On May 20, the general office of the State Council issued the national health plan for the 14th five year plan (hereinafter referred to as the plan), which calls for comprehensively promoting the construction of a healthy China, implementing the national strategy to actively respond to the aging population, accelerating the implementation of the healthy China action, deepening the reform of the medical and health system, continuously promoting the transformation of the development mode from disease treatment to people’s health, and providing all-round and full cycle health services for the people, Continuously improve people’s health.
The plan proposes that by 2025, the health system will be improved, the basic medical and health system with Chinese characteristics will be gradually improved, the ability to prevent and respond to major epidemic situations and public health emergencies will be significantly improved, the unique advantages of traditional Chinese medicine will be further brought into play, the ability of Health Science and technology innovation will be significantly enhanced, the per capita life expectancy will continue to increase by about one year on the basis of 2020, and the per capita health life expectancy will increase in the same proportion. Among the main development indicators, the plan expects the total scale of health service industry to exceed 11.5 trillion yuan in 2025.
Looking forward to 2035, the plan proposes to establish a health system compatible with the basic realization of socialist modernization, improve the basic medical and health system with Chinese characteristics, achieve a per capita life expectancy of more than 80 years, and gradually increase the per capita health life expectancy.
The plan mainly deploys seven tasks, namely: weaving a strong public health protection network, comprehensively intervening in health problems and influencing factors, ensuring population health in the whole cycle, improving the quality of medical and health services, promoting the inheritance and innovative development of traditional Chinese medicine, optimizing and strengthening the health industry, and strengthening the support and guarantee of national health.
look at the important statement in the plan:
1. By 2025, the health system will be more perfect, the basic medical and health system with Chinese characteristics will be gradually improved, the per capita life expectancy will continue to increase by about one year on the basis of 2020, and the per capita health life expectancy will increase in the same proportion.
2. Encourage and guide social forces to provide inclusive care services, develop a community care service network under centralized management and operation, and improve community infant activity places and facilities.
3. Support the development of “Internet + nursery service”, create a number of key common technology network platforms and live classrooms, and support high-quality institutions and industry associations to develop public welfare courses.
4. Further increase the supply of integrated medical and nursing services such as home, community and institutions.
5. Encourage to increase the supply of new health insurance products around special needs medical treatment, cutting-edge medical technology, innovative drugs, application of high-end medical devices, disease risk assessment, disease prevention, TCM Prevention and treatment, sports and fitness and other services.
6. Further improve the supporting policies of commercial long-term care insurance. We will accelerate the development of medical liability insurance and medical accident insurance, and encourage insurance institutions to develop liability insurance for nurseries and operation related insurance.
7. We will promote the integrated development of health and pension, tourism, Internet, fitness and leisure, food and other industries, and expand new health business forms and models. Promote the development of health tourism and speed up the construction of health tourism base.
8. Accelerate the county comprehensive medical reform, promote the construction of compact County medical community, and promote the development of specialty alliance and telemedicine cooperation network.
9. Improve the national medical insurance system, carry out grouping by disease diagnosis and payment by disease score, and include qualified internet medical services into the scope of medical insurance payment according to procedures.
10. Promote the application of emerging information technologies such as artificial intelligence, big data, fifth generation mobile communication (5g), blockchain and Internet of things to realize intelligent medical services, real-time monitoring and evaluation of personal health, disease early warning, chronic disease screening, etc.
encourage and guide social forces to provide inclusive childcare services
In terms of ensuring people’s health throughout the cycle, the plan specifies that it will improve maternity and infant care services, protect the health of women and children, promote the health of the elderly, strengthen occupational health protection and ensure the health services of relevant key groups.
In terms of optimizing reproductive services and security, the plan proposes to implement the three child fertility policy and improve relevant supporting measures. We will continue to ensure that maternity insurance ensures the maternity medical expenses and maternity allowances of insured female employees, so as to reduce the burden of maternity medical expenses.
In promoting the healthy growth of infants and young children, the plan proposes to encourage and guide social forces to provide inclusive care services, develop a community care service network under centralized management and operation, and improve community infant activity places and facilities. Support qualified employers to provide nursing services for employees in the workplace alone or jointly with relevant units. We will study and introduce measures for the management of family nurseries, and encourage professional institutions and social organizations to provide family childcare guidance services. Support the development of “Internet + childcare services”, create a number of key common technology network platforms and live classrooms, support high-quality institutions and industry associations to develop public welfare courses, and enhance families’ ability to raise children scientifically.
In terms of promoting the health of the elderly, the plan also proposes to further increase the supply of integrated medical and nursing services such as home, community and institutions. Rural areas are encouraged to share medical and nursing resources through trusteeship operation, adjacent construction, contract cooperation and other ways. Carry out demonstration projects for the combination of medical care and nursing care to improve the service quality and level.
improve and strengthen the health industry and increase the supply of commercial health insurance
In terms of optimizing and strengthening the health industry, the plan specifies that it will promote the innovative development of the pharmaceutical industry, promote the manufacturing and production of high-end medical equipment and health products, promote the sustainable and standardized development of social medical services, increase the supply of commercial health insurance, and promote the integrated development of health-related industries.
in terms of increasing the supply of commercial health insurance, the plan mainly puts forward four tasks:
1. Encourage to increase the supply of new health insurance products around special needs medical treatment, cutting-edge medical technology, innovative drugs, application of high-end medical devices, disease risk assessment, disease prevention, TCM Prevention and treatment, sports and fitness and other services.
2. Encourage insurance institutions to carry out pilot managed medical treatment, establish health management organizations, and provide health insurance, health management, medical services, long-term care and other services.
3. Encourage social forces to provide differentiated and customized health management service packages, and explore commercial health insurance as a financing or cooperation channel.
4. Further improve the supporting policies of commercial long-term care insurance. We will accelerate the development of medical liability insurance and medical accident insurance, and encourage insurance institutions to develop liability insurance for nurseries and operation related insurance.
In promoting the integrated development of health-related businesses, the plan proposes to promote the integrated development of health and pension, tourism, Internet, fitness and leisure, food and other industries, and expand new health businesses and models. Strengthen the effective supply of state-owned economy in the field of health and elderly care. Promote the development of health tourism and speed up the construction of health tourism base. Select cities or regions with rich teaching and scientific research resources, strong medical service ability and strong industrial strength to build health industry clusters.
The plan also proposes to encourage qualified places to build medical equipment application and promotion bases and create medical equipment industry clusters with perfect chains and distinctive characteristics. Encourage social forces to set up non-profit medical institutions in areas with weak medical resources and in areas with shortages such as rehabilitation, nursing and mental health.
We will deepen the reform of the medical and health system and accelerate the construction of a graded diagnosis and treatment system
In terms of strengthening the support and guarantee of national health, the plan proposes to deepen the reform of the medical and health system. On the one hand, we will accelerate the construction of a graded diagnosis and treatment system. Strengthen the grid layout management of urban medical groups, integrate medical institutions and professional public health institutions, and provide integrated and continuous medical and health services for residents in the grid. Accelerate the county comprehensive medical reform, promote the construction of compact County medical community, and promote the development of specialty alliance and telemedicine cooperation network.
On the other hand, we should deepen the linkage reform in relevant fields. We will improve the universal medical insurance system, carry out grouping according to disease diagnosis and payment according to disease score, and include qualified internet medical services into the scope of medical insurance payment according to procedures. Steadily establish a long-term care insurance system. We will deepen the reform of medical service prices, standardize the management of medical service price items, and establish a sensitive and dynamic price adjustment mechanism.
The plan also proposes to promote the application of national health information connectivity. Relying on physical medical institutions, build Internet hospitals to provide remote monitoring and remote treatment for key contracted service groups and key follow-up patients. Support the medical consortium to use Internet technology to conveniently carry out appointment diagnosis and treatment, two-way referral, telemedicine and other services. Promote the application of emerging information technologies such as artificial intelligence, big data, fifth generation mobile communication (5g), blockchain and Internet of things to realize intelligent medical services, real-time monitoring and evaluation of personal health, disease early warning, chronic disease screening, etc. Build an authoritative, unified and interconnected national health information platform, and promote unified access and data sharing of various medical and health institutions at all levels.
new medical infrastructure will be further promoted
Many institutions believe that a number of recent policy papers have mentioned the promotion of medical informatization. Combined with the current imbalance in the development of medical resources and the background stimulated by covid-19 epidemic, the new medical infrastructure needs to be further promoted.
Minsheng securities research report pointed out that the new medical infrastructure mainly includes medical engineering, medical equipment and medical informatization. Among them, medical informatization is a new foundation and new model of modern medical industry. With the start of Internet medicine, artificial intelligence and medical industry, as well as the further improvement of medical insurance system and review and approval system, medical informatization will play a vital role in the safety and utilization efficiency of a large number of medical data in the new medical infrastructure in the medical informatization industry in the future.
Sinolink Securities Co.Ltd(600109) pointed out that the building of drug safety credit archives and the construction of information traceability system are inseparable from the construction of information platform, and service enterprises in the field of national medical information will usher in a new round of demand space.
Guotai Junan Securities Co.Ltd(601211) Securities Research Report believes that the problem of insufficient and unbalanced development of medical resources in China still exists. Under the common stimulation of covid-19 epidemic and aging, new medical infrastructure is the general trend. There are abundant sources of funds for the new infrastructure. In recent years, the number of medical staff in grass-roots medical institutions has increased significantly, providing sufficient human resources for this round of new infrastructure. By tracking the high-frequency data, it can be seen that the number of new / expanded hospitals in 20202021 is significantly higher than that in previous years, with the joint efforts of general hospitals, specialized hospitals and traditional Chinese medicine hospitals.
