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    Home > Medical News > Medical World News > Here are the latest developments in the nine reforms related to grassroots doctors

    Here are the latest developments in the nine reforms related to grassroots doctors

    • Last Update: 2019-11-04
    • Source: Internet
    • Author: User
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    In recent years, with the continuous reform in the field of primary health care, the grassroots doctors have also ushered in some changes Knowing the latest progress of these reforms in time is conducive to the early planning of their future career Some changes of grassroots doctors are closely related to the reform So, what are the important reforms related to grassroots doctors this year? How far have these reforms progressed? Xiaoshe has sorted out the authoritative information of relevant departments and the public reports of the media, and the answers to these questions are gradually clear [measures] in September last year, the general office of the State Council issued the opinions on improving the national basic drug system, saying that we should adhere to the dominant position of basic drugs, strengthen the management of basic drug use in medical institutions, make clear the proportion of basic drug use in public medical institutions with the Province as the unit, and constantly improve the use of basic drugs in medical institutions [progress] at present, many provinces have entered the implementation stage of implementing or improving the national basic drug system: (1) The original catalogue (11 provinces and cities): Jilin, Shandong, Beijing, Henan, Hubei, Jiangsu, Zhejiang (Draft), Fujian, Chongqing, Guizhou, Sichuan; (2) It is clear that there is no need to add any more, and it is not clear how to deal with the original supplement catalogue (6 provinces and cities): Ningxia, Liaoning, Tianjin, Hunan (the province's supplement varieties buffer to the end of this year, has not been officially issued), Guangdong, Heilongjiang; (3) Supplement ethnic medicine (4 provinces and cities): Gansu (using ethnic medicine in the original supplement catalogue), Qinghai (clearly adding 100 kinds of Tibetan medicine, the original supplement catalogue is abolished), Yunnan (adding a small amount of ethnic medicine), Guangxi (no longer adding, except ethnic medicine) [measures] in May this year, the state issued the opinions on promoting the pilot development of clinics, which set up the examination and approval filing system for the management of clinics The pilot cities are Beijing, Shanghai, Shenyang, Nanjing, Hangzhou, Wuhan, Guangzhou, Shenzhen, Chengdu and Xi'an [progress] three months later, the initiative was implemented in Beijing, not only changing the clinic to the record system management, but also the measures mentioned in the national document that doctors can open full-time and part-time clinics; Then in October, Shenyang printed and issued the notice on the implementation plan of pilot work to promote the development of clinics in Shenyang, indicating that the materials are complete and can be opened on the same day; Recently, Guangdong Province also issued a document saying that the establishment of clinics, traditional Chinese medicine (comprehensive) clinics, integrated traditional and Western medicine clinics, and ethnic clinics were all changed from the approval system to the filing system [measures] 2019 is the "year of burden reduction at the grassroots level" In June this year, the national health and Health Commission officially issued the notice on printing and distributing the measures of burden reduction at the grassroots level to solve the problem of formalism in the health system, which requires all localities to conduct a large-scale investigation on the problem of formalism in their own areas, find out the bottom line, establish a problem account, investigate the cause of the problem, and come up with effective measures The management measures shall be implemented one by one, and the accounts shall be cleared at the end of the year! [progress] local medical staff in the grass-roots filling in forms, indicators, daily work, credit system and other aspects are reflected Now in July, Anhui provincial health and Health Commission said it would implement the electronic health records of residents in the whole province, and gradually cancel the paper health records Subsequently, the health and Health Commission of Yunnan Province formulated 10 measures to reduce the burden of medical staff at the grass-roots level In addition to reducing the routine operations such as filling in forms and streamlining documents, it also proposed to carry out the rural doctors' recuperation activities once a year, and the village doctors participated in the continuing medical education free of charge; In addition, Jiangchuan District, Yuxi City, Yunnan Province, said it would readjust all public health indicators, set them reasonably, and avoid the task of increasing the number of indicators In October, Hebei provincial health and Health Commission made further adjustment on the basis of the national version of credit reduction, that is, to cancel the division of class I and class II credits for medical personnel in health centers, communities, village clinics and individual clinics, and change the annual standard school from 25 points to 20 points [measures] in September this year, the content of national basic public health service projects came out in 2019 Compared with the previous two years, the public health service projects have changed a lot in terms of service content and service mode At the same time, the notice also emphasized the protection of the income of public health service personnel at the grass-roots level, and the subsidy standard for public health funds was raised to 69 yuan [progress] recently, according to the state's instructions on the work of basic public health services in 2019, Guangdong Province has reclassified public health services In addition, the plan also has new regulations on the public health work arrangement and performance evaluation of village doctors, and establishes the "commitment system of basic public health services" of village health stations Simply put, according to their own reality, rural doctors promise to complete the project tasks they can undertake Township hospitals check and accept the quantity and quality of rural doctors' tasks on a monthly / quarterly basis and issue corresponding funds and subsidies [measures] in May this year, the national health and Health Commission issued the notice on promoting the construction of close county medical and health community By the end of 2020, a new County medical and health service system with clear objectives, clear rights and responsibilities, and division of labor and cooperation will be initially established in 500 counties (including county-level cities and municipal districts), gradually forming a community of services, responsibilities, interests and management [progress] in terms of close medical community, China has carried out many pilot exploration, such as Luohu, Tianchang and other modes, which have been fully promoted in some provinces, such as Shanxi and Zhejiang From the perspective of effect, close medical community has a better effect [measures] in 2010, five ministries and commissions including the national development and Reform Commission jointly issued the notice on the implementation of free training of rural order oriented medical students, officially launching the training project of rural order oriented free medical students [progress] this year, in combination with national policies, according to the characteristics of their own provinces and cities, each province has successively carried out the enrollment and employment related plans for 2019 rural order oriented free medical students, with a lot of benefits For example, in Gansu Province, the maximum score of orientation students can be reduced by 40 points, and the health centers in the province are free to transfer; in Guizhou Province, the conditions are relaxed and the candidates are admitted from the supplementary report; Hainan is not limited by the number of application batches; Anhui Province can enjoy a subsidy of 8540 yuan every year; Jiangxi Province guarantees employment and has posts; Guangxi village health office orders orientation students are not limited by academic qualifications In addition, in the last month, the state 7 departments jointly issued the notice on the management of employment placement and performance of medical students in rural order oriented free training, which put forward clear requirements around the employment placement, salary treatment and performance management of medical students, and strengthened the integrity management of both parties' performance [measures] in 2016, five ministries and commissions including the State Administration of traditional Chinese Medicine issued the 13th five year plan of action for improving the service capacity of grass roots traditional Chinese medicine By 2020, all community health service institutions, township hospitals and 70% of village clinics will have the service capacity of traditional Chinese Medicine More than 85% of community health service centers and more than 70% of township hospitals will have the service capacity of traditional Chinese medicine Comprehensive service areas of traditional Chinese medicine such as Yitang [progress] in recent years, it has been basically implemented all over the country In Guangdong, Guangxi, Gansu and other places, it will even become necessary to encourage village doctors to carry out the appropriate technology of traditional Chinese medicine In September this year, Gansu Provincial Health and Health Committee arranged a unified arrangement Starting from the late September of this year, village doctors will receive the appropriate technical training of acupuncture, massage and scraping, which will be included in the medical insurance reimbursement Range In addition, the State Council recently issued the opinions of the Central Committee of the Communist Party of China and the State Council on promoting the inheritance, innovation and development of traditional Chinese medicine, which encouraged and guided the grass-roots medical and health institutions to provide appropriate services of traditional Chinese medicine, such as expanding the scale of rural order oriented free training of medical students of traditional Chinese medicine, encouraging the implementation of "county management of rural use of traditional Chinese medicine personnel; encouraging western medicine to learn traditional Chinese medicine; encouraging family doctors to provide Contract services for the treatment of diseases without treatment by traditional Chinese medicine [measures] in 2013, the state issued the notice on further improving the pension policy of rural doctors and improving the treatment of rural doctors, requiring all regions to speed up the formulation and improvement of the pension policy of rural doctors; to effectively guarantee the treatment of rural doctors and fully implement the compensation policy of rural doctors; the access management of rural doctors should be carried out in strict accordance with the law [progress] in the past six years, policies on the treatment, establishment and support for the aged of village doctors have been issued in succession The most intuitive feeling is that the rural doctors tend to be standardized in management For example, in some areas, "equal pay for equal work", "record system management" or "talent pool" are implemented; in some areas, pension is gradually formed, and in some areas, pension insurance for urban employees is included, while in some areas, seniority subsidy or quota subsidy is given [measures] in 2018, the state issued the opinions on reforming and improving the incentive mechanism for the training and use of general practitioners, which can be said to give unprecedented support to general practitioners.
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