After the Spring Festival, all regions are intensively arranging the new year's work plan, publishing work regulations, specifications, and notices. Recently, the editor has learned that Chongqing issued the "Notice of the General Office of the Chongqing Municipal People's Government on Printing and Distributing the Administrative Measures of Primary Medical and Health Institutions in Chongqing" (hereinafter referred to as "Administrative Measures"), which clarifies the positioning, setting and division of labor of primary medical institutions and further Point out eight public health responsibilities that primary medical institutions must perform.
In the "Administrative Measures", a complete and basic medical system has been constructed in a detailed and systematic manner, setting standards for the basic medical institutions and doctors to perform their respective duties better.
It is related to each of our grass-roots medical workers. What key contents in this "Administrative Measures" deserve everyone's attention? Let's look down one by one:
The primary medical institutions are embodied and divided into six categories
Broadly understood, primary-level medical and health institutions are mainly divided into four categories: community health service centers and stations, township health centers and village clinics. In the "Administrative Measures", the primary medical institutions are classified in detail, including six categories:
1. Community health service centers and township health centers;
2. Community health service stations and village clinics (institutions);
3. Comprehensive outpatient department, specialty outpatient department, traditional Chinese medicine outpatient department, integrated traditional Chinese and western medicine outpatient department, ethnic medicine outpatient department;
4. Clinics, Chinese medicine clinics, ethnic medicine clinics, medical offices, health centers (rooms);
5. Nursing stations and health care centers;
6. In addition to district and county (autonomous counties, hereinafter referred to as districts and counties) people's hospitals (central hospitals), traditional Chinese medicine hospitals, maternal and child health centers, and independent mental health centers, second-level and below general hospitals, traditional Chinese medical institutions, specialty disease prevention Medical institutions such as hospitals (institutions and stations), rehabilitation hospitals, rehabilitation medical centers, hemodialysis centers, nursing homes, nursing centers, and tranquility care centers.
In three cases, primary medical institutions can be added to support the establishment of social forces
In terms of rational distribution of medical resources, equalization is required as much as possible, requiring at least one government-run community health service center within the jurisdiction of each street office, and one government-run health center in each township. The following three situations can add primary medical institutions:
1. Where the jurisdiction of the street office is relatively large, the population of more than 100,000 people, and the rapid development of new communities, the community health service center can be appropriately added.
2. Urban communities planning to serve a population of 8,000 to 20,000 people should set up at least one community health service station, and district and county health departments can add stations as appropriate according to actual needs.
3. Administrative villages with more than 2,500 permanent residents and large service radius may appropriately add village clinics.
If the above conditions are met, the newly added community health service centers and community health service stations can be organized by social forces. In addition, social capital can set up chain-level grassroots medical and health institutions as required.
Define the proportion of health plan, Chinese medicine personnel and general practitioners, these personnel are preferred to hire
The staffing of government-run community health service centers and township health centers shall be allocated in accordance with the relevant regulations. Among them, the proportion of health professional and technical personnel shall not be less than 80%, and the proportion of Chinese medicine practitioners shall be not less than 30% of the professional health technical personnel. There should be 2 or more general practitioners.
The staffing of non-governmental community health service stations shall not be lower than the basic standards prescribed by the government. The number of village doctors in the village clinic (institution) shall be allocated at least 1 ‰ of the registered population of the administrative village. Qualified village clinics (institutions) and community health service stations should be equipped with Chinese medicine practitioners.
Government-run community health service centers (stations) and township health centers recruit new recruits. Undergraduates and above medical graduates, general practitioners, and rural doctors with licensed (assistant) doctor qualifications can be recruited in accordance with the simplified procedures. , Priority under the same conditions.
Require primary medical institutions to perform the following eight public health duties
The specific public health responsibilities that community health service centers, township health centers, community health service stations, and village clinics (offices) should perform include the following eight major items:
Eight public health duties
1. Collect and submit health information within the jurisdiction, establish and manage residents' health records in accordance with national and municipal regulations, and propose suggestions to improve the public health status of the jurisdiction;
2. Carry out health education and popularize health knowledge;
3. Assist in the prevention and control of infectious diseases, endemic and parasitic diseases, and cooperate with the patriotic health work;
4. Do screening and case management of high-risk groups and patients with key chronic diseases;
5. Provide mental health guidance services and implement mental illness community management;
6. Provide health care and rehabilitation services for key groups such as women, children, the elderly, and the disabled;
7. Provide family planning technical services and assist in handling public health emergencies within the jurisdiction;
8. Provide other public health services as required.
Other grassroots medical and health institutions shall collect and report health and health information in accordance with relevant regulations of the State and this Municipality, report patients with legally infectious diseases and public health emergencies, and carry out health promotion and patriotic health work.
The promulgation of the "Administrative Measures" provides a unified template for standardizing local grassroots medical management and consolidating the grassroots health service network, and also provides a model for grassroots medical management in other regions, which is worthy of promotion and reference.
(Disclaimer The content of this article originates from the commune of primary physicians, and the copyright belongs to the original creator. We reprint this article for the purpose of disseminating more information. If you are involved in copyright matters, please contact to delete.)