In 2017, Anhui, a pilot province, expanded its recruitment and is about to start the pilot of the “two-card system” for basic public health services. This measure will make public health performance evaluation fair and transparent, and funding will no longer be withheld or withheld. This brings a good head to the national public health cause!
(Photo source: Anhui Health and Family Planning Commission, grassroots health work conference)
In February this year, Anhui Provincial Primary Health Work Conference was held. Yu Dezhi, party secretary and director of the Provincial Health and Family Planning Commission, attended the meeting and made a report. It mentioned the acceleration of the construction of a provincial-level basic public health service information system and the launch of a pilot "two-card system" for basic public health services.
What is the "two-card system", and how will the "two-card system" affect our primary doctors' public health services?
The concept of "two card system":
"Two-card system" means that after the residents receive basic public health services, the second-generation ID card is used to show approval, and the service data can be passed to the system for confirmation; the primary doctor providing the service swipes his performance card to show that the service is provided by the doctor Provided, the system automatically calculates its work points and labor compensation after swiping the card.
The impact of the two-card system on grassroots public guards
1. All counterfeiting (fake files, fake follow-up, fake management, etc.) will be terminated
Carry out basic public health services. In order to achieve various indicators such as filing rate, follow-up rate, and management rate, many fraudulent behaviors have occurred, and residents often suffer from mental illness, hypertension, and diabetes. After the implementation of the "two-card system", only the residents swipe the second generation ID card, the service data can be passed into the system, and the residents cannot put the ID card in the hands of the doctor for long-term storage, so the public security personnel can only do it Without the actual service, the act of fabricating data out of thin air will no longer work.
2. The assessment of public health funds is fair and transparent, and the village doctors work hard
The country's basic public health services require the village doctors to undertake at least 40% of the workload. However, in many areas, village doctors actually undertake 90% of the work, or even 100% of the work, but the actual income is not directly proportional.
The implementation of the "two-card system" will properly circumvent the previous direct assessment of the health center, and the system will automatically calculate its work points and labor remuneration. Under such a fair and transparent policy, many village doctors rely on relations and do not do practical work. Will not continue to enjoy high subsidies, village medical and public health funds will do more and more, less and less.
At the same time, which doctor provides the service and which doctor swipes his card, this also solves the situation that some village doctors responded that "everyone did the work, and the director of the subsidized clinic took it alone."
3. Alleviated the relationship between the hospital and the village doctor
In fact, the state ’s basic public health service funds are special funds, and the state strictly regulates it. Most health centers dare not embezzle them (except for individuals who abuse their powers). However, because public health assessments are not transparent, the health centers are referees. It ’s an athlete. With such a multi-task situation, some village doctors have increased hatred for the leadership of the hospital, and the relationship between the two levels of the network is embarrassing.
Village doctors always think that the assessment of the hospitals is too harsh. He did not know that the hospitals are also evaluated according to national standards. If the quality is not up to standard, they will be punished. If the "two-card system" is implemented, the hospital will be able to withdraw from the status of the appraiser, which will help improve the relationship between the two levels of rural health care and loosen the management of the hospital.
This year, at the fifth meeting of the Twelfth National People's Congress, the Premier of the State Council mentioned in the government work report that basic public health services will continue to be increased in 2017. This also means that the income of grassroots medical personnel such as community health centers, health centers, and village clinics that undertake basic public health services has also increased.
The assessment problems we are most worried about have also been exemplified by some provinces. It also shows that health system managers are also aware of the problems at the grassroots level and are gradually solving them. Anhui is China's first batch of provincial comprehensive medical reform pilot provinces. After all the pilot schemes are mature, they will also be replicated nationwide.
In short, the assessment of basic public health services nationwide is moving towards transparency!