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    Home > Active Ingredient News > Drugs Articles > China's first county medical regulations issued

    China's first county medical regulations issued

    • Last Update: 2021-03-02
    • Source: Internet
    • Author: User
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    November 27, Shanxi Provincial People's Congress Standing Committee Office held a press conference to announce that, as the country's first local regulations on the construction of county-level medical and health community, "Shanxi Province to ensure and promote the integration of county-level medical and health care measures" (hereinafter referred to as the "Measures") will be implemented on January 1, 2021.The Measures consist of 6 chapters and 32 articles, including general rules, integration optimization, service upgrading, support protection, supervision and management and by-laws. It is a summary of the results of the pilot work on the construction of the medical and health community in Shanxi's close county area, which provides the rule of law guarantee for further safeguarding and promoting the integration of medical and health care in the county.It is worth mentioning that the Measures provide innovative answers in improving the income level and treatment security of rural doctors.The formation of county-level medical groups, the village health room into the managementShanxi Provincial People's Congress Standing Committee, education, science, education, education, health and industry committee director Li Fuming introduced that many of the provisions of the Measures are creative, such as the provisions of the county-level medical groups and their medical and health institutions to implement administrative, personnel, funds, performance, business, medicine "six unified" management, clear medical insurance fund payment methods and settlement management system.The Measures clearly state that the people's governments of counties (cities and districts) shall integrate county-level hospitals, township hospitals (including relevant primary health care institutions retained after the withdrawal and township) and community health service centers organized by the government within their jurisdictions to form county-level medical groups.The people's governments of counties (cities and districts) shall steadily promote the integration of rural medical and health care and gradually integrate village health rooms into the management of county-level medical groups. Encourage medical and health institutions organized by social forces to participate in medical service cooperation between county-level medical groups.The county-level medical group shall handle the registration of legal persons of public institutions in accordance with the law. The medical and health institutions managed by the county-level medical group retain the legal personality and original name.The administrative, personnel, funds, performance, business, pharmaceutical and so on of the county-level medical and health groups and their medical and health institutions shall be under unified management and shall exercise their administrative autonomy in accordance with the provisions.Establish a regular growth mechanism for rural doctors' income and old-age retirement benefitsThe Measures clearly specify the specific requirements for stabilizing and raising the income of rural doctors, and provide institutional guarantees for the issue of retirement village medical benefits.The Measures clearly state that the income of rural doctors shall consist of subsidies for basic public health services, special subsidies for essential drugs, job subsidies and other medical and health services-related subsidies and medical income.The provincial people's government shall formulate the standard of post-subsidy for rural doctors and establish a regular growth mechanism for the income of rural doctors and the living allowance for doctors in old-age retirement villages.When the people's government of a county (city or district) accounts for the subsidy funds for rural doctors, those who serve less than 800 people in accordance with the subsidy funds for the accounting of the service population shall be approved and supplemented in accordance with the subsidy standard for 800 people.According to this provision, the income of rural doctors and the old-age subsidy funds will be adjusted and upgraded dynamically according to the actual development situation, and the regular growth mechanism can better stimulate the enthusiasm of rural doctors.Village general medicine and above qualified village doctors to participate in basic old-age insurance for employeescounty (city, district) people's government shall support the village health room staff who have obtained the qualification of practicing assistant physician (including rural general practice assistant physician) and signed contracts with county-level medical groups, and shall participate in the basic old-age insurance for employees in accordance with the provisions.The people's governments at or above the county level shall gradually raise the standard of subsidies for rural doctors who have not signed contracts with county-level medical groups to participate in the basic old-age insurance contributions of urban and rural residents.The Measures guarantee the corresponding treatment according to the different qualification arrangements of rural doctors, and are also called for promoting the transformation of rural doctors' ranks to practice.The Measures for improving county-level service capacity through talent sharing, specialist alliances, telemedicial and so onThe Measures make it clear that urban three-level hospitals should help county-level medical groups improve their medical service capabilities by forming medical associations, talent sharing, technical support, specialist alliances, telemedicology, and organizing training.County-level medical groups shall formulate a catalogue of disease diagnosis and treatment at the county and township levels within county-level medical groups, improve the norms for outward referrals within county-level medical groups and county areas, establish a two-way referral platform, open a green channel for two-way referrals, and optimize the referral service flow.We should improve the capacity of comprehensive services such as medical services and public health services, and strengthen capacity-building in response to public health emergencies.According to the urban and rural disease spectrum of the county, we should strengthen health education and early intervention in chronic diseases at the grass-roots level, carry out patriotic health campaigns and guide the masses to develop a healthy and civilized way of life;formulate guidelines for the prevention and control of common diseases and multiple morbidity, establish a three-level management system for rural areas in chronically ill counties, and provide continuous services for screening, diagnosis, referral and follow-up.County-level medical groups should promote the construction of intelligent medical care, carry out remote medical services such as tele-specialist outpatient clinics, tele-expert consultations, remote emergency consultations and teaching training, and carry out online services such as chronic disease management, family doctor contracting and health consultation.Medical institutions deducting costs for personnel incentives County-level medical groups shall, on the premise of ensuring the service capacity of township hospitals, implement unified management, use and deployment of personnel within the total amount of preparation, and the adjustment of staffing shall be reported to the county (city or district) institution preparation department for the record.People's governments at or above the county level shall establish and improve personnel systems and remuneration systems adapted to the characteristics of the medical and health industries.Health care institutions may use the income from medical services for personnel incentives after deducting costs and withdrawing funds in accordance with the regulations. (Primary Physicians Commune)
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