Chinese official side announces that deepens the system reform draft of the medical and health

Chinese official side announces that deepens the system reform draft of the medical and health
Www.chinanews.com electricity, according to national the intersection of development and reform committee and the intersection of website and news, national today such as website such as development and reform committee October 14 <>The full text announces, solicit the opinion to the society. The draft full text is as follows: Suggetion on deepening the system reform of the medical and health (draft) According to the gist of the 17th Party Congress of the party, in order to set up the medical and health system of the distinct Chinese characteristics, realize the goal that everybody enjoys the basic health care service progressively, improve health levels of the whole people, put forward the following suggestion on deepening the system reform of the medical and health now. First, fully realize the importance, urgency and arduousness of deepening the system reform of the medical and health The health is all-round developing foundations of people. The medical hygiene industry concerns the huge numbers of families happily, it is the great people's livelihood. Deepen the system reform of the medical and health, speed up the development of medical hygiene industry, meet the medical and health demand that the people increase day by day, improve the intersection of the people and the intersection of health and quality constantly, the intersection of implementation and scientific development view and promote economy with society coordinate inevitable requirement of sustainable development in an all-round way, it is the important action of safeguarding social justice justice, it is the improved important sign of the quality of people's lives, build the well-off society and construct a great task of the socialist harmonious society in an all-round way. Since the establishment of China, especially since reform and opening-up, the medical hygiene industry of our country has made the prominent achievement, the medical and health service system of covering urban and rural areas basically takes shape, the ability of prevention and cure of disease is being strengthened constantly, medical treatment ensures covering population to expand progressively, the scientific and technological level of the hygiene is improved rapidly, health levels of the people are obviously improved, resident's main health index is in developing country's forefront. Especially resist " SARS " Make the spectacular victory, the governments at all levels increase input, public health, rural health care and urban community's hygiene accelerate development, new rural cooperative medical service and basic medical insurance of urban residents make breakthrough progress, have laid the good foundation in order to deepen the system reform of the medical and health. At the same time, also y projects with economics and society, the present medical hygiene industry development level of our country coordinates the demand for development and incompatible contradiction of the people's health demand and still relatively projects with economics and society. The regional health care industry in urban and rural areas is developed unevenly, resource distribution is unreasonable, the public health, countryside, community are more weak in medicine and health work, medical treatment ensures the system to be imperfect, medicines produce the order of circulating unstandardly, management system and operating mechanism of the hospital are not complete, government's hygiene is put into insufficiently, the medical expenses rise too fast, the people reflect stronger. From now to 2020, it is the key period that our country builds the well-off society in an all-round way, the work of medical and health is bearing the strenuous task. With the economic development and improvement of living standards of the people, the masses have higher requirements on improving the medical and health service. Industrialization, urbanization, aging population, disease table change and ecological environment change etc., bring a series of new severe challenge to work of medical and health. Deepen the system reform of the medical and health, it is the strategic choice of speeding up the development of medical hygiene industry, it is an important means to realize the people share reform and development achievement, it is the broad masses of the people's urgent hope. It is a involving a wide range of knowledge, social system engineering with great difficulty to deepen the system reform of the medical and health. Our country has a large population, per capita incomes are poor, regional disparity in urban and rural areas is great, fundamental realities of the country at primary stage of socialism for a long time, it is a very complicated and arduous task to determine to deepen the system reform of the medical and health, it is a progressive course, need it on the basis of defining direction and frame, working hard for a long time and unremitting exploration, could set up the medical and health system which accord with the national conditions of our country progressively. Second, deepen the guidelines, basic principle and overall goal of the system reform of the medical and health (1) Guidelines. The guidelines of deepening the system reform of the medical and health are: With sum of Deng Xiaoping Theory " 'Three Represents' " The important thought is the guidance, deepen the scientific development view of implementation, proceed from national conditions of our country, it benefits the experience to use world for reference, with a view to realizing the goal that everybody enjoys the basic health care service, put forth effort to solve the people and care about most, the most direct, most realistic interests problem. Adhere to the public service properties of the public health care, the policy insisting on putting prevention first, taking countryside as the focal point, traditional Chinese and western medicine and regarding as equally important, separate, in charge of doing separating, medicine to separate, profit-generating and non-profit-making and separate the government affairs, strengthen government's responsibility and input, improve the national health policy, perfect the system, strengthen supervision and management, innovative system mechanism, encourage the communal participation, build the basic health care system which covers urban and rural residents, improve health levels of the whole people constantly, promote the society to be harmonious. (2) Basic principle. Deepening the system reform of the medical and health should follow the following basic principles: Adhere to people first, attach primary importance to safeguarding people's health rights and interests. Insist the medical hygiene industry is a aim of people's health service, regard ensuring the people to be healthy as the centre, enjoy the basic health care to serve as the basic starting point and standpoint with everybody, build following the public beneficial principle from reforming conceptual design, hygiene system and setting up to service system, put forth effort to solve the outstanding problem that the masses reflect strongly, make great efforts to realize all people's diseases are cured to some extent. Insist on being based on the national conditions, set up the medical and health system of the distinct Chinese characteristics. Insist on proceeding from fundamental realities of the country of our country, summarize the practical experience of reform and development of medical hygiene industry practically, grasp rule of development of the medical and health and principal contradiction accurately; Insist the basic health care service level is consert with national economic and social development, in conformity with the people's endurance; Give full play to the role of traditional Chinese medicine; Insist on suiting measures to local conditions, guidance to different types of areas, give play to local enthusiasm, explore that it accords with the basic health care system of the national conditions to set up. Insist fair efficiency is unified, government's leading factor and giving play to the role of market mechanism to combine together. Adhere to government's leading factor, strengthen the responsibility of the government in the basic health care system, strengthen the duty of the government in respects such as the system, the planning, fund-raising, service, supervising managing,etc., the ones that safeguarded public health care are public beneficial, it is fair and just to promote; Meanwhile, pay attention to giving play to the role of market mechanism, promote the forming of ordered competition mechanism, raise operational efficiency of the health care and service level, quality, meet the people's multi-level, diversified health care demands. Insist on making overall plans, combine improving the system with solving at present and stressing the problem. Proceed from the overall situation, give consideration to each side's interests such as being square of supplier and demand, pay attention to preventing, treating, recovering the combination of the three, deal with the relation among government, health organ, medical enterprise, medical worker and the people correctly. Has already had one's eyes on the future, innovative system The mechanism, base on present again, put forth effort to solve the outstanding problem existing in the medical and health; Have already paid attention to global design, has defined overall reform direction goal and basic frame, stress the key points again, implement step by step, advance the reform actively and reliably. (3) Overall goal. The overall goal of deepening the system reform of the medical and health is: It set up it cover on that urban and rural residents basic for health care system,is it safe, effective to offer to masses, conveniently, serve at cheap health care. By 2020, the basic health care system of covering urban and rural residents is basically set up. Generally set up more complete public health service system and medical service system, sounder medical security system, more normal medicines supply the security system, more scientific medical management system and operating mechanism of health organ, form pluralism and do and cure the pattern, everybody enjoys the basic health care service, basically meets multi-level health care demands of the people, health levels of the people are further improved. Third, improve four major systems of medical and health, set up the basic health care system of covering urban and rural residents Set up the public health service system of covering urban and rural residents, medical service system, medical security system, medicines supply the basic health care system of the four in one of the security system, four major systems complement each other, build together, develop in harmony. (4) Strengthen the service system construction of the public health in an all-round way. Set up and amplify disease to prevent and cotrol, professional public health service networks such as health education, mother and child care, mental hygiene, treating and curing, blood collecting and supplying, sanitary control and family planning of meeting an urgent need,etc., and improve it as the public health service function of the medical service system on the foundation with the service network of health care at the basic level, establish dividing the work clearly, information intercommunication, resource-sharing, public health service system which coordinates interdynamic, improve the service ability of the public health and the public health event happens suddenly to meet an urgent need and handle ability, promote urban and rural residents to enjoy the equal basic public health service that melt progressively. Confirm the service range of the public health. Define the national public health service item, increase service content, thinning service and assessment criteria progressively. Encourage the local government according to local economic level and public health question stressed, increase the service content of the public health on the basis of central fixed service item. Improve the service system of the public health. Further define the function, goal and task of the service system of the public health, optimize personnel and device layout, explore that combines the effective form of the service resources of public health. Improve the system of great disease prevention and control and the emergency system of the public health event happens suddenly, strengthen prevention and control and monitoring of diseases such as healthy infectious disease, endemic disease, occupational disease and chronic disease,etc. to threatening the people seriously. Strengthen the system construction of first aid in urban and rural areas. Strengthen health promotion and education. Medical health organ and organ, school, community, enterprise,etc. should launch the health education in a more cost-effective manner, advocate the life style of the health civilization, utilize medias such as broadcast, TV, network, newspapers and magazines,etc., strengthen the spread of the healthy, medical hygienic knowledge, promote the public's rational nutrition, improve the broad masses of the people's health consciousness and self- health care ability. Launch the patriotic public health campaign thoroughly. Include rural environmental sanitation and environmental pollution control in the new rural construction plan of socialism, promote the hygiene city and civilized construction of villages and small towns, is improving the hygienic conditions in respects such as the life, work of urban and rural residents,etc. constantly. Strengthen the sanitary control service. Promote environmental sanitation, food hygiene, occupational health, school health and rural worker's hygiene work in a more cost-effective manner. (5) Further improve medical service system. Insist non-profit-making medical organizations are supplemented by the main body, profit-generating medical organization, what the public medical organization took as the leading factor, developed together in the non- public medical organization is done and curing the principle, build reasonable structure, divide the work clear, prevent and cure, combine, technology suitable turning round in order, including health care service network and all kinds of hospitals at the basic level which cover the urban and rural areas are in the medical service system inside. Develop service system of rural health care in a more cost-effective manner. Accelerate setting up and amplifying with hospital at county level as the locomotive, health clinics in towns and townships for the backbone, village clinic as the rural tertiary health care service network on foundation. The hospital at county level is mainly responsible for basic medical care and the critical acute disease patient's rescue specializing in in hospitalling as the health care centre of the county intra-area, and bear the business technological guidance and refresher training of rural hygiene personnel of the rural health organ; The health clinics in towns and townships are responsible for offering the integrated service of making a diagnosis etc. of service and common disease, frequently-occurring disease of public health, and undertake work of business management and technological guidance of the village clinic,etc.; The village clinic bears the work of making a diagnosis and giving treatment etc. of serving and general disease of public health of the administrative village. The conditional countryside can integrate and manage the village. Accelerate implementing rural hygiene service system construction and development plan, advance infrastructure and ability construction of rural health care actively, the government runs the hospital at county level well especially and runs a commune hospital well in each of villages and towns, take the various forms to support the clinic construction of the village, improve the rural medical sanitary condition in a more cost-effective manner, improve the service quality of the health care. Improve it as the new urban health care service system on the foundation with community's hygiene service. Develop community's hygiene service in a more cost-effective manner, accelerate building the urban community's hygiene service network taking community health Center as main body, improve community's hygiene service function, healthy as the centre by safeguarding community residents, the public health of offering disease to prevent and cotrol etc. is served with that of general common disease, frequently-occurring disease, chronic disease elementarily and made a diagnosis to serve. Change community's hygiene service mode, insist on serving, making house calls voluntarily, it is healthy to bear the people of daily life progressively" The gatekeeper " Duty. The functions and duties of all kinds of sound hospitals. Optimize overall arrangement and structure of the hospital, give full play to urban hospital in worried critical disease and difficult make a diagnosis, medical education and scientific research, guidance and train at the basic level the intersection of hygiene and the intersection of personnel,etc. and key function of of disease. The large conditional hospital plans the requirement according to the regional hygiene, can promote medical resources to flow rationally through depositing, recombinating etc.. Set up the mechanisms of division of labor and coordination of work of the urban hospitals and community hygiene service organizations. The urban hospital drives community's hygiene and health to develop continuously through technical support, staff training,etc.. Meanwhile, take and improve service ability, reduce expenses standard, comprehensive measures such as the proportion,etc. of raising submitting an expense account, guide and generally make a diagnosis and sink it to the basic unit, realize progressively the community examines, grades medical treatment and changes the place of examination bidirectionally for the first time. Combine urban hygiene resources, there are medical resources of basic unit such as first and second class hospitals and state-run affiliated medical organizations of enterprises and institutions,etc. now to fully utilize the city, develop and improve community's hygiene service network. Give full play to the traditional Chinese medicine including national medicine and prevent and cotrol in disease, should be public to the proruption Function in health event, medical care. Strengthen the base of clinical research of Chinese medicine and construction of institute of traditional Chinese medicine, organize the traditional Chinese medicine of development to prevent and cure jointly tackling key problems of difficult disease, it is suitable for technology to popularize traditional Chinese medicine in the medical health organ in a more cost-effective manner. Create the good policy environment, support traditional Chinese medicine to develop, promote traditional Chinese medicine to be inherited and innovated. Set up the system of rural medicine and health work of the coordinated cooperation of urban hospital. The developed area should strengthen the poverty-stricken area of the coordinated cooperation and health care industry of the development of different regions of the ethnic minority. The large hospital in the city will set up long and steady coordinated cooperation and system of cooperating with the hospital at county level with the minority area of poverty-stricken area, way of taking clinical service, staff training, technological guidance, apparatus to support etc., help it to improve medical level and service ability. (6) Accelerate building the medical security system. Accelerate setting up and improving and ensuring for the subject by basic medical treatment, supplemented by other various forms supplement medical insurance and commercial health insurance, cover the multi-level medical security system of urban and rural residents. Set up the basic medical security system of covering urban and rural residents. Urban worker's basic medical insurance, basic medical insurance, new rural cooperative medical service and medical rescue in urban and rural areas of urban residents make up the basic medical security system together, cover urban employed population separately, the cities and towns are not employed population, people in the countryside and difficult crowd in urban and rural areas. Insist on covering, protecting the basic, sustainable principle widely, start from ensuring serious disease especially, extend towards little disease of clinic progressively, improve and ensure competence. Set up the country, the unit, family and individual liability are clear, share rational raising funds in the mechanism through many channels, realize the society helps each other and helps together. With socio-economic development, improve the level of raising funds and conduct the level progressively, narrow and ensure horizontal disparity, realize the basically unifying of system frame finally. Further improve the urban worker's basic medical insurance system, accelerate covering employed population, the state-run settlement of focal point closes the bankrupt enterprise, workers such as difficult enterprises,etc. and retired personnel and mixed ownership, medical insurance question of the non-public employees of economic organization and flexible employees; Accelerate advancing the basic medical insurance pilot project of urban residents, push away in an all-round way by 2009, pay attention to solving the basic medical insurance problem of old man and children; Implement the new rural cooperation medical treatment system in an all-round way, improve the government and subsidize competence progressively, increase peasants appropriately and pay the fees, improve supportability. Improve the system of medical rescue in urban and rural areas. Provide for the difficult crowd effects an insurance and hospitalization cost different to afford and subsidize, build firm medical treatment and ensure the bottom line. The conditional area should take many ways to explore the basic medical guarantee management system of setting up integration of urban and rural areas actively. Encourage public organizations such as the trade union,etc. to develop the activity of helping each other in diversified forms of medical treatment. Encourage and lead all kinds of public service organizations to develop social charitable medical rescue. Do a good job of the urban worker's basic medical insurance system, connecting among basic medical insurance system, new rural cooperation medical treatment systems and systems of medical rescue in urban and rural areas of urban residents, solve rural worker's basic medical insurance problem properly. Sign the labour contract and establish and trouble the rural worker of the relation with enterprises steadily, the responsibility of paying the fees according to the clear employing unit of the national regulation, include it in urban worker's basic medical insurance system; Other rural workers participate in the basic medical insurance of urban residents of new rural cooperative medical service of household register site or site of working according to the actual conditions. Do a good job of rural worker's medical insurance and concern and continue, seek medical advice and settle the policy of serving etc. to connect with the expenses in the strange land actively. Develop commercial health insurance actively. Encourage the commercial safety unit to develop and meet the health insurance products of different needs, simplify the claims settlement procedure, facilitate the masses, meet diversified health demands. Encourage enterprise and individual through the demand not including participating in business insurance and diversified forms of supplementary insurance and solving basic medical treatment to ensure. Continue exploring the commercial safety unit participates in ways done management such as the new rural cooperative medical service,etc.. (7) Set up and amplify medicines and supply the security system. Regard setting up national basic medicine system as the foundation, in order to foster the medical industry with international competitiveness, raise medicines and produce the concentration degree of enterprise in circulation, standardize medicines and produce the order of circulating, improve the forming mechanism of the price of medicines, strengthen the government to supervise as the main content, medicines which are built standardization, intensification supply the security system, is improving operation pharmacist's system constantly, ensure the people to use medicine safely. Set up national basic medicine system. Central government make and release national basic the intersection of medicine and catalogue in unison, according to must prevent and cure, safe and effective, the intersection of price and reasonable, easy to use, the intersection of Chinese and Western and principle that medicine regard as equally important, combine of our country the intersection of administration and characteristic, consult international experience, confirm of our country basic the intersection of medicine and variety and quantity rationally. Set up the production of the basic medicine and supply the system, fully give play to the role of market mechanism under government's macro adjustments and controls, the basic medicine is called for bid fixed production or centralized purchasing by the country, provide and deliver directly, reduce the intermediate link, make the retail price in unison on the basis of confirming the profit level of the production ink rationally, guarantee the production supply of the basic medicine, ensure the masses to basically use medicine. Standardize basic drug use, make basic medicine use guidelines and clinical practice guide. Community health Center in the city (station) , medical health organs of basic unit such as the health clinics in towns and townships, village clinic,etc. should all use the basic medicine, other kinds medical organization want the basic medicine as the first-selected medicine and confirm the using proportion too. The basic medicines all include in the catalogue of submitting an expense account of basic medical security system medicine, wipe out proportion, obviously higher than the non- basic medicine. Standardize the production of medicines and circulate. Improve medical industry's development policies and development plan of the trade, rigorously enforce the market access, strict medicines are registered and examined and approved, energetical norm and rectifying and producing the order of circulating, promote medical industry's optimization and upgrading and technological progress, develop logistics service of medicines and chain operation, promote the production of medicines, integration of enterprise in circulation. The rural medicines setting up coverage rate the wide, system Huinong sound, convenient for people supply the network and supervise the network. Support using medicine specially, first aid administration with small consumption to produce. Improve the medicines storage system. Standardize medical procurement, manage the commercial bribery in the buying and selling of medicine firmly. Strengthen the medicines bad reaction to monitor, set up the safe early warning mechanism of medicines and handling mechanism of meeting an urgent need. Fourth, improve the system mechanism, ensure the effective norm of the medical and health system to operate Improve management, operation, invests, the price, regulatory ystem mechanism of the medical and health, strengthen the science and technology and talent, information, legal construction, ensure the effective norm of the medical and health system to operate. (8) Set up and coordinate unified medical and health management system. Separate, in charge of doing the principle of separating, possession and the whole trade management according to the government affairs, confirm between the different the intersection of level and government rationally, government and the intersection of duty and Fan between the medical health organ Enclose, it is clear and orienting clear, synthesizes and coordinates, the management system with unified power and responsibility to form the function. Implement possession and the whole trade management. All medical health organs, no matter the ownership, investment subject, membership and managing properties, plan, unify the entry in unison, supervise in unison by local health authorities. Central, grade can set up and bear medical scientific research on a small quantity in the province, medical center of the teaching function or medical centre in the area, bearing the medical organization of section hospital,etc. making a diagnosis and giving treatment in the whole country or regional difficult disease; The county is (municipal or district) Mainly responsible for holding the hospital, rural hygiene and community health organ at county level; Other public hospitals are held by city of the setting up area. Strengthen the regional hygiene to plan. The provincial people's government makes the resource distribution standard of the hygiene, the organization works out the regional hygiene to plan to be planned with medical organization structuring, define the quantity, scale, overall arrangement and function of the medical organization. Make the health clinics in towns and townships (the village clinic) scientifically , the community health Center (station) Wait for the health organ at the basic level and construction and device layout standard of hospital at all levels. Fully utilize and the existing health care resources of rational distribution, adjust and optimize structure and overall arrangement, to not according with the medical organization which plan the requirement to combine progressively, control large-scale medical device layout strictly, encourage building together and sharing, raise the resource utilization efficiency of the health cares. Newly-increased hygiene resources must accord with the regional hygiene to plan, cast on weak links such as countryside and community's hygiene,etc. especially. The ones that strengthened the regional hygiene and planned to utilize planning etc. with the urban development planning, land were connected. Set up regional hygiene and plan to supervise and appraise the mechanism with resource distribution. Advance the reform of management system of public hospital. The public beneficial and government supervise and set out effectively from helping to strengthen the public hospital, explore actively the government affairs are separate, in charge of doing many kinds of ways of realization separated. Further change government's function, health authorities mainly undertake trades such as the development plan of the hygiene, qualification entry, standardizing the standard, service to supervise,etc. management function, other related departments manage and provide service according to each function. Implement the independent status of a legal person of public hospital. Further improve the management system of the basic medical insurance. The central authorities make basic medical insurance system frame and policy in unison, the local government is responsible for organizing managing, create the condition and improve and conduct the level progressively. Combine the basic medical insurance and handle resources effectively, realize the unity of administration of basic medical insurance in urban and rural areas progressively. (9) Set up the high-efficient and normal medical operating mechanism of health organ. Regard safeguarding the public medical public service properties of health organ as the core, set up the norm, science, high-efficient, orderly medical operating mechanism of health organ progressively. Revenue and expenditure of public health organ all include in budget management. According to the duty task undertaken, the government confirms the strength, wage level and funds standard rationally, define all kinds of post duties of personnel, rigorously enforce personnel's entry, strengthen the performance to examine, set up the employing system of coming in as well as get out, raise working efficiency and service quality. Change the medical operating mechanism of health organ in the basic unit. City community health Center (station) which the government holds With medical health organs of basic unit such as the health clinics in towns and townships,etc., should polarize the service function, stipulate clearly that uses suitable technology, suitable talent, suitable apparatus and basic medicine, offer low cost service for the broad masses, safeguard public service properties. Check and ratify the strength strictly, implement personnel's system of appointment, set up coming in as well as get out and encourage the effective human resources management system. Range and standard that define revenue and expenditure, the task that authorize, authorizing revenue and expenditure, performance to examine the financial management subsidized, and many kinds of effectual management of ensuring the total value of the funds to prepay etc. of exploring and implementing two lines of revenue and expenditure, public health and medical treatment, emforce the management on budget for revenues and expenditures, improve the utilization benefit of the fund. Reform the medicines addition policy, sell a difference rate of medicines. Strengthen and improve internal management, set up and regard service quality as core, examination and incentive system based on post responsibility and performance, form the long-efficiency mechanism of ensuring fair efficiency. Set up the normal operating mechanism of public hospital. The public hospital should follow public service properties and social benefit principle, insist on regarding patient as the centre, optimize the service procedure, standardize administration checking and medical behavior, deepen the operating mechanism reform. Set up and improve the corporate governance structure of the hospital, define the responsibility right of owner and administrator, form decision, carry out, supervise and check and balance each other, there is responsibility, encourage, restrain from, have the competition, vigorous mechanism. Manage separately the medical revenue and expenditure, explore the effective way reforms and mends and cures the mechanism with medicine progressively. Through implement the intersection of buying and selling of medicines and difference raise the price, set up the intersection of medicine and the intersection of thing and the intersection of service charge,etc. and many way, reform or cancel the intersection of medicines and the intersection of addition and policy progressively, take measures of adjusting the medical service price, increasing the government to put one's back into, reform the means of payment appropriately etc. at the same time and improve the compensation mechanism of public hospital. Further improve the financial affairs, accounting management system, emforce the management on budget, strengthen the financial affairs to supervise and run and supervise. It can combine place realities local, it launch about hospitals conditional "it last revenue and expenditure, in order to charging, supporting, propping up, be overcharge, turn over, subsidize difference, rewards and punishments are clearly demarcated" Wait for the pilot project of many kinds of management. Reform the personnel system, improve and distribute the incentive mechanism, pursue and employ system and post management system, emforce the management on payrolls, implement the comprehensive performance examining and post performance wage system relying mainly on service quality and work load of post, arouse the enthusiasm of medical worker effectively. Perfect the medical insurance and handle organization's operating mechanism. Improve the internal administration structure, set up rational employing mechanism and distribution system, improve and encourage tied mechanism, raise the medical insurance and handle managerial ability and efficiency of management. (10) Set up government's leading plural hygiene and invest the mechanism. Define the government, social and personal input responsibility, establish the leading position of the government in offering public health and basic medical treatment service. Public health serve, raise funds through government mainly, to urban and rural residents being equal to take, offer. Basic medical care is shared the expenses rationally by the government, social and personal three sides. Specially need medical care to be paid directly or paid through the commercial health insurance by individual. Set up and improve government's hygiene and invest the mechanism. Central government and local government should all increase the input to the hygiene, and give consideration to supplier and demand side. Improve government's hygiene and put one's back into the proportion which takes the all-inclusive cost of the hygiene progressively, make resident's personal basic health care expense burden obviously lighten; Invest the increasing degree that the increasing degree should be higher than the regular expenditure in government's hygiene, make government's hygiene put one's back into the improvement progressively of proportion which takes the regular expenditure. The newly-increased government's hygiene is put into and used for supporting public health, rural hygiene, urban community's hygiene and basic medical guarantee especially. Divide central authorities and ground rationally according to the principle born in grades The hygiene of square governments at all levels is put into responsibility. 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