中共中央 國(guo)務院關(guan)于促進中醫藥傳承創新發(fa)展的意(yi)見
中(zhong)(zhong)(zhong)醫(yi)藥(yao)學是(shi)(shi)中(zhong)(zhong)(zhong)華(hua)民族的(de)(de)(de)偉大創造,是(shi)(shi)中(zhong)(zhong)(zhong)國古代科(ke)學的(de)(de)(de)瑰寶,也是(shi)(shi)打(da)開中(zhong)(zhong)(zhong)華(hua)文(wen)明(ming)寶庫的(de)(de)(de)鑰匙,為(wei)中(zhong)(zhong)(zhong)華(hua)民族繁衍(yan)生息作(zuo)(zuo)(zuo)出了巨大貢(gong)獻,對世界文(wen)明(ming)進步產生了積極影響(xiang)。黨(dang)和(he)政府高度重視中(zhong)(zhong)(zhong)醫(yi)藥(yao)工(gong)作(zuo)(zuo)(zuo),特別是(shi)(shi)黨(dang)的(de)(de)(de)十八大以(yi)來(lai),以(yi)習近平同(tong)志為(wei)核心的(de)(de)(de)黨(dang)中(zhong)(zhong)(zhong)央把中(zhong)(zhong)(zhong)醫(yi)藥(yao)工(gong)作(zuo)(zuo)(zuo)擺在更加(jia)突出的(de)(de)(de)位置,中(zhong)(zhong)(zhong)醫(yi)藥(yao)改革(ge)發展取(qu)得(de)顯著成(cheng)績。同(tong)時(shi)也要看(kan)到(dao),中(zhong)(zhong)(zhong)西醫(yi)并重方針仍需(xu)全(quan)面落實(shi),遵(zun)循(xun)中(zhong)(zhong)(zhong)醫(yi)藥(yao)規律的(de)(de)(de)治理體系亟待(dai)健全(quan),中(zhong)(zhong)(zhong)醫(yi)藥(yao)發展基礎和(he)人(ren)才建設還比(bi)較(jiao)薄弱,中(zhong)(zhong)(zhong)藥(yao)材質量良莠不齊,中(zhong)(zhong)(zhong)醫(yi)藥(yao)傳承不足、創新不夠、作(zuo)(zuo)(zuo)用(yong)發揮不充分,迫(po)切(qie)需(xu)要深入實(shi)施(shi)中(zhong)(zhong)(zhong)醫(yi)藥(yao)法,采取(qu)有效措施(shi)解(jie)決以(yi)上問(wen)題(ti),切(qie)實(shi)把中(zhong)(zhong)(zhong)醫(yi)藥(yao)這一祖先(xian)留給我們(men)的(de)(de)(de)寶貴財富(fu)繼承好(hao)(hao)、發展好(hao)(hao)、利用(yong)好(hao)(hao)。 傳承創新(xin)發展中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥是(shi)新(xin)時(shi)代(dai)中(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)特色(se)(se)社會主義(yi)事業的重(zhong)要(yao)內(nei)容(rong),是(shi)中(zhong)(zhong)(zhong)(zhong)(zhong)華(hua)民族偉大(da)復興的大(da)事,對(dui)于堅持中(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)并(bing)重(zhong)、打(da)造(zao)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥和(he)西醫(yi)(yi)藥相互(hu)補(bu)充協調發展的中(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)特色(se)(se)衛生健康(kang)發展模式,發揮中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥原(yuan)創優勢、推(tui)動我國(guo)生命科(ke)學實(shi)現創新(xin)突破(po),弘揚(yang)中(zhong)(zhong)(zhong)(zhong)(zhong)華(hua)優秀傳統(tong)文化、增(zeng)強民族自信和(he)文化自信,促進文明互(hu)鑒和(he)民心相通(tong)、推(tui)動構建人類命運共(gong)同體具有重(zhong)要(yao)意(yi)(yi)義(yi)。為深(shen)入(ru)貫徹(che)習近(jin)平新(xin)時(shi)代(dai)中(zhong)(zhong)(zhong)(zhong)(zhong)國(guo)特色(se)(se)社會主義(yi)思想和(he)黨的十九大(da)精神,認真落實(shi)習近(jin)平總書記關于中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥工(gong)作的重(zhong)要(yao)論述,促進中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥傳承創新(xin)發展,現提(ti)出如下意(yi)(yi)見(jian)。 一(yi)、健全中(zhong)醫藥服務(wu)體系(xi) (一(yi))加強(qiang)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)服務(wu)(wu)機(ji)構(gou)建(jian)設。發揮中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)整體醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學和健(jian)(jian)康醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學優勢,建(jian)成(cheng)以(yi)國(guo)家中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)學中(zhong)(zhong)(zhong)(zhong)(zhong)心、區域(yu)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)中(zhong)(zhong)(zhong)(zhong)(zhong)心為(wei)龍頭,各級各類中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)和其(qi)他醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)科室為(wei)骨干(gan),基(ji)層(ceng)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)衛(wei)(wei)生(sheng)(sheng)機(ji)構(gou)為(wei)基(ji)礎(chu),融預防(fang)保(bao)健(jian)(jian)、疾病(bing)治療(liao)(liao)和康復于(yu)一(yi)體的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)服務(wu)(wu)體系,提供覆(fu)蓋(gai)(gai)全(quan)民和全(quan)生(sheng)(sheng)命周期的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)服務(wu)(wu)。遵循(xun)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)發展規(gui)律,規(gui)范(fan)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)科室設置(zhi),修訂中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)設置(zhi)和建(jian)設標準,健(jian)(jian)全(quan)評價和績效考核制(zhi)度(du),強(qiang)化以(yi)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)服務(wu)(wu)為(wei)主(zhu)的(de)(de)辦院(yuan)(yuan)(yuan)(yuan)模式和服務(wu)(wu)功能,建(jian)立(li)健(jian)(jian)全(quan)體現中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)藥(yao)特(te)點的(de)(de)現代醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan)管(guan)理制(zhi)度(du)。大力發展中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)診所、門診部和特(te)色專科醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)院(yuan)(yuan)(yuan)(yuan),鼓勵連鎖經(jing)營(ying)。提供中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)養(yang)生(sheng)(sheng)保(bao)健(jian)(jian)服務(wu)(wu)的(de)(de)企業登記經(jing)營(ying)范(fan)圍使用“中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)養(yang)生(sheng)(sheng)保(bao)健(jian)(jian)服務(wu)(wu)(非醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao))”規(gui)范(fan)表(biao)述。到(dao)2022年,基(ji)本實(shi)現縣(xian)辦中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)療(liao)(liao)機(ji)構(gou)全(quan)覆(fu)蓋(gai)(gai),力爭實(shi)現全(quan)部社(she)區衛(wei)(wei)生(sheng)(sheng)服務(wu)(wu)中(zhong)(zhong)(zhong)(zhong)(zhong)心和鄉鎮衛(wei)(wei)生(sheng)(sheng)院(yuan)(yuan)(yuan)(yuan)設置(zhi)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)館、配(pei)備(bei)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)師。 (二)筑牢基(ji)層(ceng)(ceng)中(zhong)醫(yi)(yi)(yi)藥(yao)(yao)(yao)服務(wu)陣地(di)。擴大農村訂單定向免(mian)費培養(yang)中(zhong)醫(yi)(yi)(yi)專業醫(yi)(yi)(yi)學生規模,在全(quan)科醫(yi)(yi)(yi)生特設崗位計劃中(zhong)積極招(zhao)收中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)師(shi),鼓(gu)勵實行中(zhong)醫(yi)(yi)(yi)藥(yao)(yao)(yao)人員“縣管(guan)鄉用”,鼓(gu)勵退(tui)休中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)師(shi)到基(ji)層(ceng)(ceng)提(ti)供服務(wu),放寬長期服務(wu)基(ji)層(ceng)(ceng)的中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)師(shi)職稱(cheng)晉升條件。健全(quan)全(quan)科醫(yi)(yi)(yi)生和鄉村醫(yi)(yi)(yi)生中(zhong)醫(yi)(yi)(yi)藥(yao)(yao)(yao)知(zhi)識與技能培訓(xun)機制。支(zhi)持中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院(yuan)牽(qian)頭組建醫(yi)(yi)(yi)療聯合體。各級中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院(yuan)要加強對基(ji)層(ceng)(ceng)中(zhong)醫(yi)(yi)(yi)藥(yao)(yao)(yao)服務(wu)的指導。 (三(san))以(yi)信(xin)息化支撐服務(wu)體(ti)系建(jian)設(she)。實施“互聯網+中(zhong)醫(yi)(yi)(yi)藥(yao)健(jian)康服務(wu)”行動(dong),建(jian)立(li)以(yi)中(zhong)醫(yi)(yi)(yi)電子病歷(li)、電子處(chu)方(fang)等為(wei)重(zhong)點(dian)的基礎數據庫,鼓勵依托醫(yi)(yi)(yi)療(liao)(liao)機(ji)構發(fa)展(zhan)互聯網中(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院(yuan),開(kai)發(fa)中(zhong)醫(yi)(yi)(yi)智(zhi)能(neng)輔助診療(liao)(liao)系統,推(tui)動(dong)開(kai)展(zhan)線上線下一(yi)體(ti)化服務(wu)和(he)遠(yuan)程醫(yi)(yi)(yi)療(liao)(liao)服務(wu)。依托現(xian)(xian)有資源建(jian)設(she)國家和(he)省級中(zhong)醫(yi)(yi)(yi)藥(yao)數據中(zhong)心。加快建(jian)立(li)國家中(zhong)醫(yi)(yi)(yi)藥(yao)綜合統計制度。健(jian)全(quan)中(zhong)醫(yi)(yi)(yi)藥(yao)綜合監(jian)管信(xin)息系統,綜合運用抽查(cha)抽檢、定點(dian)監(jian)測、違(wei)法失信(xin)懲戒等手段(duan),實現(xian)(xian)精準高效監(jian)管。 二(er)、發揮中醫藥在(zai)維護(hu)和(he)促進人(ren)民健康中的(de)獨特作用 (四)彰顯中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥(yao)(yao)在疾病(bing)(bing)(bing)治(zhi)(zhi)療(liao)(liao)中(zhong)(zhong)(zhong)(zhong)(zhong)的優勢(shi)。加強中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)優勢(shi)專(zhuan)科(ke)(ke)建設,做(zuo)優做(zuo)強骨傷、肛腸、兒科(ke)(ke)、皮科(ke)(ke)、婦科(ke)(ke)、針灸、推(tui)拿以(yi)及(ji)(ji)心(xin)腦血管病(bing)(bing)(bing)、腎病(bing)(bing)(bing)、周圍(wei)血管病(bing)(bing)(bing)等專(zhuan)科(ke)(ke)專(zhuan)病(bing)(bing)(bing),及(ji)(ji)時總(zong)結形成(cheng)診(zhen)(zhen)療(liao)(liao)方案,鞏固(gu)擴大優勢(shi),帶動(dong)特(te)色發(fa)(fa)展(zhan)。加快中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥(yao)(yao)循證(zheng)醫(yi)(yi)學中(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)建設,用(yong)3年(nian)左右時間,篩選50個(ge)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)治(zhi)(zhi)療(liao)(liao)優勢(shi)病(bing)(bing)(bing)種(zhong)和100項適宜(yi)技術(shu)、100個(ge)療(liao)(liao)效獨特(te)的中(zhong)(zhong)(zhong)(zhong)(zhong)藥(yao)(yao)品(pin)種(zhong),及(ji)(ji)時向社會(hui)發(fa)(fa)布。聚焦癌(ai)癥、心(xin)腦血管病(bing)(bing)(bing)、糖尿病(bing)(bing)(bing)、感染(ran)性疾病(bing)(bing)(bing)、老年(nian)癡呆和抗生(sheng)素(su)耐藥(yao)(yao)問題等,開展(zhan)中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)協同攻關,到(dao)2022年(nian)形成(cheng)并推(tui)廣50個(ge)左右中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)結合(he)診(zhen)(zhen)療(liao)(liao)方案。建立綜合(he)醫(yi)(yi)院(yuan)、專(zhuan)科(ke)(ke)醫(yi)(yi)院(yuan)中(zhong)(zhong)(zhong)(zhong)(zhong)西(xi)醫(yi)(yi)會(hui)診(zhen)(zhen)制度,將(jiang)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)納入(ru)多學科(ke)(ke)會(hui)診(zhen)(zhen)體系(xi)。建立有(you)效機制,更好發(fa)(fa)揮(hui)中(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)藥(yao)(yao)在流感等新發(fa)(fa)突發(fa)(fa)傳染(ran)病(bing)(bing)(bing)防治(zhi)(zhi)和公(gong)共衛(wei)生(sheng)事(shi)件應急處置(zhi)中(zhong)(zhong)(zhong)(zhong)(zhong)的作用(yong)。 (五)強(qiang)化中醫(yi)(yi)藥在疾病(bing)(bing)(bing)預防中的作用。結合實(shi)施健(jian)康(kang)(kang)中國(guo)行(xing)動(dong),促進中醫(yi)(yi)治未(wei)病(bing)(bing)(bing)健(jian)康(kang)(kang)工程升級。在國(guo)家基本公共衛生(sheng)服務項目中豐富(fu)中醫(yi)(yi)治未(wei)病(bing)(bing)(bing)內容,鼓勵家庭醫(yi)(yi)生(sheng)提供中醫(yi)(yi)治未(wei)病(bing)(bing)(bing)簽約服務,到2022年(nian)在重點人(ren)群(qun)和慢性病(bing)(bing)(bing)患者中推(tui)廣(guang)20個中醫(yi)(yi)治未(wei)病(bing)(bing)(bing)干預方案(an)。大(da)力普及中醫(yi)(yi)養生(sheng)保健(jian)知識和太極拳、健(jian)身(shen)氣功(如八段錦)等養生(sheng)保健(jian)方法,推(tui)廣(guang)體現中醫(yi)(yi)治未(wei)病(bing)(bing)(bing)理念的健(jian)康(kang)(kang)工作和生(sheng)活方式(shi)。 (六)提升中(zhong)(zhong)(zhong)醫藥特色(se)康(kang)(kang)(kang)復(fu)(fu)能力。促進(jin)中(zhong)(zhong)(zhong)醫藥、中(zhong)(zhong)(zhong)華(hua)傳統體育與(yu)現(xian)代康(kang)(kang)(kang)復(fu)(fu)技術融合,發展(zhan)中(zhong)(zhong)(zhong)國(guo)特色(se)康(kang)(kang)(kang)復(fu)(fu)醫學。實施中(zhong)(zhong)(zhong)醫藥康(kang)(kang)(kang)復(fu)(fu)服務能力提升工程(cheng)。依托現(xian)有資源布局一(yi)(yi)批中(zhong)(zhong)(zhong)醫康(kang)(kang)(kang)復(fu)(fu)中(zhong)(zhong)(zhong)心(xin),加強中(zhong)(zhong)(zhong)醫醫院康(kang)(kang)(kang)復(fu)(fu)科建設,在其他醫院推(tui)(tui)廣中(zhong)(zhong)(zhong)醫康(kang)(kang)(kang)復(fu)(fu)技術。針對心(xin)腦血管病(bing)、糖尿病(bing)等慢性病(bing)和傷殘等,制定推(tui)(tui)廣一(yi)(yi)批中(zhong)(zhong)(zhong)醫康(kang)(kang)(kang)復(fu)(fu)方(fang)案,推(tui)(tui)動研發一(yi)(yi)批中(zhong)(zhong)(zhong)醫康(kang)(kang)(kang)復(fu)(fu)器具。大力開展(zhan)培訓(xun),推(tui)(tui)動中(zhong)(zhong)(zhong)醫康(kang)(kang)(kang)復(fu)(fu)技術進(jin)社區、進(jin)家庭、進(jin)機(ji)構。 三、大力(li)推動中藥質(zhi)量提升(sheng)和產業高(gao)質(zhi)量發(fa)展 (七)加強中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)質(zhi)量(liang)(liang)控制(zhi)(zhi)。強化(hua)(hua)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)道(dao)地(di)(di)(di)產(chan)(chan)區環境保護(hu),修訂中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)產(chan)(chan)質(zhi)量(liang)(liang)管(guan)理規(gui)(gui)范(fan),推行(xing)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)態(tai)種(zhong)(zhong)植(zhi)、野(ye)生(sheng)(sheng)撫育(yu)和仿生(sheng)(sheng)栽培。加強珍稀瀕危(wei)野(ye)生(sheng)(sheng)藥(yao)(yao)(yao)(yao)用(yong)動植(zhi)物保護(hu),支持珍稀瀕危(wei)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)替(ti)代(dai)品的(de)研究和開(kai)發利用(yong)。嚴格農藥(yao)(yao)(yao)(yao)、化(hua)(hua)肥、植(zhi)物生(sheng)(sheng)長調(diao)節劑等使用(yong)管(guan)理,分(fen)區域、分(fen)品種(zhong)(zhong)完善中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)農藥(yao)(yao)(yao)(yao)殘留、重金屬(shu)限量(liang)(liang)標準。制(zhi)(zhi)定中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)種(zhong)(zhong)子種(zhong)(zhong)苗管(guan)理辦法。規(gui)(gui)劃道(dao)地(di)(di)(di)藥(yao)(yao)(yao)(yao)材(cai)(cai)基地(di)(di)(di)建(jian)設,引導資源要素(su)向(xiang)道(dao)地(di)(di)(di)產(chan)(chan)區匯集(ji),推進規(gui)(gui)模化(hua)(hua)、規(gui)(gui)范(fan)化(hua)(hua)種(zhong)(zhong)植(zhi)。探索(suo)制(zhi)(zhi)定實施(shi)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)產(chan)(chan)質(zhi)量(liang)(liang)管(guan)理規(gui)(gui)范(fan)的(de)激勵政策。倡(chang)導中(zhong)(zhong)醫藥(yao)(yao)(yao)(yao)企業自建(jian)或以(yi)訂單形(xing)式(shi)聯建(jian)穩定的(de)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)產(chan)(chan)基地(di)(di)(di),評定一批國家、省(sheng)級道(dao)地(di)(di)(di)藥(yao)(yao)(yao)(yao)材(cai)(cai)良種(zhong)(zhong)繁育(yu)和生(sheng)(sheng)態(tai)種(zhong)(zhong)植(zhi)基地(di)(di)(di)。健全中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)第三(san)方質(zhi)量(liang)(liang)檢(jian)測體(ti)系。加強中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)交易市(shi)場監(jian)管(guan)。深入(ru)實施(shi)中(zhong)(zhong)藥(yao)(yao)(yao)(yao)材(cai)(cai)產(chan)(chan)業扶貧行(xing)動。到2022年,基本建(jian)立道(dao)地(di)(di)(di)藥(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)產(chan)(chan)技術標準體(ti)系、等級評價制(zhi)(zhi)度。 (八(ba))促(cu)進中(zhong)(zhong)藥飲(yin)片(pian)和(he)(he)中(zhong)(zhong)成藥質(zhi)(zhi)量提升(sheng)。加快修訂《中(zhong)(zhong)華人民共和(he)(he)國藥典》中(zhong)(zhong)藥標(biao)準(一(yi)部),由(you)國務(wu)院藥品監督管(guan)理(li)部門會同中(zhong)(zhong)醫(yi)(yi)藥主管(guan)部門組織(zhi)專家承擔有關工(gong)作,建立最嚴謹標(biao)準。健全(quan)中(zhong)(zhong)藥飲(yin)片(pian)標(biao)準體系,制定實施全(quan)國中(zhong)(zhong)藥飲(yin)片(pian)炮制規(gui)范。改善市場(chang)競爭環(huan)境,促(cu)進中(zhong)(zhong)藥飲(yin)片(pian)優質(zhi)(zhi)優價。加強中(zhong)(zhong)成藥質(zhi)(zhi)量控(kong)制,促(cu)進現代信息技術在(zai)中(zhong)(zhong)藥生產(chan)中(zhong)(zhong)的(de)應用,提高智能制造(zao)水平。探(tan)索建立以臨(lin)床價值為導向的(de)評(ping)估路徑,綜(zong)合運用循證醫(yi)(yi)學等(deng)方法,加大中(zhong)(zhong)成藥上市后評(ping)價工(gong)作力度,建立與(yu)公立醫(yi)(yi)院藥品采(cai)購、基本藥物遴選、醫(yi)(yi)保目錄調整(zheng)等(deng)聯動(dong)機制,促(cu)進產(chan)業升(sheng)級和(he)(he)結構(gou)調整(zheng)。 (九(jiu))改(gai)(gai)革完(wan)善(shan)(shan)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)注冊(ce)管(guan)理(li)。建立健(jian)全符合中(zhong)(zhong)(zhong)醫藥(yao)(yao)(yao)(yao)(yao)特點的(de)(de)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)安全、療(liao)效(xiao)評(ping)(ping)(ping)價(jia)方法和(he)技術(shu)(shu)標準。及時(shi)完(wan)善(shan)(shan)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)注冊(ce)分類(lei),制(zhi)定中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)審評(ping)(ping)(ping)審批管(guan)理(li)規(gui)定,實(shi)施基(ji)于臨(lin)床價(jia)值的(de)(de)優(you)先審評(ping)(ping)(ping)審批制(zhi)度。加(jia)快構建中(zhong)(zhong)(zhong)醫藥(yao)(yao)(yao)(yao)(yao)理(li)論、人(ren)用經驗(yan)(yan)和(he)臨(lin)床試(shi)驗(yan)(yan)相結合的(de)(de)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)注冊(ce)審評(ping)(ping)(ping)證據體系(xi),優(you)化基(ji)于古代經典名方、名老中(zhong)(zhong)(zhong)醫方、醫療(liao)機(ji)構制(zhi)劑(ji)(ji)等(deng)具有人(ren)用經驗(yan)(yan)的(de)(de)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)新(xin)(xin)藥(yao)(yao)(yao)(yao)(yao)審評(ping)(ping)(ping)技術(shu)(shu)要(yao)求,加(jia)快中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)新(xin)(xin)藥(yao)(yao)(yao)(yao)(yao)審批。鼓勵運用新(xin)(xin)技術(shu)(shu)新(xin)(xin)工藝(yi)以及體現臨(lin)床應用優(you)勢的(de)(de)新(xin)(xin)劑(ji)(ji)型(xing)改(gai)(gai)進已上(shang)市(shi)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)品種,優(you)化已上(shang)市(shi)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)變更(geng)技術(shu)(shu)要(yao)求。優(you)化和(he)規(gui)范醫療(liao)機(ji)構中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)(yao)制(zhi)劑(ji)(ji)備案(an)管(guan)理(li)。國(guo)務院中(zhong)(zhong)(zhong)醫藥(yao)(yao)(yao)(yao)(yao)主管(guan)部(bu)門(men)、藥(yao)(yao)(yao)(yao)(yao)品監督管(guan)理(li)部(bu)門(men)要(yao)牽頭組織制(zhi)定古代經典名方目錄中(zhong)(zhong)(zhong)收(shou)載方劑(ji)(ji)的(de)(de)關鍵信(xin)息(xi)考證意見(jian)。 (十)加(jia)強中(zhong)藥(yao)(yao)質(zhi)量(liang)安全(quan)監(jian)(jian)管。以中(zhong)藥(yao)(yao)飲片監(jian)(jian)管為抓手,向(xiang)上(shang)(shang)下游延伸,落實(shi)中(zhong)藥(yao)(yao)生產企(qi)業(ye)(ye)主(zhu)體(ti)責任(ren),建立(li)多部門協同(tong)監(jian)(jian)管機(ji)制(zhi)(zhi),探索建立(li)中(zhong)藥(yao)(yao)材、中(zhong)藥(yao)(yao)飲片、中(zhong)成藥(yao)(yao)生產流通使(shi)用(yong)全(quan)過程追溯體(ti)系,用(yong)5年左右(you)時間,逐步實(shi)現中(zhong)藥(yao)(yao)重點品(pin)種來源可查(cha)、去(qu)向(xiang)可追、責任(ren)可究(jiu)。強化中(zhong)成藥(yao)(yao)質(zhi)量(liang)監(jian)(jian)管及合理使(shi)用(yong),加(jia)強上(shang)(shang)市(shi)產品(pin)市(shi)場抽檢,嚴(yan)厲打擊中(zhong)成藥(yao)(yao)非法(fa)添(tian)加(jia)化學品(pin)違法(fa)行(xing)為。加(jia)強中(zhong)藥(yao)(yao)注射劑不良反應監(jian)(jian)測。推進中(zhong)藥(yao)(yao)企(qi)業(ye)(ye)誠信(xin)(xin)(xin)體(ti)系建設,將其納入全(quan)國(guo)信(xin)(xin)(xin)用(yong)信(xin)(xin)(xin)息共享平臺和(he)國(guo)家企(qi)業(ye)(ye)信(xin)(xin)(xin)用(yong)信(xin)(xin)(xin)息公(gong)示系統(tong),加(jia)大失信(xin)(xin)(xin)聯合懲戒(jie)力度。完(wan)善中(zhong)藥(yao)(yao)質(zhi)量(liang)安全(quan)監(jian)(jian)管法(fa)律(lv)制(zhi)(zhi)度,加(jia)大對制(zhi)(zhi)假制(zhi)(zhi)劣行(xing)為的責任(ren)追究(jiu)力度。 (十一(yi))改(gai)(gai)革(ge)(ge)人(ren)才(cai)培(pei)(pei)養模式(shi)。強化(hua)中(zhong)(zhong)(zhong)(zhong)醫思(si)維培(pei)(pei)養,改(gai)(gai)革(ge)(ge)中(zhong)(zhong)(zhong)(zhong)醫藥院(yuan)(yuan)校教育,調整優(you)化(hua)學科專(zhuan)(zhuan)業結(jie)(jie)構,強化(hua)中(zhong)(zhong)(zhong)(zhong)醫藥專(zhuan)(zhuan)業主(zhu)體地(di)位(wei),提(ti)高中(zhong)(zhong)(zhong)(zhong)醫類(lei)專(zhuan)(zhuan)業經典(dian)課(ke)程比(bi)重,開(kai)展中(zhong)(zhong)(zhong)(zhong)醫藥經典(dian)能力等級考試,建立早跟師、早臨(lin)床(chuang)(chuang)學習制(zhi)度。加大省部局(ju)共(gong)建中(zhong)(zhong)(zhong)(zhong)醫藥院(yuan)(yuan)校投入力度。將中(zhong)(zhong)(zhong)(zhong)醫課(ke)程列(lie)入臨(lin)床(chuang)(chuang)醫學類(lei)專(zhuan)(zhuan)業必修課(ke),提(ti)高臨(lin)床(chuang)(chuang)類(lei)別醫師中(zhong)(zhong)(zhong)(zhong)醫藥知識和技能水平。完(wan)善中(zhong)(zhong)(zhong)(zhong)醫醫師規范(fan)化(hua)培(pei)(pei)訓(xun)模式(shi)。改(gai)(gai)革(ge)(ge)完(wan)善中(zhong)(zhong)(zhong)(zhong)西醫結(jie)(jie)合(he)教育,培(pei)(pei)養高層次中(zhong)(zhong)(zhong)(zhong)西醫結(jie)(jie)合(he)人(ren)才(cai)。鼓勵西醫學習中(zhong)(zhong)(zhong)(zhong)醫,允許(xu)臨(lin)床(chuang)(chuang)類(lei)別醫師通過考核后提(ti)供中(zhong)(zhong)(zhong)(zhong)醫服務,參(can)加中(zhong)(zhong)(zhong)(zhong)西醫結(jie)(jie)合(he)職(zhi)稱評聘(pin)。允許(xu)中(zhong)(zhong)(zhong)(zhong)西醫結(jie)(jie)合(he)專(zhuan)(zhuan)業人(ren)員(yuan)參(can)加臨(lin)床(chuang)(chuang)類(lei)別全科醫生規范(fan)化(hua)培(pei)(pei)訓(xun)。 (十二)優(you)化人(ren)才(cai)(cai)(cai)成長途徑(jing)。通過學(xue)科專(zhuan)科建設(she)、重大(da)(da)科研平臺建設(she)和(he)重大(da)(da)項目(mu)實施等(deng),培(pei)(pei)養(yang)造就一批高(gao)水平中(zhong)(zhong)(zhong)醫(yi)臨(lin)床人(ren)才(cai)(cai)(cai)和(he)多學(xue)科交(jiao)叉的(de)中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)創新型(xing)領(ling)軍人(ren)才(cai)(cai)(cai),支持組建一批高(gao)層(ceng)次創新團(tuan)隊。支持中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)院(yuan)校(xiao)與其他高(gao)等(deng)學(xue)校(xiao)聯合(he)培(pei)(pei)養(yang)高(gao)層(ceng)次復合(he)型(xing)中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)人(ren)才(cai)(cai)(cai)。建立高(gao)年資中(zhong)(zhong)(zhong)醫(yi)醫(yi)師(shi)帶徒制(zhi)(zhi)度,與職稱評(ping)審、評(ping)優(you)評(ping)先(xian)等(deng)掛鉤(gou)。制(zhi)(zhi)定中(zhong)(zhong)(zhong)醫(yi)師(shi)承(cheng)教育(yu)管理辦(ban)(ban)法(fa)。經國務院(yuan)中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)主(zhu)管部門(men)認可的(de)師(shi)承(cheng)教育(yu)繼承(cheng)人(ren),符合(he)條件者可按同等(deng)學(xue)力(li)申(shen)請(qing)中(zhong)(zhong)(zhong)醫(yi)專(zhuan)業學(xue)位。大(da)(da)力(li)培(pei)(pei)養(yang)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)材種植、中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)炮制(zhi)(zhi)、中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)健康(kang)服(fu)務等(deng)技(ji)術技(ji)能(neng)人(ren)才(cai)(cai)(cai)。完善確有專(zhuan)長人(ren)員考核辦(ban)(ban)法(fa),加大(da)(da)中(zhong)(zhong)(zhong)醫(yi)(專(zhuan)長)醫(yi)師(shi)培(pei)(pei)訓(xun)力(li)度,支持中(zhong)(zhong)(zhong)醫(yi)醫(yi)院(yuan)設(she)置中(zhong)(zhong)(zhong)醫(yi)(專(zhuan)長)醫(yi)師(shi)崗(gang)位,促進民間特(te)色技(ji)術療法(fa)的(de)傳(chuan)承(cheng)發展。 (十三)健(jian)全人(ren)才(cai)評價激勵(li)機(ji)制(zhi)。落實允許醫療衛(wei)生機(ji)構突破現行事業單位工(gong)(gong)資調控水平、允許醫療服(fu)務(wu)(wu)收(shou)入扣除成本(ben)并(bing)按規定提取各(ge)項基(ji)金(jin)后(hou)主要用于(yu)人(ren)員獎(jiang)勵(li)的要求(qiu),完善公立中(zhong)(zhong)醫醫療機(ji)構薪(xin)酬制(zhi)度(du)(du)。改革完善中(zhong)(zhong)醫藥職稱(cheng)評聘制(zhi)度(du)(du),注(zhu)重(zhong)業務(wu)(wu)能力和(he)(he)工(gong)(gong)作實績,克服(fu)唯學歷、唯資歷、唯論(lun)文等傾向(xiang)。國(guo)家(jia)重(zhong)大(da)人(ren)才(cai)工(gong)(gong)程(cheng)、院士評選等加大(da)對中(zhong)(zhong)醫藥人(ren)才(cai)的支持力度(du)(du),研究在中(zhong)(zhong)國(guo)工(gong)(gong)程(cheng)院醫藥衛(wei)生學部(bu)單設中(zhong)(zhong)醫藥組。研究建立中(zhong)(zhong)醫藥人(ren)才(cai)表彰(zhang)獎(jiang)勵(li)制(zhi)度(du)(du),加強國(guo)家(jia)中(zhong)(zhong)醫藥傳承(cheng)創新(xin)表彰(zhang),建立中(zhong)(zhong)醫藥行業表彰(zhang)長效機(ji)制(zhi),注(zhu)重(zhong)發現和(he)(he)推介中(zhong)(zhong)青年骨(gu)干人(ren)才(cai)和(he)(he)傳承(cheng)人(ren)。各(ge)種表彰(zhang)獎(jiang)勵(li)評選向(xiang)基(ji)層一線和(he)(he)艱苦地區(qu)傾斜。 五(wu)、促進(jin)中醫藥傳承與(yu)開放創新發(fa)展 (十四)挖掘和(he)傳(chuan)承(cheng)(cheng)(cheng)中(zhong)(zhong)醫(yi)藥(yao)(yao)寶庫中(zhong)(zhong)的(de)精華精髓。加(jia)強典籍研究(jiu)利用,編撰中(zhong)(zhong)華醫(yi)藏,制定(ding)(ding)中(zhong)(zhong)醫(yi)藥(yao)(yao)典籍、技術和(he)方(fang)藥(yao)(yao)名(ming)錄,建立國(guo)家中(zhong)(zhong)醫(yi)藥(yao)(yao)古籍和(he)傳(chuan)統(tong)知識(shi)數字圖書(shu)館(guan),研究(jiu)制定(ding)(ding)中(zhong)(zhong)醫(yi)藥(yao)(yao)傳(chuan)統(tong)知識(shi)保(bao)護條例。加(jia)快(kuai)推(tui)(tui)進(jin)(jin)活(huo)態傳(chuan)承(cheng)(cheng)(cheng),完善(shan)學術傳(chuan)承(cheng)(cheng)(cheng)制度,加(jia)強名(ming)老中(zhong)(zhong)醫(yi)學術經驗、老藥(yao)(yao)工傳(chuan)統(tong)技藝傳(chuan)承(cheng)(cheng)(cheng),實現數字化(hua)(hua)、影像化(hua)(hua)記(ji)錄。收集篩選民(min)(min)間中(zhong)(zhong)醫(yi)藥(yao)(yao)驗方(fang)、秘方(fang)和(he)技法,建立合作開發(fa)和(he)利益分(fen)享機(ji)制。推(tui)(tui)進(jin)(jin)中(zhong)(zhong)醫(yi)藥(yao)(yao)博物館(guan)事業(ye)發(fa)展,實施中(zhong)(zhong)醫(yi)藥(yao)(yao)文(wen)化(hua)(hua)傳(chuan)播行(xing)動,把中(zhong)(zhong)醫(yi)藥(yao)(yao)文(wen)化(hua)(hua)貫穿國(guo)民(min)(min)教育始終,中(zhong)(zhong)小學進(jin)(jin)一步(bu)豐(feng)富中(zhong)(zhong)醫(yi)藥(yao)(yao)文(wen)化(hua)(hua)教育,使(shi)中(zhong)(zhong)醫(yi)藥(yao)(yao)成為群眾促進(jin)(jin)健康的(de)文(wen)化(hua)(hua)自覺。 (十五)加快(kuai)推進中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)科(ke)(ke)研(yan)(yan)(yan)和(he)(he)創(chuang)(chuang)新(xin)。圍繞國(guo)(guo)家戰略(lve)需求及中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)重大科(ke)(ke)學(xue)(xue)問(wen)題,建立(li)多(duo)學(xue)(xue)科(ke)(ke)融合的(de)科(ke)(ke)研(yan)(yan)(yan)平臺。在中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)重點領域建設國(guo)(guo)家重點實驗室,建立(li)一(yi)批國(guo)(guo)家臨(lin)床(chuang)醫(yi)學(xue)(xue)研(yan)(yan)(yan)究(jiu)(jiu)中(zhong)(zhong)(zhong)心、國(guo)(guo)家工程(cheng)研(yan)(yan)(yan)究(jiu)(jiu)中(zhong)(zhong)(zhong)心和(he)(he)技(ji)(ji)術創(chuang)(chuang)新(xin)中(zhong)(zhong)(zhong)心。在中(zhong)(zhong)(zhong)央財政科(ke)(ke)技(ji)(ji)計劃(專項、基金(jin)等)框架下(xia),研(yan)(yan)(yan)究(jiu)(jiu)設立(li)國(guo)(guo)家中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)科(ke)(ke)技(ji)(ji)研(yan)(yan)(yan)發專項、關鍵技(ji)(ji)術裝(zhuang)備重大專項和(he)(he)國(guo)(guo)際(ji)大科(ke)(ke)學(xue)(xue)計劃,深化基礎理論、診療規律、作用機理研(yan)(yan)(yan)究(jiu)(jiu)和(he)(he)詮釋,開展防治(zhi)重大、難(nan)治(zhi)、罕見疾(ji)病和(he)(he)新(xin)發突發傳(chuan)染(ran)病等臨(lin)床(chuang)研(yan)(yan)(yan)究(jiu)(jiu),加快(kuai)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)新(xin)藥(yao)(yao)(yao)(yao)創(chuang)(chuang)制(zhi)研(yan)(yan)(yan)究(jiu)(jiu),研(yan)(yan)(yan)發一(yi)批先進的(de)中(zhong)(zhong)(zhong)醫(yi)器(qi)械(xie)和(he)(he)中(zhong)(zhong)(zhong)藥(yao)(yao)(yao)(yao)制(zhi)藥(yao)(yao)(yao)(yao)設備。支持鼓勵兒童用中(zhong)(zhong)(zhong)成(cheng)藥(yao)(yao)(yao)(yao)創(chuang)(chuang)新(xin)研(yan)(yan)(yan)發。研(yan)(yan)(yan)究(jiu)(jiu)實施科(ke)(ke)技(ji)(ji)創(chuang)(chuang)新(xin)工程(cheng)。支持企業(ye)、醫(yi)療機構(gou)、高(gao)等學(xue)(xue)校(xiao)、科(ke)(ke)研(yan)(yan)(yan)機構(gou)等協(xie)同創(chuang)(chuang)新(xin),以產(chan)業(ye)鏈(lian)、服務鏈(lian)布局創(chuang)(chuang)新(xin)鏈(lian),完(wan)善中(zhong)(zhong)(zhong)醫(yi)藥(yao)(yao)(yao)(yao)產(chan)學(xue)(xue)研(yan)(yan)(yan)一(yi)體(ti)化創(chuang)(chuang)新(xin)模式(shi)。加強中醫藥產業知識產權保護和運用。健全賦予中醫藥科研機構和人員更大自主權的管理制度,建立知識產權和科技成果轉化權益保障機制。改革完善中(zhong)醫藥(yao)(yao)科(ke)研(yan)(yan)組織、驗收和評價體系,避免簡單套用相關(guan)科(ke)研(yan)(yan)評價方法。突出(chu)中(zhong)醫藥(yao)(yao)特點和發展需求(qiu),建立科(ke)技主(zhu)管部門(men)與中(zhong)醫藥(yao)(yao)主(zhu)管部門(men)協同聯動的中(zhong)醫藥(yao)(yao)科(ke)研(yan)(yan)規劃(hua)和管理機制。 (十六)推(tui)動(dong)中(zhong)(zhong)(zhong)醫(yi)藥(yao)開(kai)放(fang)發展。將中(zhong)(zhong)(zhong)醫(yi)藥(yao)納入構建人類命運共同體(ti)和“一(yi)帶一(yi)路(lu)”國(guo)際(ji)合作(zuo)重要內容,實施中(zhong)(zhong)(zhong)醫(yi)藥(yao)國(guo)際(ji)合作(zuo)專項。推(tui)動(dong)中(zhong)(zhong)(zhong)醫(yi)中(zhong)(zhong)(zhong)藥(yao)國(guo)際(ji)標準制定,積極(ji)參與國(guo)際(ji)傳統醫(yi)學相關規則(ze)制定。推(tui)動(dong)中(zhong)(zhong)(zhong)醫(yi)藥(yao)文化海外傳播(bo)。大力發展中(zhong)(zhong)(zhong)醫(yi)藥(yao)服(fu)務(wu)貿易。鼓勵社會力量建設一(yi)批高(gao)質量中(zhong)(zhong)(zhong)醫(yi)藥(yao)海外中(zhong)(zhong)(zhong)心、國(guo)際(ji)合作(zuo)基(ji)地和服(fu)務(wu)出口基(ji)地。研(yan)究推(tui)動(dong)現有中(zhong)(zhong)(zhong)藥(yao)交(jiao)易平臺(tai)穩(wen)步開(kai)展國(guo)際(ji)交(jiao)易。打造粵港(gang)澳大灣(wan)區中(zhong)(zhong)(zhong)醫(yi)藥(yao)高(gao)地。加強與臺(tai)灣(wan)地區中(zhong)(zhong)(zhong)醫(yi)藥(yao)交(jiao)流合作(zuo),促進兩岸中(zhong)(zhong)(zhong)醫(yi)藥(yao)融合發展。 (十七)完善中(zhong)(zhong)醫(yi)(yi)(yi)藥價(jia)格(ge)和(he)醫(yi)(yi)(yi)保(bao)(bao)(bao)政策(ce)。以(yi)臨床價(jia)值為(wei)導向,以(yi)中(zhong)(zhong)醫(yi)(yi)(yi)優勢服(fu)務、特色(se)服(fu)務為(wei)重點,加大政策(ce)支(zhi)持力度,完善醫(yi)(yi)(yi)療(liao)服(fu)務價(jia)格(ge)形成機(ji)制。醫(yi)(yi)(yi)療(liao)服(fu)務價(jia)格(ge)調整時重點考慮中(zhong)(zhong)醫(yi)(yi)(yi)等體現(xian)醫(yi)(yi)(yi)務人員技術勞務價(jia)值的(de)(de)醫(yi)(yi)(yi)療(liao)服(fu)務價(jia)格(ge)。健全符合(he)中(zhong)(zhong)醫(yi)(yi)(yi)藥特點的(de)(de)醫(yi)(yi)(yi)保(bao)(bao)(bao)支(zhi)付(fu)方式。完善與國際疾病(bing)分(fen)(fen)類(lei)(lei)相(xiang)銜接的(de)(de)中(zhong)(zhong)醫(yi)(yi)(yi)病(bing)證分(fen)(fen)類(lei)(lei)等編(bian)碼(ma)體系。分(fen)(fen)批遴(lin)選中(zhong)(zhong)醫(yi)(yi)(yi)優勢明顯、治(zhi)療(liao)路徑(jing)清(qing)晰、費(fei)(fei)用明確的(de)(de)病(bing)種實施(shi)按(an)(an)病(bing)種付(fu)費(fei)(fei),合(he)理(li)確定付(fu)費(fei)(fei)標準。通過對部分(fen)(fen)慢性病(bing)病(bing)種等實行按(an)(an)人頭付(fu)費(fei)(fei)、完善相(xiang)關(guan)技術規范等方式,鼓勵引導基層醫(yi)(yi)(yi)療(liao)衛生機(ji)構(gou)提(ti)供適宜的(de)(de)中(zhong)(zhong)醫(yi)(yi)(yi)藥服(fu)務。及時將符合(he)條件的(de)(de)中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)療(liao)機(ji)構(gou)納(na)入醫(yi)(yi)(yi)保(bao)(bao)(bao)定點醫(yi)(yi)(yi)療(liao)機(ji)構(gou)。積(ji)極將適宜的(de)(de)中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)療(liao)服(fu)務項目和(he)中(zhong)(zhong)藥按(an)(an)規定納(na)入醫(yi)(yi)(yi)保(bao)(bao)(bao)范圍。鼓勵商(shang)業保(bao)(bao)(bao)險(xian)機(ji)構(gou)開發中(zhong)(zhong)醫(yi)(yi)(yi)治(zhi)未病(bing)等保(bao)(bao)(bao)險(xian)產品。研究(jiu)取消中(zhong)(zhong)藥飲片加成相(xiang)關(guan)工作。 (十八)完善投(tou)入保(bao)(bao)障機制。建立持(chi)續穩(wen)定(ding)的中(zhong)(zhong)醫(yi)(yi)(yi)藥發展多元(yuan)投(tou)入機制,在衛生健康投(tou)入中(zhong)(zhong)統籌(chou)安排(pai)中(zhong)(zhong)醫(yi)(yi)(yi)藥事業(ye)發展經(jing)費(fei)并加(jia)大(da)支(zhi)持(chi)力度。加(jia)大(da)對中(zhong)(zhong)醫(yi)(yi)(yi)藥事業(ye)發展投(tou)資力度,改善中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院辦院條件,擴(kuo)大(da)優(you)質服務供給。切(qie)實保(bao)(bao)障公(gong)立中(zhong)(zhong)醫(yi)(yi)(yi)醫(yi)(yi)(yi)院投(tou)入責任(ren)落實。鼓勵(li)地方(fang)設立政府引(yin)(yin)導、社會資本參與、市場化運作的中(zhong)(zhong)醫(yi)(yi)(yi)藥發展基金。引(yin)(yin)導商業(ye)保(bao)(bao)險機構投(tou)資中(zhong)(zhong)醫(yi)(yi)(yi)藥服務產業(ye)。 (十九)健全中醫(yi)藥(yao)管理(li)體(ti)制(zhi)(zhi)(zhi)。完(wan)善中醫(yi)藥(yao)工作跨部(bu)(bu)門(men)協(xie)調機(ji)制(zhi)(zhi)(zhi),強化國務院(yuan)中醫(yi)藥(yao)工作部(bu)(bu)際聯(lian)席會議(yi)辦(ban)公室(shi)統(tong)籌職能,協(xie)調做好中藥(yao)發(fa)展(zhan)規劃、標準(zhun)制(zhi)(zhi)(zhi)定、質量管理(li)等工作,促進(jin)中醫(yi)中藥(yao)協(xie)調發(fa)展(zhan)。各(ge)級衛生健康、藥(yao)品監(jian)督管理(li)等各(ge)相關部(bu)(bu)門(men)要(yao)堅持中西醫(yi)并重,制(zhi)(zhi)(zhi)定實施中醫(yi)藥(yao)相關政策措施要(yao)充分聽取并吸納中醫(yi)藥(yao)主管部(bu)(bu)門(men)意見。完(wan)善中醫(yi)藥(yao)服務監(jian)管機(ji)制(zhi)(zhi)(zhi)。依(yi)據中醫(yi)藥(yao)法有關規定建立(li)健全中醫(yi)藥(yao)管理(li)體(ti)系(xi),省市縣(xian)都要(yao)明確承擔(dan)中醫(yi)藥(yao)管理(li)職能的機(ji)構(gou),合理(li)配置人員力量。 (二(er)十)加強(qiang)組(zu)織實(shi)施。地(di)方各(ge)級黨委(wei)和政府(fu)(fu)要(yao)結(jie)合實(shi)際(ji)制定落實(shi)舉措(cuo),將本意見實(shi)施情況納(na)入黨委(wei)和政府(fu)(fu)績效考核。圍(wei)繞以較低(di)費用取得(de)較大(da)健康收(shou)益目標(biao),規(gui)劃建設一批國家中醫(yi)藥(yao)綜(zong)合改革示范(fan)區,鼓(gu)勵在服務(wu)模式、產業(ye)發展(zhan)、質量監(jian)管等(deng)方面先行先試。推動中央主要(yao)新聞單位、重點新聞網站(zhan)等(deng)各(ge)類媒體加大(da)對中醫(yi)藥(yao)文(wen)化宣傳力度(du),加強(qiang)和規(gui)范(fan)中醫(yi)藥(yao)防病(bing)治病(bing)知識傳播普及(ji),營造珍視、熱愛、發展(zhan)中醫(yi)藥(yao)的(de)社會氛圍(wei)。 進一步(bu)加強軍隊(dui)(dui)中(zhong)(zhong)醫藥工作,大力(li)開展新(xin)時代軍事(shi)衛勤新(xin)型中(zhong)(zhong)醫診療裝備(bei)研發和(he)新(xin)藥物、新(xin)療法挖掘創新(xin)工作,持續深化基層部隊(dui)(dui)中(zhong)(zhong)醫藥服務(wu)能力(li)提升工程,提高(gao)軍隊(dui)(dui)中(zhong)(zhong)醫藥整體保障水平。 少數民族(zu)醫(yi)藥(yao)(yao)是中醫(yi)藥(yao)(yao)的(de)(de)重要組成部分,有關地方可根據本(ben)(ben)意見(jian),制定和完(wan)善促進本(ben)(ben)地區少數民族(zu)醫(yi)藥(yao)(yao)發展的(de)(de)相關政策舉(ju)措。