New changes in basic public health work related to personal performance

Source: National Health and Health Commission Organized by: Liu Xiaolin, a community of grassroots doctors The basic public health work has ushered in new changes, which are closely related to personal performance On November 19, the national health and Health Commission issued the notice on guiding grass-roots units to carry out basic public health services by specialized public health institutions such as disease prevention and control at county level (hereinafter referred to as the notice) According to the notice, we should give full play to the technical advantages of specialized public health institutions such as county-level disease prevention and control, improve the level of basic public health services, and further improve the quality and effect of basic public health services In September this year, the state issued the notice on doing a good job in basic public health service projects in 2019, which clearly stated that: All localities can establish a technical expert team of basic public health service projects in their respective jurisdictions based on the actual situation, relying on disease control institutions, etc., and formulate an annual guidance plan for basic public health service projects in their respective jurisdictions, including skill training and technical guidance, so as to ensure and enhance the quality and efficiency of services, increase residents' sense of access, and make the grass-roots masses benefit effectively More than two months later, the national health and Health Commission issued a new document to put forward specific guidance requirements According to the notice, county-level disease prevention and control institutions "carry out professional guidance and evaluation of disease control business" has been included in the regional performance indicator system of central transfer payment to local governments in 2019 Accept the supervision, management and performance evaluation of the administrative department of health and health at the same level, and the evaluation results are linked to the performance salary of personnel For health education, vaccination, 0-6-year-old children's health management, maternal health management, health management of the elderly, health management of patients with severe mental disorders, health management of traditional Chinese medicine, health management of tuberculosis patients, reporting and handling of infectious diseases and public health emergencies, health supervision and coordination, etc County level disease prevention and control and other professional public health institutions should give full play to their own advantages and carry out technical guidance in accordance with the requirements of the national basic public health service standards (the Third Edition) (hereinafter referred to as the "standards") For health management of patients with chronic diseases such as hypertension and type 2 diabetes, professional public health institutions such as county-level disease prevention and control should form an expert team with medical institutions to carry out technical guidance In accordance with the requirements of the standard, the national guidelines for the prevention and control of hypertension at the grass-roots level (2017) and the national guidelines for the prevention and control of diabetes at the grass-roots level (2018), etc., it has played an active role in the areas where the pilot projects for the integration of hypertension and diabetes at the grass-roots level are carried out First, according to the needs of public health work and grass-roots medical and health institutions, we should implement the norms around the grass-roots level, and organize skills training in various forms and focusing on actual results Relevant professional skills training shall be carried out for the staff undertaking basic public health services who have not received the training before taking the post Second, the county-level disease prevention and control and other professional public health institutions should establish a regular project management meeting system, summarize the situation, put forward problems, research and improve measures, and coordinate to promote various technical guidance work Third, to evaluate the performance of basic public health service projects carried out by grass-roots medical and health institutions and other institutions undertaking basic public health service projects The results and guidance will serve as an important reference for allocating subsidies for basic public health services to grass-roots medical and health institutions and other institutions undertaking basic public health services Fourth, county-level institutions can learn from medical institutions about public health and medical related knowledge and working methods through "going out and inviting in", invite superior experts to hold training courses and other forms, strengthen their own capacity-building, and improve relevant business level It can be seen that the state attaches great importance to basic public health services The basic public health service involves a wide range of areas and has a heavy task It is difficult to achieve the expected effect by a single organization Multi agency cooperation is of great help to improve the supply capacity and utilization efficiency of basic public health services Therefore, both disease control institutions and primary medical institutions should do a good job in basic public health related work By replying to the key words "standard", you can obtain the national basic public health service standard (the Third Edition), the national basic hypertension prevention and Management Guide (2017) and the national basic diabetes prevention and Management Guide (2018) General Office of the national health and Health Commission on county-level disease prevention and control and other professional public health institutions Notice on guiding basic public health services Guo Wei ban Ji Kong Han [2019] No 817 Health and Health Committee of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and Construction Corps, China CDC: In order to conscientiously implement the outline of "healthy China 2030" plan, implement the relevant requirements of 2019 government work report that basic public health services must benefit grassroots people, give full play to the technical advantages of specialized public health institutions such as county-level disease prevention and control, improve the level of basic public health services, and further improve the quality and effect of basic public health services, The following requirements are put forward for county-level disease prevention and control and other professional public health institutions to guide the basic public health services 1、 Purpose of work Professional public health institutions such as disease prevention and control at all levels, especially those at the county level, provide guidance and training for basic public health services provided by basic medical and health institutions, so as to give full play to the functions of basic medical and public health services of basic medical and health institutions and continuously improve the quality and level of basic public health services So that urban and rural residents have more sense of access, happiness and security At the same time, it is also an important measure to adhere to the principle of prevention first and combine prevention and control, and to promote professional public health institutions such as grass-roots disease prevention and control to effectively change their concepts, work methods and service modes, and improve their own capabilities Two Work content （1） Target audience The basic medical and health institutions in the jurisdiction that undertake basic public service projects include township hospitals, village clinics, community health service centers (stations) and other institutions that undertake basic public health service projects （2） Classification guidance 1 for health education, vaccination, health management of children aged 0~6, maternal health management, health management of the elderly, health management of patients with severe mental disorders, health management of traditional Chinese medicine, health management of tuberculosis patients, reporting and handling of infectious diseases and public health emergencies, health supervision and co management, professional public health institutions such as disease prevention and control at county level should issue Technical guidance shall be carried out in accordance with the requirements of the national basic public health service standard (the Third Edition) (hereinafter referred to as the standard) 2 For health management of patients with chronic diseases such as hypertension and type 2 diabetes, professional public health institutions such as county-level disease prevention and control should form an expert team with medical institutions to carry out technical guidance In accordance with the requirements of the standard, the national guidelines for the prevention and control of hypertension at the grass-roots level (2017) and the national guidelines for the prevention and control of diabetes at the grass-roots level (2018), etc., it has played an active role in the areas where the pilot projects for the integration of hypertension and diabetes at the grass-roots level are carried out （3） Normative guidance 1 Skill training Specialized public health institutions such as county-level disease prevention and control shall, according to the needs of public health work and grass-roots medical and health institutions, implement the norms around the grass-roots level, and organize various and effective skill training Relevant professional skills training shall be carried out for the staff undertaking basic public health services who have not received the training before taking the post 2 Participate in performance evaluation Under the leadership of county-level health administrative department, relying on professional public health institutions such as disease control, a technical expert team for basic public health service projects in the area under its jurisdiction is established to evaluate the performance of basic public health service projects carried out by grass-roots medical and health institutions and other institutions undertaking basic public health service projects, so as to achieve full coverage of all medical and health institutions undertaking tasks 。 For problems found in the evaluation process, specific rectification measures shall be proposed and tracking management shall be implemented The results of performance evaluation and guidance shall be formally submitted to the local health administration department, and serve as an important reference for allocating subsidies for basic public health services to grass-roots medical and health institutions and other institutions undertaking basic public health services 3 Information management We will promote the interconnection of immunization planning, disease specific information reporting systems and local basic public health service information systems, collect the work information of basic public health service projects in the jurisdiction, do a good job in the management of basic public health service information in the jurisdiction, strengthen data quality control, analysis and utilization, and regularly conduct data analysis and result reporting 3、 Job requirements （1） Strengthen organization guarantee All localities should raise awareness, clarify rights and responsibilities, clarify work processes, and ensure that medical and health institutions perform their respective duties and responsibilities in basic public health service projects To strengthen the county-level disease prevention and control and other professional public health institutions to guide the grass-roots public health services as an important measure to "stabilize the grass-roots, improve the ability", establish and improve the working system, and ensure that the technical guidance responsibilities and tasks are implemented in place （2） Strengthen the ability of guidance To do a good job in the formulation of the relevant program of project technical guidance and level by level training The national level is responsible for formulating relevant work specifications, the provincial level is responsible for the overall management of basic public health services related projects in the province, and the municipal level should organize experts to strengthen the guidance and inspection of specialized public health institutions such as county-level disease prevention and control, so as to improve their technical guidance ability County level institutions can learn public health and medical related knowledge and working methods from medical institutions through "going out and inviting in", invite superior experts to hold training courses and other forms to strengthen their own capacity building and improve relevant business level （3） Implement guidance tasks The county-level disease prevention and control and other professional public health institutions shall, under the organization of the county-level health administrative department, determine the departments to promote the basic public health service projects as a whole, implement full-time personnel, clarify the responsibilities and division of labor, and be specifically responsible for the organization and management of the project technical guidance Establish regular project management meeting system, summarize the situation, put forward problems, study improvement measures, and coordinate to promote technical guidance （4） Guarantee work funds The expenditure required by the county-level disease prevention and control and other professional public health institutions to guide the development of basic public health services shall be implemented in accordance with the notice of the Ministry of finance, the state health and Health Commission, the State Medical Security Bureau, and the State Administration of traditional Chinese medicine on printing and distributing the management measures for five subsidies for basic public health services (CS [2019] No 113) The county-level disease prevention and control institutions "professional guidance and evaluation of disease control business" has been included in the performance index system of the central government for local transfer payment in 2019, and accepted the supervision, management and performance evaluation of the administrative department of health and health at the same level The evaluation results are linked with the performance salary of personnel （5） Strengthen performance evaluation The county health administrative department shall conduct comprehensive performance evaluation on the guidance, training, performance evaluation and information management of basic public health service projects carried out by specialized public health institutions such as county-level disease prevention and control institutions In the evaluation process, the problem orientation shall be highlighted and the effect evaluation shall be strengthened The results of performance evaluation should be taken as the prediction of disease at county level