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中共中央 国务院 关于促进中医药传承创新发展的意见(2019年10月20日)
2021/2/20 13:47:44

  中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)学(xue)是(shi)中(zhong)(zhong)(zhong)(zhong)(zhong)华民族的(de)(de)伟大(da)创造,是(shi)中(zhong)(zhong)(zhong)(zhong)(zhong)国古代科学(xue)的(de)(de)瑰(gui)宝(bao),也是(shi)打开中(zhong)(zhong)(zhong)(zhong)(zhong)华文明宝(bao)库的(de)(de)钥匙,为中(zhong)(zhong)(zhong)(zhong)(zhong)华民族繁衍生息(xi)作(zuo)出了巨大(da)贡献,对(dui)世(shi)界文明进步产生了积极影响。党和(he)政府高度(du)重(zhong)视中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)工作(zuo),特别是(shi)党的(de)(de)十八大(da)以(yi)来(lai),以(yi)习近平(ping)同(tong)志为核心的(de)(de)党中(zhong)(zhong)(zhong)(zhong)(zhong)央把中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)工作(zuo)摆在更加突出的(de)(de)位置(zhi),中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)改(gai)革(ge)发(fa)展(zhan)(zhan)取得(de)显(xian)著成绩(ji)。同(tong)时也要看(kan)到,中(zhong)(zhong)(zhong)(zhong)(zhong)西医(yi)并重(zhong)方针仍需全面落实,遵循中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)规律(lv)的(de)(de)治理体系亟待健(jian)全,中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)发(fa)展(zhan)(zhan)基础和(he)人才建(jian)设还比(bi)较薄弱,中(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)材质量良(liang)莠(you)不(bu)(bu)齐,中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)传承不(bu)(bu)足、创新不(bu)(bu)够、作(zuo)用发(fa)挥不(bu)(bu)充(chong)分(fen),迫切需要深入实施中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)法,采取有效措施解决以(yi)上(shang)问题,切实把中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)这一祖先留给(ji)我(wo)们的(de)(de)宝(bao)贵财富继(ji)承好、发(fa)展(zhan)(zhan)好、利(li)用好。

  传(chuan)(chuan)(chuan)承创(chuang)(chuang)新(xin)(xin)(xin)发展中(zhong)(zhong)医药(yao)(yao)是(shi)新(xin)(xin)(xin)时代中(zhong)(zhong)国(guo)特(te)色(se)社会主义事(shi)业的(de)重(zhong)(zhong)要(yao)内容,是(shi)中(zhong)(zhong)华(hua)民族伟(wei)大复兴的(de)大事(shi),对于(yu)坚持中(zhong)(zhong)西医并(bing)重(zhong)(zhong)、打造中(zhong)(zhong)医药(yao)(yao)和(he)西医药(yao)(yao)相互(hu)补充协调(diao)发展的(de)中(zhong)(zhong)国(guo)特(te)色(se)卫生(sheng)(sheng)健康发展模式,发挥中(zhong)(zhong)医药(yao)(yao)原创(chuang)(chuang)优势、推(tui)动我国(guo)生(sheng)(sheng)命(ming)科学实现(xian)创(chuang)(chuang)新(xin)(xin)(xin)突破,弘(hong)扬中(zhong)(zhong)华(hua)优秀传(chuan)(chuan)(chuan)统文(wen)化(hua)、增强民族自信和(he)文(wen)化(hua)自信,促(cu)进(jin)文(wen)明互(hu)鉴和(he)民心(xin)相通、推(tui)动构(gou)建人(ren)类命(ming)运共同体具有重(zhong)(zhong)要(yao)意(yi)义。为深(shen)入贯彻习(xi)近(jin)平(ping)新(xin)(xin)(xin)时代中(zhong)(zhong)国(guo)特(te)色(se)社会主义思(si)想和(he)党的(de)十九大精神,认真落(luo)实习(xi)近(jin)平(ping)总(zong)书记关于(yu)中(zhong)(zhong)医药(yao)(yao)工作(zuo)的(de)重(zhong)(zhong)要(yao)论(lun)述,促(cu)进(jin)中(zhong)(zhong)医药(yao)(yao)传(chuan)(chuan)(chuan)承创(chuang)(chuang)新(xin)(xin)(xin)发展,现(xian)提出如(ru)下(xia)意(yi)见。

  一、健全中医药服务体(ti)系

  (一)加强中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)服务机构(gou)(gou)建(jian)设(she)(she)。发(fa)挥中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)整体医(yi)(yi)(yi)学(xue)和(he)(he)健(jian)(jian)康(kang)医(yi)(yi)(yi)学(xue)优势,建(jian)成(cheng)以国家(jia)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)学(xue)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)、区域中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)疗(liao)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)为龙(long)头,各(ge)(ge)级各(ge)(ge)类中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)疗(liao)机构(gou)(gou)和(he)(he)其他医(yi)(yi)(yi)疗(liao)机构(gou)(gou)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)科室为骨干,基层医(yi)(yi)(yi)疗(liao)卫生(sheng)机构(gou)(gou)为基础,融预(yu)防保健(jian)(jian)、疾病治(zhi)疗(liao)和(he)(he)康(kang)复于一体的(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)服务体系,提供覆盖(gai)全(quan)(quan)民和(he)(he)全(quan)(quan)生(sheng)命周期的(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)服务。遵循(xun)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)发(fa)展规律,规范中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院科室设(she)(she)置(zhi),修(xiu)订中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院设(she)(she)置(zhi)和(he)(he)建(jian)设(she)(she)标准,健(jian)(jian)全(quan)(quan)评价和(he)(he)绩效考(kao)核制度(du),强化以中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)服务为主的(de)办(ban)院模式和(he)(he)服务功(gong)能,建(jian)立健(jian)(jian)全(quan)(quan)体现(xian)(xian)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)特点的(de)现(xian)(xian)代医(yi)(yi)(yi)院管理制度(du)。大力发(fa)展中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)诊所、门诊部(bu)和(he)(he)特色(se)专科医(yi)(yi)(yi)院,鼓(gu)励连(lian)锁(suo)经(jing)营(ying)。提供中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)养(yang)(yang)生(sheng)保健(jian)(jian)服务的(de)企业登记经(jing)营(ying)范围(wei)使用“中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)养(yang)(yang)生(sheng)保健(jian)(jian)服务(非医(yi)(yi)(yi)疗(liao))”规范表述(shu)。到2022年(nian),基本实现(xian)(xian)县(xian)办(ban)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)疗(liao)机构(gou)(gou)全(quan)(quan)覆盖(gai),力争(zheng)实现(xian)(xian)全(quan)(quan)部(bu)社区卫生(sheng)服务中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)和(he)(he)乡镇卫生(sheng)院设(she)(she)置(zhi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)馆、配备中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)师。

  (二)筑牢基(ji)层(ceng)(ceng)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)服(fu)务(wu)(wu)阵地。扩(kuo)大农村(cun)订单(dan)定向(xiang)免费培养中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)专(zhuan)业(ye)医(yi)(yi)(yi)(yi)(yi)学生(sheng)(sheng)规模(mo),在全科医(yi)(yi)(yi)(yi)(yi)生(sheng)(sheng)特(te)设岗位(wei)计划中(zhong)(zhong)(zhong)积极招收中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)(yi)师,鼓(gu)励实行中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)人员“县管乡用(yong)”,鼓(gu)励退休中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)(yi)师到基(ji)层(ceng)(ceng)提供服(fu)务(wu)(wu),放宽(kuan)长期服(fu)务(wu)(wu)基(ji)层(ceng)(ceng)的(de)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)(yi)师职(zhi)称晋(jin)升条(tiao)件。健全全科医(yi)(yi)(yi)(yi)(yi)生(sheng)(sheng)和乡村(cun)医(yi)(yi)(yi)(yi)(yi)生(sheng)(sheng)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)知(zhi)识(shi)与技能培训机制。支持中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)(yi)院牵头组建医(yi)(yi)(yi)(yi)(yi)疗联合体(ti)。各(ge)级中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)(yi)院要(yao)加强对基(ji)层(ceng)(ceng)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)服(fu)务(wu)(wu)的(de)指导。

  (三)以信(xin)(xin)息(xi)化支撑服(fu)(fu)务(wu)体系(xi)建(jian)(jian)设。实(shi)施(shi)“互联网(wang)+中(zhong)(zhong)医药(yao)健康服(fu)(fu)务(wu)”行动,建(jian)(jian)立以中(zhong)(zhong)医电子病历、电子处方等(deng)为重点(dian)的基础数(shu)(shu)据库,鼓励依托医疗机构发(fa)展(zhan)(zhan)互联网(wang)中(zhong)(zhong)医医院,开发(fa)中(zhong)(zhong)医智能辅(fu)助诊疗系(xi)统,推动开展(zhan)(zhan)线(xian)(xian)上(shang)线(xian)(xian)下一体化服(fu)(fu)务(wu)和远程(cheng)医疗服(fu)(fu)务(wu)。依托现(xian)有资源建(jian)(jian)设国(guo)家和省级中(zhong)(zhong)医药(yao)数(shu)(shu)据中(zhong)(zhong)心(xin)。加快(kuai)建(jian)(jian)立国(guo)家中(zhong)(zhong)医药(yao)综(zong)(zong)合统计(ji)制度。健全中(zhong)(zhong)医药(yao)综(zong)(zong)合监(jian)管信(xin)(xin)息(xi)系(xi)统,综(zong)(zong)合运用抽查抽检、定点(dian)监(jian)测、违法(fa)失(shi)信(xin)(xin)惩戒(jie)等(deng)手段,实(shi)现(xian)精准高效监(jian)管。

  二(er)、发挥中(zhong)医药在维护和促(cu)进人(ren)民健康中(zhong)的独(du)特作用

  (四(si))彰(zhang)显(xian)中(zhong)(zhong)医(yi)药(yao)(yao)在疾病治疗(liao)中(zhong)(zhong)的优势。加强(qiang)中(zhong)(zhong)医(yi)优势专科(ke)建设,做优做强(qiang)骨伤、肛肠、儿科(ke)、皮科(ke)、妇科(ke)、针(zhen)灸(jiu)、推拿以及(ji)心脑血管(guan)病、肾病、周围血管(guan)病等(deng)专科(ke)专病,及(ji)时总结(jie)形成(cheng)诊疗(liao)方案,巩(gong)固扩大优势,带动特色发(fa)展。加快中(zhong)(zhong)医(yi)药(yao)(yao)循证医(yi)学(xue)(xue)中(zhong)(zhong)心建设,用(yong)(yong)3年(nian)左右时间(jian),筛选(xuan)50个中(zhong)(zhong)医(yi)治疗(liao)优势病种(zhong)和(he)(he)100项适宜技术、100个疗(liao)效独特的中(zhong)(zhong)药(yao)(yao)品种(zhong),及(ji)时向社会(hui)发(fa)布。聚焦癌症、心脑血管(guan)病、糖尿(niao)病、感(gan)染(ran)性(xing)疾病、老年(nian)痴呆和(he)(he)抗(kang)生素耐药(yao)(yao)问题等(deng),开展中(zhong)(zhong)西(xi)医(yi)协(xie)同(tong)攻关,到2022年(nian)形成(cheng)并推广50个左右中(zhong)(zhong)西(xi)医(yi)结(jie)合诊疗(liao)方案。建立(li)综合医(yi)院、专科(ke)医(yi)院中(zhong)(zhong)西(xi)医(yi)会(hui)诊制度,将中(zhong)(zhong)医(yi)纳(na)入多学(xue)(xue)科(ke)会(hui)诊体系。建立(li)有效机(ji)制,更好发(fa)挥中(zhong)(zhong)医(yi)药(yao)(yao)在流感(gan)等(deng)新发(fa)突发(fa)传染(ran)病防(fang)治和(he)(he)公共卫生事件应急处置(zhi)中(zhong)(zhong)的作用(yong)(yong)。

  (五)强化中(zhong)医(yi)药在(zai)疾病(bing)预防(fang)中(zhong)的(de)(de)作用。结合实施健康中(zhong)国(guo)行动(dong),促进中(zhong)医(yi)治(zhi)未(wei)病(bing)健康工(gong)程升级。在(zai)国(guo)家(jia)基本公(gong)共卫生服务项目中(zhong)丰富中(zhong)医(yi)治(zhi)未(wei)病(bing)内容,鼓(gu)励家(jia)庭(ting)医(yi)生提供中(zhong)医(yi)治(zhi)未(wei)病(bing)签(qian)约服务,到2022年在(zai)重点人群和慢(man)性(xing)病(bing)患者(zhe)中(zhong)推(tui)广20个中(zhong)医(yi)治(zhi)未(wei)病(bing)干(gan)预方(fang)案(an)。大(da)力普及中(zhong)医(yi)养生保健知识和太极拳、健身气功(如八(ba)段锦)等养生保健方(fang)法,推(tui)广体现(xian)中(zhong)医(yi)治(zhi)未(wei)病(bing)理(li)念的(de)(de)健康工(gong)作和生活方(fang)式。

  (六)提(ti)升中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药特(te)(te)色康(kang)复(fu)能力(li)。促进中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药、中(zhong)(zhong)(zhong)(zhong)(zhong)华传统体育与现(xian)(xian)代康(kang)复(fu)技(ji)术融(rong)合,发展(zhan)中(zhong)(zhong)(zhong)(zhong)(zhong)国特(te)(te)色康(kang)复(fu)医(yi)(yi)(yi)学。实(shi)施中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药康(kang)复(fu)服(fu)务能力(li)提(ti)升工(gong)程(cheng)。依托现(xian)(xian)有(you)资源布局一批中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)康(kang)复(fu)中(zhong)(zhong)(zhong)(zhong)(zhong)心,加强中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)康(kang)复(fu)科建设,在其他医(yi)(yi)(yi)院(yuan)推(tui)广中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)康(kang)复(fu)技(ji)术。针对心脑血管病、糖尿病等慢性病和伤残等,制定推(tui)广一批中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)康(kang)复(fu)方(fang)案(an),推(tui)动(dong)(dong)研发一批中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)康(kang)复(fu)器具。大力(li)开展(zhan)培训(xun),推(tui)动(dong)(dong)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)康(kang)复(fu)技(ji)术进社区、进家庭(ting)、进机构。

  三(san)、大力推动中(zhong)药质量提升(sheng)和产业高质量发展

  (七)加(jia)强(qiang)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)质量(liang)控(kong)制(zhi)。强(qiang)化(hua)(hua)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)道地(di)(di)(di)产(chan)(chan)(chan)区(qu)环境保护,修(xiu)订中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)(sheng)产(chan)(chan)(chan)质量(liang)管(guan)(guan)理规(gui)范,推行中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)(sheng)态(tai)种(zhong)(zhong)植(zhi)、野生(sheng)(sheng)(sheng)抚(fu)育和仿生(sheng)(sheng)(sheng)栽培。加(jia)强(qiang)珍稀(xi)濒危野生(sheng)(sheng)(sheng)药(yao)(yao)(yao)(yao)用(yong)(yong)(yong)动(dong)植(zhi)物保护,支持珍稀(xi)濒危中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)替代品的(de)研究(jiu)和开发(fa)利用(yong)(yong)(yong)。严格农药(yao)(yao)(yao)(yao)、化(hua)(hua)肥、植(zhi)物生(sheng)(sheng)(sheng)长调节(jie)剂等(deng)使用(yong)(yong)(yong)管(guan)(guan)理,分(fen)区(qu)域、分(fen)品种(zhong)(zhong)完善(shan)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)农药(yao)(yao)(yao)(yao)残留、重金属限量(liang)标准(zhun)。制(zhi)定中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)种(zhong)(zhong)子种(zhong)(zhong)苗管(guan)(guan)理办法。规(gui)划道地(di)(di)(di)药(yao)(yao)(yao)(yao)材(cai)(cai)基(ji)地(di)(di)(di)建设,引导(dao)资源要素向道地(di)(di)(di)产(chan)(chan)(chan)区(qu)汇集(ji),推进规(gui)模化(hua)(hua)、规(gui)范化(hua)(hua)种(zhong)(zhong)植(zhi)。探(tan)索制(zhi)定实施中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)(sheng)产(chan)(chan)(chan)质量(liang)管(guan)(guan)理规(gui)范的(de)激励政策。倡(chang)导(dao)中(zhong)(zhong)医(yi)药(yao)(yao)(yao)(yao)企业自建或以订单(dan)形式联建稳定的(de)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)(sheng)产(chan)(chan)(chan)基(ji)地(di)(di)(di),评(ping)定一批国家、省级(ji)道地(di)(di)(di)药(yao)(yao)(yao)(yao)材(cai)(cai)良种(zhong)(zhong)繁育和生(sheng)(sheng)(sheng)态(tai)种(zhong)(zhong)植(zhi)基(ji)地(di)(di)(di)。健全(quan)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)第三(san)方质量(liang)检测体系。加(jia)强(qiang)中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)交易市场监管(guan)(guan)。深入实施中(zhong)(zhong)药(yao)(yao)(yao)(yao)材(cai)(cai)产(chan)(chan)(chan)业扶贫行动(dong)。到(dao)2022年,基(ji)本建立(li)道地(di)(di)(di)药(yao)(yao)(yao)(yao)材(cai)(cai)生(sheng)(sheng)(sheng)产(chan)(chan)(chan)技术(shu)标准(zhun)体系、等(deng)级(ji)评(ping)价制(zhi)度。

  (八)促(cu)进(jin)中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)饮(yin)(yin)片(pian)(pian)和(he)(he)中(zhong)(zhong)(zhong)(zhong)成药(yao)(yao)质量(liang)提升(sheng)。加快修订(ding)《中(zhong)(zhong)(zhong)(zhong)华(hua)人民共和(he)(he)国(guo)药(yao)(yao)典》中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)标(biao)准(一部),由国(guo)务院药(yao)(yao)品监督管理部门会同中(zhong)(zhong)(zhong)(zhong)医(yi)药(yao)(yao)主管部门组织(zhi)专家承担有关工(gong)(gong)作,建(jian)立最严谨(jin)标(biao)准。健全中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)饮(yin)(yin)片(pian)(pian)标(biao)准体系,制(zhi)定实施全国(guo)中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)饮(yin)(yin)片(pian)(pian)炮(pao)制(zhi)规范。改善(shan)市场竞争环(huan)境,促(cu)进(jin)中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)饮(yin)(yin)片(pian)(pian)优(you)质优(you)价(jia)(jia)。加强中(zhong)(zhong)(zhong)(zhong)成药(yao)(yao)质量(liang)控制(zhi),促(cu)进(jin)现代信息(xi)技术在(zai)中(zhong)(zhong)(zhong)(zhong)药(yao)(yao)生产中(zhong)(zhong)(zhong)(zhong)的应用,提高智能制(zhi)造(zao)水(shui)平。探(tan)索建(jian)立以临床价(jia)(jia)值为(wei)导(dao)向(xiang)的评(ping)估路径,综合运用循证医(yi)学等方法,加大中(zhong)(zhong)(zhong)(zhong)成药(yao)(yao)上市后评(ping)价(jia)(jia)工(gong)(gong)作力度,建(jian)立与公立医(yi)院药(yao)(yao)品采(cai)购、基本药(yao)(yao)物遴选(xuan)、医(yi)保目录(lu)调(diao)整(zheng)等联动机制(zhi),促(cu)进(jin)产业升(sheng)级和(he)(he)结(jie)构调(diao)整(zheng)。

  (九(jiu))改革完(wan)善中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)注(zhu)册管(guan)理(li)(li)。建立(li)健全(quan)符合中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)特点(dian)的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)安全(quan)、疗效评(ping)价(jia)方(fang)法和技(ji)(ji)(ji)术(shu)标准。及(ji)时完(wan)善中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)注(zhu)册分(fen)类,制(zhi)定(ding)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)审(shen)(shen)(shen)评(ping)审(shen)(shen)(shen)批(pi)管(guan)理(li)(li)规定(ding),实(shi)施基于(yu)临床价(jia)值的(de)(de)优(you)先审(shen)(shen)(shen)评(ping)审(shen)(shen)(shen)批(pi)制(zhi)度。加快构建中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)理(li)(li)论、人(ren)用经(jing)验(yan)和临床试验(yan)相结合的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)注(zhu)册审(shen)(shen)(shen)评(ping)证(zheng)(zheng)据体系(xi),优(you)化基于(yu)古代经(jing)典名方(fang)、名老中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医方(fang)、医疗机构制(zhi)剂等具(ju)有(you)人(ren)用经(jing)验(yan)的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)新(xin)(xin)药(yao)(yao)(yao)(yao)审(shen)(shen)(shen)评(ping)技(ji)(ji)(ji)术(shu)要求,加快中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)新(xin)(xin)药(yao)(yao)(yao)(yao)审(shen)(shen)(shen)批(pi)。鼓(gu)励(li)运用新(xin)(xin)技(ji)(ji)(ji)术(shu)新(xin)(xin)工艺以及(ji)体现临床应用优(you)势的(de)(de)新(xin)(xin)剂型改进已上市中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)品种,优(you)化已上市中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)变更技(ji)(ji)(ji)术(shu)要求。优(you)化和规范医疗机构中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)(yao)制(zhi)剂备案(an)管(guan)理(li)(li)。国务院中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)主(zhu)管(guan)部门(men)、药(yao)(yao)(yao)(yao)品监督管(guan)理(li)(li)部门(men)要牵(qian)头(tou)组织制(zhi)定(ding)古代经(jing)典名方(fang)目录(lu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)收载方(fang)剂的(de)(de)关键信息考证(zheng)(zheng)意见(jian)。

  (十)加(jia)(jia)强(qiang)中(zhong)药(yao)(yao)质(zhi)量(liang)安全监(jian)管(guan)。以中(zhong)药(yao)(yao)饮片(pian)监(jian)管(guan)为(wei)抓手,向上(shang)下游延伸,落实(shi)中(zhong)药(yao)(yao)生(sheng)产(chan)企业主体责(ze)任,建立(li)多部门(men)协同(tong)监(jian)管(guan)机制,探(tan)索(suo)建立(li)中(zhong)药(yao)(yao)材、中(zhong)药(yao)(yao)饮片(pian)、中(zhong)成药(yao)(yao)生(sheng)产(chan)流通使(shi)用全过程(cheng)追溯体系,用5年左右时(shi)间,逐步实(shi)现中(zhong)药(yao)(yao)重点品(pin)种来源可(ke)查、去向可(ke)追、责(ze)任可(ke)究。强(qiang)化中(zhong)成药(yao)(yao)质(zhi)量(liang)监(jian)管(guan)及合理使(shi)用,加(jia)(jia)强(qiang)上(shang)市产(chan)品(pin)市场抽检,严厉打击(ji)中(zhong)成药(yao)(yao)非法(fa)添加(jia)(jia)化学(xue)品(pin)违法(fa)行为(wei)。加(jia)(jia)强(qiang)中(zhong)药(yao)(yao)注射(she)剂不良反应(ying)监(jian)测(ce)。推进中(zhong)药(yao)(yao)企业诚信(xin)体系建设,将其纳入全国信(xin)用信(xin)息(xi)共享平台和国家企业信(xin)用信(xin)息(xi)公示系统,加(jia)(jia)大失信(xin)联合惩戒力度。完善(shan)中(zhong)药(yao)(yao)质(zhi)量(liang)安全监(jian)管(guan)法(fa)律(lv)制度,加(jia)(jia)大对制假制劣行为(wei)的责(ze)任追究力度。

  四、加强中(zhong)医药人才队(dui)伍建设

  (十一)改革人才(cai)培养模(mo)式。强(qiang)化中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)思维培养,改革中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)院(yuan)校教育,调整优(you)化学科专(zhuan)业(ye)结(jie)构,强(qiang)化中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)专(zhuan)业(ye)主体(ti)地位,提(ti)高中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)类(lei)专(zhuan)业(ye)经(jing)典课程(cheng)比重,开(kai)展(zhan)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)经(jing)典能力等级(ji)考(kao)试,建(jian)立早跟(gen)师(shi)(shi)、早临(lin)(lin)床(chuang)学习制度(du)。加(jia)大省部局共建(jian)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)院(yuan)校投入力度(du)。将(jiang)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)课程(cheng)列(lie)入临(lin)(lin)床(chuang)医(yi)(yi)(yi)学类(lei)专(zhuan)业(ye)必修课,提(ti)高临(lin)(lin)床(chuang)类(lei)别医(yi)(yi)(yi)师(shi)(shi)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)知识和技能水(shui)平。完善中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)师(shi)(shi)规范化培训模(mo)式。改革完善中(zhong)(zhong)(zhong)(zhong)西(xi)医(yi)(yi)(yi)结(jie)合(he)(he)教育,培养高层次中(zhong)(zhong)(zhong)(zhong)西(xi)医(yi)(yi)(yi)结(jie)合(he)(he)人才(cai)。鼓励西(xi)医(yi)(yi)(yi)学习中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi),允许临(lin)(lin)床(chuang)类(lei)别医(yi)(yi)(yi)师(shi)(shi)通过考(kao)核后(hou)提(ti)供中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)服(fu)务(wu),参(can)加(jia)中(zhong)(zhong)(zhong)(zhong)西(xi)医(yi)(yi)(yi)结(jie)合(he)(he)职称评聘。允许中(zhong)(zhong)(zhong)(zhong)西(xi)医(yi)(yi)(yi)结(jie)合(he)(he)专(zhuan)业(ye)人员参(can)加(jia)临(lin)(lin)床(chuang)类(lei)别全(quan)科医(yi)(yi)(yi)生规范化培训。

  (十二)优化人才(cai)成长途径。通过学科(ke)(ke)专科(ke)(ke)建设、重(zhong)大科(ke)(ke)研平台建设和重(zhong)大项(xiang)目(mu)实施(shi)等(deng),培(pei)(pei)养造就一批高水(shui)平中医(yi)临床(chuang)人才(cai)和多学科(ke)(ke)交叉的中医(yi)药(yao)(yao)创(chuang)新(xin)型领军人才(cai),支(zhi)持组建一批高层次(ci)创(chuang)新(xin)团(tuan)队(dui)。支(zhi)持中医(yi)药(yao)(yao)院校(xiao)(xiao)与其他高等(deng)学校(xiao)(xiao)联(lian)合培(pei)(pei)养高层次(ci)复合型中医(yi)药(yao)(yao)人才(cai)。建立高年资中医(yi)医(yi)师(shi)带(dai)徒制(zhi)度(du),与职称(cheng)评审、评优评先等(deng)挂钩。制(zhi)定中医(yi)师(shi)承教(jiao)(jiao)育(yu)(yu)管理办法。经国务(wu)院中医(yi)药(yao)(yao)主管部门认(ren)可的师(shi)承教(jiao)(jiao)育(yu)(yu)继承人,符合条件者可按同等(deng)学力(li)申(shen)请中医(yi)专业学位。大力(li)培(pei)(pei)养中药(yao)(yao)材种植、中药(yao)(yao)炮制(zhi)、中医(yi)药(yao)(yao)健康服务(wu)等(deng)技(ji)术技(ji)能人才(cai)。完(wan)善确有专长人员考核(he)办法,加大中医(yi)(专长)医(yi)师(shi)培(pei)(pei)训力(li)度(du),支(zhi)持中医(yi)医(yi)院设置中医(yi)(专长)医(yi)师(shi)岗位,促进民(min)间特色技(ji)术疗法的传承发展。

  (十三)健(jian)全人(ren)(ren)才(cai)(cai)评价激(ji)励机(ji)制(zhi)。落(luo)实允(yun)许医(yi)(yi)疗(liao)卫生机(ji)构(gou)突破现行事(shi)业单位工资调控(kong)水平(ping)、允(yun)许医(yi)(yi)疗(liao)服(fu)务(wu)收入(ru)扣除成本并按(an)规(gui)定提取(qu)各(ge)(ge)项基金后主要(yao)用于人(ren)(ren)员(yuan)奖(jiang)励的要(yao)求,完善(shan)公立(li)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)医(yi)(yi)疗(liao)机(ji)构(gou)薪酬制(zhi)度。改革完善(shan)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药职称评聘制(zhi)度,注重(zhong)业务(wu)能力(li)和(he)(he)工作实绩,克(ke)服(fu)唯学(xue)(xue)历、唯资历、唯论(lun)文(wen)等(deng)倾(qing)向(xiang)。国家(jia)重(zhong)大(da)人(ren)(ren)才(cai)(cai)工程(cheng)、院(yuan)士(shi)评选等(deng)加大(da)对中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药人(ren)(ren)才(cai)(cai)的支(zhi)持力(li)度,研究在(zai)中(zhong)(zhong)(zhong)(zhong)国工程(cheng)院(yuan)医(yi)(yi)药卫生学(xue)(xue)部单设中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药组。研究建立(li)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药人(ren)(ren)才(cai)(cai)表(biao)(biao)彰(zhang)(zhang)奖(jiang)励制(zhi)度,加强(qiang)国家(jia)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药传承创新表(biao)(biao)彰(zhang)(zhang),建立(li)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)药行业表(biao)(biao)彰(zhang)(zhang)长效机(ji)制(zhi),注重(zhong)发现和(he)(he)推(tui)介中(zhong)(zhong)(zhong)(zhong)青(qing)年骨干人(ren)(ren)才(cai)(cai)和(he)(he)传承人(ren)(ren)。各(ge)(ge)种(zhong)表(biao)(biao)彰(zhang)(zhang)奖(jiang)励评选向(xiang)基层(ceng)一线和(he)(he)艰苦(ku)地区倾(qing)斜。

  五、促进中医药传承与开放创新(xin)发展

  (十四)挖掘和(he)传(chuan)承(cheng)中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)宝库中(zhong)(zhong)(zhong)的精华(hua)精髓(sui)。加强(qiang)典籍(ji)研究(jiu)利用,编撰中(zhong)(zhong)(zhong)华(hua)医藏,制(zhi)定中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)典籍(ji)、技术(shu)和(he)方(fang)(fang)药(yao)(yao)(yao)(yao)(yao)名录,建立(li)国家中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)古籍(ji)和(he)传(chuan)统(tong)知识数(shu)字图书(shu)馆,研究(jiu)制(zhi)定中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)传(chuan)统(tong)知识保护条例。加快推进活态传(chuan)承(cheng),完善学(xue)术(shu)传(chuan)承(cheng)制(zhi)度,加强(qiang)名老(lao)(lao)中(zhong)(zhong)(zhong)医学(xue)术(shu)经验(yan)、老(lao)(lao)药(yao)(yao)(yao)(yao)(yao)工传(chuan)统(tong)技艺(yi)传(chuan)承(cheng),实(shi)现数(shu)字化(hua)(hua)、影(ying)像化(hua)(hua)记录。收(shou)集筛选民间中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)验(yan)方(fang)(fang)、秘方(fang)(fang)和(he)技法,建立(li)合作开发(fa)和(he)利益分享机制(zhi)。推进中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)博物(wu)馆事业发(fa)展(zhan),实(shi)施中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)文化(hua)(hua)传(chuan)播行动,把中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)文化(hua)(hua)贯穿国民教育始终(zhong),中(zhong)(zhong)(zhong)小学(xue)进一(yi)步丰富中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)文化(hua)(hua)教育,使(shi)中(zhong)(zhong)(zhong)医药(yao)(yao)(yao)(yao)(yao)成为群众(zhong)促进健康的文化(hua)(hua)自觉。

  (十五)加快推(tui)进中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)科(ke)研(yan)(yan)(yan)(yan)(yan)和(he)(he)(he)创新(xin)(xin)(xin)。围绕国(guo)家(jia)战略需求及中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)重(zhong)(zhong)大(da)科(ke)学(xue)问题,建立(li)(li)(li)多学(xue)科(ke)融(rong)合的科(ke)研(yan)(yan)(yan)(yan)(yan)平(ping)台(tai)。在中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)重(zhong)(zhong)点领域建设(she)(she)国(guo)家(jia)重(zhong)(zhong)点实验(yan)室(shi),建立(li)(li)(li)一批(pi)国(guo)家(jia)临床医(yi)(yi)(yi)(yi)(yi)学(xue)研(yan)(yan)(yan)(yan)(yan)究(jiu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)(xin)、国(guo)家(jia)工(gong)(gong)程研(yan)(yan)(yan)(yan)(yan)究(jiu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)(xin)和(he)(he)(he)技(ji)(ji)术(shu)创新(xin)(xin)(xin)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)(xin)。在中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)央(yang)财政科(ke)技(ji)(ji)计划(专(zhuan)项(xiang)、基金等)框(kuang)架下,研(yan)(yan)(yan)(yan)(yan)究(jiu)设(she)(she)立(li)(li)(li)国(guo)家(jia)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)科(ke)技(ji)(ji)研(yan)(yan)(yan)(yan)(yan)发(fa)(fa)(fa)专(zhuan)项(xiang)、关(guan)键技(ji)(ji)术(shu)装(zhuang)备重(zhong)(zhong)大(da)专(zhuan)项(xiang)和(he)(he)(he)国(guo)际大(da)科(ke)学(xue)计划,深化(hua)基础理(li)(li)论、诊疗规(gui)律、作用机(ji)(ji)理(li)(li)研(yan)(yan)(yan)(yan)(yan)究(jiu)和(he)(he)(he)诠释,开展防治重(zhong)(zhong)大(da)、难治、罕见疾病和(he)(he)(he)新(xin)(xin)(xin)发(fa)(fa)(fa)突发(fa)(fa)(fa)传染病等临床研(yan)(yan)(yan)(yan)(yan)究(jiu),加快中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)新(xin)(xin)(xin)药(yao)(yao)(yao)创制(zhi)研(yan)(yan)(yan)(yan)(yan)究(jiu),研(yan)(yan)(yan)(yan)(yan)发(fa)(fa)(fa)一批(pi)先进的中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)器械和(he)(he)(he)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)药(yao)(yao)(yao)制(zhi)药(yao)(yao)(yao)设(she)(she)备。支持(chi)鼓励(li)儿童用中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)成(cheng)药(yao)(yao)(yao)创新(xin)(xin)(xin)研(yan)(yan)(yan)(yan)(yan)发(fa)(fa)(fa)。研(yan)(yan)(yan)(yan)(yan)究(jiu)实施科(ke)技(ji)(ji)创新(xin)(xin)(xin)工(gong)(gong)程。支持(chi)企业(ye)、医(yi)(yi)(yi)(yi)(yi)疗机(ji)(ji)构、高等学(xue)校、科(ke)研(yan)(yan)(yan)(yan)(yan)机(ji)(ji)构等协(xie)同创新(xin)(xin)(xin),以产(chan)业(ye)链(lian)、服务链(lian)布局创新(xin)(xin)(xin)链(lian),完善中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)产(chan)学(xue)研(yan)(yan)(yan)(yan)(yan)一体化(hua)创新(xin)(xin)(xin)模式。加强中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)产(chan)业(ye)知(zhi)识(shi)产(chan)权(quan)保(bao)护和(he)(he)(he)运用。健全赋予(yu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)科(ke)研(yan)(yan)(yan)(yan)(yan)机(ji)(ji)构和(he)(he)(he)人员更(geng)大(da)自主(zhu)权(quan)的管(guan)(guan)理(li)(li)制(zhi)度,建立(li)(li)(li)知(zhi)识(shi)产(chan)权(quan)和(he)(he)(he)科(ke)技(ji)(ji)成(cheng)果转化(hua)权(quan)益保(bao)障机(ji)(ji)制(zhi)。改革完善中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)科(ke)研(yan)(yan)(yan)(yan)(yan)组织、验(yan)收和(he)(he)(he)评价体系,避免简单套用相关(guan)科(ke)研(yan)(yan)(yan)(yan)(yan)评价方法(fa)。突出中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)特点和(he)(he)(he)发(fa)(fa)(fa)展需求,建立(li)(li)(li)科(ke)技(ji)(ji)主(zhu)管(guan)(guan)部(bu)(bu)门与中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)主(zhu)管(guan)(guan)部(bu)(bu)门协(xie)同联动的中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)(yi)药(yao)(yao)(yao)科(ke)研(yan)(yan)(yan)(yan)(yan)规(gui)划和(he)(he)(he)管(guan)(guan)理(li)(li)机(ji)(ji)制(zhi)。

  (十六(liu))推动(dong)中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)开放发(fa)展。将(jiang)中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)纳入构建(jian)人类(lei)命运共同(tong)体和“一带一路”国(guo)际合作(zuo)重要内(nei)容,实施中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)国(guo)际合作(zuo)专(zhuan)项。推动(dong)中医(yi)(yi)中药(yao)(yao)(yao)(yao)(yao)国(guo)际标准制定(ding),积极参与(yu)国(guo)际传统医(yi)(yi)学相关规则制定(ding)。推动(dong)中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)文化海外(wai)传播。大(da)力发(fa)展中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)服(fu)务贸易(yi)。鼓励(li)社会力量建(jian)设(she)一批高质量中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)海外(wai)中心、国(guo)际合作(zuo)基地(di)和服(fu)务出口(kou)基地(di)。研究推动(dong)现有中药(yao)(yao)(yao)(yao)(yao)交(jiao)易(yi)平台(tai)稳步开展国(guo)际交(jiao)易(yi)。打(da)造粤港澳大(da)湾(wan)区中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)高地(di)。加(jia)强(qiang)与(yu)台(tai)湾(wan)地(di)区中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)交(jiao)流合作(zuo),促(cu)进两岸中医(yi)(yi)药(yao)(yao)(yao)(yao)(yao)融合发(fa)展。

  六(liu)、改(gai)革完善中(zhong)医药管理体(ti)制(zhi)机制(zhi)

  (十七)完(wan)善中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)药价(jia)格(ge)和(he)医(yi)(yi)(yi)(yi)保政策(ce)。以(yi)(yi)临床(chuang)价(jia)值为导向,以(yi)(yi)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)优势服(fu)(fu)(fu)务(wu)(wu)、特色服(fu)(fu)(fu)务(wu)(wu)为重点(dian),加(jia)大政策(ce)支持力度,完(wan)善医(yi)(yi)(yi)(yi)疗(liao)服(fu)(fu)(fu)务(wu)(wu)价(jia)格(ge)形成机(ji)(ji)制。医(yi)(yi)(yi)(yi)疗(liao)服(fu)(fu)(fu)务(wu)(wu)价(jia)格(ge)调整时重点(dian)考虑(lv)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)等体(ti)现医(yi)(yi)(yi)(yi)务(wu)(wu)人(ren)员技术劳(lao)务(wu)(wu)价(jia)值的(de)医(yi)(yi)(yi)(yi)疗(liao)服(fu)(fu)(fu)务(wu)(wu)价(jia)格(ge)。健全符合(he)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)药特点(dian)的(de)医(yi)(yi)(yi)(yi)保支付(fu)(fu)方式。完(wan)善与国(guo)际疾病(bing)分类相(xiang)衔接的(de)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)病(bing)证分类等编码体(ti)系。分批遴(lin)选中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)优势明显、治疗(liao)路径清晰(xi)、费(fei)用明确(que)(que)的(de)病(bing)种(zhong)实(shi)施按病(bing)种(zhong)付(fu)(fu)费(fei),合(he)理确(que)(que)定(ding)付(fu)(fu)费(fei)标准。通过(guo)对部分慢性病(bing)病(bing)种(zhong)等实(shi)行(xing)按人(ren)头(tou)付(fu)(fu)费(fei)、完(wan)善相(xiang)关技术规范等方式,鼓励引(yin)导基层医(yi)(yi)(yi)(yi)疗(liao)卫生机(ji)(ji)构(gou)提(ti)供(gong)适宜的(de)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)药服(fu)(fu)(fu)务(wu)(wu)。及时将符合(he)条件(jian)的(de)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)疗(liao)机(ji)(ji)构(gou)纳入医(yi)(yi)(yi)(yi)保定(ding)点(dian)医(yi)(yi)(yi)(yi)疗(liao)机(ji)(ji)构(gou)。积极将适宜的(de)中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)医(yi)(yi)(yi)(yi)疗(liao)服(fu)(fu)(fu)务(wu)(wu)项目和(he)中(zhong)(zhong)(zhong)药按规定(ding)纳入医(yi)(yi)(yi)(yi)保范围(wei)。鼓励商业保险机(ji)(ji)构(gou)开发中(zhong)(zhong)(zhong)医(yi)(yi)(yi)(yi)治未病(bing)等保险产品。研究取消中(zhong)(zhong)(zhong)药饮片加(jia)成相(xiang)关工作。

  (十八)完(wan)善(shan)(shan)投(tou)入(ru)(ru)保(bao)障机(ji)制(zhi)。建立持(chi)续(xu)稳(wen)定(ding)的中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)发展多元投(tou)入(ru)(ru)机(ji)制(zhi),在卫生(sheng)健(jian)康投(tou)入(ru)(ru)中(zhong)(zhong)(zhong)(zhong)统筹安(an)排中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)事业发展经费并(bing)加大支持(chi)力度。加大对中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)事业发展投(tou)资力度,改善(shan)(shan)中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院办院条(tiao)件,扩大优质服(fu)务供(gong)给(ji)。切实保(bao)障公(gong)立中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院投(tou)入(ru)(ru)责(ze)任落实。鼓励地方设立政府(fu)引(yin)导、社(she)会资本参与、市场化运(yun)作(zuo)的中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)发展基(ji)金(jin)。引(yin)导商业保(bao)险机(ji)构(gou)投(tou)资中(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)服(fu)务产业。

  (十(shi)九)健(jian)全中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)管(guan)(guan)理(li)体制(zhi)。完(wan)善中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)工作(zuo)跨(kua)部(bu)门协调机(ji)制(zhi),强化国(guo)务院中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)工作(zuo)部(bu)际(ji)联(lian)席会议办公室统筹职(zhi)能,协调做(zuo)好中(zhong)药(yao)(yao)(yao)(yao)发展(zhan)规(gui)划、标准制(zhi)定(ding)、质量管(guan)(guan)理(li)等(deng)工作(zuo),促进(jin)中(zhong)医(yi)(yi)(yi)中(zhong)药(yao)(yao)(yao)(yao)协调发展(zhan)。各(ge)级卫生健(jian)康、药(yao)(yao)(yao)(yao)品监(jian)督管(guan)(guan)理(li)等(deng)各(ge)相关部(bu)门要(yao)坚持中(zhong)西医(yi)(yi)(yi)并(bing)重,制(zhi)定(ding)实施中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)相关政策措施要(yao)充分(fen)听取并(bing)吸纳中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)主管(guan)(guan)部(bu)门意见。完(wan)善中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)服务监(jian)管(guan)(guan)机(ji)制(zhi)。依据中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)法有关规(gui)定(ding)建立健(jian)全中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)管(guan)(guan)理(li)体系,省市县都(dou)要(yao)明确承担中(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)(yao)管(guan)(guan)理(li)职(zhi)能的机(ji)构(gou),合理(li)配置人员力量。

  (二十)加强组织(zhi)实(shi)施。地(di)方各级党委(wei)和(he)政府要(yao)结(jie)合实(shi)际制定落实(shi)举措(cuo),将本意(yi)见实(shi)施情况纳(na)入党委(wei)和(he)政府绩效(xiao)考核(he)。围绕(rao)以较低费用取得(de)较大健康(kang)收益(yi)目标,规划建(jian)设(she)一批国家(jia)中(zhong)(zhong)医药(yao)综合改革(ge)示范区,鼓(gu)励(li)在服务模(mo)式、产业发展、质量监管等(deng)方面先(xian)行(xing)先(xian)试。推动中(zhong)(zhong)央主要(yao)新(xin)闻单(dan)位、重点新(xin)闻网站等(deng)各类媒体(ti)加大对中(zhong)(zhong)医药(yao)文化宣传力度(du),加强和(he)规范中(zhong)(zhong)医药(yao)防(fang)病治病知(zhi)识传播普及,营造珍视、热爱、发展中(zhong)(zhong)医药(yao)的社会氛围。

  进一步加强军队中医药工作,大力开展新时代军事卫勤新型中医诊疗装备研发和新药物、新疗法挖掘创新工作,持续深化基层部队中医药服务能力提升工程,提高军队中医药整体保障水平。
少数民族医药是中医药的重要组成部分,有关地方可根据本意见,制定和完善促进本地区少数民族医药发展的相关政策举措。

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