2021 public health six key tasks, implementation of subsidies, performance evaluation...

Medical Network, July 15th, the release of key public health projects in 2021, involving the implementation of subsidies, performance evaluation, epidemic prevention and control, etc.
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On July 13, the National Health Commission issued a document "About Doing a Good Job in 2021 The Announcement on the Work of Basic Public Health Service Projects (hereinafter referred to as the “Notice”) clarifies the six key tasks of basic public health
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Task 1: Clarify public health expenditures and strictly implement the funds.
The
"Notice" shows that in 2021, the per capita subsidy standard for basic public health services is 79 yuan, and an explanation is made for the purpose of the additional funding: In 2021, an additional 5 yuan will be used for basic public health services.
Public health services and grassroots medical and health institutions' epidemic prevention and control work; The 5 yuan increase in 2020 will all be implemented in rural and urban communities, and will be used for normalized epidemic prevention and control
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It is worth noting that this document attaches great importance to the implementation of public health subsidy funds, and requires that the provincial financial departments and the health administrative departments at the same level should be summarized and reviewed by the local supervision bureau of the Ministry of Finance (see the table below for details).
On July 15, October 10, and January 10 of the following year, they should be submitted to the Primary Department of the National Health Commission and the Social Security Department of the Ministry of Finance
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Task 2: "Pre-allocation first, settlement later", innovation performance evaluation
Compared with previous years, there have been new adjustments in performance evaluation this year, and the policy is inclined to grassroots doctors
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For example, the document proposes that the method of "pre-allocation first, settlement later" can be adopted to scientifically and rationally allocate rural two-level basic public health service tasks, and implement subsidies for rural doctors' basic public health services
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It also emphasized that, in principle, within one month of receiving the basic public health service subsidy funds, the township health center shall allocate the corresponding funds in advance according to the proportion of 70% of the tasks undertaken by the village clinics, and perform monthly or quarterly performance evaluations according to the completion of the tasks.
Appropriate the corresponding funds in time afterwards, and it is strictly forbidden to deduct or embezzle
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At the same time, in 2021, the allocation and use of funds in various regions, and the status of serving residents based on electronic health records will be included in the annual performance evaluation
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The "Notice" stated that it is necessary to highlight the needs of the masses to improve the content of basic public health service items and give play to the incentive role of performance evaluation
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　　Task 3: Continue to do a good job in epidemic prevention and control.

Primary medical institutions, as the "first door" of epidemic prevention and control, still need to continue to do a good job in normalizing epidemic prevention and control.
The "Notice" emphasizes that in addition to strictly implementing the prevention and control requirements, The following points must also be achieved: 1.
Extensively carry out epidemic prevention and control training for medical staff at the rural two levels, and strengthen the standardized training of nucleic acid sampling, vaccination, and epidemiological investigation in township health centers and community health service centers
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2.
Implement "village reports, township sampling, county testing", and standardize the reception and treatment process of fever patients in primary medical and health institutions
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3.
Instruct grassroots medical and health institutions and medical staff to actively cooperate with the public health committee of village (residential) committees as needed to continuously strengthen epidemic prevention and control propaganda and health education, and carry out in-depth patriotic health campaigns in urban and rural communities
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In addition, the document also emphasizes that under the normalization of epidemic prevention and control, primary-level medical institutions must still unswervingly implement the "ten tips for medical consultation
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" 　　Task 4: Coordinating the new crown vaccination and daily vaccination The
"Notice" mentioned that while strictly guarding the epidemic situation, primary medical institutions must also coordinate the new crown vaccination and daily vaccination
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On the one hand, for community health service centers and township health centers that have vaccination clinics and undertake new crown virus vaccination tasks, the following must be done: 1.
Strictly implement the "Vaccine Management Law" and strengthen the daily management of vaccination units, Do a good job in vaccine reception, warehousing, storage, personnel deployment and training, inoculation, etc.
, and standardize the inoculation process
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2.
Strictly implement the "three checks, seven to one verification", implement health inquiries, vaccination taboo screening, information registration, and 30-minute observation after vaccination
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3.
The opening of the appointment number source time should conform to the residents' daily production and living habits, and the number sources of each time period should be allocated according to the service capacity.
At the same time, a certain number of on-site appointment number sources should be provided for the elderly and other residents in need
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4.
Regions with conditions should synchronize the new coronavirus vaccination information to the residents' electronic health records in a timely manner
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On the other hand, for large cities with an urban resident population of more than 1 million, it is necessary to rely on information technology to carry out vaccination appointments at different times to reduce crowd gathering
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　　Task 5: Three major directions to improve the quality
of basic public health.
Today's basic public health services have been moving closer to high-quality.
So how to improve the quality of services? "Notice" response: Focusing on key populations such as patients with chronic diseases, children aged 0-6, and the elderly 65 years of age and above, as the entry point, targeted services are provided to improve the quality of basic public health services
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The first is to strengthen the training of primary medical staff, and strengthen the training of primary medical and health institutions and higher-level institutions , with the core of compound medical staff with the abilities of medicine, prevention, and management, and the breakthrough of health services for patients with chronic diseases such as hypertension and type 2 diabetes.
Two-way collaboration and referral mechanism to promote the integration of medical and prevention of chronic diseases at the grassroots level
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Second, take the opportunity of doing a good job in children's eye and vision inspections to do a solid job in the health management of children between 0 and 6 years old, and rely on electronic health files to improve children's vision files
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The third is to do a good job in health management of the elderly by taking the health check-up for the elderly aged 65 and over, and do a good job of personalized health education and guidance based on the results of the physical examination
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　　Task 6: Electronic files gradually replace paper files
From the above requirements to synchronize the new crown vaccination information to the electronic archives, it is not difficult to see that the establishment of electronic archives has become one of the key tasks of primary medical institutions
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The "Notice" clarifies the main points for promoting the application of residents' electronic archives: 1.
Dynamically update and improve the contents of the archives through multiple channels; 2.
Adopt a variety of ways to strengthen the verification and screening of the contents of the health archives; 3.
Give full play to the management and management of family doctors The role of using health files; 4.
Mobilize the enthusiasm of individual residents to participate in self-health management
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In addition, the document also mentions that qualified areas can mainly rely on standardized electronic health records to provide services and gradually eliminate corresponding paper files
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At the same time, in the promotion of electronic health file sharing services, all localities must implement security management responsibilities to effectively protect the security of citizens' personal information
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The key projects of basic public health services in 2021 have been freshly released.
In the first year of the "14th Five-Year Plan", with the strong support of the state, primary medical institutions must focus on their goals and do a great job
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