Just! The State issued a public health notice for 2020, with the standard of subsidies increasing and the performance award changing.

Guide: The standard of subsidy is raised, paper files are abolished, the way of public health subsidy for rural doctors has changed ...
. Just now, the Three Departments of the National Health and Health Commission, the Ministry of Finance and the State Administration of Traditional Chinese Medicine jointly issued the Notice on Doing a Good Job in Basic Public Health Services Projects in 2020 (hereinafter referred to as the Notice), which defines the specific priorities of basic public health service projects in 2020 and the standard of subsidy for basic public health services per capita this year.
2020 the per capita public health service funding subsidy standard is 74 yuan
"Notice" clearly, in 2020 per capita basic public health services funding subsidy standard is 74 yuan.
the new 5 yuan funds are fully implemented to rural and urban communities, and the basic medical and health institutions such as community health service centers (stations), township hospitals and village health rooms (hereinafter referred to as primary health care institutions) carry out the personnel funds and public funds for the prevention and control of the new coronary pneumonia epidemic, strengthen the funding guarantee for grass-roots epidemic prevention and control and improve the capacity of epidemic prevention and control, and strengthen the primary health and epidemic prevention.
, compared with 69 yuan in 2019, the per capita public health fund ingress in 2020 was raised by 5 yuan to 74 yuan. Moreover, for the 2020 epidemic prevention and control of the general environment, the new 5 yuan is mainly used to enhance the grass-roots epidemic prevention and control capacity, strengthen the grass-roots prevention and control funding guarantee, to a large extent for the grass-roots prevention and control to provide financial support.
the focus of performance evaluation change, more work, better pay
evaluation focus from the heavy process to the heavy results, heavy residents feel the change, highlighting the application and guidance of information technology in performance evaluation, improve efficiency and quality, so that data more running, so that grass-roots staff run less legs, on-site evaluation to random spot checks, verification-oriented, to be in accordance with the law to increase the punishment of fraud.
strengthen the application of performance evaluation results and link evaluation results with the allocation of funds.
all localities should guide primary health care institutions to improve the internal performance evaluation mechanism, and fully reflect the allocation and distribution of funds for basic public health services.
village medical public health subsidies to take a proportional pre-allocation
on the village medical public health subsidy funds, "Notice" focused on the allocation of the mode.
the Notice requires that rural doctors undertake basic public health services tasks, may take a prorated advance, according to the results of performance evaluation timely allocation of the corresponding subsidy funds, it is strictly prohibited without reason.
According to a health hospital director to the primary physician commune revealed that the rural doctors public health grant funds allocated in different ways, some places are allocated once a year, village doctors to wait until the second year to get the previous year's public health subsidies;
according to the contents of the new "Notice", the State proposed that village doctors can be pre-allocated on a prorated basis, according to the specific evaluation results of advance funds, this practice can promote the timely distribution of public health subsidies, improve the enthusiasm of village medical services, but also help to do a good job of public health control work, according to the results of performance evaluation of advance funds, to ensure that the quality of service is not reduced.
to do a good job in eye health care and vision examination for children aged 0-6
strengthen the management of vaccination
basic public health services provided mainly by primary health care institutions, the basic public health service projects are promoted by all localities in accordance with the National Basic Public Health Service Code (Third Edition).
in the implementation of the project to do a good job in the implementation of the relevant work, guide the primary health care institutions to standardize the implementation of eye health care and vision examination of children aged 0-6 years, strengthen the management of vaccination, in contrast to the "People's Republic of China Vaccine Management Law" requirements, strict lying in the management and use of vaccines.
other basic public health service projects shall be implemented in combination with reference to the New Classified Basic Public Health Services Related Work Code (2019 edition) by reference to local authorities, and shall do a good job in local disease prevention and control, occupational disease prevention and control, monitoring of major diseases and hazards, disease prevention and control, maternal and child health services, integrated services for the elderly health and health care, food safety guarantee, health supervision and management, health emergency team construction, population monitoring and family planning services, and health literacy promotion.
gradually eliminate the corresponding paper archives
reasonably quantify the workload of grass-roots personnel
on paper files, the 2019 public health notice mentioned that the electronic health files are perfect and can be opened to individuals, by the provincial health administrative departments after evaluation, the corresponding paper files can be cancelled. The 2020 Notice has more specific requirements.
by the provincial health administrative departments assessment, the qualified areas can mainly rely on standardized electronic health files to carry out services and gradually eliminate the corresponding paper files.
, in accordance with the principles of norms, security, convenience and practicality, and under the premise of protecting personal privacy in accordance with the law, further optimize the residents' electronic health files are accessed online by the residents themselves and open to residents themselves for online access and interactive forms.
in the focus on the health management services of the elderly over 65 years of age, to timely import health check-up and health assessment and other information, convenient for residents to inquire.
actively encourage the integration of basic public health, appointment registration, outpatient and in-patient information inquiry, examination and test results inquiry, health assessment, drug information query and guidance services through the application of the regional national health information platform residents, family doctor contract service APP, etc., to improve the collection and sharing of information, and effectively improve the utilization rate of electronic health files.
encourage the rational quantification of the workload of primary health care institutions and medical personnel to provide online services by relying on electronic health files, give full play to the role of performance evaluation incentive, and effectively guide and promote the application of electronic health files.
, the popularity of electronic health files will be greatly increased in 2020, and paper files will be phased out.
to do a good job in normalizing epidemic prevention and control
strengthen the knowledge training of grass-roots institutions for epidemic prevention and control
and local primary health care institutions should, under the guidance of disease control and other professional public health institutions, actively work with townships (streets) and village (residential) committees to do a good job in the risk management of the new crown pneumonia outbreak in the jurisdiction, the screening of fever patients and related information registration, reporting and disposal.
to grass-roots institutions to epidemic prevention and control knowledge training, to adhere to the combination of Chinese and Western medicine, co-ordinate the resources of Chinese and Western medicine, establish and improve the mechanism of cooperation between Chinese and Western medicine, guide the grass-roots to develop and improve the new crown pneumonia epidemic prevention and control emergency plan and regular emergency drills, effectively enhance the grass-roots new crown pneumonia and other major outbreaks of prevention and control response capacity.
should, in view of the characteristics and situation of the new crown pneumonia epidemic, coordinate the prevention and control of the epidemic and basic public health services, improve the health file information of patients recovering from the new crown pneumonia in a timely manner, do a good job in the health management of pregnant women, children, the elderly, chronically ill patients and other key groups of people, to ensure that the elderly such as home incapacity, staying in old-age institutions and other elderly access to the corresponding services in a timely manner.
strengthen health education for epidemic prevention and control among people in the jurisdiction, and mobilize the initiative and enthusiasm of all participants in epidemic prevention and control.
deepen the integration of primary-level chronic disease management
focusing on the management of chronic diseases such as hypertension and type 2 diabetes, promoting basic medical care and basic public health integration services in grass-roots institutions, and optimizing the grass-roots diagnosis and treatment and health management processes for common and multiple chronic diseases.
relying on the family doctor team, the formation of grass-roots hypertension, including doctors, nurses, public health personnel, including the basic unit of medical and preventive management of diabetes, with the family doctor in the team as the lead to clarify the members in the pre-diagnosis, clinic, post-diagnosis work responsibilities.
give full play to the role of higher-level medical institutions and professional public health institutions, establish up-down linkage, two-way referral and consultation channels, and link the use of primary chronic drugs.
2020, the National Health and Health Commission will start the grass-roots hypertension, diabetes and other chronic diseases of medical and preventive integration management key contact point work.
to reduce the burden for the grass-roots level, do not mention unrealistic high indicators
deepen the expansion of grass-roots work to reduce the burden, clarify the different levels, departments, positions between the responsibilities of the boundary, in accordance with the consistent requirements of rights and responsibilities, establish and improve the responsibility, service list, to prevent layers of responsibility transfer to the grass-roots level.
fully consider the affordability of the grass-roots level, do not mention unrealistic high indicators, reasonably determine the time frame for completion of the work, optimize the deployment of work.
encourages the promotion of data connectivity and sharing between regional line systems in the light of performance evaluation, and provides conditions for the objective and comprehensive data grabbing from the information system.
the above eight aspects, will be the focus of this year's public health work. In the normal epidemic prevention and control environment, the public health work in 2020 is very special and challenging, new proliferation risks still exist, the vast number of grass-roots medical personnel in the public health work at the same time, but also strictly do their own protection, protect themselves, protect their families.
attached to the "Notice" full text:
on the 2020 basic public health service project work notice
the National Health Grassroots Development (2020) No. 9
provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Health Commission, Finance Bureau (Bureau), Administration of Traditional Chinese Medicine:
for the further implementation of the Party's 19th National Congress and the 19th Central, Third, Fourth Plenary Spirit, adhere to the grass-roots focus, prevention, prevention, To promote the work concept of high-quality development, continue to coordinate the implementation of basic public health service projects after the reform of financial authority and expenditure responsibility reform, strengthen the prevention and control of normal outbreaks at the grass-roots level, continuously expand the coverage of basic public health services, optimize service content, improve service quality, effectively improve the level of equalization of basic public health services, help implement healthy China action and promote the construction of the basic medical and health system with Chinese characteristics, and now do a good job in 2020 basic public health service projects as follows:
Regarding the funding and major tasks
the per capita subsidy standard for basic public health services in 2020 is 74 yuan, the new 5 yuan of funds will be fully implemented to rural and urban communities, and the basic medical and health institutions such as community health service centers (stations), township hospitals and village health rooms (hereinafter referred to as primary health care institutions) will carry out the personnel funds and public funds for the prevention and control of the new crown pneumonia epidemic, strengthen the basic epidemic prevention and control funds and improve the capacity of primary health prevention and control.
basic public health service projects provided mainly by primary health care institutions shall be promoted by local authorities in accordance with the National Basic Public Health Service Code (third edition), and shall do a good job in establishing residents' health records, health education, vaccination, health management of children aged 0-6 years, maternal health management, health management of the elderly, health management of chronically ill patients with severe mental disorders, health management of tuberculosis patients, health management of patients with tuberculosis, health management of infectious diseases and public health emergencies. In the implementation of the project, we should coordinate and do a good job, guide primary health care institutions to standardize the implementation of eye health care and vision examination for children aged 0-6 years, strengthen vaccination management, and strictly control the management and use of vaccines in the context of the requirements of the Vaccine Management Law of the People's Republic of China. All localities should continue to pay attention to the implementation of basic public health service projects in poor areas, improve the level of equalization of basic public health services for the poor, and make due contributions to helping win the fight against poverty.
other basic public health service projects shall be implemented in combination with reference to the New Classified Basic Public Health Services Related Work Code (2019 edition) by reference to local authorities, and shall do a good job in local disease prevention and control, occupational disease prevention and control, monitoring of major diseases and hazards, disease prevention and control, maternal and child health services, integrated services for the elderly health and health care, food safety guarantee, health supervision and management, health emergency team construction, population monitoring and family planning services, and health literacy promotion.
shall, in accordance with the requirements of the Opinions of the State Council of the CPC Central Committee on the Comprehensive Implementation of Budget Performance Management, improve and implement the corresponding performance targets for various service projects. The basic public health service items of the administrative region supplemented by the provinces (districts and municipalities) shall be promptly reported to the National Health and Health Commission for the record.
, do a good job in normalizing epidemic prevention and control
and primary health care institutions in various places, under the guidance of disease control and other professional public health institutions, should actively work with townships (streets) and village (residential) committees to do a good job in the risk management of the new coronary pneumonia outbreak, screening of fever patients and related information registration, reporting and disposal. We should make full use of the basic health personnel capacity to enhance training projects, etc. , through online and offline a variety of ways to strengthen the grass-roots institutions epidemic prevention and control knowledge training. We should adhere to the combination of Chinese and Western medicine, co-ordinate the resources of Chinese and Western medicine, establish and improve the mechanism of cooperation between Chinese and Western medicine, guide the grass-roots to formulate and improve the emergency plan for the prevention and control of the new coronary pneumonia epidemic and carry out regular emergency drills, effectively enhance the grass-roots prevention and control of major outbreaks such as new crown pneumonia. In view of the characteristics and situation of the new crown pneumonia epidemic, we should coordinate the prevention and control of the epidemic and basic public health services, improve the health file information of patients recovering from xinguan pneumonia in a timely manner, do a good job in the health management of key groups such as maternal, child, elderly and chronically ill patients, and ensure that the elderly, such as home-based incapacity and staying in old-age institutions, receive timely and appropriate services. Strengthen the health education of the population in the jurisdiction to prevent and control the epidemic, and mobilize the initiative and enthusiasm of the whole staff to participate in the prevention and control of the epidemic.
, promote the practical application of residents' electronic health files
to residents' electronic health files popularization and pragmatic application-oriented, give full play to the basic information support and the role of civilian services. After the provincial health and health administrative departments assessment, the qualified areas can mainly rely on standardized electronic health files to carry out services and gradually eliminate the corresponding paper files. In accordance with the principles of norms, security, convenience and practicality, under the premise of protecting personal privacy in accordance with the law, further optimize the online access of residents' electronic health files and open to residents themselves for online access and interactive forms. In order to improve the sense of the goal, through a variety of channels to improve and enrich the contents of electronic health files, will be targeted at residents of health services information timely guidance (recorded) into the electronic health file. In the focus of the health management services for the elderly over 65 years of age, it is necessary to timely import health check-ups and health assessment information, so that residents can query. We will actively encourage the integration of basic public health, appointment registration, outpatient and in-patient information inquiry, examination and inspection results inquiry, health assessment, drug information query and guidance through the application of the regional national health information platform residents, family doctor contract service APP, etc., and improve the collection and sharing of information, so as to effectively improve the utilization rate of electronic health files. We encourage rational quantification of the workload of primary health care institutions and medical personnel to provide online services by relying on electronic health files, and to play an effective role in performance evaluation and motivation.