Since national major strategy on synergic development of Beijing, Tianjin and Hebei, Beijing Municipal Commission of Health and Family Planning has been carefully putting into force spirits of important speeches by President Xi Jinping on his two-time tour to inspect Beijing. Following decisions and deployment by the municipal committee and the municipal government, with optimization on allotment of medical resources and boost of medical service capacity as the objectives and city development planning and demographic distribution as the orientation, it would coordinate, plan and adjust layout of medical resources, revolve upon ‘four-center’ positioning in the capital and obtain stage effects in medical synergic development in Beijing, Tianjin and Hebei and non-capital functional diversion. 

I. Medical synergic development in Beijing, Tianjin and Hebei has obtained significant achievements 

First, round cooperation on medication has been realized in Beijing, Tianjin and Hebei. Agreements on cooperation on such aspects as medical politics, disease prevention and control, blood collection and supply, health emergency, comprehensive supervision, concentrated purchase on medical consumables and so forth among Beijing, Tianjin and Hebei have been signed. Active achievements on set-up of information sharing platforms, coordination and linkage of emergency events, emergency dispatching of blood and so forth have been attained. Beijing-Tianjin-Hebei drug information database has been set up, comparison on code of drugs in the three regions has been accomplished and regular exchange of information on qualification of drugs and sharing mechanism on drug price has been materialized.  

Second, Beijing-Hebei key projects have been staunchly implemented. In 2015, three key medical cooperation partners namely Beijing-Yanda, Beijing-Zhangjiakou and Beijing-Caofeidian were implemented between Beijing and Hebei. In 2016, key medical cooperation project between Beijing and Chengde was implemented; in 2017, key medical cooperation project between Beijing and Baoding is put into force. Furthermore, following work deployment by the Central Government on efforts of Beijing and Tianjin to help Zhangjiadian, Chengde and areas encircling Beijing and Tianjin, our city has determined ‘one-to-one’ twining and helping plan with 10 district hospitals in Beijing gearing to the help of 10 hospitals at the district (county) level in Hebei. 

Third, synergic effects in Beijing, Tianjin and Hebei have been significant. On ground of accomplishing and formulating several technological standards and synergic regulations, commissions of health and family planning in the three areas launched pilot work on mutual recognition concerning clinical test results in medical institutions within the regions of Beijing, Tianjin and Hebei and determined 27 projects for mutual recognition and 132 medical organizations for mutual recognition in September, 2016. In December, 2016, pilot work on sharing of image examination materials was implemented when 17 image exam materials were implemented in 102 medical organizations. Cooperation projects including ‘Beijing Tian Tan Hospital (Zhangjiakou) Brain Department Center’, ‘Beijing Jishuitan Hospital Zhangjiakou Cooperation Hospital’, ‘Beijing Friendship Hospital Caofeidian Cooperation Hospital’, ‘Beijing Anzhen Hospital Caofeidian Cooperation Hospital’ and so forth were successively open. Through Beijing-Hebei medical cooperation, cooperative units not just retain more local patients but appeal to patients from surrounding provinces such as Shanxi, Inner Mongolia and so forth. For example, after ‘Beijing Tian Tan Hospital (Zhangjiakou) Brain Department Center’ under Zhangjiakou First Hospital was open to business, its outpatient and hospitalized patients soared by respectively 13.17% and 18.38% and helped relieve around 10,000 people who would otherwise head to Beijing for medical services. 11 hospitals directly affiliated to Beijing and one corporate hospital would jointly back up 13 Hebei-based hospitals. According to statistics, among patients checking out from medical organizations at level two and above in 2016, ratio of patients from Hebei descended from 9.1% in 2013 to 7.5% in 2016 and synergic development on medication between Beijing and Hebei has shown initial achievements. 

II. Effects on non-capital functional medical diversion are significant 

First, scale expansion of big hospitals has been checked. ‘Adverse list’ mechanism in medical health sector is strictly implemented. Newly-added medical resources within the fifth ring road is strictly controlled. Expansion of hospitals that are not affiliated to one another and adding of beds is negated and blind expansion of scale of big hospitals has been initially contained. 

Second, diversion of medical resources in the region is solidly implemented. Outstanding medical resources in the core area of the city are gradually transferred to other areas. Diversion projects for 20 municipally-affiliated medical organizations have been planned that involve a total of over 5600 beds. By communicating with the national commission of health and family planning, intention on diversion among 13 hospitals affiliated to or run by commissions has been summed up. 33 hospitals or medical service belts have taken form around Beijing that involve 29,946 beds, accounting for 26.4% of the total in the city. 11 Class-three hospitals including Tongren Hospital, Jishuitan Hospital and so forth have opened branch hospitals or newly opened new hospitals in new town or areas where city residents cluster. Tian Tan Hospital would reach conditions for trial operation by the end of this year. Standing hospitals in Chaoyang Hospital have accomplished approval for beds. Friendship Hospital, Anzhen Hospital and so forth have probed into building of branch hospitals or new capitals by cooping with social capital in the form of PPP or franchised operation. Planning, designing, initiation and other work has obtained stage development. 

Third, building of regional medical assembly has achieved significant attainments. 53 regional medical assemblies including 50 core hospitals and 558 cooperative medical organizations covering 16 districts in the city have been established. Tiered diagnosis and two-way transfer mechanism in the region has been gradually set up. 10 district-level hospitals including Luhe Hospital, Shunyi District Hospital, Fangshan Liangxiang Hospital have been authorized as Class-three Hospitals that display a leading role of medical center in the region. 

With bright decisions by the Party and the Central Government in the past five years, under correct leadership of the municipal committee and the municipal government and with active collaboration of Tianjin and Hebei, medical health in Beijing has obtained significant achievements in Beijing-Tianjin-Hebei medical synergic development and non-capital functional diversion that bring true bliss to its residents and gives more sense of belongings to the masses. 

Healthy Beijing is an indispensable part of Healthy China. We will unswervingly learn spirits of important speeches by President Xi Jinping on his two-time tour to inspect Beijing. Under the correct leadership of the municipal committee and the municipal government, we will constantly boost our political status display the model role of Beijing Commission of Health and Family Planning and co-formulate and implement development planning on health and family planning during the ‘13th Five-Year-Plan’ together with Tianjin and Hebei, form often and effective interaction won resource allotment, reform measures, policy implementation and so forth, endeavor to service health of the residents, strategy of the nation city operation and consolidation of the Party’s dominant role.