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Inventory: What happened to grassroots public health in 2019?

文章来源:www.grt3000.com 时间:2020-05-08 浏览:127

On January 7, 2019, the 2019 National Health Work Conference was held in Beijing. According to the content of the meeting, one of the key tasks to be done in 2019: to do a good job in the prevention and control of major diseases and public health, adhere to prevention as the mainstay, move forward, to coordinate immunization planning, strengthen infectious diseases, endemic diseases, chronic diseases and occupational diseases Prevention.
On January 10, 2019, the National Health and Health Commission held the first press conference in 2019 to clarify the key tasks to be carried out in 2019. One of them is to do a good job in the prevention of major diseases and public health.
On January 15, 2019, the Heilongjiang Provincial Health Construction Commission issued the "Notice on Printing and Distributing the" 2018 National Basic Public Health Service Project Provincial Cost Compensation Reference Standards "". The "Notice" proposed that the use of subsidy funds should reflect more More work, better performance, equal pay for equal work, encourage medical staff in grass-roots medical and health institutions to work enthusiasm, ensure that basic public health service subsidy funds are used efficiently, and are used in practice, so that people have a sense of access to basic public health services.
From January 17 to 18, 2019, the 2019 National Primary Health Work Conference was held in Jinan. It was mentioned at the meeting that to improve the performance of basic public health services, this performance is directly related to the level of public health subsidies for primary doctors.
On January 20, 2019, CCTV News, Jiao Yahui, deputy director of the Medical and Medical Administration of the National Health and Health Commission, said that the state will increase financial investment, improve the first aid system, popularize the knowledge of citizens in first aid, and incorporate health emergency into the national basic public health service health education project.
On January 22, 2019, the 2019 Fujian Provincial Health Work Video Conference was held in Fuzhou. According to the deployment, in 2019, the Fujian health system will work hard to build a "general health, general health" work pattern, and proposes to increase the per capita funding of basic public health services to 69 yuan in 2019.
On February 15, 2019, Chongqing issued the "Notice on Printing and Distributing Administrative Measures for Primary Medical and Health Institutions in Chongqing". The "Measures" classify primary medical institutions in detail, and require primary medical institutions to perform eight public health duties, This includes carrying out health education and popularizing health knowledge; assisting in the prevention and control of infectious diseases, endemic diseases, and parasitic diseases; cooperating with patriotic health work; conducting screening and case management for high-risk groups and patients with key chronic diseases; and so on.
On March 5, 2019, Premier Li Keqiang gave instructions on medical work in the 2019 government work report, one of which was to use all the new financial subsidies for basic public health services for villages and communities. The newly added funds are mainly used for optimizing public health service projects. In the two sessions this year, the Prime Minister proposed in his government work report that all the newly-added basic public health service financial subsidies should be used for villages and communities, and the grassroots must be benefited.
On March 11, 2019, the General Office of the Central Committee of the Communist Party of China issued the "Notice on Resolving the Outstanding Problems of Formalism to Reduce the Burden at the Grassroots Level" to lighten the burden at the grassroots level and to rectify the phenomenon of Wenshan Huihai. This measure is good news for grass-roots doctors who suffer from "public health guards repeatedly fill in and build files."
On March 11, 2019, the second session of the 13th National Committee of the Chinese People's Political Consultative Conference "Consolidate and Improve the Public Health Service System at the Grassroots Level" was held at the consultation meeting of the medical and health sectors. The meeting focused on grassroots public health and analyzed the pain points of the grassroots public health. Committee member Xu Ziqiang suggested that a policy document should be issued at the national level to prohibit the bundling of grassroots public health funds as the headline funding for grassroots medical personnel, and to clarify that the headline funding for grassroots medical and health institutions and retired personnel funds are fully guaranteed by the local finance. The service funds are used as special expenditures for basic public health services.
On March 12, 2019, the Gansu Provincial Health and Health Commission issued the "Notice on Carrying Out the Performance Evaluation (Assessment) of Basic Public Health Service Projects in 2018" to assess the development of public health in the province.
On March 28, 2019, the Anhui Provincial Health Commission held the third press conference in 2019. The theme was: The progress and effectiveness of the "two card system" for basic public health services in Anhui Province. Xia Beihai, director of the primary health department of the Anhui Provincial Health and Health Commission, said that on the basis of basic public health services by the end of this year, family doctor contract services will be gradually included in the pilot category, and strive to achieve full coverage by January 1, 2020.
On April 2, 2019, Nanyue District, Hengyang City, Hunan Province took the lead in launching the work of Basic Public Health Service Information System 3.0 "Face Recognition" in the city. All township hospitals (community health service centers) in the district organize family contracted service doctors to go to the village and enter the household, and perform public health "face recognition" entry work for key populations of basic public health service projects in the jurisdiction.
On April 9, 2019, the State Council issued the "Opinions of the State Council on Implementing the Division of Labor in Key Work Departments of the" Government Work Report ". There are a total of 16 key tasks in the medical field, one of which is" Insist on prevention, and add basic All public health service financial subsidies are used for villages and communities ", which was clearly stated in this year's" Government Work Report. "
On April 28, 2019, the National Health Commission issued the "Notice on Printing and Distributing National Informatization Standards and Regulations for Primary-level Medical and Health Institutions (Trial)", which clarified the basic content and requirements for the informatization of primary-level medical and health institutions. This will New media for promoting basic public health services and family doctor contracting work will become more concise, efficient and practical.
At a press conference held by the National Health and Health Commission on April 29, 2019, it was proposed to promote the implementation of eye care and vision inspection for children aged 0-6 in the national basic public health services, and to prevent and control myopia for children aged 0-6. It has gradually become the focus of basic public health services.
On May 17, 2019, the 2019 National Medical Reform Video and Telephone Conference was held in Beijing. Sun Chunlan, vice premier of the State Council and leader of the State Council ’s medical reform leadership group, attended the meeting and delivered a speech, pointing out that prevention should be placed in a more prominent position to promote healthy China. Action, carry out prevention and screening of cancer, chronic diseases and other diseases, early diagnosis and treatment, and optimize basic public health services.
On May 27, 2019, the Guangxi Gongcheng County Health and Health Bureau issued a notice of the "Basic Public Health Service Performance Evaluation Scheme for Village Health Centers in Gongcheng Yao Autonomous County 2019 (Trial)", proposing:
1. Reasonably determine the division of labor between the two levels of the village in accordance with the state, increase support for the village doctors, make them undertake about 40% of the tasks, and give corresponding subsidies. The subsidy standard for basic public health services per capita in 2019 will be increased from 55 yuan in 2018 to 60 yuan, of which: central government subsidy is 48 yuan, autonomous region subsidy is 7.2 yuan, and county support is 4.8 yuan. 2. The assessment plan requires that each assessment team must be composed of personnel familiar with basic public health operations, and invite more than one cadre of the township people ’s government or administrative village to participate in the assessment team to witness and supervise and sign the assessment process.
On June 4, 2019, the General Office of the State Council issued the “Notice of the General Office of the State Council on Printing and Distributing Key Tasks for Deepening the Reform of the Medical and Health System in 2019”, announcing 21 key tasks, one of which is to increase support for public health services, Establish a guarantee mechanism for public health service funds in medical institutions. Evaluate the implementation of basic public health service projects, and promote the improvement of the use of funds.
On June 5, 2019, the General Office of the People's Government of Anhui Province issued "Opinions on Promoting the Construction of a Close County Medical Community". Although the opinion is aimed at the county medical community, public health is an important part of the medical community. Work, the opinions are clear: package the basic medical insurance fund and basic public health service funds for urban and rural residents, keep the balance, use reasonable overspending and share, and establish a tight interest bond. Funds for basic public health services are allocated to the medical community in full and in time according to the total budget of the medical community, and the medical community will be used for overall medical and prevention integration. Implement the "two-card system" to assess the results of public health.
On June 11, 2019, the Ningxia Health and Welfare Committee issued a notice of the "2019 Ningxia Basic Public Health Service Project Implementation Plan" to clarify the division of responsibilities between health centers and village clinics and allocate the amount of public health tasks this year. The responsibility assignment table specifies in detail who the main work is, which tasks need to be undertaken independently, and which do not need to be undertaken. The problems of uneven division of labor and unclear responsibilities were resolved at one time.
On June 18, 2019, the Zhejiang Provincial Health Commission issued the "Guiding Opinions on Strengthening the Public Health Work of the County Medical Community", requesting the promotion of the integration of public health and basic clinical medical services, and breaking the separation and disconnection of public health and medical services. . Require the integration of county and rural public health, and gradually promote basic public health and basic medical services to implement integrated package services, integrate service items and processes, and establish a new mechanism for integrated medical and defense services. Strengthen the public health evaluation and assessment of the medical community.
On June 28, 2019, 36 village doctors in Zhusha Town, Tongxu County, Henan Province resigned because of increasing work pressure, more and more appropriation from superiors, less and less money to village doctors, and wages If the distribution is not in place, the superiors will deduct all levels. It also includes the lack of basic public health service subsidies.
On July 1, 2019, the Shenzhen Municipal Health Bureau issued a notice on the “Measures for the Administration of Basic Public Health Services in Shenzhen”, which states that institutions providing basic public health services must meet 6 conditions; Institutions can provide public health services; fail to pass the assessment for two consecutive years, cancel public health service qualifications; establish a real-name electronic file for residents, and connect the entire city to the Internet.
On July 5, 2019, the Gansu Provincial Health and Health Commission issued the "Circular on the Performance Evaluation of the National Basic Public Health Service Projects in 2018", pointing out the problems in public health projects: low utilization rate of information systems, incomplete assessment and supervision information, Issues such as insufficient funding are timely. In addition, it also proposed to carry out self-inspection and self-correction, introspection and rectification of the problem; strengthen project supervision; and conduct interviews on the three major work requirements for the serious implementation of the work.
In July 2019, the National Health Commission and the National Medical Insurance Bureau jointly held a video conference to strengthen the construction of rural doctors. At the meeting, Wang Hesheng, deputy director of the National Health and Health Commission, emphasized the need to strictly implement subsidies for basic public health and zero-drug drugs.
In July 2019, the Henan Provincial Health and Health Commission adjusted the six main contents of the original maternal and child major public health and family planning projects to the national basic level according to the reform of the central and local fiscal authority and expenditure responsibility for medical and health fields. Public health service projects.
On August 5, 2019, the Chongqing Municipal Health and Health Commission issued the "Notice on Printing and Distributing the Implementation Plan for the Classification and Evaluation of Medical and Health Talents in Chongqing", which divides the personnel of primary-level medical and health institutions into 6 categories and 4 levels. The public health personnel are One of these categories, this type of key evaluation talents is the ability to carry out basic public health service projects.
On September 4, 2019, the National Health and Health Commission, the Ministry of Finance, and the State Administration of Traditional Chinese Medicine jointly issued the "Notice on Doing a Good Job of Basic Public Health Services in 2019." There are four key points: 1. Newly added 19 basic public health services, namely: endemic disease prevention and control, occupational disease prevention and control, major disease and health hazard monitoring, human bird flu, SARS prevention and control project management, Plague control project management, national health emergency team operation and maintenance guarantee management, rural women "two cancers" inspection project management, basic contraceptive service project management, child nutrition improvement project management in poor areas, newborn disease screening in poor areas Project management work, supplemental folic acid to prevent neural tube defects project management work, national free pre-pregnancy eugenics health check project management work, thalassemia prevention and control project management work, food safety standards follow-up evaluation project work, health literacy promotion project management work, national random supervision Spot check project management work, elderly health and medical care combined service management work, population monitoring project work, health and health project supervision and management work. 2. In 2019, the subsidy standard for basic public health services per capita is 69 yuan, and the additional 5 yuan will be used for villages and communities. It is necessary to benefit the grassroots. Regarding public health subsidies, the notice mainly mentions that the division of labor between the two levels of the village and the basic public health service tasks undertaken by the village level should be allocated in time after the performance evaluation, and the subsidy funds should be effectively implemented to protect the legitimate rights and interests of rural doctors It is strictly forbidden to withhold subsidies for basic public health services of rural doctors without reason. 3. Actively and steadily promote the opening of electronic health records to individuals. Optimize the channels and interaction forms of electronic health files for individuals to open services, adhere to the principles of safety and convenience, and create conditions for the public to use electronic health files. 4. Effectively reduce the burden on the grassroots. Innovate working methods and methods, strengthen the construction of basic public health service information systems, and clean up the problems of strong reports, multiple filling in of multiple reports, and excessive reporting frequency of grass-roots organizations in accordance with the principle of one source, one source and multiple uses, and strive to achieve similar information. " Fill in only once. "
On September 4, 2019, the Ministry of Finance, the National Health and Health Commission, the National Medical Security Administration, and the State Administration of Traditional Chinese Medicine jointly issued the "Notice on the Administration of Five Subsidy Funds for Basic Public Health Services". The newly revised “Administrative Measures on Funds for Subsidies for Basic Public Health Services” pointed out that when the central government allocates transfer funds, it mainly considers factors such as the number of permanent residents implementing basic public health services in various regions, national basic standards, and the proportion of central and local sharing. For the subsidies for the original basic public health service projects, the undertaking unit can make overall plans for recurrent expenditures, including personnel expenses, public expenditures, etc .; it cannot be used to carry out basic construction projects or purchase large-scale equipment. As for new projects that are included in basic public health services, provinces can independently arrange for them according to local conditions. The funds are not limited to the use of primary-level medical and health institutions, but are mainly used for demand-side subsidies, work expenditures, and capacity building expenditures.
In September 2019, the national basic public health service work assessment in the first half of 2019 was conducted in many places across the country.
On October 21, 2019, "People's Daily" published an article "Where did this subsidy go? "Article, which exposed the incident that the 6 million village medical subsidies were frozen. The specific content of the incident can be viewed: Letter from the People's Daily Investigation: Where did this subsidy from Guangxi Village Doctor go?
On October 28, 2019, the Guangdong Provincial Health Commission issued the "Guangdong Province 2019 National Basic Public Health Service Project Implementation Plan". The plan changed the public health project from 12 categories to 29 categories. The plan also proposed that the subsidy standard be determined On the basis of this, gradually establish a "basic public health service commitment system" for village health stations. Rural doctors promise to complete the project tasks they can undertake according to their own actualities. Township health centers conduct monthly and quarterly tasks on the quantity and quality of rural doctors. Acceptance and payment of corresponding subsidies.

On November 19, 2019, the National Health and Health Commission issued the "Notice on County-level Disease Prevention and Control and other professional public health institutions to guide basic public health services at the grassroots level." Advantage, improve the level of basic public health services, and further improve the quality and effectiveness of basic public health services.
On November 20, 2019, the Gansu Provincial Health and Health Commission issued a "Notice on Further Regulating the Management of Paper Health Records", requesting that from January 1, 2020, the general population will be cancelled uniformly throughout the province

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