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中共中央國務院發布促進中醫藥傳承創新發展意見(附全文)
來源:新華(hua)社發布時(shi)間:2019-11-01點擊:10717次
醫(yi)藥網10月28日訊 10月26日,中(zhong)共中(zhong)央國務院發(fa)布關于促進中(zhong)醫(yi)藥傳(chuan)承(cheng)創新發(fa)展的意見(jian)。內容如下:
中(zhong)(zhong)醫藥(yao)(yao)(yao)學(xue)(xue)是(shi)中(zhong)(zhong)華民族的偉大(da)創造,是(shi)中(zhong)(zhong)國古(gu)代科學(xue)(xue)的瑰寶,也是(shi)打(da)開(kai)中(zhong)(zhong)華文(wen)明(ming)寶庫的鑰匙,為中(zhong)(zhong)華民族繁衍生息作(zuo)出(chu)了巨大(da)貢獻,對世(shi)界文(wen)明(ming)進步產生了積極(ji)影響。黨(dang)(dang)和政府高度重(zhong)視(shi)中(zhong)(zhong)醫藥(yao)(yao)(yao)工作(zuo),特別是(shi)黨(dang)(dang)的十八大(da)以(yi)(yi)來,以(yi)(yi)習近平同志為核心的黨(dang)(dang)中(zhong)(zhong)央把(ba)中(zhong)(zhong)醫藥(yao)(yao)(yao)工作(zuo)擺(bai)在更加(jia)突出(chu)的位(wei)置,中(zhong)(zhong)醫藥(yao)(yao)(yao)改(gai)革(ge)發(fa)展取得顯著成(cheng)績。同時也要(yao)看到(dao),中(zhong)(zhong)西醫并重(zhong)方針仍需全(quan)面落實,遵(zun)循中(zhong)(zhong)醫藥(yao)(yao)(yao)規律的治(zhi)理體系亟(ji)待健全(quan),中(zhong)(zhong)醫藥(yao)(yao)(yao)發(fa)展基礎和人才(cai)建設(she)還比較(jiao)薄弱,中(zhong)(zhong)藥(yao)(yao)(yao)材(cai)質量良莠(you)不(bu)齊(qi),中(zhong)(zhong)醫藥(yao)(yao)(yao)傳承(cheng)不(bu)足(zu)、創新不(bu)夠、作(zuo)用(yong)發(fa)揮不(bu)充分,迫切(qie)需要(yao)深入實施中(zhong)(zhong)醫藥(yao)(yao)(yao)法,采取有效(xiao)措施解決以(yi)(yi)上問題,切(qie)實把(ba)中(zhong)(zhong)醫藥(yao)(yao)(yao)這一祖先留給我(wo)們的寶貴財富繼承(cheng)好(hao)、發(fa)展好(hao)、利用(yong)好(hao)。
傳承(cheng)創(chuang)新發(fa)展中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥是新時代(dai)(dai)中(zhong)(zhong)(zhong)(zhong)國(guo)(guo)特(te)色(se)社(she)會主義(yi)事(shi)業(ye)的重(zhong)要(yao)內容(rong),是中(zhong)(zhong)(zhong)(zhong)華(hua)民族(zu)偉(wei)大復興的大事(shi),對于堅持中(zhong)(zhong)(zhong)(zhong)西(xi)(xi)醫(yi)(yi)(yi)并重(zhong)、打造中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥和西(xi)(xi)醫(yi)(yi)(yi)藥相(xiang)互補充協調(diao)發(fa)展的中(zhong)(zhong)(zhong)(zhong)國(guo)(guo)特(te)色(se)衛生健康(kang)發(fa)展模式,發(fa)揮(hui)中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥原創(chuang)優(you)勢(shi)、推(tui)動我國(guo)(guo)生命科學實(shi)(shi)現創(chuang)新突(tu)破,弘揚中(zhong)(zhong)(zhong)(zhong)華(hua)優(you)秀傳統(tong)文(wen)化(hua)、增(zeng)強民族(zu)自(zi)信和文(wen)化(hua)自(zi)信,促進(jin)文(wen)明互鑒和民心相(xiang)通、推(tui)動構建人類命運共(gong)同體具有(you)重(zhong)要(yao)意義(yi)。為深入貫徹(che)習(xi)近平新時代(dai)(dai)中(zhong)(zhong)(zhong)(zhong)國(guo)(guo)特(te)色(se)社(she)會主義(yi)思(si)想和黨的十九大精神,認真(zhen)落(luo)實(shi)(shi)習(xi)近平總書(shu)記(ji)關于中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥工作的重(zhong)要(yao)論述,促進(jin)中(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥傳承(cheng)創(chuang)新發(fa)展,現提出如(ru)下意見。
一、健全中醫藥服務體系
(一)加強中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)服(fu)務機(ji)構(gou)建(jian)(jian)設(she)。發揮(hui)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)整體醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)和健(jian)康醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)優勢(shi),建(jian)(jian)成以國(guo)家(jia)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)學(xue)(xue)中(zhong)(zhong)心(xin)、區(qu)(qu)域中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)中(zhong)(zhong)心(xin)為龍頭(tou),各級各類中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)和其他(ta)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)科室為骨干,基層醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)衛生機(ji)構(gou)為基礎,融預防保(bao)健(jian)、疾病(bing)治療(liao)(liao)和康復(fu)于一體的中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)服(fu)務體系,提供(gong)覆蓋(gai)全(quan)民和全(quan)生命周期的中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)服(fu)務。遵循中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)發展(zhan)規律(lv),規范(fan)(fan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)科室設(she)置,修訂中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)設(she)置和建(jian)(jian)設(she)標準,健(jian)全(quan)評價和績(ji)效考(kao)核制度,強化(hua)以中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)服(fu)務為主的辦院(yuan)(yuan)模式和服(fu)務功能,建(jian)(jian)立健(jian)全(quan)體現中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)(yao)(yao)特點的現代醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)管理制度。大力(li)發展(zhan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)診(zhen)所、門(men)診(zhen)部和特色專科醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan),鼓勵連鎖經營(ying)。提供(gong)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)養生保(bao)健(jian)服(fu)務的企業登(deng)記經營(ying)范(fan)(fan)圍使用(yong)“中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)養生保(bao)健(jian)服(fu)務(非醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao))”規范(fan)(fan)表述。到2022年,基本(ben)實(shi)現縣(xian)辦中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)全(quan)覆蓋(gai),力(li)爭實(shi)現全(quan)部社區(qu)(qu)衛生服(fu)務中(zhong)(zhong)心(xin)和鄉鎮衛生院(yuan)(yuan)設(she)置中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)館、配備中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)師(shi)。
(二)筑牢基層(ceng)(ceng)中(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)服(fu)務(wu)陣(zhen)地(di)。擴大農村訂單(dan)定(ding)向免費培養中(zhong)醫(yi)(yi)(yi)(yi)(yi)專業醫(yi)(yi)(yi)(yi)(yi)學生(sheng)規模,在全科醫(yi)(yi)(yi)(yi)(yi)生(sheng)特設崗位計劃(hua)中(zhong)積極(ji)招收中(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)師(shi),鼓(gu)勵實(shi)行(xing)中(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)人員“縣管鄉用”,鼓(gu)勵退休中(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)師(shi)到基層(ceng)(ceng)提(ti)供服(fu)務(wu),放(fang)寬長期(qi)服(fu)務(wu)基層(ceng)(ceng)的(de)中(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)師(shi)職稱晉升條件。健全全科醫(yi)(yi)(yi)(yi)(yi)生(sheng)和鄉村醫(yi)(yi)(yi)(yi)(yi)生(sheng)中(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)知識與(yu)技(ji)能(neng)培訓機制。支(zhi)持中(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院牽頭組(zu)建醫(yi)(yi)(yi)(yi)(yi)療聯合(he)體。各級中(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院要加(jia)強對基層(ceng)(ceng)中(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)服(fu)務(wu)的(de)指導。
(三)以信息(xi)化(hua)支撐服(fu)務(wu)(wu)體系建(jian)設(she)。實施“互(hu)聯(lian)網(wang)(wang)+中(zhong)醫藥健(jian)康服(fu)務(wu)(wu)”行動(dong),建(jian)立以中(zhong)醫電(dian)子(zi)病歷、電(dian)子(zi)處方(fang)等為(wei)重點(dian)(dian)的基(ji)礎(chu)數據庫,鼓(gu)勵(li)依托醫療機構(gou)發展互(hu)聯(lian)網(wang)(wang)中(zhong)醫醫院,開發中(zhong)醫智能(neng)輔助診療系統,推動(dong)開展線上線下一體化(hua)服(fu)務(wu)(wu)和(he)遠程(cheng)醫療服(fu)務(wu)(wu)。依托現(xian)有資源建(jian)設(she)國家和(he)省級中(zhong)醫藥數據中(zhong)心。加快建(jian)立國家中(zhong)醫藥綜合統計制度。健(jian)全(quan)中(zhong)醫藥綜合監管信息(xi)系統,綜合運(yun)用抽查抽檢、定點(dian)(dian)監測、違(wei)法失信懲戒等手段,實現(xian)精準高效(xiao)監管。
二、發揮中(zhong)醫藥(yao)在維(wei)護和(he)促進人(ren)民(min)健康中(zhong)的獨特作用
(四)彰顯中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)在疾病(bing)(bing)(bing)治療(liao)中(zhong)(zhong)(zhong)(zhong)(zhong)的(de)優(you)(you)勢。加強中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)優(you)(you)勢專(zhuan)科(ke)建設(she),做優(you)(you)做強骨傷、肛腸、兒(er)科(ke)、皮科(ke)、婦科(ke)、針灸、推(tui)拿(na)以及(ji)心(xin)腦血管(guan)病(bing)(bing)(bing)、腎病(bing)(bing)(bing)、周圍血管(guan)病(bing)(bing)(bing)等專(zhuan)科(ke)專(zhuan)病(bing)(bing)(bing),及(ji)時總結形成診(zhen)(zhen)療(liao)方案,鞏固擴大優(you)(you)勢,帶動特色(se)發展。加快中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)循證醫(yi)(yi)(yi)學(xue)中(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)建設(she),用(yong)3年(nian)左右時間,篩選(xuan)50個中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)治療(liao)優(you)(you)勢病(bing)(bing)(bing)種和100項適宜技術、100個療(liao)效獨(du)特的(de)中(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)品種,及(ji)時向社會(hui)發布。聚焦癌癥、心(xin)腦血管(guan)病(bing)(bing)(bing)、糖尿病(bing)(bing)(bing)、感染性疾病(bing)(bing)(bing)、老年(nian)癡呆和抗(kang)生素耐藥(yao)(yao)問題等,開展中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)(yi)協同攻(gong)關,到2022年(nian)形成并(bing)推(tui)廣50個左右中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)(yi)結合(he)診(zhen)(zhen)療(liao)方案。建立綜合(he)醫(yi)(yi)(yi)院、專(zhuan)科(ke)醫(yi)(yi)(yi)院中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)(yi)會(hui)診(zhen)(zhen)制度,將中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)納入(ru)多學(xue)科(ke)會(hui)診(zhen)(zhen)體系。建立有效機制,更好發揮中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)在流(liu)感等新發突發傳染病(bing)(bing)(bing)防治和公(gong)共(gong)衛生事(shi)件應急處(chu)置中(zhong)(zhong)(zhong)(zhong)(zhong)的(de)作用(yong)。
(五(wu))強化中(zhong)(zhong)(zhong)(zhong)醫(yi)藥在(zai)疾病(bing)預(yu)防中(zhong)(zhong)(zhong)(zhong)的作(zuo)(zuo)用。結合(he)實施健(jian)康中(zhong)(zhong)(zhong)(zhong)國行動,促進中(zhong)(zhong)(zhong)(zhong)醫(yi)治未病(bing)健(jian)康工程升(sheng)級。在(zai)國家基(ji)本(ben)公共衛生(sheng)(sheng)服(fu)務項(xiang)目中(zhong)(zhong)(zhong)(zhong)豐富中(zhong)(zhong)(zhong)(zhong)醫(yi)治未病(bing)內容,鼓勵家庭(ting)醫(yi)生(sheng)(sheng)提(ti)供(gong)中(zhong)(zhong)(zhong)(zhong)醫(yi)治未病(bing)簽約服(fu)務,到2022年(nian)在(zai)重點人群(qun)和慢性病(bing)患者中(zhong)(zhong)(zhong)(zhong)推(tui)廣(guang)20個(ge)中(zhong)(zhong)(zhong)(zhong)醫(yi)治未病(bing)干(gan)預(yu)方(fang)案。大力普及中(zhong)(zhong)(zhong)(zhong)醫(yi)養生(sheng)(sheng)保(bao)健(jian)知識和太(tai)極(ji)拳(quan)、健(jian)身氣功(如八段錦)等養生(sheng)(sheng)保(bao)健(jian)方(fang)法,推(tui)廣(guang)體(ti)現中(zhong)(zhong)(zhong)(zhong)醫(yi)治未病(bing)理念的健(jian)康工作(zuo)(zuo)和生(sheng)(sheng)活方(fang)式。
(六)提升中(zhong)(zhong)醫(yi)(yi)藥特色康(kang)(kang)復(fu)(fu)能力。促進(jin)中(zhong)(zhong)醫(yi)(yi)藥、中(zhong)(zhong)華(hua)傳統(tong)體育(yu)與(yu)現代康(kang)(kang)復(fu)(fu)技術(shu)融合(he),發(fa)展中(zhong)(zhong)國(guo)特色康(kang)(kang)復(fu)(fu)醫(yi)(yi)學。實施中(zhong)(zhong)醫(yi)(yi)藥康(kang)(kang)復(fu)(fu)服務能力提升工程。依托現有資源布局一批(pi)中(zhong)(zhong)醫(yi)(yi)康(kang)(kang)復(fu)(fu)中(zhong)(zhong)心,加強(qiang)中(zhong)(zhong)醫(yi)(yi)醫(yi)(yi)院(yuan)康(kang)(kang)復(fu)(fu)科建(jian)設,在其他醫(yi)(yi)院(yuan)推(tui)廣中(zhong)(zhong)醫(yi)(yi)康(kang)(kang)復(fu)(fu)技術(shu)。針對心腦血管(guan)病、糖尿(niao)病等(deng)慢性病和傷殘等(deng),制定推(tui)廣一批(pi)中(zhong)(zhong)醫(yi)(yi)康(kang)(kang)復(fu)(fu)方(fang)案,推(tui)動研(yan)發(fa)一批(pi)中(zhong)(zhong)醫(yi)(yi)康(kang)(kang)復(fu)(fu)器(qi)具。大力開展培訓(xun),推(tui)動中(zhong)(zhong)醫(yi)(yi)康(kang)(kang)復(fu)(fu)技術(shu)進(jin)社區、進(jin)家庭(ting)、進(jin)機構(gou)。
三、大力推(tui)動中藥(yao)質量提升(sheng)和(he)產(chan)業高質量發展
(七)加(jia)強(qiang)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材質(zhi)量(liang)(liang)(liang)控制(zhi)。強(qiang)化(hua)(hua)(hua)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材道(dao)(dao)地產(chan)(chan)區環境保(bao)(bao)護(hu)(hu),修訂中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)產(chan)(chan)質(zhi)量(liang)(liang)(liang)管理(li)規(gui)范(fan),推(tui)行中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)態種(zhong)植(zhi)(zhi)(zhi)、野(ye)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)撫育(yu)(yu)和仿生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)栽(zai)培。加(jia)強(qiang)珍(zhen)稀瀕(bin)危(wei)野(ye)生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)藥(yao)(yao)(yao)(yao)(yao)用動植(zhi)(zhi)(zhi)物保(bao)(bao)護(hu)(hu),支持珍(zhen)稀瀕(bin)危(wei)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材替代品的(de)研究(jiu)和開(kai)發利用。嚴(yan)格農(nong)藥(yao)(yao)(yao)(yao)(yao)、化(hua)(hua)(hua)肥、植(zhi)(zhi)(zhi)物生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)長調節劑等(deng)使用管理(li),分(fen)(fen)區域、分(fen)(fen)品種(zhong)完善中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材農(nong)藥(yao)(yao)(yao)(yao)(yao)殘留、重金屬限量(liang)(liang)(liang)標準。制(zhi)定中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材種(zhong)子種(zhong)苗管理(li)辦法。規(gui)劃道(dao)(dao)地藥(yao)(yao)(yao)(yao)(yao)材基(ji)地建設,引導(dao)資源要素向道(dao)(dao)地產(chan)(chan)區匯集,推(tui)進規(gui)模化(hua)(hua)(hua)、規(gui)范(fan)化(hua)(hua)(hua)種(zhong)植(zhi)(zhi)(zhi)。探索(suo)制(zhi)定實施中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)產(chan)(chan)質(zhi)量(liang)(liang)(liang)管理(li)規(gui)范(fan)的(de)激勵(li)政策。倡導(dao)中(zhong)(zhong)(zhong)醫藥(yao)(yao)(yao)(yao)(yao)企業(ye)自建或以(yi)訂單形式聯建穩定的(de)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)產(chan)(chan)基(ji)地,評(ping)定一批國家(jia)、省級(ji)道(dao)(dao)地藥(yao)(yao)(yao)(yao)(yao)材良種(zhong)繁(fan)育(yu)(yu)和生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)態種(zhong)植(zhi)(zhi)(zhi)基(ji)地。健全中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材第三方質(zhi)量(liang)(liang)(liang)檢測體系。加(jia)強(qiang)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材交易(yi)市場監管。深入實施中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)材產(chan)(chan)業(ye)扶貧(pin)行動。到(dao)2022年(nian),基(ji)本建立道(dao)(dao)地藥(yao)(yao)(yao)(yao)(yao)材生(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)(sheng)產(chan)(chan)技術標準體系、等(deng)級(ji)評(ping)價制(zhi)度。
(八(ba))促進中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)飲(yin)片(pian)(pian)和中(zhong)(zhong)(zhong)成(cheng)藥(yao)(yao)(yao)(yao)質量(liang)提升。加(jia)快(kuai)修訂《中(zhong)(zhong)(zhong)華人民(min)共和國藥(yao)(yao)(yao)(yao)典》中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)標(biao)(biao)準(一部(bu)(bu)),由(you)國務(wu)院(yuan)藥(yao)(yao)(yao)(yao)品(pin)監(jian)督管理(li)部(bu)(bu)門會同中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)主管部(bu)(bu)門組織(zhi)專家承擔有關(guan)工作(zuo),建立(li)最(zui)嚴(yan)謹標(biao)(biao)準。健全(quan)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)飲(yin)片(pian)(pian)標(biao)(biao)準體(ti)系(xi),制定(ding)實施全(quan)國中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)飲(yin)片(pian)(pian)炮(pao)制規范。改善市(shi)(shi)場競爭環境(jing),促進中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)飲(yin)片(pian)(pian)優(you)質優(you)價。加(jia)強中(zhong)(zhong)(zhong)成(cheng)藥(yao)(yao)(yao)(yao)質量(liang)控制,促進現代信息技術在中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)生產中(zhong)(zhong)(zhong)的應(ying)用,提高智能制造(zao)水平。探索建立(li)以(yi)臨床價值為導(dao)向的評估路徑,綜合運用循證醫(yi)學等(deng)(deng)方法,加(jia)大中(zhong)(zhong)(zhong)成(cheng)藥(yao)(yao)(yao)(yao)上市(shi)(shi)后評價工作(zuo)力(li)度(du),建立(li)與公(gong)立(li)醫(yi)院(yuan)藥(yao)(yao)(yao)(yao)品(pin)采購、基本藥(yao)(yao)(yao)(yao)物遴選、醫(yi)保目錄調整(zheng)等(deng)(deng)聯動機(ji)制,促進產業(ye)升級和結構調整(zheng)。
(九)改革完善(shan)(shan)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)注(zhu)冊管(guan)(guan)理。建立健全符合中(zhong)(zhong)(zhong)(zhong)醫藥(yao)(yao)特點的(de)(de)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)安全、療(liao)效評價(jia)方(fang)法和(he)技術(shu)(shu)標準。及時(shi)完善(shan)(shan)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)注(zhu)冊分類,制(zhi)定(ding)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)審(shen)評審(shen)批管(guan)(guan)理規(gui)(gui)定(ding),實施(shi)基于臨床(chuang)價(jia)值的(de)(de)優先(xian)審(shen)評審(shen)批制(zhi)度。加快構建中(zhong)(zhong)(zhong)(zhong)醫藥(yao)(yao)理論、人用(yong)經(jing)(jing)驗和(he)臨床(chuang)試驗相結合的(de)(de)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)注(zhu)冊審(shen)評證據體系(xi),優化(hua)基于古代經(jing)(jing)典名(ming)(ming)方(fang)、名(ming)(ming)老中(zhong)(zhong)(zhong)(zhong)醫方(fang)、醫療(liao)機構制(zhi)劑等具(ju)有人用(yong)經(jing)(jing)驗的(de)(de)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)新藥(yao)(yao)審(shen)評技術(shu)(shu)要求,加快中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)新藥(yao)(yao)審(shen)批。鼓勵運用(yong)新技術(shu)(shu)新工(gong)藝以及體現臨床(chuang)應(ying)用(yong)優勢的(de)(de)新劑型(xing)改進已(yi)(yi)上市(shi)(shi)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)品種,優化(hua)已(yi)(yi)上市(shi)(shi)中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)變更技術(shu)(shu)要求。優化(hua)和(he)規(gui)(gui)范醫療(liao)機構中(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)制(zhi)劑備案管(guan)(guan)理。國務院中(zhong)(zhong)(zhong)(zhong)醫藥(yao)(yao)主管(guan)(guan)部門、藥(yao)(yao)品監督(du)管(guan)(guan)理部門要牽頭(tou)組織制(zhi)定(ding)古代經(jing)(jing)典名(ming)(ming)方(fang)目錄(lu)中(zhong)(zhong)(zhong)(zhong)收載方(fang)劑的(de)(de)關鍵(jian)信息考證意見(jian)。
(十)加(jia)(jia)強(qiang)中(zhong)(zhong)(zhong)藥(yao)質(zhi)量安(an)(an)全監管。以中(zhong)(zhong)(zhong)藥(yao)飲(yin)片監管為(wei)抓手(shou),向上下游延(yan)伸,落實中(zhong)(zhong)(zhong)藥(yao)生產企(qi)業主(zhu)體責(ze)任,建(jian)(jian)(jian)立多部門協(xie)同監管機制(zhi),探索建(jian)(jian)(jian)立中(zhong)(zhong)(zhong)藥(yao)材、中(zhong)(zhong)(zhong)藥(yao)飲(yin)片、中(zhong)(zhong)(zhong)成藥(yao)生產流通使(shi)用全過(guo)程追溯(su)體系,用5年左右時間,逐(zhu)步實現(xian)中(zhong)(zhong)(zhong)藥(yao)重點(dian)品(pin)種來源可(ke)查、去(qu)向可(ke)追、責(ze)任可(ke)究。強(qiang)化中(zhong)(zhong)(zhong)成藥(yao)質(zhi)量監管及(ji)合理(li)使(shi)用,加(jia)(jia)強(qiang)上市(shi)產品(pin)市(shi)場抽(chou)檢,嚴厲打擊(ji)中(zhong)(zhong)(zhong)成藥(yao)非法添加(jia)(jia)化學(xue)品(pin)違法行為(wei)。加(jia)(jia)強(qiang)中(zhong)(zhong)(zhong)藥(yao)注射劑不良反應監測。推進中(zhong)(zhong)(zhong)藥(yao)企(qi)業誠信(xin)(xin)體系建(jian)(jian)(jian)設,將(jiang)其納(na)入全國信(xin)(xin)用信(xin)(xin)息(xi)(xi)共享平臺和國家企(qi)業信(xin)(xin)用信(xin)(xin)息(xi)(xi)公示(shi)系統,加(jia)(jia)大失信(xin)(xin)聯合懲戒力(li)度(du)(du)。完善中(zhong)(zhong)(zhong)藥(yao)質(zhi)量安(an)(an)全監管法律(lv)制(zhi)度(du)(du),加(jia)(jia)大對制(zhi)假(jia)制(zhi)劣行為(wei)的(de)責(ze)任追究力(li)度(du)(du)。
四、加(jia)強中醫藥(yao)人才隊伍建設
(十一)改革(ge)(ge)人(ren)才培(pei)養模(mo)式。強化(hua)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)思維培(pei)養,改革(ge)(ge)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)藥(yao)院(yuan)校教育,調(diao)整優化(hua)學(xue)(xue)(xue)科專(zhuan)(zhuan)業(ye)(ye)結(jie)構,強化(hua)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)藥(yao)專(zhuan)(zhuan)業(ye)(ye)主體地位,提高中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)類專(zhuan)(zhuan)業(ye)(ye)經(jing)典課(ke)程比重,開展中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)藥(yao)經(jing)典能(neng)(neng)力等級考試(shi),建立早(zao)跟師(shi)、早(zao)臨(lin)(lin)床(chuang)學(xue)(xue)(xue)習(xi)制度(du)。加大省(sheng)部(bu)局共建中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)藥(yao)院(yuan)校投入(ru)力度(du)。將中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)課(ke)程列入(ru)臨(lin)(lin)床(chuang)醫(yi)(yi)(yi)(yi)學(xue)(xue)(xue)類專(zhuan)(zhuan)業(ye)(ye)必(bi)修課(ke),提高臨(lin)(lin)床(chuang)類別醫(yi)(yi)(yi)(yi)師(shi)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)藥(yao)知識和技(ji)能(neng)(neng)水平。完善中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)師(shi)規范化(hua)培(pei)訓(xun)模(mo)式。改革(ge)(ge)完善中(zhong)(zhong)(zhong)西(xi)(xi)(xi)醫(yi)(yi)(yi)(yi)結(jie)合(he)教育,培(pei)養高層次中(zhong)(zhong)(zhong)西(xi)(xi)(xi)醫(yi)(yi)(yi)(yi)結(jie)合(he)人(ren)才。鼓勵西(xi)(xi)(xi)醫(yi)(yi)(yi)(yi)學(xue)(xue)(xue)習(xi)中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi),允(yun)許(xu)臨(lin)(lin)床(chuang)類別醫(yi)(yi)(yi)(yi)師(shi)通過考核后(hou)提供中(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)服務,參加中(zhong)(zhong)(zhong)西(xi)(xi)(xi)醫(yi)(yi)(yi)(yi)結(jie)合(he)職稱評聘。允(yun)許(xu)中(zhong)(zhong)(zhong)西(xi)(xi)(xi)醫(yi)(yi)(yi)(yi)結(jie)合(he)專(zhuan)(zhuan)業(ye)(ye)人(ren)員參加臨(lin)(lin)床(chuang)類別全科醫(yi)(yi)(yi)(yi)生規范化(hua)培(pei)訓(xun)。
(十二)優化(hua)人(ren)(ren)才成長(chang)途徑。通(tong)過學(xue)科專科建設(she)、重大(da)(da)科研平(ping)臺(tai)建設(she)和(he)重大(da)(da)項目實施(shi)等(deng),培養造就一批高水平(ping)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)臨床人(ren)(ren)才和(he)多學(xue)科交(jiao)叉的中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)創新(xin)(xin)型(xing)領軍人(ren)(ren)才,支(zhi)持(chi)組建一批高層次(ci)創新(xin)(xin)團(tuan)隊。支(zhi)持(chi)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)院(yuan)校與其他高等(deng)學(xue)校聯合培養高層次(ci)復(fu)合型(xing)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)人(ren)(ren)才。建立高年(nian)資(zi)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)師帶(dai)徒制度,與職稱評(ping)審(shen)、評(ping)優評(ping)先等(deng)掛鉤(gou)。制定中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)師承(cheng)教(jiao)育(yu)管(guan)理(li)辦法(fa)。經國務院(yuan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)主管(guan)部門認可(ke)的師承(cheng)教(jiao)育(yu)繼(ji)承(cheng)人(ren)(ren),符合條件者可(ke)按同等(deng)學(xue)力(li)申請中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)專業(ye)學(xue)位(wei)(wei)。大(da)(da)力(li)培養中(zhong)(zhong)藥(yao)材種(zhong)植、中(zhong)(zhong)藥(yao)炮制、中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥(yao)健康服務等(deng)技(ji)術技(ji)能人(ren)(ren)才。完善確有專長(chang)人(ren)(ren)員考核辦法(fa),加大(da)(da)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(專長(chang))醫(yi)(yi)(yi)(yi)(yi)師培訓力(li)度,支(zhi)持(chi)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院(yuan)設(she)置(zhi)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(專長(chang))醫(yi)(yi)(yi)(yi)(yi)師崗位(wei)(wei),促進(jin)民(min)間特(te)色技(ji)術療法(fa)的傳承(cheng)發展。
(十三(san))健全人(ren)才(cai)評價(jia)激勵(li)機(ji)制(zhi)(zhi)(zhi)。落(luo)實允許醫(yi)(yi)(yi)療(liao)衛(wei)生機(ji)構突破現(xian)行事業單(dan)位工(gong)資(zi)調控水(shui)平、允許醫(yi)(yi)(yi)療(liao)服(fu)務(wu)(wu)收入扣除成(cheng)本(ben)并按規定提取各項基(ji)金(jin)后主(zhu)要(yao)用(yong)于人(ren)員獎勵(li)的要(yao)求,完善(shan)公立(li)(li)中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)療(liao)機(ji)構薪酬制(zhi)(zhi)(zhi)度。改革(ge)完善(shan)中(zhong)醫(yi)(yi)(yi)藥(yao)職(zhi)稱評聘制(zhi)(zhi)(zhi)度,注(zhu)重(zhong)業務(wu)(wu)能力和(he)工(gong)作(zuo)實績(ji),克服(fu)唯(wei)學歷(li)、唯(wei)資(zi)歷(li)、唯(wei)論文等傾(qing)向。國(guo)家重(zhong)大人(ren)才(cai)工(gong)程(cheng)、院(yuan)士評選等加大對中(zhong)醫(yi)(yi)(yi)藥(yao)人(ren)才(cai)的支持力度,研究(jiu)在中(zhong)國(guo)工(gong)程(cheng)院(yuan)醫(yi)(yi)(yi)藥(yao)衛(wei)生學部單(dan)設中(zhong)醫(yi)(yi)(yi)藥(yao)組。研究(jiu)建立(li)(li)中(zhong)醫(yi)(yi)(yi)藥(yao)人(ren)才(cai)表(biao)(biao)彰(zhang)獎勵(li)制(zhi)(zhi)(zhi)度,加強(qiang)國(guo)家中(zhong)醫(yi)(yi)(yi)藥(yao)傳(chuan)承(cheng)(cheng)創新表(biao)(biao)彰(zhang),建立(li)(li)中(zhong)醫(yi)(yi)(yi)藥(yao)行業表(biao)(biao)彰(zhang)長效機(ji)制(zhi)(zhi)(zhi),注(zhu)重(zhong)發現(xian)和(he)推介(jie)中(zhong)青年(nian)骨(gu)干(gan)人(ren)才(cai)和(he)傳(chuan)承(cheng)(cheng)人(ren)。各種表(biao)(biao)彰(zhang)獎勵(li)評選向基(ji)層一線(xian)和(he)艱苦地區(qu)傾(qing)斜。
五(wu)、促(cu)進中醫藥(yao)傳承與開放創新發展
(十四)挖掘和傳(chuan)(chuan)(chuan)承(cheng)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)寶庫中(zhong)(zhong)的精華精髓。加強典籍研(yan)究利用,編撰中(zhong)(zhong)華醫(yi)(yi)(yi)藏,制(zhi)定(ding)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)典籍、技(ji)(ji)術(shu)和方(fang)藥(yao)(yao)名錄,建立(li)國家中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)古籍和傳(chuan)(chuan)(chuan)統(tong)知識數字圖書館,研(yan)究制(zhi)定(ding)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)傳(chuan)(chuan)(chuan)統(tong)知識保(bao)護條(tiao)例。加快推(tui)進(jin)活態傳(chuan)(chuan)(chuan)承(cheng),完善學(xue)術(shu)傳(chuan)(chuan)(chuan)承(cheng)制(zhi)度,加強名老中(zhong)(zhong)醫(yi)(yi)(yi)學(xue)術(shu)經驗(yan)、老藥(yao)(yao)工傳(chuan)(chuan)(chuan)統(tong)技(ji)(ji)藝傳(chuan)(chuan)(chuan)承(cheng),實現數字化(hua)、影像(xiang)化(hua)記錄。收集篩選民間中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)驗(yan)方(fang)、秘方(fang)和技(ji)(ji)法(fa),建立(li)合(he)作(zuo)開發(fa)和利益分(fen)享機制(zhi)。推(tui)進(jin)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)博物(wu)館事(shi)業(ye)發(fa)展,實施中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)文(wen)化(hua)傳(chuan)(chuan)(chuan)播(bo)行(xing)動,把中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)文(wen)化(hua)貫穿國民教育(yu)始終,中(zhong)(zhong)小學(xue)進(jin)一步豐富中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)文(wen)化(hua)教育(yu),使(shi)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)(yao)成為群眾促(cu)進(jin)健康的文(wen)化(hua)自(zi)覺。
(十五)加(jia)快推進(jin)中(zhong)(zhong)醫(yi)(yi)藥(yao)科(ke)(ke)研(yan)(yan)(yan)和(he)創新(xin)(xin)(xin)(xin)。圍繞(rao)國(guo)(guo)(guo)家(jia)戰略需(xu)(xu)求及中(zhong)(zhong)醫(yi)(yi)藥(yao)重(zhong)大科(ke)(ke)學(xue)問(wen)題,建(jian)立(li)多(duo)學(xue)科(ke)(ke)融合的科(ke)(ke)研(yan)(yan)(yan)平臺(tai)。在中(zhong)(zhong)醫(yi)(yi)藥(yao)重(zhong)點(dian)(dian)領域建(jian)設國(guo)(guo)(guo)家(jia)重(zhong)點(dian)(dian)實驗室(shi),建(jian)立(li)一(yi)批國(guo)(guo)(guo)家(jia)臨(lin)床醫(yi)(yi)學(xue)研(yan)(yan)(yan)究中(zhong)(zhong)心(xin)、國(guo)(guo)(guo)家(jia)工程(cheng)研(yan)(yan)(yan)究中(zhong)(zhong)心(xin)和(he)技(ji)術創新(xin)(xin)(xin)(xin)中(zhong)(zhong)心(xin)。在中(zhong)(zhong)央財政科(ke)(ke)技(ji)計劃(專(zhuan)項、基(ji)金等)框架下,研(yan)(yan)(yan)究設立(li)國(guo)(guo)(guo)家(jia)中(zhong)(zhong)醫(yi)(yi)藥(yao)科(ke)(ke)技(ji)研(yan)(yan)(yan)發(fa)專(zhuan)項、關(guan)鍵技(ji)術裝備重(zhong)大專(zhuan)項和(he)國(guo)(guo)(guo)際大科(ke)(ke)學(xue)計劃,深化(hua)(hua)基(ji)礎理論、診(zhen)療規律、作用機理研(yan)(yan)(yan)究和(he)詮釋,開展防治(zhi)重(zhong)大、難治(zhi)、罕(han)見(jian)疾病和(he)新(xin)(xin)(xin)(xin)發(fa)突發(fa)傳染病等臨(lin)床研(yan)(yan)(yan)究,加(jia)快中(zhong)(zhong)藥(yao)新(xin)(xin)(xin)(xin)藥(yao)創制研(yan)(yan)(yan)究,研(yan)(yan)(yan)發(fa)一(yi)批先進(jin)的中(zhong)(zhong)醫(yi)(yi)器械和(he)中(zhong)(zhong)藥(yao)制藥(yao)設備。支(zhi)持鼓勵兒(er)童(tong)用中(zhong)(zhong)成藥(yao)創新(xin)(xin)(xin)(xin)研(yan)(yan)(yan)發(fa)。研(yan)(yan)(yan)究實施科(ke)(ke)技(ji)創新(xin)(xin)(xin)(xin)工程(cheng)。支(zhi)持企(qi)業、醫(yi)(yi)療機構、高等學(xue)校、科(ke)(ke)研(yan)(yan)(yan)機構等協同創新(xin)(xin)(xin)(xin),以(yi)產業鏈(lian)、服務鏈(lian)布局創新(xin)(xin)(xin)(xin)鏈(lian),完善(shan)中(zhong)(zhong)醫(yi)(yi)藥(yao)產學(xue)研(yan)(yan)(yan)一(yi)體化(hua)(hua)創新(xin)(xin)(xin)(xin)模式。加(jia)強中(zhong)(zhong)醫(yi)(yi)藥(yao)產業知(zhi)識產權保(bao)護和(he)運用。健全賦予(yu)中(zhong)(zhong)醫(yi)(yi)藥(yao)科(ke)(ke)研(yan)(yan)(yan)機構和(he)人員更大自主(zhu)權的管(guan)理制度,建(jian)立(li)知(zhi)識產權和(he)科(ke)(ke)技(ji)成果(guo)轉化(hua)(hua)權益保(bao)障機制。改革完善(shan)中(zhong)(zhong)醫(yi)(yi)藥(yao)科(ke)(ke)研(yan)(yan)(yan)組(zu)織、驗收和(he)評(ping)價體系,避免簡單套(tao)用相關(guan)科(ke)(ke)研(yan)(yan)(yan)評(ping)價方法。突出中(zhong)(zhong)醫(yi)(yi)藥(yao)特點(dian)(dian)和(he)發(fa)展需(xu)(xu)求,建(jian)立(li)科(ke)(ke)技(ji)主(zhu)管(guan)部門與(yu)中(zhong)(zhong)醫(yi)(yi)藥(yao)主(zhu)管(guan)部門協同聯動的中(zhong)(zhong)醫(yi)(yi)藥(yao)科(ke)(ke)研(yan)(yan)(yan)規劃和(he)管(guan)理機制。
(十六)推(tui)動(dong)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)開放發展。將中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)納入構建(jian)人類(lei)命(ming)運共同體和(he)(he)“一帶一路”國(guo)際合(he)作(zuo)(zuo)重要內容,實施(shi)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)國(guo)際合(he)作(zuo)(zuo)專項。推(tui)動(dong)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)中(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)國(guo)際標(biao)準制(zhi)定,積極參(can)與(yu)國(guo)際傳統醫(yi)學相關規則制(zhi)定。推(tui)動(dong)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)文化海外傳播。大(da)力發展中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)服(fu)務(wu)貿(mao)易。鼓勵(li)社會力量建(jian)設一批(pi)高質量中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)海外中(zhong)(zhong)(zhong)(zhong)(zhong)心、國(guo)際合(he)作(zuo)(zuo)基地(di)(di)和(he)(he)服(fu)務(wu)出口基地(di)(di)。研(yan)究推(tui)動(dong)現有(you)中(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)交(jiao)易平臺穩(wen)步開展國(guo)際交(jiao)易。打造粵港澳大(da)灣區中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)高地(di)(di)。加強(qiang)與(yu)臺灣地(di)(di)區中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)交(jiao)流合(he)作(zuo)(zuo),促進兩岸(an)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)藥(yao)融合(he)發展。
六、改(gai)革完善中(zhong)醫藥管理體制機制
(十(shi)七)完善(shan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥價(jia)(jia)格(ge)和醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)保政(zheng)(zheng)策(ce)。以臨床價(jia)(jia)值為導向,以中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)優勢服(fu)(fu)務(wu)、特色服(fu)(fu)務(wu)為重點(dian),加(jia)大政(zheng)(zheng)策(ce)支持(chi)力度(du),完善(shan)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)服(fu)(fu)務(wu)價(jia)(jia)格(ge)形成機(ji)(ji)制。醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)服(fu)(fu)務(wu)價(jia)(jia)格(ge)調整(zheng)時重點(dian)考慮(lv)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)等體(ti)現(xian)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)務(wu)人(ren)員技術(shu)勞務(wu)價(jia)(jia)值的(de)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)服(fu)(fu)務(wu)價(jia)(jia)格(ge)。健全(quan)符(fu)合(he)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥特點(dian)的(de)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)保支付方(fang)式(shi)。完善(shan)與國際疾病分(fen)(fen)類(lei)相(xiang)銜接的(de)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)病證分(fen)(fen)類(lei)等編碼(ma)體(ti)系。分(fen)(fen)批遴選中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)優勢明(ming)(ming)顯、治(zhi)療(liao)路徑清晰(xi)、費用明(ming)(ming)確的(de)病種實施按(an)病種付費,合(he)理確定(ding)(ding)付費標(biao)準(zhun)。通過對部分(fen)(fen)慢性病病種等實行(xing)按(an)人(ren)頭付費、完善(shan)相(xiang)關技術(shu)規(gui)范等方(fang)式(shi),鼓勵引導基層醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)衛生機(ji)(ji)構(gou)(gou)提供適宜的(de)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥服(fu)(fu)務(wu)。及時將(jiang)符(fu)合(he)條(tiao)件的(de)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)機(ji)(ji)構(gou)(gou)納入醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)保定(ding)(ding)點(dian)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)機(ji)(ji)構(gou)(gou)。積(ji)極(ji)將(jiang)適宜的(de)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)服(fu)(fu)務(wu)項目和中(zhong)(zhong)藥按(an)規(gui)定(ding)(ding)納入醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)保范圍。鼓勵商業保險機(ji)(ji)構(gou)(gou)開發中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)治(zhi)未病等保險產(chan)品。研究(jiu)取消(xiao)中(zhong)(zhong)藥飲片(pian)加(jia)成相(xiang)關工作。
(十八)完善(shan)(shan)投(tou)入(ru)(ru)保障機制。建立持續穩定的(de)中(zhong)(zhong)醫(yi)(yi)藥(yao)發展(zhan)多元投(tou)入(ru)(ru)機制,在衛生健康投(tou)入(ru)(ru)中(zhong)(zhong)統(tong)籌安排(pai)中(zhong)(zhong)醫(yi)(yi)藥(yao)事業發展(zhan)經費(fei)并加大支(zhi)持力度(du)。加大對中(zhong)(zhong)醫(yi)(yi)藥(yao)事業發展(zhan)投(tou)資(zi)力度(du),改善(shan)(shan)中(zhong)(zhong)醫(yi)(yi)醫(yi)(yi)院(yuan)辦院(yuan)條件(jian),擴大優(you)質服(fu)務供給。切實保障公(gong)立中(zhong)(zhong)醫(yi)(yi)醫(yi)(yi)院(yuan)投(tou)入(ru)(ru)責(ze)任落實。鼓勵地方設立政府引(yin)導、社(she)會資(zi)本參與、市場(chang)化運作的(de)中(zhong)(zhong)醫(yi)(yi)藥(yao)發展(zhan)基金。引(yin)導商業保險機構投(tou)資(zi)中(zhong)(zhong)醫(yi)(yi)藥(yao)服(fu)務產業。
(十九)健(jian)全(quan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥管理(li)體制(zhi)(zhi)。完善中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥工(gong)作跨部門(men)協(xie)調(diao)(diao)機制(zhi)(zhi),強化國務(wu)院中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥工(gong)作部際聯席會議辦(ban)公室統籌職(zhi)能,協(xie)調(diao)(diao)做好(hao)中(zhong)(zhong)藥發展(zhan)規劃、標準制(zhi)(zhi)定、質量管理(li)等(deng)工(gong)作,促進中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)中(zhong)(zhong)藥協(xie)調(diao)(diao)發展(zhan)。各級衛生健(jian)康、藥品(pin)監督管理(li)等(deng)各相關部門(men)要堅持中(zhong)(zhong)西(xi)醫(yi)(yi)(yi)(yi)(yi)并(bing)重,制(zhi)(zhi)定實施中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥相關政(zheng)策措(cuo)施要充分聽取(qu)并(bing)吸納(na)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥主管部門(men)意見。完善中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥服務(wu)監管機制(zhi)(zhi)。依據(ju)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥法(fa)有關規定建立健(jian)全(quan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥管理(li)體系,省市縣都(dou)要明確承擔(dan)中(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥管理(li)職(zhi)能的機構(gou),合理(li)配置人(ren)員力量。
(二(er)十)加強組(zu)織實(shi)施。地方(fang)各(ge)級黨委和政府要結合(he)實(shi)際制定落實(shi)舉(ju)措,將本意見實(shi)施情(qing)況納入黨委和政府績效(xiao)考核。圍(wei)繞以較低費用取(qu)得較大(da)健(jian)康收(shou)益目(mu)標(biao),規(gui)劃建設一批國家中(zhong)醫(yi)藥(yao)綜合(he)改革(ge)示范(fan)區,鼓(gu)勵在服(fu)務(wu)模(mo)式、產業發展、質(zhi)量監管等(deng)方(fang)面先(xian)(xian)行先(xian)(xian)試(shi)。推動(dong)中(zhong)央主要新聞單位、重(zhong)點新聞網站(zhan)等(deng)各(ge)類媒(mei)體加大(da)對中(zhong)醫(yi)藥(yao)文化宣傳(chuan)力度(du),加強和規(gui)范(fan)中(zhong)醫(yi)藥(yao)防(fang)病治病知識(shi)傳(chuan)播(bo)普及(ji),營造珍(zhen)視、熱愛、發展中(zhong)醫(yi)藥(yao)的社會氛圍(wei)。
進一步加(jia)強軍(jun)隊中醫藥工(gong)作,大力開展新(xin)(xin)(xin)時代軍(jun)事衛(wei)勤(qin)新(xin)(xin)(xin)型(xing)中醫診療(liao)裝備研發和(he)新(xin)(xin)(xin)藥物、新(xin)(xin)(xin)療(liao)法挖掘創新(xin)(xin)(xin)工(gong)作,持續深(shen)化基層部(bu)隊中醫藥服務能力提升工(gong)程,提高(gao)軍(jun)隊中醫藥整體保障水平。
少數(shu)民族(zu)醫(yi)藥是中(zhong)醫(yi)藥的重要組成部分,有關地方可根(gen)據本意見(jian),制定和完善促進本地區(qu)少數(shu)民族(zu)醫(yi)藥發展的相關政(zheng)策舉措。
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