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    Home > Medical News > Latest Medical News > State Council: Let go of the prescription drug sales online!

    State Council: Let go of the prescription drug sales online!

    • Last Update: 2021-04-23
    • Source: Internet
    • Author: User
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    "For some reforms, we can see the direction of reforms correctly, but we think that there are still some risks when we push them across the country.
    We propose to encourage local governments to try first; for some local pilot measures that have already obtained successful experience, we will carry out After summarizing and refining, some institutional arrangements have been made, and they have been rolled out across the country.
    "
     
    In the provisions of the "Opinions", full attention has been given to the people's livelihood for innovative elderly care and medical service supply:
     
    Further promote the optimization of people's livelihood services
     
    (17) Innovate the supply of elderly care and medical services.
    Promote the reform of publicly-owned and privately-run public pension institutions, introduce social capital and professional management service agencies, revitalize idle bed resources, and open to other disabled, demented, and senior citizens based on the centralized support of disabled and semi-disabled people .
     
    Promote the cancellation of clinic setting approval, and promote the change of clinic practice registration from approval to filing.
    Promote the cancellation of the qualification classification of occupational health technical service institutions to facilitate market access.
     
      On the premise of ensuring the authenticity and reliability of the source of electronic prescriptions, online sales of prescription drugs other than those under special state management are allowed.
    (Ministry of Civil Affairs, National Health Commission, State Drug Administration and other relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
     
      Among them, “on the premise of ensuring the authenticity and reliability of the source of electronic prescriptions, online sales of prescription drugs other than those under special state management are allowed.
    ” The policy is set, and the industry generally believes that it will further accelerate the implementation of the “Measures for the Supervision and Administration of Online Drug Sales”.
     
      In recent years, with the rapid development of online drug sales, medical e-commerce is quietly emerging as the "fourth terminal" that has attracted much attention.
    During the epidemic, Internet medical services accelerated the increase in penetration rate, and further accelerated the formation of remote diagnosis and treatment and online drug purchase habits.
    Regulatory practices such as "online order store delivery", "online order store pickup", and "online and offline consistency" are all in legal compliance.
    Under the premise of regulations, the medication needs and medication safety of patients are guaranteed.
     
      From the previous continuous adjustment process of drug online sales regulatory policies, the industry has been deeply aware that drug regulatory agencies have been continuously improving drug regulatory over the background of the country’s simplified administration and decentralization and "Internet +", and at the same time, in order to meet the people’s drug needs, Thoughts on strengthening the supervision of prescription drugs sold online before, during and after the event:
     
      In 2017, the “Measures for the Supervision and Administration of Online Drug Operations (Draft for Comment)” clearly stated that online drug sellers who are drug retail chain enterprises shall not sell prescription drugs or drugs for which the state has special management requirements through the Internet.
    Websites that sell drugs to individual consumers must not publish prescription drug information on the Internet.
    Neither can display prescription drug information, nor can it sell prescription drugs online.
     
      In 2018, the "Measures for the Supervision and Administration of Online Drug Sales (Draft for Comment)" stated that online drug sellers who are drug retail chain enterprises shall not sell prescription drugs and drugs with special management requirements by the state through the Internet; sell drugs to individual consumers The website of is not allowed to publish prescription drug information through the Internet.
     
      On November 12, 2020, the State Food and Drug Administration once again solicited opinions on the "Measures for the Supervision and Administration of Drug Online Sales (Draft for Solicitation of Comments)".
    If the document requires pharmaceutical retail companies to sell prescription drugs through the Internet, they shall also submit proof materials that ensure the authenticity and reliability of the source of electronic prescriptions.
    Drug online sellers should keep complete records of supplier qualification certificates, purchase and sales records, electronic orders, online pharmaceutical services, etc.
    , and drug retail companies selling prescription drugs should also keep electronic prescription records.
    The retention period of relevant records shall not be less than 5 years and not less than 1 year after the expiry date of the drug.
     
      Legal compliance throughout the process is a prerequisite
     
      In December 2019, the new version of the "Drug Administration Law" was formally implemented, clarifying that drug marketing license holders and drug dealers should abide by the relevant provisions of the law when selling drugs through the Internet, and established that online prescription drugs are consistent online and offline.
    At the same time, the New Drug Law also clearly requires that the seven categories of drugs that are subject to special management, including vaccines, blood products, narcotic drugs, psychotropic drugs, medical toxic drugs, radioactive drugs, and pharmaceutical precursor chemicals, shall not be subject to special management.
    Sell ​​on the Internet.
     
      From the market point of view, the epidemic has changed the public's drug purchase habits and is an important reason for the emergence of online terminals.
    Another major factor supporting its rapid growth is the rise of Internet medical services.
    Statistics show that by the end of 2020, nearly a thousand Internet hospitals have been established across the country .
    Internet diagnosis and treatment are gradually included in medical insurance payment, and online follow-up visits and delivery of medicines to home are becoming a new trend.
     
      Experts say that online drug sales provide patients with a new channel for drug protection.
    However, the risk of drug online sales supervision lies in whether the prescriptions issued by the Internet hospitals are authentic, complete, and the whole process is circulated to the online pharmacy in a seamless manner, and whether the final prescription can be strictly reviewed.
     
      On April 8, with the approval of the Party Central Committee and the State Council, the National Development and Reform Commission and the Ministry of Commerce held a special press conference to publicly release the "Opinions on Supporting the Construction of Hainan Free Trade Port to Relax Certain Special Measures for Market Access" (hereinafter referred to as "Special Measures"), a total of 22 innovative policies and measures in 5 major areas including medical care and culture have been launched.
    Among them, online prescription drugs have become one of the focuses of the industry.
     
      The "Special Measures" proposes to support the development of Internet prescription drug sales.
    The Hainan Electronic Prescription Center will be established in the Hainan Boao Lecheng International Medical Tourism Pioneer Zone.
    For prescription drugs marketed in the country, except for drugs that are specifically regulated by the National Drug Administration Law, It is all allowed to rely on the electronic prescription center for Internet sales, and no additional approval will be required.
     
      This means that prescription drugs sold online will be the first to land in the Lecheng Pioneer Zone.
    Gu Gang, director of the Boao Lecheng International Medical Tourism Pilot Zone Administration, publicly stated that the biggest challenge for online prescription drugs is the supervision of the whole process.
    "First, it is necessary to determine who will prescribe and who is qualified to prescribe; second, whether the patient and the prescription are completely matched; third, whether its safety can be guaranteed in circulation; fourth, when it is finally taken Can it be guaranteed that it can truly meet the needs of patients?"
     
      It is not difficult to see that whether it is online or offline, prescription outflow will drive the reconstruction of medical-related information flow, service flow, capital flow, and logistics.
    The gate of online prescription drug sales will only affect the online and offline compliance operators in the out-of-hospital market.
    Wide open.
     
      Regulators analyzed that online pharmaceutical retail companies should strengthen the study of laws and regulations, strengthen internal audits and strictly review product information and business entity qualifications, actively feedback opinions to regulatory authorities, strengthen cooperation with regulatory authorities, and jointly supervise, report, and crack down on online sales.
    Prescription drugs are illegal and illegal.
     
      The General Office of the State Council on Serving the "Six Stability" and "Six Guarantees"
     
      Opinions on further improving the work related to the reform of "decentralization, management and service"
     
    State   Council issued (2021 ) No.
    10
     
      The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, all ministries and commissions of the State Council, and all directly affiliated institutions:
     
      Deepening the reform of "delegating management and service" and creating a market-oriented legalized international business environment is an important starting point for doing a good job in the "six stability" and implementing the "six guarantees" task.
    In recent years, the "decentralization, regulation, and service" reform has been intensified, which has effectively stimulated the vitality of market players and social creativity.
    However, there are still some outstanding issues that are highly concerned by companies and the public and need to be resolved urgently.
    In order to further deepen the reform of "delegation, management, and service", do a good job in the "six stability" and "six guarantees", and promote high-quality development, with the approval of the State Council, the following opinions are hereby put forward.
     
      1.
    General requirements
     
       (1) Guiding ideology.
    Guided by Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th National Congress of the Communist Party of China, earnestly implement the decisions and deployments of the Party Central Committee and the State Council, and establish a foothold in the new development stage.
    Implement the new development concept, build a new development pattern, focus on the "six stability" and "six guarantees", accelerate the transformation of government functions, deepen the reform of "decentralization, management and service", promote efficient allocation of factor resources, effectively maintain fair competition, and build a world-class business Environment, promote the modernization of the government governance system and governance capabilities, and promote the sustained and healthy development of the economy and society.
     
       (2) Basic principles.
     
      Adhere to goal-oriented and comprehensive policy implementation.
    Focusing on key areas such as stabilizing and expanding employment, cultivating market players, expanding effective investment, promoting consumption, stabilizing foreign trade and foreign investment, and ensuring basic people’s livelihood, with pragmatic and effective policies and reform measures to enhance the sense of gain for enterprises and the public.
     
      Adhere to problem-oriented and practical results.
    Focusing on the difficulties and obstacles of enterprises and the masses in business and entrepreneurship , continue to "bite hard bones", adhere to the combination of decentralization and management, and focus on clearing up unreasonable restrictions on market entities, implement more effective supervision, continue to optimize government services, and continue to increase the amount of reform.
     
      Insist on system integration and coordinated advancement.
    Adhere to the system concept, strengthen the organic connection and overall planning of reforms in various fields, promote the linkage between the central and local governments, strengthen coordination and cooperation between departments, promote reforms based on the entire life cycle and the entire industry chain, improve supporting policies, and expand integration Effect and enhance the endogenous power of development.
     
      2.
    Further promote the optimization of the employment environment
     
       (3) Promote lowering the employment threshold.
    Further sort out and reduce the number of vocational qualifications for admission, cancel vocational qualifications such as rural veterinarians, survey and design registered oil and gas engineers, promote socialized vocational skill level recognition, and continue to dynamically optimize the national vocational qualification catalog.
    Reasonably reduce or abolish the working life requirements of some vocational qualification examinations for admission.
    Further regulate the access of small and micro e-commerce, and scientifically define the standards of "convenient labor activities" and "sporadic small-value transaction activities" in the "E-commerce Law of the People's Republic of China".
    (The Ministry of Human Resources and Social Security, the Ministry of Housing and Urban-Rural Development, the Ministry of Agriculture and Rural Affairs, the State Administration of Market Supervision and other relevant departments of the State Council and each region are responsible according to the division of responsibilities)
     
       (4) Support the promotion of vocational skills.
    Establish a dynamic adjustment mechanism for vocational skills training subsidy standards, and determine the training subsidy standards scientifically and reasonably.
    Broaden the use of vocational skills training funds.
    Extend the implementation period of the work-for-training policy and simplify the materials for enterprises to apply for work-for-training subsidies.
    Strengthen the vocational skills training for employees in the housekeeping, pension and other industries, and comprehensively improve their employability.
    Innovatively carry out "industry-industry cooperation", encourage industry associations, cross-enterprise training centers and other organizations to organize small, medium and micro enterprises to carry out apprenticeship training, and encourage various regions to explore various forms of training such as project-based training.
    Adopt methods such as optimizing examination and approval services and exploring the implementation of the notification and commitment system to facilitate the establishment of various vocational training institutions.
    (The Ministry of Human Resources and Social Security, the Ministry of Civil Affairs, the Ministry of Finance and other relevant departments of the State Council and each region are responsible according to the division of responsibilities)
     
       (5) Support and standardize the development of new forms of employment.
    Efforts will be made to promote the elimination of hidden barriers that restrict the development of new industries and new formats, and continue to expand employment fields and channels.
    Strengthen the supervision and guidance of platform companies, promote fair and orderly competition, promote platform companies to improve service agreements and transaction rules in accordance with laws and regulations, set reasonable charging standards, improve management services, and support the healthy development of new employment forms.
    Implement and improve fiscal, taxation, and financial support policies, give full play to the leading role of the dual innovation demonstration base, and support key groups such as college graduates, veterans, and returning migrant workers to start businesses and find jobs.
    Improve social security policies and measures for flexible employees, promote the liberalization of household registration restrictions on participating in social insurance in places of employment, accelerate the promotion of occupational injury protection trials, expand the coverage of work injury insurance, and safeguard the legitimate rights and interests of flexible employees.
    (The National Development and Reform Commission, the Ministry of Education, the Ministry of Finance, the Ministry of Human Resources and Social Security, the Ministry of Agriculture and Rural Affairs, the Ministry of Veterans, the People’s Bank of China, the State Administration of Taxation, the State Administration of Market Supervision, the National Medical Insurance Bureau, the China Banking and Insurance Regulatory Commission and other relevant departments of the State Council and various regions Division of Responsibilities)
     
      3.
    Further promote the reduction of the burden on market entities
     
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       (10) Continue to improve the efficiency of investment approval.
    Further deepen the reform of the investment approval system, simplify and integrate the application procedures for investment projects, promote the implementation of the enterprise investment project commitment system, and optimize the approval process for major investment projects in transportation, water conservancy, energy and other fields.
    Encourage all regions to promote the reform of "standard land" transfer, scientifically construct a "standard land" transfer indicator system, simplify and optimize the land supply process of industrial projects, reduce the time for land supply, and reduce the operating cost of investment projects.
    Promote the interconnection and data sharing between the online approval and supervision platform for investment projects and the relevant approval systems to avoid repeated filing by enterprises and repeated verification by departments.
    (The National Development and Reform Commission, the Ministry of Natural Resources, the Ministry of Housing and Urban-Rural Development, the Ministry of Transport, the Ministry of Water Resources, the National Energy Administration and other relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
     
       (11) Optimize the approval of construction projects.
    Continue to deepen the reform of the approval system for engineering construction projects, and improve the nationwide unified approval and management system for engineering construction projects.
    Further streamline the administrative licensing, technical review, intermediary services, municipal public services and other matters involved in the whole process of integrated construction projects.
    Support all regions to increase the limit of construction permits for construction projects based on actual conditions, and implement "list system + notification commitment system" for simple and low-risk construction projects.
    Study and formulate institutional documents for the approval and management of the whole process of construction projects, establish and improve the approval and supervision and management mechanism of construction projects, strengthen the approval behavior and time management of the whole process, standardize pre-examination, construction drawing review and other links to prevent cardiopulmonary bypass.
    (Relevant departments of the State Council such as the Ministry of Housing and Urban-Rural Development, the National Development and Reform Commission and various regions are responsible according to the division of responsibilities)
     
      Fifth, further promote the stimulation of consumption potential
      Fifth, further promote the stimulation of consumption potential
     
       (12) Remove hidden barriers to consumption.
    Efforts to break industry monopoly and local protection, open up economic cycle blocking points, and promote the formation of a unified domestic market with high efficiency, regulation and fair competition.
    Orderly cancel some administrative restrictions on consumer purchases to release consumption potential.
    Accelerate the revision of the "Measures for the Administration of the Circulation of Second-hand Vehicles", push all regions to thoroughly clean up restrictions on the movement of second-hand vehicles set up in violation of regulations, and relax the operating conditions for second-hand vehicles.
    Standardize the qualification certification of scrapped motor vehicle recycling and dismantling enterprises, support qualified enterprises to enter the recycling and dismantling market, and investigate and deal with illegal dismantling behaviors in accordance with the law.
    Encourage all regions to appropriately relax market access for tourist homestays and promote the implementation of industry standards for tourist homestays.
    Develop guidelines for approval procedures for cross-regional tour performances, optimize the approval process, and provide convenience for performance business units to conduct business across regions.
    (National Development and Reform Commission, Ministry of Public Security, Ministry of Ecology and Environment, Ministry of Commerce, Ministry of Culture and Tourism and other relevant departments of the State Council and all regions are responsible according to the division of responsibilities)
     
       (13) Facilitate market access for new products.
    For new technology and new products that are urgently needed by the market and high consumer demand, priority is given to applying national standards to formulate fast procedures, simplify the process of standard formulation and revision, and shorten the release cycle.
    Before the promulgation of relevant national standards, social organizations are encouraged to formulate and publish group standards that meet the needs of the market and innovation, and enterprises are encouraged to formulate competitive corporate standards and self-declare to the public, so as to promote the rapid entry of new technologies and products into the market.
    Accelerate the unification of regulations on technological processes and circulation rules for export commodities and domestic trade commodities, promote the "same line, same standard and same quality" of domestic and foreign trade products, and remove systemic obstacles that restrict the transfer of export commodities to domestic sales.
    Continue to expand the scope of pilot cities for cross-border e-commerce retail imports, and adjust and expand the list of cross-border e-commerce retail imports.
    (Market Supervision, Ministry of Commerce, General Administration of Customs, Ministry of Finance and other relevant departments of the State Council and each region are responsible according to the division of responsibilities)
     
      6.
    Further promote the stabilization of foreign trade and foreign investment
      6.
    Further promote the stabilization of foreign trade and foreign investment
     
       (14) Continue to optimize the foreign investment environment.
    Improve the national treatment plus negative list management system before foreign investment access to ensure that foreign-funded enterprises enjoy equal support policies.
    Support foreign-funded enterprises to better participate in the formulation of national and industry standards.
    Optimize the foreign investment information reporting system, improve the functions of the corporate registration system and corporate credit information publicity system, strengthen reporting guidance, and reduce the reporting burden of enterprises.
    (National Development and Reform Commission, Ministry of Commerce, State Administration for Market Regulation and other relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
     
       (15) Continue to promote the facilitation of customs clearance.
    Promote the "single window" of international trade to connect with information platforms such as ports, railways, and civil aviation, as well as banks, insurance and other institutions.
    Optimize customs risk control rules, promote scientific random control, improve the accuracy of manual analysis and control, and reduce the inspection rate of law-abiding and compliant enterprises and low-risk commodities.
    Deepen the reform of the inspection and supervision model of import and export commodities, and actively promote the institutionalization of the acceptance of third-party inspection results.
    Encourage operators such as tally, tugboats, and commissioned inspections to enter the market to promote fair competition.
    (General Administration of Customs, Ministry of Transport, China Banking and Insurance Regulatory Commission, National Railway Administration, Civil Aviation Administration of China and other relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
     
       (16) Clean up and standardize port charges.
    Speed ​​up the revision of the "Port Charge and Billing Measures", further improve the port charge policy, reduce and merge port charge items.
    Directional reduction of the pilotage fee standards of coastal ports will further expand the scope of ships for which the shipowners independently decide whether to use tugboats.
    Improve the service rules for container cleaning and repair, and clean up and standardize the fees for container cleaning and repairing outside the port and railway transportation closing fees.
    Implement a list system of port charge items, so that there are no charges outside the list.
    Conduct cost supervision and review or cost surveys for government-priced charging items based on cost, and adjust charging standards in a timely manner; for charging items subject to market-adjusted prices and corresponding charging entities, conduct typical cost surveys to provide a basis for reasonable and standardized charging.
    (The National Development and Reform Commission, the Ministry of Finance, the Ministry of Transport, the State-owned Assets Supervision and Administration Commission of the State Council, the General Administration of Customs, the General Administration of Market Supervision and other relevant departments of the State Council and each region are responsible according to the division of responsibilities)
     
      Seven, further promote the optimization of people's livelihood services
      Seven, further promote the optimization of people's livelihood services
     
       (17) Innovate the supply of elderly care and medical services.
    Promote the reform of publicly-owned and privately-run public pension institutions, introduce social capital and professional management service agencies, revitalize idle bed resources, and open to other disabled, demented, and senior citizens based on the centralized support of disabled and semi-disabled people .
    Promote the cancellation of clinic setting approval, and promote the change of clinic practice registration from approval to filing.
    Promote the cancellation of the qualification classification of occupational health technical service institutions to facilitate market access.
    On the premise of ensuring the authenticity and reliability of the source of electronic prescriptions, online sales of prescription drugs other than those under special state management are allowed .
    (Ministry of Civil Affairs, National Health Commission, State Drug Administration and other relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
    Medicine, medicine, medicine
     
       (18) Improve the accuracy of social assistance.
    Support all regions to promote the sharing of relevant data of civil affairs, human resources and social security, disabled people’s federations, medical insurance, rural revitalization and other departments and units, and use modern information technology such as big data to establish an active discovery mechanism and dynamic adjustment mechanism for people in need, optimize service procedures, and shorten processing The time limit is to realize early detection and early intervention of problems in the field of people's livelihood protection, to ensure that eligible people in difficulties receive timely assistance, and to prevent problems such as illegal collars and rent-seeking.
    (Ministry of Civil Affairs, Ministry of Human Resources and Social Security, National Medical Insurance Bureau, National Bureau of Rural Revitalization, China Disabled Persons’ Federation and other relevant departments and units as well as various regions are responsible according to the division of responsibilities)
     
       (19) Improve the level of convenience services.
    Establish and improve government data sharing and coordination mechanisms, strengthen information sharing and mutual recognition of certification, and promote the reduction of various certification items by improving credit supervision and fully implementing the notification and commitment system.
    Implement a management system for the list of certification items, and no certification should be requested from the enterprise and the public outside the list.
    If it is really necessary to provide a certificate, the name, purpose, basis, requesting unit, issuing unit and other information of the certificate shall be notified.
    Focusing on safeguarding and improving people's livelihood, we will promote more "trans-provincial administration" of services.
    Adhere to the parallel of traditional service methods and intelligent service innovation, and effectively solve the outstanding difficulties encountered by special groups such as the elderly in the use of intelligent technology.
    (The General Office of the State Council, the Ministry of Justice and other relevant departments of the State Council and all regions are responsible according to the division of responsibilities)
     
      8.
    Further strengthen supervision during and after the event
      8.
    Further strengthen supervision during and after the event
     
       (20) Strengthen the supervision of cancellation and decentralization matters.
    Adhere to the combination of decentralization and management, and take effective supervision as a necessary guarantee for streamlining administration and decentralization, and promote government management to engage in pre-approval and shift more to mid-event and post-event supervision.
    The cancellation and decentralization of administrative licensing matters shall be formulated item by item by the competent department in conjunction with relevant departments Interim and ex-post supervision measures, clarify the level of supervision, supervision departments, and supervision methods, and improve supervision rules and standards.
    Further sort out the supervisory responsibilities of the supervisory department, strengthen the connection with local supervisory law enforcement, and establish an efficient supervisory mechanism of mutual cooperation and joint management to ensure clear responsibilities and well-regulated supervision.
    (The General Office of the State Council takes the lead, and the relevant departments and regions of the State Council are responsible for the division of responsibilities)
     
       (21) Improve the effectiveness of supervision during and after the event.
    All regions and departments should improve the "double random, one open" supervision, credit supervision, and "Internet + supervision" methods to implement more precise and effective supervision.
    Sort out the key supervision matters within the scope of responsibility, focus on managing "one thing" and implement comprehensive supervision.
    Strengthen the risk assessment of daily supervision matters, implement hierarchical and classified supervision, and strengthen supervision of high-risk links.
    It is necessary to strictly supervise the lives and health of the people and public safety, and resolutely maintain the bottom line of safety.
    To implement inclusive and prudent supervision of new industries and new formats, guide and standardize their healthy development.
    Improve the national integrated online supervision platform, promote the sharing of supervision information, accelerate the formation of unified supervision big data, strengthen the comprehensive application of supervision information, and improve the quality and efficiency of supervision.
    (The General Office of the State Council takes the lead, and the relevant departments and regions of the State Council are responsible for the division of responsibilities)
     
       (22) Strictly regulate administrative law enforcement.
    Formulate and issue guidelines for further standardizing the benchmark system of administrative discretion, urge all regions and departments to clarify the types and extent of administrative discretion, standardize application procedures, and correct irregularities in administrative law enforcement such as penalties.
    Encourage all regions to establish flexible law enforcement checklist management systems in accordance with laws and regulations, and use administrative coercive measures with caution and less use of minor violations to prevent them from being shut down and managed by fines.
    (The Ministry of Justice takes the lead, and the relevant departments of the State Council and various regions are responsible according to the division of responsibilities)
     
      Nine, safeguard measures
      Nine, safeguard measures
     
       (23) Improve the evaluation mechanism of enterprises and the masses.
    Adhere to the perception and satisfaction of enterprises and the public as the criteria for judging the effectiveness of reforms, and rely on the national integrated government service platform and China Government Network to establish a normalized mechanism for enterprises and the public to evaluate reform measures at the national level.
    Timely publicize the evaluation results, strengthen the rectification of bad reviews, and form a closed loop of work that integrates evaluation, feedback, and rectification, so as to achieve mass participation, social evaluation, and market recognition.
    All regions should establish a social evaluation mechanism for reform initiatives at the local level.
     
       (Twenty-four) Strengthen organization and implementation.
    All regions and departments must attach great importance to timely study and solve new situations and new problems arising in the reform of "delegation, management, and service", and earnestly achieve vitality, fairness, and efficiency of service.
    It is necessary to formulate implementation plans in accordance with laws and regulations based on actual conditions, introduce specific policies and measures, and implement them item by item.
    The General Office of the State Council should strengthen supervision and guidance to ensure the implementation of reform measures.
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