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1、OpinionsoftheGeneralOfficeoftheStateCouncilonPromotingtheHigh-QualityDevelopmentofPublicHospitalsDocumentNumber：No.182021oftheGeneralOfficeoftheSlateCouncilAreaofLaw:GeneralProvisionsonHealthandSanitationOptimizationofDoingBusinessLevelofAuthority：RegulatoryDocumentsoftheStateCouncilIssuingAuthority
2、：GeneralOfficeoftheStateCouncilDateIssued：05-14-2021EffectiveDate05-14-2021Status:EffectiveOpinionsoftheGeneralOfficeoftheStateCouncilonPromotingtheHigh-QualityDevelopmentofPublicHospitals(No.182021oftheGeneralOfficeoftheStateCouncil)Thepeoplesgovernmentsofallprovinces,autonomousregions,andmunicipal
3、itiesdirectlyundertheCentralGovernment;andallministriesandcommissionsoftheStateCouncilandallinstitutionsdirectlyundertheStateCouncil:PublichospitalsarethemainpartofChinasmedicalSerViCesystem.Inrecentyears,especiallysincethe18lhCPCNationalCongress,thereformanddevelopmentofpublichospitalshasbecomeanim
4、portantpartofdeepeningthereformofthemedicalandhealthsystemandhasachievedmajorphasedresults,whichhavemaximizedanimportantroleincontinuouslyimprovingthefairnessandaccessibilityofbasicmedicalandhealthservices,preventingandcontrollingmajorepidemics,suchasCOVID-19,andprotectingpeopleslivesandhealth.Forth
5、epurposesofpromotingthehigh-quality国务院办公厅关于推动公立医院高质量发展的意见(国办发(2021)18号)各省、自治区、直辖市人民政府，国务院各部委、各直属机构：公立医院是我国医疗服务体系的主体，近年来特别是党的十八大以来，公立医院改革发展作为深化医药卫生体制改革的重要内容，取得重大阶段性成效，为持续改善基本医疗卫生服务公平性可及性、防控新冠肺炎等重大疫情、保障人民群众生命安全和身体健康发挥了重要作用。为推动公立医院高质量发展，更好满足人民日益增长的医疗卫生服务需求，经国务院同意，现提出以下意见。developmentofpublichospitalsand
6、moreeffectivelymeetingthepeoplesgrowingdemandformedicalandhealthservices,withtheconsentoftheStateCouncil,thefollowingopinionsareherebyputforward.I. GeneralrequirementsUndertheguidanceofXiJinpingThoughtonSocialismwithChineseCharacteristicsinaNewEra,thespiritofthe19thCPCNationalCongressandthesecond,th
7、ird,fourthandfifthplenarysessionsofthe19thCPCCentralCommitteeshallbethoroughlyimplemented,thepublicshealthshallbetakenasthecenter,theprimarypositionofpublichospitalsshallberaised,thegovernment-led,publicwelfare-led,andpublichospital-ledprinciplesshallbeinsistedon,theintegrationofmedicalcareandpreven
8、tion,thecombinationofregularaffairsandemergency,andtheequalemphasisontraditionalChineseandWesternmedicineshallbeinsistedon,withthegoalofestablishingandimprovingamodemhospitalmanagementsystem,systeminnovation,technologicalinnovation,modelinnovation,andmanagementinnovationshallbestrengthened,expansion
9、ofhigh-qualitymedicalcareresourcesandregionalbalancedlayoutshallbeaccelerated,andeffortsshallbemadewithinfiveyearstoIumthedevelopmentmodeofpublichospitalsfromscaleexpansionintoqualityandefficiencyimprovement,turntheoperationmodefromextensivemanagementintorefinedmanagement,andturnresourceallocationfr
10、omfocusingonmaterialfactorsintolayingmoreemphasisontalentsandtechnicalfactors,tomoreeffectivelyprovidehigh-qualityandefficientmedicalandhealthservices,preventandresolvemajorepidemicsandrisksofpublichealth一、总体要求以习近平新时代中国特色社会主义思想为指导，全面贯彻党的十九大和十九届二中、三中、四中、五中全会精神，坚持以人民健康为中心，加强公立医院主体地位，坚持政府主导、公益性主导、公立医院主
11、导，坚持医防融合、平急结合、中西医并重，以建立健全现代医院管理制度为目标，强化体系创新、技术创新、模式创新、管理创新，加快优质医疗资源扩容和区域均衡布局，力争通过5年努力，公立医院发展方式从规模扩张转向提质增效，运行模式从粗放管理转向精细化管理，资源配置从注重物质要素转向更加注重人才技术要素，为更好提供优质高效医疗卫生服务、防范化解重大疫情和突发公共卫生风险、建设健康中国提供有力支撑。emergencies,andprovidestrongsupportforbuildingofahealthyChina.II. Buildinganewsystemforhigh-qualitydevelop
12、mentofpublichospitals1. Buildingnationalandprovincialhigh-levelhospitals.With(hegoalofpromotingnationalmedicalprogress,byrelyingonexistingresources,nationalmedicalcenters,clinicalmedicalresearchcenters,regionalmedicalcenters(includingtraditionalChinesemedicine),andtraditionalChinesemedicine(4tTCM,)i
13、nheritanceandinnovationcentersshallbeplannedforsetup,keyclinicalspecialtygroupsshallbeformed,andconcentratedeffortsshallbemadetotacklethekeyproblemsinthediagnosisandtreatmentofdifficultandcriticalillnesses,carryoutinnovativeresearchoncutting-edgemedicalscienceandtechnologyandthetransformationofachie
14、vements,andimplementthetrainingofhigh-levelmedicaltalentssoastodrivethenationalmedicalleveltoanewlevel.Byfocusingonthediseaseswithhighmortalityandhightransferratesintheprovince,thetechnicalandtalentsupportofhigh-levelnationalhospitalstoprovincialhospitalsshallbestrengthened,thefillingofshortcomingsi
15、nspecialtiesshallbeaccelerated,provincialdiagnosisandtreatmentcapabilitiesshallbeimproved,andcross-provincialmedicaltreatmentshallbereduced.2. Maximizingtheleadingroleofpublichospitalsinurbanmedicalgroups.Accordingtothegridlayoutmanagement,aclose-typeurbanmedicalgroupledbyGradeIIIpublichospitalsorho
16、spitalsrepresentingthemedicallevelofthe二、构建公立医院高质量发展新体系（一）打造国家级和省级高水平医院。以推动国家医学进步为目标，依托现有资源规划设置国家医学中心、临床医学研究中心、区域医疗中心（均含中医，下同）和中医药传承创新中心，形成临床重点专科群，集中力量开展疑难危重症诊断治疗技术攻关，开展前沿医学科技创新研究和成果转化，实施高层次医学人才培养，带动全国医疗水平迈上新的大台阶。以省域死亡率高、外转率高的疾病为重点，强化国家级高水平医院对省级医院的技术和人才支持，加快补齐专业专科短板，提升省域诊疗能力，减少跨省就医。（二）发挥公立医院在城市医疗集团中的牵头作用。按照网格化布局管理，组建由三级公立医院或代表辖区医疗水平的医院（含社会办医院、中医医院）牵头，其他若干家jurisdiction(includingsocially-runhospitalsandTCMhospitals),withseveraloth
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