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SCIO briefing on promoting high-quality development: National Health Commission

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Speakers:

Mr. Lei Haichao, minister of the National Health Commission (NHC)

Mr. Wang Hesheng, vice minister of the NHC and administrator of the National Disease Control and Prevention Administration

Mr. Yu Xuejun, vice minister of the NHC

Ms. Yu Yanhong, a member of the leading Party members group of the NHC and commissioner of the National Administration of Traditional Chinese Medicine

Chairperson:

Ms. Xing Huina, deputy director general of the Press Bureau of the State Council Information Office (SCIO) and spokesperson of the SCIO

Date:

Sept. 12, 2024


Xing Huina:

Ladies and gentlemen, good morning. Welcome to this press conference hosted by the State Council Information Office (SCIO) as part of the series "Promoting High-Quality Development." Today, we have invited Mr. Lei Haichao, minister of the National Health Commission (NHC), to brief you on relevant developments and to answer your questions. Also present today are Mr. Wang Hesheng, vice minister of the NHC and administrator of the National Disease Control and Prevention Administration; Mr. Yu Xuejun, vice minister of the NHC; and Ms. Yu Yanhong, a member of the Leading Party Members Group of the NHC and commissioner of the National Administration of Traditional Chinese Medicine.

Now, I'll give the floor to Mr. Lei for his introduction. 

Lei Haichao:

Dear journalists, ladies and gentlemen, good morning. I am pleased to attend this press conference on high-quality development hosted by the SCIO. Today, major officials from the NHC, the National Administration of Traditional Chinese Medicine and the National Disease Control and Prevention Administration are all present. We are willing to discuss and share information about current work concerning health care, disease prevention and control, and traditional Chinese medicine, as well as to answer questions that you may find of interest. First, let me provide an overview of the basic situation and relevant circumstances in health care development.

Since the 18th National Congress of the Communist Party of China (CPC), the national health care system has adhered to the Party's guidelines for health care work in the new era, implemented the decisions and arrangements of the CPC Central Committee and the State Council, and promoted the high-quality development of health care. We have achieved a series of important accomplishments and positive progress.

First, we have adhered to prevention as the main priority, protecting the health of the people from the source. We have implemented the Healthy China Action Plan and patriotic health campaigns, and carried out a series of health knowledge promotional activities. Especially in recent years, the public's demand for health-related knowledge has been very urgent and diversified. The NHC has consistently and frequently released health-related knowledge, disseminating health information to promote good lifestyles and habits among residents and the public. In this regard, we have had positive interactions with the general public. Since this year, we have launched activities related to the 24 solar terms, specifically the "Seasons, Solar Terms and Health" thematic knowledge release, which has attracted significant public attention. This type of dissemination is also a way to promote brilliant traditional Chinese culture. Combining the changes in the solar terms, we explain to the public health-related knowledge according to time and location that they should pay attention to. That has been well received by the public. At the same time, we have vigorously carried out patriotic health campaigns. Here, I would like to share some data. We have now established 1,052 national healthy cities, counties and districts, and 2,637 national healthy towns. Thanks to the program implemented nationwide to promote equal access to basic public health services, the per-capita allowance for basic public health services has been increased from 15 yuan in 2009 to 94 yuan ($13.41) in 2024, with public finance playing an active driving role to ensure that. Meanwhile, through our monitoring, the health literacy of the population is gradually improving and some major risk factors for cardiovascular and cerebrovascular diseases, among other chronic diseases, have been further controlled.

Second, we have focused on the grassroots level to provide residents with convenient and accessible medical care services. Focusing on the grassroots is a requirement of the Party's health guidelines in the new era. The NHC resolutely implements the work guideline focusing on the grassroots, treating the immediate concerns of the people as a top priority to be implemented. Here, I would also like to share more with you. Over the years, through relentless efforts, we have promoted the expansion and decentralization of high-quality medical resources. We have now established national medical centers in 13 categories, which are not located in Beijing but are planned across the country. Additionally, we have established 125 national regional medical centers and promoted the construction of provincial regional medical centers, making the distribution and layout of medical resources more balanced and closer to the people. Moreover, we have organized and encouraged tertiary and secondary hospitals to provide assistance and support at the grassroots level. Yesterday afternoon, the NHC organized a national medical tour team to carry out this new form of service. This year, all 44 hospitals under the jurisdiction of the NHC will participate in the national medical tour, bringing high-quality and efficient services to the people in the central and western regions, especially those living in counties. At the same time, our national medical tour team will also help local areas improve their technical and management levels, extending the capabilities of our national team to the county level. According to our monitoring, 92% of county-level hospitals have now reached both the service capacity and the level of secondary hospitals or above. Additionally, our county-level medical institutions also vigorously assist and support township and countryside grassroots, such as township health centers and community health service centers, forming a virtuous interaction where higher-level medical institutions help lower-level.

Third, we have been committed to public welfare, deepening the coordinated reform and governance of health care, health insurance and pharmaceuticals. General Secretary Xi Jinping has made it clear that public welfare is the prominent feature of the health care industry. In collaboration with relevant departments, the NHC has been advancing and deepening medical reforms. Over the past decade, especially since the 18th CPC National Congress, we have historically eliminated the old operating mechanism of charging more for medicines and medical consumables to make up for low prices for medical services and have preliminarily established a new operating mechanism dominated by medical services. Public medical institutions' income has shifted from the original three channels to two: government financial subsidies and medical service fees. The old mechanism of relying on medicines and consumables to compensate for medical services no longer exists. Public welfare has been further strengthened, which has also greatly enhanced the role of public hospitals. In the process of advancing medical reforms, Sanming city in Fujian province has created many fresh experiences, which have been studied and promoted in many places across the country. Some practices from Sanming, Fujian, have also been elevated to national policies, ensuring good implementation and execution, as well as re-creation and re-innovation within health work.

Fourth, we have been committed to adjusting and improving the childbirth policy to promote balanced population growth in the long run. Based on the size, structure and trends of the population, we have worked to improve and adjust the childbirth policy from the perspective of promoting high-quality economic and social development. Since the 18th CPC National Congress, we have successively introduced adjustments to the childbirth policy, including the two-child policy for couples of which one partner is an only child, the universal two-child policy and the three-child policy, which have been welcomed by the public and also respond to the general environment and situation of the country's rapidly aging population. Additionally, we persist in optimizing and enhancing maternal and child health care services as well as improving the level of childbirth services. Currently, our indicators related to maternal and child health are among the leading in upper-middle-income countries.

Fifth, we remain committed to advancing the integration of science, technology, education and talent while nurturing and developing new quality productive forces. By the end of last year, China accounted for over 20% of new drugs under development globally. This marked a significant breakthrough, placing China second worldwide in new drug development. As of late last year, over 80,000 rural medical students, trained through government-funded programs, had graduated and gone on to work in township health centers and village clinics, ensuring a steady flow of skilled health care professionals to rural areas. Additionally, more than 500,000 medical graduates with bachelor's degrees or higher enter the workforce annually. This influx of new professionals provides strong momentum for the development of our health care system. I'd also like to share that, as of the end of 2023, China's health care system employed 15.23 million staff, including 12.48 million professional technical personnel, making our health care service the world's largest. This accomplishment reflects the positive results of 75 years of continuous effort since the founding of the People's Republic of China. Over the years, we've transitioned from merely following others to keeping pace and even leading in fields like artificial intelligence, surgical robots, medical imaging equipment, and life monitoring and emergency medical devices, achieving internationally advanced or leading standards.

Sixth, by upholding the principle of putting people and their lives first, we have achieved decisive victories in both health programs for poverty alleviation and the fight against COVID-19. We have remedied the shortfall in medical workers and institutions at the village and township level. This achievement has contributed significantly to our goal of building a moderately prosperous society in all respects. We have successfully ensured basic health care for all. As we continue with rural revitalization, we must maintain these standards and closely watch rural residents' health and medical needs. In response to the sudden outbreak of the COVID-19 pandemic, thanks to nationwide efforts, we managed to achieve what can only be described as a historic miracle — successfully navigating a pandemic in a country with such a large population. Remarkably, during the past few years of the pandemic, our life expectancy has continued to rise. According to the latest statistics, in 2023, China's average life expectancy reached 78.6 years, more than three years higher than in 2012. This growth rate is impressive, not only among developing countries but also when compared to high-income nations.

The third plenary session of the 20th CPC Central Committee outlined significant reforms in the health sector and proposed implementing a health-first strategy, elevating the importance of health care to a new level within the Party's overall framework. We must now actively make detailed plans to ensure its full implementation. Additionally, we remain committed to the ambitious goal of building a healthy China by 2035. This Healthy China Initiative aims to strengthen the foundation of public health, underpinning China's modernization and providing a powerful boost to the nation's development amid efforts to strengthen China's science and technology, education, and public health. Of course, many challenges and issues still need to be addressed, particularly the imbalances and inadequacies in health care development. These remain key areas of focus and goals for our future efforts.

That's all for my introduction. Next, my colleagues and I are ready to answer your questions. Thank you.

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