First, accurately grasp the standards and requirements of basic medical care in the health system.
The basic medical care for the poor has been guaranteed, mainly because the common diseases and chronic diseases of the poor can be diagnosed and treated in the county, township and village medical institutions in the province in time. The construction of medical and health institutions at the county, township and village levels and the team of rural doctors in poverty-stricken areas has been strengthened, equipped with qualified medical personnel, and the "blank spots" of the personnel at the rural two levels have been eliminated, so that the poor can have places and doctors to see a doctor.
The basic medical security standards of the health system include "three ones" of medical and health institutions, "three qualifications" of medical and health personnel and "three lines" of medical service ability (see the annex for details). According to the national working standards, our city will not rise or fall. All localities will no longer formulate work standards separately.
Second, strengthen the capacity building of county hospitals.
(1) Increase financial support for the project. Actively strive for investment in the central budget, and strive to include Dingyuan County General Hospital in the support scope of the national universal health security project. Implement the responsibility of city and county investment and resolve the long-term debt of Dingyuan General Hospital as soon as possible. (Finance Section)
(2) Strengthen counterpart assistance in tertiary hospitals. Conscientiously do a good job in helping Dingyuan County General Hospital with the counterpart of provincial 3A hospitals, implement the logistics support for resident medical staff, and cooperate with resident hospitals to do a good job in the management of resident staff. The dean or vice president stationed in the hospital has been stationed continuously for not less than 1 year, and other personnel have been stationed continuously for not less than 6 months. Dingyuan county general hospital should make full use of the technical advantages of the personnel stationed at higher levels, actively carry out the construction of clinical specialties, and improve the diagnosis and treatment ability of common diseases, frequently-occurring diseases and some acute and critical diseases in internal medicine, surgery, obstetrics and gynecology, pediatrics and emergency department. (medical management)
(3) Accelerate telemedicine. Actively promote the construction of image cloud, remote ECG, remote consultation and other systems, realize the full coverage of telemedicine services in county hospitals, and gradually extend to township hospitals. Expand the connotation of telemedicine service, enrich the service content, and effectively promote the sinking of high-quality medical resources through remote consultation, patient rounds, teaching and training. Further standardize telemedicine services and improve telemedicine charging and medical insurance payment policies. (Regulatory and Information Section)
Three, strengthen the "county and township integration, rural integration" mechanism construction.
(4) Strengthen the training of county and village personnel. Continue to carry out standardized training for general practitioners and assistant general practitioners, and transfer training. And increase the training of free medical students in rural areas. According to the provincial distribution plan, special post general practitioners are recruited for poor areas to solve the problem of insufficient staff in township hospitals. Continue to carry out practical skills and appropriate technical training for rural doctors, and improve the ability of rural doctors to diagnose and treat common and frequently-occurring diseases and Chinese medicine services. (Science and Education Section, Personnel Section, Grass-roots Section)
(five) the overall use of medical and health human resources. Counties (cities) will further implement the system of "county management for township use" and "township employment for village use" for talents in primary medical and health institutions, and employ qualified medical personnel for township hospitals and village clinics. We will implement the "100 million" project of building rural medical and health capacity, such as "100 doctors staying in the village", "1,000 doctors going to the countryside" and "10,000 doctors training in rotation", and implement the three-year action of building a team of rural doctors to expand the source of rural doctors, improve service capacity and eliminate the "blank spots" in village-level institutions. (Personnel Section, Grass-roots Section)
(six) comprehensively promote the construction of compact county-level medical institutions. In 20 19, compact county-level medical institutions will be built in 6 counties (cities) of the city. Deepen the integration of county medical service resources, effectively integrate public health resources, promote the integration of county, township and village management, further strengthen the doctor's benefit sharing mechanism, effectively operate the management mechanism, reconstruct and upgrade the county medical and health service system, realize the integration of medical and health services, effectively integrate medical care and prevention, and change from treating diseases as the center to taking health as the center. (Economic System Reform Department)
Four, strengthen the standardization of rural medical and health institutions.
(7) Eliminate the "blank spots" of the organization. Promote the city and county governments to implement the main responsibility, increase investment, strengthen the standardization construction of rural medical and health institutions in accordance with the principle of "filling the level and filling the gap", eliminate the "blank spot" of administrative village clinics before the end of 20 19, fully complete the infrastructure construction of township hospitals and village clinics during the poverty alleviation period, and rationally allocate medical equipment for township hospitals and village clinics. Strengthen the construction of traditional Chinese medicine in township hospitals and the allocation of traditional Chinese medicine equipment in village clinics. In view of the "blank" problem of administrative village clinics, all localities should, in accordance with the unified deployment requirements of the state and the province, combine the characteristics of different geographical distribution and population coverage, establish account books based on the principle of facilitating poor people to see a doctor, analyze and study them one by one, and solve them by classification, and report the situation of eliminating "blank points" to the Municipal Health and Health Commission.
For the newly established administrative villages after poverty alleviation and relocation, before the infrastructure construction such as water, electricity and network is in place, and the administrative villages that have not been completely relocated or will be demolished as a whole, temporary medical points can be set up to provide services for the masses. Put an end to redundant construction and idleness. There are idle village clinics in administrative villages, which should be opened in time. If there is no clinic in the resident administrative village of the township health center, the township health center shall set up a separate room to ensure that no less than 1 qualified doctors perform the functions of village doctors and undertake basic medical care and basic public health services in the resident administrative village. (Grass-roots Section, Supervision and Information Section, Finance Section)
Five, strengthen the comprehensive prevention and control of diseases in poverty-stricken areas.
(eight) the full implementation of three years of comprehensive prevention and control of key infectious diseases and endemic diseases. According to the "Three-year Action Plan for Health Poverty Alleviation in Anhui Province" (Anhui Health Office [2018] No.3), comprehensive prevention and control of key infectious diseases such as AIDS, tuberculosis and endemic diseases such as schistosomiasis should be done well, and the current patients should be treated in different categories. (US Centers for Disease Control)
Safeguard measures of intransitive verbs
(9) Strengthen the responsibility of tackling key problems. The financial department of the Municipal Health and Health Commission is responsible for leading the implementation of health poverty alleviation projects, strengthening cooperation among business departments, and forming a joint effort to overcome difficulties. Combined with the functional requirements of various business departments, we will improve detailed measures and promote the implementation of various tasks. Effectively strengthen the capacity building of county and township medical and health services and carry out classified treatment.
(10) Strengthen supervision and evaluation. Will solve the outstanding problems of basic medical care for the poor into the important content of health poverty alleviation unannounced visits. The Municipal Health and Health Commission carried out unannounced visits and supervision in the form of "four noes and two straights" and scheduled them regularly. All localities should strictly benchmark the table, do not exceed or fall, find out the base number by village and person, thoroughly investigate the outstanding problems, establish a list of problems, a list of tasks and a list of responsibilities, implement inverted construction period and wall chart operations, and reconcile and cancel the numbers one by one as required to ensure that the goals and tasks of health and poverty alleviation are completed on schedule.