Notice on the implementation of the 2025 Health system to serve the people practical project

National Health Office Letter (2025) 25

Provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health Commission, Bureau of Traditional Chinese Medicine, disease control bureau, National Health Commission, State Bureau of Traditional Chinese Medicine, State Bureau of Disease Control departments and directly under and affiliated units:

In order to thoroughly implement the spirit of the Third Plenary Session of the 20th Central Committee of the Party and the Central Economic Work Conference, further improve and enhance the level of health services, and better solve the health problems of the masses, the National Health Commission decided to organize and implement a number of practical projects for the people in the national health system in 2025. The relevant matters are hereby notified as follows:

一、General requirements

 In 2025, we will do eight things to serve the people's health, so that the people have more sense of gain and happiness.

二、Eight facts and measures

（一）Second - and third-level public general hospitals throughout the country provide pediatric services.

1.Expand the supply of paediatric services. The provincial health administrative departments should comprehensively sort out the list of second - and third-level public general hospitals that have not yet provided pediatric services within their jurisdiction, urge and guide them to set up pediatrics and equip them with corresponding facilities and equipment in accordance with the relevant requirements of the "Regulations on the Management of Medical Institutions" and its implementation rules, and the basic standards of medical institutions. According to the layout of pediatric medical resources in the hospital, the specialty basis of the hospital and the medical needs of children, orderly planning of pediatric outpatient emergency and ward. During the promotion of pediatric Settings, it is necessary to send staff to the lead hospital of the medical union, support the counterpart hospital, and carry out telemedicine services to help the hospitals that have not yet completed the pediatric Settings provide pediatric services no later than the end of November.

2.Strengthen the capacity of pediatric services. The provincial health administration departments shall urge and guide the second and third-level public general hospitals within their jurisdiction to strengthen the staffing of pediatricians and nurses. According to the medical needs of children patients in the jurisdiction, and with reference to the implementation plan of job transfer training for pediatricians, we actively carry out job transfer training for pediatricians in general practice and internal medicine and other professional physicians in various medical institutions at all levels, and increase the scope of pediatric practice and take up service according to regulations for qualified and qualified physicians. It is necessary to stabilize and expand the pediatric medical staff through the reform of the salary distribution mechanism.

3.Improving paediatric health services. Hospitals should optimize the layout of pediatric facilities, combine the characteristics of pediatric medical services, further optimize the medical treatment process, use information technology and guidance to improve the facilitation, comfort and wisdom of pediatric services, and improve medical experience.

（二）At least one hospital in each city provides psychological outpatient and sleep outpatient services; Promote the application of the national unified psychological assistance hotline 12356; More than 5,000 national, provincial and municipal expert lectures on mental health have been held nationwide.

4.Provide quality outpatient services. The provincial health administrative departments shall, together with the competent departments of traditional Chinese medicine and disease control, urge and guide the public psychiatric hospitals at or above the second level to set up psychological clinics and sleep clinics in accordance with the relevant provisions of the Basic Standards for Clinical Psychological Clinics of Medical Institutions (Trial). Other general hospitals, traditional Chinese medicine hospitals, children's hospitals, maternal and child health hospitals and specialized hospitals should create conditions to set up psychological clinics and sleep clinics. By the end of November, there will be at least one hospital in each prefecture-level city, and at least one hospital in a district or county directly under the central government to provide psychological outpatient and sleep outpatient services. Further increase the work of psychiatrists transfer training, rational allocation of psychological outpatient, sleep outpatient personnel. Psychological counseling personnel in medical institutions should be enriched and management should be strengthened to meet service needs and ensure service quality.

5.Promote the application of "12356". The provincial health administrative departments should actively coordinate the relevant departments, and the existing psychological assistance hotline number of the health administrative department in the jurisdiction should be uniformly adjusted to "12356", and the function of dialing the "12356" telephone number to connect the psychological assistance hotline should be realized before 0:00 on May 1. In principle, psychological assistance hotlines should be opened in cities divided into districts, and at least two seats should be set up in each psychological assistance hotline, equipped with professionally trained counselors to provide psychological counseling, psychological counseling, psychological crisis intervention and other services. All localities should increase the number of seats in a timely manner according to needs, continue to strengthen personnel training, and improve the reception rate and service quality.

6.Lectures on mental health. Health administrative departments at all levels should concentrate high-quality resources and strengthen the popularization of mental health knowledge. Select mental health and mental health experts with strong professional ability and rich experience in preaching, set up national, provincial and municipal expert Tours, and hold mental health knowledge lectures "into organs, schools and enterprises". In principle, in 2025, the provincial, prefectural and municipal expert tour will not be less than 10 lectures, and the second-level or above psychiatric hospitals and the large and strong general hospitals with psychiatric departments will not be less than 5 each year.

（三）There are more than 200 items for mutual recognition of inspection results among local medical institutions.

7.We will steadily advance mutual recognition of results. The provincial health administrative departments, together with the competent departments of traditional Chinese medicine and disease control, shall urge and guide the cities and municipalities to formulate and issue the list of mutual recognition of inspection and inspection results in their respective jurisdictions, the list of medical institutions and the "negative" list, and achieve more than 200 mutual recognition projects within the cities and cities by the end of November. Strengthen the quality control work of clinical testing, radiography, nuclear medicine and other related professional specialties, achieve full coverage of national, provincial and municipal quality control centers, expand the coverage of inter-laboratory quality assessment, and promote the extension of quality control work to counties (districts). Promote the service model of "distributed examination and centralized diagnosis", on the basis of realizing the homogenization of examination and inspection management within the compact medical union, orderly expand the scope of mutual recognition institutions and regions, and gradually realize the mutual recognition within the city. Establish a mutual recognition statistical analysis and result feedback mechanism, for the number of mutual recognition projects, mutual recognition proportion is significantly lower than the average level, to find the cause, urge improvement.

8.Actively explain and communicate. All localities should strengthen publicity and guidance, enhance public understanding and support for mutual recognition, actively promote mutual recognition, and fully respect the decision-making power of doctors. Secondary and above medical institutions should actively carry out physician training, guide the receiving doctors according to the actual needs of diagnosis and treatment, due to the patient's physiological metabolism, disease development, etc. can not recognize each other, need to re-examine the situation, patience and meticulous explanation and communication, and actively strive for the understanding and support of patients.

（四）The number of child care places for children under the age of three reached 4.5 per 1,000 people, and 660,000 new inclusive child care places were provided nationwide.

9.We will increase the supply of seats through multiple channels. The provincial health administration departments shall, together with relevant departments, actively promote the construction of comprehensive service centers and universal care service institutions above the county level. Support kindergartens to set up nursery classes, enroll infants under the age of 3, and make records and business guidance in accordance with relevant regulations. Coordinate the use of existing facilities, places and other street and community public service resources to build childcare service facilities, and develop community embedded childcare. Employers with large scale and greater demand should create conditions to provide childcare services. All localities should strengthen the guidance and supervision of places with tight supply and demand, and in principle, the planning goals should be achieved by the end of November.

10.Multiple ways to improve inclusiveness. The provincial health administrative departments shall, together with the relevant departments, formulate the standards for the identification of public and social health care service agencies, and the health administrative departments at the county level and above shall organize the identification according to the standards. It is necessary to take into account local income levels, market supply and demand conditions, the nature of institutions, service types and other factors, and reasonably determine the benchmark fee standard and floating range. We will strictly implement the relevant provisions on water, electricity, gas and heat used by childcare service institutions in accordance with the prices of residents' daily life. We will improve policies on land, housing, finance, and human resources, and encourage local governments to support universal childcare service agencies. Each province should submit the annual PRatt number development goals and progress arrangements to the Commission before April 10.

（五）Cancel the outpatient advance payment, and reduce the amount of advance payment for medical insurance patients to the average level of individual out-of-pocket payment for the same disease.

11.Standardize the management of advance payments. In principle, no later than the end of March, public medical institutions will stop collecting outpatient advance payment, and continue to liquidate and refund the existing outpatient advance payment. According to the inpatient's disease diagnosis, treatment method, settlement type and other factors, public hospitals should reasonably determine the amount of hospitalization advance payment (commonly known as hospitalization deposit) by referring to the actual average hospitalization cost and personal out-of-pocket cost of the same disease in the previous three years, so that the amount of hospitalization advance payment of medical insurance patients should be reduced to the average level of personal out-of-pocket payment for the same disease and the same protection category no later than the end of June. Medical institutions should disclose the amount of hospitalization advance payment for common diseases through the official website, medical mini program, electronic screen and other ways to let the masses know. For individual medical institutions that need to postpone execution under special circumstances, they shall report to the territorial health administrative department and specify the execution time.

12.Improve the convenience and efficiency of settlement. Public medical institutions should continue to improve their internal work processes, actively explore and promote convenience measures such as "one visit, one payment" and "consultation room settlement", and optimize the outpatient charging process. Vigorously promote "one-stop settlement", "bedside settlement" and "online settlement" and other hospital settlement facilitation measures, in principle, to complete the settlement of hospitalization costs within 3 working days after the patient is discharged, and gradually achieve settlement within 24 hours.

（六）Hemodialysis services are available in any county with a permanent population of more than 100,000.

13.We will strengthen the supply of hemodialysis services. The provincial health administrative departments shall, together with the competent departments of traditional Chinese medicine, comprehensively sort out the counties within the jurisdiction with a permanent population of more than 100,000 and cannot provide hemodialysis services within the county, as well as the counties with outdated and insufficient hemodialysis facilities that cannot meet the needs of patients. For hospitals in the county can not provide hemodialysis services, the county level and above health administrative departments, Chinese medicine authorities should take into account the number of dialysis patients in the county and medical service capacity, according to the "Basic standards for hemodialysis rooms in medical institutions (Trial)", determine a hospital to set up hemodialysis rooms, hemodialysis machines and other related medical equipment and professional and technical personnel. Hemodialysis services will be launched no later than the end of November. For facilities and equipment that cannot meet the needs of patients, they should be added and updated in a timely manner.

14.Standardize the provision of dialysis services. The provincial health administrative departments shall, together with the competent departments of traditional Chinese medicine, combine urban medical resources with the work of sinking county-level hospitals and matching assistance to third-level hospitals, guide the matching support hospitals to carry out technical and management assistance to counties with weak hemodialysis service capacity, and guide the county-level hospitals to select relevant professionals to the matching support hospitals for further training. Ensure that county hospitals have the capacity to provide hemodialysis services as soon as possible. Quality control centers at all levels should further strengthen the quality management and control of hemodialysis, and strengthen targeted guidance and norms for county-level hospitals that have newly opened hemodialysis rooms. County-level hospitals should continue to improve rules and regulations, establish a sound quality management system, formulate hospital infection control and disinfection isolation systems, and strictly implement the requirements to ensure the quality of hemodialysis and medical safety.

（七）Promote the "blood fee reduction and exemption will not run once", and facilitate blood donors to apply for blood fee reduction and exemption in different places.

15.Provide convenient relief service. All localities should rely on the wechat "National Electronic Unpaid Blood Donation Card" mini-program to implement the online work of cross-province and cross-place blood fee reduction and remission. On this basis, promote the "blood fee reduction and not run" service to cover all blood stations in the country, and have established a mature blood fee reduction and information platform, and do a good job of docking with the national cross-provincial and cross-place blood fee reduction and reduction platform; Where there is no relevant information means, give full play to the backstop role of the national cross-province and cross-country blood fee reduction and remission platform, effectively shorten the time limit for acceptance and reimbursement, so that blood donors can obtain convenient blood fee reduction and remission services.

16.We will do a good job in ensuring service. All localities should make use of official websites, wechat public accounts, Weibo and other channels to widely publicize the blood fee reduction policy and online handling process, and provide relevant consultation and question answering channels for blood donors. For the questions and suggestions raised by blood donors, feedback should be handled in a timely manner, and the level of unpaid blood donation service should be continuously improved.

（八）The NHC held more than 20 health knowledge conferences on "Seasonal Solar Terms and Health" to promote health knowledge into thousands of people.

17.Plan and hold a press conference. According to the characteristics of the 24 solar terms and their impact on People's Daily life, the National Health and Health Commission organized more than 20 "Seasonal solar terms and health" health knowledge conferences held by experts in various fields such as traditional Chinese medicine, Western medicine, disease control and food nutrition, sports and fitness, mental health, chronic diseases, and infectious disease prevention and treatment around the epidemic characteristics of diseases during different seasonal solar terms and the health issues concerned by the masses.

18.We will intensify efforts to popularize science in health. The NHC coordinated the implementation of the three-year campaign (2024-2027) to improve people's health literacy, increase the supply of high-quality health science products, and standardize the release and dissemination of health science information. All localities should hold health knowledge conferences in light of the actual situation, organize authoritative experts to create high-quality popular science works and increase publicity and promotion. Medical and health institutions at all levels and of all types should integrate science popularization with diagnosis, treatment and rehabilitation, and disseminate health knowledge to the public through various forms and channels such as health education prescriptions, free consultation, health lectures, new media, publicity columns and books.

三、Organization and implementation

（一）Layer compaction job responsibility. The implementation of the eight health services for the people in 2025 is a public commitment made by the health system to the people of the country, and must be fulfilled to the letter. The main heads of health, traditional Chinese medicine, and disease control departments at all levels are the first responsible people in the region to promote the implementation of the eight facts, and it is necessary to clarify the responsible leadership, responsible departments and specific responsible persons for each of the facts, specify the division of tasks, and carefully deploy and implement. It is necessary to strengthen regular scheduling, concentrate on overcoming difficulties, and ensure that every practical thing is effective and achieves the expected goals.

（二）We will improve support measures. Health, traditional Chinese medicine, disease control and prevention departments at all levels should make good use of central and local policies, funds, projects, projects and other resources, unified planning and overall promotion. It is necessary to take the initiative to connect with relevant departments and actively strive for more favorable support policies and guarantee resources. Deepen the potential exploitation of internal resources in the system, and fully mobilize the enthusiasm and initiative of staff by improving the internal incentive mechanism, optimizing the allocation of resources, and implementing technical paths. Implement the requirements for reducing the burden at the grass-roots level, strengthen the capacity building of health information, make full use of technical means to enable practical management, and improve the convenience and effectiveness of services.

（三）Establish a monitoring and evaluation mechanism. The relevant departments and bureaus of the National Health and Health Commission and local health administrative departments at all levels should make full use of existing monitoring resources and working mechanisms, strengthen work scheduling and guidance, strengthen process control and quality safety, timely study and solve problems encountered, pay close attention to the implementation of the work, and ensure that the task is completed on schedule. It is necessary to take the convenience, benefit and benefit of the people as the evaluation criteria, promptly discover and correct emerging problems, and do every practical thing well.

（四）Strengthen publicity, interpretation and promotion. Health, traditional Chinese medicine and disease control departments at all levels should actively give play to the publicity role of news media, official websites, new government media and other platforms, promptly summarize and promote the good experience and good practices emerging from various places, and play an exemplary and leading role. Through various forms such as holding press conferences, expert interviews, compiling graphic and video information, organizing media research and interviews, and publishing typical cases, we will strengthen the publicity and interpretation of the practical content of serving the people and reflect the progress of work, and enhance the confidence of both supply and demand.

（五）Strengthen overall planning, coordination and supervision. Health, traditional Chinese medicine, and disease control departments at all levels should implement the eight facts as an important starting point to strengthen the party style, change the style of work, and improve the style of work, and integrate them into the relevant theme education, patrol inspections, special audits, and work to reduce the burden for the grassroots to promote work efficiency. The main person in charge and the comrades in charge should take the lead in urging the implementation of the eight facts into the daily work, and the functional departments should find out the bottom number, grasp the progress, strengthen scheduling, and ensure that a qualified answer sheet is handed over to the people.

National Health Commission          State Administration of Traditional Chinese Medicine

National CDC

February 13, 2025