In addition to accelerating the construction of the basic medical insurance system and enhancing the primary healthcare service network, Shandong Province will also take initial steps toward establishing a national essential medicine system this year. Alongside that, the province is working on promoting the gradual equalization of basic public health services, advancing pilot reforms in public hospitals, and conducting comprehensive medical reform trials. By the end of the year, the provincial leadership group for deepening the medical and health system reform will conduct a full review of these initiatives.
One of the key aspects of the reform involves formulating essential drugs. The province has already developed procurement management measures for basic medicines following the release of the national essential medicines list. It has also set a unified procurement price based on the national retail guide price and bidding results.
By the end of the year, 30% of government-run urban community health centers and county-level governments will implement the basic drug system. This includes centralized online bidding and procurement at the provincial level, as well as unified distribution. Essential medicines will be sold at zero markup.
To ensure quality, the province is improving the supervision and sampling mechanism for essential drugs, implementing regular quality tests across all items on the basic drug list.
Shandong is also launching nine categories of national basic public health service projects, including resident health records, health education, immunization, infectious disease prevention, child and maternal care, elderly health management, and the handling of patients with severe mental illness. This year, 30% of the population has been registered. The vaccination coverage rate for children aged 0–6 exceeds 85%, while the health care rate for children under 3 reaches 80%. For pregnant women and the elderly, it's over 80% and 50%, respectively. The management rate for hypertension and diabetes patients has reached more than 30%, and for those with severe mental illness, it's over 60%.
The province has also started a hepatitis B vaccine catch-up program for people under 15, vaccinating 544,918 individuals this year. It launched a “two cancers†screening initiative for rural women aged 35–59, completing 56,000 cervical cancer screenings and 12,000 breast cancer screenings. Additionally, 813,000 pregnant women received folic acid supplements and hospitalization support before and after pregnancy. Free or reduced-cost surgeries were provided to 25,000 poor cataract patients.
In terms of public hospital reform, Shandong requires pilot areas to develop regional layout and structural adjustment plans, encouraging private investment in healthcare. It is exploring ways to separate administrative functions from hospital operations, improving hospital governance, and reforming personnel systems. The province is also strengthening hospital operations and establishing a supervisory system centered on public welfare.
Furthermore, Shandong is reforming the funding mechanism for public hospitals by drafting policies that promote the separation of drug sales, phase out drug markups, introduce pharmacy service fees, and adjust medical service prices. This aims to gradually shift the funding model of pilot hospitals toward service charges and government subsidies.
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