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Deepening health reform is an important measure to implement the Healthy China strategy and an important deployment to safeguard the health of the people and build a well-off society. Since the implementation of a new round of medical and health system reform in 2009, the progress and effectiveness of health reform have always attracted the attention of all sectors of society. Health reform is a worldwide problem, which must not only follow the internal laws of the development of health cause, but also put it into practice in close combination with China's national conditions. On the ten-year time point of health reform of China, in order to track the health reform and evaluate the effectiveness of medical reform objectively and scientifically, the Chinese Academy of Medical Sciences compiled this report based on the 5 consecutive years of writing annual Development Report of China's Health Reform. The main content of this report includes progress of medical reform in 2019 and the key issues in the key areas of health reform at this stage. This report objectively analyses the health reform, puts forward policy recommendations and provides useful strategies for further deepening health reform on the basis of factual evidence.
In the past ten years of health reform, we have adhered to regard the people's health as the center and basically established a basic medical and health system covering the entire people. Since the 18th National Congress of the Party, under the leadership of the Party Central Committee with Comrade Xi Jinping as the core, we have put people's health as a priority development strategy and included the deepening of medical reform into the national comprehensive deepening reform. In 2019, the health reform highlighted “one concept” and “two priorities”, five basic medical and health systems were steadily advancing and the Basic Health care and Health Promotion Law was reviewed and passed to let people's health right be legislated. The health reform emphasized that the development of people's health is the priority, and ask for greater emphasis placed on public welfare and fairness. It is required to follow the basic principles and paths of “maintaining the basics, strengthening the grassroots and building mechanisms”, to strengthen the construction of a basic medical and health system and consolidating the foundation of public health. With the joint efforts of governments at all levels and all walks of life, major progress has been made in the reform of the medical and health system. At the same time, in the face of severe conditions such as the wide range of health risks, the long-term health priority strategy and the arduous tasks of promoting Healthy China, deepening medical reform still needs overall layout and accurate force in the fields of general health and health governance framework and system design, a scientific and reasonable medical care system that reflects public welfare establishment and new mechanism of medical institutions operation and the strengthening of the linkage between the medicine, insurance and treatment.
This report includes a general report, a special report and local experience and cases. Based on a review of the ten-year progress of health reform, the general report summarizes the progress of the health reform in 2019, and proposes promoting strategies for reforms of the year 2020 and the 14th Five-Year Plan. The special report focuses on the key areas and issues of health reform at the current stage, and conducts a systematic analysis from the perspective of experts. The last part local experience and cases chooses places that perform the reform well as representatives. It summarizes the main practices of these regions, puts forward experiences and inspirations and promotes the development of health reform in depth.