On January 9, after the approval of Premier Li Keqiang, the State Council issued the "13th Five-Year Plan for Deepening the Medical and Health System Reform" (hereinafter referred to as the "Planning"), and deployed to speed up the establishment of a basic medical and health system in line with national conditions and promote medical and health management. Modernization of systems and governance capabilities. The "Planning" has made a clear explanation for the overall operation of the medical and health system during the next five years, that is, during the "Thirteenth Five-Year Plan" period. It can be said that it is a major guide for the development direction of the entire medical industry in the next five years. The basic principle Adhere to the people's health as the center. Adhere to the basic, strong grassroots, and construction mechanisms. In the field of basic medical and health services, we must adhere to the government's leadership, implement government responsibilities, and appropriately introduce competition mechanisms. In the field of non-essential medical and health services, we will exert market vitality, strengthen normative guidance, and meet diversified, differentiated and personalized health needs. Separation of administrative matters, separation of management and administration, separation of medicines, profitability and non-profit separation Adhere to the medical, medical insurance, and pharmaceutical linkage reform. How to do medical services? Graded diagnosis and treatment; Advance the formation of a diagnosis and treatment-rehabilitation-long-term care continuous service model, forming a rational medical treatment pattern of "small diseases at the grassroots level, major illnesses to hospitals, and rehabilitation to the grassroots." Encourage secondary and tertiary hospitals to provide remote services to primary health care institutions, enhance telemedicine service capabilities, use information technology to promote the vertical flow of medical resources, and improve the accessibility of quality medical resources and the overall efficiency of medical services. A comprehensive payment method based on case-based payment, combined with multiple payment methods such as head-to-head, bed-to-bed, and total prepayment, is encouraged to encourage the implementation of disease-related group payment (DRGs). The hospitalized medical services are mainly paid according to the disease type, paid according to the disease diagnosis related group or paid according to the bed day; the primary medical service can be paid according to the head, and the active exploration will be based on the payment of the head and the management of chronic diseases such as hypertension, diabetes and hemodialysis. Combination; for some complex cases and outpatient expenses can be paid for by project and by head. Areas with conditions can combine point method with budget management and pay for disease types to promote orderly competition and rational allocation of resources among medical institutions. The proportion of public hospitals providing special needs services does not exceed 10% of all medical services. How to control public hospitals Properly handle the relationship between the hospital and the government, separate the administrative affairs and separate the management and management, and promote the transformation of the hospital management mode and operation mode. Strengthen the macro management of the government in terms of direction, policy, guidance, planning, evaluation, etc., increase supervision over medical behavior, medical expenses, etc., and reduce the management of hospital personnel establishment, department setting, job appointment, income distribution, etc. Gradually cancel the administrative level of public hospitals. Implement the status of an independent legal entity in public hospitals. Improve the corporate governance mechanism of public hospitals, and implement autonomy such as internal personnel management, institutional setup, income distribution, deputy recommendation, appointment and dismissal of middle-level cadres, and annual budget execution. Implement the system of president's responsibility, improve the system of selection and appointment of the president, and implement the term system of the president and the term responsibility system. Public hospitals formulate regulations according to law. Establish and improve the comprehensive budget management system, cost accounting system, financial reporting system, chief accountant system, third-party auditing system and information disclosure system of public hospitals. How to do military hospitals In accordance with the military-civilian integration development strategy, the military medical institutions will be fully integrated into the grading diagnosis and treatment system. Promote the participation of military hospitals in the comprehensive reform of local public hospitals. What about state-owned enterprise hospitals? Standardize the reform of public hospitals and promote the pilot transfer and restructuring of hospitals owned by state-owned enterprises Which hospitals cannot be changed? In principle, infectious diseases hospitals, mental hospitals, occupational disease prevention hospitals, maternal and child health hospitals and maternity hospitals, children's hospitals, and Chinese medicine hospitals (national hospitals) are not reformed. About county hospitals Strengthen the comprehensive capacity building and discipline construction of county-level public hospitals, focus on strengthening the professional departments of common diseases and frequently-occurring diseases in the county, and the construction of clinical specialties in shortage, to further reduce the rate of out-of-county visits. About primary health institutions Strengthen the legal status of legal persons in grassroots medical and health institutions, and implement autonomy in personnel, management, and distribution. 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