Deepen comprehensive reform at the grass-roots level. Improve the establishment management, compensation mechanism and personnel distribution mechanism of primary medical and health institutions. Full implementation of government financial compensation, special subsidies, general medical expenses, public health funds and other security policies. Encourage units to independently distribute basic and incentive performance wages. Improve the "county-based" management system of township hospitals, and urge all localities to implement policies such as bringing personnel relations in township hospitals into the management of county-level health administrative departments and appointing the dean by county-level health administrative departments. Carry out the pilot project of integrated management of medical and health services in counties and townships, and select 1-2 counties (districts) to carry out the pilot project of integrated management of medical and health services in county-level public hospitals and 1-2 tertiary hospitals or community health service centers. Continue to support the standardization of village hospitals, township hospitals and community health service institutions.

Stabilize the team of rural doctors. All localities should give about 40% of the basic public health service project funds to village hospitals, and simultaneously implement the corresponding project funds. Gradually bring eligible village health centers into the new rural cooperative medical system, and fully implement the policy of general medical expenses. Continue to do a good job in standardized training and training of rural doctors. It is planned to recruit 120 rural doctors in 20 14 years, and implement the subsidy level for rural doctors practicing in remote and hard areas. On the basis of implementing rural doctors' participation in urban and rural residents' old-age insurance, we will explore rural doctors' participation in enterprise social old-age insurance and gradually improve the level of rural doctors' old-age security.

Promote the equalization of basic public health services. We will fully implement the national basic public health service projects, raise the annual per capita subsidy standard for basic public health service projects to 35 yuan, strengthen health promotion and education, and guide scientific medical treatment and safe and rational drug use. We will carry out the pilot work of equalization of basic public health services for floating population and do a good job in basic public health services for left-behind children, women and the elderly in rural areas. Continue to implement major public health service projects. The vaccination rate of school-age children in the national immunization program has remained above 90%. We will continue to implement major public health projects such as rural maternity hospital delivery subsidies, free folic acid supplementation for women of childbearing age, and "two cancers" screening for school-age women, and take intervention measures to reduce maternal and child mortality and promote the prevention and treatment of birth defects. We will continue to strengthen the construction of county-level emergency centers, disease prevention and control centers, food safety testing, maternal and child health care and other professional public health service institutions.

Strengthen the construction of health informatization. Promote private medical institutions to access the residents' health information system, expand the coverage of the chronic disease management information system, and explore the full opening of the residents' health file inquiry service function. Accelerate the construction of rural integrated health information management system, and gradually realize the village health clinic diagnosis and treatment, public health management, performance appraisal and the new rural cooperative medical system outpatient co-ordination and immediate reporting. Promote the integration of medical and health information resources in the city, and gradually realize the interconnection and information sharing of medical services, public health, family planning, medical security, drug supply security and integrated management systems. Taking the electronic medical record system as the core, optimize the hospital information system and improve the hospital management level. Development of telemedicine system. Establish regional medical imaging center and ECG diagnosis center to realize resource sharing and improve the scale and intensive utilization level of high-quality medical resources.