Core Insights - The National Medical Products Administration (NMPA) held a meeting to convey the spirit of the 20th Central Committee's Fourth Plenary Session, focusing on drug regulation reforms and safety measures [1] Group 1: Leadership and Governance - The meeting emphasized the importance of strengthening the leadership and construction of the Party, ensuring adherence to the "two establishments" and "two safeguards" [1] - It highlighted the need for consistent implementation of General Secretary Xi Jinping's directives on drug regulation and the Party's decision-making regarding drug supervision [1] Group 2: Drug Safety Regulation - There is a focus on enhancing the entire chain of drug safety regulation, improving the drug safety responsibility system, and establishing a risk consultation mechanism [1] - The NMPA aims to strengthen oversight in key areas and combat illegal activities to maintain drug safety and stability [1] Group 3: Regulatory Reforms - The NMPA plans to deepen drug regulation reforms by enhancing communication throughout the entire process of clinical trials, registration, inspection, and review [1] - Support for the development of innovative drugs and medical devices is a priority [1] Group 4: Collaborative Development - The meeting stressed the importance of promoting the coordinated development of the "three medicines" (medical insurance, medical services, and pharmaceuticals) [1] - Efforts will be made to optimize drug procurement and support the innovation and inheritance of traditional Chinese medicine [1]

Core Viewpoint - The key to enhancing the sense of health among the public lies in promoting the coordinated development and governance of the "three medicines" (medical services, medical insurance, and pharmaceuticals) [1] Group 1: Medical Services - The shift in focus from "disease-centered" to "health-centered" medical services is crucial for high-quality development in the health sector [2] - As of now, 338 cities in China have achieved mutual recognition of medical examination results, with over 200 items recognized [2] - The construction of tightly-knit urban medical groups and county-level medical communities is accelerating, with a projected 36 million two-way referrals by 2024, a 46% increase from 2020 [2] - There is still room for improvement in graded diagnosis and treatment, integration of medical and preventive care, and continuity of services [2] Group 2: Medical Insurance - China has established the world's largest medical insurance network, with annual fund expenditures nearing 3 trillion yuan [4] - The payment method has transitioned from "fee-for-service" to "disease-based payment," achieving a coverage rate of 95% for disease types [4] - By 2024, 96% of designated grassroots medical institutions will be included, and 97% of administrative villages will have access to medical insurance services [4] - A pilot program for disease-based payment for 57 types of traditional Chinese medicine (TCM) is set to launch [4] Group 3: Pharmaceuticals - The drug safety inspection pass rate has improved from 97.9% in 2017 to 99.4% in 2024, indicating a stable overall drug safety situation [6] - The number of new drugs under research in China has reached 1,250, accounting for about 30% of the global total [7] - In the first half of 2025, the total value of innovative drug licensing transactions reached 66 billion USD, establishing China as a significant source of global drug innovation [7] - The approval of new drugs and innovative medical devices has seen significant growth, with increases of 59% and 87% respectively [7]

Core Insights - The Hainan Boao Lecheng International Medical Tourism Pilot Zone is transitioning from a "policy testing ground" to an "industrial highland" with the establishment of the Hainan International Innovative Drug and Medical Device "Three Medical Collaboration" Trusted Data Space [1][4] Group 1: Development and Achievements - The Hainan International Innovative Drug and Medical Device Trusted Data Space has been approved as a national pilot for industry trusted data space innovation, making it the only pilot in the health sector nationwide [3] - Over the past decade, the Lecheng Pilot Zone has introduced more than 510 innovative drugs and medical devices globally, collaborating with over 180 companies from 20 countries [4] - The application of real-world data in drug and medical device registration has reduced the average domestic listing time for global innovative products by 1.5 years [4] Group 2: Future Plans and Goals - The Lecheng Pilot Zone aims to enhance the integrity and application value of real-world data by addressing technical and institutional challenges in medical data circulation [3][4] - The initiative will focus on creating a data-driven ecosystem that integrates drug and medical device research, medical services, and healthcare regulation [5] - The goal is to establish the trusted data space as an incubator for innovation in the healthcare industry, promoting cross-border clinical research and international telemedicine [5]

Core Viewpoint - The press conference highlighted the achievements in health and wellness during the "14th Five-Year Plan" period, emphasizing improvements in healthcare accessibility, quality, and the overall health of the population [1][3]. Group 1: Healthcare Infrastructure and Services - By the end of 2024, the total number of healthcare institutions in China is expected to reach 1.09 million, with over 90% of residents able to access medical services within 15 minutes [1]. - The healthcare workforce has expanded to 15.78 million by the end of last year, enhancing the quality of health services available to the public [1]. - The health literacy rate among residents increased from 23.2% in 2020 to 31.9% in 2024, reflecting a significant improvement in public health awareness [3]. Group 2: Medical Insurance and Support Policies - Basic medical insurance coverage remains stable at over 1.3 billion people, approximately 95% of the population, reducing the financial burden of medical expenses [4]. - A series of comprehensive policies have been implemented to support childbirth, including extended maternity leave and tax deductions for childcare expenses [4]. - By the end of last year, the number of childcare places reached 4.1 per thousand people, with over 80% of eligible individuals registering for the new childcare subsidy program [4]. Group 3: Focus on Elderly and Child Health - The health needs of the elderly and children are prioritized, with policies aimed at promoting healthy aging and supporting child health development [5]. - As of the end of 2024, there will be one national center for geriatric medicine and six clinical research centers for elderly diseases, with 84.6% of general hospitals having geriatrics departments [5]. - For children, three national pediatric centers and six regional centers have been established, with pediatric physician numbers increasing by 49.3% from 2020 to 2023 [7].

Core Insights - The "14th Five-Year Plan" period has seen significant achievements in health and wellness, with a total of 1.09 million medical institutions expected by the end of 2024, and over 90% of residents able to reach a medical service point within 15 minutes [1] - By the end of last year, the number of health service personnel reached 15.78 million, contributing to improved health services for the public [1] - The average life expectancy of Chinese residents reached 79 years by the end of last year, with an increase of 1.1 years from 2020 [1] Group 1: Strengthening Healthcare System - The health service capacity, accessibility, and equity have continuously improved during the "14th Five-Year Plan" period, with health literacy rising from 23.2% in 2020 to 31.9% in 2024 [2] - The establishment of the world's largest disease prevention and control system has been a key focus, emphasizing prevention [2] - The basic medical insurance coverage remains stable at around 95%, covering over 1.3 billion residents, significantly reducing the financial burden of medical expenses [2] Group 2: Support for Child and Elderly Health - The National Health Commission has implemented comprehensive policies to support childbirth and reduce the costs associated with raising children, including tax deductions for childcare expenses [3] - The number of childcare positions reached 4.1 per thousand population by the end of last year, with over 80% of eligible residents registering for childcare subsidies [3] - The health needs of the elderly and children are prioritized, with specific policies aimed at promoting healthy aging and children's health [4] Group 3: Elderly Health Services - By the end of 2024, there will be one national center for geriatric medicine and six clinical research centers for elderly diseases, with 84.6% of comprehensive hospitals having geriatrics departments [5] - The construction of age-friendly medical institutions has been promoted, with 94.4% of secondary and higher public hospitals establishing "green channels" for elderly patients [5] - Approximately 140 million health management services are provided annually for individuals aged 65 and above [6] Group 4: Pediatric Health Services - The establishment of three national children's medical centers and six regional medical centers for children aims to enhance pediatric service capabilities [7] - The number of pediatric practitioners increased by 49.3% from 2020, reaching 243,900, while the number of pediatric beds per thousand children rose by 13.3% to 2.47 [7]

Core Insights - China has established the world's largest disease prevention and control system and medical service system, significantly enhancing service capacity and quality [1][2] Group 1: Disease Prevention and Control System - China has built a comprehensive disease prevention and control system covering all levels from central to county, improving service and guarantee capabilities [1] - The country emphasizes a prevention-first approach, leading to a robust public health infrastructure [1] Group 2: Medical Service System - The medical service system in China is the largest globally, with improvements in service quality and efficiency [1] - Continuous efforts are made to balance medical resource distribution, with a focus on building national and provincial medical centers [1] - By the end of 2024, the total number of medical and health institutions in China is expected to reach 1.09 million, with over 90% of residents able to access medical services within 15 minutes [1] Group 3: Health Outcomes - By the end of 2024, the average life expectancy in China is projected to reach 79 years, with eight provinces exceeding 80 years [2] - There has been a continuous improvement in infant and maternal mortality rates, contributing to the overall enhancement of public health [2] Group 4: Healthcare Financing and Accessibility - Basic medical insurance coverage remains stable at over 1.3 billion residents, with a coverage rate of approximately 95%, reducing the financial burden of medical expenses [2] - Public health service funding has increased to an average of 99 RMB per person [2]

Core Viewpoint - The integration of data is essential for the collaborative development of the "Three Medicines" (medical care, medical insurance, and pharmaceuticals), and enhancing data quality and standards is crucial for effective data utilization in this sector [1][2][3]. Group 1: Data Quality and Standards - Experts emphasize that data is a key element in promoting the collaborative development of the "Three Medicines" [1]. - There is a need to strengthen data quality and establish comprehensive data standards for the "Three Medicines" to facilitate efficient data circulation and utilization [1][2]. - The China Information Communication Research Institute is actively involved in developing technical standards and policies to enhance data classification and privacy protection [1][2]. Group 2: Medical Insurance Data - The quality of medical insurance data is currently the best among the "Three Medicines," with initiatives like the National Smart Medical Insurance Competition promoting cross-regional data integration [2]. - Future efforts should focus on improving the data circulation system and regulatory mechanisms to enhance data quality from the source [2]. - The National Medical Insurance Bureau has mandated that by July 1, 2025, all tertiary hospitals must implement code-based settlements, which will significantly enhance data connectivity across the pharmaceutical supply chain [3]. Group 3: Digital Transformation in Traditional Medicine - The integration of digital technology into traditional Chinese medicine is being prioritized, with policies aimed at promoting "smart traditional Chinese medicine" [4]. - Companies are developing comprehensive models that combine medical technology, data, services, and research to enhance the digital capabilities of traditional medicine [4]. Group 4: Standardization Challenges - The lack of standardized medical data across various departments and regions is a significant challenge for the "Three Medicines" collaboration [5]. - There is a call for the establishment of a national medical terminology system and the promotion of international standards like ICD-11 and SNOMED CT in China [5]. - The focus should be on creating a supportive framework for data conversion while respecting the unique standards of each sector within the "Three Medicines" [5][6]. Group 5: Future Directions - The health sector is recognized as an early adopter of market-oriented data elements, with a commitment to advancing data sharing as a top priority [6]. - The "新华数字经济沙龙" series aims to foster high-level exchanges and discussions on digital economic development, focusing on innovative practices and addressing key issues in the digital economy [6].

Core Viewpoint - Beijing's healthcare reform, inspired by the Sanming model, has shown significant results, including a 12.8 percentage point increase in medical service revenue share and the adjustment of over 8,800 medical service prices [1][2]. Group 1: Efficient Coordination - The establishment of a strong leadership system for the coordinated development of healthcare, medical insurance, and pharmaceuticals ("three medicines") is a core experience from the Sanming reform [2]. - A unified management structure led by a senior city official ensures policy coordination, information sharing, and regulatory collaboration across all 16 districts in Beijing [2]. - A dynamic adjustment mechanism for medical service prices has been implemented, with nearly 400 items adjusted regularly and 134 new items added, leading to a significant increase in medical service revenue [2]. Group 2: Incentivizing Healthcare Personnel - Salary reform is a key aspect of the healthcare reform, aimed at motivating healthcare workers while maintaining the public nature of public hospitals [3]. - A performance-based salary management mechanism has been established, particularly supporting underdeveloped specialties like pediatrics, ensuring their salaries are at least 1.2 times the average salary of the institution [3]. - The focus on optimizing salary structures has resulted in fixed salaries constituting over 50% of total compensation for healthcare workers, providing them with stable income and enabling better patient service [3]. Group 3: Balanced Resource Allocation - Beijing is promoting balanced healthcare resource allocation through three main strategies: "decongestion, filling gaps, and medical alliances" [4]. - The city has successfully decongested over 2,700 hospital beds from central urban areas, with the number of hospital beds per thousand people in new urban areas increasing by approximately 14% since 2020 [4]. - Projects aimed at enhancing pediatric, mental health, traditional Chinese medicine, and infectious disease resources are underway to better match healthcare supply with public health needs [4].

Core Viewpoint - The article discusses Beijing's efforts to redistribute high-quality medical resources from central urban areas to achieve balanced healthcare access across the city, highlighting various initiatives and projects undertaken since the 14th Five-Year Plan began. Group 1: Government Initiatives - Beijing has established nine major projects, including the Anzhen Hospital Tongzhou Branch and the Friendship Hospital Shunyi Branch, resulting in the relocation of over 2,700 hospital beds from central urban areas [1] - The city has built 62 comprehensive medical alliances and 122 specialized medical alliances, covering over 600 and 200 medical institutions respectively, creating a comprehensive healthcare service network [1] Group 2: Community and Grassroots Efforts - The Beijing Tiantan Hospital has implemented a dual-direction referral mechanism, introducing experts from tertiary hospitals to community settings and establishing specialized departments for various health issues, managing 389 types of diseases [2] - Over the past three years, community healthcare institutions have seen an average annual treatment volume of nearly 20 million, with significant financial investment in health services [2] Group 3: Technological Innovations - The city has developed the "Jingtong" convenient service platform, enabling mutual recognition of medical test results across 152 hospitals, benefiting nearly 700,000 patients since January [3] - The establishment of regional medical imaging centers and AI cloud diagnosis platforms has facilitated over 30,000 remote image readings annually, showcasing the integration of technology in healthcare [3]

Core Viewpoint - Beijing has upgraded the "Sanming model" of medical reform to the "Beijing plan," focusing on a government-led approach, public investment, price and salary reforms, resource allocation, and information technology support [1][2][10] Group 1: Government-led Coordination - The Beijing government has established a centralized decision-making body for "three medical" coordination, with a unified leadership structure overseeing medical, insurance, and pharmaceutical sectors [2][3] - Monthly meetings are held to monitor key tasks in the "three medical" fields, enhancing policy coordination and regulatory collaboration [1][2] Group 2: Resource Allocation and Infrastructure - Beijing is addressing the uneven distribution of medical resources by promoting the relocation of quality medical services from central urban areas to suburban regions, with over 184 billion yuan invested in major projects [4][6] - The number of hospital beds per thousand people in suburban areas has increased by approximately 14% from 4.6 to 5.3 beds since 2020 [4] Group 3: Financial Support and Pricing Reforms - The government has committed over 60 billion yuan annually to public health services, with 25.6% of this funding directed towards grassroots healthcare institutions [6][7] - A dynamic pricing adjustment mechanism has been established, resulting in a 12.8 percentage point increase in medical service revenue share compared to pre-reform levels [7] Group 4: Strengthening Grassroots Healthcare - Beijing has implemented measures to enhance the capabilities of community health services, including increasing personnel and improving infrastructure, with over 23 billion yuan invested since 2023 [8][9] - The city has developed the "Jing Tong" service platform to streamline medical processes and improve patient access to healthcare services [9]