According to the general requirements of the Implementation Opinions of the Provincial Party Committee and the Provincial Government on Deepening the Reform of the Medical and Health System, the Notice of the Ministry of Health, the Ministry of Finance and state administration of traditional chinese medicine on Printing and Distributing, and the spirit of the Notice of the Health Department of Sichuan Province on Printing and Distributing Three Plans (Chuanwei Office [2010] No.64), in order to further promote and standardize the implementation of counterpart support work in urban and rural hospitals in our province, a counterpart with clear levels and clear objectives is gradually formed. 20 1 1 Sichuan urban and rural hospitals counterpart support work plan is specially formulated.
I. Purpose of work
Promote the counterpart support work of urban and rural hospitals, give full play to the radiation function of urban high-quality medical resources, coordinate the coordinated development of urban and rural health undertakings, continuously improve the ability and level of primary medical and health services, and actively provide safe, effective, convenient and inexpensive basic medical services for urban and rural people.
Second, the working principle
(1) Overall planning.
The counterpart support work is organically combined with the work of 10,000 doctors supporting rural health projects, urban tertiary hospitals supporting county hospitals, county hospitals supporting township health centers, and urban hospitals supporting community health service institutions, making overall plans, highlighting key points, and comprehensively promoting. (2) Implementation by levels. The provincial health department has formulated a plan for tertiary hospitals to support some city and county (city, district) hospitals and mainland general hospitals to support central health centers in ethnic areas and organized its implementation; City (state), county (city, district) Health Bureau shall formulate and organize the implementation of the plan to establish county-level medical institutions to support township hospitals; Provincial, municipal (state) and district (city, county) health administrative departments shall formulate plans for urban medical institutions to support community health service institutions and organize their implementation.
(3) Pay attention to practical results.
The fundamental purpose of counterpart support in urban and rural hospitals is to achieve practical results and eliminate formalism. The counterpart support work takes three years as a cycle, and the aided hospitals should significantly improve their diagnosis and treatment skills, medical services and management level and pass the examination.
(4) Connect with each other.
The counterpart support work of urban and rural hospitals should be organically linked with the work of promoting the reform of public hospitals, the annual target assessment of hospitals, the innovation of hospital evaluation, the evaluation of hospital grades, and the promotion of medical staff titles, and work together to gradually form a long-term mechanism for counterpart support work.
Third, the task
(a) three hospitals support the city (state) and county (district) hospitals.
1. The principle of counterpart relationship between tertiary hospitals in key counties of national poverty alleviation and development and ethnic autonomous counties (10,000 doctors support rural health projects) remains unchanged and maintains certain stability. According to the document requirements of the Ministry of Health, the total number of project counties was changed to 37.
2. County-level hospitals, municipal hospitals with good regional economic conditions and certain service levels and capabilities (except for key counties in national poverty alleviation and development work) and county-level hospitals in Chengdu are temporarily excluded from the scope of assistance.
Hospitals that used to be recipients but recently passed the evaluation of tertiary hospitals are no longer recipients. In addition to Ganzi, Aba and Liangshan tri-state hospitals.
4. Dujiangyan People's Hospital and jiangyou city People's Hospital are among the counties affected by the 18 earthquake, but they have passed the evaluation of Grade III B hospitals in 20 10 and are not included in the counterpart support system for the time being. The rest 16 county hospitals have been included in the aid system because of the end of counterpart support from other provinces.
5. See Annex for the specific counterpart support relationship between tertiary hospitals and county hospitals.
(2) The Second Hospital provides counterpart support to the central hospitals in ethnic minority areas. 94 dimethyl general hospitals in the province provide counterpart support to 29 1 center health centers in 59 counties in ethnic areas of the province (* * 60 counties in ethnic areas, among which there is no center health center in Jinkouhe District), and each dimethyl hospital sends at least medical staff with intermediate or above titles 1 person to each center health center supported by counterpart every year. Secondary hospitals with support tasks should take the initiative to contact the health bureaus of the recipient ethnic counties, * * * work out a work plan with the supported central health centers, report it to the municipal and state health bureaus in the recipient areas for review, and then report it to the provincial health department for the record on 20 1 1.
(3) County hospitals support township hospitals. It is formulated by the county (city, district) health bureaus, reviewed and summarized by the relevant city (state) health bureaus, and reported to the provincial health department for the record on 20 1 1.
(four) city hospitals to support community health service institutions. By the provincial, municipal (state) and county (city, district) health administrative departments to develop and organize the implementation. The relevant municipal (state) health bureaus shall, after reviewing and summarizing the regional planning under their jurisdiction, report to the provincial health department for the record before 201April 10.
Four. Work content and methods
(a) stationed personnel. Support hospitals should send experienced medical staff with senior attending physicians (nurses and technicians) and deputy chief physicians (nurses and technicians) to participate in counterpart support work. The dispatched personnel should have strong professional ability, high quality and good moral quality. The two sides of counterpart support should negotiate to determine the specialty, quantity and time of medical personnel stationed, and make overall arrangements for the work of medical personnel. On the premise of ensuring the continuity and stability of support work, the dispatch time of the attending physician is generally 6 months, and the dispatch time of the deputy chief physician and the central dispatched personnel in Sichuan is generally 3 months.
(2) Clinical diagnosis and treatment. The medical staff stationed in the aided hospital shall participate in the clinical diagnosis and treatment work and undertake the diagnosis and treatment services for common diseases, frequently-occurring diseases and difficult diseases at the grassroots level; Clinical teaching and technical training should be carried out to improve the technical level of primary hospitals.
(3) Technical support. Support units and recipient units should determine specific technical cooperation projects, focusing on helping recipient hospitals to independently develop appropriate new technologies and businesses, build a number of characteristic specialties and key specialties, and train a number of key talents and department heads.
(4) Continue training. Support units should, according to the actual needs of the recipient units and the promotion of appropriate technologies, help the recipient hospitals to send medical staff to our hospital or other institutions for training every year, strengthen the theoretical basis, master appropriate technologies and improve management level. The number of trainees received each year is not less than 1/2 of the number of personnel dispatched by the supporting unit. In principle, the training time shall not be less than 6 months. Among them, tertiary hospitals supported county-level hospitals, implemented the work requirements of the training project of key doctors in county-level hospitals of the Ministry of Health, and trained 430 key doctors in county-level hospitals throughout the year. The personnel training plan shall be issued separately by our bureau.
(5) itinerant medical treatment. The recipient hospitals and their local health administrative departments should regularly organize and support medical personnel and local medical personnel to actively carry out mobile medical care and mobile medical care, actively participate in counterpart support for township hospitals, and expand the beneficiaries of counterpart support.
(6) Remote consultation. Support hospitals and recipient hospitals should actively create conditions, take the form of network and video to carry out remote consultation and training, enrich the forms of counterpart support and improve work efficiency.
(7) Manage the output. Supporting hospitals and recipient hospitals can send management personnel to each other's hospital management positions, and if conditions permit, they can take up posts, export the mature management experience of supporting hospitals to recipient hospitals, and also strengthen the communication and coordination between counterpart support parties. The core work is to scientifically formulate and improve the hospital development plan, establish and improve various hospital management systems, and promote the implementation of various systems.
(8) Donations in kind. Support hospitals to improve the hardware facilities and equipment configuration in the form of in-kind or financial support according to their own reality, so as to improve the medical service conditions and diagnosis and treatment capabilities of recipient hospitals and facilitate local people to see a doctor.
(9) Promote medical reform. Supporting hospitals should help the recipient units to seriously understand the relevant national and provincial medical reform policies and promote the recipient hospitals to complete various hospital reform tasks. According to the spirit of the national medical reform document, the population is over 300,000, but
In counties (Qianwei County, Huaying City, Kaijiang County, Pengxi County, Hanyuan County, Yanyuan County, Huidong County, Yuexi County, Pingshan County) where there are no public hospitals with dimethyl ether or above, tertiary hospitals with counterpart support should give full help in software and hardware to ensure that dimethyl ether is qualified this year.
(10) Maternal and child health care. Maternal and child health care institutions organize technical backbones such as obstetrics, pediatrics and nursing to provide technical assistance to maternal and child health care institutions in recipient counties, promote the training of grassroots maternal and child health technicians and the construction of institutional service capabilities, and comprehensively improve the comprehensive treatment level of maternal and child health care professionals in recipient counties.
(1 1) Chinese medicine. Give full play to the advantages of traditional Chinese medicine in our province, strengthen the assistance to the weak areas of grassroots Chinese medicine service system in our province, and vigorously promote the popularization and application of appropriate technologies of common and frequently-occurring Chinese medicine at the grassroots level.
(12) key disciplines. Through counterpart support, we will give preferential support to relevant specialized hospitals, focus on building related key disciplines such as psychiatry, oncology, stomatology and occupational disease prevention, and actively build professional medical centers in relevant areas. Among them, the construction of key disciplines of psychiatry is mainly inclined to the psychiatry specialty of county hospitals in earthquake-stricken areas.
(13) Other forms. In addition to the above forms, supporting and aided hospitals can actively explore other forms of counterpart support from hospital management, technological progress, scientific research and education, and constantly innovate and promote their work.
Verb (abbreviation for verb) job management
The counterpart support management shall be managed in strict accordance with the Administrative Measures for Counterpart Support of Urban and Rural Hospitals (Trial) formulated by the Ministry of Health, the Ministry of Finance and state administration of traditional chinese medicine and the requirements of this scheme, and shall be included in the hospital grade evaluation.
(1) Strengthen organizational leadership.
Health administrative departments at all levels and related hospitals should strengthen the supervision and management of counterpart support in urban and rural hospitals, and take counterpart support in urban and rural hospitals as an important work measure of medical reform and incorporate it into the annual target assessment. branch
The health administrative department in charge of aided and aided hospitals is the responsible department for the management of this work, and all units should set up relevant organizations and leading bodies to strengthen organizational leadership.
(2) Signing a work agreement.
Counterpart support both parties shall sign a counterpart support work agreement (see Annex 2 for the reference text of the agreement), determine the annual implementation plan, formulate specific work implementation plans, and clarify the responsibilities and obligations of both parties. The counterpart support task of medical institutions arranged by the Provincial Health Department shall be reported to the Provincial Health Department for the record after the supporting party and the recipient sign an agreement; The counterpart support tasks arranged by the municipal (state) and county health bureaus shall be reported to the corresponding superior health administrative department for the record after the supporting party and the recipient sign an agreement; Urban medical institutions supporting community health service institutions shall, after signing an agreement with the recipient, report to the corresponding superior health administrative department and the provincial health department for the record.
(3) Strengthen daily supervision.
The health administrative department of the city (state) where the support hospital is located should strengthen the management of the support hospital, organize an annual inspection and evaluation of the implementation of the agreement, and urge and support the hospital to implement the counterpart support agreement. The health administrative department of the city (state) or county (city, district) where the recipient hospital is located organizes daily supervision, organizes the recipient hospital and the supporting hospital to conduct annual assessment and final assessment, and timely reports the assessment results to the health administrative department of the city (state) where the supporting hospital is located. The recipient hospital has the obligation to cooperate with counterpart support. First, it is necessary to provide safe and convenient basic living and working conditions for the dispatched medical workers, and care for the dispatched workers as much as possible in their lives. Second, it is necessary to strengthen the management of stationed personnel and assess their work, including the completion of work objectives, annual workload, medical ethics, continuous working hours (subject to medical records), patient feedback, opinions of department heads and unit heads, etc. , and feedback to the support unit. The provincial health department is responsible for the supervision and management of counterpart support in urban and rural hospitals in the province. Our office will understand the implementation of counterpart support work in all parts of the province through spot checks, unannounced visits and telephone surveys. If the aid construction work is a mere formality due to the recipient hospital, the competent department must hold the main person in charge of the recipient hospital accountable, and at the same time cancel all the aid construction, national and provincial financial support and project and hospital rating qualifications of the recipient hospital within five years. If the supporting party and the receiving party reach a tacit understanding, the dispatched medical staff will leave their posts without authorization, and those who conceal or lie to the higher health administrative department will be disqualified from both hospitals and informed criticism will be conducted in the whole province once verified.
(4) Target evaluation.
At the end of the annual counterpart support work, the recipient city (state) and county (district) hospitals can meet the following basic requirements:
1. All the targets set in the counterpart support work agreement have been completed.
2. The newly developed and applicable new technologies shall not be less than 10.
3. The satisfaction degree of counterpart support for inpatients and medical staff is above 90% every year.
4.2011June-July, the health administrative departments at all levels in the city (state) and county (district) organized an annual review of the aided hospitals under their jurisdiction according to the Sichuan Provincial Hospital Evaluation Standard. The scores of aided hospitals increase by more than 50 points every year.
Personnel dispatch time, the first half of the year is from early March to late September of that year; The second half of the year is from late September to mid-March of the following year.
Support hospitals in conjunction with recipient hospitals submit semi-annual and annual summaries, assessment results and work information tables to the health administrative departments of their respective cities (states) (see Table 3).
Before June this year 10 and April next year 10, the health administrative department of the city (state) where the supporting hospital is located shall summarize and report the inspection and evaluation to the provincial health department.
The counterpart support work of provincial medical institutions shall report to the provincial health department and the health administrative department of the city (state) where the recipient hospital is located in accordance with the above requirements.
Schedule: 1. Table of Arrangement and Deployment of Counterpart Support for Urban and Rural Hospitals in Sichuan Province
2. Sichuan counterpart support agreement (reference text)
3. Information Report on Counterpart Support in Sichuan Province