國家(jia)發(fa)(fa)改委(wei)7月1日(ri)消(xiao)息，國家(jia)發(fa)(fa)改委(wei)、國家(jia)衛健(jian)委(wei)等(deng)四部門日(ri)前聯合(he)印發(fa)(fa)《“十四五”優質高(gao)效醫(yi)(yi)療衛生(sheng)服(fu)(fu)務體(ti)(ti)系(xi)建設實施方(fang)(fang)案(an)(an)》。《方(fang)(fang)案(an)(an)》提出，到2025年，在(zai)中(zhong)央(yang)和地方(fang)(fang)共同(tong)努力(li)下，基本建成體(ti)(ti)系(xi)完整(zheng)、布局合(he)理、分工明確、功能互補、密切協(xie)作(zuo)、運行高(gao)效、富有韌性(xing)的優質高(gao)效整(zheng)合(he)型醫(yi)(yi)療衛生(sheng)服(fu)(fu)務體(ti)(ti)系(xi)，重大疫情防控(kong)救治和突發(fa)(fa)公共衛生(sheng)事件應對水(shui)平(ping)顯著提升，國家(jia)醫(yi)(yi)學(xue)中(zhong)心(xin)、區域醫(yi)(yi)療中(zhong)心(xin)等(deng)重大基地建設取得明顯進展，全(quan)方(fang)(fang)位全(quan)周期健(jian)康服(fu)(fu)務與(yu)保(bao)障能力(li)顯著增強，中(zhong)醫(yi)(yi)藥服(fu)(fu)務體(ti)(ti)系(xi)更加(jia)健(jian)全(quan)，努力(li)讓廣大人民群眾(zhong)就近享有公平(ping)可及(ji)、系(xi)統連續的高(gao)質量醫(yi)(yi)療衛生(sheng)服(fu)(fu)務。

　　《方案(an)》指(zhi)出，中(zhong)央預算內投資重(zhong)點支持疾(ji)病(bing)(bing)(bing)預防(fang)控制體(ti)(ti)系(xi)(xi)、國(guo)家重(zhong)大傳染病(bing)(bing)(bing)防(fang)治(zhi)基(ji)(ji)地(di)和(he)(he)國(guo)家緊急(ji)醫學救援(yuan)基(ji)(ji)地(di)建(jian)設(she)(she)，推(tui)動地(di)方加強(qiang)本地(di)疾(ji)病(bing)(bing)(bing)預防(fang)控制機(ji)(ji)(ji)(ji)(ji)構(gou)能(neng)力、醫療機(ji)(ji)(ji)(ji)(ji)構(gou)公(gong)(gong)(gong)(gong)共(gong)(gong)衛(wei)生(sheng)(sheng)能(neng)力、基(ji)(ji)層公(gong)(gong)(gong)(gong)共(gong)(gong)衛(wei)生(sheng)(sheng)體(ti)(ti)系(xi)(xi)和(he)(he)衛(wei)生(sheng)(sheng)監(jian)督體(ti)(ti)系(xi)(xi)建(jian)設(she)(she)，健全以疾(ji)控機(ji)(ji)(ji)(ji)(ji)構(gou)和(he)(he)各(ge)(ge)類專(zhuan)科疾(ji)病(bing)(bing)(bing)防(fang)治(zhi)機(ji)(ji)(ji)(ji)(ji)構(gou)為(wei)骨干、綜合(he)性醫療機(ji)(ji)(ji)(ji)(ji)構(gou)為(wei)依(yi)托、基(ji)(ji)層醫療衛(wei)生(sheng)(sheng)機(ji)(ji)(ji)(ji)(ji)構(gou)為(wei)網底、防(fang)治(zhi)結合(he)的強(qiang)大公(gong)(gong)(gong)(gong)共(gong)(gong)衛(wei)生(sheng)(sheng)體(ti)(ti)系(xi)(xi)。要(yao)加快推(tui)進疾(ji)病(bing)(bing)(bing)預防(fang)控制機(ji)(ji)(ji)(ji)(ji)構(gou)基(ji)(ji)礎設(she)(she)施達(da)標(biao)建(jian)設(she)(she)，與區域內各(ge)(ge)級各(ge)(ge)類醫療機(ji)(ji)(ji)(ji)(ji)構(gou)互(hu)聯互(hu)通，滿足(zu)新形勢下(xia)突發(fa)公(gong)(gong)(gong)(gong)共(gong)(gong)衛(wei)生(sheng)(sheng)事(shi)件(jian)(jian)應對和(he)(he)重(zhong)大疾(ji)病(bing)(bing)(bing)防(fang)控需要(yao)。國(guo)家和(he)(he)重(zhong)點區域疾(ji)病(bing)(bing)(bing)預防(fang)控制機(ji)(ji)(ji)(ji)(ji)構(gou)具備新發(fa)傳染病(bing)(bing)(bing)病(bing)(bing)(bing)原體(ti)(ti)、健康危害因素(su)“一錘定(ding)音”檢測能(neng)力和(he)(he)重(zhong)特大公(gong)(gong)(gong)(gong)共(gong)(gong)衛(wei)生(sheng)(sheng)事(shi)件(jian)(jian)處置能(neng)力。

　　《方案(an)》指出(chu)(chu)，中(zhong)央預(yu)算內(nei)投資重點支持改善(shan)婦女兒童健(jian)康(kang)服(fu)(fu)務基(ji)礎設施條件，提(ti)高出(chu)(chu)生缺陷防治、心理健(jian)康(kang)和精(jing)神(shen)衛生服(fu)(fu)務能(neng)(neng)力(li)，增加(jia)(jia)康(kang)復(fu)、護理資源。地方政府(fu)要聚焦重點人群健(jian)康(kang)需(xu)求，加(jia)(jia)快完善(shan)婦幼健(jian)康(kang)、職業健(jian)康(kang)、老年(nian)(nian)健(jian)康(kang)、心理健(jian)康(kang)和精(jing)神(shen)衛生服(fu)(fu)務體(ti)系，補(bu)齊(qi)健(jian)康(kang)教育、康(kang)復(fu)醫療、老年(nian)(nian)長期(qi)照護和安寧療護等領域短板，加(jia)(jia)快完善(shan)支持政策包并加(jia)(jia)快建設普惠托(tuo)育服(fu)(fu)務體(ti)系，全面提(ti)高全方位全生命周期(qi)健(jian)康(kang)服(fu)(fu)務能(neng)(neng)力(li)。

　　《方案》強調，建(jian)(jian)設(she)30個左右國(guo)家中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥傳(chuan)承創新(xin)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)，重(zhong)點提(ti)升(sheng)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥基(ji)礎(chu)研究、優(you)(you)勢病(bing)種診(zhen)(zhen)(zhen)療(liao)(liao)、高層次人(ren)才(cai)培(pei)(pei)養、中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥裝備和中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥新(xin)藥研發(fa)(fa)、科(ke)技成(cheng)果(guo)轉化(hua)等能(neng)力，打造“醫(yi)(yi)(yi)(yi)(yi)產(chan)學研用(yong)(yong)”緊密結(jie)(jie)合(he)的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥傳(chuan)承創新(xin)高地(di)(di)。根據“平急(ji)結(jie)(jie)合(he)、高效準備，專兼(jian)結(jie)(jie)合(he)、合(he)理布局，協(xie)(xie)調聯動(dong)(dong)(dong)、快速(su)反(fan)應(ying)(ying)”的(de)(de)原則，建(jian)(jian)設(she)35個左右、覆蓋所有(you)(you)省(sheng)份的(de)(de)國(guo)家中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)疫病(bing)防治基(ji)地(di)(di)，提(ti)高中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)藥在新(xin)發(fa)(fa)突(tu)發(fa)(fa)傳(chuan)染病(bing)等重(zhong)大公(gong)共(gong)衛生事(shi)件(jian)發(fa)(fa)生時(shi)的(de)(de)第(di)一(yi)(yi)時(shi)間快速(su)反(fan)應(ying)(ying)參與救治能(neng)力和危急(ji)重(zhong)癥患者集中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)收治能(neng)力，帶動(dong)(dong)(dong)提(ti)升(sheng)區域內(nei)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)疫病(bing)防治能(neng)力。建(jian)(jian)設(she)50個左右中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)協(xie)(xie)同“旗艦(jian)”醫(yi)(yi)(yi)(yi)(yi)院(yuan)，大力推廣(guang)“有(you)(you)機制、有(you)(you)團隊、有(you)(you)措施、有(you)(you)成(cheng)效”的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)結(jie)(jie)合(he)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)模式。強化(hua)臨床(chuang)科(ke)室中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)能(neng)力建(jian)(jian)設(she)，建(jian)(jian)立(li)(li)科(ke)室間、院(yuan)間和醫(yi)(yi)(yi)(yi)(yi)聯體(ti)內(nei)部中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)協(xie)(xie)作機制，打造中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)結(jie)(jie)合(he)團隊，推動(dong)(dong)(dong)建(jian)(jian)立(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)多學科(ke)診(zhen)(zhen)(zhen)療(liao)(liao)體(ti)系，成(cheng)為全(quan)國(guo)重(zhong)大疑難疾(ji)病(bing)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)結(jie)(jie)合(he)診(zhen)(zhen)(zhen)療(liao)(liao)、人(ren)才(cai)隊伍培(pei)(pei)養和醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)模式推廣(guang)的(de)(de)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)心(xin)，在區域內(nei)乃至全(quan)國(guo)發(fa)(fa)揮中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)西醫(yi)(yi)(yi)(yi)(yi)協(xie)(xie)同發(fa)(fa)展(zhan)“旗艦(jian)”引領(ling)作用(yong)(yong)。遴(lin)選130個左右中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)特色突(tu)出、臨床(chuang)療(liao)(liao)效顯(xian)(xian)著、示范帶動(dong)(dong)(dong)作用(yong)(yong)明(ming)顯(xian)(xian)的(de)(de)地(di)(di)市(shi)級重(zhong)點中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)院(yuan)，圍(wei)繞心(xin)腦血管、腫(zhong)瘤、骨傷、婦科(ke)、兒科(ke)、康復等優(you)(you)勢病(bing)種，打造名(ming)科(ke)、名(ming)醫(yi)(yi)(yi)(yi)(yi)、名(ming)藥，做(zuo)優(you)(you)做(zuo)強一(yi)(yi)批(pi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)優(you)(you)勢專科(ke)，培(pei)(pei)養一(yi)(yi)批(pi)學科(ke)帶頭人(ren)和骨干人(ren)才(cai)，推動(dong)(dong)(dong)一(yi)(yi)批(pi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)藥制劑開發(fa)(fa)應(ying)(ying)用(yong)(yong)，加(jia)快省(sheng)域內(nei)優(you)(you)質中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)(yi)醫(yi)(yi)(yi)(yi)(yi)療(liao)(liao)資(zi)源擴(kuo)容和均衡布局。