National Health and Safety Commission issued: the performance appraisal standards of primary medical institutions.

On August 13 (today), the National Health and Welfare Commission issued the Guidance on Strengthening performance appraisal of primary health care institutions (trial) (the following completed Opinions), and the performance appraisal of primary medical institutions has a unified national standard.
Last year, the state issued three-level hospitals and secondary hospital performance appraisal standards, and now, the performance appraisal of primary-level medical institutions has finally had a unified standard requirements to improve the quality and efficiency of primary health care institutions, while regulating the work of primary health care workers, income levels, career development and so on.
the performance appraisal object referred to in this opinion is the township hospital and community health service center organized by the government.
medical and health institutions organized by social forces, the main body of the organization may refer to this opinion to carry out operational evaluation of the institutions.
performance appraisal index system of primary health care institutions consists of 42 indicators in four aspects, such as service provision, comprehensive management, sustainable development and satisfaction evaluation.
(1) service to focus on evaluating the functional orientation, service efficiency, quality and safety of primary health care institutions.
the positioning of functions through indicators such as basic medical services, basic public health services and contracted services, the efficiency of the utilization of medical resources through personnel load indicators, and the quality and safety of primary health care through indicators such as rational drug use and hospital infection.
(ii) Integrated management focuses on economic management, information management and collaborative services.
to assess the rationality of the income and expenditure structure of primary health care institutions through economic management indicators, to assess the realization of the information functions of various services of primary health care institutions through information management indicators, and to assess the coordination of services through two-way referral and integrated management.
(iii) Focus on the evaluation of human configuration and staffing structure for sustainable development.
assess the sustainable development potential of primary health care institutions through human resource allocation indicators, and assess the rationality of human resource allocation of primary health care institutions through personnel structure indicators.
(iv) Satisfaction evaluation focuses on patient satisfaction and medical staff satisfaction.
patient satisfaction is an important embodiment of the social benefits of primary health care institutions, and medical patient satisfaction is an important guarantee for primary health care institutions to provide high-quality basic medical care and basic public health services.
Chinese medicine services, academic level, electronic file rate and other important indicators of specific assessment criteria for your excerpts as follows: 1, Chinese medicine services in 42 performance appraisal indicators, Chinese medicine services are one of the important assessment indicators.
this year, the number of types of Chinese medicine medical technology methods that primary health care institutions were able to carry out, and the proportion of outpatient Chinese medicine non-drug therapy patients directly affected the performance evaluation level.
proportion of Chinese medicine practitioners in the chinese medicine category is also one of the indicators, the proportion of Chinese medicine category physicians is the number of chinese medicine class practitioners (assistant) doctors / the total number of practitioners (assistant) doctors in primary health care institutions during the same period.
2, electronic health file file rate in the public health file, the state from last year began to explicitly issue a request to improve the penetration rate of electronic files, and gradually eliminate paper files, in order to improve the utilization rate of archives, reduce the burden of primary health care workers.
opinion, the electronic health file file rate becomes one of the performance appraisal indicators, which will directly stimulate the penetration rate of electronic health file everywhere, paper file exit history is within reach.
3. The Opinion on the proportion of intravenous drug use includes the proportion of intravenous drug use and the proportion of antimicrobial prescriptions, and the proportion of intravenous drug use is 100% of the total number of prescriptions containing intravenous agents/total number of prescriptions for spot checks, and the proportion of prescriptions for antimicrobial drugs is 100%.
through performance appraisal forced to achieve "can take medicine without muscle injection, can muscle injection without infusion" to promote rational drug use.
4, rural integration in the collaborative services, two-way referral and integration of the construction has become the key content.
the division of labor between primary health care institutions and hospitals to establish a two-way referral mechanism.
community health service centers and township hospitals shall carry out integrated management of the community health service stations or village health rooms to which they belong.
the development of integrated construction will directly affect the assessment standards of primary medical institutions.
5, the number of general practitioners per 10,000 population, that is, the number of general practitioners refers to the number of practitioners (assistant) registered as general practitioners or qualified for general practitioner training, is one of the key points of assessment.
, attracting DST talent and increasing the number of on-the-job DTs will be an important boost at the grassroots level.
6, education structure in terms of manpower configuration, health and technical personnel education structure is one of the assessment indicators, the indicator calculation method for the number of health technical personnel with undergraduate and above education / the total number of health technicians in the same period x 100%.
the educational composition of primary health care personnel is directly related to the quality of service and management mechanism of primary medical institutions, and the homogenization of academic qualifications is also the key direction of the construction of primary medical personnel.
7. Medical staff satisfaction Medical staff satisfaction - Evaluation of the number of medical personnel surveyed / the total number of medical personnel surveyed x 100%, medical personnel satisfaction questionnaire dimensions include working environment, institutional management, salary treatment, training opportunities, job title promotion, development prospects and so on.
The performance appraisal of primary medical institutions has a unified national standard, the next management will also be with the promotion of the performance appraisal system a series of high-quality changes, the majority of primary health care personnel need to strengthen their own requirements to adapt to the gradual standardization of grass-roots management standards.
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