Reporter Yang Lu
At the end of last year, Shandong was among the first batch to be approved to build a national demonstration zone for the comprehensive reform of traditional Chinese medicine. This is a landmark event in the field of traditional Chinese medicine, marking that the development of traditional Chinese medicine in Shandong Province has entered the fast lane.
Recently, The General Office of the People's Government of Shandong Province issued the "Construction Plan for the National Comprehensive Reform Demonstration Zone of Traditional Chinese Medicine in Shandong Province" (hereinafter referred to as the "Construction Plan"), which will be formed by 2025 under the guidance of the construction of the National Comprehensive Reform Demonstration Zone of Traditional Chinese Medicine. A number of landmark reform and innovation achievements have promoted Shandong's leap into a strong province of traditional Chinese medicine.
County-level traditional Chinese medicine hospitals have reached "Grade 2A"
At the end of last year, seven provinces including Shanghai, Zhejiang, Jiangxi, Shandong, Hunan, Guangdong and Sichuan were among the first to be approved to build national comprehensive reform demonstration zones for traditional Chinese medicine. The National Traditional Chinese Medicine Comprehensive Reform Demonstration Zone is the first time that provinces (autonomous regions, municipalities directly under the Central Government) are the main construction entities in the country, and it encourages pilot trials in traditional Chinese medicine service models, industrial development, quality supervision and other aspects.
's "Construction Plan" proposes that, guided by the construction of the National Traditional Chinese Medicine Comprehensive Reform Demonstration Zone, by 2025, the traditional Chinese medicine service system will be further improved, and its unique advantages in the treatment of disease, major disease treatment and disease rehabilitation will be further demonstrated. The inheritance and innovation capabilities of traditional Chinese medicine have been further strengthened, and the core competitiveness of the industry has been further enhanced. The modernization level of the traditional Chinese medicine governance system and governance capabilities has been further optimized, and the contribution of traditional Chinese medicine to residents' health has been further improved, forming a number of landmark reform and innovation achievements that will play a demonstration role across the country.
Shandong will support the Affiliated Hospital of Shandong University of Traditional Chinese Medicine in building the National Traditional Chinese Medicine Inheritance and Innovation Center, National Regional Medical Center (Traditional Chinese Medicine) and the National Traditional Chinese Medicine Disease Prevention and Control Base. Achieve the city-level traditional Chinese medicine hospital to reach the "third-class traditional Chinese medicine hospital" and the county-level traditional Chinese medicine hospital to reach the "second-class traditional Chinese medicine hospital". Government-run traditional Chinese medicine hospitals of level two or above have disease prevention departments and rehabilitation departments, and government-run general hospitals, maternal and child health hospitals, and infectious disease hospitals have traditional Chinese medicine clinical departments. All tertiary public TCM hospitals and hospitals with integrated TCM and Western medicine (excluding TCM specialist hospitals) have fever clinics.
's "Construction Plan" proposes to build the Shandong Province Integrated Traditional Chinese and Western Medicine Ophthalmology Center relying on the Eye Hospital Affiliated to Shandong University of Traditional Chinese Medicine to create a national benchmark for integrated traditional Chinese and Western medicine ophthalmology.
aims at common diseases among adolescents such as low vision and scoliosis, and relies on the province's Traditional Chinese Medicine Prevention and Control Center for Children and Adolescents with Low Vision, the Integrated Traditional Chinese and Western Medicine Children and Adolescents Myopia Prevention and Treatment Center, and the Provincial Traditional Chinese Medicine Prevention and Treatment Center for Children and Adolescent Scoliosis to cultivate a special technical service team , improve the provincial, city and county three-level prevention and treatment bases and service networks, and create a Qilu youth health service brand.
Eligible traditional Chinese medicine preparations are included in medical insurance
Shandong will reform traditional Chinese medicine prices and medical insurance policies, and further liberalize the price items of traditional Chinese medicine medical services with relatively sufficient market competition and strong personalized demand.
's "Construction Plan" proposes to carry out price adjustment assessments and adjust prices in a timely manner if they meet the start-up conditions. Based on the characteristics of TCM medical services, TCM medical service items with obvious functional efficacy, wide acceptance by patients, outstanding features and advantages, embodying the value of labor services, a long history of application, and obvious deviations in cost and price will be included in the scope of price adjustment.
will open a green channel for the review of new price items for traditional Chinese medicine techniques that are derived from ancient classics, are widely used, and have proven curative effects, as well as new traditional Chinese medicine technologies that are innovative and have outstanding economic advantages, and will be included in the scope of medical insurance payment in a timely manner in accordance with regulations.
Therapeutic traditional Chinese medicine preparations that are allowed to be transferred and used between medical institutions shall be included in the scope of medical insurance payment according to regulations. Encourage grassroots medical institutions to promote the use of , the appropriate technology for traditional Chinese medicine. Insured patients are treated with traditional Chinese medicine when hospitalized in township hospitals and community health service centers. The reimbursement rate of medical insurance for compliance with medical expenses shall not be less than 85%.
Shandong will also promote the charging and payment of the dominant diseases of traditional Chinese medicine according to the disease, select the diseases with obvious advantages, clear treatment paths and clear costs to be included in the dominant diseases of traditional Chinese medicine, implement the charging and payment according to the disease, reasonably determine the charging and payment standards, and fully reflect the Medical service value.Promote the inter-provincial alliance procurement of Chinese herbal medicine pieces, carry out centralized and bulk procurement of Chinese medicine pieces on behalf of medical institutions in the alliance area, and complete the first batch of joint procurement and results implementation in 2022.
Deeply promote the "Breakthrough in Traditional Chinese Medicine" plan
Shandong will deepen the reform of the traditional Chinese medicine talent training model. The "Construction Plan" clearly states that Shandong University of Traditional Chinese Medicine will build a classic online micro-major of traditional Chinese medicine based on and . Implement the agreement between the provincial and bureaus to jointly build Shandong University of Traditional Chinese Medicine, build a first-class university of traditional Chinese medicine, and support the school in taking the lead in establishing the Yellow River Basin Traditional Chinese Medicine Education Alliance. Fully integrate the "Three Classics Inheritance" into the famous doctor studio and the Qilu Traditional Chinese Medicine Advantage Specialty Cluster to enhance the ability to learn and apply clinical Chinese medicine classics, prescriptions and experience. Incorporate teacher-training and clinical certification into the core indicators for the construction of Qilu Traditional Chinese Medicine Academic School Inheritance Studio Project. Set up universal classes, key classes, and high-end classes, improve and optimize the five-level teacher-training system, and promote full coverage of teacher-training education in traditional Chinese medicine medical institutions.
further promotes the "Breakthrough in Traditional Chinese Medicine" plan. Formulate and revise the "Shandong Province Standards for Traditional Chinese Medicine Materials", "Shandong Province Standards for the Processing of Traditional Chinese Medicine Pieces" and "Shandong Province Standards for Traditional Chinese Medicine Formula Granules". Encourage the hierarchical transformation of classic names into medical institution preparations and new traditional Chinese medicines, explore a unique traditional Chinese medicine review evidence system that combines traditional Chinese medicine theory, human experience and clinical trials, and simplify the review and approval procedures for traditional Chinese medicine preparations in medical institutions.
Shandong will optimize the work procedures for resuming production of long-term discontinued Chinese patent medicine varieties and promote the resumption of production of dominant dormant varieties. Support manufacturing enterprises to strengthen cooperation with medical institutions, universities and scientific research institutions to conduct secondary development of proprietary Chinese medicines that have been launched. Strengthen regional cooperation, explore the joint construction of inspection laboratories or inspection and testing platforms in areas where authentic medicinal materials are produced, Chinese medicinal materials markets, or areas where Chinese medicine production companies are relatively concentrated, and collaboratively promote the high-quality development of the Chinese medicine industry.
At the same time, the quality supervision of Chinese herbal medicines, Chinese herbal medicine pieces, Chinese patent medicines, and medical institution preparations will be intensified, and special inspections and random inspections will be carried out to focus on problems in Chinese herbal medicine pieces. Enterprises producing Chinese herbal medicine pieces are encouraged to extend their quality assurance system to the planting, harvesting, and processing of Chinese herbal medicines, strengthen the quality control of Chinese herbal medicine pieces from the source, and explore the construction of a traceability system for the entire production and operation of Chinese herbal medicine pieces.
Being able to see and treat patients
is the main evaluation content for traditional Chinese medicine practitioners.
Shandong will improve the talent evaluation mechanism that is consistent with the characteristics of traditional Chinese medicine. The ability to see and treat patients, as well as the processing and identification of traditional Chinese medicine, etc., are the main evaluation content for traditional Chinese medicine practitioners.
's "Construction Plan" proposes to give appropriate tilt to the traditional Chinese medicine industry in the selection of various talent projects. Establish and improve the evaluation standards for traditional Chinese medicine science and technology, and follow the laws of traditional Chinese medicine and implement classified evaluations in the establishment, acceptance, and award evaluation of traditional Chinese medicine scientific research projects. On the basis that the evaluation of scientific and technological achievements in the medical field has been included in the pilot work of the reform of scientific and technological achievements evaluation in our province, we will continue to deepen and improve the evaluation of scientific and technological achievements.
The reform of the medical insurance payment method is tilted towards traditional Chinese medicine. In areas where payment based on disease diagnosis related grouping (DRG) and payment based on disease points (DIP) are implemented, the coefficients and scores of traditional Chinese medicine medical institutions and traditional Chinese medicine diseases will be appropriately increased. Encourage the development of day TCM medical services for TCM diseases with long treatment cycles, controllable risks, and requiring continuous treatment. TCM diagnosis and treatment fees that meet the regulations shall be paid and settled according to the outpatient chronic disease or hospitalization policy. Explore and implement appropriate increases in reimbursement ratios for key national and provincial TCM specialties and TCM specialty medical institutions, and create a demonstration site for the development of medical insurance in Dezhou City to support TCM specialty specialties and in Weihai City to support the development of TCM specialty medical institutions.
Shandong will deepen the construction of grassroots traditional Chinese medicine service capabilities. By 2025, all community health service centers and township health centers will be equipped with traditional Chinese medicine clinics and equipped with traditional Chinese medicine doctors. Promote and implement the "five comprehensive" clinical service models of TCM classics, TCM treatment before disease, TCM external treatment, TCM rehabilitation, and TCM nursing in secondary TCM hospitals. The "Construction Plan" proposes to hold the Nishan World Traditional Chinese Medicine Forum with high quality, polish the three business cards of "Confucian and medical culture, the hometown of Bian Que, and the birthplace of acupuncture and acupuncture" to create a brand of traditional Chinese medicine culture.Achieve full coverage of the publicity and education of traditional Chinese medicine culture in public traditional Chinese medicine institutions, and Shandong Provincial Museum of Traditional Chinese Medicine and Shandong Provincial Museum of Traditional Chinese Medicine strive to become national-level museums. By 2025, the number of national and provincial TCM cultural publicity and education bases will be increased to 10 and 50 respectively, and a number of TCM museums, TCM cultural knowledge corners, cultural corridors, cultural streets and theme parks will be built.
