Promoting the gradual equalization of basic public health services is one of the five key contents of deepening the reform of medical and health system, which is directly related to the vital interests of the broad masses of people, the health, economic development and social harmony of hundreds of millions of people. All localities should constantly raise awareness of the importance of implementing rural basic public health service projects, strengthen leadership and make careful arrangements. Health administrative departments at all levels shall, in accordance with the general requirements of the Opinions, formulate practical implementation plans, define the phased objectives, and implement refined target management. According to the characteristics of different geographical features and different levels of economic development, classified guidance is implemented. The lead department of basic public health service projects should make overall arrangements, do a good job in relevant coordination, and ensure the comprehensive and standardized implementation of basic public health service projects within their jurisdiction. The business departments in charge of each index shall, in accordance with the division of responsibilities, conscientiously perform their duties and ensure their implementation.

Second, standardize the implementation of service projects.

All localities should conscientiously organize and implement national basic public health service projects, especially those with great difficulty, in accordance with the service content and service process of the National Basic Public Health Service Standard (2009 Edition) (hereinafter referred to as the Standard) and according to the different characteristics of each project and local conditions. According to the functional orientation of township hospitals and village clinics, further clarify the division of responsibilities, strengthen inter-agency cooperation, and effectively implement national basic public health service projects.

Health records is a basic work, and it is necessary to ensure the quality and quantity of rural residents' health records to reach 20% in 20 10. All localities should formulate the management system of health records, improve safeguard measures, and promote the effective utilization and scientific management of health records. Conditional areas should gradually promote the process of electronic information, integrate health records, basic medical services, basic public health services, and instant reporting of the new rural cooperative medical system to realize resource sharing. Traditional services such as health education, vaccination, prevention and treatment of infectious diseases, maternal health management and children's health management should be connected with the requirements of the Code on the basis of the original work. We should organize key breakthroughs in new businesses such as the management of patients with hypertension and type 2 diabetes and the health management of the elderly. Township hospitals should send experienced clinicians to participate in the implementation of the project and give play to the role of clinical technical support. For the management of severe mental illness, the health administrative departments of counties (cities) should strengthen cooperation with public security, civil affairs, disabled persons' federations and other departments, as well as township governments and village committees, establish a work coordination mechanism, and give full play to the advantages of various departments. Mental health professional institutions should strengthen the guidance of township health institutions and do a good job in the management of patients with severe mental illness.

Third, implement matching funds and strengthen fund supervision.

Health administrative departments at all levels should strengthen coordination with the financial departments, and implement matching funds for the project as soon as possible according to the requirements of improving the public health fund guarantee mechanism in the Opinions, so that the per capita basic public health service funds in 20 10 can reach the national standard 15 yuan.

Rural residents' basic public health service funds shall be pre-allocated before settlement (pre-allocated funds shall not be less than 70% in principle), and funds shall be allocated to health institutions in advance to ensure that they have the money to handle affairs; The rest can be allocated according to the results of performance appraisal, which embodies the principle of rewarding the superior and punishing the inferior, and ensures that all funds are used for basic public health services.

The local health administrative department shall, according to the service content and quantity undertaken by the health institutions at the township and village levels, determine the proportion of funds allocated for basic public health services at the township and village levels (see Annex for details). It is necessary to give full play to the role of the network of village-level health institutions and implement the subsidy funds for their basic public health service tasks.

All localities should actively coordinate the financial departments to study and formulate measures for the management of the use of funds, strengthen the supervision of the operation of grass-roots funds, and not use basic public health service funds for expenses such as drug zero-difference sales subsidies or disguised subsidies to ensure earmarking.

Four, strengthen the training and guidance of rural health personnel.

All localities should organize the training of rural basic public health service projects in 20 10 years in accordance with the requirements of the norms, and effectively improve the skills of implementing basic public health service projects at the township and village levels. Local health administrative departments at all levels should also attach great importance to it and increase investment in training funds.

Health administrative departments at all levels should set up an expert technical guidance group for basic public health service projects, which is responsible for the business guidance and technical consultation of basic public health service projects for rural residents. In view of the lack of mental health professional institutions in rural areas, the health administrative departments at the provincial and prefecture (city) levels should co-ordinate the mental health professional forces within their respective jurisdictions and strengthen the technical guidance and related knowledge training of mental health professional institutions for the management of patients with severe mental illness in township health institutions. Township hospitals can set up a service team composed of public health doctors and clinicians to ensure the full coverage of basic public health services at the village level.

Verb (abbreviation of verb) strengthens propaganda and public opinion guidance.

All localities should strengthen publicity and mobilization for the implementation of basic public health service projects, and create a good public opinion environment for the implementation of basic public health service projects. Through radio, television, distributing publicity materials, posting slogans, making wall newspapers and other forms, rural residents can understand the contents of basic public health service projects, understand the significance of the projects and actively participate in them, thus ensuring the smooth development of basic public health service projects. Through publicity and education, strengthen the initiative and consciousness of township health institutions and personnel in implementing basic public health services.

Six, strengthen supervision and inspection and performance appraisal.

All localities should adhere to the principles of fairness, impartiality and openness in accordance with the evaluation methods of basic public health service projects, and conscientiously do a good job in the supervision, inspection and performance appraisal of project implementation. The health administrative department at the county level is responsible for organizing the inspection and evaluation of the implementation of basic public health service projects in township health institutions, which is carried out 1-2 times a year. The assessment content includes the quantity, quality and social effect of basic public health services, and the assessment results are used as the basis for the allocation of basic public health services in township health institutions. County-level public health medical institutions guide township health institutions to implement basic public health service projects, which are assessed by county-level health administrative departments. The health administrative departments at the provincial and municipal (prefectural) levels conduct key inspections on the implementation of county-level projects every year, and commend and reward the counties (cities) with better project implementation. I will organize and carry out supervision on the implementation of basic public health service projects in various places in a timely manner.