 95%. Improve the standards and management norms of community rehabilitation service system for mental disorders, and strengthen the protection of rehabilitation services for patients with mental disorders. Establish a psychological crisis intervention platform, and incorporate psychological crisis intervention and psychological assistance into various emergency plans and technical programs at all levels. Strengthen the construction of psychological crisis intervention team, deal with acute stress reaction in time, and prevent and reduce extreme behavior.

　　3.Strengthen the monitoring of food safety risks and environmental impact factors.Improve the management mechanism of local food safety standards and enterprise standards, improve the local food safety risk monitoring and evaluation and standard management system, and standardize the submission, collection, analysis and judgment of monitoring data. Strengthen food safety risk monitoring, improve the responsibility system, promote the integration of food-borne disease monitoring counties and villages, cover all food-borne disease medical institutions, and carry out continuous monitoring of key areas and key projects that are harmful to health, such as heavy metals and radiation. Comprehensively improve the ability of epidemiological investigation of food-borne diseases and traceability analysis of food safety accidents. Strengthen the food safety risk assessment mechanism and team building, and promote the application of risk assessment results. Strengthen the monitoring and evaluation of environmental health impacts such as atmosphere, water and soil, establish a representative monitoring network of residents’ ecological environment and health literacy, and strive to improve residents’ ecological environment and health literacy. Carry out in-depth research on the relationship between environmental pollution and diseases, health risk early warning and protective intervention, and actively prevent and control diseases related to environmental pollution. Improve the monitoring network of drinking water quality to ensure the safety of drinking water. Strengthen the monitoring of health hazards in public places, and actively prevent and control road traffic injuries and quality and safety accidents of consumer goods.

　　(2) Maintaining the health of key populations.

　　1.Promote the realization of a moderate fertility level.Organize and implement the three-child birth policy according to law and improve supporting policies and measures. Strengthen population monitoring, grasp the law of population development, strengthen the comprehensive management of sex ratio at birth, and optimize the population structure. Promote the construction and transformation of barrier-free facilities and maternal and child facilities in public places, accelerate the development of infant care services under 3 years old, and standardize the development of various forms of infant care services. Strengthen the health care work of infant care service institutions to ensure the physical and mental health of infants. We will continue to implement various reward and assistance systems and preferential policies for family planning, further improve the all-round assistance system for family planning special families, and safeguard the legitimate rights and interests of family planning families.

　　2.Ensure the health of women and children.Strengthen the standardized construction and management of maternal and child health service institutions, rationally increase the allocation of beds, and pay attention to the construction of the shortage of talents. Strict implementation of pregnancy risk screening and evaluation, high-risk project management, critical care, death case report and other systems, strengthen the construction of critical pregnant women and critical newborn care centers to ensure the safety of mothers and infants. Continue to implement the "Measures for the Prevention and Control of Birth Defects in Hunan Province" and strictly implement the three-level prevention measures for birth defects. The pre-pregnancy eugenics health examination rate, prenatal screening rate and neonatal genetic metabolic disease screening rate reached 80%, 80% and 98% respectively. Strengthen pre-marriage, pre-pregnancy, pregnancy, neonatal period and childhood health care, and popularize and apply the Handbook of Mother and Child Health Care. The systematic management rate of pregnant women, children under 3 years old and children under 7 years old are all 90%. Continue to implement public health services such as "two cancers" examination for rural school-age women and urban low-income women, prenatal screening for pregnant women, and prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B. We will strengthen the construction of special specialties for maternal and child health care and reproductive medicine, and integrate maternal and child health care and reproductive health into the overall situation of maternal and child health services.

　　3.Care for teenagers’ physical and mental health.Improve the construction of existing primary and secondary health care institutions, and speed up the establishment of a system of primary and secondary health care institutions to contact primary and secondary schools. Implement health education and health promotion in schools, strengthen the publicity of knowledge on prevention and treatment of infectious diseases in schools, improve the early warning mechanism, and effectively prevent and treat legal infectious diseases such as tuberculosis and AIDS. Strengthen the prevention and control of myopia among children and adolescents, improve the working mechanism of comprehensive prevention and control of myopia among children and adolescents, and strive to reduce the myopia rate by more than 0.5 percentage points on average every year. Carry out monitoring and evaluation of students’ health hazards, and do a good job in the prevention and treatment of common diseases such as dental caries and obesity. Do a good job in food safety on campus, strengthen nutrition management and guidance for students, and ensure the food safety and nutrition health of students in school. Vigorously promote the cooperation between education departments and mental health medical institutions in the field of mental health, carry out early identification and intervention research on students’ common mental health problems and mental disorders, establish a psychological crisis intervention cooperation mechanism, strengthen two-way business communication, promote the sharing of service resources, open up a "green channel" for students’ psychological crisis referral, improve the social assistance mechanism integrating family, school and society, and promote the all-round development of students’ physical and mental health.

　　4.Strengthen occupational health protection.Strengthen the management of occupational hazards in key industries and promote enterprises to fulfill their legal responsibilities and obligations related to occupational disease prevention and control according to law. Improve the system of occupational disease hazard declaration, occupational disease report, occupational disease and its hazard factors monitoring, and the qualified rate of occupational disease hazard factors monitoring in workplaces of key industries reaches 85%. Implement management measures such as occupational health examination, occupational health trusteeship, occupational disease diagnosis and treatment and rehabilitation. Strengthen occupational health supervision and law enforcement, urge employers with serious occupational health hazards to perform the evaluation of occupational disease hazards, and the construction unit to perform the "three simultaneities" procedures for occupational disease protection facilities in construction projects. We will strengthen the protection of occupational disease treatment and implement special actions to expand the coverage of industrial injury insurance for key occupational diseases in key industries. Continue to carry out the attack on pneumoconiosis prevention and treatment, and provide assistance to migrant workers with pneumoconiosis who have no responsibility.

　　5.Promote the health of the elderly.Accelerate the improvement of the health service system for the elderly, and the standardized health management service rate for permanent residents aged 65 and above will reach 65%. Strengthen the construction of geriatrics, improve the rehabilitation medical service system, and encourage and support the development of geriatric hospitals, rehabilitation hospitals, nursing homes (centers, stations) and hospice care institutions by means of transformation and new construction of urban secondary hospitals. Carry out the construction of friendly medical institutions for the elderly. Promote the construction of a combination of medical care and nursing, support medical institutions to provide old-age care services, and directly register and record according to existing qualifications. Support old-age care institutions to bid for medical institutions. Improve the cooperation mechanism between pension institutions and medical and health institutions. Implement the project of improving the ability of combining medical care with nursing care in the community. Carry out a pilot demonstration of combining medical care with nursing care. Explore the establishment of a long-term care model for the disabled elderly from home, community to professional institutions, and promote the inclusion of qualified medical care and life care services into the scope of medical insurance fixed-point agreement management according to regulations. We will promote the pilot work of hospice care, create a "hospice care standard ward", and promote the development of hospice care services.

　　(3) Strengthen the prevention and control of major diseases.

　　1.Implement comprehensive prevention and treatment strategies for chronic diseases.Improve the monitoring and reporting mechanism and evaluation system of basic information related to the prevention and control of chronic diseases, and implement monitoring of the incidence, illness, death and risk factors of key chronic diseases. Strengthen the screening and early detection of chronic diseases, and gradually incorporate appropriate technologies for early diagnosis and treatment of major chronic diseases that meet the requirements into the routine diagnosis and treatment. We will improve the classified management of chronic diseases, and the service rate of standardized management of patients with hypertension and type 2 diabetes will reach 65%. Promote early cancer screening, early diagnosis and early treatment, establish a cancer big data platform, carry out opportunistic screening of high-risk cancer species such as oral cancer, nasopharyngeal cancer and lung cancer, and formulate and apply common cancer diagnosis and treatment norms and clinical pathways. We will continue to build a demonstration zone for comprehensive prevention and control of chronic diseases, and the coverage rate of the national demonstration zone for comprehensive prevention and control of chronic diseases in the province will reach 20%.

　　2.Actively prevent and control infectious diseases and endemic diseases.Strengthen the monitoring, judgment and early warning of infectious diseases, and effectively deal with key infectious diseases such as COVID-19, unexplained pneumonia, influenza, hand, foot and mouth disease, dengue fever and measles. Actively guard against imported acute infectious diseases and strengthen the source control of major animal-borne infectious diseases. Strictly implement the national immunization plan, strengthen the capacity building of vaccine supervision and management and vaccination units, establish and improve the working mechanism of vaccine supervision and management, standardize the management of vaccination services, and keep the vaccination rate of school-age children in villages and towns (streets) above 95%. Standardize and orderly carry out vaccination in Covid-19 and establish an immune barrier. Strengthen AIDS testing, antiviral treatment and follow-up management, strictly implement clinical blood nucleic acid testing and prevent mother-to-child transmission of AIDS. Continue to strengthen the construction of tuberculosis prevention and treatment service system, focusing on the control of tuberculosis infection sources and the intervention of infected people. Comprehensively implement comprehensive prevention and treatment measures for viral hepatitis. Continue to consolidate the results of malaria elimination. Do a good job in monitoring the epidemic situation in schistosomiasis endemic areas, continue to consolidate the achievements of blocking the standards, and steadily push forward the work of eliminating the standards. Strengthen the prevention and treatment of endemic diseases such as drinking water type and coal burning type fluorosis. Strengthen port quarantine, strictly prevent and control key infectious diseases at ports, and improve international travel health services.

　　(4) Improve the work promotion mechanism.

　　Promote party committees and governments at all levels to establish and improve the organizational system, policy system, responsibility system and working system of healthy Hunan action, build a cross-departmental and cross-regional overall coordination and linkage mechanism, strengthen the mobilization of social organizations, and build a working pattern of party and government leading, departmental coordination, social participation and national action. Improve the monitoring network covering provincial, municipal and county levels, scientifically formulate and dynamically improve the monitoring index system and evaluation and assessment mechanism. Relying on information technology and introducing third-party evaluation to improve the guidance, science and authority of monitoring and evaluation. Strengthen the application of results and promote the effective implementation of various tasks of Healthy Hunan Action.

　　Fourth, build a public health barrier

　　(1) Reform the disease prevention and control system.

　　Promote the reform of disease prevention and control system, based on more accurate and effective prevention,
Straighten out the mechanism and system, clarify the functional orientation, and build a disease prevention and control system with disease prevention and control institutions at all levels and various specialized disease prevention and control institutions as the backbone, medical institutions as the support, and grassroots medical and health institutions as the bottom of the network. Strengthen the standardization construction of disease prevention and control institutions, improve the core competence of epidemic analysis and early warning, epidemiological investigation and disposal, pathogen screening and identification, tracing and tracing, strengthen the responsibilities of business guidance, supervision and management, personnel training, scientific research and teaching, and improve the expansion of service projects. Strengthen the construction of disease prevention and control team, establish a talent training and use mechanism that is compatible with the modern disease prevention and control system, optimize the professional title structure, enrich the talent reserve, and improve the incentive and guarantee policy.

　　(2) Compacting the public health responsibilities of all parties.

　　Establish a long-term mechanism for joint prevention and control, group prevention and group control, strengthen the responsibilities of territories, departments, units and individuals, and establish a multi-party public health social governance system. Improve the working mechanism of grass-roots public health, clarify the public health management institutions in towns (streets), establish a collaborative linkage mechanism with disease prevention and control institutions, and implement grid prevention and control responsibilities. Strengthen the construction of fever clinics, intestinal clinics and infectious disease monitoring posts in primary medical and health institutions, and equip primary medical and health institutions with public health doctors through "county management and township use" to promote the rapid sinking and rational distribution of public health resources. Improve the infection prevention and control system and management system of medical institutions, and set up departments to manage public health work in public medical institutions. Establish and improve the cooperation mechanism between medical institutions and public health institutions, strictly implement the reporting responsibility of infectious diseases and public health emergencies, and incorporate public health service functions into the evaluation and assessment of medical institutions.

　　(3) Enhance the ability of early monitoring and early warning.

　　Coordinate the integration of public health information resources and establish a public health monitoring and early warning system in the province. Improve the early monitoring and early warning mechanism of infectious diseases and public health emergencies caused by them, especially unexplained diseases and abnormal health events, further lay out monitoring posts at ports, airports, railway stations, long-distance passenger stations, schools, old-age care institutions, pharmacies and other places, establish a disease and symptom monitoring network, and standardize the reporting and information release system. Establish a multi-point intelligent early warning mechanism, improve the ability of real-time analysis, centralized judgment and accurate tracking, and ensure early detection, early reporting, early isolation and early treatment of infectious diseases through multi-channel and multi-category monitoring and big data analysis.

　　(4) Improve the health emergency management system.

　　Improve the coordination, information sharing, emergency response and other mechanisms to deal with public health emergencies in the province, and establish a multi-disciplinary and multi-sectoral decision-making consulting expert database. Strengthen the construction of health emergency management systems at all levels, improve health emergency plans, and improve the public health emergency material security system. Actively create a national emergency medical rescue base, a health emergency training base for emergencies, and a comprehensive health emergency experimental area. Coordinate the construction and use of the national emergency medical rescue mobile disposal center and vehicle-mounted team, and strengthen the construction and management of emergency medical rescue system. Establish a public on-site first aid training system to improve the public’s on-site first aid knowledge and skills. Strengthen the construction of pre-hospital medical emergency system and improve the level of pre-hospital emergency service. Co-ordinate resources to form a rapid response mobilization mechanism, and have the technical reserve to complete the pathogen detection of the whole population in a short time when a local epidemic occurs. Strengthen online public opinion guidance and public opinion response capacity building, and properly respond to public opinion in public health emergencies.

　　(5) Improve the mechanism for the treatment of major epidemics.

　　Coordinate the layout of medical resources, and establish a graded, layered and decentralized treatment mechanism and a regional linkage and efficient collaborative treatment network. We will implement the project to improve the treatment capacity of major epidemics, speed up the construction of major epidemic treatment bases, build municipal major epidemic treatment centers, and strengthen the construction of fever clinics, isolation wards and pathogen detection laboratories in county-level hospitals. Further strengthen the construction of disciplines such as severe illness, respiration, anesthesia and infection in designated medical institutions, set up high-level medical rescue teams and expert libraries, set up expert groups such as nucleic acid detection and hospital infection prevention and control, and strengthen the whole process quality control of infectious disease discovery, reporting, isolation, diagnosis and treatment and protection. Improve the reserves of medical resources such as shelter hospitals and standardize the collection, transshipment and disposal of medical wastes.

　　(6) Enriching the connotation of the patriotic health campaign.

　　Improve the normalization mechanism of patriotic health work, and guarantee it in terms of department setting, functional adjustment, staffing, and funding investment. Innovate ways and means to improve the comprehensive management ability of social health. We will continue to improve urban and rural environmental sanitation, improve environmental sanitation infrastructure, and actively promote the "toilet revolution" in rural areas and the treatment of domestic garbage and sewage. Organize mass activities such as "weekend health day" and "national cleaning" to standardize and strengthen the prevention and control of disease vectors. Advocate a civilized, healthy and green lifestyle, and promote healthy living habits such as keeping social distance, using public spoons and chopsticks, and wearing masks scientifically. Promote the establishment of health cities, health towns (counties), health villages and civilized health units, and actively carry out the construction activities of health cities, health villages and towns and health "cell engineering".

　　V. Improving medical service capacity

　　(1) Expanding the supply of high-quality medical resources.

　　Optimize the allocation of resources and promote the expansion of high-quality medical resources and balanced regional layout. We will comprehensively promote the construction of national medical centers and regional medical centers, and build a number of high-level hospitals with outstanding diagnosis and treatment capabilities for difficult and critical diseases, high-end talents, strong scientific research strength, superb management level and obvious radiation effects. Guided by differentiated and misplaced development, strengthen the construction of provincial key colleges (disciplines). Implement the project of expanding and sinking provincial-level high-quality medical resources, and support cities (states) to build 1-2 municipal-level regional medical centers. Strengthen the overall connection with the integration of Changsha-Zhuzhou-Xiangtan and the construction of regional cooperation demonstration zones along the Hunan-Jiangxi border, support the multi-mode development of regional medical consortia and specialist alliances in Changsha-Zhuzhou-Xiangtan, and encourage qualified areas to build inter-provincial border medical service highlands. Give priority to supporting the construction of specialized medical institutions such as children, psychiatry, infectious diseases and rehabilitation nursing for the elderly. Support the key specialties of provincial general hospitals and high-level specialized hospitals to take the lead in setting up specialist alliances and telemedicine cooperation networks to expand the scope of radiation services of high-quality medical resources. Strengthen the backbone support of county-level hospitals and the role of urban-rural ties, implement the "5321 Project" of county-level hospitals, promote the construction of county-level key specialties and specialized disease centers, focus on strengthening the construction of weak specialties such as emergency, pediatrics, anesthesiology and critical medicine, and clinical specialties that are in short supply, and effectively undertake tasks such as diagnosis and treatment of common diseases and frequently-occurring diseases, emergency rescue and referral of difficult diseases in the county.

　　(2) Fill in the shortcomings of primary medical services.

　　Deepen the comprehensive medical reform at the grassroots level and continuously improve the conditions of primary medical and health institutions. In accordance with the goal of creating a "15-minute medical circle", we will improve the establishment of primary medical and health institutions and facilities, and strive to strengthen the capacity building of basic medical services such as emergency rescue, routine surgery, obstetrics and gynecology, and common and frequently-occurring diseases in pediatrics. Actively promote the construction of central township hospitals and community hospitals, and continue to complete the standardization construction of substandard township hospitals and community health service centers. We will implement basic public health service projects, gradually raise the per capita subsidy standard for basic public health services, and improve the quality and performance of services. We will improve the content and function of family doctors’ contract service, expand the scope of contract service, provide comprehensive and continuous services integrating public health, basic medical care and health management for urban and rural residents, and include basic medical services in the scope of medical insurance reimbursement. Improve and implement the introduction, training, retention and multi-channel subsidy mechanism of primary medical and health personnel, and equip each township health center and street community health service center with more than 4 general practitioners, and each family doctor team with 1 general practitioner.

　　(3) Accelerate the construction of a graded diagnosis and treatment system.

　　Clarify the gradient function orientation of all kinds of medical institutions at all levels, scientifically establish the catalogue of classified diagnosis and treatment diseases and referral standards, establish a division of labor and cooperation mechanism between hospitals at different levels, hospitals and primary medical and health institutions, and continuous medical institutions, gradually realize the sharing of electronic health records and electronic medical records, and promote the mutual recognition of inspection results between medical institutions at different levels and categories. Reasonably control the single scale of public hospitals, and guide and standardize the development of "one hospital and multiple districts". Comprehensive use of administrative management, performance appraisal, medical insurance payment and cost control measures to guide tertiary public hospitals to increase the proportion of difficult diseases and critical diseases, and to divert patients with common diseases, frequently-occurring diseases and chronic diseases. We will speed up the implementation of the first consultation system in primary medical and health institutions, and primary medical and health institutions will gradually undertake general outpatient, rehabilitation and nursing services in public hospitals. We will continue to promote the graded diagnosis and treatment model of "county governance, township management and village visit" and build a new rural three-level medical service network with county as the leader, township hospitals as the hub and village clinics as the foundation. Effectively promote the construction of county-level compact medical associations and urban medical groups, explore the construction of compact regional medical associations between large public hospitals and municipal and county governments, and promote the sinking of high-quality medical resources. Support the centers for disease control and prevention to join the construction of medical associations and build an integrated medical and health prevention and treatment system. Encourage the social medical institutions and medical institutions to be included in the medical association. By 2025, we will strive to increase the rate of medical treatment in county and primary health care institutions to over 95% and 70% respectively, and keep the proportion of medical expenses in county above 80%."serious illness does not leave the county, minor illness does not leave the country."

　　(4) Improve the modern hospital management system.

　　Promote the high-quality development of public hospitals, realize the development mode of public hospitals from scale expansion to quality improvement and efficiency improvement, the operation mode from extensive management to refined management, and the resource allocation from focusing on material factors to paying more attention to talent and scientific and technological factors. Strengthen party building in public hospitals and implement the president responsibility system under the leadership of the party Committee. Establish and improve the management system of party building work in social hospitals, and standardize the affiliation of party organizations. Establish and improve the corporate governance structure of public hospitals, implement the autonomy of public hospitals, and build a working mechanism of unified leadership of party committees, division of labor and cooperation between party and government, and coordinated operation. Public hospitals have completed the formulation of articles of association, standardized the internal governance structure and power operation rules, and improved the efficiency of resource allocation and operational management benefits. We will solidly promote the building of a clean and honest party style and anti-corruption work, continue to rectify unhealthy practices in the field of medicine purchase and sale and medical services, and strengthen self-discipline and integrity building in the industry. Strengthen the construction of medical ethics system, and strengthen the medical humanistic quality and professional ethics education of medical staff. Deepen the reform of the salary system in public hospitals, reform and improve the methods of total salary verification, internal performance appraisal and salary distribution in public hospitals, reasonably determine the salary structure and level, and explore various modes such as annual salary system and agreed salary system. Comprehensively carry out the performance appraisal of public hospitals and maternal and child health care institutions, establish a provincial performance appraisal information system, and realize interconnection with the national performance appraisal information system. The assessment results will be regarded as an important basis for the development planning, major project approval, financial input, appropriation, total performance pay verification and medical insurance policy adjustment of public hospitals and maternal and child health care institutions.Strengthen the cost accounting of medical services in public hospitals, and set up the post of chief accountant in tertiary public hospitals. Support relevant hospitals to do a good job in the pilot work of high-quality development of national public hospitals.

　　(5) Promoting the innovation of medical service mode.

　　Consolidate the results of the action plan to improve medical services, deepen quality nursing services, and further improve the people’s experience of seeing a doctor. Carry out day services, increase the proportion of day operations, and encourage public hospitals to set up day wards and day clinics to provide day chemotherapy and other services. Promote the normalization and institutionalization of service models such as outpatient and inpatient multidisciplinary diagnosis and treatment and one-stop service. Accelerate medical technology innovation and appropriate technology promotion, and select five technological innovation projects for key support every year. Continue to promote chest pain, stroke, critical pregnant women, newborns and children, trauma
The construction of the "five centers" provides a green channel for medical treatment and integrated comprehensive treatment services. Strengthen the construction of blood safety system, continue to promote blood donation, and ensure the safety, sufficiency and effectiveness of clinical blood use.

　　(six) to strengthen the quality management of medical services.

　　Strengthen the construction of provincial and municipal medical quality control centers and establish a quality management and control system covering the whole medical process. Improve the medical quality and safety management system and norms, medical performance evaluation mechanism and dynamic monitoring and feedback mechanism of medical quality control. Strengthen the management of diagnosis and treatment behavior, establish data information bases such as diagnosis and treatment guidelines, technical specifications and clinical pathways, promote the quality management of clinical pathways and single diseases, promote reasonable medical examinations, and improve the standardized level of clinical application of medical consumables. Strengthen clinical rational drug use, strengthen monitoring and assessment, and control the use intensity of antibacterial drugs (DDDS) within the national requirements. Strengthen the construction of pharmacists and improve the relevant norms of clinical pharmaceutical services. Actively carry out the construction of "safe hospital", improve the long-term mechanism to resolve medical disputes, strengthen patient safety management, and build a harmonious doctor-patient relationship. Strictly crack down on illegal and criminal acts involving medical personnel, especially violent crimes that harm medical personnel, and protect the safety of medical personnel.

　　(7) Pay attention to the expansion of health poverty alleviation achievements.

　　Strictly implement the requirements of the "four noes", maintain the overall stability of the main policies of health and poverty alleviation, and consolidate the guaranteed achievements of basic medical care. Give priority to the development of rural health care, fill in the shortcomings of the health service system in poverty-stricken areas, and continuously realize the dynamic clearing of the "blank points" of rural medical and health institutions and personnel. Strengthen the capacity building of telemedicine, continue to promote the counterpart assistance of tertiary hospitals, and enhance the capacity of rural medical and health services. Optimize the service measures of disease classification and treatment to further control the harm of major diseases. We will continue to do a good job in signing up family doctors for the poverty-stricken population, focusing on the standardized management and health services for patients with four major chronic diseases: hypertension, diabetes, tuberculosis and severe mental disorders. Implement the "one-stop" information exchange and instant settlement of various medical security policies, and make overall plans to play the role of reducing the burden of the comprehensive security of the triple system of basic medical insurance, serious illness insurance and medical assistance.

　　Six, promote the revitalization and development of traditional Chinese medicine

　　(a) improve the management system and development policy of traditional Chinese medicine.

　　To create a national comprehensive reform demonstration zone of traditional Chinese medicine as the starting point, establish and improve the working system and management system of traditional Chinese medicine at all levels, develop think tanks, and improve the standard system and evaluation system of talents, technology and service of traditional Chinese medicine. Improve the medical insurance management and service price policy of traditional Chinese medicine, and formulate policies and measures to strengthen medical insurance and support the inheritance, innovation and development of traditional Chinese medicine. Explore the management policies of traditional Chinese medicine that conform to the development law of traditional Chinese medicine, improve the filing, examination and approval management and entrusted processing policies of traditional Chinese medicine preparations in medical institutions, support medical institutions to carry out the processing and processing of traditional Chinese medicine pieces, and adjust the use of traditional Chinese medicine preparations within the scope of medical associations. Establish an effective mechanism for science and technology, medical care, traditional Chinese medicine and other departments to recommend qualified new Chinese medicine to enter the rapid review and approval channel. Support the evidence-based research and re-evaluation of Chinese patent medicines after listing, and select and recommend Chinese patent medicines to enter the medical insurance and essential drugs list.

　　(two) improve the service system and service function of traditional Chinese medicine.

　　Further improve the Chinese medicine service system that integrates prevention and health care, disease treatment and rehabilitation. We will strengthen the construction of provincial, city and county hospitals of traditional Chinese medicine and various hospitals and specialties of traditional Chinese medicine, and build a number of national and provincial regional medical centers of traditional Chinese medicine and hospitals of traditional Chinese medicine. Each county (city) has a county-level hospital of traditional Chinese medicine with a second-class level organized by the government, and 35% of the county-level hospitals of traditional Chinese medicine have reached the level of a third-class hospital. Establish and improve the service system of integrated traditional Chinese and western medicine, build a high-level provincial hospital of integrated traditional Chinese and western medicine and several municipal hospitals of integrated traditional Chinese and western medicine, promote the establishment of Chinese medicine, integrated traditional Chinese and western medicine departments and Chinese pharmacy in general hospitals and specialized hospitals, innovate the service model of integrated traditional Chinese and western medicine diagnosis and treatment, and improve the cooperative medical service mechanism of integrated traditional Chinese and western medicine. Comprehensively improve the quality of Chinese medicine medical services, make key Chinese medicine specialties (special diseases) better and stronger, and promote all Chinese medicine hospitals to participate in the construction of medical associations. Strengthen the construction of Chinese medicine museums, promote the full coverage of Chinese medicine services at the grassroots level, and realize that all community health service centers and township hospitals have the ability to provide Chinese medicine services. 80% of village clinics can provide Chinese medicine services, and the amount of Chinese medicine services in grassroots medical and health institutions accounts for 30%. All municipal hospitals of traditional Chinese medicine have established training centers for appropriate technologies of traditional Chinese medicine, and county hospitals of traditional Chinese medicine have established bases for promoting appropriate technologies of traditional Chinese medicine. Vigorously expand the preventive treatment and rehabilitation services of traditional Chinese medicine.

　　(three) to strengthen the training of Chinese medicine talents and scientific and technological innovation.

　　Implement the "Shennong Talents" project of Chinese medicine. Deepen the comprehensive reform of Chinese medicine education, build a multi-level training platform for Chinese medicine inheritance and innovation talents, and implement special training programs for high-level talents, characteristic talents, grassroots talents, Chinese medicine teachers and "Western learning" major talents. Strengthen the construction of scientific research and innovation ability of Chinese medicine research institutes, universities and medical institutions, cultivate and create a number of national and provincial Chinese medicine inheritance and innovation centers, key laboratories, engineering research centers and technological innovation centers, and support the construction of academician workstations. Organize and carry out a number of key research projects on new methods, new prescriptions and new technologies for the prevention and treatment of major diseases in traditional Chinese medicine, and encourage the development of new drugs for traditional Chinese medicine preparations and classic prescriptions in medical institutions with unique clinical efficacy, large usage, safety and reliability. Strengthen the inheritance research of traditional Chinese medicine resources in Hunan, speed up the research and development of new Chinese medicine, new Chinese medicine equipment and new Chinese medicine equipment, improve the integrated innovation model of traditional Chinese medicine in Industry-University-Research, and form a number of innovative achievements with leading domestic, core competitiveness and international influence.

　　(four) to promote the development of Chinese medicine industry and the integration of formats.

　　Focus on supporting the development of Chinese medicine industry in provincial government investment funds. The establishment of Industry-University-Research medical and political joint research, the linkage development mechanism of the first, second and third industries. We will build industrial clusters with advantages and characteristics of Chinese herbal medicines, and build five industrial belts of Chinese herbal medicines, namely Wuling Mountain, Xuefeng Mountain, Nanling Mountain, Luoxiao Mountain and Dongting Lake, and build a number of genuine medicinal seed and seedling breeding bases, demonstration bases for ecological planting of bulk genuine medicinal materials, demonstration bases for ecological planting under forests and demonstration bases for primary and deep processing of Chinese herbal medicines. Cultivate Xianglian, Lily, Polygonatum odoratum, Flos Lonicerae, Polygonatum sibiricum, Poria, Fructus Aurantii, Eucommiae Cortex and other "Xiangjiuwei" brand Chinese herbal medicines. Guide Chinese medicine enterprises to set up "Ding Pharmaceutical Park" as the supply base of raw materials and medicinal materials in areas where medicinal materials are suitable. Support the establishment of a number of traditional Chinese medicine science and technology parks that focus on the cultivation (breeding) of medicinal materials, deep processing of traditional Chinese medicine series and big health products, and build a modern Chinese medicine industrial base with Liuyang Biomedical Park as the core and radiating the whole province. Promote the transformation and upgrading of modern Chinese herbal medicine circulation markets in Shaodong Lianqiao and Changsha Gao Qiao, and make a number of large pharmaceutical circulation enterprises bigger and stronger. Cultivate a number of new formats of Chinese medicine health care, and promote the integration of Chinese herbal medicines with rural tourism, ecological construction, and healthy old-age care.

　　(five) to promote the promotion of Chinese medicine culture and overseas communication.

　　Continue to promote the creative transformation and innovative development of Chinese medicine health culture. Construction of national and provincial TCM cultural publicity and education bases, and creation of a number of TCM cultural products. We will promote the establishment of a demonstration hospital for the construction of Chinese medicine culture, and carry out Chinese medicine popular science education activities such as "Chinese medicine health culture communication action", and the level of Chinese medicine health culture literacy of residents will be improved to 28.78%. Strengthen exchanges and cooperation with Guangdong-Hong Kong-Macao Greater Bay Area and Taiwan Province in traditional Chinese medicine. Expand the overseas communication channels of Chinese medicine culture and organize the implementation of the "group-style" overseas communication action of Chinese medicine. Support Chinese medicine institutions to actively carry out various forms of international cooperation, vigorously develop trade in Chinese medicine services, strive for a national export base for Chinese medicine services, and promote Huxiang Chinese medicine products to enter overseas markets.

　　Seven, deepen the reform of medical security system.

　　(1) Strengthening the medical security system.

　　Adhere to and improve the basic medical insurance system and policy system that covers the whole people and participates in accordance with the law. We will further improve and standardize residents’ serious illness insurance, large medical subsidies for employees, medical subsidies for civil servants and supplementary medical insurance for enterprises, and improve the level of protection for serious and serious diseases and diversified medical needs. Adhere to the principle of fairness in medical insurance, implement classified protection for employees and urban and rural residents, and link treatment with payment. Reform the personal accounts of employees’ basic medical insurance, and establish and improve the outpatient mutual aid guarantee mechanism. Formulate medical assistance measures in Hunan Province and improve the medical insurance and assistance system for major diseases. Improve the maternity insurance policy. Coordinate the development of commercial medical insurance and support commercial insurance institutions to develop inclusive supplementary medical insurance products. Continue to promote the long-term care insurance system pilot.

　　(2) Improve the treatment guarantee system.

　　Consolidate and improve the basic medical insurance benefits. Consolidate the results of universal enrollment registration, continue to strengthen the dynamic management and analysis of data, and comprehensively help the expansion of enrollment. Optimize the guarantee mechanism of outpatient medical expenses. Effectively link employee medical insurance with urban and rural residents’ medical insurance policies, especially the annual maximum payment limit of the overall fund and medical insurance for serious and serious diseases. Implement the list system of medical security benefits, implement a unified basic medical insurance drug list, medical service items and facilities, implement fair and moderate security, and correct the problems of excessive security and insufficient security. Actively implement the requirements of the strategy to deal with the aging population, and determine the level of maternity allowance and maternity medical expenses that are compatible with the level of social and economic development and affordable by the fund. Explore the multi-channel and step-by-step guarantee mechanism for the use of drugs for rare diseases, and continuously improve the drug protection for patients with rare diseases. Improve the unified and standardized medical assistance system and build a solid defense line for medical care. Promote the construction of a medical treatment cost guarantee mechanism for major epidemics, and realize the effective connection between public health services and medical service costs.

　　(3) Improve the financing operation mechanism. .

　　Balance the responsibilities of individuals, employers and the government in fund-raising and payment, and improve the reasonable responsibility sharing mechanism of fund-raising subjects. Combined with the actual situation of our province and the affordability of various fundraisers, we should reasonably determine the financing level and formulate multi-channel financing policies to deal with the medical burden of aging. Establish a basic medical insurance benchmark rate system, standardize the payment base policy, reasonably determine the rate, and implement dynamic adjustment. Implement the government’s insurance subsidy policy. We will fully implement the municipal-level overall planning system for basic medical insurance and maternity insurance, promote the coordination between the overall planning level of medical assistance and the overall planning level of basic medical insurance, improve the mutual aid and anti-risk ability of funds, and ensure the safer and more stable operation of the system. Explore and promote the vertical management of medical security departments below the municipal level, and promote provincial overall planning in a timely manner. Fully implement budget management, strengthen risk assessment and early warning, and strengthen budget implementation supervision. Promote the construction of medium and long-term actuarial capacity of medical insurance funds, improve the risk assessment and early warning mechanism of fund operation, and build a long-term mechanism for fund operation supervision.

　　(4) Optimize the medical insurance payment mechanism.

　　Improve the dynamic adjustment mechanism of medical insurance catalogue. Scientifically determine the scope of basic medical insurance payment, and include new diagnosis and treatment items that meet clinical needs, are safe and effective, and have appropriate expenses into medical insurance reimbursement. Standardize the management of the basic medical insurance agreement in the province, simplify and optimize the procedures for medical institutions to apply for medical insurance, professional evaluation, negotiation and negotiation, and include medical institutions that meet the conditions for medical insurance. Implement the Interim Measures for the Designated Management of Medical Security in Medical Institutions, effectively strengthen and standardize the designated management of medical security in medical institutions, and improve the assessment methods and exit mechanism for designated medical institutions to fulfill the agreement. Deepen the reform of medical insurance payment methods, improve the total budget method of medical insurance funds, improve the negotiation mechanism between medical insurance agencies and medical institutions, and scientifically formulate the total budget. We will carry out multiple and compound medical insurance payment methods based on diseases, and promote DRG, total budget of regional point method and DIP. Long-term hospitalization such as medical rehabilitation and chronic mental illness will be paid by bed day, and outpatient special chronic diseases will be paid by head. Explore payment methods that meet the characteristics of traditional Chinese medicine services, explore the implementation of total payment for close medical complexes, strengthen supervision and assessment, retain the balance, and share the reasonable cost overruns. Carry out the effectiveness evaluation of medical insurance payment, and promote designated medical institutions to provide reasonable and necessary basic medical services.

　　(V) Deepening the reform of price management.

　　Establish a market-oriented price formation mechanism for drugs and medical consumables to control the inflated prices of drugs and consumables. Improve the goal-oriented management mechanism of medical service price items, improve the establishment norms and access system, and speed up the review of new medical service price items. Combined with the characteristics of medical services, we will strengthen the classified management of medical service price items, increase the adjustment of medical service prices, and further reflect the value of technical services. Establish a scientific and reasonable dynamic adjustment mechanism of medical service price, clarify the starting conditions and constraints of price adjustment, continuously optimize the structure of medical expenses, and rationalize the price comparison relationship of medical services. Do a good job in price monitoring, evaluation, supervision and inspection to ensure the stable operation of the price mechanism. Actively and steadily carry out the pilot work of medical service price reform, and make overall plans to promote the compensation mechanism, graded diagnosis and treatment, medical fee control, medical insurance payment and other related reforms in public hospitals to form a comprehensive effect.

　　(6) Strengthen the supervision of medical insurance funds.

　　Establish a medical insurance fund supervision system and law enforcement system. Establish and improve the medical insurance intelligent monitoring system, establish a medical insurance big data system, and develop various medical insurance analysis algorithm models. We will improve the regular fund risk assessment system, establish a mandatory information disclosure system, and supervise designated medical institutions to disclose medical expenses, cost structure and other information to the public according to law. Implement the performance management of fund operation process and establish the performance evaluation system of medical insurance fund. Strengthen the supervision and management of medical services and medical expenses included in the scope of payment of the basic medical insurance fund. Continue to crack down on fraud and insurance fraud, increase the density and frequency of flight inspections, and establish a clue supervision and investigation feedback system.

　　(7) Improve public service capacity.

　　Establish a unified and standardized medical insurance public service and audit standard system, and actively explore the construction of a corporate governance system for medical insurance handling supervision. Vigorously promote the sinking of services and achieve full coverage of provinces, cities, counties, towns (streets) and villages (communities). Standardize and strengthen cooperation with commercial insurance institutions and social organizations, and improve the incentive and restraint mechanism. Explore the establishment of cross-regional medical insurance management cooperation mechanism, and fully realize the direct settlement of outpatient expenses in different places. Improve the management of "Internet+medical care" medical insurance service. Create a new model of smart medical insurance, promote the application of medical insurance in electronic certificate, and realize one-stop service, one-window processing and one-system settlement of medical insurance. Actively promote the transfer of basic medical insurance relationship and continue online processing, promote the use of medical electronic bills, and gradually realize online processing of manual medical expense reimbursement. Innovate the medical insurance settlement mode, use the "real name+financial payment function" of medical insurance electronic certificate to carry out outpatient settlement and bedside settlement, pilot credit medical treatment and non-inductive payment, and create a new process of comfortable medical treatment. Explore the establishment of cross-regional medical security management cooperation mechanism, promote the implementation of "inter-provincial general office" medical security services, and expand medical security exchanges and cooperation.

　　Eight, improve the medical supply guarantee mechanism.

　　(a) to promote the comprehensive pilot system of essential drugs.

　　We will improve the construction of the basic drug system, promote the inclusion of the use of basic drugs in the assessment of government-run medical institutions and medical personnel, and promote the implementation of the basic drug system in non-government-run medical institutions. Gradually increase the proportion of essential drugs, so as to lay a foundation for realizing that the number of essential drugs equipped in government-run primary medical and health institutions, secondary public hospitals and tertiary public hospitals is not less than 90%, 80% and 60% respectively in principle. Promote medical institutions at all levels to form a "1+X" drug use model dominated by the basic drug system, and optimize and standardize the drug use structure. Improve the performance evaluation scheme of the basic drug system, improve the performance evaluation system at the provincial, municipal and county levels, and link the performance evaluation results of counties (urban areas) with the subsidy funds of the basic drug system.

　　(two) to deepen the centralized procurement of pharmaceutical consumables.

　　Adhere to the integration of recruitment, quantity and price, promote the construction of a normalized mechanism for centralized procurement of medicines, and fully implement centralized procurement of medicines and medical consumables. Establish a provincial bidding and procurement platform based on medical insurance payment methods, integrating bidding, procurement, transaction, settlement and supervision, promote direct settlement between medical insurance funds and pharmaceutical enterprises, and improve the coordination mechanism between medical insurance payment standards and centralized procurement prices. We will improve the policy of retaining the balance of medical insurance funds for centralized procurement of medicines and promote the rational use of selected products. To carry out the monitoring and disclosure of pharmaceutical price information and industrial development index, and establish a credit evaluation system for pharmaceutical price and recruitment.

　　(3) Strengthening the supervision of key monitored drugs.

　　Actively promote the consistency evaluation of the quality and efficacy of generic drugs, and encourage medical institutions to give priority to the procurement and use of generic drugs that have passed the consistency evaluation and are affordable. Vigorously carry out various forms of supervision and inspection, standardize the order of drug purchase and sale, and strictly implement the "two-vote system" for drug purchase and sale. Establish a monitoring and early warning mechanism for abnormal changes in drug price supply and a drug cost investigation mechanism to regularly monitor changes in drug price and supply. Establish a full-coverage drug price information monitoring system, improve the clearing system of drug dishonest trading market, and implement cross-departmental joint punishment for enterprises and personnel with serious dishonesty. Strict supervision of pharmaceutical agents, the establishment of medical representative registration system, standardize the behavior of medical representatives.

　　(four) improve the shortage of drug supply guarantee mechanism.

　　We will improve the implementation of the linkage mechanism of consultation and consultation on medicines in short supply, formulate the provincial-level key monitoring list of clinically necessary and easy-to-shortage medicines and make regular and dynamic adjustments, and implement the direct reporting system of information on medicines in short supply in public medical and health institutions. Improve the monitoring and early warning system and selection mechanism for drugs in short supply, and realize the information sharing and dynamic monitoring and early warning of APIs and preparations in registration, production, procurement and price. We will improve the reserve mechanism for drugs in short supply, and strengthen the reserve guarantee supply for drugs in short supply with poor substitutability, insufficient production power of enterprises and unstable market supply. Strengthen the management of drug distribution enterprises, establish access and elimination systems, and improve the concentration of drug distribution. Strengthen the training, supervision and assessment of standardized diagnosis and treatment and rational drug use for doctors. Strengthen normalized market supervision, and increase penalties for monopoly cases involving shortage of drugs and APIs.

　　(5) Standardize the comprehensive evaluation of clinical application of drugs.

　　An expert committee for comprehensive evaluation of clinical application of drugs in Hunan Province was established, and unified and standardized evaluation processes and methods, quality control standards and procedures were formulated. Strengthen the construction of comprehensive evaluation mechanism for clinical application of drugs, focus on essential drugs, focus on anti-tumor drugs, cardiovascular drugs and pediatric drugs, and organize comprehensive evaluation of clinical application of drugs in categories and batches. Promote the evaluation results of clinical application of drugs as an important basis for the formulation of drug procurement catalogue, rational clinical use of drugs, provision of pharmaceutical services and control of unreasonable drug expenses in medical institutions, and realize information communication and sharing among departments.

　　(six) to strengthen the capacity building of drug safety supervision.

　　Establish and improve the drug safety responsibility system and long-term vaccine supervision mechanism, strengthen the main responsibility and territorial management responsibility of drug production and circulation safety enterprises, improve the emergency mechanism of major drug safety incidents, and ensure the safety and effectiveness of public drug use. Strengthen the construction of drug regulatory capacity and promote the modernization of drug regulatory system and regulatory capacity.

　　IX. Promoting the development of health industry

　　(1) Promote the healthy and standardized development of social medical services.

　　We will improve the policies and measures for innovative social medical institutions, treat them equally in terms of access to technology, equipment and personnel, fixed-point medical insurance, construction of key specialties and grade evaluation, and guide social medical institutions to take a differentiated development path to form a benign and orderly development pattern with complementary functions with public hospitals. Support the development of high-end medical services and promote the development of high-level social medical gathering. Encourage and support the society to run large-scale tertiary hospitals bigger and stronger, and support them to create provincial-level clinical key specialties with qualified advantages and characteristics. Encourage and support social forces to organize emerging and urgently needed health service industries such as elderly care and hospice care. Encourage the development of professional hospital management groups.

　　(two) the development of biomedical nutrition and health industry.

　　Vigorously develop biological drugs, new varieties of chemical drugs, high-quality Chinese medicines, high-performance medical devices, new auxiliary materials and pharmaceutical equipment, promote the industrialization of major drugs, and accelerate the transformation and upgrading of medical devices. Develop professional pharmaceutical parks, support the formation of industrial alliances or consortia, and introduce and cultivate biomedical industries and high-end medical technologies. Support medical institutions in the free trade zone to carry out research on stem cell clinical frontier medical technology projects. Optimize the admission process of innovative medical equipment products, encourage and support medical institutions to increase the clinical application of provincial medical equipment products, and strengthen the support of medical insurance system for the application of innovative products. Give full play to the leading role of the national "Central Region Regional Nutrition Innovation Platform" with Hunan as the main body, tap the high-quality resources of nutritious food, strengthen the transformation and application of scientific research results, promote the research and development of nutritious and healthy products, strengthen the popularization of nutrition science and personnel training, and create a highland for the production, learning, research and trade of nutritious food.

　　(3) Expand new formats and new fields of health services.

　　Actively promote the integration of health and pension, tourism, Internet, fitness and leisure. Develop Internet-based health services, cultivate a number of distinctive health management service industries, and promote the development of wearable devices, smart health electronic products and health care mobile application services. Cultivate health culture industry and sports medical rehabilitation industry, build health service industry cluster, and support the supporting development of small and medium-sized enterprises. Support the development of regional medical imaging diagnosis centers, medical inspection centers, pathological diagnosis centers and medical disinfection supply centers, and gradually open them to all medical institutions in accordance with a unified and standardized standard system. Support the development of third-party medical service evaluation, health management service evaluation, health market research and consulting services.

　　Ten, lay a solid foundation for career development

　　(1) Strengthen the construction of talent team.

　　1.Improve the training system of medical talents.Establish and improve a standardized and standardized medical personnel training system that organically connects college education, post-graduation education and continuing education. Deepen the cooperation between medical and education, establish a balance mechanism between supply and demand for medical personnel training and the demand for medical personnel in the health care industry, scientifically formulate the demand plan for medical personnel, and implement the "decision based on needs". Support relevant institutions of higher learning to build high-level public health colleges and establish national-level public health talent innovation practice bases. Improve the standardized training system for residents and the system of continuing medical education.

　　2.Strengthen the introduction and training of talents.Implement the action plan of Furong talents, implement the "225" project of high-level health talents, and build a group of influential leaders and teams in the field of health. Strengthen the training of general practitioners through standardized training for residents, training for assistant general practitioners, job transfer training, and free training for rural order-oriented medical students. Strengthen the training of professionals in urgent need of medical and health care. Promote tertiary medical institutions to increase the investment in medical education and training to more than 1% of their total annual business income every year. We will comprehensively promote the construction of medical insurance talents, improve the management and service mechanism, strengthen education supervision and management, implement full-time training for medical insurance cadres, and focus on cultivating talents in the fields of policy system, fund supervision, informationization, price management, law and actuarial science.

　　3.Promote the reform of the personnel system.Implement the autonomy of employing people in medical and health institutions, fully implement the employment system, and form a flexible employment mechanism that can enter and exit. Actively explore the modes of doctors’ free practice, individual doctors signing services with medical institutions or forming doctor groups. We will improve the promotion system and methods of professional titles, further decentralize the right to evaluate professional titles, increase the proportion of middle and senior professional titles in medical and health institutions and tilt to the grassroots. Innovate the talent evaluation mechanism, and don’t take papers, foreign languages, scientific research, etc. as the rigid requirements for the title evaluation of grassroots health talents. Improve the talent evaluation mechanism that meets the post characteristics of general practitioners. We will comprehensively guarantee reasonable treatment, implement the wage policy for primary medical staff, and establish and improve the subsidy payment mechanism for primary medical staff.

　　(2) Promote the collaborative innovation of science and health.

　　Relying on the Provincial Center for Disease Control and Prevention to build Hunan Academy of Preventive Medicine. Relying on institutions of higher learning, high-level medical and health institutions and scientific research institutions, we will actively promote the construction of major platforms such as national laboratories, national key laboratories, national clinical medical research centers and national engineering centers. Actively build a provincial health research platform and build a number of provincial clinical medical research centers, key laboratories and key disciplines. Do a good job in the hierarchical docking of biosafety risk prevention and control and governance system construction, and improve biosafety governance capabilities. Strengthen basic research in the field of life sciences, support public hospitals to jointly establish research and development institutions and transfer and transformation centers of scientific and technological achievements with key pharmaceutical enterprises and biomedical high-tech industrial parks, and do a good job in connecting basic research with clinical research. Focus on the key core technologies of health and health, select a number of key projects with development prospects, and accelerate the breakthrough of core technologies in key areas such as infectious disease prevention and control, clinical diagnosis and treatment, integration of medical care and prevention, medical equipment and biomedicine. Support a number of key enterprises to accelerate the research and development of core technologies and products. Improve the transformation mechanism of scientific and technological research achievements and form a number of innovative products with independent intellectual property rights. Create a purely domestic key technology platform with international influence, promote clinical research and clinical scientific and technological innovation, encourage the promotion of new technologies and projects, and support the development and application of high-end medical devices such as domestic high-performance magnetic resonance imaging systems and clinical surgical robots. To promote the construction of innovative hospitals, the investment in scientific research funds shall not be less than 1% of the total annual business income of the unit.

　　(3) improve the level of governance according to law.

　　Accelerate the construction of the rule of law in health and promote the modernization of the governance system and governance capacity on the track of the rule of law. Improve local laws and regulations in the field of health and build a scientific, standardized and effective system of laws and regulations. Continue to consolidate the legal review and fair competition review before the introduction of major administrative decisions. We will continue to deepen the "streamline administration, delegate power, strengthen regulation and improve services" reform in the field of health, fully implement the list system of government powers and responsibilities, and implement the list management of business license items related to enterprises. Accelerate the reform of the administrative examination and approval system, establish an inclusive, prudent and effective supervision mechanism, optimize the examination and approval process, improve work efficiency, and optimize the market-oriented and legalized international business environment. Continue to strengthen and improve administrative reconsideration and administrative litigation. Further promote and strengthen the legal construction of medical and health institutions and the "Eighth Five-Year Plan" legal popularization work, improve the legal popularization work mechanism, clarify the legal popularization work tasks, and innovate the publicity and education methods.

　　(4) Strengthen the comprehensive supervision of the industry.

　　Establish a comprehensive supervision, coordination and supervision mechanism of the medical and health industry led by the government and involving multiple departments, strengthen information sharing, promote multi-department joint law enforcement and comprehensive management, improve the early warning and tracking monitoring system, and strengthen the supervision of the whole industry. We will tighten the main responsibility of self-management in medical and health institutions, and improve management mechanisms such as practicing according to law, standardizing services, medical quality and safety, and building morals. Encourage and support social forces to participate in joint governance. We will improve the standardized administrative law enforcement mechanism and the publicity system of administrative law enforcement in the medical and health industry, establish a legal review system for major law enforcement decisions, implement a record system for the whole process of administrative law enforcement, and improve the system of linking administrative law enforcement with criminal justice. We will fully implement the "double random and open" spot check mechanism and increase the intensity of spot checks. Establish and improve the credit mechanism of the medical and health industry, promote the sharing of resources of integrity information throughout the industry, and establish and improve the joint punishment system according to law. Improve the information disclosure mechanism and regularly disclose relevant information. Improve the comprehensive supervision mechanism of grassroots medical and health care, and strengthen the comprehensive supervision and co-management functions and assessment of the medical and health industry in towns (streets). Establish a collaborative application mechanism of comprehensive regulatory results and make overall use of regulatory results.

　　(5) Promoting the application of information technology.

　　1.Strengthen the construction of information infrastructure system.Improve the provincial national health information platform, build the provincial medical security information platform, and strengthen interconnection and resource sharing. Gradually build a new generation of information network infrastructure with high-speed broadband, seamless coverage and intelligent adaptation covering all levels of medical and health institutions in the province, and accelerate the new health infrastructure. Break down information barriers, strengthen standardization, and unify information system code standards such as medical services, drug procurement, and medical insurance reimbursement. Strengthen information and network security protection, and implement the information security level protection system.

　　2.Promote "Internet"+Medical health "development.Coordinate the informatization construction of disease prevention and control, health emergency management, maternal and child health services and other business areas based on "internet plus". Accelerate the construction of Internet hospitals and build an online and offline integrated medical service model covering pre-diagnosis, during-diagnosis and post-diagnosis. Promote the innovation and development of smart hospitals, digital medical associations, medical associations and medical artificial intelligence. Vigorously develop telemedicine and promote the sinking of high-quality medical resources. Construction of regional inspection and inspection data sharing and exchange platform. Gradually unify all kinds of medical cards, build the electronic health card platform into a unified entrance for residents to enjoy the "internet plus" health service, realize the "one card" for cross-regional and cross-institutional medical treatment, and gradually realize the universality of electronic health cards and medical insurance cards.

　　3.Strengthen the application sharing of health care big data resources.Promote the construction of health care big data center in Hunan Province, strengthen the application of technologies such as 5G, blockchain, big data, artificial intelligence and cloud computing in "Internet+medical health", and deepen the application of health care big data in industry governance, clinical care, public health and medical research. Build the basic support system, basic application system, industrial support system and service management system of health care big data in Hunan Province, strengthen data standards, security and service management, and promote the application of auxiliary politics, benefiting doctors, benefiting the people and developing the industry.

　　(6) Deepening international cooperation and exchanges.

　　Actively participate in global health governance and build a human health community; Innovate the dispatch of foreign aid medical teams, promote the participation of medical teams in the management of recipient hospitals, and provide higher-level services for the medical and health development and people’s health in recipient countries. Strengthen the construction of cooperation mechanism between Xiangya Hospital of Central South University-Sierra Leone-China-Serbia Friendship Hospital and Hunan Provincial People’s Hospital-Zimbabwe Parreiren Yatawa Hospital, and continuously improve the comprehensive capacity of non-party hospitals. Promote the construction and development of China-Zimbabwe Chinese Medicine Acupuncture Center, and turn it into a demonstration window for foreign exchange and cooperation of Chinese medicine. Build a platform, strengthen the training of international medical and health technical personnel, and continuously improve the internationalization level of hospitals.

　　(7) Accelerate the reform of the Family Planning Association.

　　Actively promote the reform of family planning associations at all levels, improve the organizational network and service system, improve the service capacity and level, undertake the service functions transferred by the government in an orderly manner, and fully implement the six key tasks of family planning associations in the new period entrusted by the central government. Actively participate in rural revitalization, grassroots social governance, grassroots public health services, family health promotion actions, etc., strengthen publicity and advocacy, reproductive health consultation and guidance services for prenatal and postnatal care, carry out in-depth youth health education in colleges and middle schools, explore the promotion and supervision services for infants aged 0-3, and promote the action of prenatal and postnatal care. Continue to carry out the activities of creating "healthy and happy families", further promote the action of maternity care, help families with family planning difficulties, strengthen the construction of family planning associations for floating population, and promote the social integration of floating population.

　　XI. Policy Guarantee and Organization Implementation

　　(1) Strengthening the main responsibility of the government.

　　Governments at all levels should attach great importance to the construction of healthy Hunan, include it in the important agenda, economic and social development policies and plans, include major health indicators in the assessment content, and evaluate the completion of objectives and tasks by various departments. Actively coordinate the relevant departments to carry out their duties and tasks, form an overall joint force of close cooperation and joint management of multiple departments, and jointly promote the development of health and wellness. Improve the promotion mechanism of planning implementation and enhance the leading force, binding force and execution of planning.

　　(2) Improve the investment guarantee mechanism.

　　Further clarify the responsibility of government, society and individuals for health investment, and establish a fair, reasonable and sustainable sharing mechanism. Adhere to the government investment as the main body, and establish a scientific, stable, multi-level investment and growth mechanism that meets the needs of the development of health care and conforms to the regional economic strength. Increase financial input at all levels, strengthen project planning and reserve, and do a good job in the preliminary work of the project. Implement financial compensation policies for various medical and health institutions, and improve performance-based wage policies for professional public health institutions and grassroots medical and health institutions. Adjust and improve the structure of financial input. The government’s new investment focuses on supporting the construction of public health system, primary medical services and basic medical security, and inclines to the reform of public hospitals and the construction of talent teams. Broaden investment channels, attract social capital investment, and establish and improve a diversified investment mechanism.

　　(3) Intensify publicity and guidance.

　　Continue to carry out publicity on the theme of healthy Hunan construction, improve the publicity platform, and establish a publicity mechanism led by the government, with departments as the main focus and township streets as the main responsibility. Taking carrying forward the great anti-epidemic spirit as the main theme, we will widely publicize the effectiveness and importance of the development of health care, and make its policy of benefiting the people well known and deeply rooted in the hearts of the people. Strengthen the network public opinion guidance mechanism and the construction of public opinion monitoring platform, strengthen the analysis and judgment of public opinion monitoring, improve the online public opinion guidance ability, respond to social concerns in a timely and effective manner, and create a good atmosphere for mobilizing the whole society to support and participate in the construction of healthy Hunan.

　　(4) Overall planning implementation evaluation.

　　Establish a scientific monitoring and evaluation index system for the planning implementation process, and regularly supervise and inspect the planning implementation and evaluate the effectiveness. Set up a special evaluation working group, and the Provincial Health and Wellness Committee and the Provincial Medical Insurance Bureau are responsible for leading the organization to carry out annual monitoring, mid-term and final evaluation of the implementation of the plan, find out the problems existing in the implementation of the plan in time, and seriously study and solve the countermeasures. All relevant departments and units should strictly follow the division of responsibilities, implement the target responsibility system, formulate specific rules for the identification procedures, methods and standards of the assessment content, and be responsible for supervising the implementation to ensure that the planning objectives are realized as scheduled.