Added 19 new items, 3 of which are listed separately
From 2019, the content of maternal and child health and elderly health services, medical and nursing integration, health emergency, pre-pregnancy inspection and other content in the original major public health services and family planning projects will be included in the basic public health services.
For the content newly classified as basic public health services, the three key tasks of endemic disease prevention, occupational disease prevention, major disease and health hazards monitoring are listed separately by project, with clear funding and tasks.
The "Notice" makes it clear that the newly included basic public health service-related work includes a total of 19 tasks. Among them, the three tasks of endemic disease prevention, occupational disease prevention and monitoring of major diseases and hazardous factors are the tasks that are guaranteed to be completed every year, and the remaining 16 tasks are implemented by the provinces in combination with local actual conditions. Related work is not limited to grassroots medical and health institutions.
The 19 new jobs are:
1. Endemic disease prevention
2. Prevention and treatment of occupational diseases
3. Monitoring work on major diseases and health hazards
4. Human bird flu, SARS prevention and control project management
5. Management of plague control project
6. Operation and maintenance guarantee management of the national health emergency team
7. Management work of rural women's "two cancers" inspection project
8. Basic contraceptive service project management
9. Management of child nutrition improvement projects in poor areas
10. Management of newborn disease screening projects in poor areas
11. Project management of supplementing folic acid to prevent neural tube defects
12. Management of the national free pre-pregnancy eugenic health checkup project
13. Thalassaemia prevention and control project management
14. Food safety standards follow-up evaluation project work
15. Health literacy promotion project management
16. National random supervision and random inspection project management
17. Aged health and medical care combined service management
18. Work of population monitoring project
19. Supervision and management of health projects
Among them, in the process of carrying out child health management, the General Office of the State Health and Welfare Commission implemented the "Notice of Doing Well in Eye Care and Visual Inspection of Children 0-6 Years Old" (Guowei Women and Children's Hair  No. 39), regulating Carry out work related to eye care and vision inspection for children aged 0-6; strengthen screening and health guidance for childhood obesity and actively carry out prevention and control of childhood obesity. We will provide basic public health services to the poor and promote equalization of basic public health services.
Public health funding subsidy standard increased to 69 yuan
The subsidy standard for basic public health services per capita in 2019 is 69 yuan, and the additional 5 yuan will be used for villages and communities. It is necessary to benefit the grassroots.
The "Notice" requires ensuring that project funds are fully paid on time and in full, and that project funds cannot be overrun or misappropriated. On the premise of ensuring that the national basic standards are in place, the content of security or the standard of security can be increased reasonably. The increase in expenditure is borne by the local government, and it cannot be used to squeeze out national project funds.
Protect the legitimate rights and interests of rural doctors
Rural doctors are an important force to promote basic public health services in the country. The "Notice" gives a clear attitude to the phenomenon of withholding subsidies for medical and public health in some localities.
The "Notice" proposes to clarify the division of labor between the two levels of the village, and the basic public health service tasks undertaken at the village level should be timely allocated according to the results after the performance evaluation, and the subsidy funds should be effectively implemented to protect the legitimate rights and interests of the rural doctors. Doctor's basic public health service subsidy!
In addition, it is necessary to implement the "Opinions of the Central Committee of the Communist Party of China on the Comprehensive Implementation of Budget Performance Management" to strengthen project performance evaluation, give full play to the role of information technology in performance evaluation, reduce on-site evaluation, and improve the efficiency and quality of performance evaluation. Organize personnel to verify on site.
"A verification" link is added to the vaccination of grassroots institutions
Health administrative departments at all levels should cooperate with relevant departments to strengthen the informatization construction of vaccination, and promote the traceability management of vaccine production, circulation and use throughout the process. It is necessary to guide the daily management of vaccination units established in community health service centers and township health centers and the prevention and emergency treatment of vaccination risks.
Strengthen the main responsibility, strictly implement the "Vaccine Circulation and Vaccination Management Regulations" and other laws and regulations and work specifications.
Optimize and refine the vaccination process, on the basis of the implementation of "three checks and seven pairs", add a "one verification" link, and before the vaccination, ask the vaccinator or guardian to verify the type and validity of the vaccination to ensure that the vaccination is correct. Strengthen the training of medical staff, improve the skills and level of standardizing vaccination.
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.
To further clarify the contents of electronic health records open to individuals, the basic personal information, health examination information, key population health management records and other medical and health service records in the files should be opened to individuals in accordance with the law and regulations based on the informed consent of the person or his guardian .
Reasonably quantify the workload of primary-level medical and health institutions and medical personnel to provide online services based on electronic health records, and play an incentive role in performance evaluation.
To reduce the burden on the grassroots level, the corresponding paper files can be cancelled where possible
Electronic files replace paper files and finally go further at the national level! It is understood that in some places where the electronicization of primary medical care is relatively complete, paper files have been reduced to form, but paper files have not been completely cancelled at the local level because no cancellation instructions have been obtained at the national level.
The "Notice" clearly pointed out: Where the electronic health files are perfect and open to individuals, the corresponding paper files can be cancelled after being evaluated by the provincial health and health administrative department.
In addition, the "Notice" also requires innovative work methods and methods to strengthen the construction of basic public health service information systems, focusing on data sharing and business collaboration with medical and health institutions and maternal and child health information systems. According to the principle of “one source, one source and multiple uses”, we cleaned up the grassroots organizations ’reports of strong reports, multiple headlines, and excessive filing frequency, and strived to achieve“ only once ”for similar information.
In 2019, the project progress data reported to the national basic public health service project management information system by quarters will be changed to semi-annual reports. Strengthen the centralized management of the reports of grass-roots organizations. New reports must be issued after being reviewed by the higher-level grass-roots health management department, eliminating repeated issuance and repeated filling, improving work efficiency and quality, and effectively reducing the burden on the grass-roots level.
Taking chronic diseases such as hypertension and diabetes as a breakthrough to promote the integration of medical and prevention
In 2019, continue to explore the basic medical and defense integration service model with the management of hypertension, diabetes and other chronic diseases as a breakthrough, and promote "separation from top to bottom".
Seven provinces, including Shanxi, Liaoning, Guangdong, Chongqing, Guizhou, Yunnan, and Shaanxi, should play the role of pilots for the integration of medical and prevention of hypertension at the grassroots level, transform the service delivery model, and take advantage of the team of family doctors. Leading role; promote the establishment of a two-way cooperation and referral mechanism between grass-roots institutions and higher-level medical institutions, and actively play the technical guidance role of disease control institutions.
Other provinces should refer to the pilot requirements of these 7 provinces to continue to explore the integration of medical and prevention of hypertension at the grassroots level.
In 2019, grassroots diabetes medical prevention and integration management work will be started. All localities will use the "National Guidelines for the Management of Grassroots Diabetes Prevention and Treatment (2018)" issued by the Chinese Medical Association as a technical guideline for the development of grassroots diabetes medical prevention and integration, and organize the training of teachers and grassroots medical personnel. .
The National Health Commission will select some prefectures and cities with better information bases and strong primary medical service capabilities to carry out the pilot, and invite provinces who wish to submit the application materials by the end of September 2019.
Give full play to the role of professional public health institutions such as disease control
Prior to this, there have been several documents that emphasized that professional public health institutions should go deeper into the basic public health work. The "Notice" formally puts forward the following requirements:
Strengthen the technical guidance of county-level professional public health institutions on basic public health services, and improve the level of service standardization of related work of primary-level medical and health institutions.
All localities can combine their actual conditions, rely on disease control agencies, etc. to establish a technical expert team for basic public health service projects in their jurisdictions, and formulate annual basic public health service project guidance plans, including skills training and technical guidance, to ensure and enhance the quality and efficiency of services To increase the sense of gain of residents and benefit the grassroots.
Counties (cities, districts) and grass-roots medical and health institutions should post a publicity poster uniformly produced by the National Health and Health Commission or the provincial health and health administrative department in a prominent position; those who use basic public health services funds to carry out work should be in a prominent position in the promotional materials Express “Basic Public Health Service Projects” in bold font;
Public welfare advertisements for basic public health service projects produced by the National Health Commission are widely broadcast. Encourage grass-roots medical and health institutions to classify and refine service content, carry out personalized publicity, and, if conditions permit, regularly push health education information to residents of the jurisdiction.
From this point of view, the national basic public health service project will penetrate into all areas of health and will occupy a more important position in medical work. At the same time, with the continuous improvement of information technology, the efficiency of public health work will become higher and higher. The previous cumbersome, redundant, and repetitive phenomena will be greatly reduced, and the working methods will be updated and improved. The health subsidy funds and related performance are fully implemented.
Source: National Health Commission