Promote Decisive Progress in Building a Healthy China During the 15th Five-Year Plan Period
王贺胜:推动“十五五”时期健康中国建设取得决定性进展
Health is the foundation of the people’s well-being and the key to a strong nation. During this year’s two sessions [1]1 The “two sessions” refer to the annual plenary meetings of the National People’s Congress (NPC) and the Chinese People’s Political Consultative Conference (CPPCC), China’s top legislative and advisory bodies., General Secretary Xi Jinping visited members of the Chinese Peasants and Workers Democratic Party, the Jiusan Society, and the sectors of medicine and health, social welfare and social security participating in the Fourth Session of the 14th National Committee of the Chinese People’s Political Consultative Conference, and delivered a series of new important discourses on accelerating the building of a Healthy China at the joint group meeting. At the critical juncture of the start of the 15th Five-Year Plan period [2]2 The 15th Five-Year Plan period covers the years 2026–2030, a key stage in China’s development strategy., General Secretary Xi Jinping personally set the direction for health work, pointing the way forward, providing fundamental guidance, and injecting strong impetus for accelerating the building of a Healthy China. We must adhere to the guidance of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, adhere to a people-centered approach, work hard and persevere, and strive to promote decisive progress in building a Healthy China during the 15th Five-Year Plan period, making new and greater contributions to building a Healthy China by 2035 and comprehensively advancing the building of a strong country and the great rejuvenation of the Chinese nation through Chinese-path modernization.
健康是人民幸福之基、国家强盛之要。今年全国两会期间,习近平总书记看望参加全国政协十四届四次会议的农工党、九三学社、医药卫生界、社会福利和社会保障界委员,并在联组会上就加快建设健康中国作出一系列新的重要论述。在“十五五”开局起步的关键节点,习近平总书记亲自为卫生与健康工作把脉定向,为加快推动健康中国建设指明前进方向、提供根本遵循、注入强大动力。我们要坚持以习近平新时代中国特色社会主义思想为指导,坚持以人民为中心,真抓实干、久久为功,奋力推动“十五五”时期健康中国建设取得决定性进展,为到2035年建成健康中国,以中国式现代化全面推进强国建设、民族复兴伟业作出新的更大贡献。
Deeply Understand the Rich Connotations of General Secretary Xi Jinping’s Important Discourses on Building a Healthy China
深刻理解习近平总书记关于建设健康中国重要论述的丰富内涵
General Secretary Xi Jinping’s series of important discourses on building a Healthy China are insightful, profound in thought, and rich in connotation. They are an important component of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era and possess strong political, ideological, and guiding significance. We must deeply grasp their rich connotations, study and understand them as a whole, and implement them thoroughly.
习近平总书记关于建设健康中国的系列重要论述,高屋建瓴、思想深邃、内涵丰富,是习近平新时代中国特色社会主义思想的重要组成部分,具有极强的政治性、思想性和指导性。我们要深刻领会其丰富内涵,一体学习把握、贯彻落实。
They enrich and develop the Marxist view of people’s health. Since the 18th National Congress of the CPC [3]3 The 18th National Congress of the CPC was held in 2012, marking the beginning of the New Era under Xi Jinping’s leadership., General Secretary Xi Jinping has issued a series of important instructions on building a Healthy China, emphasizing that people’s health is a key indicator of national prosperity and strength, upholding the public welfare nature of basic medical and health services, correctly handling the relationship between the government and the market, and promoting equal access to basic public services in urban and rural areas. These important discourses not only inherit the Marxist core tenets of valuing people’s health and pursuing social justice but also endow them with distinct Chinese characteristics and contemporary significance, promoting the adaptation of the Marxist view of people’s health to the Chinese context and the needs of the times. Under the strong leadership of the Party Central Committee with Comrade Xi Jinping at its core, China’s health work has undergone historic changes and achieved historic accomplishments. The basic medical and health system and institutions with Chinese characteristics have been continuously improved, and key health indicators for residents have moved to the forefront among middle- and high-income countries. In particular, we withstood the severe impact of the once-in-a-century pandemic, creating a miracle in the history of human civilization where a populous country successfully emerged from the pandemic. With tangible results, we have demonstrated the unique advantages of the Party’s leadership and the socialist system, vividly showcasing the powerful truth and practical force of Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era. We must consciously maintain a high degree of alignment with the Party Central Committee with Comrade Xi Jinping at its core in thought, politics, and action, unwaveringly uphold the Party’s leadership over health work, unwaveringly implement the health work policy for the New Era, and always steadily advance along the path of health development with Chinese characteristics.
丰富和发展了马克思主义人民健康观。党的十八大以来,习近平总书记就健康中国建设作出一系列重要指示批示,强调人民健康是民族昌盛和国家富强的重要标志,坚持基本医疗卫生事业的公益性,坚持正确处理政府和市场关系,推动城乡基本公共服务均等化等。这些重要论述,既继承了马克思主义重视人民健康、追求社会公正的核心要义,又赋予其鲜明的中国特色与时代内涵,推动马克思主义人民健康观中国化时代化。在以习近平同志为核心的党中央坚强领导下,我国卫生与健康事业发生历史性变革、取得历史性成就,中国特色基本医疗卫生体系和制度不断健全,居民主要健康指标跃居中高收入国家前列。特别是我们经受住了世纪疫情的严重冲击,创造了人类文明史上人口大国成功走出疫情大流行的奇迹。我们用实实在在的成效,彰显了党的领导和社会主义制度的独特优势,生动展现了习近平新时代中国特色社会主义思想的强大真理力量和实践伟力。我们要自觉在思想上政治上行动上同以习近平同志为核心的党中央保持高度一致,坚持党对卫生与健康工作的领导不动摇,坚定不移贯彻新时代卫生与健康工作方针不动摇,始终沿着中国特色卫生与健康发展道路行稳致远。
It manifests the value orientation of putting the people first. General Secretary Xi Jinping has always been concerned about the health and well-being of the people, consistently practicing this in person. During his seven years as an educated youth [4]4 “Educated youth” refers to the millions of urban youth sent to rural areas during the Cultural Revolution (1966–1976) for re-education; Xi Jinping spent seven years in Liangjiahe, Shaanxi., he served as a barefoot doctor [5]5 “Bare and improved farmers’ production, living conditions, and sanitary environment through measures such as promoting biogas. While working in Zhengding, Hebei, he placed great emphasis on rural environmental hygiene. While working in Fujian, he explicitly demanded solving the problems caused by “using drugs to support medical services” [6]6 The "15th Five-Year Plan" period refers to the years 2026-2030, the 15th Five-Year Plan for National Economic and Social Development of the People's Republic of China., deepening the reform of the medical and health system, and focusing on filling the gaps in rural health services. While working in Zhejiang, he took the lead in proposing the strategy of “building a strong province through health” [7]7 Sanming medical reform refers to a comprehensive healthcare reform model pioneered in Sanming City, Fujian Province, which integrates medical services, medical insurance, and pharmaceutical supply to control costs and improve quality., integrating health work into the overall economic and social development—truly “every twig and leaf touches the heart” [8]8 The “15th Five-Year Plan” period refers to the years 2026–2030, the next five-year national economic and social development plan cycle in China.. Since the 18th National Congress of the CPC, General Secretary Xi Jinping has personally steered and removed obstacles in deepening the reform of the medical and health system, personally deployed important work concerning people’s health and well-being, such as infectious disease prevention and control, maternal and child health, myopia prevention and control among adolescents, chronic disease prevention and treatment, elderly health, and mental health, fully reflecting his deep feelings for the people and the people-centered development philosophy. General Secretary Xi Jinping emphasizes that we must adhere to putting the people and life first, and uphold the public welfare nature of basic medical and health services. This is determined by the nature and fundamental purpose of our Party and is also a vivid manifestation of the significant superiority of the socialist system with Chinese characteristics. We must always keep in mind the urgent concerns, difficulties, and anxieties of the people regarding disease prevention, medical treatment, and healthcare, actively go to the grassroots, get close to the masses, listen to their voices, reflect their demands, act as a “bridge and bond” between the Party and government and the masses, convey the people’s aspirations, explain Party policies thoroughly, and respond to the people’s expectations with concrete actions.
彰显了人民至上的价值取向。习近平总书记始终心系人民群众健康福祉,一以贯之、躬身践行。在七年知青岁月中当过赤脚医生,通过推广沼气等措施,有效改善了农民生产生活与卫生环境;在河北正定工作时高度重视农村环境卫生;在福建工作时明确要求解决“以药养医”带来的问题,深化医药卫生体制改革,着力补齐农村卫生服务短板;在浙江工作时在全国率先提出“卫生强省”战略,将卫生与健康工作纳入经济社会发展全局,可谓“一枝一叶总关情”。党的十八大以来,习近平总书记亲自为深化医药卫生体制改革把关定向、排除阻力,亲自部署传染病防控、妇幼健康、青少年近视防控、慢性病防治、老年健康、精神卫生等关乎人民健康福祉的重要工作,充分体现了深厚的为民情怀和以人民为中心的发展思想。习近平总书记强调,要坚持人民至上、生命至上,坚持基本医疗卫生事业的公益性。这是由我们党的性质和根本宗旨决定的,也是中国特色社会主义制度显著优越性的生动体现。我们要始终将人民群众在健康防病、看病就医方面的急难愁盼、安危冷暖放在心上,主动深入基层、贴近群众,倾听群众呼声、反映群众诉求,当好党和政府联系群众的“桥梁纽带”,把群众的心声传递上去,把党的政策宣讲到位,用实际行动回应群众期盼。
It contains profound dialectical thinking and scientific methodology. General Secretary Xi Jinping points out that building a Healthy China is a systematic project. Facing the growing diversified health needs of the people, we must highlight priorities, firmly grasp those tasks that have broad benefits and affect the whole when one part is moved, concentrate forces and resources on improving the public health system, building a high-quality and efficient medical service system, and promoting a healthy and civilized lifestyle, taking effective measures to advance them, and continuously achieving new results. These important discourses not only emphasize the important methodology of adhering to a systems perspective and grasping key points and priorities but also clearly point out the key tasks and main directions for building a Healthy China, providing a powerful ideological weapon and scientific practical guidance for health work.
蕴含着深刻的辩证思维和科学方法论。习近平总书记指出,建设健康中国是一项系统工程。面对人民群众日益增长的多元化卫生健康需求,必须突出重点,紧紧抓住那些惠及面广、牵一发而动全身的工作,在健全公共卫生体系、建设优质高效医疗服务体系、倡导健康文明生活方式等方面集中力量和资源、采取有效措施加以推动,不断取得新的成效。这些重要论述,既强调了坚持系统观念、抓重点抓关键的重要方法论,又鲜明指出了健康中国建设的重点任务和主攻方向,为卫生与健康工作提供了强大思想武器和科学实践指引。
Unswervingly Follow the Path of Health Development with Chinese Characteristics, Unswervingly Implement the Health Work Policy for the New Era
坚定不移走中国特色卫生与健康发展道路,坚定不移贯彻新时代卫生与健康工作方针
General Secretary Xi Jinping emphasizes that China is a socialist country, a developing country with a huge population and still relatively large urban-rural and regional gaps. To build a Healthy China, we must proceed from China’s national conditions, unswervingly follow the path of health development with Chinese characteristics, and unswervingly implement the health work policy for the New Era. Since the 18th National Congress of the CPC, significant progress has been made in building a Healthy China. The health level of the people has steadily improved, major disease prevention and control has achieved notable results, the quality and level of health services have markedly increased, the full-life-cycle health of the people has been effectively maintained, and the strength of health science and technology innovation has steadily risen. This fully demonstrates that the path of health development with Chinese characteristics, forged under the Party’s leadership, is a scientific and correct path that has been proven by long-term practice to conform to China’s basic national conditions. It is the only way to ensure the people’s health and achieve the strategic goal of a Healthy China. We must implement the important requirement of the “two unswerving” principles [9] and walk this path of health development with Chinese characteristics steadily, solidly, and well.
习近平总书记强调,我国是社会主义国家,是人口规模巨大、城乡区域差距仍然较大的发展中国家。建设健康中国,必须坚持从我国国情出发,坚定不移走中国特色卫生与健康发展道路,坚定不移贯彻新时代卫生与健康工作方针。党的十八大以来,健康中国建设取得巨大进展,人民健康水平稳步提升,重大疾病防治成效显著,健康服务质量和水平明显提高,群众全生命周期健康得到有效维护,健康科技创新实力稳步提升。这充分表明,在党的领导下走出的中国特色卫生与健康发展道路,是经过长期实践证明符合我国基本国情的科学的、正确的道路,是保障人民健康、实现健康中国战略目标的必由之路。必须贯彻两个“坚定不移”的重要要求,把这条中国特色卫生与健康发展道路走稳、走实、走好。
Uphold the Party’s overall leadership. The leadership of the Communist Party of China is the most essential feature of socialism with Chinese characteristics and the greatest strength of the socialist system with Chinese characteristics. Upholding the Party’s overall leadership is the fundamental guarantee for doing a good job in health work. Since the founding of New China, especially since the New Era, the historic changes and achievements in China’s health work are fundamentally due to upholding and strengthening the Party’s overall leadership. Currently, facing the “deep water zone” and “tough bones” [10] in building a Healthy China and deepening the reform of the medical and health system, only by integrating the Party’s overall leadership into all aspects and the entire process of the reform and development of health work can we provide a strong political and organizational guarantee for building a Healthy China.
坚持党的全面领导。中国共产党的领导是中国特色社会主义最本质的特征,是中国特色社会主义制度的最大优势。坚持党的全面领导,是做好卫生与健康工作的根本保证。新中国成立以来特别是新时代以来,我国卫生与健康工作发生历史性变革、取得历史性成就,根本在于坚持和加强党的全面领导。当前,面对健康中国建设和深化医药卫生体制改革的“深水区”“硬骨头”,把党的全面领导贯穿卫生与健康事业改革发展各方面全过程,才能为健康中国建设提供坚强政治保证和组织保证。
Strengthen confidence in the system. Since the 1980s, influenced by trends such as neoliberalism, the health systems of some countries have experienced varying degrees of excessive commercialization and marketization, insufficient provision of primary-level and public health services, rising medical costs, and declining fairness and accessibility. The Western medical model emphasizes the individual while neglecting the population, prioritizes treatment while overlooking prevention, and focuses on biological factors while ignoring the impact of social and cultural factors on health, leading to excessively rapid increases in medical costs. We must fully leverage the institutional advantages of socialism with Chinese characteristics, promote the excellent traditional Chinese health culture of harmony between humanity and nature, preventive treatment of disease, and simultaneous cultivation of body and spirit, practice the Party’s mass line in the New Era, attach importance to primary-level and mass work, better implement the principle of prevention first, achieve greater health outcomes at lower cost, satisfy the people’s growing health needs while avoiding falling into the “welfare trap,” take a path of health development with Chinese characteristics, and make positive contributions to safeguarding human health and well-being.
坚定制度自信。20世纪80年代以来,受新自由主义等思潮影响,一些国家卫生制度不同程度地出现了过度商业化和市场化、基层和公共卫生服务提供不足、医疗费用上涨、公平可及性下降等问题。西方医学模式重视个体而忽视人群,重视治疗而忽视预防,重视生物因素而忽视社会文化因素对健康的影响,造成了医疗费用过快上涨。我们要充分发挥中国特色社会主义制度优势,弘扬天人合一、治未病、形神共养等中华优秀传统健康文化,践行新时代党的群众路线,重视基层和群众工作,更好落实预防为主方针,用较低的成本获得更大健康效果,既满足人民群众日益增长的健康需求,又避免落入“福利陷阱”,走中国特色的卫生与健康发展道路,为维护人类健康福祉作出积极贡献。
Unswervingly implement the health and wellness work policy for the New Era. Fully implement the policy of “focusing on the primary level, taking reform and innovation as the driving force, prioritizing prevention, emphasizing both Chinese and Western medicine, integrating health into all policies, and building and sharing health outcomes by the people,” and promote all-round transformation in the concepts, service methods, and governance models of health and wellness work. Place greater emphasis on prevention first and the integration of medical care and prevention, shift the focus of work from disease treatment to health maintenance, accelerate the construction of a robust public health system, and prevent and control major diseases at the source. Place greater emphasis on equal emphasis on Chinese and Western medicine, promote mutual supplementation and coordinated development of Chinese and Western medicine, fully leverage the unique advantages of traditional Chinese medicine in preventive treatment of disease, treatment of major diseases, and disease rehabilitation, and carry forward and innovatively develop traditional Chinese medicine. Place greater emphasis on relying on science and technology and talent, strengthen scientific and technological innovation, build a strong talent team, and provide sustained momentum for the development of health and wellness work.
坚定不移贯彻新时代卫生与健康工作方针。全面贯彻“以基层为重点,以改革创新为动力,预防为主,中西医并重,将健康融入所有政策,人民共建共享”的方针,推动卫生与健康工作理念、服务方式、治理模式全方位变革。更加注重预防为主、医防融合,推动工作重心从疾病治疗向健康维护前移,加快构建强大的公共卫生体系,从源头上预防控制重大疾病。更加注重中西医并重,推动中西医相互补充、协调发展,充分发挥中医药在治未病、重大疾病治疗、疾病康复中的独特优势,传承创新发展中医药。更加注重依靠科技和人才,强化科技创新,建强人才队伍,为卫生与健康事业发展提供持久动力。
Uphold the public welfare nature of basic medical and health services. Public welfare is the essential attribute of China’s medical and health services and an important manifestation of the superiority of the socialist system with Chinese characteristics. General Secretary Xi Jinping, from the height that “our Party is a party that serves
坚持基本医疗卫生事业的公益性。公益性是我国医疗卫生事业的本质属性,是中国特色社会主义制度优越性的重要体现。习近平总书记从“我们党是全心全意为人民服务的党,我们国家是人民当家作主的社会主义国家”的高度,对坚持基本医疗卫生事业公益性的重要意义进行了深刻阐述。必须深化以公益性为导向的公立医院改革,健全维护公益性、调动积极性、保障可持续的运行新机制。坚决破除逐利机制,规范医疗服务行为,控制医药费用不合理增长,让群众看得起病、看得好病、看得放心。坚持基本医疗卫生服务公平可及,加快推进基本公共卫生服务均等化,把公平可及、群众受益作为改革发展的出发点和落脚点,是社会主义卫生与健康事业的本质要求。
Adhere to the strategy of prioritizing health development. General Secretary Xi Jinping pointed out: “The most important indicator of modernization is still the health of the people.” [6]6 The "15th Five-Year Plan" period refers to the years 2026-2030, the 15th Five-Year Plan for National Economic and Social Development of the People's Republic of China. The Third Plenary Session of the 20th Central Committee of the CPC explicitly proposed implementing the strategy of prioritizing health development, further emphasizing the important position of people’s health in economic and social development. We must take safeguarding and improving health as a priority goal of high-quality economic and social development, promote the comprehensive establishment across all localities of systems for monitoring, investigating, and assessing risks to disease and health, continuously improve the policy and legal framework for planning, investment, governance, and performance that ensures the priority development of health, strengthen the health promotion policy system under the leadership of Party committees, the guidance of government, broad social mobilization, and active individual participation, continuously raise residents’ average life expectancy and health levels, and ensure that China’s health performance ranks internationally ahead of other economic and social development indicators overall.
坚持健康优先发展战略。习近平总书记指出:“现代化最重要的指标还是人民健康”。党的二十届三中全会明确提出实施健康优先发展战略,进一步突出强调人民健康在经济社会发展中的重要地位。要把保障和改善健康作为经济社会高质量发展的优先目标,推动各地全面建立疾病和健康危险因素监测、调查和风险评估制度,不断完善保障健康优先发展的规划、投入、治理、绩效等政策法规体系,健全党委领导、政府主导、社会广泛动员、个人积极参与的健康促进政策制度,不断提升居民人均预期寿命和健康水平,推动我国健康绩效在国际上的排序总体领先于其他经济社会发展指标。
Adhere to a systematic approach and advance in a coordinated manner. Building a Healthy China covers health services for the entire population, the whole life cycle, and the whole process, involving many fields such as medical care, medical insurance, pharmaceuticals, public health, physical fitness, and environmental protection. It is a cross-departmental, cross-regional, and cross-industry systematic project. We must strengthen system integration, coordination, and efficiency, enhance inter-departmental coordination, top-down linkage, and social participation, coordinate and handle a series of major relationships including government and market, efficiency and fairness, development and security, prevention and treatment, Chinese medicine and Western medicine, upholding fundamental principles and breaking new ground, and domestic and international dimensions, strengthen inter-departmental coordination and central-local linkage, promote mutual coordination among various policies and simultaneous resonance among various measures, fully consider local economic conditions and the development status of other industries, rationally guide adaptation expectations, prevent and resolve major risks and hidden dangers, and maintain overall economic and social stability.
坚持系统观念统筹推进。健康中国建设覆盖全人群、全生命周期和全流程健康服务,涉及医疗、医保、医药、公共卫生、体育健身、环境保护等诸多领域,是一项跨部门、跨区域、跨行业的系统工程。必须强化系统集成、协同高效,加强部门协同、上下联动、社会参与,统筹处理好政府和市场、效率和公平、发展和安全、预防和治疗、中医和西医、守正和创新、国内和国际等一系列重大关系,强化部门协同、央地联动,推进各项政策相互配合、各项举措同频共振。充分考虑当地经济条件、其他行业发展状况,合理引导适应预期,防范化解重大风险隐患,维护经济社会大局稳定。
Focus on key tasks and write a new chapter in building a Healthy China
聚焦重点任务,谱写健康中国建设新篇章
General Secretary Xi Jinping emphasized that building a Healthy China by 2035 is a strategic
习近平总书记强调,到2035年建成健康中国是中共中央作出的一项战略决策,“十五五”是实现这一目标的关键时期,必须统筹谋划、加紧推进,力求取得决定性进展。这为建设健康中国设定了时间表、路线图。必须以倒排工期、挂图作战的精神,坚决将习近平总书记的重要指示和党中央决策部署落实到位。
Improve the public health system and build a strong barrier for high-level public health security. Adhere to treating public health security as an important component of national security, comprehensively summarize the experience and practices of fighting the COVID-19 pandemic, accelerate the construction of a public health system that is complete in structure, scientific and standardized, efficient in operation, and integrates peacetime and emergency needs, promote social co-governance, medical-prevention coordination, and medical-prevention integration, comprehensively enhance the capacity for risk prevention in the health and hygiene field, and effectively safeguard biosafety, information security, emergency medical security, blood safety, and food and drug safety. Improve the disease prevention and control system, strengthen capacity building in monitoring and early warning, risk assessment, epidemiological investigation, testing and inspection, and emergency response, raise the level of early detection, early reporting, early response, and early treatment of epidemics, and effectively prevent and control major epidemics and public health emergencies. Advance the integration of medical care and prevention, improve the coordination mechanism between medical institutions and disease control institutions, promote the sinking of prevention and control resources and forces to the grassroots, and build and strengthen the "gatekeeper" system for health.
健全公共卫生体系,筑牢高水平公共卫生安全屏障。坚持把公共卫生安全作为国家安全的重要组成部分,全面总结抗击新冠疫情经验做法,加快构建系统完备、科学规范、运行高效、平急结合的公共卫生体系,促进社会共治、医防协同、医防融合,全面提高卫生与健康领域风险防范能力,有力保障生物安全、信息安全、急救安全和血液安全、食品药品安全。完善疾病预防控制体系,强化监测预警、风险评估、流行病学调查、检验检测、应急处置能力建设,提高疫情早发现、早报告、早处置、早救治水平,有效防控重大疫情和突发公共卫生事件。推进医防融合,健全医疗机构与疾控机构协同机制,推动防控资源和力量下沉,把健康“守门人”制度建强建好。
Build a high-quality and efficient medical and health service system, and promote the expansion and sinking of resources. Proactively respond to the trend characteristics of declining birth rates, aging populations, and regional population increases and decreases, adapt to changes in the disease spectrum, take meeting the people's needs for medical treatment as the goal, and accelerate the construction of a medical and health service system that is high-quality, balanced, efficient, and convenient. Implement the functional positioning of medical and health institutions, promote the expansion of high-quality medical resources and their balanced regional distribution, strengthen the construction of national medical centers and regional medical centers, enhance provincial-level diagnosis and treatment capabilities, and reduce patients' cross-regional medical visits. Vigorously develop grassroots medical and health institutions, improve the family doctor system, and enable the people to enjoy high-quality medical and health services close to home.
建设优质高效医疗卫生服务体系,推动资源扩容下沉。主动应对少子化、老龄化、区域人口增减分化的趋势性特征,适应疾病谱变化,以满足人民群众看病就医需求为目标,加快构建优质均衡、高效便捷的医疗卫生服务体系。落实医疗卫生机构功能定位,推动优质医疗资源扩容和区域均衡布局,建强国家医学中心、区域医疗中心,提升省域诊疗能力,减少群众跨区域就医。大力发展基层医疗卫生机构,完善家庭医生制度,让群众在家门口享受优质医疗卫生服务。
Deepen the coordinated development and governance of medical services, medical insurance, and pharmaceuticals, and enhance development momentum and vitality. Adhere to systematic integration and coordinated efficiency, continue to deepen the reform of the medical and health system, promote the coordinated development and governance of medical services, medical insurance, and pharmaceuticals, and promote the effective implementation of Sanming's medical reform experience in light of local conditions. Deepen the reform of public hospitals oriented towards public welfare, optimize the fiscal subsidy policy for public hospitals, establish a dynamic adjustment mechanism for staffing, improve the fee mechanism dominated by medical services, continue to deepen the reform of the salary system, and strengthen internal and external supervision and management. Deepen the reform of the medical insurance system, and optimize the policy for the use of surplus funds in the medical insurance fund. Promote the reform of the drug supply guarantee and usage management system, and consolidate and improve the national essential drug system.
深化医疗、医保、医药协同发展和治理,增强发展动力活力。坚持系统集成、协同高效,持续深化医药卫生体制改革,推动医疗、医保、医药协同发展和治理,因地制宜推广三明医改经验落地见效。深化以公益性为导向的公立医院改革,优化公立医院财政补助政策,建立编制动态调整机制,完善以医疗服务为主导的收费机制,持续深化薪酬制度改革,加强内外部监督管理。深化医保制度改革,优化医保基金结余资金使用政策。推动药品供应保障与使用管理制度改革,巩固完善国家基本药物制度。
Advocate a healthy and civilized lifestyle, and enhance the health literacy of the entire population. A Healthy China is built by all and shared by all. The Patriotic Health Campaign is a valuable historical experience created in the early days of the founding of New China, possessing distinct Chinese characteristics; it remains ever relevant and is a powerful lever for advancing the building of a Healthy China. It is necessary to thoroughly summarize the long-term practice and successful experience of the Patriotic Health Campaign, accurately grasp its unique advantages, core role, and mission of the times in advancing the building of a Healthy China, closely focus on the goal of building a Healthy China by 2035, continuously enrich the connotation of patriotic health work, innovate working methods and approaches, consolidate the mass base, strengthen multi-party synergy, and deeply carry out the Patriotic Health Campaign. Guide the masses to establish a correct view of health. Strengthen food safety, drinking water safety, and environmental governance, and continuously consolidate the environmental foundation for building a Healthy China.
倡导健康文明生活方式,提升全民健康素养。健康中国,人人共建,人人共享。爱国卫生运动是新中国成立初期创造的宝贵历史经验,具有鲜明的中国特色,历久弥新,是推进健康中国建设的有力抓手。要深入总结爱国卫生运动的长期实践和成功经验,准确把握爱国卫生运动在推进健康中国建设中的独特优势、核心作用和时代使命,紧紧围绕2035年建成健康中国的目标,不断丰富爱国卫生工作的内涵,创新工作方式方法,夯实群众基础,壮大多方合力,深入开展爱国卫生运动。引导群众树立正确健康观。强化食品安全、饮用水安全、环境治理,不断夯实健康中国建设的环境基础。
Accelerate the transformation and application of scientific research achievements, and strengthen support for scientific and technological talent. Adhere to the principles that science and technology are the primary productive forces, talent is the primary resource, and innovation is the primary driving force, and strengthen support for the high-quality development of health and hygiene undertakings. Improve the scientific and technological innovation system for health and hygiene, strengthen research on key core technologies in the health and hygiene field, and focus on key areas such as disease prevention and treatment, drug research and development, medical devices, and vaccines to accelerate breakthroughs in a number of “bottleneck” technologies, achieving high-level scientific and technological self-reliance and self-strengthening. In particular, it is necessary to break through the “last mile” of the transformation of scientific research results, improve the collaborative innovation mechanism of “production, education, research, medical application, and use,” and establish a scientific research project initiation and achievement evaluation system oriented by clinical needs. Firmly grasp the working approach of closely integrating investment in things with investment in people, strengthen the training and cultivation of high-level talents, grassroots talents, and urgently needed and scarce talents in the health and hygiene field, create a good environment that encourages innovation and tolerates failure, and provide solid scientific, technological, and talent support for the building of a Healthy China.
加快科研成果转化应用,强化科技人才支撑。坚持科技是第一生产力、人才是第一资源、创新是第一动力,强化卫生与健康事业高质量发展支撑。健全卫生健康科技创新体系,加强卫生与健康领域关键核心技术攻关,围绕疾病防治、药物研发、医疗器械、疫苗等重点领域,加快突破一批“卡脖子”技术,实现高水平科技自立自强。尤其要打通科研成果转化的“最后一公里”,完善“产学研医用”协同创新机制,建立以临床需求为导向的科研立项和成果评价体系。牢牢把握投资于物和投资于人紧密结合的工作思路,加强卫生与健康领域高层次人才、基层人才和急需紧缺人才培养培训,营造鼓励创新、宽容失败的良好环境,为健康中国建设提供坚实的科技和人才支撑。
Promote the inheritance, innovation, and development of traditional Chinese medicine, and revitalize the Chinese treasure of health. Adhere to placing equal emphasis on traditional Chinese medicine and Western medicine, and using both traditional Chinese and Western medicines, to inherit, develop, and make good use of the precious asset of traditional Chinese medicine. Strengthen the construction of the traditional Chinese medicine service system, enhance the comprehensive service capacity of traditional Chinese medicine hospitals, and promote the integration of traditional Chinese medicine into grassroots communities, into families, and into whole-life-cycle health management. Advance scientific and technological innovation in traditional Chinese medicine, accelerate the research, development, and application of classical famous formulas, new traditional Chinese medicines, and characteristic therapies, and promote the integrated development of traditional Chinese medicine with modern science and technology. Promote the dissemination of traditional Chinese medicine culture, popularize traditional Chinese medicine health knowledge, and enhance the people’s traditional Chinese medicine health cultural literacy.
推动中医药传承创新发展,焕彩中华健康瑰宝。坚持中西医并重、中西药并用,把中医药这一宝贵财富继承好、发展好、利用好。加强中医药服务体系建设,提升中医医院综合服务能力,推动中医药融入基层、融入家庭、融入全生命周期健康管理。推进中医药科技创新,加快经典名方、中药新药、特色疗法研发应用,促进中医药与现代科学技术融合发展。推动中医药文化传播,普及中医药健康知识,提升人民群众中医药健康文化素养。
Advance the digital and intelligent construction of universal health, and empower high-quality development. Make good use of data as a new factor of production and artificial intelligence as a new tool of production, and accelerate the digital and intelligent transformation of the health and hygiene industry. Improve national and provincial universal health information platforms, promote data interoperability and sharing, and business coordination, and enhance the precision and convenience of health management services. Promote and regulate the application and development of “artificial intelligence + medical and health care,” innovate continuous intelligent services across the entire chain of prevention, diagnosis and treatment, rehabilitation, and health management, and empower the building of a Healthy China with digital and intelligent means.
推进全民健康数智化建设,赋能高质量发展。用好数据这一新的生产要素、人工智能这一新的生产工具,加快卫生与健康行业数智化转型。完善国家和省级全民健康信息平台,推动数据互通共享、业务协同办理,提升健康管理服务精准化、便捷化水平。促进和规范“人工智能+医疗卫生”应用发展,创新预防、诊疗、康复、健康管理等全链条连续智能服务,以数智化赋能健康中国建设。
Strengthen Party building in the health and hygiene industry, and stimulate endogenous driving forces. The vast number of medical personnel are the main force in advancing the building of a Healthy China. It is necessary to strengthen Party building work in medical and health institutions, guide the vast number of medical personnel to consciously adhere to the direction of public welfare, practice the lofty professional spirit and the great spirit of fighting the epidemic, promote good medical ethics and conduct, and create a clean and upright industry environment. Implement comprehensive measures in terms of salary and benefits, career development, practice environment, and social status, and establish and improve an operational mechanism combining guarantees and incentives. Deepen the reform of the salary system in public hospitals, smooth the career development channels for medical personnel, and create a social trend of respecting doctors and valuing health.
加强卫生健康行业党建,激发内生动力。广大医务人员是推进健康中国建设的主力军。必须加强医疗卫生机构党建工作,引导广大医务人员自觉坚持公益性方向,践行崇高职业精神、伟大抗疫精神,弘扬优良医德医风,营造风清气正行业环境。从薪酬待遇、职业发展、执业环境、社会地位等方面综合施策,建立健全保障与激励相结合的运行机制。深化公立医院薪酬制度改革,畅通医务人员职业发展通道,营造尊医重卫的社会风尚。
(The author is a member of the Education, Science, Health, and Sports Committee of the National Committee of the Chinese People’s Political Consultative Conference and former Deputy Director of the National Health Commission.)
(作者为全国政协教科卫体委员会委员、国家卫生健康委原副主任)
Notes
- The “two sessions” refer to the annual plenary meetings of the National People’s Congress (NPC) and the Chinese People’s Political Consultative Conference (CPPCC), China’s top legislative and advisory bodies. ↩
- The 15th Five-Year Plan period covers the years 2026–2030, a key stage in China’s development strategy. ↩
- The 18th National Congress of the CPC was held in 2012, marking the beginning of the New Era under Xi Jinping’s leadership. ↩
- “Educated youth” refers to the millions of urban youth sent to rural areas during the Cultural Revolution (1966–1976) for re-education; Xi Jinping spent seven years in Liangjiahe, Shaanxi. ↩
- “Bare ↩
- The "15th Five-Year Plan" period refers to the years 2026-2030, the 15th Five-Year Plan for National Economic and Social Development of the People's Republic of China. ↩
- Sanming medical reform refers to a comprehensive healthcare reform model pioneered in Sanming City, Fujian Province, which integrates medical services, medical insurance, and pharmaceutical supply to control costs and improve quality. ↩
- The “15th Five-Year Plan” period refers to the years 2026–2030, the next five-year national economic and social development plan cycle in China. ↩