Press Release for Media Briefing by the Shanghai Municipal People’s Government on August 28, 2019
August 30, 2019
The Information Office of Shanghai Municipal Government held a press conference today (August 28), and Deputy Mayor Zong Ming briefed the latest "Health Shanghai Action Plan (2019-2030)." Wu Jinglei, director of the Shanghai Municipal Health Commission, Xia Kejia, director of the Shanghai Municipal Medical Insurance Bureau, Ni Minjing, deputy director of the Shanghai Municipal Education Commission, and Zhao Guangsheng, deputy director of the Shanghai Municipal Sports Bureau, attended the conference.
The 19th National Congress of the Communist Party of China proposed the “Healthy China Strategy.” Recently, the State Council issued the "Views on Implementing Healthy China Action Plan." According to the national plan, the city will incorporate its own situation to carry out the “Health Shanghai 2030 Planning Outline.” Based on such ideas as integrating health vision and measures in various kinds of rules and regulations as well as concept of “Healthy Shanghai requires everyone’s participation and would eventually benefit everyone”, the Shanghai Municipal Health Commission has since February this year been leading the work to draw up the "Health Shanghai Action Plan (2019-2030)". The drafting process has taken in various parties and stakeholders as well as opinions and advice from other departments and bureaus, with expert symposia and seminars held in Beijing and Shanghai. The "Healthy Shanghai Action Plan" has been reviewed and approved by the Standing Committee of the Shanghai Committee of the Communist Party of China as well as the Shanghai Municipal Government executive meeting. It will be formally released in the near future which would also be the country’s first provincial-level medium and long-term health action plan.
The "Implementation Opinions on Promoting Healthy Shanghai Action Plan" which has already been reviewed and approved by the Standing Committee of the CPC Shanghai Committee pointed out that it is necessary to accurately meet the needs of the people for a healthy life and well-being, to reach the highest international standards and best practices, and comprehensively improving the health level of Shanghai. It is also necessary to strengthen the structural leadership and improve the supportive system where all district-level authorities and departments work together to effectively promote integrating health into all policies and focus on improving the health services of population that require important attention as well as the elderly group and children. It is necessary to strengthen publicity and promotion, and to mobilize all parties to participate, and use various measures to create a good atmosphere of “Healthy Shanghai, everyone involved, and everyone benefits.”
Shanghai's health work has a good foundation. Among the three major health indicators, life expectancy of the overall household registration population in Shanghai in 2018 was 83.63 years (including 81.25 for males and 86.08 for females), maternal mortality rate of 1.15 per 100,000 and infant mortality rate of 0.352 percent, which is the best in history and also match the level of the world's most developed countries.
"Healthy Shanghai Action Plan" adheres to the basic principles of putting health as the priority, focusing on prevention, sharing among different parties to promote equality and fairness, and seeking to consolidate the public health achievements the city has made so far. By 2030, Shanghai hopes to take another major step forward to catch up with international first-class standards for health benefits and major indexes, targeting the health and well-being of people's livelihood, and to expedite the process of making Shanghai a role model for as an internationally well-known city for health and wellness as well as a globally influential health science and technology innovation center.
Based on the 15 tasks set by the State Council, by combining central government’s strategic requirement and positioning for Shanghai, the “Healthy Shanghai Action Plan” has increased specific measures such as the optimization of the health service system and an integrated healthcare and well-being system in the Yangtze River Delta region, along with the informatization and internationalization of healthcare. A total of 18 major special actions and 100 measures will be formed, and the implementation will be carried out step by step according to the two major timetables in 2022 and 2030.
Among them, 18 major special actions are: health knowledge popularization action, reasonable dietary action, national fitness action, tobacco control action, mental health improvement and promotion action, public health promotion action, chronic disease prevention and control action, infectious disease and endemic disease prevention and control action, public health system enhancement action, health care system optimization action, community health service promotion action, traditional Chinese medicine for promotion of healthcare action, healthcare protection improvement action, public health environment promotion action, healthcare service industry development action, health informatization initiative, Yangtze River Delta region healthcare integration action, healthcare internationalization action. Each one of these actions contain rich content and practical measures that affect the health and well-being of every Shanghai citizen.
Shanghai’s health promotion action plan highlights four characteristics of Shanghai's health governance: First, it pays more attention to system development. Shanghai will focus on the needs of the public in the field of medical services, public health, community health, Chinese medicine services and healthcare. The city will build a comprehensive health service system and build a life health network that protects 24 million citizens. Secondly, the city will pay more attention to reform and innovation. Shanghai will give play to the role of technological innovation and informatization, accelerate the reform and opening-up of key areas and enhance the institutional supply in the health sector. Thirdly, the city will emphasize more on social governance, including health responsibilities and obligations of the community, enterprises, institutions, social organizations, families and individuals, stimulate the enthusiasm of the public and foster a health culture. Fourthly, the city will highlight the linkage of departments. More than 40 departments of the municipal party committee and the municipal government will jointly formulate and promote the implementation of the health promotion action plan to form a big pattern. Integrate health into all policies and take the lead in establishing major projects and important policy health impact assessment mechanisms across the country. Shanghai will incorporate the “Healthy China Strategy” into the training session of leaders and put the action plan into the assessment of Party committees and government officials at all levels.
Shanghai’s health promotion action plan mainly includes five aspects:
I. Comprehensive intervention in health issues
Shanghai will conduct national health education and advocate a healthy lifestyle. The city will implement nutritional interventions such as salt reduction, oil reduction, sugar reduction and alcohol restriction, significantly slowing the growth rate of overweight, obesity and chronic diseases among residents. By 2030, the population's health literacy level will reach 40 percent and the number of residents participating in the health self-management group will reach 1.2 million people and maintain its leading position in the country. The city will conduct “patient experience day” and “citizen health science week” at municipal hospitals. Shanghai will launch a national fitness campaign to promote the construction of a number of major sports facilities such as the Chongming National Sports Training Base, Xujiahui Sports Park, Pudong Football Stadium and Shanghai Citizen Sports Park. In 2030, the per capita sports area will reach 2.8 square meters. Shanghai will increase the supervision and enforcement of tobacco control in public places, improve the smoking cessation service network and the adult smoking rate dropped to 18 percent and below by 2030. The city will promote the construction of psychological emergency intervention system, aiming at common psychological disorders such as insomnia, depression and anxiety and popularizing mental health knowledge and first-aid skills for key populations such as adolescents, occupational groups, the elderly, women in order to improve their mental health.
The city will promote the construction of healthy cities, healthy villages and towns and healthy cell engineering. Shanghai will further prevent and control air, water and soil pollution. In 2022, the proportion of days with good and excellent air quality will be over 80 percent. In 2030, the water quality compliance rate of important water function areas will reach over 95 percent. The city will promote comprehensive management of waste to achieve full coverage of domestic waste. The city will have more newly built green areas and green roads. The city’s green coverage rate is expected to reach 42 percent in 2030. Shanghai will improve slow traffic facilities and enhance the safety level of traffic and passengers. In 2030, the overall food safety inspection rate will reach 97 percent and above and death rate for the traffic on road million vehicle will decreased by 30 percent.
II. Health protection of full life cycle
Health services will cater for special needs of population including women, children, students, workers, seniors and the disabled. For women, Shanghai will improve the rescue and consultation services with the establishment of seven rescue centers for pregnant women and new mothers in critical conditions, as well as six centers for newborn babies. The city will set up standardized pediatric outpatient and emergency departments in 50 general hospitals, and 18 centers will be established to provide services for development of children in their early days. For primary and middle school students, Shanghai will make health of students one criteria to measure a school’s performance and formulated a course system for education of health. The city will also carry out campaigns to help children treat myopia, keep oral health, have healthy lunch and drink less sweet beverages. The city aims to reduce the population of children with myopia by at least 0.5 percentage points every year from 2018 through 2022; By 2030, more than 60 percent of students should have great or good health. For workers, Shanghai will implement corporate health check and the screening of breast cancer and cervical cancer for female workers. For the senior, the city will improve home-stay and community-based senior care services to encourage a combination of treatment and prevention of illness. By 2030, more than 80 percent of seniors aged above 65 will have health management services. More than 90 percent of district-level hospitals will set up geriatric department, and more than 90 percent city-level TCM hospitals will have rehabilitation departments. For the disabled, the city will well allocate rehabilitation resources to construct a multi-level and well-integrated network that meets demand of the disabled and include the rehabilitation into basic public services.
III. Prevention and control of major diseases
Shanghai will carry out campaigns to prevent and control chronic, non-infectious diseases that bring huge burden for people and the society. The action will be taken to screen cancers, and the diagnose rate of major early-stage cancer should be no less than 40 percent by 2030. The city will offer services including risk evaluation, health education, screening, regular check, layered treatment and comprehensive prevention for patients of cardiovascular and cerebrovascular, diabetes and mellitus. The death rate of people due to cardiovascular and cerebrovascular diseases should be controlled under 160/100,000. The population of diabetes patients should be controlled within 45 percent, and the death rate of mellitus under the age of 70 should be stabilized under 6.2/100,000. The city will also pay attention to management of bone, visual and oral health for a health service of full life cycle.
Shanghai will strengthen the prevention and control of infectious disease. It will create a management system that can match the scale of a mega city in its demand for vaccination. Community-based management for chronic infectious patients of AIDS, tuberculosis and viral hepatitis will be improved. The city will also optimize monitoring and precaution of infectious diseases and improve their treatment process to keep them at a world class level.
IV. Strengthening the construction of health service system
The city will optimize the five major health service systems: First is to strengthen the construction of professional institutions for and capacity building in disease control, mental health, health supervision, health emergency, and health promotion. The second is to improve the hierarchical medical system based on the family doctor system and promote the construction of regional medical centers. To strengthen the construction of key clinical departments. The third is to achieve “six ones” in community health services — a list of community health services, a health account for every individual, a multi-level community health publicity and education system, a supply mechanism with various participants, a unified, smart community health platform, and a community health assessment and monitoring mechanism. By 2030, there will be a family doctor for every citizen. The fourth is to carry out inheritance projects for TCM doctors in Shanghai and build a high-quality and efficient TCM medical service network. The fifth is to deepen the reform of medical insurance payment methods with the promotion of a disease-based payment mechanism in a large scale.
V. Further enhancing the construction of “Healthy Shanghai”
Shanghai will promote the construction of the “5+X” cluster area for the health service industry and cultivate private medical brand and develop cutting-edge medical services in an orderly manner. The city will develop the TCM medical service industry and accelerate the research and development of biomedical technology and the transformation of results. By 2030, Asia-Pacific centers in the biopharmaceutical industry for high-end product research and development, manufacturing, R&D outsourcing and services will all be established in the city. The added value of the health service industry will account for about 7.5 percent of the city's GDP, and a medical science and technology innovation center with global influence will be built. To realize the mutual recognition of information on health services among medical institutions and promote the application of medical artificial intelligence technology. Based on the “Health Cloud,” one-stop and accurate health services including health education and management will be provided for the public. As a unified entrance to Shanghai’s “Internet + Medical Health” public service, “Health Cloud” now provides 58 health services under 26 categories to the general public. For the next step, the city will accelerate the promotion of “Health Cloud”with an aim to have every Shanghai resident covered by the service as soon as possible. To promote the overall arrangement of premium medical and health resources in the Yangtze River Delta, and build it into a region where standards are mutually recognized, information is well shared and connected, services are provided in an orderly and convenient way and medical technologies are highly advanced. To deepen international cooperation in science and technology innovation, build competitive international destinations for health tourism, develop TCM medical service trade, make innovations in mechanisms for foreign cooperation and exchange in the medical field, and enhance Shanghai’s global influence in health management and governance.