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In 2017, the national health development planning commission and bureau of traditional Chinese medicine to jointly develop grassroots medical and health service capacity increase year activities, related issued by "implementation plan" has been on recently.
According to "implementation plan", across the country, community health service center (station), township hospitals and village clinics, all need to focus on promoting ten task. Many of which are involved in medical equipment in the configuration.
For example, the grassroots medical and health institutions should independent setting, intensive care facilities, reasonable configuration to oxygen attractor, gastric lavage machine, ecg monitor, simple breathing machine (bag), defibrillation apparatus, laryngoscope, first aid equipment;
To strengthen construction of ability of grassroots health institutions inspection to check the reasonable configuration and update the necessary facilities, conduct regular inspection, ecg, ultrasonic and X-ray radiography inspection services;
To strengthen the construction of grassroots medical institutions regions and TCM pharmacy, encourage independent setting hall, national physician hall and other forms of traditional Chinese medicine of traditional Chinese medicine comprehensive service area, promoting acupuncture, moxibustion, gua sha, cupping, minimally invasive, massage of TCM, apply the ironing aromatherapy bath, fractures, anorectal technology and methods of traditional Chinese medicine, such as;
To explore the artificial intelligence, mobile health monitoring, health care data such as application of information technology at the grassroots level.
Around the "implementation plan" requirement, should be in accordance with the appropriate scale, applicable functions, equipment, the principle of moderate, reasonable and update medical and information technology equipment, improve the basic medical and health institutions medical conditions.
"Implementation plan" also explicitly, enhancing the "activity" is in 2017 to promote grassroots health work, the main task of the implementation will be included in the performance evaluation content of grassroots medical institutions. National health development planning commission will also be selected from a batch of outstanding representatives of medical institutions, and dig around good practice, to promote.
Attachment: the grassroots health service ability promotion activity implementation plan"
For implementation, with emphasis on the basic work of health and health policy in the new period, promoting the construction of the grading system and signing the family doctor service, in towns and townships of construction in the activities and community health service improvement project, based on the 2017 national health and family planning commission and the state bureau of traditional Chinese medicine jointly launched grassroots health service ability promotion year activities (hereinafter referred to as the "enhancing the activity"). To implement a solution as follows now.
A, the work target
Centered on residents' health, problem oriented, surrounding the grassroots health service capacity of the weak link, by conducting "enhancing the activity", to promote grassroots health institutions to perfect the service function, improve the service ability and highlight the characteristics of services, improve service quality, ensure medical safety, improve the utilization of grassroots medical institutions and get feeling, provided a basis for building the grading system further. In 2017, by provinces, autonomous regions and municipalities directly under the unit, this wants a basic medical and health services has big improvement from the previous year, the family doctor to sign the service coverage above 30%, key crowd signing service coverage rate of 60% or more.
Second, the implementation main body
At all levels of local government, health and family planning administrative department of traditional Chinese medicine, under the leadership of the community health service centers and towns and townships to organize the implementation, community health service stations and village clinic with reference to relevant requirements is carried out.
Third, the key work content
(a) sign actively promoted the family doctor service. Will contract services to the main responsibility of the individual doctors, strengthen the team building on the basis of the combination of medical, perfect the work mechanism of signing team incentive mechanism and performance evaluation. Signed according to the service capacity and demand, and constantly improve the service content, service content based on the basic contract is sign encourages the development of different types of personalized service content, including health assessment, rehabilitation guidance, family sickbed, home care, Chinese medicine "cure not ill", remote health monitoring, etc., through personalized health management, improve the residents feel about contract signing. In children, maternal, the elderly, patients with chronic diseases, such as the disabled people as the key point, to disease management and prevention health care service as the breakthrough point, improve the utilization rate of signing service gradually expanding the scope of the contract signing. According to the chronic disease classification of diagnosis and treatment technology solutions contract service. Promotion of signing the crowd to make an appointment diagnosis and treatment, the implementation of priority booking system, improve the efficiency of diagnosis and treatment. Set up joint working mechanism with higher medical institutions at the grassroots level to build gp contact public hospital of specialized subject doctor communication platform, collaborative hospital visit priority open source for basic medical and health institutions, open referral to the green channel, expedite referral service path, prioritize referral clinic and hospital patients. Improve the hospital patient information communication mechanism, for the next turn patients provide continuity of service.
(2) improve outpatient medical service ability. Clear the region generally main disease, common disease, frequently-occurring disease targeted improving the capacity of outpatient consultation, diagnosis and treatment of disease. With high blood pressure, diabetes, chronic obstructive pulmonary disease (copd), coronary heart disease, stroke recovery period, advanced cancer, definite diagnosis of chronic renal failure and other chronic diseases patients as the key point, improve the comprehensive management service ability. Key to strengthen the construction of general medicine and community health service center outpatient department is given priority to with jinpenling district, in towns and townships shall set jinpenling district. Combining service demand in our region, can develop rehabilitation, oral cavity, women (care) of department of gynaecology, paediatrics, child care, mental (mental health) and other professional departments, encourage open joint chronic diseases outpatient service, improve the ability of grass-roots slow disease diagnosis and treatment. Strengthen surgical common disease outpatient medical service ability, can skilled grasp the bleeding, stitching, binding, such as fracture treatment. Conditional grassroots health institutions, encourages characteristic section office construction, promote the formation and the development of the superior hospital function complementary, differential pattern, reasonable divergence hospital patients.
(3) improve the emergency first aid ability. Strengthening emergency, pre-hospital first aid, health emergency capability construction at the grass-roots level. Independent setting, intensive care facilities, reasonable configuration to oxygen attractor, gastric lavage machine, ecg monitoring instrument, simple breathing machine (bag), defibrillation apparatus, laryngoscope, such as first aid equipment and medicine, improve the basic first aid hardware conditions. Perfect basic first aid skills training system, grassroots health workers in areas, strengthen the level 2 above hospitals to with the guidance of grassroots health institutions first aid skills training, carry out personnel training in rotation as planned. Enhance the cardiopulmonary resuscitation (CPR), endotracheal intubation, defibrillation, gastric lavage, hemostatic bandage, fracture fixed basic first aid skills such as standardized training, enhance the level of first aid skills grassroots health workers and increase the circulation, respiration, renal failure, patients with acute intoxication, shock, such as the critical initial diagnosis and emergency handling ability.
(4) strengthen the ability construction in hospital. In combination with regional institutions for medical treatment health needs and basic conditions, setting up reasonable beds grassroots medical and health institutions, strengthening the construction of hospital service ability, carry out and agency personnel qualifications, access to technology and facilities that meet the needs of the hospital, surgery, delivery and other services. Encourage grassroots medical and health institutions and the higher the opening of a joint collaboration hospital ward, improving the capacity of basic-level hospital medical services, increasing the service efficiency of beds, residents convenient masses go to a doctor. According to the needs of hierarchical diagnosis and treatment, the basic-level hospital service focus to develop in the direction of community nursing, rehabilitation, conditional can set up the hospice care, elderly care beds, turn to the second class above hospital patients to provide necessary medical conditions.
(5) improve the inspection check and pharmaceutical service ability. To strengthen the construction of grassroots medical institutions, inspection inspection ability, reasonable configuration and update the necessary facilities, to carry out the routine inspection, ecg, ultrasonic and X-ray radiography inspection service. Make full use of existing health resources, give play to the role of third party, set up image, ecg, inspection, such as disinfection supply center, carry out an effective mode of "at the grass-roots level, the superior diagnosis", improve the high quality medical resources accessibility and medical service efficiency as a whole. Within the propulsion of couplet of medical test results mutual recognition between medical institutions, reduce the waste of resources, reduce the financial burden on patients. According to hierarchical diagnosis and treatment work need, in accordance with the relevant regulations and requirements for drug varieties, with satisfy the demand for treating patients. Encourages pharmaceutical service, to provide guidance for the rational use of drugs to patients.
(6) improve service capability of traditional Chinese medicine. To strengthen the construction of grassroots medical institutions regions and TCM pharmacy, encourage independent setting hall, national physician hall and other forms of traditional Chinese medicine of traditional Chinese medicine comprehensive service area, highlight the cultural characteristics of traditional Chinese medicine. Strengthen personnel of Chinese and western medicine of traditional Chinese medicine knowledge and skills training, promoting acupuncture, moxibustion, gua sha, cupping, minimally invasive, massage of TCM, apply the ironing aromatherapy bath, fractures, anorectal technology and methods of traditional Chinese medicine, such as, improve the common disease, frequently-occurring disease and chronic standardized diagnosis and treatment of traditional Chinese medicine service ability. In the elderly, children, maternal, in patients with hypertension and diabetes, such as health management, play the advantages of traditional Chinese medicine and role, and increase the content of health management of traditional Chinese medicine, improving the capacity of public health services of traditional Chinese medicine. Actively carry out the traditional Chinese medicine "cure not ill" service, for the community residents to provide consulting, constitution identification of traditional Chinese medicine and health intervention services, promoting universal health concept and knowledge of traditional Chinese medicine.
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