NHFPC System Reform Issue No 21, 2014
Health and family planning departments in provinces, autonomous regions and municipalities directly under the central government; municipalities with independent planning status; Xinjiang Production and Construction Corps; finance departments at various levels; and the State Council Leading Group Office of the Health Care System:
We have settled on 17 pilot cities, including Tianjin, for public hospital reform to fully implement the spirit of the 18th CPC National Congress and the third plenary session of the 18th CPC Central Committee and follow the government’s call for expanding comprehensive public hospital reform in cities stated in the government work report of 2014. Every province will have a pilot city where the local government will pay great attention to public hospital reform and work towards certain achievements. The relevant departments will be well coordinated. These cities reflect the general medical situation in their province. In accordance with deployments at the second plenary session of the State Council Leading Group Office of the Health Care System -- and approved by the State Commission Office for Public Sector Reform, the National Development and Reform Commission, and Ministry of Human Resources and Social Security -- The list of the second-batch pilot cities and requirements are as following:
1. Fully understand the importance of advancing public hospital reform and strengthen guidance for reform
Promoting public hospital reform is necessary in carrying out the spirit of the third plenary session of the 18th CPC Central Committee and the government work report. It is also a key link in establishing a basic medical and health care system with Chinese characteristics that can benefit the public at large. It is an inevitable move for China to break through its health care reform problems. Pilot city governments should fully recognize the importance, difficulties and complexity of public hospital reform; enhance the awareness of opportunity, responsibility and urgency; and improve work mechanisms to actively carry out pilot reform. The leading group of the health care reform at various levels shall strengthen guidance and support for the pilot city. The health and family planning, as well as finance, departments should form a consensus and join forces through coordination and cooperation.
2. Make scientific implementation plan for public hospital reform and strengthen responsibility implementation
Regions at various levels should follow the State Council’s Notice on Deepening the Planning and Implantation of Medical and Health Care Reform and the Guidance on Public Hospital Pilot Reform issued by five government departments to clarify reform routes, concrete measures, unequivocal tasks and division of work. Implementation plan has to be systematic, holistic and collaborative; focus on innovation system mechanisms; promote comprehensive reform. We should be pertinent and practicable to solve prominent problems in local public hospitals; and strive for a breakthrough in key links. Regions at various levels should revolve around the implementation plan in pilot cities, further break down tasks, clarify individual responsibilities, and establish an accountability mechanism for early deployment and implementation. Public hospitals in pilot cities at or above the county level (level 2) should all carry out comprehensive reform.
3. Strengthen supervision and inspection and steadily proceed with the public hospital reform work
Regions at various levels should carefully carry out surveys at the grassroots level to provide baseline data for future evaluation work, strengthen pilot reform monitoring, regularly collect and report related data, study and resolve problems and difficulties in the process of reform, and continuously sum up experiences to improve policies and measures. Pilot cities should make timely reports on significant progress and important experience, as well as major situations and problems to the National Health and Family Planning Commission and other departments. The cities should also strengthen pilot reform supervision and evaluation. Pilot cities that fail to deliver comprehensive reform will be disqualified and must return subsidy funds from the central government.
4. Properly conduct publicity and training work, and create a good social environment of public hospital reform
The cities will strengthen policy interpretation, provide training for relevant management personnel and heads of pilot hospitals, strengthen policy understanding, and improve management to push ahead reform. The pilot cities will actively publicize and explain reform content and guide public opinion. They will also promote public hospital reform policy; important deployments; and new measures, progress and achievements made in pilot cities across the country. Pilot cities will strengthen public opinion surveillance; answer public questions in time; guide social expectations; and help the public learn, understand, support and participate in the reform.
Pilot cities should formulate implantation plans in short order, carry out the implantation plans after being approved by the provincial leading group of office of the health care reform. They should also report the plan to the National Health and Family Planning Commission on record.
To strengthen communication between central and local governments, please feed back information on government leaders at provincial or municipal levels in charge of local public hospital reform, as well as head or liaison officials from relevant provincial or municipal departments to the National Health and Family Planning Commission before May 30.
National Health and Family Planning Commission
Ministry of Finance
State Council Leading Group Office of the Health Care System
April 28, 2014
List of the second batch of pilot cities for public hospital reform
Eastern China (five cities)
Central China (five cities)
Western China (seven cities)
Yinchuan, Ningxia Hui autonomous region
Karamay, Xinjiang Uygur autonomous region
Liuzhou, Guangxi Zhuang autonomous region
Erdos, Inner Mongolia autonomous region