中共中央、国务院关于卫生改革与发展的决定 DECISION OF THE CENTRAL COMMITTEE OF THE COMMUNIST PARTY OF CHINA AND THE STATE

f “two lines of revenue and expenditure”。 Normal expenditure of medical institutions shall be partially compensated by providing services. The government shall give a certain percentage of subsidy in respect of personnel expenses in accordance with the different circumstances of the medical institutions and the missions undertaken by them， and necessary subsidy will be given for the development of major disciplines. The level of sub

sidy for rural and township health centers and public Health institutions in poverty-stricken areas shall be appropriately raised.

　　The Central Government shall continue to retain and gradually increase special-purpose funds for such major fields as rural public health， preventive health care and traditional Chinese medicine and pharmacology； local governments should also increase input correspondingly.

　　（33）Adopt diverse forms and multi-channels in public health fund-raising. The State formulates preferential policies to encourage voluntary donation by enterprises and institutions， social groups and individuals in support of the cause of public health. Foundations shall be set up to render medical assistance to critical and emergency patients incapable of making the payment.

　　A certain amount of funds unifiedly raised by xiang shall be used for the purposes of rural public health， a certain amount of funds withdrawn and retained by the village shall be used for cooperative medical service， revenue of rural and township enterprises and other rural collective economic units should also support rural public health work and cooperative medical service. Specific measures for fund-raising and its percentage shall be determined by Local governments or collective economic organizations. Cooperative medical service fees paid voluntarily by peasants belong to the category of expenditure of personal consumption and shall not be calculated as part of funds unifiedly raised by xiang and withdrawn and retained by the village.

　　All localities may expand other channels of fund-raising in the light of local conditions. Foreign friend ship associations and friendly personages shall be welcome to support the cause of public health of our country.

　　（34）Perfect government's price control of health services. Different pricing principles should be followed differentiating the nature of health services. The rate of basic medical service shall be determined on the basis of cost upon deduction of regular financial subsidy. The rate of non-basic medical service shall be slightly higher than cost. The rate of specialized services for voluntary selection shall be liberalized. There should be an appropriate difference in the rate to be charged by medical institutions of different grades to guide rational diversion of patients. At present， items for technical service charges should be added and their rates raised， rates of over charge for items of examination and treatment with major equipment should be reduced. Price regulatory mechanism of health services adapting to changes in prices and system of effective control and supervision should be established. Price control authority of health services shall be appropriately decentralized. Government at all levels should incorporate health service price reform into plan， implement it in steps and strive to resolve the question of existing irrational price of health service in two to three years.

　　（35）Public health institutions should strengthen financial management and run public health service frugally. Rules and regulations for financial management should be perfected， accounting should be improved， distribution system of labor income should be improved， financial actions should be standardized， quality of financial and accounting personnel shall be upgraded so as to continuously improve the performance of public health funds. Auditing and financial supervision should be stepped up.

　　IX. STRENGTHEN IN REAL EARNEST PARTY AND GOVERNMENT LEADERSHIP OVER PUBLIC HEALTH WORK

　　（36）Party and government leadership is the basic guarantee for the development of the cause of public health. Hygiene， health， birth， aging， sickness and death involve the practical interests of every household and individual. Party committees and governments at all levels should put public health work on the agenda as an important issue and tackle it as a major issue of

care for the diseases and sufferings of the masses， of closer relationship between the Party and the masses， of promoting economic and social development and discussion of the same should be held at least once or twice every year. Public health reform and development should be listed in the overall plan for national economic and social development and carried out synchronously， and practical steps taken to resolve practical difficulties and problems in public health work and efforts are made to create necessary conditions for public health reform and development. All departments concerned should seriously fulfil their responsibilities， closely cooperate with one another and jointly do a good job of public health work.

　　Strengthen Party building. Bring into full play the role of basic Party organizations as the political core and the pioneering and model role of Communist Party members and do a good job of purpose-oriented ideological and political work among the ranks of public health workers. Leading cadres who are Communist Party members should forge close links with the masses， set an example and be honest and clean in performing official duties.

　　（37）Public health work shall practise the responsibility system and administration according to different levels and powers of the Central Government and the localities should be rationally divided. The Central Government which provides leadership for national public health work， is mainly responsible for the formulation of public health regulations， policies and the national plan for the cause of public health， provides guidance and coordination for the resolution of major national or intra_provincial， intra-regional public health problems， and help the local governments develop the cause of public health by employing various means. Local governments at all levels shall be fully responsible for the public health work in their respective regions， and it shall be an important content in the evaluation of the target responsibility system and the political achievements of leading cadres during their term of office. Governments at all levels shall regularly report to the people's congresses of the corresponding level on public health reform and development， and accept the latter's supervision and guidance. （38）Push ahead public health legislation. Accelerate the pace of public health legislation. Perfect public health laws and regulations with supervision and administration of health-related products， public health institutions and specialized personnel as main contents and establish and perfect all types of matching public health standards. Strengthen publicity and education of public health legislation to enhance the sense of legality of citizens about public health.

　　Governments at all levels shall intensify the function of public health administration and law enforcement， reform and perfect public health law enforcement supervision system， adjust and strengthen law enforcement and supervision forces and continuously improve the quality of law enforcement and supervision forces so as to ensure justice in law enforcement. Strive to improve the conditions for law enforcement and supervision and the technical means， and upgrade technical arbitration capabilities. All illegal acts shall be firmly dealt with and penalties and punishments meted out.

　　（39）Party committees and governments at all levels should care for and protect the ranks of public health workers， raise their social position， improve their working， learning and living conditions， resolve their practical questions of salary and housing satisfactorily to fully motivate their enthusiasm.

　　Care should be shown politically for the growth and maturity of young and middle-aged public health workers. Young and middle-aged public health workers with ability and moral integrity， administrative and leading talents and skills should be selected to take up leading positions at different lev

els. In the meantime， attention should be paid to let senior public health workers play their role.

　　Efforts should be made to bring about the social atmosphere of respect for medical science and respect for public health workers in the whole society， good doctor-patient relations should be established， and legitimate rights and interests of medical service personnel and patients shall be protected in accordance with law.

　　（40）Public health work of the Chinese People's Liberation Army and the Chinese People's Armed Police Force shoulders the special mission for the protection and promotion of the physical health of all the officers and men， for ensuring national defense building and successful fulfillment of military missions. It also has the glorious tradition of serving the people and supporting local public health work. Leadership should be strengthened to ensure the implementation of various public health missions and national public health laws.

　　All regions and all departments shall， in accordance with the spirit of this Decision and in the light of their respective actual conditions， work out plans and measures for deepening public health reform and accelerating public health development and go all out for their implementation so as to continuously raise the health level of people of all nationalities of our country

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