All counties and districts started the construction of close county medical community, completely cancelled the addition of medical consumables in public medical institutions, and comprehensively promoted the payment according to disease type Recently, the leading group office of deepening the reform of health care and the comprehensive medical reform in Jiangsu province has issued the implementation plan for further deepening the reform of the medical and health system. It has proposed 14 key tasks and 49 specific measures to deepen the reform of medical care system, including implementing the grading treatment system, speeding up the construction of Internet plus medical health, and speeding up the reform of personnel remuneration system. < p > < p > < p > according to the plan, it is required to accelerate the construction of rural regional medical and health centers, deeply carry out the construction of community hospital demonstration counties, and promote the transformation of qualified urban and rural primary medical and health institutions into community hospitals. By the end of 2020, 15% of urban communities should have family doctor’s studios. < p > < p > < p > according to the plan, all counties in Jiangsu Province should start the construction of close county medical community, and the results of performance appraisal should be linked with financial subsidies and the total amount of performance pay. We will speed up the construction of provincial and municipal specialized alliances for stroke, chest pain, trauma, cancer, women and children, children, and psychiatry. The plan proposes to promote the extension and coverage of telemedicine services to the grassroots level, and guide the construction of Internet hospitals and Internet diagnosis and treatment services. We will build a unified provincial and municipal service platform, provide one-stop services such as appointment diagnosis and treatment, query of inspection and inspection report, contract signing of family doctors, and health management, and gradually open electronic health records to contracted residents. Realize the data sharing between the provincial platform and the provincial three-level public hospital information system, and gradually expand to all public medical institutions in the province. < p > < p > < p > the program points out that the scale of rural order oriented medical students training will increase steadily in 2020. Strive to train no less than 1000 general practitioners annually. We should encourage powerful social medical institutions to introduce high-level talents and promote public hospitals to set up special funds for talents. To explore the implementation of regional total staffing management, overall adjustment and use, and public hospital record keeping system, personnel participating in the endowment insurance of institutions and paying annuities. Reasonable determination of the salary level of public hospital personnel, explore the implementation of the target annual salary system for all staff and the public share system for annual salary calculation.