People's Daily health client
"By 2025, the average life expectancy will reach about 84 years old" "By 2025, maintain a 10-second answer rate of emergency telephones by 100%" "By 2025, the overall myopia rate of children and adolescents will strive to drop by 0.5 percentage points per year" "The smoking rate of people over 15 years old ≤ 27%"... Many places have issued the "14th Five-Year Plan" for health development that is suitable for the local area.
Tianjin: Construction of 8 specialized national regional medical centers
In April 2021, the 14th Five-Year Plan for the Development of Health and Health Undertakings in Tianjin was issued. It is expected that by 2025, the number of beds in medical and health institutions per 1,000 permanent residents in Tianjin will increase from 4.36 to 5.5, the number of practicing (assistant) physicians per 1,000 permanent residents will increase from 3.14 to 3.5, the number of registered nurses per 1,000 permanent residents will increase from 2.72 to 4.0, and the number of general practitioners per 10,000 permanent residents will increase from 3 to 4.
In the next five years, Tianjin will improve the medical and health service system linked by the system, build 8 professional national regional medical centers for comprehensive, respiratory, cardiovascular, neurological, oncology, obstetrics and gynecology, children, and infectious diseases, and strive to create a national medical center for blood diseases. Develop community hospitals, strengthen the ability to consult, diagnose and treat common diseases, chronic diseases and multiple diseases in the region in a targeted manner, and carry out hospitalization, surgery and other services that are compatible with the qualifications of institutional personnel, technical access, facilities and equipment. Establish a government-led, resource-sharing, and mutually equipped "three-dimensional 120" pre-hospital emergency linkage mechanism, strengthen the construction of emergency centers and branches, emergency sub-centers, and emergency stations, optimize the configuration of personnel and vehicles, and maintain a 100% answering rate of emergency telephones in 10 seconds, and an average time of 10 minutes from receiving reports to the scene.
Liaoning: Jianqiang traditional Chinese medicine service system
On February 11, 2022, the "14th Five-Year Plan for Health and Wellness Development of Liaoning Province" was released. Some of the main development indicators of the "14th Five-Year Plan" of Liaoning Province were announced, among them, by 2025: the average life expectancy ≥ 80 years, personal health expenditure accounted for about 27% of the total health expenditure, the overall myopia rate of children and adolescents strives to reduce by 0.5 percentage points per year, the health literacy level of residents ≥ 30%, and the smoking rate of people over 15 years old ≤ 27%.
There are five key tasks in the "14th Five-Year Plan": to build and improve a strong public health prevention and control system; to build a high-quality and efficient medical service system; to build a strong traditional Chinese medicine service system, to deepen the reform of the medical and health system; and to promote the modernization of the health governance system and governance capabilities.
Shanghai: Implemented a project to improve residents' health literacy
In July 2021, the "14th Five-Year Plan for The Development of Health and Health in Shanghai" was issued, proposing the "14th Five-Year Plan" health development indicators in Shanghai: by 2025, the average life expectancy will reach about 84 years old, the average healthy life expectancy will ≥ 71 years, the early proportion of common malignant tumors will ≥ 37%, the average response time of pre-hospital emergency care will be stable within 12 minutes, the proportion of patients in tertiary hospitals using Internet diagnosis and treatment will ≥ 10%, and the proportion of hospitalization reimbursement within the scope of the medical insurance policy of insured residents will reach about 70%.
Implement the project of improving residents' health literacy, promote the construction of citizens' self-health management groups, and by 2025, the number of people participating in health self-management groups will reach 950,000; continue to promote the "1+1+1" medical institution combination contract, formulate and implement a hierarchical classification contract service strategy, strengthen the elderly, chronic disease patients and long-term care residents to sign up services, extend family doctor contract services to functional communities, covering more families; strengthen hospice care services, etc.
Henan: Let the people see the disease, see the disease well, see the disease, get sick less, or even not get sick
On June 7, 2021, the Information Office of the Henan Provincial Government held the eighth press conference in the series of "Opening the New Journey of the 14th Five-Year Plan", focusing on the historic achievements in the development of health and health undertakings in Henan Province during the "13th Five-Year Plan" period and the important arrangements and measures for promoting the construction of a healthy Central Plains during the "14th Five-Year Plan" period.
The meeting stressed that during the "Fourteenth Five-Year Plan" period, Henan will take the Healthy Central Plains Action as the guide, continue to exert efforts from the three aspects of prevention, treatment and cost control, focus on what the people are most concerned about and look forward to, and make every effort to reform and develop, so that the people can see the disease, see the disease well, see the disease, get less sick or even not get sick, and effectively enhance the sense of gain, happiness and security of the masses. Carry out activities such as "one science popularization and six actions", "two construction, three integration and four actions", "three inputs, two constructions and one help" health promotion actions. On the basis of building two national regional medical centers for children and cardiovascular diseases, we will actively create medical centers for respiratory, neurological, traditional Chinese medicine, and oncology. Construct a "four-level center" linkage pattern of national regional medical centers, provincial medical centers, provincial regional medical centers, and county medical centers. Reduce the price of consumables, manage and use the medical insurance fund well, and reduce the burden of medical treatment on the masses.
Hubei: Comprehensive interventions for major health problems
In November 2021, the 14th Five-Year Plan for the Development of Health and Health Undertakings in Hubei Province was issued. The main indicators of the development of health and health undertakings in the "14th Five-Year Plan" period: by 2025, the average life expectancy will reach 79 years, the premature mortality rate of major chronic diseases will ≤ 13%, the number of infants and young children aged 0-3 will reach 4.5 per 1,000 people, the proportion of geriatric departments in general hospitals above the second level will ≥ 70%, and the vaccination rate of the immunization program for children of appropriate age in townships and towns will > 90%.
Next, we will promote the reform of the disease prevention and control system and the construction of the public health system, weave a tightly woven public health protection network; highlight the main health problems and take all-round interventions; highlight the key populations and ensure the health of the whole life cycle; optimize the layout of medical resources and enhance the capacity of medical services; promote the construction of a strong province of traditional Chinese medicine, promote the innovation and inheritance and development of traditional Chinese medicine; strengthen the grass-roots medical and health service system and give play to the role of health gatekeepers; deepen the reform of the medical and health system and stimulate the vitality of health and health undertakings Consolidate the foundation for health development and enhance the new momentum of high-quality development.
Sichuan: Focusing on building a national medical "peak"
In January 2022, the "Sichuan Province "14th Five-Year Plan" Health Development Plan" was released. The main development goals include: by 2025, the average life expectancy is higher than 78.2 years, the number of people who regularly participate in physical exercise will reach 0.3222 billion, the management rate of severe mental disorders will reach 90%, the target for a healthy environment has also been set, the ratio of days with good air quality in cities at the prefecture level and above has completed the national target, and the proportion of national sanitary cities has continued to increase.
Sichuan will concentrate on building a national medical "peak", vigorously promote the construction of the National Stomatology Center and the National Children's Regional (Southwest) Medical Center, and strive for the establishment of a comprehensive and plateau disease national medical center and a national regional medical center for respiratory, trauma, infectious diseases and other professional categories in Sichuan. Relying on the unveiling of west China Hospital to create a national medical center, focus on core technology research, and focus on solving the problem of "card neck" in the field of health and health. Strive to include Sichuan in the pilot project of national regional medical center construction.
Gansu: Improve the health service system for the whole population and the whole life cycle
In October 2021, the "14th Five-Year Plan for the Development of Health and Health Undertakings in Gansu Province" was released. Development goal of Gansu Province: By 2025, the average life expectancy of residents in the province will reach 75 years, and the health literacy level of residents will reach 25%. The number of beds, practicing (assistant) physicians and registered nurses per 1,000 permanent population reached 8, 3.15 and 4.5 respectively.
By 2035, the health service system of the whole population and the whole life cycle in Gansu Province will be more sound and perfect and fully play a role, the amount of health resources and its structure will be more reasonable, the modernization of the health governance system and governance capacity will be basically realized, the health level of the people will be greatly improved, and the gap between the health and health undertakings and the advanced level of the country will be further narrowed.
Qinghai: Vigorously develop the cause of Sino-Tibetan medicine
In December 2021, the "14th Five-Year Plan for the Development of Health and Health Undertakings in Qinghai Province" was released, which put forward development goals: by 2025, the average life expectancy will reach 75.10 years, the infant mortality rate will drop to 6.5 ‰, the maternal mortality rate will be controlled below 20/100,000, the health literacy level of residents will be increased to 23%, the number of practicing (assistant) physicians per thousand population will reach 3.28, and the main health indicators will be close to the national average.
In the future, we will continue to deepen the reform of the medical and health system; build a modern public health service system; comprehensively strengthen the construction of the medical and health service system; accelerate the construction of the plateau medical research center and promote the development of scientific and technological innovation; improve the level of health rule of law and comprehensive supervision; maintain the health of key populations and promote the long-term balanced development of the population; vigorously develop the cause of Chinese and Tibetan medicine; strengthen the construction of health and health talents; and strengthen the construction of national health informatization.
Editor-in-charge: Qiao Jingfang