关键词: 医疗卫生改革, 大健康, 健康中国, 顶层设计, 医务人员工资待遇, 国家健康管理机构

Abstract: China has made progressive development in health care field since the 2009 new healthcare reform implemented.With constant optimization of the health care system and a stage jump in public health capacity,China achieved remarkable improvement in people’ health status.However,the capacity and quality of China’s primary health care are to be significantly improved,outdated core health system is to be radically reformed,health workers’ professional compensation system to be established,and the profit driven public hospitals are to be fundamentally reformed.Chinese president Xi Jinping proposed the new concept "National Wellbeing" at the recent National Health & Wellbeing Conference,and provided strategic guidance and rich context for the perfection of healthcare top-level design.Based on the development experience of advanced healthcare systems at home and abroad,this article explores the concrete elements and key breakthrough points for the building of Healthy China,emphasizes the improvement of the National top-level design of healthcare reform and specific operational policies and regulations,and calls on the creation of a national level integrated health administration body to manage comprehensively health care,health insurance,medicine,medical education and professional health workforce,to reverse the current fragmentation of the health administrative system,and to eliminate various unfavorable factors among government departments that hinder the health care reform.Thus it will promote health care reform to accelerate development of the new national health care system to achieve the goal of Healthy China.

Key words: Health care reform, National Wellbeing, Healthy China, Top-level design, Professional compensation, National health administration